code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
,,ASSISTANT AT SURGERY SERVICE,,,12.0,12.0,1
,,ASSISTANT SURGEON,,,16.0,16.0,1
,,ASSISTANT SURGEON (WHEN QUALIFIED RESIDENT SURGEON NOT AVAILABLE),,,16.0,16.0,1
,,BILATERAL PROCEDURE,,,150.0,150.0,1
,,DISCONTINUED SERVICE AFTER TO ADMINISTRATION OF ANESTHESIA,,,50.0,50.0,1
,,DISCONTINUED SERVICE PRIOR TO ADMINISTRATION OF ANESTHESIA,,,,,0
,,INCREASED PROCEDURAL SERVICES,,,150.0,150.0,1
,,MEDICAL DIRECTION OF 1 QUALIFIED NON PHYSICIAN ANESTHETIST BY AN ANESTHESIOLOGIST,,,50.0,325.52,9
,,"MEDICAL DIRECTION OF 2, 3 OR 4 CONCURRENT ANESTHESIA PROCEDURES INVOLVING QUALIFIED INDIVIDUALS",,,50.0,310.01,9
,,MEDICAL SUPERVISION BY ANESTHESIOLOGIST INVOLVED IN MORE THAN 4 CONCURRENT SERVICES,,,162.76,162.76,8
,,MULTIPLE PROCEDURES PERFORMED AT THE SAME SESSION,,,50.0,50.0,1
,,PARTIAL REDUCTION OR DISCONTINUATION OF RADIOLOGY PROCEDURES AND OTHER SERVICES THAT DO NOT REQUIRE ANESTHESIA,,,50.0,50.0,1
,,POST-OPERATIVE  CARE,,,,,0
,,PRE- AND INTRA-OPERATIVE CARE,,,75.0,75.0,1
,,PRE-OPERATIVE CARE AND EVALUATION PRIOR TO SURGERY BY PHYSICIAN OR PROFESSIONAL OTHER THAN THE SURGEON,,,10.0,10.0,1
,,QUALIFIED NON PHYSICIAN ANESTHETIST WITH MEDICAL DIRECTION BY A PHYSICIAN,,,50.0,50.0,1
,,"SINGLE, HIGHLY COMPLEX SURGERY OR PROCEDURE REQUIRES SEVERAL PHYSICIANS FROM THE SAME OR DIFFERENT SPECIALTIES",,,62.5,62.5,1
,,SURGICAL OR DIAGNOSTIC PROCEDURE WAS STARTED BUT DISCONTINUED,,,20.0,20.0,1
,,TWO SURGEONS,,,62.5,62.5,1
,,UNPLANNED POST OPERATIVE RETURN TO THE OPERATING/PROCEDURAL ROOM,,,70.0,70.0,1
APC,01491,New Technology - Level 1A ($0-$10),,,5.0,5.0,1
APC,01492,New Technology - Level 1B ($11-$20),,,15.5,15.5,1
APC,01493,New Technology - Level 1C ($21-$30),,,25.5,25.5,1
APC,01494,New Technology - Level 1D ($31-$40),,,35.5,35.5,1
APC,01495,New Technology - Level 1E ($41-$50),,,45.5,45.5,1
APC,01496,New Technology - Level 1A ($0-$10),,,5.0,5.0,1
APC,01497,New Technology - Level 1B ($11-$20),,,15.5,15.5,1
APC,01498,New Technology - Level 1C ($21-$30),,,25.5,25.5,1
APC,01499,New Technology - Level 1D ($31-$40),,,35.5,35.5,1
APC,01500,New Technology - Level 1E ($41-$50),,,45.5,45.5,1
APC,01502,New Technology - Level 2 ($51 - $100),,,75.5,75.5,1
APC,01503,New Technology - Level 3 ($101 - $200),,,150.5,150.5,1
APC,01504,New Technology - Level 4 ($201 - $300),,,250.5,250.5,1
APC,01505,New Technology - Level 5 ($301 - $400),,,350.5,350.5,1
APC,01506,New Technology - Level 6 ($401 - $500),,,450.5,450.5,1
APC,01507,New Technology - Level 7 ($501 - $600),,,550.5,550.5,1
APC,01508,New Technology - Level 8 ($601 - $700),,,650.5,650.5,1
APC,01509,New Technology - Level 9 ($701 - $800),,,750.5,750.5,1
APC,01510,New Technology - Level 10 ($801 - $900),,,850.5,850.5,1
APC,01511,New Technology - Level 11 ($901 - $1000),,,950.5,950.5,1
APC,01512,New Technology - Level 12 ($1001 - $1100),,,1050.5,1050.5,1
APC,01513,New Technology - Level 13 ($1101 - $1200),,,1150.5,1150.5,1
APC,01514,New Technology - Level 14 ($1201- $1300),,,1250.5,1250.5,1
APC,01515,New Technology - Level 15 ($1301 - $1400),,,1350.5,1350.5,1
APC,01516,New Technology - Level 16 ($1401 - $1500),,,1450.5,1450.5,1
APC,01517,New Technology - Level 17 ($1501-$1600),,,1550.5,1550.5,1
APC,01518,New Technology - Level 18 ($1601-$1700),,,1650.5,1650.5,1
APC,01519,New Technology - Level 19 ($1701-$1800),,,1750.5,1750.5,1
APC,01520,New Technology - Level 20 ($1801-$1900),,,1850.5,1850.5,1
APC,01521,New Technology - Level 21 ($1901-$2000),,,1950.5,1950.5,1
APC,01522,New Technology - Level 22 ($2001-$2500),,,2250.5,2250.5,1
APC,01523,New Technology - Level 23 ($2501-$3000),,,2750.5,2750.5,1
APC,01524,New Technology - Level 24 ($3001-$3500),,,3250.5,3250.5,1
APC,01525,New Technology - Level 25 ($3501-$4000),,,3750.5,3750.5,1
APC,01526,New Technology - Level 26 ($4001-$4500),,,4250.5,4250.5,1
APC,01527,New Technology - Level 27 ($4501-$5000),,,4750.5,4750.5,1
APC,01528,New Technology - Level 28 ($5001-$5500),,,5250.5,5250.5,1
APC,01529,New Technology - Level 29 ($5501-$6000),,,5750.5,5750.5,1
APC,01530,New Technology - Level 30 ($6001-$6500),,,6250.5,6250.5,1
APC,01531,New Technology - Level 31 ($6501-$7000),,,6750.5,6750.5,1
APC,01532,New Technology - Level 32 ($7001-$7500),,,7250.5,7250.5,1
APC,01533,New Technology - Level 33 ($7501-$8000),,,7750.5,7750.5,1
APC,01534,New Technology - Level 34 ($8001-$8500),,,8250.5,8250.5,1
APC,01535,New Technology - Level 35 ($8501-$9000),,,8750.5,8750.5,1
APC,01536,New Technology - Level 36 ($9001-$9500),,,9250.5,9250.5,1
APC,01537,New Technology - Level 37 ($9501-$10000),,,9750.5,9750.5,1
APC,01539,New Technology - Level 2 ($51 - $100),,,75.5,75.5,1
APC,01540,New Technology - Level 3 ($101 - $200),,,150.5,150.5,1
APC,01541,New Technology - Level 4 ($201 - $300),,,250.5,250.5,1
APC,01542,New Technology - Level 5 ($301 - $400),,,350.5,350.5,1
APC,01543,New Technology - Level 6 ($401 - $500),,,450.5,450.5,1
APC,01544,New Technology - Level 7 ($501 - $600),,,550.5,550.5,1
APC,01545,New Technology - Level 8 ($601 - $700),,,650.5,650.5,1
APC,01546,New Technology - Level 9 ($701 - $800),,,750.5,750.5,1
APC,01547,New Technology - Level 10 ($801 - $900),,,850.5,850.5,1
APC,01548,New Technology - Level 11 ($901 - $1000),,,950.5,950.5,1
APC,01549,New Technology - Level 12 ($1001 - $1100),,,1050.5,1050.5,1
APC,01550,New Technology - Level 13 ($1101 - $1200),,,1150.5,1150.5,1
APC,01551,New Technology - Level 14 ($1201- $1300),,,1250.5,1250.5,1
APC,01552,New Technology - Level 15 ($1301 - $1400),,,1350.5,1350.5,1
APC,01553,New Technology - Level 16 ($1401 - $1500),,,1450.5,1450.5,1
APC,01554,New Technology - Level 17 ($1501-$1600),,,1550.5,1550.5,1
APC,01555,New Technology - Level 18 ($1601-$1700),,,1650.5,1650.5,1
APC,01556,New Technology - Level 19 ($1701-$1800),,,1750.5,1750.5,1
APC,01557,New Technology - Level 20 ($1801-$1900),,,1850.5,1850.5,1
APC,01558,New Technology - Level 21 ($1901-$2000),,,1950.5,1950.5,1
APC,01559,New Technology - Level 22 ($2001-$2500),,,2250.5,2250.5,1
APC,01560,New Technology - Level 23 ($2501-$3000),,,2750.5,2750.5,1
APC,01561,New Technology - Level 24 ($3001-$3500),,,3250.5,3250.5,1
APC,01562,New Technology - Level 25 ($3501-$4000),,,3750.5,3750.5,1
APC,01563,New Technology - Level 26 ($4001-$4500),,,4250.5,4250.5,1
APC,01564,New Technology - Level 27 ($4501-$5000),,,4750.5,4750.5,1
APC,01565,New Technology - Level 28 ($5001-$5500),,,5250.5,5250.5,1
APC,01566,New Technology - Level 29 ($5501-$6000),,,5750.5,5750.5,1
APC,01567,New Technology - Level 30 ($6001-$6500),,,6250.5,6250.5,1
APC,01568,New Technology - Level 31 ($6501-$7000),,,6750.5,6750.5,1
APC,01569,New Technology - Level 32 ($7001-$7500),,,7250.5,7250.5,1
APC,01570,New Technology - Level 33 ($7501-$8000),,,7750.5,7750.5,1
APC,01571,New Technology - Level 34 ($8001-$8500),,,8250.5,8250.5,1
APC,01572,New Technology - Level 35 ($8501-$9000),,,8750.5,8750.5,1
APC,01573,New Technology - Level 36 ($9001-$9500),,,9250.5,9250.5,1
APC,01574,New Technology - Level 37 ($9501-$10000),,,9750.5,9750.5,1
APC,01575,"New Technology - Level 38 ($10,001-$15,000)",,,12500.5,12500.5,1
APC,01576,"New Technology - Level 39 ($15,001-$20,000)",,,17500.5,17500.5,1
APC,01577,"New Technology - Level 40 ($20,001-$25,000)",,,22500.5,22500.5,1
APC,01578,"New Technology - Level 41 ($25,001-$30,000)",,,27500.5,27500.5,1
APC,01579,"New Technology - Level 42 ($30,001-$40,000)",,,35000.5,35000.5,1
APC,01580,"New Technology - Level 43 ($40,001-$50,000)",,,45000.5,45000.5,1
APC,01581,"New Technology - Level 44 ($50,001-$60,000)",,,55000.5,55000.5,1
APC,01582,"New Technology - Level 45 ($60,001-$70,000)",,,65000.5,65000.5,1
APC,01583,"New Technology - Level 46 ($70,001-$80,000)",,,75000.5,75000.5,1
APC,01584,"New Technology - Level 47 ($80,001-$90,000)",,,85000.5,85000.5,1
APC,01585,"New Technology - Level 48 ($90,001-$100,000)",,,95000.5,95000.5,1
APC,01589,"New Technology - Level 38 ($10,001-$15,000)",,,12500.5,12500.5,1
APC,01590,"New Technology - Level 39 ($15,001-$20,000)",,,17500.5,17500.5,1
APC,01591,"New Technology - Level 40 ($20,001-$25,000)",,,22500.5,22500.5,1
APC,01592,"New Technology - Level 41 ($25,001-$30,000)",,,27500.5,27500.5,1
APC,01593,"New Technology - Level 42 ($30,001-$40,000)",,,35000.5,35000.5,1
APC,01594,"New Technology - Level 43 ($40,001-$50,000)",,,45000.5,45000.5,1
APC,01595,"New Technology - Level 44 ($50,001-$60,000)",,,55000.5,55000.5,1
APC,01596,"New Technology - Level 45 ($60,001-$70,000)",,,65000.5,65000.5,1
APC,01597,"New Technology - Level 46 ($70,001-$80,000)",,,75000.5,75000.5,1
APC,01598,"New Technology - Level 47 ($80,001-$90,000)",,,85000.5,85000.5,1
APC,01599,"New Technology - Level 48 ($90,001-$100,000)",,,95000.5,95000.5,1
APC,01901,"New Technology - Level 49 ($100,001-$115,000)",,,107500.5,107500.5,1
APC,01902,"New Technology - Level 49 ($100,001-$115,000)",,,107500.5,107500.5,1
APC,01903,"New Technology - Level 50 ($115,001-$130,000)",,,122500.5,122500.5,1
APC,01904,"New Technology - Level 50 ($115,001-$130,000)",,,122500.5,122500.5,1
APC,01905,"New Technology - Level 51 ($130,001-$145,000)",,,137500.5,137500.5,1
APC,01906,"New Technology - Level 51 ($130,001-$145,000)",,,137500.5,137500.5,1
APC,01907,"New Technology - Level 52 ($145,001-$160,000)",,,152500.5,152500.5,1
APC,01908,"New Technology - Level 52 ($145,001-$160,000)",,,152500.5,152500.5,1
APC,02616,"Brachytx, non-str,Yttrium-90",,,17771.01,17771.01,1
APC,02632,Iodine I-125 sodium iodide,,,396.32,396.32,1
APC,02634,"Brachytx, non-str, HA, I-125",,,174.06,174.06,1
APC,02635,"Brachytx, non-str, HA, P-103",,,106.75,106.75,1
APC,02636,"Brachy linear, non-str,P-103",,,89.4,89.4,1
APC,02638,"Brachytx, stranded, I-125",,,35.26,35.26,1
APC,02639,"Brachytx, non-stranded,I-125",,,36.64,36.64,1
APC,02640,"Brachytx, stranded, P-103",,,88.26,88.26,1
APC,02641,"Brachytx, non-stranded,P-103",,,64.48,64.48,1
APC,02642,"Brachytx, stranded, C-131",,,119.11,119.11,1
APC,02643,"Brachytx, non-stranded,C-131",,,99.8,99.8,1
APC,02645,"Brachytx, non-str, Gold-198",,,513.57,513.57,1
APC,02646,"Brachytx, non-str, HDR Ir-192",,,357.49,357.49,1
APC,02647,"Brachytx, NS, Non-HDRIr-192",,,908.7,908.7,1
APC,02648,"Brachytx planar, p-103",,,4.69,4.69,1
APC,02698,"Brachytx, stranded, NOS",,,35.26,35.26,1
APC,02699,"Brachytx, non-stranded, NOS",,,36.64,36.64,1
APC,04017,Radiation tx delivery lvl 1,,,79.49,79.49,1
APC,04018,Radiation tx delivery lvl 2,,,317.64,317.64,1
APC,04019,Radiation tx delivery lvl 3,,,391.46,391.46,1
APC,05012,Clinic Visits and Related Services,,,136.02,136.02,1
APC,05021,Level 1 Type A ED Visits,,,86.15,86.15,1
APC,05022,Level 2 Type A ED Visits,,,156.87,156.87,1
APC,05023,Level 3 Type A ED Visits,,,278.89,278.89,1
APC,05024,Level 4 Type A ED Visits,,,426.3,426.3,1
APC,05025,Level 5 Type A ED Visits,,,608.43,608.43,1
APC,05031,Level 1 Type B ED Visits,,,75.94,75.94,1
APC,05032,Level 2 Type B ED Visits,,,94.9,94.9,1
APC,05033,Level 3 Type B ED Visits,,,175.61,175.61,1
APC,05034,Level 4 Type B ED Visits,,,270.03,270.03,1
APC,05035,Level 5 Type B ED Visits,,,419.62,419.62,1
APC,05041,Critical Care,,,843.92,843.92,1
APC,05045,Trauma Response with Critical Care,,,1361.78,1361.78,1
APC,05051,Level 1 Skin Procedures,,,204.98,204.98,1
APC,05052,Level 2 Skin Procedures,,,415.32,415.32,1
APC,05053,Level 3 Skin Procedures,,,755.08,755.08,1
APC,05054,Level 4 Skin Procedures,,,2107.97,2107.97,1
APC,05055,Level 5 Skin Procedures,,,3620.48,3620.48,1
APC,05061,Hyperbaric Oxygen,,,140.59,140.59,1
APC,05071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,723.47,723.47,1
APC,05072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,1687.37,1687.37,1
APC,05073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,2967.63,2967.63,1
APC,05091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,4000.24,4000.24,1
APC,05092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,6783.99,6783.99,1
APC,05093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,8350.42,8350.42,1
APC,05094,Level 4 Breast/Lymphatic Surgery and Related Procedures,,,14079.44,14079.44,1
APC,05101,Level 1 Strapping and Cast Application,,,166.02,166.02,1
APC,05102,Level 2 Strapping and Cast Application,,,285.75,285.75,1
APC,05111,Level 1 Musculoskeletal Procedures,,,252.01,252.01,1
APC,05112,Level 2 Musculoskeletal Procedures,,,1642.82,1642.82,1
APC,05113,Level 3 Musculoskeletal Procedures,,,3342.87,3342.87,1
APC,05114,Level 4 Musculoskeletal Procedures,,,7413.38,7413.38,1
APC,05115,Level 5 Musculoskeletal Procedures,,,13116.76,13116.76,1
APC,05116,Level 6 Musculoskeletal Procedures,,,17913.59,17913.59,1
APC,05117,Level 7 Musculoskeletal Procedures,,,27721.73,27721.73,1
APC,05151,Level 1 Airway Endoscopy,,,203.93,203.93,1
APC,05152,Level 2 Airway Endoscopy,,,399.59,399.59,1
APC,05153,Level 3 Airway Endoscopy,,,1818.45,1818.45,1
APC,05154,Level 4 Airway Endoscopy,,,3809.1,3809.1,1
APC,05155,Level 5 Airway Endoscopy,,,7210.32,7210.32,1
APC,05161,Level 1 ENT Procedures,,,241.98,241.98,1
APC,05162,Level 2 ENT Procedures,,,551.01,551.01,1
APC,05163,Level 3 ENT Procedures,,,1585.19,1585.19,1
APC,05164,Level 4 ENT Procedures,,,3387.27,3387.27,1
APC,05165,Level 5 ENT Procedures,,,6048.05,6048.05,1
APC,05166,Cochlear Implant Procedure,,,33686.28,33686.28,1
APC,05181,Level 1 Vascular Procedures,,,640.89,640.89,1
APC,05182,Level 2 Vascular Procedures,,,1608.25,1608.25,1
APC,05183,Level 3 Vascular Procedures,,,3225.87,3225.87,1
APC,05184,Level 4 Vascular Procedures,,,5685.01,5685.01,1
APC,05191,Level 1 Endovascular Procedures,,,3312.15,3312.15,1
APC,05192,Level 2 Endovascular Procedures,,,5814.84,5814.84,1
APC,05193,Level 3 Endovascular Procedures,,,11794.23,11794.23,1
APC,05194,Level 4 Endovascular Procedures,,,18728.69,18728.69,1
APC,05200,Implantation Wireless PA Pressure Monitor,,,29304.62,29304.62,1
APC,05211,Level 1 Electrophysiologic Procedures,,,1243.91,1243.91,1
APC,05212,Level 2 Electrophysiologic Procedures,,,7968.6,7968.6,1
APC,05213,Level 3 Electrophysiologic Procedures,,,26703.99,26703.99,1
APC,05221,Level 1 Pacemaker and Similar Procedures,,,3817.9,3817.9,1
APC,05222,Level 2 Pacemaker and Similar Procedures,,,8454.63,8454.63,1
APC,05223,Level 3 Pacemaker and Similar Procedures,,,10678.38,10678.38,1
APC,05224,Level 4 Pacemaker and Similar Procedures,,,19678.89,19678.89,1
APC,05231,Level 1 ICD and Similar Procedures,,,22725.36,22725.36,1
APC,05232,Level 2 ICD and Similar Procedures,,,32068.73,32068.73,1
APC,05241,Level 1 Blood Product Exchange and Related Services,,,450.73,450.73,1
APC,05242,Level 2 Blood Product Exchange and Related Services,,,1591.16,1591.16,1
APC,05243,Level 3 Blood Product Exchange and Related Services,,,4449.84,4449.84,1
APC,05244,Level 4 Blood Product Exchange and Related Services,,,64263.52,64263.52,1
APC,05301,Level 1 Upper GI Procedures,,,926.63,926.63,1
APC,05302,Level 2 Upper GI Procedures,,,1960.47,1960.47,1
APC,05303,Level 3 Upper GI Procedures,,,3938.98,3938.98,1
APC,05311,Level 1 Lower GI Procedures,,,950.1,950.1,1
APC,05312,Level 2 Lower GI Procedures,,,1222.56,1222.56,1
APC,05313,Level 3 Lower GI Procedures,,,2835.78,2835.78,1
APC,05331,Complex GI Procedures,,,6202.39,6202.39,1
APC,05341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,3657.95,3657.95,1
APC,05342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,6614.04,6614.04,1
APC,05361,Level 1 Laparoscopy and Related Services,,,6176.47,6176.47,1
APC,05362,Level 2 Laparoscopy and Related Services,,,10860.07,10860.07,1
APC,05371,Level 1 Urology and Related Services,,,255.26,255.26,1
APC,05372,Level 2 Urology and Related Services,,,712.4,712.4,1
APC,05373,Level 3 Urology and Related Services,,,2135.66,2135.66,1
APC,05374,Level 4 Urology and Related Services,,,3601.33,3601.33,1
APC,05375,Level 5 Urology and Related Services,,,5477.93,5477.93,1
APC,05376,Level 6 Urology and Related Services,,,9671.5,9671.5,1
APC,05377,Level 7 Urology and Related Services,,,13479.22,13479.22,1
APC,05378,Level 8 Urology and Related Services,,,21175.04,21175.04,1
APC,05401,Dialysis,,,701.18,701.18,1
APC,05411,Level 1 Gynecologic Procedures,,,206.55,206.55,1
APC,05412,Level 2 Gynecologic Procedures,,,311.33,311.33,1
APC,05413,Level 3 Gynecologic Procedures,,,941.0,941.0,1
APC,05414,Level 4 Gynecologic Procedures,,,3307.24,3307.24,1
APC,05415,Level 5 Gynecologic Procedures,,,5110.8,5110.8,1
APC,05416,Level 6 Gynecologic Procedures,,,7576.05,7576.05,1
APC,05431,Level 1 Nerve Procedures,,,1995.02,1995.02,1
APC,05432,Level 2 Nerve Procedures,,,3490.14,3490.14,1
APC,05433,Level 3 Nerve Procedures,,,8965.93,8965.93,1
APC,05441,Level 1 Nerve Injections,,,313.6,313.6,1
APC,05442,Level 2 Nerve Injections,,,721.17,721.17,1
APC,05443,Level 3 Nerve Injections,,,903.63,903.63,1
APC,05461,Level 1 Neurostimulator and Related Procedures,,,3571.83,3571.83,1
APC,05462,Level 2 Neurostimulator and Related Procedures,,,6511.03,6511.03,1
APC,05463,Level 3 Neurostimulator and Related Procedures,,,11384.04,11384.04,1
APC,05464,Level 4 Neurostimulator and Related Procedures,,,19820.31,19820.31,1
APC,05465,Level 5 Neurostimulator and Related Procedures,,,31526.06,31526.06,1
APC,05471,Implantation of Drug Infusion Device,,,18414.24,18414.24,1
APC,05481,Laser Eye Procedures,,,561.91,561.91,1
APC,05491,Level 1 Intraocular Procedures,,,2357.81,2357.81,1
APC,05492,Level 2 Intraocular Procedures,,,4222.95,4222.95,1
APC,05493,Level 3 Intraocular Procedures,,,5436.56,5436.56,1
APC,05494,Level 4 Intraocular Procedures,,,14820.3,14820.3,1
APC,05495,Level 5 Intraocular Procedures,,,14255.17,14255.17,1
APC,05496,Level 6 Intraocular Procedures,,,16817.36,16817.36,1
APC,05501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,324.28,324.28,1
APC,05502,"Level 2 Extraocular, Repair, and Plastic Eye Procedures",,,1018.47,1018.47,1
APC,05503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,2428.98,2428.98,1
APC,05504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,4016.55,4016.55,1
APC,05521,Level 1 Imaging without Contrast,,,88.91,88.91,1
APC,05522,Level 2 Imaging without Contrast,,,106.81,106.81,1
APC,05523,Level 3 Imaging without Contrast,,,243.77,243.77,1
APC,05524,Level 4 Imaging without Contrast,,,558.25,558.25,1
APC,05571,Level 1 Imaging with Contrast,,,179.2,179.2,1
APC,05572,Level 2 Imaging with Contrast,,,356.43,356.43,1
APC,05573,Level 3 Imaging with Contrast,,,800.9,800.9,1
APC,05591,Level 1 Nuclear Medicine and Related Services,,,408.43,408.43,1
APC,05592,Level 2 Nuclear Medicine and Related Services,,,554.73,554.73,1
APC,05593,Level 3 Nuclear Medicine and Related Services,,,1322.69,1322.69,1
APC,05594,Level 4 Nuclear Medicine and Related Services,,,1460.92,1460.92,1
APC,05611,Level 1 Therapeutic Radiation Treatment Preparation,,,137.32,137.32,1
APC,05612,Level 2 Therapeutic Radiation Treatment Preparation,,,382.54,382.54,1
APC,05613,Level 3 Therapeutic Radiation Treatment Preparation,,,1414.11,1414.11,1
APC,05621,Level 1 Radiation Therapy,,,104.24,104.24,1
APC,05622,Level 2 Radiation Therapy,,,394.05,394.05,1
APC,05623,Level 3 Radiation Therapy,,,564.51,564.51,1
APC,05624,Level 4 Radiation Therapy,,,711.56,711.56,1
APC,05625,Level 5 Radiation Therapy,,,1276.81,1276.81,1
APC,05626,Level 6 Radiation Therapy,,,1826.78,1826.78,1
APC,05627,Level 7 Radiation Therapy,,,7524.82,7524.82,1
APC,05661,Therapeutic Nuclear Medicine,,,238.39,238.39,1
APC,05671,Level 1 Pathology,,,53.24,53.24,1
APC,05672,Level 2 Pathology,,,174.06,174.06,1
APC,05673,Level 3 Pathology,,,366.21,366.21,1
APC,05674,Level 4 Pathology,,,823.13,823.13,1
APC,05691,Level 1 Drug Administration,,,47.84,47.84,1
APC,05692,Level 2 Drug Administration,,,73.56,73.56,1
APC,05693,Level 3 Drug Administration,,,217.31,217.31,1
APC,05694,Level 4 Drug Administration,,,337.46,337.46,1
APC,05721,Level 1 Diagnostic Tests and Related Services,,,131.46,131.46,1
APC,05722,Level 2 Diagnostic Tests and Related Services,,,220.6,220.6,1
APC,05723,Level 3 Diagnostic Tests and Related Services,,,381.24,381.24,1
APC,05724,Level 4 Diagnostic Tests and Related Services,,,877.34,877.34,1
APC,05731,Level 1 Minor Procedures,,,29.55,29.55,1
APC,05732,Level 2 Minor Procedures,,,38.16,38.16,1
APC,05733,Level 3 Minor Procedures,,,60.27,60.27,1
APC,05734,Level 4 Minor Procedures,,,135.93,135.93,1
APC,05735,Level 5 Minor Procedures,,,456.4,456.4,1
APC,05741,Level 1 Electronic Analysis of Devices,,,38.13,38.13,1
APC,05742,Level 2 Electronic Analysis of Devices,,,97.13,97.13,1
APC,05743,Level 3 Electronic Analysis of Devices,,,313.79,313.79,1
APC,05771,Cardiac Rehabilitation,,,131.7,131.7,1
APC,05781,Resuscitation and Cardioversion,,,675.26,675.26,1
APC,05791,Pulmonary Treatment,,,223.72,223.72,1
APC,05801,Ventilation Initiation and Management,,,631.17,631.17,1
APC,05811,Manipulation Therapy,,,22.06,22.06,1
APC,05821,Level 1 Health and Behavior Services,,,38.28,38.28,1
APC,05822,Level 2 Health and Behavior Services,,,103.79,103.79,1
APC,05823,Level 3 Health and Behavior Services,,,181.34,181.34,1
APC,05851,Intensive Outpatient (3 services) for CMHCs,,,127.74,127.74,1
APC,05852,Intensive Outpatient (4 or more services) for CMHCs,,,167.38,167.38,1
APC,05853,Partial Hospitalization (3 services) for CMHCs,,,127.74,127.74,1
APC,05854,Partial Hospitalization (4 or more services) for CMHCs,,,167.38,167.38,1
APC,05861,Intensive Outpatient (3 services) for Hospital-based IOPs,,,319.38,319.38,1
APC,05862,Intensive Outpatient (4 or more services) for Hospital-based IOPs,,,418.45,418.45,1
APC,05863,Partial Hospitalization (3 services) for Hospital-based PHPs,,,319.38,319.38,1
APC,05864,Partial Hospitalization (4 or more services) for Hospital-based PHPs,,,418.45,418.45,1
APC,05871,Dental Procedures,,,660.49,660.49,1
APC,05881,Ancillary Outpatient Services When Patient Dies,,,14228.88,14228.88,1
APC,06000,PMA Skin Substitute Products,,,127.14,127.14,1
APC,06001,510K Skin Substitute Products,,,127.14,127.14,1
APC,06002,HCT/P Skin Substitute Products,,,127.14,127.14,1
APC,08004,Ultrasound Composite,,,300.57,300.57,1
APC,08005,CT and CTA without Contrast Composite,,,226.07,226.07,1
APC,08006,CT and CTA with Contrast Composite,,,438.9,438.9,1
APC,08007,MRI and MRA without Contrast Composite,,,537.85,537.85,1
APC,08008,MRI and MRA with Contrast Composite,,,867.08,867.08,1
APC,08010,Mental Health Services Composite,,,418.45,418.45,1
APC,08011,Comprehensive Observation Services,,,2672.15,2672.15,1
APC,09398,Covid-19 Vaccine Administration,,,41.52,41.52,1
APC,09399,"Pneumococcal, Influenza, Hepatitis B, and/or Covid-19 Vaccine Home Administration",,,36.85,36.85,1
APC,09500,"Platelets, irradiated",,,392.97,392.97,1
APC,09501,Platelet pheres leukoreduced,,,511.59,511.59,1
APC,09502,Platelet pheresis irradiated,,,949.13,949.13,1
APC,09503,Fr frz plasma donor retested,,,53.25,53.25,1
APC,09504,RBC deglycerolized,,,313.0,313.0,1
APC,09505,RBC irradiated,,,145.22,145.22,1
APC,09507,"Platelets, pheresis",,,308.96,308.96,1
APC,09508,Plasma 1 donor frz w/in 8 hr,,,85.98,85.98,1
APC,09509,"Frozen plasma, pooled, sd",,,55.96,55.96,1
APC,09510,Whole blood for transfusion,,,189.84,189.84,1
APC,09511,Cryoprecipitate each unit,,,71.95,71.95,1
APC,09512,RBC leukocytes reduced,,,184.91,184.91,1
APC,09513,"Plasma, frz between 8-24hour",,,73.77,73.77,1
APC,09514,"Plasma protein fract,5%,50ml",,,8.11,8.11,1
APC,09515,"Platelets, each unit",,,53.17,53.17,1
APC,09516,Plaelet rich plasma unit,,,559.79,559.79,1
APC,09517,Red blood cells unit,,,150.57,150.57,1
APC,09518,Washed red blood cells unit,,,368.58,368.58,1
APC,09519,"Plasmaprotein fract,5%,250ml",,,35.32,35.32,1
APC,09520,Blood split unit,,,155.84,155.84,1
APC,09521,Platelets leukoreduced irrad,,,189.59,189.59,1
APC,09522,RBC leukoreduced irradiated,,,265.41,265.41,1
APC,09523,Cryoprecipitatereducedplasma,,,132.05,132.05,1
APC,09524,"Blood, l/r, cmv-neg",,,151.58,151.58,1
APC,09525,"Platelets, hla-m, l/r, unit",,,708.06,708.06,1
APC,09526,Platelets leukocytes reduced,,,144.26,144.26,1
APC,09527,"Blood, l/r, froz/degly/wash",,,265.19,265.19,1
APC,09528,"Plt, aph/pher, l/r, cmv-neg",,,250.49,250.49,1
APC,09529,"Blood, l/r, irradiated",,,84.55,84.55,1
APC,09530,Plate pheres leukoredu irrad,,,680.61,680.61,1
APC,09531,"Plt, pher, l/r cmv-neg, irr",,,503.45,503.45,1
APC,09532,"RBC, frz/deg/wsh, l/r, irrad",,,422.69,422.69,1
APC,09533,"RBC, l/r, cmv-neg, irrad",,,249.4,249.4,1
APC,09534,Pathogen reduced plasma pool,,,55.78,55.78,1
APC,09535,Pathogen reduced plasma sing,,,294.48,294.48,1
APC,09536,Platelets pheresis path redu,,,607.43,607.43,1
APC,09537,Blood component/product noc,,,35.32,35.32,1
APC,09538,Plasma cryo redu path each,,,133.76,133.76,1
APC,09539,Cryo fib comp path redu each,,,549.28,549.28,1
APC,09540,Covid-19 convalescent plasma,,,680.03,680.03,1
APC,09541,Rbc o2 co2 reduced,,,511.59,511.59,1
APC,T0002,Maternity Observation,,,1521.73,1521.73,1
APC,T0003,Debride abdom wall,,,340.71,340.71,1
APC,T0004,Breast reconstruction,,,1220.78,1220.78,1
APC,T0008,"Thoracoscopy, surgical",,,815.33,815.33,1
APC,T0010,Removal of gallbladder,,,1141.43,1141.43,1
APC,T0011,Removal of gallbladder,,,1329.7,1329.7,1
APC,T0012,Removal of fallopian tube,,,716.89,716.89,1
APC,T0013,Removal of ovary/tube(s),,,1511.08,1511.08,1
APC,T0014,Revise fallopian tube(s),,,651.9,651.9,1
APC,T0017,Laparoscopic banding revision,,,595.05,595.05,1
APC,T0018,Laparoscopic banding adjustment,,,61.2,61.2,1
APC,T0020,"Methadone Opioid Treatment Program, Weekly",,,153.58,153.58,1
APC,T0130,"Laparoscopic ileostomy or jejunostomy, non-tube",,,3677.18,3677.18,1
APC,T0175,Intensive Outpatient Program,,,220.9,220.9,1
APC,T1084,Denileukin diftitox inj,,,2070.74,2070.74,1
APC,T1239,Rotavirus vacc 2 dose oral,,,139.27,139.27,1
APC,T1355,Itraconazole injection,,,0.4,0.4,1
APC,T1357,Inj protirelin per 250 mcg,,,38.15,38.15,1
APC,T1361,Enfuvirtide injection,,,22.7,22.7,1
APC,T1435,Injection estrone per 1 MG,,,1.98,1.98,1
APC,T1842,Leuprolide acetate implant,,,205.36,205.36,1
APC,T2644,Brachytx cesium-131 chloride,,,122.16,122.16,1
APC,T3050,Sermorelin acetate injection,,,2.3,2.3,1
APC,T5122,Level 2 Musculoskeletal Procedures,,,2970.4,2970.4,1
APC,T5271,Blood Product Exchange and Related Services,,,1299.17,1299.17,1
APC,T5521,Level 1 Imaging without Contrast,,,75.37,75.37,1
APC,T5861,Partial Hospitalization (minimum 2 services) for Hospital-based PHP,,,227.41,227.41,1
APC,T9060,Diazoxide injection,,,841.04,841.04,1
APC,T9506,"Granulocytes, pheresis unit",,,1882.84,1882.84,1
CDT,D0120,PR PERIODIC ORAL EVALUATION - ESTABLISHED PATIENT,62.0,,15.03,55.8,40
CDT,D0140,PR LIMITED ORAL EVALUATION - PROBLEM FOCUSED,102.0,,22.1,91.8,40
CDT,D0150,PR COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT,160.0,,22.39,144.0,40
CDT,D0160,"PR DETAILED AND EXTENSIVE ORAL EVALUATION - PROBLEM FOCUSED, BY REPORT",252.0,,41.82,226.8,40
CDT,D0170,"PR RE-EVALUATION - LIMITED, PROBLEM FOCUSED (ESTABLISHED PATIENT; NOT POST-OPERATI",65.0,,18.84,58.5,40
CDT,D0180,PR COMPREHENSIVE PERIODONTAL EVALUATION - NEW OR ESTABLISHED PATIENT,284.0,,23.24,255.6,40
CDT,D0210,PR INTRAORAL - COMPLETE SERIES OF RADIOGRAPHIC IMAGES,153.0,,43.1,137.7,40
CDT,D0220,PR INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE,33.0,,10.31,29.7,40
CDT,D0230,PR INTRAORAL - PERIAPICAL EACH ADDITIONAL RADIOGRAPHIC IMAGE,28.0,,5.91,25.2,40
CDT,D0240,PR INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE,46.0,,13.27,41.4,40
CDT,D0250,PR EXTRAORAL - FIRST RADIOGRAPHIC IMAGE,60.0,,20.37,54.0,40
CDT,D0270,PR BITEWING - SINGLE RADIOGRAPHIC IMAGE,33.0,,10.31,29.7,40
CDT,D0272,PR BITEWINGS - TWO RADIOGRAPHIC IMAGES,48.0,,13.27,43.2,40
CDT,D0274,PR BITEWINGS - FOUR RADIOGRAPHIC IMAGES,67.0,,21.26,60.3,40
CDT,D0277,PR VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES,101.0,,26.58,90.9,40
CDT,D0310,PR SIALOGRAPHY,492.0,,100.66,442.8,40
CDT,D0320,"PR TEMPOROMANDIBULAR JOINT ARTHROGRAM, INCLUDING INJECTION",839.0,,219.91,755.1,40
CDT,D0322,PR TOMOGRAPHIC SURVEY,672.0,,137.24,604.8,40
CDT,D0330,PR PANORAMIC RADIOGRAPHIC IMAGE,125.0,,36.01,112.5,40
CDT,D0340,PR CEPHALOMETRIC RADIOGRAPHIC IMAGE,145.0,,43.99,130.5,40
CDT,D0350,PR 2D ORAL/FACIAL PHOTOGRAPHIC IMAGE OBTAINED INTRA-ORALLY OR EXTRA-ORALLY,65.0,,21.55,58.5,40
CDT,D0415,PR COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY,107.0,,42.27,96.3,40
CDT,D0425,PR CARIES SUSCEPTIBILITY TESTS,62.0,,23.94,55.8,40
CDT,D0460,PR PULP VITALITY TESTS,64.0,,17.44,57.6,40
CDT,D0472,"PR ACCESSION OF TISSUE, GROSS EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN",95.0,,30.44,85.5,40
CDT,D0473,"PR ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMI",181.0,,45.22,162.9,40
CDT,D0474,"PR ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, INCLUDING ASSESSMENT OF",216.0,,53.2,194.4,40
CDT,D0480,"PR ACCESSION OF EXFOLIATIVE CYTOLOGIC SMEARS, MICROSCOPIC EXAMINATION, PREPARATION",133.0,,46.11,119.7,40
CDT,D1110,PROPHYLAXIS - ADULT,104.0,,33.58,93.6,40
CDT,D1120,PROPHYLAXIS - CHILD,73.0,,22.37,65.7,40
CDT,D1208,PR TOPICAL APPLICATION OF FLUORIDE - EXCLUDING VARNISH,53.0,,8.84,47.7,40
CDT,D1310,PR NUTRITIONAL COUNSELING FOR CONTROL OF DENTAL DISEASE,64.0,,24.44,57.6,40
CDT,D1320,PR TOBACCO COUNSELING FOR THE CONTROL AND PREVENTION OF ORAL DISEASE,60.0,,22.96,54.0,40
CDT,D1330,PR ORAL HYGIENE INSTRUCTIONS,86.0,,17.38,77.4,40
CDT,D1351,PR SEALANT - PER TOOTH,67.0,,17.97,60.3,40
CDT,D1510,PR SPACE MAINTAINER - FIXED - UNILATERAL,403.0,,95.7,362.7,40
CDT,D1520,PR SPACE MAINTAINER - REMOVABLE - UNILATERAL,501.0,,116.0,450.9,40
CDT,D2140,"PR AMALGAM - ONE SURFACE, PRIMARY OR PERMANENT",166.0,,39.47,149.4,40
CDT,D2150,"PR AMALGAM - TWO SURFACES, PRIMARY OR PERMANENT",214.0,,45.61,192.6,40
CDT,D2160,"PR AMALGAM - THREE SURFACES, PRIMARY OR PERMANENT",259.0,,55.82,233.1,40
CDT,D2161,"PR AMALGAM - FOUR OR MORE SURFACES, PRIMARY OR PERMANENT",312.0,,68.11,280.8,40
CDT,D2330,"PR RESIN-BASED COMPOSITE - ONE SURFACE, ANTERIOR",186.0,,41.8,167.4,40
CDT,D2331,"PR RESIN-BASED COMPOSITE - TWO SURFACES, ANTERIOR",234.0,,60.78,210.6,40
CDT,D2332,"PR RESIN-BASED COMPOSITE - THREE SURFACES, ANTERIOR",297.0,,71.33,267.3,40
CDT,D2335,PR RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTER,337.0,,82.13,303.3,40
CDT,D2390,"PR RESIN-BASED COMPOSITE CROWN, ANTERIOR",417.0,,127.15,375.3,40
CDT,D2391,"PR RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR",249.0,,43.84,224.1,40
CDT,D2392,"PR RESIN-BASED COMPOSITE - TWO SURFACES, POSTERIOR",312.0,,78.61,280.8,40
CDT,D2393,"PR RESIN-BASED COMPOSITE - THREE SURFACES, POSTERIOR",388.0,,104.07,349.2,40
CDT,D2394,"PR RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES, POSTERIOR",474.0,,113.68,426.6,40
CDT,D2410,PR GOLD FOIL - ONE SURFACE,364.0,,146.72,330.12,40
CDT,D2420,PR GOLD FOIL - TWO SURFACES,541.0,,185.9,486.9,40
CDT,D2430,PR GOLD FOIL - THREE SURFACES,934.0,,250.79,840.6,40
CDT,D2510,PR INLAY - METALLIC - ONE SURFACE,854.0,,238.8,768.6,40
CDT,D2520,PR INLAY - METALLIC - TWO SURFACES,969.0,,270.36,872.1,40
CDT,D2530,PR INLAY - METALLIC - THREE OR MORE SURFACES,1117.0,,282.93,1005.3,40
CDT,D2542,PR ONLAY - METALLIC - TWO SURFACES,1095.0,,308.94,985.5,40
CDT,D2543,PR ONLAY - METALLIC - THREE SURFACES,1145.0,,323.56,1030.5,40
CDT,D2544,PR ONLAY - METALLIC - FOUR OR MORE SURFACES,1190.0,,349.86,1071.0,40
CDT,D2610,PR INLAY - PORCELAIN/CERAMIC - ONE SURFACE,1007.0,,266.88,906.3,40
CDT,D2620,PR INLAY - PORCELAIN/CERAMIC - TWO SURFACES,1062.0,,278.27,955.8,40
CDT,D2630,PR INLAY - PORCELAIN/CERAMIC - THREE OR MORE SURFACES,1128.0,,345.2,1015.2,40
CDT,D2642,PR ONLAY - PORCELAIN/CERAMIC - TWO SURFACES,1097.0,,296.66,987.3,40
CDT,D2643,PR ONLAY - PORCELAIN/CERAMIC - THREE SURFACES,1183.0,,333.51,1064.7,40
CDT,D2644,PR ONLAY - PORCELAIN/CERAMIC - FOUR OR MORE SURFACES,1256.0,,377.64,1130.4,40
CDT,D2650,PR INLAY - RESIN-BASED COMPOSITE - ONE SURFACE,661.0,,225.93,594.9,40
CDT,D2651,PR INLAY - RESIN-BASED COMPOSITE - TWO SURFACES,786.0,,258.37,707.4,40
CDT,D2652,PR INLAY - RESIN-BASED COMPOSITE - THREE OR MORE SURFACES,827.0,,322.11,744.3,40
CDT,D2662,PR ONLAY - RESIN-BASED COMPOSITE - TWO SURFACES,719.0,,252.82,647.1,40
CDT,D2663,PR ONLAY - RESIN-BASED COMPOSITE - THREE SURFACES,845.0,,308.65,760.5,40
CDT,D2664,PR ONLAY - RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES,905.0,,328.25,814.5,40
CDT,D2710,PR CROWN - RESIN-BASED COMPOSITE (INDIRECT),510.0,,191.45,459.0,40
CDT,D2720,PR CROWN - RESIN WITH HIGH NOBLE METAL,1256.0,,400.43,1130.4,40
CDT,D2721,PR CROWN - RESIN WITH PREDOMINANTLY BASE METAL,1175.0,,318.01,1057.5,40
CDT,D2722,PR CROWN - RESIN WITH NOBLE METAL,1203.0,,350.45,1082.7,40
CDT,D2740,PR CROWN - PORCELAIN/CERAMIC SUBSTRATE,1288.0,,403.06,1159.2,40
CDT,D2750,PR CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL,1269.0,,432.58,1142.1,40
CDT,D2751,PR CROWN - PORCELAIN FUSED TO PREDOMINANTLY BASE METAL,1183.0,,333.51,1064.7,40
CDT,D2752,PR CROWN - PORCELAIN FUSED TO NOBLE METAL,1210.0,,366.54,1089.0,40
CDT,D2780,PR CROWN - 3/4 CAST HIGH NOBLE METAL,1218.0,,367.14,1096.2,40
CDT,D2781,PR CROWN - 3/4 CAST PREDOMINANTLY BASE METAL,1148.0,,285.27,1033.2,40
CDT,D2782,PR CROWN - 3/4 CAST NOBLE METAL,1185.0,,318.6,1066.5,40
CDT,D2783,PR CROWN - 3/4 PORCELAIN/CERAMIC,1251.0,,385.22,1125.9,40
CDT,D2790,PR CROWN - FULL CAST HIGH NOBLE METAL,1269.0,,383.19,1142.1,40
CDT,D2799,PROVISIONAL CROWN- FURTHER TREATMENT OR COMPLETION OF DIAGNOSIS NECESSARY PRIOR,510.0,,127.15,459.0,40
CDT,D2910,"PR RE-CEMENT OR RE-BOND INLAY, ONLAY, VENEER OR PARTIAL COVERAGE RESTORATION",103.0,,30.71,92.7,40
CDT,D2920,PR RE-CEMENT OR RE-BOND CROWN,116.0,,30.96,104.4,40
CDT,D2930,PREFABRICATED STAINLESS STEEL CROWN - PRIMARY TOOTH,310.0,,82.72,279.0,40
CDT,D2931,PREFABRICATED STAINLESS STEEL CROWN - PERMANENT TOOTH,350.0,,116.05,315.0,40
CDT,D2932,PREFABRICATED RESIN CROWN,380.0,,99.66,342.0,40
CDT,D2933,PREFABRICATED STAINLESS STEEL CROWN WITH RESIN WINDOW,427.0,,98.22,384.3,40
CDT,D2940,PROTECTIVE RESTORATION,121.0,,31.56,108.9,40
CDT,D2950,"PR CORE BUILDUP, INCLUDING ANY PINS WHEN REQUIRED",298.0,,82.13,268.2,40
CDT,D2951,"PR PIN RETENTION - PER TOOTH, IN ADDITION TO RESTORATION",65.0,,20.16,58.5,40
CDT,D2952,"PR POST AND CORE IN ADDITION TO CROWN, INDIRECTLY FABRICATED",466.0,,154.9,419.4,40
CDT,D2953,PR EACH ADDITIONAL INDIRECTLY FABRICATED POST - SAME TOOTH,297.0,,115.76,267.3,40
CDT,D2954,PREFABRICATED POST AND CORE IN ADDITION TO CROWN,373.0,,102.29,335.7,40
CDT,D2955,PR POST REMOVAL,282.0,,81.54,253.8,40
CDT,D2957,PR EACH ADDITIONAL PREFABRICATED POST - SAME TOOTH,189.0,,66.63,170.1,40
CDT,D2960,PR LABIAL VENEER (RESIN LAMINATE) - CHAIRSIDE,911.0,,147.03,819.9,40
CDT,D2961,PR LABIAL VENEER (RESIN LAMINATE) - LABORATORY,1018.0,,223.89,916.2,40
CDT,D2962,PR LABIAL VENEER (PORCELAIN LAMINATE) - LABORATORY,1105.0,,297.55,994.5,40
CDT,D2980,PR CROWN REPAIR NECESSITATED BY RESTORATIVE MATERIAL FAILURE,315.0,,60.78,283.5,40
CDT,D3110,PR PULP CAP - DIRECT (EXCLUDING FINAL RESTORATION),155.0,,29.23,139.5,40
CDT,D3120,PR PULP CAP - INDIRECT (EXCLUDING FINAL RESTORATION),68.0,,23.38,61.2,40
CDT,D3220,PR THERAPEUTIC PULPOTOMY (EXCLUDING FINAL RESTORATION) - REMOVAL OF PULP CORONAL T,311.0,,68.11,279.9,40
CDT,D3221,"PR PULPAL DEBRIDEMENT, PRIMARY AND PERMANENT TEETH",214.0,,87.68,197.28,40
CDT,D3230,"PR PULPAL THERAPY (RESORBABLE FILLING) - ANTERIOR, PRIMARY TOOTH (EXCLUDING FINAL",206.0,,73.95,185.4,40
CDT,D3240,"PR PULPAL THERAPY (RESORBABLE FILLING) - POSTERIOR, PRIMARY TOOTH (EXCLUDING FINAL",223.0,,84.75,200.7,40
CDT,D3310,"PR ENDODONTIC THERAPY, ANTERIOR TOOTH (EXCLUDING FINAL RESTORATION)",1291.0,,241.43,1161.9,40
CDT,D3320,"PR ENDODONTIC THERAPY, BICUSPID TOOTH (EXCLUDING FINAL RESTORATION)",1581.0,,277.68,1422.9,40
CDT,D3330,"PR ENDODONTIC THERAPY, MOLAR (EXCLUDING FINAL RESTORATION)",1959.0,,339.35,1763.1,40
CDT,D3331,PR TREATMENT OF ROOT CANAL OBSTRUCTION; NON-SURGICAL ACCESS,457.0,,206.06,463.64,40
CDT,D3332,"PR INCOMPLETE ENDODONTIC THERAPY; INOPERABLE, UNRESTORABLE OR FRACTURED TOOTH",705.0,,132.34,634.5,40
CDT,D3333,PR INTERNAL ROOT REPAIR OF PERFORATION DEFECTS,238.0,,92.08,214.2,40
CDT,D3346,PR RETREATMENT OF PREVIOUS ROOT CANAL THERAPY - ANTERIOR,1096.0,,269.57,986.4,40
CDT,D3347,PR RETREATMENT OF PREVIOUS ROOT CANAL THERAPY - BICUSPID,1292.0,,328.39,1162.8,40
CDT,D3348,PR RETREATMENT OF PREVIOUS ROOT CANAL THERAPY - MOLAR,1553.0,,404.36,1397.7,40
CDT,D3351,PR APEXIFICATION/RECALCIFICATION - INITIAL VISIT (APICAL CLOSURE / CALCIFIC REPAIR,464.0,,122.54,417.6,40
CDT,D3352,PR APEXIFICATION/RECALCIFICATION - INTERIM MEDICATION REPLACEMENT,204.0,,83.31,187.45,40
CDT,D3353,PR APEXIFICATION/RECALCIFICATION - FINAL VISIT (INCLUDES COMPLETED ROOT CANAL THER,684.0,,189.41,615.6,40
CDT,D3410,PR APICOECTOMY - ANTERIOR,1751.0,,228.0,1575.9,40
CDT,D3421,PR APICOECTOMY - BICUSPID (FIRST ROOT),1018.0,,257.32,916.2,40
CDT,D3425,PR APICOECTOMY - MOLAR (FIRST ROOT),1151.0,,286.73,1035.9,40
CDT,D3426,PR APICOECTOMY (EACH ADDITIONAL ROOT),387.0,,117.79,348.3,40
CDT,D3430,PR RETROGRADE FILLING - PER ROOT,551.0,,73.95,495.9,40
CDT,D3450,PR ROOT AMPUTATION - PER ROOT,573.0,,122.54,515.7,40
CDT,D3460,PR ENDODONTIC ENDOSSEOUS IMPLANT,2737.0,,379.86,2463.3,40
CDT,D3470,PR INTENTIONAL REIMPLANTATION (INCLUDING NECESSARY SPLINTING),1138.0,,245.06,1024.2,40
CDT,D3910,PR SURGICAL PROCEDURE FOR ISOLATION OF TOOTH WITH RUBBER DAM,153.0,,58.16,137.7,40
CDT,D3920,"PR HEMISECTION (INCLUDING ANY ROOT REMOVAL), NOT INCLUDING ROOT CANAL THERAPY",448.0,,145.87,403.2,40
CDT,D3950,PR CANAL PREPARATION AND FITTING OF PREFORMED DOWEL OR POST,206.0,,69.0,185.4,40
CDT,D4210,PR GINGIVECTOMY OR GINGIVOPLASTY - FOUR OR MORE CONTIGUOUS TEETH OR TOOTH BOUNDED,1172.0,,189.12,1054.8,40
CDT,D4211,PR GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE CONTIGUOUS TEETH OR TOOTH BOUNDED,232.0,,73.36,208.8,40
CDT,D4240,"PR GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH",1009.0,,223.3,908.1,40
CDT,D4245,PR APICALLY POSITIONED FLAP,725.0,,236.47,652.5,40
CDT,D4249,PR CLINICAL CROWN LENGTHENING - HARD TISSUE,1149.0,,218.34,1034.1,40
CDT,D4260,PR OSSEOUS SURGERY (INCLUDING ELEVATION OF A FULL THICKNESS FLAP AND CLOSURE) - FO,1622.0,,339.35,1459.8,40
CDT,D4263,PR BONE REPLACEMENT GRAFT - FIRST SITE IN QUADRANT,494.0,,177.43,444.6,40
CDT,D4264,PR BONE REPLACEMENT GRAFT - EACH ADDITIONAL SITE IN QUADRANT,353.0,,146.72,330.12,40
CDT,D4266,"PR GUIDED TISSUE REGENERATION NATURAL TEETH - RESORBABLE BARRIER, PER SITE",856.0,,243.76,770.4,40
CDT,D4267,"PR GUIDED TISSUE REGENERATION NATURAL TEETH - NONRESORBABLE BARRIER, PER SITE (INCLUDES MEMBRANE)",764.0,,285.56,687.6,40
CDT,D4268,"PR SURGICAL REVISION PROCEDURE, PER TOOTH",601.0,,185.01,540.9,40
CDT,D4270,PR PEDICLE SOFT TISSUE GRAFT PROCEDURE,1201.0,,253.41,1080.9,40
CDT,D4273,"PR SUBEPITHELIAL CONNECTIVE TISSUE GRAFT PROCEDURES, PER TOOTH",1318.0,,332.91,1186.2,40
CDT,D4274,PR DISTAL OR PROXIMAL WEDGE PROCEDURE (WHEN NOT PERFORMED IN CONJUNCTION WITH SURG,461.0,,201.7,453.83,40
CDT,D4341,PR PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE TEETH PER QUADRANT,328.0,,94.41,295.2,40
CDT,D4342,PR PERIODONTAL SCALING AND ROOT PLANING - ONE TO THREE TEETH PER QUADRANT,170.0,,52.01,153.0,40
CDT,D4355,PR FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE PERIODONTAL EVALUATION & DIAGNOSIS ON SUBSQ VISIT,190.0,,51.16,171.0,40
CDT,D4910,PR PERIODONTAL MAINTENANCE,173.0,,42.1,155.7,40
CDT,D4920,PR UNSCHEDULED DRESSING CHANGE (BY SOMEONE OTHER THAN TREATING DENTIST OR THEIR ST,155.0,,28.34,139.5,40
CDT,D5110,PR COMPLETE DENTURE - MAXILLARY,1942.0,,589.55,1747.8,40
CDT,D5120,PR COMPLETE DENTURE - MANDIBULAR,1942.0,,589.55,1747.8,40
CDT,D5130,PR IMMEDIATE DENTURE - MAXILLARY,2046.0,,647.7,1841.4,40
CDT,D5140,PR IMMEDIATE DENTURE - MANDIBULAR,2046.0,,647.7,1841.4,40
CDT,D5211,"PR MAXILLARY PARTIAL DENTURE - RESIN BASE (INCLUDING ANY CONVENTIONAL CLASPS, REST",1640.0,,416.61,1476.0,40
CDT,D5212,"PR MANDIBULAR PARTIAL DENTURE - RESIN BASE (INCLUDING ANY CONVENTIONAL CLASPS, RES",1905.0,,433.76,1714.5,40
CDT,D5213,PR MAXILLARY PARTIAL DENTURE - CAST METAL FRAMEWORK WITH RESIN DENTURE BASES (INCL,2144.0,,695.94,1929.6,40
CDT,D5214,PR MANDIBULAR PARTIAL DENTURE - CAST METAL FRAMEWORK WITH RESIN DENTURE BASES (INC,2144.0,,695.94,1929.6,40
CDT,D5410,PR ADJUST COMPLETE DENTURE - MAXILLARY,107.0,,29.23,96.3,40
CDT,D5411,PR ADJUST COMPLETE DENTURE - MANDIBULAR,107.0,,29.23,96.3,40
CDT,D5421,PR ADJUST PARTIAL DENTURE - MAXILLARY,107.0,,29.23,96.3,40
CDT,D5422,PR ADJUST PARTIAL DENTURE - MANDIBULAR,107.0,,29.23,96.3,40
CDT,D5520,PR REPLACE MISSING OR BROKEN TEETH - COMPLETE DENTURE (EACH TOOTH),181.0,,48.24,162.9,40
CDT,D5630,PR REPAIR OR REPLACE BROKEN CLASP,306.0,,87.97,275.4,40
CDT,D5640,PR REPLACE BROKEN TEETH - PER TOOTH,192.0,,68.4,172.8,40
CDT,D5650,PR ADD TOOTH TO EXISTING PARTIAL DENTURE,269.0,,72.77,242.1,40
CDT,D5710,PR REBASE COMPLETE MAXILLARY DENTURE,792.0,,236.47,712.8,40
CDT,D5711,PR REBASE COMPLETE MANDIBULAR DENTURE,729.0,,234.44,656.1,40
CDT,D5720,PR REBASE MAXILLARY PARTIAL DENTURE,721.0,,196.05,648.9,40
CDT,D5721,PR REBASE MANDIBULAR PARTIAL DENTURE,721.0,,196.05,648.9,40
CDT,D5730,PR RELINE COMPLETE MAXILLARY DENTURE (CHAIRSIDE),433.0,,140.58,389.7,40
CDT,D5731,PR RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE),433.0,,140.58,389.7,40
CDT,D5740,PR RELINE MAXILLARY PARTIAL DENTURE (CHAIRSIDE),398.0,,118.98,358.2,40
CDT,D5741,PR RELINE MANDIBULAR PARTIAL DENTURE (CHAIRSIDE),398.0,,118.98,358.2,40
CDT,D5750,PR RELINE COMPLETE MAXILLARY DENTURE (LABORATORY),576.0,,186.79,518.4,40
CDT,D5751,PR RELINE COMPLETE MANDIBULAR DENTURE (LABORATORY),576.0,,186.79,518.4,40
CDT,D5760,PR RELINE MAXILLARY PARTIAL DENTURE (LABORATORY),568.0,,186.19,511.2,40
CDT,D5761,PR RELINE MANDIBULAR PARTIAL DENTURE (LABORATORY),568.0,,186.19,511.2,40
CDT,D5810,PR INTERIM COMPLETE DENTURE (MAXILLARY),942.0,,283.53,847.8,40
CDT,D5811,PR INTERIM COMPLETE DENTURE (MANDIBULAR),1013.0,,287.89,911.7,40
CDT,D5820,PR INTERIM PARTIAL DENTURE (MAXILLARY),728.0,,232.66,655.2,40
CDT,D5821,PR INTERIM PARTIAL DENTURE (MANDIBULAR),773.0,,235.58,695.7,40
CDT,D5850,"PR TISSUE CONDITIONING, MAXILLARY",183.0,,60.23,164.7,40
CDT,D5851,"PR TISSUE CONDITIONING, MANDIBULAR",183.0,,60.23,164.7,40
CDT,D5865,PR OVERDENTURE - COMPLETE MANDIBULAR,3291.0,,547.45,2961.9,40
CDT,D5911,PR FACIAL MOULAGE (SECTIONAL),478.0,,98.03,430.2,40
CDT,D5912,PR FACIAL MOULAGE (COMPLETE),478.0,,143.21,430.2,40
CDT,D5913,PR NASAL PROSTHESIS,9998.0,,2450.66,8998.2,40
CDT,D5914,PR AURICULAR PROSTHESIS,9998.0,,2450.66,8998.2,40
CDT,D5915,PR ORBITAL PROSTHESIS,13528.0,,3308.39,12175.2,40
CDT,D5916,PR OCULAR PROSTHESIS,6285.0,,2867.38,6451.61,40
CDT,D5919,PR FACIAL PROSTHESIS,10630.0,,765.0,9567.0,36
CDT,D5922,PR NASAL SEPTAL PROSTHESIS,7843.0,,1342.79,7058.7,40
CDT,D5923,"PR OCULAR PROSTHESIS, INTERIM",3595.0,,1652.62,3718.4,40
CDT,D5924,PR CRANIAL PROSTHESIS,4927.0,,297.5,4434.3,40
CDT,D5925,PR FACIAL AUGMENTATION IMPLANT PROSTHESIS,10630.0,,255.0,9567.0,40
CDT,D5926,"PR NASAL PROSTHESIS, REPLACEMENT",7843.0,,1032.96,7058.7,40
CDT,D5927,"PR AURICULAR PROSTHESIS, REPLACEMENT",7843.0,,1032.96,7058.7,40
CDT,D5928,"PR ORBITAL PROSTHESIS, REPLACEMENT",9210.0,,1394.22,8289.0,40
CDT,D5929,"PR FACIAL PROSTHESIS, REPLACEMENT",10630.0,,612.0,9567.0,36
CDT,D5931,"PR OBTURATOR PROSTHESIS, SURGICAL",5384.0,,784.21,4845.6,40
CDT,D5932,"PR OBTURATOR PROSTHESIS, DEFINITIVE",10067.0,,1837.99,9060.3,40
CDT,D5933,"PR OBTURATOR PROSTHESIS, MODIFICATION",7898.0,,309.83,7108.2,40
CDT,D5934,PR MANDIBULAR RESECTION PROSTHESIS WITH GUIDE FLANGE,9177.0,,1837.99,8259.3,40
CDT,D5935,PR MANDIBULAR RESECTION PROSTHESIS WITHOUT GUIDE FLANGE,7986.0,,1917.73,7187.4,40
CDT,D5936,"PR OBTURATOR PROSTHESIS, INTERIM",8969.0,,673.93,8072.1,40
CDT,D5937,PR TRISMUS APPLIANCE (NOT FOR TMD TREATMENT),1130.0,,223.01,1017.0,40
CDT,D5951,PR FEEDING AID,1469.0,,658.25,1481.06,40
CDT,D5952,"PR SPEECH AID PROSTHESIS, PEDIATRIC",4762.0,,735.2,4285.8,40
CDT,D5953,"PR SPEECH AID PROSTHESIS, ADULT",9036.0,,735.2,8132.4,40
CDT,D5954,PR PALATAL AUGMENTATION PROSTHESIS,8374.0,,301.75,7536.6,40
CDT,D5955,"PR PALATAL LIFT PROSTHESIS, DEFINITIVE",7746.0,,1592.93,6971.4,40
CDT,D5958,"PR PALATAL LIFT PROSTHESIS, INTERIM",6078.0,,784.8,5470.2,40
CDT,D5959,"PR PALATAL LIFT PROSTHESIS, MODIFICATION",2629.0,,247.86,2366.1,40
CDT,D5960,"PR SPEECH AID PROSTHESIS, MODIFICATION",1678.0,,165.44,1510.2,40
CDT,D5982,PR SURGICAL STENT,936.0,,132.34,842.4,40
CDT,D5983,PR RADIATION CARRIER,2259.0,,110.5,2033.1,40
CDT,D5985,PR RADIATION CONE LOCATOR,2259.0,,635.72,2033.1,40
CDT,D5986,PR FLUORIDE GEL CARRIER,202.0,,67.22,181.8,40
CDT,D5987,PR COMMISSURE SPLINT,3385.0,,245.06,3046.5,40
CDT,D6010,PR SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT,2745.0,,699.46,2470.5,40
CDT,D6040,PR SURGICAL PLACEMENT: EPOSTEAL IMPLANT,14383.0,,2488.85,12944.7,40
CDT,D6050,PR SURGICAL PLACEMENT: TRANSOSTEAL IMPLANT,8927.0,,1951.62,8034.3,40
CDT,D6055,PR CONNECTING BAR - IMPLANT SUPPORTED OR ABUTMENT SUPPORTED,1686.0,,630.17,1517.4,40
CDT,D6058,PR ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN,1804.0,,419.45,1623.6,40
CDT,D6059,PR ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (HIGH NOBLE METAL),1779.0,,410.38,1601.1,40
CDT,D6060,PR ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (PREDOMINANTLY BASE METAL),1683.0,,381.16,1514.7,40
CDT,D6061,PR ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (NOBLE METAL),1716.0,,389.33,1544.4,40
CDT,D6062,PR ABUTMENT SUPPORTED CAST METAL CROWN (HIGH NOBLE METAL),1710.0,,393.44,1539.0,40
CDT,D6063,PR ABUTMENT SUPPORTED CAST METAL CROWN (PREDOMINANTLY BASE METAL),1469.0,,359.81,1322.1,40
CDT,D6064,PR ABUTMENT SUPPORTED CAST METAL CROWN (NOBLE METAL),1557.0,,377.94,1401.3,40
CDT,D6065,PR IMPLANT SUPPORTED PORCELAIN/CERAMIC CROWN,1774.0,,492.21,1596.6,40
CDT,D6066,"PR IMPLANT SUPPORTED PORCELAIN FUSED TO METAL CROWN (TITANIUM, TITANIUM ALLOY, HIG",1729.0,,489.29,1556.1,40
CDT,D6067,"PR IMPLANT SUPPORTED METAL CROWN (TITANIUM, TITANIUM ALLOY, HIGH NOBLE METAL)",1677.0,,486.07,1509.3,40
CDT,D6068,PR ABUTMENT SUPPORTED RETAINER FOR PORCELAIN/CERAMIC FPD,1804.0,,383.49,1623.6,40
CDT,D6069,PR ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (HIGH NOBLE METAL),1779.0,,408.9,1601.1,40
CDT,D6070,PR ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (PREDOMINANTLY BAS,1683.0,,375.31,1514.7,40
CDT,D6071,PR ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (NOBLE METAL),1716.0,,389.33,1544.4,40
CDT,D6072,PR ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (HIGH NOBLE METAL),1751.0,,406.28,1575.9,40
CDT,D6073,PR ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (PREDOMINANTLY BASE METAL),1586.0,,356.89,1427.4,40
CDT,D6074,PR ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (NOBLE METAL),1710.0,,366.25,1539.0,40
CDT,D6075,PR IMPLANT SUPPORTED RETAINER FOR CERAMIC FPD,1774.0,,419.15,1596.6,40
CDT,D6076,"PR IMPLANT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (TITANIUM, TITANIUM",1729.0,,406.87,1556.1,40
CDT,D6077,"PR IMPLANT SUPPORTED RETAINER FOR CAST METAL FPD (TITANIUM, TITANIUM ALLOY, OR HIG",1677.0,,436.98,1509.3,40
CDT,D6080,"PR IMPLANT MAINTENANCE PROCEDURES WHEN PROSTHESES ARE REMOVED AND REINSERTED, INCL",166.0,,62.56,149.4,40
CDT,D6090,"PR REPAIR IMPLANT SUPPORTED PROSTHESIS, BY REPORT",506.0,,163.41,455.4,40
CDT,D6100,"PR IMPLANT REMOVAL, BY REPORT",1160.0,,188.23,1044.0,40
CDT,D6210,PR PONTIC - CAST HIGH NOBLE METAL,1192.0,,389.92,1072.8,40
CDT,D6211,PR PONTIC - CAST PREDOMINANTLY BASE METAL,1119.0,,293.18,1007.1,40
CDT,D6212,PR PONTIC - CAST NOBLE METAL,1162.0,,327.07,1045.8,40
CDT,D6240,PR PONTIC - PORCELAIN FUSED TO HIGH NOBLE METAL,1177.0,,419.15,1059.3,40
CDT,D6241,PR PONTIC - PORCELAIN FUSED TO PREDOMINANTLY BASE METAL,1089.0,,351.63,980.1,40
CDT,D6242,PR PONTIC - PORCELAIN FUSED TO NOBLE METAL,1148.0,,386.71,1033.2,40
CDT,D6245,PR PONTIC - PORCELAIN/CERAMIC,1885.0,,316.56,1696.5,40
CDT,D6250,PR PONTIC - RESIN WITH HIGH NOBLE METAL,1162.0,,388.15,1045.8,40
CDT,D6251,PR PONTIC - RESIN WITH PREDOMINANTLY BASE METAL,1071.0,,289.67,963.9,40
CDT,D6252,PR PONTIC - RESIN WITH NOBLE METAL,1106.0,,353.37,995.4,40
CDT,D6545,PR RETAINER - CAST METAL FOR RESIN BONDED FIXED PROSTHESIS,2215.0,,180.05,1993.5,40
CDT,D6548,PR RETAINER - PORCELAIN/CERAMIC FOR RESIN BONDED FIXED PROSTHESIS,2324.0,,247.57,2091.6,40
CDT,D6740,PR CROWN - PORCELAIN/CERAMIC,1871.0,,342.27,1683.9,40
CDT,D6750,PR CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL,2215.0,,462.1,1993.5,40
CDT,D6751,PR CROWN - PORCELAIN FUSED TO PR EDOMINANTLY BASE METAL,1700.0,,333.51,1530.0,40
CDT,D6790,PR CROWN - FULL CAST HIGH NOBLE METAL,1297.0,,382.3,1167.3,40
CDT,D6791,PR CROWN - FULL CAST PREDOMINANTLY BASE METAL,1398.0,,301.36,1258.2,40
CDT,D6792,PR CROWN - FULL CAST NOBLE METAL,1450.0,,350.45,1305.0,40
CDT,D6920,PR CONNECTOR BAR,604.0,,223.3,543.6,40
CDT,D6930,PR RE-CEMENT OR RE-BOND FIXED PARTIAL DENTURE,160.0,,41.8,144.0,40
CDT,D6940,PR STRESS BREAKER,360.0,,101.44,324.0,40
CDT,D6950,PRECISION ATTACHMENT,698.0,,171.29,628.2,40
CDT,D6980,PR FIXED PARTIAL DENTURE REPAIR NECESSITATED BY RESTORATIVE MATERIAL FAILURE,553.0,,75.99,497.7,40
CDT,D7111,"PR EXTRACTION, CORONAL REMNANTS - DECIDUOUS TOOTH",214.0,,49.09,192.6,40
CDT,D7140,"PR EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL)",187.0,,56.12,168.3,40
CDT,D7210,PR SURGICAL REMOVAL OF ERUPTED TOOTH REQUIRING REMOVAL OF BONE AND/OR SECTIONING O,464.0,,101.44,417.6,40
CDT,D7220,PR REMOVAL OF IMPACTED TOOTH - SOFT TISSUE,611.0,,118.38,549.9,40
CDT,D7230,PR REMOVAL OF IMPACTED TOOTH - PARTIALLY BONY,754.0,,155.49,678.6,40
CDT,D7240,PR REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY,939.0,,185.9,845.1,40
CDT,D7241,"PR REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY, WITH UNUSUAL SURGICAL COMPLICATION",1038.0,,252.53,934.2,40
CDT,D7250,PR SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS (CUTTING PROCEDURE),470.0,,102.88,423.0,40
CDT,D7260,PR OROANTRAL FISTULA CLOSURE,3062.0,,294.08,2755.8,40
CDT,D7270,PR TOOTH REIMPLANTATION AND/OR STABILIZATION OF ACCIDENTALLY EVULSED OR DISPLACED,637.0,,176.44,573.3,40
CDT,D7272,PR TOOTH TRANSPLANTATION (INCLUDES REIMPLANTATION FROM ONE SITE TO ANOTHER AND SPL,906.0,,245.06,815.4,40
CDT,D7280,PR SURGICAL ACCESS OF AN UNERUPTED TOOTH,699.0,,158.71,629.1,40
CDT,D7285,"PR INCISIONAL BIOPSY OF ORAL TISSUE-HARD (BONE, TOOTH)",1235.0,,127.43,1111.5,40
CDT,D7286,PR INCISIONAL BIOPSY OF ORAL TISSUE-SOFT,508.0,,112.83,457.2,40
CDT,D7290,PR SURGICAL REPOSITIONING OF TEETH,577.0,,159.29,519.3,40
CDT,D7310,PR ALVEOLOPLASTY IN CONJUNCTION WITH EXTRACTIONS - FOUR OR MORE TEETH OR TOOTH SPA,1395.0,,106.1,1255.5,40
CDT,D7320,PR ALVEOLOPLASTY NOT IN CONJUNCTION WITH EXTRACTIONS - FOUR OR MORE TEETH OR TOOTH,1639.0,,141.76,1475.1,40
CDT,D7340,PR VESTIBULOPLASTY - RIDGE EXTENSION (SECONDARY EPITHELIALIZATION),4510.0,,389.92,4059.0,40
CDT,D7350,"PR VESTIBULOPLASTY - RIDGE EXTENSION (INCLUDING SOFT TISSUE GRAFTS, MUSCLE REATTAC",8602.0,,686.18,7741.8,40
CDT,D7410,PR EXCISION OF BENIGN LESION UP TO 1.25 CM,1982.0,,122.54,1783.8,40
CDT,D7440,PR EXCISION OF MALIGNANT TUMOR - LESION DIAMETER UP TO 1.25 CM,1940.0,,193.6,1746.0,40
CDT,D7441,PR EXCISION OF MALIGNANT TUMOR - LESION DIAMETER GREATER THAN 1.25 CM,3012.0,,392.11,2710.8,40
CDT,D7450,PR REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM,1971.0,,201.7,1773.9,40
CDT,D7451,PR REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25,2489.0,,265.7,2240.1,40
CDT,D7460,PR REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM,1822.0,,199.62,1639.8,40
CDT,D7461,PR REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1,2489.0,,279.72,2240.1,40
CDT,D7465,"PR DESTRUCTION OF LESION(S) BY PHYSICAL OR CHEMICAL METHOD, BY REPORT",630.0,,128.66,567.0,40
CDT,D7471,PR REMOVAL OF LATERAL EXOSTOSIS (MAXILLA OR MANDIBLE),2439.0,,251.38,2195.1,40
CDT,D7485,PR SURGICAL REDUCTION OF OSSEOUS TUBEROSITY,847.0,,193.6,762.3,40
CDT,D7490,PR RADICAL RESECTION OF MAXILLA OR MANDIBLE,9174.0,,3038.82,8256.6,40
CDT,D7510,PR INCISION AND DRAINAGE OF ABSCESS - INTRAORAL SOFT TISSUE,709.0,,77.47,638.1,40
CDT,D7520,PR INCISION AND DRAINAGE OF ABSCESS - EXTRAORAL SOFT TISSUE,1623.0,,147.03,1460.7,40
CDT,D7530,"PR REMOVAL OF FOREIGN BODY FROM MUCOSA, SKIN, OR SUBCUTANEOUS ALVEOLAR TISSUE",568.0,,102.93,511.2,40
CDT,D7540,"PR REMOVAL OF REACTION PRODUCING FOREIGN BODIES, MUSCULOSKELETAL SYSTEM",630.0,,208.3,567.0,40
CDT,D7550,PR PARTIAL OSTECTOMY/SEQUESTRECTOMY FOR  REMOVAL OF NON-VITAL BONE,394.0,,168.36,378.81,40
CDT,D7560,PR MAXILLARY SINUSOTOMY FOR REMOVAL OF TOOTH FRAGMENT OR FOREIGN BODY,3099.0,,318.59,2789.1,40
CDT,D7610,"PR MAXILLA - OPEN REDUCTION (TEETH IMMOBILIZED, IF PRESENT)",5011.0,,1421.39,4509.9,40
CDT,D7620,"PR MAXILLA - CLOSED REDUCTION (TEETH IMMOBILIZED, IF PRESENT)",3759.0,,1176.32,3383.1,40
CDT,D7630,"PR MANDIBLE - OPEN REDUCTION (TEETH IMMOBILIZED, IF PRESENT)",6514.0,,1617.43,5862.6,40
CDT,D7640,"PR MANDIBLE - CLOSED REDUCTION (TEETH IMMOBILIZED, IF PRESENT)",4133.0,,980.26,3719.7,40
CDT,D7650,PR MALAR AND/OR ZYGOMATIC ARCH - OPEN REDUCTION,3133.0,,1489.52,3351.42,40
CDT,D7660,PR MALAR AND/OR ZYGOMATIC ARCH - CLOSED REDUCTION,1849.0,,895.57,2015.03,40
CDT,D7670,"PR ALVEOLUS - CLOSED REDUCTION, MAY INCLUDE STABILIZATION OF TEETH",1443.0,,490.13,1298.7,40
CDT,D7680,PR FACIAL BONES - COMPLICATED REDUCTION WITH FIXATION AND MULTIPLE SURGICAL APPROA,9390.0,,2328.12,8451.0,40
CDT,D7710,PR MAXILLA - OPEN REDUCTION,5887.0,,1690.96,5298.3,40
CDT,D7720,PR MAXILLA - CLOSED REDUCTION,4133.0,,1078.29,3719.7,40
CDT,D7730,PR MANDIBLE - OPEN REDUCTION,8515.0,,1887.01,7663.5,40
CDT,D7740,PR MANDIBLE - CLOSED REDUCTION,4215.0,,1203.07,3793.5,40
CDT,D7750,PR MALAR AND/OR ZYGOMATIC ARCH - OPEN REDUCTION,5360.0,,1592.93,4824.0,40
CDT,D7760,PR MALAR AND/OR ZYGOMATIC ARCH - CLOSED REDUCTION,2697.0,,1360.33,3060.74,40
CDT,D7770,PR ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH,2915.0,,931.25,2623.5,40
CDT,D7780,PR FACIAL BONES - COMPLICATED REDUCTION WITH FIXATION AND MULTIPLE SURGICAL APPR OA,12520.0,,2989.81,11268.0,40
CDT,D7810,PR OPEN REDUCTION OF DISLOCATION,5509.0,,1543.91,4958.1,40
CDT,D7820,PR CLOSED REDUCTION OF DISLOCATION,906.0,,220.56,815.4,40
CDT,D7830,PR MANIPULATION UNDER ANESTHESIA,520.0,,220.08,495.18,40
CDT,D7840,PR CONDYLECTOMY,7511.0,,2107.57,6759.9,40
CDT,D7850,"PR SURGICAL DISCECTOMY, WITH/WITHOUT IMPLANT",6485.0,,2009.54,5836.5,40
CDT,D7852,PR DISC REPAIR,7425.0,,2401.64,6682.5,40
CDT,D7854,PR SYNOVECTOMY,7661.0,,2450.66,6894.9,40
CDT,D7856,PR MYOTOMY,5438.0,,1200.83,4894.2,40
CDT,D7858,PR JOINT RECONSTRUCTION,15492.0,,2744.73,13942.8,40
CDT,D7860,PR ARTHROTOMY,6605.0,,735.2,5944.5,40
CDT,D7865,PR ARTHROPLASTY,10641.0,,2058.55,9576.9,40
CDT,D7870,PR ARTHROCENTESIS,369.0,,105.21,332.1,40
CDT,D7871,PR NON-ARTHROSCOPIC LYSIS AND LAVAGE,1769.0,,841.22,1892.75,40
CDT,D7872,"PR ARTHROSCOPY - DIAGNOSIS, WITH OR WITHOUT BIOPSY",3757.0,,637.18,3381.3,40
CDT,D7873,PR ARTHROSCOPY - SURGICAL: LAVAGE AND LYSIS OF ADHESIONS,4520.0,,698.44,4068.0,40
CDT,D7874,PR ARTHROSCOPY - SURGICAL: DISC REPOSITIONING AND STABILIZATION,6485.0,,882.24,5836.5,40
CDT,D7875,PR ARTHROSCOPY - SURGICAL: SYNOVECTOMY,7102.0,,943.51,6391.8,40
CDT,D7876,PR ARTHROSCOPY - SURGICAL: DISCECTOMY,7659.0,,980.26,6893.1,40
CDT,D7877,PR ARTHROSCOPY - SURGICAL: DEBRIDEMENT,6759.0,,906.75,6083.1,40
CDT,D7880,"PR OCCLUSAL ORTHOTIC DEVICE, BY REPORT",847.0,,345.49,777.35,40
CDT,D7910,PR SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM,505.0,,102.93,454.5,40
CDT,D7911,PR COMPLICATED SUTURE - UP TO 5 CM,1257.0,,132.34,1131.3,40
CDT,D7912,PR COMPLICATED SUTURE - GREATER THAN 5 CM,2259.0,,196.05,2033.1,40
CDT,D7920,"PR SKIN GRAFT (IDENTIFY DEFECT COVERED, LOCATION AND TYPE OF GRAFT)",3695.0,,808.72,3325.5,40
CDT,D7940,PR OSTEOPLASTY - FOR ORTHOGNATHIC DEFORMITIES,3493.0,,1208.91,3143.7,40
CDT,D7941,PR OSTEOTOMY - MANDIBULAR RAMI,11054.0,,3430.92,9948.6,40
CDT,D7943,PR OSTEOTOMY - MANDIBULAR RAMI WITH BONE GRAFT; INCLUDES OBTAINING THE GRAFT,11514.0,,3469.21,10362.6,40
CDT,D7944,PR OSTEOTOMY - SEGMENTED OR SUBAPICAL,10266.0,,2744.73,9239.4,40
CDT,D7945,PR OSTEOTOMY - BODY OF MANDIBLE,11393.0,,2769.25,10253.7,40
CDT,D7946,PR LEFORT I (MAXILLA - TOTAL),14075.0,,3063.32,12667.5,40
CDT,D7947,PR LEFORT I (MAXILLA - SEGMENTED),11858.0,,3063.32,10672.2,40
CDT,D7948,PR LEFORT II OR LEFORT III (OSTEOPLASTY OF FACIAL BONES FOR MIDFACE HYPOPLASIA OR,18462.0,,3430.92,16615.8,40
CDT,D7949,PR LEFORT II OR LEFORT III - WITH BONE GRAFT,25975.0,,4999.34,23377.5,40
CDT,D7950,"PR OSSEOUS, OSTEOPERIOSTEAL, OR CARTILAGE GRAFT OF THE MANDIBLE OR MAXILLA - AUTOG",4721.0,,980.36,4248.9,40
CDT,D7955,PR REPAIR OF MAXILLOFACIAL SOFT AND/OR HARD TISSUE DEFECT,9773.0,,1026.23,8795.7,40
CDT,D7970,PR EXCISION OF HYPERPLASTIC TISSUE - PER ARCH,750.0,,196.05,675.0,40
CDT,D7971,PR EXCISION OF PERICORONAL GINGIVA,240.0,,83.32,216.0,40
CDT,D7980,PR SIALOLITHOTOMY,1066.0,,203.41,959.4,40
CDT,D7981,"PR EXCISION OF SALIVARY GLAND, BY REPORT",1875.0,,911.96,2051.91,40
CDT,D7982,PR SIALODOCHOPLASTY,2861.0,,600.41,2574.9,40
CDT,D7983,PR CLOSURE OF SALIVARY FISTULA,2733.0,,416.61,2459.7,40
CDT,D7990,PR EMERGENCY TRACHEOTOMY,2507.0,,406.81,2256.3,40
CDT,D7996,"PR IMPLANT-MANDIBLE FOR AUGMENTATION PURPOSES (EXCLUDING ALVEOLAR RIDGE), BY REPOR",3493.0,,852.47,3143.7,32
CDT,D7997,"PR APPLIANCE REMOVAL (NOT BY DENTIST WHO PLACED APPLIANCE), INCLUDES REMOVAL OF AR",388.0,,98.03,349.2,40
CDT,D8210,PR REMOVABLE APPLIANCE THERAPY,1879.0,,234.96,1691.1,40
CDT,D8660,PRE-ORTHODONTIC TREATMENT EXAMINATION TO MONITOR GROWTH AND DEVELOPMENT,166.0,,70.96,159.66,40
CDT,D8670,PR PERIODIC ORTHODONTIC TREATMENT VISIT,339.0,,53.58,305.1,40
CDT,D8680,"PR ORTHODONTIC RETENTION (REMOVAL OF APPLIANCES, CONSTRUCTION AND PLACEMENT OF RET",742.0,,165.77,667.8,40
CDT,D9110,PR PALLIATIVE (EMERGENCY) TREATMENT OF DENTAL PAIN - MINOR PROCEDURE,128.0,,32.69,115.2,40
CDT,D9120,PR FIXED PARTIAL DENTURE SECTIONING,253.0,,52.69,227.7,40
CDT,D9210,PR LOCAL ANESTHESIA NOT IN CONJUNCTION WITH OPERATIVE OR SURGICAL PROCEDURES,45.0,,14.42,40.5,40
CDT,D9211,PR REGIONAL BLOCK ANESTHESIA,60.0,,18.27,54.0,40
CDT,D9212,PR TRIGEMINAL DIVISION BLOCK ANESTHESIA,174.0,,52.69,156.6,40
CDT,D9215,PR LOCAL ANESTHESIA IN CONJUNCTION WITH OPERATIVE OR SURGICAL PROCEDURES,44.0,,12.65,39.6,40
CDT,D9230,"PR INHALATION OF NITROUS OXIDE/ANALGESIA, ANXIOLYSIS",75.0,,16.49,67.5,40
CDT,D9310,PR CONSULTATION - DIAGNOSTIC SERVICE PROVIDED BY DENTIST OR PHYSICIAN OTHER THAN R,266.0,,37.38,239.4,40
CDT,D9410,PR HOUSE/EXTENDED CARE FACILITY CALL,350.0,,57.13,315.0,40
CDT,D9420,PR HOSPITAL OR AMBULATORY SURGICAL CENTER CALL,480.0,,69.19,432.0,40
CDT,D9430,PR OFFICE VISIT FOR OBSERVATION (DURING REGULARLY SCHEDULED HOURS) - NO OTHER SERV,96.0,,11.5,86.4,40
CDT,D9630,"PR OTHER DRUGS AND/OR MEDICAMENTS, BY REPORT",98.0,,4.99,88.2,40
CDT,D9910,PR APPLICATION OF DESENSITIZING MEDICAMENT,60.0,,15.01,54.0,40
CDT,D9911,"PR APPLICATION OF DESENSITIZING RESIN FOR CERVICAL AND/OR ROOT SURFACE, PER TOOTH",92.0,,18.86,82.8,40
CDT,D9941,PR FABRICATION OF ATHLETIC MOUTHGUARD,202.0,,46.81,181.8,40
CDT,D9950,PR OCCLUSION ANALYSIS - MOUNTED CASE,351.0,,76.54,315.9,40
CDT,D9951,PR OCCLUSAL ADJUSTMENT - LIMITED,162.0,,37.68,145.8,40
CDT,D9952,PR OCCLUSAL ADJUSTMENT - COMPLETE,892.0,,142.51,802.8,40
CDT,D9970,PR ENAMEL MICROABRASION,125.0,,38.27,112.5,40
CDT,D9971,PR ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS,125.0,,39.75,112.5,40
CDT,D9972,PR EXTERNAL BLEACHING - PER ARCH - PERFORMED IN OFFICE,396.0,,91.0,356.4,40
CDT,D9973,PR EXTERNAL BLEACHING - PER TOOTH,166.0,,48.29,149.4,40
CDT,D9974,PR INTERNAL BLEACHING - PER TOOTH,337.0,,69.78,303.3,40
CPT,0003M,HC REF NASH-FIBROTEST,969.0,,271.32,833.34,83
CPT,00100,PR ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY,108.0,,17.94,106.25,55
CPT,00102,PR ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP,108.0,,17.94,106.25,55
CPT,00103,PR ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID,108.0,,17.94,106.25,55
CPT,00104,PR ANESTHESIA ELECTROCONVULSIVE THERAPY,108.0,,17.94,106.25,55
CPT,00120,PR ANES PX ON EXTERNAL MIDDLE & INNER EAR W/BX NOS,108.0,,17.94,106.25,55
CPT,00124,PR ANES PX EXTERNAL MIDDLE&INNER EAR W/BX OTOSCOPY,108.0,,17.94,106.25,55
CPT,00126,PR ANES PX EXTERNAL MID&INNER EAR W/BX TYMPANOTOMY,108.0,,17.94,106.25,55
CPT,00140,PR ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED,108.0,,17.94,106.25,55
CPT,00142,PR ANESTHESIA PX ON EYE LENS SURGERY,108.0,,17.94,106.25,55
CPT,00144,PR ANESTHESIA PX ON EYE CORNEAL TRANSPLANT,108.0,,17.94,106.25,55
CPT,00145,PR ANESTHESIA PX ON EYE VITREORETINAL SURGERY,108.0,,17.94,106.25,55
CPT,00147,PR ANESTHESIA PX ON EYE IRIDECTOMY,108.0,,17.94,106.25,55
CPT,00148,PR ANESTHESIA PX ON EYE OPHTHALMOSCOPY,108.0,,17.94,106.25,55
CPT,00160,PR ANESTHESIA PX ON NOSE & ACCESSORY SINUSES NOS,108.0,,17.94,106.25,55
CPT,00162,PR ANES PX ON NOSE&ACCESSORY SINUSES RADICAL SURG,108.0,,17.94,106.25,55
CPT,00164,PR ANES PX ON NOSE&ACCESSORY SINUSES BX SOFT TISSUE,108.0,,17.94,106.25,55
CPT,00170,PR ANESTHESIA INTRAORAL PX WITH BIOPSY NOS,108.0,,17.94,106.25,55
CPT,00172,PR ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE,108.0,,17.94,106.25,55
CPT,00174,PR ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR,108.0,,17.94,106.25,55
CPT,00176,PR ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY,108.0,,17.94,106.25,55
CPT,00190,PR ANESTHESIA PX ON FACIAL BONES OR SKULL NOS,108.0,,17.94,106.25,55
CPT,00192,PR ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM,108.0,,17.94,106.25,55
CPT,00210,PR ANESTHESIA INTRACRANIAL PROCEDURES NOS,108.0,,17.94,106.25,55
CPT,00211,PR ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA,108.0,,17.94,106.25,55
CPT,00212,PR ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS,108.0,,17.94,106.25,55
CPT,00214,PR ANES INTRACRANIAL PX BURR HOLES W/VENTRG,108.0,,17.94,106.25,55
CPT,00215,PR ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL,108.0,,17.94,106.25,55
CPT,00216,PR ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES,108.0,,17.94,106.25,55
CPT,00218,PR ANES INTRACRANIAL PROCEDURE IN SITTING POSITION,108.0,,17.94,106.25,55
CPT,00220,PR ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX,108.0,,17.94,106.25,55
CPT,00222,PR ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV,108.0,,17.94,106.25,55
CPT,00300,PR ANES ALL PX INTEG MUSC&NRV HEAD NCK&PST TRNK NOS,108.0,,17.94,106.25,55
CPT,00320,PR ANES PX ESOPH THYR LARX TRCH&LYMPH NCK NOS 1YR/>,108.0,,17.94,106.25,55
CPT,00322,PR ANES ESOPH THYR LARX TRCH&LYMPH NCK NDL BX THYR,108.0,,17.94,106.25,55
CPT,0034U,HC REF TPMT AND NUDT15 GENEOTYPE,1282.0,,358.96,1102.52,83
CPT,00350,PR ANESTHESIA FOR PX MAJOR VESSELS NECK NOS,108.0,,17.94,106.25,55
CPT,00352,PR ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION,108.0,,17.94,106.25,55
CPT,0035U,"HC REF 14-3-3 PROTEIN, TAU CSF",478.0,,133.84,411.08,83
CPT,00400,PR ANES PX INTEG SYS XTR ANT TRUNK & PERINEUM NOS,108.0,,17.94,106.25,55
CPT,00402,PR ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST,108.0,,17.94,106.25,55
CPT,00404,PR ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST,108.0,,17.94,106.25,55
CPT,00406,PR ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ,108.0,,17.94,106.25,55
CPT,00410,PR ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS,108.0,,17.94,106.25,55
CPT,0042T,HC CT PERFUSION W/CONT CBF,3565.0,,998.2,3065.9,83
CPT,00450,PR ANESTHESIA PX CLAVICLE AND SCAPULA NOS,108.0,,17.94,106.25,55
CPT,00454,PR ANESTHESIA PX CLAVICLE & SCAPULA BIOPSY CLAVICLE,108.0,,17.94,106.25,55
CPT,00470,PR ANESTHESIA PARTIAL RIB RESECTION NOS,108.0,,17.94,106.25,55
CPT,00472,PR ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY,108.0,,17.94,106.25,55
CPT,00474,PR ANESTHESIA PARTIAL RIB RESECTION RADICAL PX,108.0,,17.94,106.25,55
CPT,00500,PR ANESTHESIA ALL PROCEDURES ON ESOPHAGUS,108.0,,17.94,106.25,55
CPT,00520,PR ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS,108.0,,17.94,106.25,55
CPT,00522,PR ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA,108.0,,17.94,106.25,55
CPT,00524,PR ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS,108.0,,17.94,106.25,55
CPT,00528,PR ANES CLSD CH PX MEDIASTSC&THRSC W/O 1 LUNG VNTJ,108.0,,17.94,106.25,55
CPT,00529,PR ANES CLSD CH PX MEDIASTSC&THRSC W/1 LUNG VNTJ,108.0,,17.94,106.25,55
CPT,00530,PR ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION,108.0,,17.94,106.25,55
CPT,00532,PR ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION,108.0,,17.94,106.25,55
CPT,00534,PR ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB,108.0,,17.94,106.25,55
CPT,00539,PR ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION,108.0,,17.94,106.25,55
CPT,00540,PR ANESTHESIA THORACOTOMY PROCEDURES NOS,108.0,,17.94,106.25,55
CPT,00541,PR ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ,108.0,,17.94,106.25,55
CPT,00542,PR ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION,108.0,,17.94,106.25,55
CPT,00546,PR ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP,108.0,,17.94,106.25,55
CPT,00548,PR ANES THORACOTOMY PX NTRATHRC PX TRACHEA&BRONCHI,108.0,,17.94,106.25,55
CPT,00550,PR ANESTHESIA FOR STERNAL DEBRIDEMENT,108.0,,17.94,106.25,55
CPT,0055T,PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI,1514.0,,210.25,1362.6,40
CPT,00560,PR ANES PX HRT PRCRD SAC&GREAT VSLS W/O PUMP OXTJ,108.0,,17.94,106.25,55
CPT,00561,PR ANES PX HRT PRCRD SAC&GREAT VSLS W/PUMP OXTJ<1YR,108.0,,17.94,106.25,55
CPT,00562,PR ANES PX HRT PRCRD SAC&GRT VSL W/PMP OXT AGE 1YR+,108.0,,17.94,106.25,55
CPT,00563,PR ANES PX HRT PRCRD SAC&GRT VSL PMP OXT CRC ARREST,108.0,,17.94,106.25,55
CPT,00567,PR ANES DIRECT CABG W/PUMP OXYGENATOR,108.0,,17.94,106.25,55
CPT,00580,PR ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT,108.0,,17.94,106.25,55
CPT,00600,PR ANESTHESIA PX CERVICAL SPINE & CORD NOS,108.0,,17.94,106.25,55
CPT,00604,PR ANES PX CERVICAL SPINE & CORD W/PATIENT SITTING,108.0,,17.94,106.25,55
CPT,00620,PR ANESTHESIA PX THORACIC SPINE & CORD NOS,108.0,,17.94,106.25,55
CPT,00625,PR ANES THRC SPINE & CORD ANT APPR W/O 1 LUNG VENTJ,108.0,,17.94,106.25,55
CPT,00626,PR ANES THORACIC SPINE & CORD ANT APPR W/1 LNG VENT,108.0,,17.94,106.25,55
CPT,00630,PR ANESTHESIA PROCEDURES IN LUMBAR REGION NOS,108.0,,17.94,106.25,55
CPT,00632,PR ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY,108.0,,17.94,106.25,55
CPT,00635,PR ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE,108.0,,17.94,106.25,55
CPT,00640,PR ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE,108.0,,17.94,106.25,55
CPT,00670,PR ANESTHESIA EXTENSIVE SPINE&SPINAL CORD PROCEDURE,108.0,,17.94,106.25,55
CPT,00700,PR ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS,108.0,,17.94,106.25,55
CPT,00702,PR ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX,108.0,,17.94,106.25,55
CPT,00730,PR ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL,108.0,,17.94,106.25,55
CPT,00731,PR ANESTHESIA UPPER GI ENDOSCOPIC PX NOS,108.0,,17.94,106.25,55
CPT,00732,PR ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP,108.0,,17.94,106.25,55
CPT,00750,PR ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS,108.0,,17.94,106.25,55
CPT,00752,PR ANES HRNA RPR UPR ABD LMBR&VNT HERNIA&/DEHSN,108.0,,17.94,106.25,55
CPT,00754,PR ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE,108.0,,17.94,106.25,55
CPT,00756,PR ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA,108.0,,17.94,106.25,55
CPT,0075T,PR TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL,5939.0,,180.34,5345.1,40
CPT,00770,PR ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS,108.0,,17.94,106.25,55
CPT,0077U,"HC REF M-PROTEIN ISOTYPE,QUANTITATIVE",365.0,,54.2875,313.9,84
CPT,00790,PR ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS,108.0,,17.94,106.25,55
CPT,00792,PR ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG,108.0,,17.94,106.25,55
CPT,00794,PR ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY,108.0,,17.94,106.25,55
CPT,00796,PR ANES IPER UPR ABD LIVER TRANSPLANT,108.0,,17.94,106.25,55
CPT,00797,PR ANES IPER UPR ABD GASTRIC RSTCV PX MO,108.0,,17.94,106.25,55
CPT,00800,PR ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS,108.0,,17.94,106.25,55
CPT,00802,PR ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY,108.0,,17.94,106.25,55
CPT,00811,PR ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS,108.0,,17.94,106.25,55
CPT,00812,PR ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC,108.0,,17.94,106.25,55
CPT,00813,PR ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX,108.0,,17.94,106.25,55
CPT,00820,PR ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL,108.0,,17.94,106.25,55
CPT,00830,PR ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS,108.0,,17.94,106.25,55
CPT,00832,PR ANES HERNIA REPAIR LWR ABD VENTRAL&INCISIONAL,108.0,,17.94,106.25,55
CPT,00834,PR ANES HERNIA REPAIR LOWER ABDOMEN NOS<1YR AGE,108.0,,17.94,106.25,55
CPT,00836,PR ANES HRNA RPR LWR ABD NOS INFT<37WK BRTH<50WK,108.0,,17.94,106.25,55
CPT,00840,PR ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS,108.0,,17.94,106.25,55
CPT,00842,PR ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS,108.0,,17.94,106.25,55
CPT,00844,PR ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ,108.0,,17.94,106.25,55
CPT,00846,PR ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY,108.0,,17.94,106.25,55
CPT,00848,PR ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION,108.0,,17.94,106.25,55
CPT,00851,PR ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ,108.0,,17.94,106.25,55
CPT,00860,PR ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS,108.0,,17.94,106.25,55
CPT,00862,PR ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX,108.0,,17.94,106.25,55
CPT,00864,PR ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC,108.0,,17.94,106.25,55
CPT,00865,PR ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT,108.0,,17.94,106.25,55
CPT,00866,PR ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY,108.0,,17.94,106.25,55
CPT,00868,PR ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL,108.0,,17.94,106.25,55
CPT,00870,PR ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY,108.0,,17.94,106.25,55
CPT,00872,PR ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH,108.0,,17.94,106.25,55
CPT,00873,PR ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH,108.0,,17.94,106.25,55
CPT,00880,PR ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS,108.0,,17.94,106.25,55
CPT,00882,PR ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION,108.0,,17.94,106.25,55
CPT,00902,PR ANESTHESIA ANORECTAL PROCEDURE,108.0,,17.94,106.25,55
CPT,00904,PR ANESTHESIA RADICAL PERINEAL PROCEDURE,108.0,,17.94,106.25,55
CPT,00906,PR ANESTHESIA VULVECTOMY,108.0,,17.94,106.25,55
CPT,00908,PR ANESTHESIA PERINEAL PROSTATECTOMY,108.0,,17.94,106.25,55
CPT,00910,PR ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS,108.0,,17.94,106.25,55
CPT,00912,PR ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR,108.0,,17.94,106.25,55
CPT,00914,PR ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE,108.0,,17.94,106.25,55
CPT,00916,PR ANES TRURL PX POST-TRURL RESECTION BLEEDING,108.0,,17.94,106.25,55
CPT,00918,PR ANES TRURL PX FRAGMNTJ MNPJ&/RMVL URTRL CALCULUS,108.0,,17.94,106.25,55
CPT,00920,PR ANESTHESIA PX MALE GENITALIA NOS,108.0,,17.94,106.25,55
CPT,00921,PR ANES PX MALE GENITALIA VASECTOMY UNI/BI,108.0,,17.94,106.25,55
CPT,00922,PR ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES,108.0,,17.94,106.25,55
CPT,00924,PR ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI,108.0,,17.94,106.25,55
CPT,00926,PR ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN,108.0,,17.94,106.25,55
CPT,00928,PR ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL,108.0,,17.94,106.25,55
CPT,00930,PR ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI,108.0,,17.94,106.25,55
CPT,00932,PR ANES PX MALE GENITALIA COMPL AMPUTATION PENIS,108.0,,17.94,106.25,55
CPT,00934,PR ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC,108.0,,17.94,106.25,55
CPT,00936,PR ANES RAD AMP PENIS W/BI INGUN&ILIAC LYMPHADEC,108.0,,17.94,106.25,55
CPT,00938,PR ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS,108.0,,17.94,106.25,55
CPT,00940,PR ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS,108.0,,17.94,106.25,55
CPT,00942,PR ANES VAG PX COLPTMY VAGNC COLPRPHY&OPN URTL PX,108.0,,17.94,106.25,55
CPT,00944,PR ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY,108.0,,17.94,106.25,55
CPT,00948,PR ANESTHESIA VAGINAL PX CERVICAL CERCLAGE,108.0,,17.94,106.25,55
CPT,00950,PR ANESTHESIA VAGINAL PX CULDOSCOPY,108.0,,17.94,106.25,55
CPT,00952,PR ANES VAG PX HYSTEROSCOPY&/HYSTEROSALPINGOGRAPHY,108.0,,17.94,106.25,55
CPT,0107T,HC QUANT SENS TEST-VIBRATION,29.0,,8.12,24.94,83
CPT,0108T,HC QUANT SENS TEST-COOLING,29.0,,8.12,24.94,83
CPT,0109T,HC QUANT SENS TEST-HEAT,29.0,,8.12,24.94,83
CPT,01112,PR ANES BONE MARROW ASPIR&/BX ANT/PST ILIAC CREST,108.0,,17.94,106.25,55
CPT,01120,PR ANESTHESIA PROCEDURES ON BONY PELVIS,108.0,,17.94,106.25,55
CPT,01130,PR ANESTHESIA BODY CAST APPLICATION OR REVISION,108.0,,17.94,106.25,55
CPT,01140,PR ANESTHESIA INTERPELVIABDOMINAL AMPUTATION,108.0,,17.94,106.25,55
CPT,01150,PR ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP,108.0,,17.94,106.25,55
CPT,01160,PR ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT,108.0,,17.94,106.25,55
CPT,01170,PR ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT,108.0,,17.94,106.25,55
CPT,01173,PR ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM,108.0,,17.94,106.25,55
CPT,01200,PR ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT,108.0,,17.94,106.25,55
CPT,01202,PR ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT,108.0,,17.94,106.25,55
CPT,01210,PR ANESTHESIA OPEN PROCEDURES HIP JOINT NOS,108.0,,17.94,106.25,55
CPT,01212,PR ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION,108.0,,17.94,106.25,55
CPT,01214,PR ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY,108.0,,17.94,106.25,55
CPT,01215,PR ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY,108.0,,17.94,106.25,55
CPT,01220,PR ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR,108.0,,17.94,106.25,55
CPT,01230,PR ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS,108.0,,17.94,106.25,55
CPT,01232,PR ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION,108.0,,17.94,106.25,55
CPT,01234,PR ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION,108.0,,17.94,106.25,55
CPT,01250,PR ANES ALL PX NRV MUSC TDN FASCIA&BURSAE UPPER LEG,108.0,,17.94,106.25,55
CPT,01260,PR ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION,108.0,,17.94,106.25,55
CPT,01270,PR ANESTHESIA PX ARTERIES UPPER LEG NOS,108.0,,17.94,106.25,55
CPT,01272,PR ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG,108.0,,17.94,106.25,55
CPT,01274,PR ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC,108.0,,17.94,106.25,55
CPT,01320,PR ANES ALL PX NRV MUSC TDN FASCIA&BURSAE KNEE&/POP,108.0,,17.94,106.25,55
CPT,01340,PR ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR,108.0,,17.94,106.25,55
CPT,01360,PR ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR,108.0,,17.94,106.25,55
CPT,01380,PR ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT,108.0,,17.94,106.25,55
CPT,01382,PR ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT,108.0,,17.94,106.25,55
CPT,01390,PR ANES ALL CLOSED PX UPR END TIBIA FIBULA&/PATELLA,108.0,,17.94,106.25,55
CPT,01392,PR ANES ALL OPEN PX UPR ENDS TIBIA FIBULA&/PATELLA,108.0,,17.94,106.25,55
CPT,01400,PR ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS,108.0,,17.94,106.25,55
CPT,01402,PR ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY,108.0,,17.94,106.25,55
CPT,01404,PR ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE,108.0,,17.94,106.25,55
CPT,01420,PR ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT,108.0,,17.94,106.25,55
CPT,01430,PR ANESTHESIA PX VEINS KNEE & POPLITEAL AREA NOS,108.0,,17.94,106.25,55
CPT,01432,PR ANES PX VN KNE&POPLITEAL AREA ARTERIOVENOUS FSTL,108.0,,17.94,106.25,55
CPT,01440,PR ANES PX ARTERIES OF KNEE & POPLITEAL AREA NOS,108.0,,17.94,106.25,55
CPT,01442,PR ANES PX ART KNEE&POPLITEAL TEAEC W/WO PATCH GRF,108.0,,17.94,106.25,55
CPT,01444,PR ANES PX ART KNEE&POP EXC&GRF/RPR OCCLS/ANEURYSM,108.0,,17.94,106.25,55
CPT,01462,PR ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE & FOOT,108.0,,17.94,106.25,55
CPT,01464,PR ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE&/FOOT,108.0,,17.94,106.25,55
CPT,01470,PR ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE&FOOT NOS,108.0,,17.94,106.25,55
CPT,01472,PR ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT,108.0,,17.94,106.25,55
CPT,01474,PR ANESTHESIA GASTROCNEMIUS RECESSION,108.0,,17.94,106.25,55
CPT,01480,PR ANES OPEN PX BONES LOWER LEG ANKLE&FOOT NOS,108.0,,17.94,106.25,55
CPT,01482,PR ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION,108.0,,17.94,106.25,55
CPT,01484,PR ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB&/FIB,108.0,,17.94,106.25,55
CPT,01486,PR ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT,108.0,,17.94,106.25,55
CPT,01490,PR ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR,108.0,,17.94,106.25,55
CPT,01500,PR ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS,108.0,,17.94,106.25,55
CPT,01502,PR ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH,108.0,,17.94,106.25,55
CPT,01520,PR ANESTHESIA PX VEINS OF LOWER LEG NOS,108.0,,17.94,106.25,55
CPT,01522,PR ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH,108.0,,17.94,106.25,55
CPT,01610,PR ANES ALL PX NRV MUSC TND FSCA&BRS SHOULDER&AX,108.0,,17.94,106.25,55
CPT,01620,PR ANES CLSD PX HUMRL H&N STRNCLAV ACROMCLAV&SHO JT,108.0,,17.94,106.25,55
CPT,01622,PR ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT,108.0,,17.94,106.25,55
CPT,01630,PR ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV&SHO NOS,108.0,,17.94,106.25,55
CPT,01634,PR ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION,108.0,,17.94,106.25,55
CPT,01636,PR ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION,108.0,,17.94,106.25,55
CPT,01638,PR ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT,108.0,,17.94,106.25,55
CPT,01650,PR ANESTHESIA PX ARTERIES SHOULDER&AXILLA NOS,108.0,,17.94,106.25,55
CPT,01652,PR ANES PX ART SHO&AX AXILLARY-BRACHIAL ANEURYSM,108.0,,17.94,106.25,55
CPT,01654,PR ANES PX ARTERIES SHOULDER&AXILLA BYPASS GRAFT,108.0,,17.94,106.25,55
CPT,01656,PR ANES PX ART SHO&AX AXILLARY-FEMORAL BYPASS GRAFT,108.0,,17.94,106.25,55
CPT,01670,PR ANESTHESIA ALL PX VEINS SHOULDER&AXILLA,108.0,,17.94,106.25,55
CPT,01680,PR ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS,108.0,,17.94,106.25,55
CPT,01710,PR ANES NRV MUSC TDN FSCA&BRS UPR ARM&ELBOW NOS,108.0,,17.94,106.25,55
CPT,01712,PR ANES PX NRV MUSC TDN FSCA&BRS UPR A&E TNOT OPEN,108.0,,17.94,106.25,55
CPT,01716,PR ANES NRV MUSC TDN FSCA&BRS UPR A&E TENODESIS,108.0,,17.94,106.25,55
CPT,01730,PR ANESTHESIA CLOSED PROCEDURES HUMERUS & ELBOW,108.0,,17.94,106.25,55
CPT,01732,PR ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT,108.0,,17.94,106.25,55
CPT,01740,PR ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS,108.0,,17.94,106.25,55
CPT,01742,PR ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM,108.0,,17.94,106.25,55
CPT,01744,PR ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM,108.0,,17.94,106.25,55
CPT,01756,PR ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX,108.0,,17.94,106.25,55
CPT,01758,PR ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS,108.0,,17.94,106.25,55
CPT,01760,PR ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT,108.0,,17.94,106.25,55
CPT,01770,PR ANESTHESIA PX ARTERIES UPPER ARM&ELBOW NOS,108.0,,17.94,106.25,55
CPT,01772,PR ANESTHESIA PX ARTERIES UPR ARM&ELBW EMBOLECTOMY,108.0,,17.94,106.25,55
CPT,01780,PR ANESTHESIA PX VEINS UPPER ARM&ELBOW NOS,108.0,,17.94,106.25,55
CPT,01782,PR ANESTHESIA PX VEINS UPR ARM&ELBOW PHLEBORRHAPHY,108.0,,17.94,106.25,55
CPT,01810,PR ANES ALL PX NRV MUSC TDN FSCA&BRS F/ARM WRST&HND,108.0,,17.94,106.25,55
CPT,01820,PR ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES,108.0,,17.94,106.25,55
CPT,01829,PR ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST,108.0,,17.94,106.25,55
CPT,01830,PR ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS,108.0,,17.94,106.25,55
CPT,01832,PR ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT,108.0,,17.94,106.25,55
CPT,01840,PR ANESTHESIA PX ARTERIES FOREARM WRIST&HAND NOS,108.0,,17.94,106.25,55
CPT,01842,PR ANES PX ARTERIES FOREARM WRIST&HAND EMBOLECTOMY,108.0,,17.94,106.25,55
CPT,01844,PR ANESTHESIA VASCULAR SHUNT/SHUNT REVISION,108.0,,17.94,106.25,55
CPT,0184T,PR RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC,7798.0,,525.26,7018.2,40
CPT,01850,PR ANESTHESIA PX VEINS FOREARM WRIST&HAND NOS,108.0,,17.94,106.25,55
CPT,01852,PR ANES PX VEINS FOREARM WRIST&HAND PHLEBORRHAPHY,108.0,,17.94,106.25,55
CPT,01860,PR ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR,108.0,,17.94,106.25,55
CPT,01916,PR ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY,108.0,,17.94,106.25,55
CPT,01922,PR ANES NON-INVASIVE IMAGING/RADIATION THERAPY,108.0,,17.94,106.25,55
CPT,01924,PR ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS,108.0,,17.94,106.25,55
CPT,01925,PR ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY,108.0,,17.94,106.25,55
CPT,01926,PR ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC,108.0,,17.94,106.25,55
CPT,01930,PR ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS,108.0,,17.94,106.25,55
CPT,01931,PR ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC,108.0,,17.94,106.25,55
CPT,01932,PR ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR,108.0,,17.94,106.25,55
CPT,01937,PR ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP CRV/THRC,108.0,,17.94,106.25,55
CPT,01938,PR ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC,108.0,,17.94,106.25,55
CPT,01939,PR ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP CRV/THRC,108.0,,17.94,106.25,55
CPT,01940,PR ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP LMBR/SAC,108.0,,17.94,106.25,55
CPT,01941,PR ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC,108.0,,17.94,106.25,55
CPT,01942,PR ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP LMBR/SAC,108.0,,17.94,106.25,55
CPT,01951,PR ANES 2&3 DGR BURN EXC/DBRDMT W/WO GRFG <4% TBSA,108.0,,17.94,106.25,55
CPT,01952,PR ANES 2&3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9% TBSA,108.0,,17.94,106.25,55
CPT,01953,PR ANES 2&3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9%TBSA,108.0,,17.94,106.25,55
CPT,01958,PR ANESTHESIA EXTERNAL CEPHALIC VERSION,108.0,,17.94,106.25,55
CPT,01960,PR ANESTHESIA VAGINAL DELIVERY ONLY,108.0,,17.94,106.25,55
CPT,01961,PR ANESTHESIA CESAREAN DELIVERY ONLY,108.0,,17.94,106.25,55
CPT,01962,PR ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY,108.0,,17.94,106.25,55
CPT,01963,PR ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE,108.0,,17.94,106.25,55
CPT,01965,PR ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES,108.0,,17.94,106.25,55
CPT,01966,PR ANESTHESIA INDUCED ABORTION PROCEDURES,108.0,,17.94,106.25,55
CPT,01967,PR NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY,108.0,,17.94,106.25,55
CPT,01968,PR ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES,108.0,,17.94,106.25,55
CPT,01969,PR ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES,108.0,,17.94,106.25,55
CPT,01990,PR PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT,108.0,,17.94,106.25,55
CPT,01991,PR ANES DX/THER NRV BLK&NJX OTH/THN PRONE POS,108.0,,17.94,106.25,55
CPT,01992,PR ANES DX/THER NERVE BLOCK&INJECTION PRONE POS,108.0,,17.94,106.25,55
CPT,01996,PR DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN,329.0,,17.94,296.1,55
CPT,0200T,HC SACRL AUG PC UNI NJ 1+NDL,8814.0,,2467.92,7580.04,83
CPT,0200T,PR PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL,6222.0,,612.41,5795.26,42
CPT,0201T,HC SACRL AUG PC BIL NJ 1+NDL,8962.0,,2509.36,7707.32,83
CPT,0201T,PR PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS,12016.0,,792.32,10814.4,42
CPT,0202U,HC RESPIRATORY COV2 PANEL PCR,960.0,,268.8,825.6,84
CPT,0213T,PR NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL,979.0,,128.15,881.1,42
CPT,0214T,PR NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL,626.0,,103.54,563.4,40
CPT,0219U,HC REF HIV-1 GENOTYPE DRUG RESIS,2601.0,,728.28,2236.86,84
CPT,0234T,HC TRANSLM PERIPH RENAL ATHR,24856.0,,6959.68,21376.16,83
CPT,0235T,HC TRANSLUM PERIPH VISC ATHR,24856.0,,6959.68,21376.16,83
CPT,0236T,HC TRNSLM PERI ABDAORTA ATHR,24856.0,,6959.68,21376.16,83
CPT,0237T,HC ARTH BRACH-CEPH TRK/BRNCH,24856.0,,6959.68,21376.16,83
CPT,0237T,HC TRNSLM PERI BRCHOCPH ATHR,24856.0,,6959.68,21376.16,83
CPT,0238T,HC TRNSLM PRIPH ILIAC ATHERC,24856.0,,6959.68,21376.16,83
CPT,0238T,PR TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA,9396.0,,958.12,20277.97,42
CPT,0278T,PR TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS,1210.0,,17.02,1089.0,40
CPT,0313U,"HC REF UPMC PANCREASEQ NGS PANEL, TS",1705.0,,477.4,1466.3,83
CPT,0364U,HC REF ADAPTIVE - CLONOSEQ CLONALITY ID,4455.0,,1247.4,3831.3,84
CPT,0364U,HC REF ADAPTIVE - CLONOSEQ MRD,4455.0,,1247.4,3831.3,84
CPT,0437T,PR IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL,2148.0,,149.77,1933.2,40
CPT,0442T,"HC IR ABLATION, PERC, CRYO W/IMAGE GUIDANCE, NERVE (CRYONEUROLYSIS)",6009.0,,1682.52,5167.74,83
CPT,0442T,PR ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,1141.0,,175.03,2914.8,42
CPT,0524T,HC ENDOVENOUS CATHETER DIR CHEM ABLTJ INCMPTNT EXTR VEIN,8495.0,,2378.6,7305.7,83
CPT,0559T,HC ANATOMIC MODEL 3D PRINTED 1ST COMPNT ANATOMIC STRUCTURE,6683.0,,1871.24,5747.38,83
CPT,0560T,HC ANATOMIC MODEL 3D PRINTED EA ADDL COMPONENT,1336.0,,374.08,1148.96,83
CPT,0561T,HC ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE,5530.0,,1548.4,4755.8,83
CPT,0562T,HC ANATOMIC GUIDE 3D PRINTED EA ADDL ANATOMIC GUIDE,1106.0,,309.68,951.16,83
CPT,0579T,HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH,220.0,,61.6,189.2,83
CPT,0581T,HC ABLATION MAL BREAST TUMOR PERQ CRYOTHERAPY UNILATERAL,8726.0,,2443.28,7504.36,83
CPT,0581T,PR ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL,3364.0,,1392.59,4762.01,42
CPT,0600T,HC IRE ABLTJ 1+TUM ORGAN PERQ,6978.0,,1953.84,12489.0805,84
CPT,0600T,PR ABLTJ IRE 1+TUM ORGN OTH/THN LVR/PRST8 IMG PERQ,8736.0,,1869.97,7862.4,42
CPT,0620T,"HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN, RS&I",35056.0,,9815.68,30148.16,83
CPT,0663T,HC SCALP COOLING PLACEMENT MNTR & REMOVAL OF DEVICE,174.0,,48.72,149.64,83
CPT,0686T,HC IR HISTOTRIPSY MALIGNANT HEPATOCELLULAR TISSUE W IMAGE GUIDE,61516.0,,17224.48,52903.76,83
CPT,0686T,PR HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,6279.0,,700.15,5918.7,38
CPT,0751T,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL II,10.0,,2.8,8.6,83
CPT,0752T,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL III,11.0,,3.08,9.46,83
CPT,0753T,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL IV,11.0,,3.08,9.46,83
CPT,0754T,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL V,30.0,,8.4,25.8,83
CPT,0755T,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL VI,96.0,,26.88,82.56,83
CPT,0780T,HC INSTILLATION OF FECAL MICROBIOTA SSP VIA RECTAL ENEMA INTO GI TRC,560.0,,156.8,481.6,83
CPT,0786T,PR INSJ/RPLCMT PERQ ELTRD RA SAC W/INTEGRATED NSTIM,4012.0,,673.93,3610.8,40
CPT,0855T,HC DIGITIZATION OF GLASS MICROSCOPE SLIDES FOR BONE MARROW SMEAR,597.0,,167.16,513.42,83
CPT,0866T,HC QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI,731.0,,204.68,3403.0,83
CPT,0866T,PR QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI,389.0,,70.99,350.1,40
CPT,0944T,HC PLANNING OF TARGET LESION AND IMAGE GUIDED PERC ABLATION,5851.0,,1638.28,5031.86,83
CPT,0944T,PR 3D CONTOUR SIMULAJ TRGT LVR LES&MRGN MICRWV ABLT,389.0,,233.4,3762.5,36
CPT,10004,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL,145.0,,40.6,124.7,84
CPT,10004,PR FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL,299.0,,31.7216,269.1,55
CPT,10005,HC FINE NEEDLE ASPIRATION BX W/US GUIDANCE 1ST LESION,3028.0,,144.92,2604.08,85
CPT,10005,PR FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,823.0,,53.1208,740.7,55
CPT,10006,HC FINE NEEDLE ASPIRATION BX W/US GUIDANCE EA ADDL,916.0,,99.05,787.76,84
CPT,10006,PR FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,564.0,,36.3952,507.6,55
CPT,10007,HC FINE NEEDLE ASPIRATION BX W/FLUOR GUIDANCE 1ST LESION,3061.0,,178.43,2632.46,85
CPT,10007,PR FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION,977.0,,65.1728,879.3,55
CPT,10008,HC FINE NEEDLE ASPIRATION BX W/FLUOR GUIDANCE EA ADDL,959.0,,103.07,824.74,84
CPT,10008,PR FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL,666.0,,37.3796,599.4,55
CPT,10009,HC FINE NEEDLE ASPIRATION BX W/CT GUIDANCE 1ST LESION,3959.0,,214.32,3404.74,85
CPT,10009,PR FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION,1219.0,,78.6968,1097.1,55
CPT,10010,HC FINE NEEDLE ASPIRATION BX W/CT GUIDANCE EA ADDL,1259.0,,144.43,1082.74,84
CPT,10010,PR FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL,928.0,,52.3848,835.2,55
CPT,10021,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,574.0,,51.77,493.64,85
CPT,10021,PR FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,607.0,,40.0844,515.95,55
CPT,10030,HC DRAIN SFT TISS CATH W IMG,5309.0,,257.6,4565.74,85
CPT,10030,PR IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ,1646.0,,97.6304,1481.4,55
CPT,10035,HC PLCMT SOFT TISSUE LOCALIZATION DEVICE(S) PERCUTANEOUS INCL IMAGING GUIDANCE 1ST LESION,6585.0,,165.4,5663.1,85
CPT,10035,PR PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION,1127.0,,60.7384,1014.3,55
CPT,10036,HC PLCMT SOFT TISSUE LOCALIZATION DEVICE(S) PERCUTANEOUS INCL IMAGING GUIDANCE EA ADD LESION,3089.0,,84.06,2656.54,84
CPT,10036,PR PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION,619.0,,30.7372,557.1,55
CPT,1003T,PR ARTHRP 1ST CARP/MTCRPL JT W/MTCRPL PROSTC RPLCMT,6444.0,,3866.4,5799.6,28
CPT,10040,"HC EXTRACTION EG, MARSUPIALIZATION/OPEN,REMV MULTIP MILIA/COEDONES/CYSTS PUSTULES",493.0,,103.51,423.98,85
CPT,10040,"PR EXTRACTION EG, MARSUPIALIZATION/OPEN, REMV MULTIP MILIA/COEDONES/CYSTS PUSTULES",369.0,,37.0515,313.65,55
CPT,10060,HC INCISE/DRAIN ABSCESS,702.0,,65.06,603.72,85
CPT,10060,PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,562.0,,49.74,477.7,55
CPT,10061,HC I&D ABSCESS COMP,781.0,,98.28,671.66,85
CPT,10061,PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE,1442.0,,92.81,1225.7,55
CPT,10120,HC REMOV SUBCUT FOREIGN BODY,390.0,,86.38,477.618,85
CPT,10120,PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,719.0,,52.27,611.15,55
CPT,10121,PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMP,1519.0,,115.23,1291.15,55
CPT,10140,HC INCISE/DRAIN HEMATOMA,1626.0,,90.81,1940.4755,85
CPT,10140,PR I&D HEMATOMA SEROMA/FLUID COLLECTION,688.0,,61.95,584.8,55
CPT,10160,HC ASPIRATION OF SUBCU FLUID/CYST,646.0,,67.83,555.56,85
CPT,10160,PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,686.0,,49.18,583.1,55
CPT,10180,HC INC&DRAIN COMPLX POSTOP,4693.0,,363.58,4035.98,85
CPT,10180,PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,1331.0,,106.62,1384.03,55
CPT,1019T,PR LYMPHOVENOUS BYPASS W/ROBOTIC ASST PER EXTREMITY,7975.0,,4785.0,7177.5,28
CPT,1021T,PR ACTIVE THORACIC IRRIGATION SEPARATE PROCEDURE,887.0,,532.2,798.3,28
CPT,11000,PR DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10% BDY SURF,302.0,,20.1664,256.7,55
CPT,11004,PR DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT&PER,4916.0,,414.1288,4424.4,55
CPT,11005,PR DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL,6817.0,,564.3832,6135.3,55
CPT,11006,PR DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER&ABDL,6196.0,,510.5356,5576.4,55
CPT,11008,PR RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION,2396.0,,198.7016,2156.4,55
CPT,11010,PR DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,2301.0,,203.1268,1955.85,55
CPT,11011,PR DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,2460.0,,218.3804,2445.22,55
CPT,11042,HC DEBRIDE TISS 1< 20SQ CM,1049.0,,121.18,902.14,85
CPT,11042,PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<,790.0,,44.5096,908.37,55
CPT,11043,HC DEBRID MUS TISS 1<20SQ CM,1058.0,,262.63,909.88,85
CPT,11043,PR DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<,1569.0,,112.6356,1631.29,55
CPT,11044,PR DEBRIDEMENT BONE 1ST 20 SQ CM/<,1924.0,,165.2596,2000.47,55
CPT,11045,HC DEBRIDE TISS EA 20SQ CM,1039.0,,50.96,893.54,84
CPT,11045,PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,202.0,,18.446,181.8,55
CPT,11046,HC DEBRID MUS TISS EA 20SQCM,1049.0,,111.13,902.14,84
CPT,11046,PR DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,372.0,,40.0844,334.8,55
CPT,11047,PR DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,610.0,,70.8216,549.0,55
CPT,11055,HC TRIM SKIN LESION SINGLE,474.0,,30.78,407.64,85
CPT,11055,PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,182.0,,11.316,154.7,50
CPT,11056,HC TRIM SKIN LESION 2-4,519.0,,43.44,446.34,85
CPT,11056,PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,203.0,,15.9804,176.87,50
CPT,11057,HC TRIM SKIN LESIONS >4,591.0,,55.65,508.26,85
CPT,11057,PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4,274.0,,20.9024,281.61,50
CPT,11102,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,719.0,,64.23,618.34,85
CPT,11102,PR TANGENTIAL BIOPSY SKIN SINGLE LESION,333.0,,26.299,299.7,55
CPT,11103,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,359.0,,43.36,308.74,84
CPT,11103,PR TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,196.0,,15.5295,176.4,55
CPT,11104,HC PUNCH BIOPSY SKIN SINGLE LESION,719.0,,79.46,618.34,85
CPT,11104,PR PUNCH BIOPSY SKIN SINGLE LESION,414.0,,33.4645,372.6,55
CPT,11105,HC PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,359.0,,51.04,308.74,84
CPT,11105,PR PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,232.0,,18.6944,208.8,55
CPT,11106,HC INCISIONAL BIOPSY SKIN SINGLE LESION,1038.0,,98.83,892.68,85
CPT,11106,PR INCISIONAL BIOPSY SKIN SINGLE LESION,505.0,,40.9105,454.5,55
CPT,11107,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,520.0,,61.07,447.2,84
CPT,11107,PR INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,266.0,,22.0235,239.4,55
CPT,11200,HC REMOVE SKIN TAGS UPTO 15,566.0,,152.34,486.76,85
CPT,11200,PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15,359.0,,37.75,305.15,55
CPT,11201,HC REM SKIN TAGS EA ADD 10,279.0,,32.04,239.94,84
CPT,11201,PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10,175.0,,11.441,182.02,55
CPT,11300,HC SHAVE SKIN LESION <.5CM,345.0,,67.58,477.618,85
CPT,11300,PR SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<,256.0,,24.3015,217.6,55
CPT,11301,HC SHAVE SKIN LESION .6-1CM,411.0,,101.56,353.46,85
CPT,11301,PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM,506.0,,36.482,430.1,55
CPT,11302,HC SHAVE SKIN LESION 1.1-2CM,420.0,,117.6,361.2,85
CPT,11302,PR SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM,591.0,,42.2875,502.35,55
CPT,11303,HC SHAVE SKIN LES OVER 2CM,446.0,,124.88,477.618,85
CPT,11303,PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM,693.0,,50.7025,589.05,55
CPT,11305,HC SHAVE SKIN LESION <.5CM,389.0,,74.19,334.54,85
CPT,11305,PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,444.0,,27.2964,377.4,55
CPT,11306,HC SHAVE SKIN LESION .6-1CM,420.0,,96.82,361.2,85
CPT,11306,PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,533.0,,35.6592,453.05,55
CPT,11307,HC SHAVE SKIN LESION1.1-2CM,389.0,,74.34,334.54,85
CPT,11307,PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM,666.0,,45.1095,566.1,55
CPT,11308,HC SHAVING LES SINGLE>2.0CM,455.0,,127.4,477.618,85
CPT,11308,PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM,810.0,,50.9036,688.5,55
CPT,11310,HC SHAVE SKIN LESION <.5CM,441.0,,71.98,379.26,85
CPT,11310,PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<,444.0,,31.824,377.4,55
CPT,11311,HC SHAVE SKIN LESION .6-1CM,526.0,,74.34,452.36,85
CPT,11311,PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM,610.0,,44.506,518.5,55
CPT,11312,HC SHAVE SKIN LESION1.1-2CM,492.0,,89.42,477.618,85
CPT,11312,PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM,721.0,,52.9805,612.85,55
CPT,11313,HC SHAVE SKIN LES OVER 2CM,707.0,,98.56,608.02,85
CPT,11313,PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM,932.0,,67.6685,792.2,55
CPT,11400,HC REM BEN SKN LESION <.5CM,1406.0,,77.79,1209.16,85
CPT,11400,PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<,434.0,,45.41,368.9,55
CPT,11401,HC REM BEN SKN LES .6-1CM,1518.0,,89.14,1305.48,85
CPT,11401,PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,513.0,,62.22,451.61,55
CPT,11402,HC REM BEN SKN LES 1.1-2CM,1750.0,,96.62,1505.0,85
CPT,11402,PR EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,608.0,,78.92,602.72,55
CPT,11403,HC RM BEN SKN LES  2.1-3CM,1927.0,,105.2,1657.22,85
CPT,11403,PR EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM,779.0,,98.53,772.72,55
CPT,11404,HC REM BEN SKN LES 3.1-4CM,2026.0,,332.1,1940.4755,85
CPT,11404,PR EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM,1067.0,,115.07,1092.11,55
CPT,11406,HC EXC BEN SKIN LES > 4CM,2329.0,,486.45,2002.94,85
CPT,11406,PR EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,1555.0,,154.2,1543.71,55
CPT,11420,HC REM BEN SKN LESION <.5CM,2275.0,,74.19,1956.5,85
CPT,11420,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,529.0,,49.48,449.65,55
CPT,11421,HC REM BEN SKIN LES .6-1CM,2109.0,,86.66,1813.74,85
CPT,11421,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,806.0,,70.05,685.1,55
CPT,11422,HC REM BEN SKIN LES 1.1-2CM,2615.0,,95.79,2248.9,85
CPT,11422,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,669.0,,85.31,642.21,55
CPT,11423,HC REM BEN SKIN LES 2.1-3CM,2113.0,,104.38,1940.4755,85
CPT,11423,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,912.0,,111.11,942.71,55
CPT,11424,HC REM BEN SKIN LES 3.1-4CM,2119.0,,364.57,1940.4755,85
CPT,11424,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM,1375.0,,127.2,1205.43,55
CPT,11426,HC REM BEN SKIN LESION >4CM,3917.0,,540.68,3412.7745,85
CPT,11426,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM,1606.0,,180.64,1657.04,55
CPT,11440,HC REM BEN SKN LESION <.5CM,1448.0,,86.38,1245.28,85
CPT,11440,PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,566.0,,57.88,481.1,55
CPT,11441,HC REM BEN SKIN LES .6-1CM,1591.0,,96.06,1368.26,85
CPT,11441,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,774.0,,77.22,657.9,55
CPT,11442,HC REM BEN SKIN LES 1.1-2CM,1770.0,,103.82,1522.2,85
CPT,11442,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM,844.0,,94.61,829.38,55
CPT,11443,HC REM BEN SKIN LES 2.1-3CM,2015.0,,114.34,1940.4755,85
CPT,11443,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,1210.0,,124.84,1054.32,55
CPT,11444,HC REM BEN SKIN LES 3.1-4CM,2113.0,,452.93,1940.4755,85
CPT,11444,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM,1510.0,,152.18,1356.54,55
CPT,11446,HC REM BEN SKIN LESION >4CM,3678.0,,637.56,3412.7745,85
CPT,11446,PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM,1951.0,,194.92,1940.38,55
CPT,11450,PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR,2198.0,,183.31,2259.78,55
CPT,11451,PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR,2408.0,,226.72,2476.13,55
CPT,11462,PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR,1843.0,,164.86,1894.02,55
CPT,11463,PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR,2466.0,,193.16,2223.7,55
CPT,11470,PR EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR,2285.0,,202.07,1942.25,55
CPT,11471,PR EXCISION H/P/P/U COMPLEX REPAIR,2711.0,,227.23,2304.35,55
CPT,11600,HC REM MAL SKN LESION <.5CM,1304.0,,112.68,1121.44,85
CPT,11600,PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<,577.0,,81.05,570.09,55
CPT,11601,HC REM MAL SKIN LES .6-1CM,1562.0,,124.3,1343.32,85
CPT,11601,PR EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,737.0,,105.28,626.75,55
CPT,11602,HC REM MAL SKN LES 1.1-2.CM,1640.0,,131.22,1410.4,85
CPT,11602,PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM,952.0,,118.4645,827.66,55
CPT,11603,HC EXC MAL SKIN LES 2.1-3CM,1893.0,,141.47,1627.98,85
CPT,11603,PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM,1169.0,,141.8916,1032.01,55
CPT,11604,HC EXC MAL SKIN LES 3.1-4CM,2080.0,,257.6,1788.8,85
CPT,11604,PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM,1441.0,,156.1608,1363.41,55
CPT,11606,HC REM MAL SKIN LESION >4CM,4303.0,,486.45,3700.58,85
CPT,11606,PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM,2018.0,,219.45,1986.74,55
CPT,11620,HC REM MAL SKN LESION <.5CM,1353.0,,112.95,1940.4755,85
CPT,11620,PR EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,876.0,,86.49,810.49,55
CPT,11621,HC REM MAL SKIN LES .6-1CM,1571.0,,124.58,1351.06,85
CPT,11621,PR EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM,1087.0,,109.9308,958.17,55
CPT,11622,HC REM MAL SKN LES 1.1-2.CM,1718.0,,133.44,1477.48,85
CPT,11622,PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM,1283.0,,124.6784,1141.9,55
CPT,11623,HC REM MAL SKIN LES 2.1-3CM,1982.0,,146.46,1940.4755,85
CPT,11623,PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM,1480.0,,153.7044,1399.47,55
CPT,11624,HC REM MAL SKIN LES 3.1-4CM,2396.0,,476.02,2060.56,85
CPT,11624,PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM,1791.0,,174.846,1765.24,55
CPT,11626,HC REM MAL SKIN LESION >4CM,2094.0,,585.46,3412.7745,85
CPT,11626,PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM,2442.0,,213.7068,2208.26,55
CPT,11640,HC REM MAL SKIN LES <0.5CM,1353.0,,116.0,1163.58,85
CPT,11640,PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<,926.0,,93.6928,882.61,55
CPT,11641,HC REM MAL SKIN LES .6-1CM,1601.0,,127.9,1376.86,85
CPT,11641,PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM,1168.0,,114.5952,1141.9,55
CPT,11642,HC REM MAL  SKN LES 1.1-2CM,1670.0,,138.98,1436.2,85
CPT,11642,PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM,1411.0,,134.0256,1435.54,55
CPT,11643,HC REM MAL SKIN LES 2.1-3CM,1924.0,,152.26,1940.4755,85
CPT,11643,PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM,1770.0,,166.98,1840.78,55
CPT,11644,HC REM MAL SKIN LES 3.1-4CM,2130.0,,486.45,1940.4755,85
CPT,11644,PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM,2256.0,,206.816,2134.42,55
CPT,11646,HC REM MAL SKIN LESION >4CM,2316.0,,648.48,3412.7745,85
CPT,11646,PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM,2632.0,,285.5128,2647.84,55
CPT,11719,HC TRIM NAILS,228.0,,14.61,196.08,85
CPT,11719,PR TRIMMING NONDYSTROPHIC NAILS ANY NUMBER,132.0,,5.4096,137.37,50
CPT,11720,HC DEBRIDE NAILS 1-5,345.0,,28.18,296.7,85
CPT,11720,PR DEBRIDEMENT NAIL ANY METHOD 1-5,143.0,,10.3316,123.63,55
CPT,11721,HC DEBRIDE NAIL >6,379.0,,46.7,325.94,85
CPT,11721,PR DEBRIDEMENT NAIL ANY METHOD 6/>,182.0,,17.2132,183.73,55
CPT,11730,HC REMOVE NAIL PLATE,475.0,,106.58,408.5,85
CPT,11730,PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,305.0,,39.3484,261.0,55
CPT,11732,HC REMOVE NAIL PLATE EA ADD,147.0,,33.39,126.42,84
CPT,11732,PR AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,193.0,,12.3004,188.89,55
CPT,11740,PR EVACUATION SUBUNGUAL HEMATOMA,228.0,,23.8556,204.34,55
CPT,11750,HC EXC NAIL PERM REM,1254.0,,84.71,1078.44,85
CPT,11750,PR EXCISION NAIL&NAIL MATRIX PRTL/COMPL PERM RMVL,887.0,,75.256,922.11,55
CPT,11755,HC BIOPSY  NAIL,1254.0,,64.23,1078.44,85
CPT,11755,PR BIOPSY NAIL UNIT SEPARATE PROCEDURE,418.0,,44.2612,410.39,55
CPT,11760,PR REPAIR NAIL BED,1086.0,,79.3,1126.45,55
CPT,11765,HC WEDGE EXC NAIL FOLD,477.0,,133.56,477.618,85
CPT,11765,PR WEDGE EXCISION SKIN NAIL FOLD,621.0,,38.36,614.74,55
CPT,11770,PR EXCISION PILONIDAL CYST/SINUS SIMPLE,1739.0,,137.7148,1808.16,55
CPT,11771,PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE,2493.0,,334.9444,2592.9,55
CPT,11772,PR EXCISION PILONIDAL CYST/SINUS COMPLICATED,4074.0,,399.82,3462.9,55
CPT,11900,HC INJ SKN LES UPTO & INC 7,391.0,,59.5,336.26,85
CPT,11900,PR INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS,167.0,,21.063,144.23,55
CPT,11901,HC INJ SKN LES MORE THAN 7,443.0,,89.97,380.98,85
CPT,11901,PR INJECTION INTRALESIONAL >7 LESIONS,429.0,,31.824,364.65,55
CPT,11920,HC TATTOOING SKIN <6CM,2500.0,,108.53,2150.0,85
CPT,11920,PR TATTOOING INCL MICROPIGMENTATION 6.0 CM/<,1402.0,,83.858,1440.68,50
CPT,11921,HC TATTOOING SKIN 6.1-20CM,2938.0,,119.87,2526.68,85
CPT,11921,PR TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM,2772.0,,96.1584,2883.09,50
CPT,11922,HC TATTOO SKIN EA ADD 20CM,2645.0,,58.32,2274.7,84
CPT,11922,PR TATTOOING INCL MICROPIGMENTATION EA 20.0 CM,1385.0,,21.1508,1440.68,50
CPT,11950,HC SUBCUT INJ FILL MTL:1CC OR LES,824.0,,38.48,708.64,85
CPT,11950,PR SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<,688.0,,38.1156,635.34,50
CPT,11951,HC SUBC INJ FILL:1.1 TO 5.0,906.0,,49.0,868.342,85
CPT,11951,PR SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC,770.0,,53.3692,693.73,50
CPT,11952,HC SUBC INJ FILL:5.1 TO 10.0CC,956.0,,62.29,868.342,85
CPT,11952,PR SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC,756.0,,75.0076,750.39,50
CPT,11954,HC SUBCUT INJ FILL MTL >10.0 CC,1052.0,,68.94,904.72,85
CPT,11954,PR SUBCUTANEOUS INJECTION FILLING MATRL >10.0 CC,2056.0,,81.8892,1747.6,50
CPT,11960,PR INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,6450.0,,573.28,5482.5,55
CPT,11970,PR REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT,5622.0,,416.8336,5072.46,55
CPT,11971,HC REM TIS W/O INS PROSTHSIS,6931.0,,815.2,5960.66,85
CPT,11971,PR REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT,2985.0,,170.73,2537.25,53
CPT,11976,HC REMOVAL CONTRACEPTIVE CAPSULE,281.0,,61.74,831.9905,84
CPT,11976,PR REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES,481.0,,71.6635,477.37,50
CPT,11981,HC INSRT NOBIODG DRUG DELIMP,163.0,,45.64,156.3195,85
CPT,11981,PR INSERTION DRUG DELIVERY IMPLANT,632.0,,45.9908,537.2,55
CPT,11982,HC RMV NONBIODGRAD DELV IMPL,163.0,,45.64,524.86,85
CPT,11982,PR REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,790.0,,53.6084,671.5,55
CPT,11983,HC RMV WREINS NOBIODGR DVIMP,163.0,,45.64,524.86,85
CPT,11983,PR RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT,1290.0,,75.7436,1096.5,55
CPT,12001,HC SIMPLE REPAIR <2.5 CM,634.0,,91.45,545.24,85
CPT,12001,PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,549.0,,32.9544,466.65,55
CPT,12002,HC SIMPLE REPAIR 2.6-7.5 CM,719.0,,120.4,618.34,85
CPT,12002,PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,777.0,,43.286,660.45,55
CPT,12004,HC SIMPLE REPAIR 7.6-12.5CM,908.0,,150.9,780.88,85
CPT,12004,PR SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,961.0,,54.1052,816.85,55
CPT,12005,HC SIMPLE REPAIR 12.6-20.0CM,954.0,,143.08,820.44,85
CPT,12005,PR SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,1160.0,,69.598,986.0,55
CPT,12006,HC SIMPLE REPAIR 20.1-30.0CM,915.0,,143.08,786.9,85
CPT,12006,PR SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,1190.0,,85.0908,1011.5,55
CPT,12007,HC SIMPLE REPAIR >30.0CM,909.0,,74.34,781.74,85
CPT,12007,PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,1777.0,,105.7448,1827.04,55
CPT,12011,HC SIMPLE REPAIR <2.5 CM,669.0,,113.62,575.34,85
CPT,12011,PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,715.0,,40.8204,607.75,55
CPT,12013,HC SIMPLE REPAIR 2.6-5.0CM,761.0,,119.04,654.46,85
CPT,12013,PR SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM,737.0,,42.5408,626.45,55
CPT,12014,HC SIMPLE REPAIR 5.1-7.5 CM,761.0,,154.36,654.46,85
CPT,12014,PR SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM,1010.0,,55.0896,858.5,55
CPT,12015,HC SIMPLE REPAIR 7.6-12.5CM,837.0,,74.34,719.82,85
CPT,12015,PR SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM,986.0,,69.1012,1002.81,55
CPT,12016,HC SIMPLE REPAIR 12.6-20.0CM,909.0,,143.08,781.74,85
CPT,12016,PR SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM,1940.0,,93.6928,1649.0,55
CPT,12017,HC SIMPLE REPAIR 20.1-30.0CM,1005.0,,143.08,864.3,85
CPT,12017,PR SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM,2407.0,,113.1232,2476.13,55
CPT,12018,HC SIMPLE REPAIR >30.0 CM,1103.0,,74.34,948.58,85
CPT,12018,PR SIMPLE REPAIR F/E/E/N/L/M >30.0 CM,2501.0,,127.3832,2574.0,55
CPT,12020,HC CLOSURE OF SPLIT WOUND,661.0,,185.08,868.342,85
CPT,12020,PR TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,1053.0,,121.81,895.05,55
CPT,12021,HC SIMPLE CLOSURE W/PACKING,661.0,,143.08,568.46,85
CPT,12021,PR TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,787.0,,78.05,668.95,55
CPT,12031,HC RP INT LYR CL WD<2.5CM,829.0,,143.08,712.94,85
CPT,12031,PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,1179.0,,88.47,1002.15,55
CPT,12032,HC RP INT LY CL WD 2.6-7.5CM,869.0,,143.08,747.34,85
CPT,12032,PR REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM,857.0,,109.49,728.45,55
CPT,12034,HC RP INT LY CL WD7.6-12.5CM,911.0,,143.08,783.46,85
CPT,12034,PR REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,1236.0,,138.03,1050.6,55
CPT,12035,HC RP INT LY CL WD12.6-20CM,961.0,,143.08,826.46,85
CPT,12035,PR REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,1435.0,,170.58,1219.75,55
CPT,12036,HC RP INT LYR CL WD20.1-30CM,961.0,,216.8,868.342,85
CPT,12036,PR REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,1678.0,,207.45,1426.3,55
CPT,12037,HC RP INT LY CL WD>30.0CM,2596.0,,667.7,2424.1655,85
CPT,12037,PR REPAIR INTERMEDIATE S/A/T/E >30.0 CM,2500.0,,241.9876,2125.0,55
CPT,12041,HC RP INT LY CL WD< 2.5CM,795.0,,143.08,683.7,85
CPT,12041,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,954.0,,99.1,810.9,55
CPT,12042,HC RP INT LY CL WD 2.6-7.5CM,795.0,,143.08,683.7,85
CPT,12042,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,894.0,,122.03,759.9,55
CPT,12044,HC RP IN N H GN LS7.6-12.5-I,795.0,,216.8,868.342,85
CPT,12044,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,1301.0,,150.04,1105.85,55
CPT,12045,HC RP IN N H GN LES12.6-20-I,866.0,,216.8,868.342,85
CPT,12045,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,1135.0,,183.3,1167.66,55
CPT,12046,HC RP IN N H GN LES20.1-30-I,824.0,,216.8,868.342,85
CPT,12046,PR RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,1524.0,,228.97,1511.09,55
CPT,12047,HC RP INT N H GN LES 30+-I,3104.0,,709.01,2669.44,85
CPT,12047,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,2632.0,,261.1696,2271.79,55
CPT,12051,HC RP INT LY CL WD< 2.5CM,961.0,,143.08,826.46,85
CPT,12051,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<,1166.0,,108.24,991.1,55
CPT,12052,"HC REPAIR INTERM  FACE,EARS,EYELIDS,NOSE,LIPS/MUCOUS MEMBRANES 2.6-5.0CM",1023.0,,143.08,879.78,85
CPT,12052,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM,998.0,,133.2,858.57,55
CPT,12053,HC RP INT LY CL WD5.1-7.5CM,1085.0,,143.08,933.1,85
CPT,12053,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM,1354.0,,153.85,1150.9,55
CPT,12054,HC RP FC ER MU LES7.6-12.5-I,1144.0,,143.08,983.84,85
CPT,12054,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM,1572.0,,162.058,1476.75,55
CPT,12055,HC RP FC ER MU LES12.6-20-I,1207.0,,143.08,1038.02,85
CPT,12055,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM,1966.0,,222.5572,1888.86,55
CPT,12056,HC RP FC ER MU LES20.1-30-I,1267.0,,143.08,1089.62,85
CPT,12056,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM,2420.0,,283.3048,2404.01,55
CPT,12057,HC RP FC ER MU LES 30+-I,1330.0,,143.08,1143.8,85
CPT,12057,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM,2843.0,,309.12,2956.92,55
CPT,13100,HC RPR WND/LESION<2.5CM,1464.0,,216.8,1259.04,85
CPT,13100,PR REPAIR COMPLEX TRUNK 1.1-2.5 CM,1056.0,,132.62,897.6,55
CPT,13101,HC RPR WND/LESION 2.6-7.5CM,1618.0,,216.8,1391.48,85
CPT,13101,PR REPAIR COMPLEX TRUNK 2.6-7.5 CM,1268.0,,181.0008,1098.97,55
CPT,13102,HC RPR WND/LES EA ADD<5CM,973.0,,143.87,836.78,84
CPT,13102,PR REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<,701.0,,52.3848,595.85,55
CPT,13120,HC RPR WND/LESION 1.1-2.5CM,1234.0,,216.8,1061.24,85
CPT,13120,PR REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM,1247.0,,146.24,1059.95,55
CPT,13121,HC RPR WND/LESION 2.6-7.5CM,1388.0,,216.8,1193.68,85
CPT,13121,PR REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM,1680.0,,188.2835,1487.06,55
CPT,13122,HC RPR WND/LES EA ADD <5CM,1030.0,,165.24,885.8,84
CPT,13122,PR REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<,639.0,,60.1035,599.28,55
CPT,13131,HC RPR WND/LESION 1.1-2.5CM,1329.0,,143.08,1142.94,85
CPT,13131,PR REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM,1356.0,,177.3116,1152.6,55
CPT,13132,HC RPR WND/LESION 2.6-7.5CM,1940.0,,216.8,1668.4,85
CPT,13132,PR REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM,2236.0,,219.249,2197.95,55
CPT,13133,HC RP WND/LESION EA ADD 5CM,925.0,,249.74,795.5,84
CPT,13133,PR REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<,1230.0,,90.117,1045.5,55
CPT,13151,HC RPR WND/LESION 1.1-2.5CM,1697.0,,216.8,1459.42,85
CPT,13151,PR REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,1855.0,,203.6236,1576.75,55
CPT,13152,HC RPR WND/LESION 2.6-7.5CM,1959.0,,216.8,1684.74,85
CPT,13152,PR REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,2998.0,,243.967,2780.06,55
CPT,13153,HC RP WND/LESION EA AD <5CM,1023.0,,273.31,879.78,84
CPT,13153,PR REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<,1320.0,,99.5992,1122.0,55
CPT,13160,HC SEC CLOSURE EXTENSIVE,3601.0,,709.01,4163.552,85
CPT,13160,PR SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP,5407.0,,436.18,4595.95,55
CPT,14000,HC ADJ TX TNK <10 CM,2722.0,,709.01,2424.1655,85
CPT,14000,PR ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM/<,3575.0,,295.81,3038.75,55
CPT,14001,HC ADJ TX TRNK 10.1-30 CM,4533.0,,709.01,3898.38,85
CPT,14001,PR ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM,3706.0,,430.03,3150.1,55
CPT,14020,HC ADJ TX SC/EXT <10CM,3775.0,,709.01,3246.5,85
CPT,14020,PR ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<,2797.0,,367.87,2586.03,55
CPT,14021,HC ADJ TX SC/EXT 10.1-30CM,4316.0,,709.01,3711.76,85
CPT,14021,PR ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM,4477.0,,523.0752,3805.45,55
CPT,14040,HC ADJ TX FC/NK/AX/FT <10CM,4343.0,,709.01,3734.98,85
CPT,14040,PR ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,3530.0,,460.6072,3248.85,55
CPT,14041,HC ADJ TX F/N/A/FT 10-30CM,4533.0,,709.01,3898.38,85
CPT,14041,PR ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM,4341.0,,561.6784,4110.85,55
CPT,14060,HC ADJ TX LID/NS/LIP <10 CM,4471.0,,709.01,3845.06,85
CPT,14060,PR ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<,4003.0,,490.6084,4110.85,55
CPT,14061,HC ADJ TX LD/NS/LP 10-30 CM,5028.0,,709.01,4324.08,85
CPT,14061,PR ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM,5865.0,,603.244,5834.88,55
CPT,14301,HC ADJ TX 30.1-60.SQ CM COMP,4783.0,,1339.24,4163.552,85
CPT,14301,PR ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM,7099.0,,640.6236,6389.1,55
CPT,14302,HC ADJ TX EA AD30.SQ CM COMP,4783.0,,434.37,4113.38,84
CPT,14302,PR ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM,2070.0,,157.3936,1863.0,55
CPT,14350,HC FILLETED FINGER/TOE FLAP,3927.0,,709.01,3377.22,85
CPT,14350,PR FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE,3136.0,,498.9712,2984.4,55
CPT,15002,PR PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT,1951.0,,160.586,1920.75,55
CPT,15003,PR PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT,450.0,,32.9544,421.93,55
CPT,15004,PR PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,2448.0,,189.6028,2410.14,55
CPT,15005,PR PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT,862.0,,65.412,842.63,55
CPT,15040,PR HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<,1077.0,,91.9724,1051.14,55
CPT,15050,HC PINCH GRFT <2 CM,3571.0,,262.63,3071.06,85
CPT,15100,HC AUTOGFT TK/AR/LG 100SQCM<,4984.0,,709.01,4286.24,85
CPT,15100,PR SPLT AGRFT T/A/L 1ST 100 SQCM/</1% BDY INFT/CHLD,4451.0,,446.15,3783.35,55
CPT,15101,PR SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1% INFT/CHLD,1597.0,,81.1532,1650.19,55
CPT,15115,PR EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM/<,5261.0,,513.9764,5156.35,55
CPT,15120,HC SPLIT AUTOGRAFT <100CM2,5452.0,,1391.64,4688.72,85
CPT,15120,PR SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM/</1%,4779.0,,509.7904,4632.87,55
CPT,15121,HC SPLIT AUTOGRAFT +100CM2,5404.0,,265.42,4647.44,84
CPT,15121,PR SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1%,2448.0,,96.3976,2316.43,55
CPT,15130,PR DERMAL AGRFT T/A/L 1ST 100 SQCM/</1%INFT/CHLD,3886.0,,441.922,3679.6,55
CPT,15131,PR DERMAL AGRFT T/A/L EA ADD 100 SQCM/1% INFT/CHLD,807.0,,65.1728,788.66,55
CPT,15135,HC DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100,4924.0,,1378.72,4234.64,85
CPT,15135,PR DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM,5627.0,,558.9736,5518.18,55
CPT,15136,PR DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1%,807.0,,65.1728,788.66,55
CPT,15155,PR TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/,4824.0,,537.5836,4730.75,55
CPT,15156,PR TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM,1476.0,,109.9308,1444.86,55
CPT,15157,PR TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL,1612.0,,119.7656,1577.32,55
CPT,15200,HC GRFT TNK <20CM,3601.0,,709.01,3096.86,85
CPT,15200,PR FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM/<,4564.0,,394.63,3879.4,55
CPT,15201,HC GRFT TNK ADD 20 CM,3262.0,,154.29,2805.32,84
CPT,15201,PR FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM,1172.0,,55.8256,1219.18,55
CPT,15220,HC GRFT SC/EXT <20 CM,3601.0,,709.01,3096.86,85
CPT,15220,PR FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM/<,3549.0,,419.33,3140.66,55
CPT,15221,HC GRFT SF/EXT ADD 20 CM,3601.0,,138.93,3096.86,84
CPT,15221,PR FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM,1664.0,,50.416,1571.19,55
CPT,15240,HC GRFT FC/NK/HD/FT <20 CM,4141.0,,709.01,3561.26,85
CPT,15240,PR FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM/<,4692.0,,501.01,4006.11,55
CPT,15241,HC GRFT FC/NK/FT ADD 20 CM,4107.0,,215.1,3532.02,84
CPT,15241,PR FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL,2266.0,,78.2,2002.2,55
CPT,15260,HC GRFT NS/ER/LP <20 CM,4556.0,,709.01,3918.16,85
CPT,15260,PR FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/<,4821.0,,571.68,4710.14,55
CPT,15261,HC GRFT LID/NS/ER ADD 20 CM,4518.0,,270.22,3885.48,84
CPT,15261,PR FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM,2267.0,,98.8632,2357.65,55
CPT,15271,HC GRFT TRNK/ARM/LEG 25SQCM<,1517.0,,168.51,1304.62,85
CPT,15271,PR APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25,725.0,,61.4836,652.5,55
CPT,15272,HC GRFT TRNK/ARM/LEG +25SQCM,559.0,,33.88,480.74,84
CPT,15272,PR APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC,168.0,,12.3004,151.2,55
CPT,15273,"HC SKIN SUB GRAFT TRUNK,/ARMS/LEGS >=100SQ CM",4743.0,,394.35,4078.98,85
CPT,15273,PR APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM,1834.0,,142.6368,1650.6,55
CPT,15274,HC SKN SUB GRAFT TRUNK/ARMS/LEGS >=100SQ CM EA ADDL 100SQ CM,1890.0,,90.39,1625.4,84
CPT,15274,PR APP SKN SUB GRFT T/A/L AREA>=100SCM ADL 100SQCM,406.0,,32.4576,365.4,55
CPT,15275,HC GRFT SCLP/HD/FT/GN25SQCM<,1432.0,,71.16,1231.52,85
CPT,15275,PR SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM,922.0,,68.1168,829.8,55
CPT,15276,HC GRFT SCLP/HD/FT/GN+25SQCM,533.0,,50.05,458.38,84
CPT,15276,PR SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM,255.0,,18.1976,229.5,55
CPT,15277,HC GRFT F/SCP/EYL/MT/NK100CM,3261.0,,449.19,2804.46,85
CPT,15277,PR SUB GRFT F/S/N/H/F/G/M/D >= 100SCM 1ST 100SQ CM,2015.0,,162.5548,1813.5,55
CPT,15278,PR SUB GRFT F/S/N/H/F/G/M/D >= 100SCM ADL 100SQ CM,506.0,,40.5812,455.4,55
CPT,15570,PR FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK,4194.0,,533.74,4318.62,55
CPT,15572,PR FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS,5609.0,,521.97,4767.65,55
CPT,15574,PR FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F,4831.0,,531.53,5024.38,55
CPT,15576,HC FORMAT DIREC PEDICLE,3760.0,,709.01,3233.6,85
CPT,15576,PR FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL,4983.0,,378.22,5182.36,55
CPT,15600,PR DELAY FLAP/SECTIONING FLAP TRUNK,2539.0,,158.1296,2158.15,55
CPT,15610,PR DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS,3181.0,,181.9852,2703.85,55
CPT,15620,HC DELAY SEC FLAP FAC EXTM,3794.0,,656.45,3262.84,85
CPT,15620,PR DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F,2872.0,,231.92,2747.44,55
CPT,15630,HC DELAY SECTN FLAP FACIAL,4174.0,,688.88,3589.64,85
CPT,15630,PR DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS,3111.0,,248.35,3235.1,55
CPT,15730,PR MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES,7864.0,,673.578,7077.6,55
CPT,15731,HC FLAP W/PRES VASCUL PEDICL,3760.0,,1052.8,4163.552,85
CPT,15731,PR FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE,8134.0,,735.7976,7430.34,55
CPT,15733,PR MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL,8779.0,,758.6688,7901.1,55
CPT,15734,PR MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK,11442.0,,1106.8888,11382.97,55
CPT,15736,PR MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR,8531.0,,899.3276,8872.51,55
CPT,15738,HC MUSCLE MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LOWER EXTR,8918.0,,1457.62,7669.48,85
CPT,15738,PR MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR,9593.0,,934.2508,8872.51,55
CPT,15740,HC PED FLAP SCLP/FC/ETC,4462.0,,709.01,3837.32,85
CPT,15740,PR FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY,6588.0,,622.1776,6281.33,55
CPT,15750,PR FLAP NEUROVASCULAR PEDICLE,6946.0,,691.0396,7224.04,55
CPT,15756,PR FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST,20200.0,,1677.666,17170.0,55
CPT,15757,PR FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS,22413.0,,1666.6076,19051.05,55
CPT,15758,PR FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS,21705.0,,1659.7168,20489.01,55
CPT,15760,HC GRAFT INCLUDE CLOSURE,5452.0,,709.01,4688.72,85
CPT,15760,PR GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA,5137.0,,515.6968,4866.39,55
CPT,15769,PR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,1894.0,,356.0952,1704.6,55
CPT,15770,PR GRAFT DERMA-FAT-FASCIA,4966.0,,495.74,4866.39,55
CPT,15771,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,3839.0,,379.7024,3455.1,55
CPT,15772,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC,1605.0,,108.4496,1444.5,55
CPT,15773,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,3895.0,,371.588,3505.5,55
CPT,15774,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC,1320.0,,104.7604,1188.0,55
CPT,15775,PR PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS,819.0,,197.6845,810.45,42
CPT,15776,PR PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS,2030.0,,269.6455,2089.77,42
CPT,15777,PR IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,4107.0,,156.6484,3696.3,55
CPT,15778,PR IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA,4114.0,,282.5596,3702.6,55
CPT,15781,HC DERMABRASION SGMNTL FACE,706.0,,197.68,854.8,85
CPT,15781,PR DERMABRASION SEGMENTAL FACE,1817.0,,277.18,1768.66,55
CPT,15783,HC DERMABRASION SUPERFICIAL,706.0,,197.68,706.93,85
CPT,15786,PR ABRASION 1 LESION,476.0,,81.38,474.79,55
CPT,15787,PR ABRASION EACH ADDITIONAL 4 LESIONS OR LESS,160.0,,12.052,156.27,55
CPT,15788,HC CHEM PEEL FACIAL EPIDERM,234.0,,65.52,477.618,85
CPT,15788,PR CHEMICAL PEEL FACIAL EPIDERMAL,4001.0,,112.78,4150.35,50
CPT,15789,HC CHEM PEEL FACE DERM,524.0,,146.72,868.342,85
CPT,15789,PR CHEMICAL PEEL FACIAL DERMAL,5445.0,,195.4,5302.55,50
CPT,15792,HC CHEM PEEL NONFACE EPIDER,911.0,,255.08,868.342,85
CPT,15792,PR CHEMICAL PEEL NONFACIAL EPIDERMAL,1231.0,,72.21,1153.92,50
CPT,15793,HC CHEM PEEL NONFACE DERM,911.0,,255.08,783.46,85
CPT,15793,PR CHEMICAL PEEL NONFACIAL DERMAL,1555.0,,127.1,1461.3,55
CPT,15820,HC LOWER LID BLEPHAROPLASTY,4366.0,,709.01,3754.76,84
CPT,15820,PR BLEPHAROPLASTY LOWER EYELID,2923.0,,356.64,2843.6,55
CPT,15821,PR BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD,3382.0,,394.5,3228.24,55
CPT,15822,HC UPPER LID BLEPHAROPLASTY,3950.0,,709.01,3397.0,84
CPT,15822,PR BLEPHAROPLASTY UPPER EYELID,3037.0,,294.86,3150.97,55
CPT,15823,PR BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN,3851.0,,406.2628,3995.8,55
CPT,15824,PR RHYTIDECTOMY FOREHEAD,5526.0,,348.69,5172.05,46
CPT,15825,PR RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING,6313.0,,301.25,6149.11,46
CPT,15826,PR RHYTIDECTOMY GLABELLAR FROWN LINES,5526.0,,251.34,5379.82,46
CPT,15828,PR RHYTIDECTOMY CHEEK CHIN & NECK,14598.0,,857.21,14211.12,46
CPT,15829,PR RHYTIDECTOMY SMAS FLAP,16175.0,,857.21,15749.68,46
CPT,15830,PR EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY,9601.0,,865.398,8893.6,50
CPT,15832,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH,5845.0,,657.47,5814.27,47
CPT,15833,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG,5526.0,,555.48,5675.18,47
CPT,15834,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP,5526.0,,596.16,5675.18,47
CPT,15835,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK,5526.0,,614.46,5675.18,47
CPT,15836,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM,6293.0,,503.46,5349.05,47
CPT,15837,PR EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND,4194.0,,471.13,4318.62,47
CPT,15838,PR EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD,3672.0,,425.03,3779.45,55
CPT,15839,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA,5294.0,,370.82,4783.98,47
CPT,15840,PR GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT,10511.0,,747.1044,8934.35,55
CPT,15841,PR GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT,9865.0,,1310.5124,9604.01,55
CPT,15842,PR GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG,28667.0,,1982.37,24366.95,55
CPT,15845,PR GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR,9235.0,,785.4684,9604.01,55
CPT,15847,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN,4522.0,,254.8676,5097.01,44
CPT,15851,PR REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA,283.0,,35.85,262.73,55
CPT,15852,PR DRESSING CHANGE UNDER ANESTHESIA,507.0,,32.706,430.95,55
CPT,15853,HC REMOVAL SUTURES OR STAPLES NOT REQ ANESTHESIA,268.0,,22.9,230.48,84
CPT,15854,HC REMOVAL SUTURES AND STAPLES NOT REQ ANESTHESIA,268.0,,31.57,230.48,84
CPT,15860,HC INTRAV INJ FLOURESCEIN,450.0,,126.0,524.86,85
CPT,15860,PR IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT,794.0,,77.7124,769.29,55
CPT,15876,PR SUCTION ASSISTED LIPECTOMY HEAD & NECK,1905.0,,136.7304,1890.58,50
CPT,15877,PR SUCTION ASSISTED LIPECTOMY TRUNK,12972.0,,369.37,11026.2,42
CPT,15878,PR SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY,3398.0,,206.83,2888.3,42
CPT,15879,PR SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY,3398.0,,369.37,3377.63,42
CPT,15934,PR EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR,5496.0,,671.1,5302.55,55
CPT,15936,PR EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR,4516.0,,664.2308,3838.6,55
CPT,15940,PR EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE,4198.0,,416.46,3788.03,55
CPT,16000,"HC INIT TMT,1ST DEGREE BURN",403.0,,92.25,346.58,85
CPT,16020,PR DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,423.0,,35.35,359.55,55
CPT,16035,PR ESCHAROTOMY INITIAL INCISION,789.0,,143.3728,786.6,55
CPT,17000,HC DES  BEN/PREMAL LES SING,201.0,,56.28,235.727,85
CPT,17000,PR DESTRUCTION PREMALIGNANT LESION 1ST,250.0,,32.03,212.5,55
CPT,17003,HC DES PREMAL LES 2-14 EACH,105.0,,3.91,90.3,84
CPT,17003,PR DESTRUCTION PREMALIGNANT LESION 2-14 EA,47.0,,1.428,44.65,55
CPT,17004,HC DESTR PREMAL LESION 15+,991.0,,97.18,852.26,85
CPT,17004,PR DESTRUCTION PREMALIGNANT LESION 15/>,831.0,,71.621,731.51,55
CPT,17106,HC DESTR VASCUL LES <10 SQCM,907.0,,143.08,780.02,85
CPT,17106,PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM,1146.0,,202.55,1144.95,55
CPT,17107,PR DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM,2105.0,,265.8432,2089.5,55
CPT,17108,HC DESTR VASCUL LES >50 SQCM,742.0,,207.76,2424.1655,85
CPT,17108,PR DSTRJ CUTANEOUS VASCULAR PRLF LESIONS>50.0 SQ CM,4204.0,,390.034,3573.4,55
CPT,17110,HC DESTRUCT BENIGN <14 LES,263.0,,73.64,235.727,85
CPT,17110,PR DESTRUCTION BENIGN LESIONS UP TO 14,345.0,,32.86,293.25,55
CPT,17111,HC DESTRUCT BENIGN >15 LES,717.0,,165.64,616.62,85
CPT,17111,PR DESTRUCTION BENIGN LESIONS 15/>,362.0,,47.9,307.7,55
CPT,17250,HC CHEM CAUTERIZ GRANUL TISS,407.0,,75.53,350.02,85
CPT,17250,PR CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,214.0,,27.04,181.9,55
CPT,17260,HC DES MAL LESION < 0.5CM,382.0,,106.96,328.52,85
CPT,17260,PR DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<,330.0,,51.17,307.37,55
CPT,17261,HC DES MAL LESION 0.6-1.0CM,433.0,,121.24,372.38,85
CPT,17261,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,473.0,,64.4276,415.55,55
CPT,17262,HC DES MAL LESION 1.1-2.0CM,440.0,,123.2,378.4,85
CPT,17262,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM,574.0,,81.073,506.56,55
CPT,17263,HC DES OF LES 2.1-3 TNK,475.0,,133.0,408.5,85
CPT,17263,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM,666.0,,89.267,568.38,55
CPT,17264,HC DES MAL LESION 3.1-4CM,523.0,,109.08,477.618,85
CPT,17264,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM,728.0,,95.081,628.49,55
CPT,17266,HC DES OF LES 4.0+ TNK,526.0,,120.15,477.618,85
CPT,17266,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM,792.0,,111.1885,783.02,55
CPT,17270,HC DES MAL LESION <0.5CM,390.0,,74.34,335.4,85
CPT,17270,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,381.0,,70.4905,369.18,55
CPT,17271,HC DES MAL LESION 0.6-1.0CM,445.0,,74.34,382.7,85
CPT,17271,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM,527.0,,77.464,461.91,55
CPT,17272,HC DES MAL LESION 1.1-2.0CM,818.0,,229.04,703.48,85
CPT,17272,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM,629.0,,88.417,552.91,55
CPT,17273,HC DEST MAL LES 2.1 -3CM,416.0,,107.42,477.618,85
CPT,17273,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM,666.0,,99.467,659.38,55
CPT,17274,HC DES OF LES 3.1-4 S N H F,451.0,,120.15,477.618,85
CPT,17274,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM,728.0,,120.8105,721.2,55
CPT,17276,HC DES OF LES 4+ S N H F,494.0,,133.72,477.618,85
CPT,17276,PR DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM,946.0,,146.5655,813.93,55
CPT,17280,HC DES MAL LESION < 0.5CM,390.0,,109.2,335.4,85
CPT,17280,PR DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<,467.0,,64.1884,444.73,55
CPT,17281,HC DES MAL LESION 0.6-1.0CM,428.0,,93.58,368.08,85
CPT,17281,PR DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM,611.0,,86.5895,537.47,55
CPT,17282,HC DES MAL LESION 1.1-2.0CM,523.0,,104.93,449.78,85
CPT,17282,PR DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM,699.0,,99.178,628.49,55
CPT,17283,HC DEST MAL LES 2.1-3CM,491.0,,117.1,477.618,85
CPT,17283,PR DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM,728.0,,122.7995,721.2,55
CPT,17284,HC DES OF LES 3.1-4 FC,547.0,,128.74,868.342,85
CPT,17284,PR DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM,1210.0,,144.466,1028.5,55
CPT,17286,HC DES OF LES 4+ FC,607.0,,153.38,868.342,85
CPT,17286,PR DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM,1262.0,,196.3075,1072.7,55
CPT,17311,HC MOHS 1-5 TISS HD/MUS/NER,2095.0,,216.8,1801.7,85
CPT,17311,PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS,1885.0,,251.158,1699.97,55
CPT,17312,HC MOHS 6-10 TISS HD/MUS/NER,1805.0,,373.68,1552.3,84
CPT,17312,PR MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE,1105.0,,134.079,1014.35,55
CPT,17313,HC MOHS 1-5 TISS TRK/ARM/LEG,2095.0,,216.8,1801.7,85
CPT,17313,PR MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS,1800.0,,225.4285,1699.97,55
CPT,17314,HC MOHS 6-10TISS TRK/ARM/LEG,1805.0,,346.21,1552.3,84
CPT,17314,PR MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE,1088.0,,122.264,1014.35,55
CPT,17315,HC MOHS >5 SPECIMENS,453.0,,98.69,389.58,84
CPT,17315,PR MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE,226.0,,34.952,192.1,55
CPT,17340,PR CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,249.0,,31.86,211.65,55
CPT,17380,HC LASER HAIR REMOVAL,231.0,,64.68,198.66,83
CPT,17380,PR ELECTROLYSIS EPILATION EACH 30 MINUTES,232.0,,19.56,507.64,42
CPT,17999,HC CRYOABLATION SOFT TISSUE,8561.0,,235.727,7362.46,84
CPT,17999,HC REMOVE JEJUNAL MONITOR,577.0,,161.56,496.22,84
CPT,17999,PR ABSORBABLE ANTIBIOTIC BEADS,2958.0,,1774.8,2514.3,28
CPT,17999,"PR REPAIR WITH SOFT TISSUE, (EG, ACELLULAR DERMAL MATRIX, SURGIMEND) OTHER THAN BREAST OR TRUNK",5773.0,,1931.79,4907.05,28
CPT,17999,PR UNLISTED PROCEDURE DEBRIDEMENT OF NECROTIZING FASCIITIS IN THE CHEST WALL,6867.0,,1931.79,5836.95,28
CPT,17999,PR UNLISTED PROCEDURE SKIN TISSUE FALCIFORM LIGMENT FLAP,3501.0,,1931.79,2975.85,28
CPT,17999,PR UNLISTED PROCEDURE SKIN TISSUE LASER HAIR REMOVAL FROM FLAP,304.0,,182.4,1931.79,28
CPT,17999,PR UNLISTED PROCEDURE SKIN TISSUE PROCEDURE SOFT TISSUE CRYO-ABLATION,4867.0,,1931.79,4136.95,28
CPT,17999,PR UNLISTED PROCEDURE SKIN TISSUE; SUBQ FISTULA EXCEPT ANUS,1786.0,,1071.6,1931.79,28
CPT,19000,HC ASPIRATE BREAST CYST,577.0,,59.25,831.9905,85
CPT,19000,PR PUNCTURE ASPIRATION CYST OF BREAST,415.0,,30.7372,352.75,55
CPT,19001,HC ASPIR BREAST CYST EA ADD,573.0,,41.71,492.78,84
CPT,19001,PR PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST,225.0,,15.2444,226.66,55
CPT,19020,PR MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP,2526.0,,160.58,2147.1,55
CPT,19030,PR INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM,1108.0,,54.8412,992.91,55
CPT,19081,HC STEREO BRST BX+IMG 1ST LS,4623.0,,320.77,3975.78,85
CPT,19081,PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,2907.0,,117.7968,2616.3,55
CPT,19082,HC STEREO BRST BX+IMG ADD LS,1849.0,,160.84,1590.14,84
CPT,19082,PR BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,1379.0,,59.018,1241.1,55
CPT,19083,HC BX BREAST W U/S INIT LES,3919.0,,303.82,3370.34,85
CPT,19083,PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,2323.0,,111.4028,2090.7,55
CPT,19084,HC BX BREAST W US ADD LESION,2067.0,,151.45,1777.62,84
CPT,19084,PR BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,1360.0,,55.5772,1224.0,55
CPT,19085,HC MRI BRST BX+IMG 1ST LS,9375.0,,351.41,8062.5,85
CPT,19085,PR BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID,2573.0,,129.352,2315.7,55
CPT,19086,HC MRI BRST BX+IMG ADD LS,4887.0,,174.93,4202.82,84
CPT,19086,PR BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID,1629.0,,64.4276,1624.46,55
CPT,19100,HC BIOPSY CORE BREAST,1567.0,,142.25,1940.4755,85
CPT,19100,PR BIOPSY BREAST PRC CRNDL WOIMGGD SP,684.0,,50.6552,581.4,55
CPT,19100,PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX,684.0,,50.6552,581.4,55
CPT,19101,HC BIOPSY BREAST OPEN INCIS,5734.0,,458.88,4931.24,85
CPT,19101,PR BIOPSY BREAST OPEN INCISIONAL,1722.0,,165.7472,1742.9,55
CPT,19105,HC ABLATION CRYOSURG W/US GUID EA FIBROADENOMA,9391.0,,2629.48,8076.26,83
CPT,19105,PR ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA,2192.0,,175.7035,2146.44,47
CPT,19110,PR NIPPLE EXPLORATION,1911.0,,225.35,1924.93,55
CPT,19112,PR EXCISION LACTIFEROUS DUCT FISTULA,1956.0,,196.09,1904.31,55
CPT,19120,HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION,916.0,,256.48,4600.276,85
CPT,19120,PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION,2376.0,,279.93,2208.26,55
CPT,19125,PR EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES,3109.0,,294.53,2642.65,55
CPT,19126,PR EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL,1454.0,,117.3,1235.9,55
CPT,19281,HC MAMMO BRST LCDV PLC 1STLS,4003.0,,193.04,3442.58,85
CPT,19281,PR PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE,1098.0,,71.07,988.2,55
CPT,19282,HC MAMMO BRST LCDV PLC ADDLS,1601.0,,96.84,1376.86,84
CPT,19282,PR PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE,551.0,,35.6592,495.9,55
CPT,19283,PR PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE,1123.0,,71.806,1010.7,55
CPT,19284,PR PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC,562.0,,35.9076,505.8,55
CPT,19285,HC U/S BRST LCDV PLC 1ST LES,3833.0,,165.4,3296.38,85
CPT,19285,PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,1183.0,,60.7384,1064.7,55
CPT,19286,HC U/S BRST LCDV PLC ADD LES,1534.0,,83.16,1319.24,84
CPT,19286,PR PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,987.0,,30.498,888.3,55
CPT,19287,HC MRI BRST LCDV PLC 1STLS,5286.0,,246.48,4545.96,85
CPT,19287,PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID,2193.0,,90.7488,1973.7,55
CPT,19288,HC MRI BRST LCDV PLC ADDLS,3895.0,,122.79,3403.0,84
CPT,19288,PR PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID,1384.0,,45.2456,1383.95,55
CPT,19296,HC PLACE RADIOTHPY CATH,8674.0,,432.3,9602.983,85
CPT,19296,PR PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST,12408.0,,154.4404,11167.2,55
CPT,19300,PR MASTECTOMY FOR GYNECOMASTIA,3985.0,,337.4928,4372.6,51
CPT,19301,PR MASTECTOMY PARTIAL,4456.0,,490.1208,3787.6,55
CPT,19302,PR MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY,5809.0,,672.842,7171.55,55
CPT,19303,PR MASTECTOMY SIMPLE COMPLETE,6413.0,,710.2216,5451.05,55
CPT,19305,PR MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES,7015.0,,851.6256,6646.59,55
CPT,19306,PR MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES,8026.0,,904.9856,7870.67,55
CPT,19307,PR MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN,7753.0,,874.2484,6996.16,55
CPT,19316,HC MASTOPEXY,8558.0,,1608.09,7801.5885,85
CPT,19316,PR MASTOPEXY,8480.0,,586.7668,7687.67,55
CPT,19318,PR BREAST REDUCTION,10212.0,,807.3552,8680.2,53
CPT,19325,PR BREAST AUGMENTATION WITH IMPLANT,6812.0,,456.4304,5877.8,55
CPT,19328,HC REMOVAL MAMMARY IMPLANT,9174.0,,963.66,7889.64,85
CPT,19328,PR REMOVAL INTACT BREAST IMPLANT,4774.0,,316.19,4057.9,55
CPT,19330,PR RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS,5042.0,,376.6,4285.7,53
CPT,19340,PR INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY,5584.0,,494.57,4746.4,53
CPT,19342,PR INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY,7670.0,,563.8956,7957.26,55
CPT,19350,HC NIPPLE/AREOLA RECONSTRUC,4533.0,,963.66,4600.276,85
CPT,19350,PR NIPPLE/AREOLA RECONSTRUCTION,7623.0,,498.9712,6479.55,55
CPT,19355,PR CORRECTION INVERTED NIPPLES,2482.0,,420.05,2109.7,55
CPT,19357,PR TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION,12821.0,,858.5072,11666.3,53
CPT,19361,PR BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP,18085.0,,1147.9576,18807.93,55
CPT,19364,PR BREAST RECONSTRUCTION W/FREE FLAP,45774.0,,1530.0,38907.9,55
CPT,19367,PR BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP,24533.0,,1303.134,24414.42,55
CPT,19368,PR BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST,24843.0,,1593.808,25590.67,55
CPT,19369,PR BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP,26072.0,,1481.1816,26856.19,55
CPT,19370,PR REVISION PERI-IMPLANT CAPSULE BREAST,6086.0,,481.4,6329.42,55
CPT,19371,PR PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE,7715.0,,527.0036,7347.68,55
CPT,19380,HC RVSN BRST RECNSTRCT,6687.0,,1634.63,7801.5885,85
CPT,19380,PR REVISION OF RECONSTRUCTED BREAST,6429.0,,590.95,5464.65,53
CPT,19499,"HC UNLISTED PROCEDURE, BREAST, CT-GUIDED BREAST BIOPSY",5449.0,,1525.72,4686.14,83
CPT,19499,"PR UNLISTED PROCEDURE BREAST SURGERY, IMAG GUID PLC METALC LOCALIZ CLIP-PERC W/O BIOPSY",813.0,,487.8,946.15,28
CPT,19499,"PR UNLISTED PROCEDURE BREAST SURGERY, IMAGE GUIDANCE RADIOACTIVE SEE PLACEMENT",813.0,,487.8,946.15,28
CPT,19499,"PR UNLISTED PROCEDURE BREAST SURGERY, PLACE BIOPROSTHETIC MESH INTO BREAST-WHEN PERFORMED ALONE",5773.0,,946.15,4907.05,28
CPT,19499,"PR UNLISTED PROCEDURE BREAST, CT-GUIDED BREAST BIOPSY",2017.0,,946.15,1714.45,28
CPT,20100,HC EXPLR PENTRAT WND NECK SP,2123.0,,594.44,1825.78,85
CPT,20100,PR EXPLORATION PENETRATING WOUND SPX NECK,3412.0,,444.3784,3475.51,55
CPT,20101,HC EXPLR PENTRAT WND CHST SP,5976.0,,431.47,5139.36,85
CPT,20101,PR EXPLORATION PENETRATING WOUND SPX CHEST,4653.0,,155.664,4739.33,55
CPT,20102,HC WOUND EXPL ABD/FLANK/BACK,5995.0,,526.86,5155.7,85
CPT,20102,PR EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK,4032.0,,190.3388,4109.14,55
CPT,20103,HC EXPLR PNTRT WND EXTRMTYSP,3519.0,,257.6,3026.34,85
CPT,20103,PR EXPLORATION PENETRATING WOUND SPX EXTREMITY,3602.0,,256.2476,3667.84,55
CPT,20200,HC BX MUSCLE  SUPERFICIAL,1974.0,,195.69,1940.4755,85
CPT,20200,PR BIOPSY MUSCLE SUPERFICIAL,787.0,,71.3184,772.72,55
CPT,20205,HC BX MUSCLE  DEEP,3272.0,,320.33,3412.7745,85
CPT,20205,PR BIOPSY MUSCLE DEEP,1307.0,,115.092,1193.42,55
CPT,20206,HC BIOPSY MUSCLE PERCU NDL,3009.0,,112.62,2587.74,85
CPT,20206,PR BIOPSY MUSCLE PERCUTANEOUS NEEDLE,631.0,,42.0532,540.9,55
CPT,20220,HC BX BONE TROC/NDL SUPERFCL,3009.0,,171.57,2587.74,85
CPT,20220,PR BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL,811.0,,63.6916,689.35,55
CPT,20225,HC BX BONE TROC/NDL DEEP,3539.0,,254.7,3043.54,85
CPT,20225,PR BIOPSY BONE TROCAR/NEEDLE DEEP,1828.0,,94.6772,1553.8,55
CPT,20240,PR BIOPSY BONE OPEN SUPERFICIAL,1405.0,,103.2884,1194.25,55
CPT,20245,PR BIOPSY BONE OPEN DEEP,3230.0,,247.16,2745.5,55
CPT,20250,PR BIOPSY VERTEBRAL BODY OPEN THORACIC,4725.0,,293.8756,4914.48,55
CPT,20251,PR BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL,4725.0,,323.1408,4914.48,55
CPT,20500,HC SINUS TRACT INJECT THERP,1974.0,,60.63,1822.9685,85
CPT,20500,PR INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX,715.0,,48.98,607.75,55
CPT,20501,HC DIAGN SINOGRAM INJ SINUST,1974.0,,71.57,1697.64,84
CPT,20501,PR INJECTION SINUS TRACT DIAGNOSTIC,599.0,,26.312,1064.92,55
CPT,20520,PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,1067.0,,79.84,906.95,55
CPT,20525,PR RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,2480.0,,185.9136,2108.0,55
CPT,20526,HC INJ THERAP CARPAL TUNNEL,579.0,,36.54,497.94,85
CPT,20526,PR INJECTION THERAPEUTIC CARPAL TUNNEL,434.0,,42.0532,368.9,55
CPT,20527,PR INJECTION ENZYME PALMAR FASCIAL CORD,468.0,,48.9348,421.2,55
CPT,20550,HC INJ TEND SH/LIG/TRG/GANG,613.0,,23.54,527.18,85
CPT,20550,PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS,338.0,,28.7684,287.3,55
CPT,20551,HC INJ TENDON ORIGIN/INSRTN,616.0,,24.36,529.76,85
CPT,20551,PR INJECTION SINGLE TENDON ORIGIN/INSERTION,356.0,,28.2808,302.6,55
CPT,20552,HC INJ SGL/MLT 1-2 MUSCLE(S),627.0,,23.26,539.22,85
CPT,20552,PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,338.0,,26.8088,317.68,55
CPT,20553,HC INJ SGL/MLT TRGGR PT3+MSC,690.0,,27.13,593.4,85
CPT,20553,PR INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,422.0,,30.498,415.55,55
CPT,20555,HC PLC ND/CT MS/SFTS RDLM AP,3009.0,,663.31,3844.3005,85
CPT,20555,PR PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT,3088.0,,243.4655,3154.65,47
CPT,20600,HC ARTHO/ASPR/INJ SM JT/CYT WO U/S,685.0,,22.7,589.1,85
CPT,20600,PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,308.0,,26.312,261.8,55
CPT,20604,HC ARTH/ASPNJ SMJT/BR W/ U/S,2154.0,,39.86,1852.44,85
CPT,20604,PR ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,580.0,,34.1872,522.0,55
CPT,20605,HC ARTH/ASPNJ IMJT/BR W/ U/S,728.0,,23.54,626.08,85
CPT,20605,HC ARTHA/ASP/INJ INT JT/CYST W/O U/S,728.0,,23.54,626.08,85
CPT,20605,PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,316.0,,27.048,268.6,55
CPT,20606,HC ARTH/ASPNJ IMJT/BR W/ U/S,2197.0,,42.36,1889.42,85
CPT,20606,PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,651.0,,38.364,585.9,55
CPT,20610,HC ARTHR/ASP/INJ MJ JT/BRSA W/O US,735.0,,27.96,632.1,85
CPT,20610,PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,346.0,,33.442,294.1,55
CPT,20611,HC ARTH/ASPNJ MJR JT/BR WU/S,2204.0,,47.34,1895.44,85
CPT,20611,PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US,619.0,,43.5252,557.1,55
CPT,20612,HC ASPIR/INJ GANGLION CYST,685.0,,30.46,589.1,85
CPT,20612,PR ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ,306.0,,30.498,275.4,55
CPT,20615,HC ASPIRAT &INJ TX BONE CYST,2886.0,,135.66,2481.96,85
CPT,20615,PR ASPIRATION & INJECTION TREATMENT BONE CYST,1094.0,,84.6,929.9,55
CPT,20650,HC INSERT/REMOVE WIRE OR PIN,5270.0,,338.56,4532.2,85
CPT,20660,"HC APPLICATION OF CRANIAL TONGS, CALIPER, OR STEREOTACTIC FRAME, INCL REMVL",1502.0,,420.56,1889.243,85
CPT,20660,PR APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX,1868.0,,131.54,1895.73,55
CPT,20661,PR APPLICATION HALO CRANIAL INCLUDING REMOVAL,3105.0,,291.45,2639.25,55
CPT,20662,PR APPLICATION HALO PELVIC INCLUDING REMOVAL,1689.0,,395.6828,1688.4,55
CPT,20663,PR APPLICATION HALO FEMORAL INCLUDING REMOVAL,1611.0,,337.82,1615.85,55
CPT,20664,PR APPL HALO CRANIAL 6/> PINS THIN SKULL OSTEOLOGY,3693.0,,384.01,3633.49,55
CPT,20670,HC REMOVL IMPLANT SUPRFICIAL,4125.0,,291.62,3547.5,85
CPT,20670,PR REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE,993.0,,78.9,844.05,55
CPT,20680,HC REMOVAL IMPLANT DEEP,5551.0,,815.2,4773.86,85
CPT,20680,PR REMOVAL IMPLANT DEEP,3569.0,,224.91,3033.65,55
CPT,20690,HC APPL UNIPLANE UNILAT EXT,8532.0,,1218.0,8525.387,85
CPT,20694,HC REMOVE BONE PLATE,4873.0,,593.04,4190.78,85
CPT,20696,PR APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST&SUBSQ,9282.0,,866.6216,8353.8,55
CPT,20700,PR MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV,790.0,,61.7228,711.0,55
CPT,20701,PR REMOVAL DEEP DRUG DELIVERY DEVICE,621.0,,46.9752,558.9,55
CPT,20702,PR MANUAL PREP&INSJ INTRAMEDULLARY DRUG DLVR DEVICE,1316.0,,105.2572,1184.4,55
CPT,20703,PR REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE,1029.0,,77.2156,926.1,55
CPT,20704,PR MANUAL PREP&INSJ I-ARTIC DRUG DELIVERY DEVICE,1368.0,,110.6668,1231.2,55
CPT,20705,PR REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE,1179.0,,91.4848,1061.1,55
CPT,20900,PR BONE GRAFT ANY DONOR AREA MINOR/SMALL,1684.0,,133.2896,1713.98,55
CPT,20902,PR BONE GRAFT ANY DONOR AREA MAJOR/LARGE,2566.0,,202.3908,2668.45,55
CPT,20910,PR CARTILAGE GRAFT COSTOCHONDRAL,2720.0,,184.69,2312.0,55
CPT,20912,HC CART GRAFT NASAL SEPTUM,5697.0,,977.16,4899.42,85
CPT,20912,PR CARTILAGE GRAFT NASAL SEPTUM,2955.0,,358.73,2511.75,55
CPT,20920,PR FASCIA LATA GRAFT BY STRIPPER,1571.0,,299.5336,1545.43,55
CPT,20922,PR FASCIA LATA GRAFT INCISION & AREA EXPOSURE,2721.0,,362.21,2312.85,55
CPT,20924,PR TENDON GRAFT FROM A DISTANCE,3278.0,,380.6868,2786.3,55
CPT,20930,PR ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED,1712.0,,107.24,1699.97,40
CPT,20931,PR ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,1635.0,,81.8892,1699.97,55
CPT,20932,PR OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF & BONE,7027.0,,554.7968,6324.3,55
CPT,20933,PR HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL,6709.0,,508.806,6038.1,55
CPT,20934,PR INTERCALARY ALLOGRAFT COMPLETE,7304.0,,554.3092,6573.6,55
CPT,20936,PR AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION,1977.0,,114.34,1699.97,40
CPT,20937,PR AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,2059.0,,123.4548,2141.28,55
CPT,20938,PR AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC,2566.0,,135.01,2668.45,55
CPT,20950,PR MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME,703.0,,66.1572,597.55,55
CPT,20955,PR BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA,16823.0,,1802.8412,16742.19,55
CPT,20956,PR BONE GRAFT MICROVASCULAR ANAST ILIAC CREST,16823.0,,1957.2816,16742.19,55
CPT,20957,PR BONE GRAFT MICROVASCULAR ANAST METATARSAL,9538.0,,2038.9316,9539.7,55
CPT,20962,PR BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR,16823.0,,1987.2828,16742.19,55
CPT,20969,PR FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE,24476.0,,2000.0708,20804.6,55
CPT,20970,PR FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST,16254.0,,2112.2096,16742.19,55
CPT,20972,PR FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL,10336.0,,2105.5764,10385.32,55
CPT,20973,PR FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE,10659.0,,2222.628,11058.43,55
CPT,20982,HC BONE RFA PERC W/CT GUIDNC,8107.0,,733.04,20600.6285,85
CPT,20982,PR ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,4127.0,,268.548,3560.63,55
CPT,20983,HC CRYOABLTX BONETUMRS+IMCRY,15203.0,,675.93,13074.58,85
CPT,20983,PR ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD,3981.0,,267.2995,3582.9,47
CPT,20985,HC CMPAST NVG PROC MSK IMGLS,4065.0,,1138.2,3495.9,83
CPT,20985,PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS,1346.0,,111.0695,1314.85,47
CPT,20999,HC MUSCULOSKELTL GEN LOCALIZ,13022.0,,289.8115,11198.92,83
CPT,20999,"PR UNLISTED PROCEDURE MUSCULOSKELETAL SURG, THERMAL TUMOR ABLATION W INTRAMEDULLARY, ARGON BEAM COAGULATOR",5605.0,,3363.0,4764.25,28
CPT,20999,"PR UNLISTED PROCEDURE MUSCULOSKELETAL SURGERY, FIDUCIAL PLACEMENT MUSCULOSKELETAL,NOS",2050.0,,1230.0,3468.64,28
CPT,20999,"PR UNLISTED PROCEDURE MUSCULOSKELETAL SURGERY, GENERAL (DBX PUTTY)",1712.0,,1027.2,3468.64,28
CPT,20999,"PR UNLISTED PROCEDURE MUSCULOSKELETAL SURGERY, MUSCULOSKELETAL,GEN, LOCALIZAT",659.0,,395.4,3468.64,28
CPT,21011,PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM,1661.0,,197.2296,1494.9,55
CPT,21012,PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>,2371.0,,255.024,2133.9,55
CPT,21013,PR EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM,2908.0,,300.7572,2617.2,55
CPT,21014,PR EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/>,3804.0,,390.77,3423.6,55
CPT,21015,PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM,4124.0,,387.17,3505.4,55
CPT,21016,PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>,8197.0,,747.8404,7377.3,55
CPT,21025,HC EXC BONE MANDIB,7737.0,,1322.04,6955.2575,85
CPT,21025,PR EXCISION BONE MANDIBLE,5621.0,,440.46,4845.78,55
CPT,21026,PR EXCISION FACIAL BONE,5513.0,,252.53,5190.94,55
CPT,21029,PR REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE,6001.0,,469.4668,5814.27,55
CPT,21030,PR EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG,3246.0,,271.0044,3253.99,55
CPT,21031,HC EXC TORUS MANDIBULARIS,1571.0,,217.05,3895.3605,85
CPT,21031,PR EXCISION TORUS MANDIBULARIS,1734.0,,203.3752,1473.9,55
CPT,21032,HC EX MAXIL TORUS PALATINUS,1553.0,,204.87,3895.3605,85
CPT,21032,PR EXCISION MAXILLARY TORUS PALATINUS,5478.0,,196.2452,4656.3,55
CPT,21034,PR EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA,5929.0,,730.57,5745.59,55
CPT,21040,HC EX BEN CYS/TMR MAND SIMP,1945.0,,544.6,3895.3605,85
CPT,21040,PR EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL & CURT,3246.0,,158.84,2759.1,55
CPT,21044,PR EXCISION MALIGNANT TUMOR MANDIBLE,6227.0,,641.3596,5745.59,55
CPT,21045,PR EXCISION MALIGNANT TUMOR MANDIBLE RADICAL,10714.0,,889.0052,10383.59,55
CPT,21046,PR EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT,7974.0,,732.3476,7176.6,55
CPT,21047,PR EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDB,11047.0,,900.312,9942.3,55
CPT,21048,PR EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT,8153.0,,741.9432,7337.7,55
CPT,21049,PR EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLC,10708.0,,854.5696,9637.2,55
CPT,21050,PR CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX,8281.0,,640.3752,8307.56,55
CPT,21070,PR CORONOIDECTOMY SEPARATE PROCEDURE,6834.0,,454.71,6853.15,55
CPT,21073,PR MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA,1786.0,,183.9448,1750.27,55
CPT,21076,HC CUS PREP SUR OBTUR PROS,7142.0,,294.29,6142.12,85
CPT,21076,PR IMPRESSION&PREPARATION SURGICAL OBTURATOR PROSTH,6180.0,,554.013,5330.03,51
CPT,21077,HC PREP PROSTHS ORBIT PROS,18100.0,,3462.01,15566.0,85
CPT,21077,PR IMPRESSION & PREPARATION ORBITAL PROSTHESIS,15002.0,,1344.445,13393.76,51
CPT,21079,HC PREP INTERIM OBTURATR,14569.0,,504.98,12529.34,85
CPT,21079,PR IMPRESSION&PREPARATION INTERIM OBTURATOR PROSTH,10292.0,,876.9532,8877.65,55
CPT,21080,HC PREP DEFINIT OBTURATR,16357.0,,606.58,14067.02,85
CPT,21080,PR IMPRESSION & PREPJ DEFINITIVE OBTURATOR PROSTH,11162.0,,986.1388,9968.05,55
CPT,21081,HC PREP PROS MANDIB RESECT,11165.0,,560.9,9601.9,85
CPT,21081,PR IMPRESSION & PREPJ MANDIBULAR RESECTION PROSTH,10031.0,,904.0012,9085.44,55
CPT,21082,HC PREP PROS PALATAL AUGMEN,13607.0,,519.92,11702.02,85
CPT,21082,PR IMPRESSION & PREPJ PALATAL AUGMENTATION PROSTH,9609.0,,873.1795,8288.67,51
CPT,21083,HC PREP PALATAL LIF,10834.0,,2052.8,9317.24,85
CPT,21083,PR IMPRESSION & PREPARATION PALATAL LIFT PROSTHESIS,7643.0,,804.2955,7667.06,51
CPT,21084,HC PREP PROSTH SPEECH AID,7154.0,,2003.12,6152.44,85
CPT,21084,PR IMPRESSION & PREPARATION SPEECH AID PROSTHESIS,9232.0,,894.1664,8946.35,55
CPT,21085,HC PREP ORAL SURG SPLINT,5595.0,,87.58,4811.7,85
CPT,21085,PR IMPRESSION & PREPARATION ORAL SURGICAL SPLINT,3572.0,,361.7532,3145.81,55
CPT,21086,HC PREP AURICULAR PROSTH,15409.0,,529.34,13251.74,85
CPT,21086,PR IMPRESSION & PREPARATION AURICULAR PROSTHESIS,11089.0,,959.0908,9899.35,55
CPT,21087,HC CUSTOM PREP NASAL PROSTH,13980.0,,529.34,12022.8,85
CPT,21087,PR IMPRESSION & PREPARATION NASAL PROSTHESIS,10728.0,,959.0908,9899.35,55
CPT,21088,HC CUST PREP FACIAL PROSTH,18952.0,,3895.3605,16298.72,85
CPT,21088,PR IMPRESSION & PREPARATION FACIAL PROSTHESIS,11054.0,,355.66,11384.69,48
CPT,21088,"PR PREP FACE/ORAL PROST FACIAL, IMPRESSION AND CUSTOM PREPARATION",10974.0,,355.66,11384.69,48
CPT,21089,HC PREP STNT MTHPC USE RADTX,5793.0,,278.277,4981.98,83
CPT,21089,HC REPR/MOD1-2ELM FAC PROSTH,417.0,,116.76,358.62,83
CPT,21089,HC REPR/MOD3-4ELM FAC PROSTH,837.0,,234.36,719.82,83
CPT,21089,HC REPR/MOD5-6ELM FAC PROSTH,1241.0,,278.277,1067.26,83
CPT,21089,HC REPR/MOD7+ELM FAC PROSTH,1658.0,,278.277,1425.88,83
CPT,21089,PR UNLISTED PROCEDURE MAXILLOFACIAL PROSTHETIC PROCEDURE (INSERTION OF SURGICAL GUARDS),629.0,,377.4,1547.15,28
CPT,21089,PR UNLISTED PROCEDURE MAXILLOFACIAL PROSTHETIC PROCEDURE (SEGMENTING OF DENTAL BRIDGE),253.0,,151.8,1547.15,28
CPT,21110,HC INTERDNTL DEVICE-NOT FX,3058.0,,420.64,2629.88,85
CPT,21179,PR RCNSTJ FOREHEAD&/SUPRAORBITAL RIMS W/GRAFTS,16560.0,,1127.0552,16611.69,55
CPT,21180,PR RCNSTJ FOREHEAD&/SUPRAORBITAL RIMS W/AUTOGRAFT,18629.0,,1258.376,18689.43,55
CPT,21195,PR RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD,15109.0,,954.37,15158.99,55
CPT,21196,PR RCNSTJ MNDBLR RAMI&/BDY SGTL SPLT W/INT RGD FI,16369.0,,1049.18,16421.09,55
CPT,21198,PR OSTEOTOMY MANDIBLE SEGMENTAL,7537.0,,748.5856,7615.56,55
CPT,21199,PR OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT,14283.0,,752.7624,14329.6,55
CPT,21206,PR OSTEOTOMY MAXILLA SEGMENTAL,10915.0,,724.73,11352.07,55
CPT,21208,PR OSTEOPLASTY FACIAL BONES AUGMENTATION,6072.0,,552.3404,5884.66,55
CPT,21209,PR OSTEOPLASTY FACIAL BONES REDUCTION,4486.0,,373.92,4498.93,55
CPT,21210,PR GRAFT BONE NASAL/MAXILLARY/MALAR AREAS,7730.0,,569.802,7752.92,55
CPT,21215,PR GRAFT BONE MANDIBLE,9177.0,,592.4248,7800.45,55
CPT,21230,PR GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR,7868.0,,555.2844,7892.02,55
CPT,21235,HC GRAFT EAR CARTILAGE NOSE,5882.0,,1148.07,6955.2575,85
CPT,21235,PR GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR,5125.0,,425.9324,5330.03,55
CPT,21244,PR RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE,9319.0,,743.912,9691.58,55
CPT,21248,HC RECON MANDIBLE - PART,8641.0,,1577.15,7431.26,85
CPT,21248,PR RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL,8647.0,,634.0405,10728.75,47
CPT,21249,HC RECON MANDIBLE - COMP,8732.0,,2204.82,7509.52,85
CPT,21249,PR RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE,13343.0,,885.717,13843.65,47
CPT,21280,PR MEDIAL CANTHOPEXY SEPARATE PROCEDURE,5431.0,,411.12,5261.34,55
CPT,21282,PR LATERAL CANTHOPEXY,4041.0,,257.42,4153.78,55
CPT,21299,"PR UNLISTED PROCEDURE MAXILLOFACIAL SURG PLACMNT OF DENTAL IMPLANT ABUTMENTS/REMOVING ENDOSTEAL, EACH UNIT",253.0,,151.8,1928.36,28
CPT,21299,PR UNLISTED PROCEDURE MID-FACE LIFT W/DRILL HOLE(S),7246.0,,1928.36,6159.1,28
CPT,21330,PR OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI,4947.0,,380.96,5132.55,55
CPT,21337,PR CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION,1515.0,,184.16,1559.17,55
CPT,21365,PR OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG,7946.0,,806.3708,8182.21,55
CPT,21366,PR OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT,9752.0,,949.4952,10043.6,55
CPT,21385,PR OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL,4915.0,,546.434,5058.73,55
CPT,21386,PR OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL,6068.0,,517.9048,6248.7,55
CPT,21387,PR OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR,8380.0,,559.52,8628.67,55
CPT,21390,PR OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC,6935.0,,593.4092,7141.61,55
CPT,21395,PR OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF,8524.0,,733.11,8778.06,55
CPT,21406,PR OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT,5059.0,,400.95,5208.11,55
CPT,21407,PR OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT,6580.0,,483.7268,6545.77,55
CPT,21408,PR OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT,7225.0,,671.73,7438.68,55
CPT,21453,HC CL TX MAND FX W/INTD FIX,5672.0,,1588.16,6955.2575,85
CPT,21453,PR CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,4770.0,,394.46,4911.05,55
CPT,21461,HC OP TX MAND FX WO INTD FI,9391.0,,2104.81,8076.26,85
CPT,21461,PR OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION,6294.0,,573.09,6545.77,55
CPT,21462,HC OP TX MAND FX W/INTR FIX,9656.0,,2296.21,8304.16,85
CPT,21462,PR OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION,7514.0,,683.16,7735.75,55
CPT,21470,PR OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION,7772.0,,865.8856,7565.76,55
CPT,21480,PR CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,414.0,,23.3588,556.35,55
CPT,21485,PR CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,1905.0,,194.07,1848.26,55
CPT,21497,PR INTERDENTAL WIRING OTHER THAN FRACTURE,2241.0,,254.1,2228.86,55
CPT,21501,PR I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX,2155.0,,179.87,2064.01,55
CPT,21502,PR I&D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC,2405.0,,373.55,2474.42,55
CPT,21510,PR INCISION DEEP OPENING BONE CORTEX THORAX,2236.0,,309.61,1900.6,55
CPT,21550,PR BIOPSY SOFT TISSUE NECK/THORAX,1097.0,,92.14,932.45,55
CPT,21552,PR EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>,3455.0,,335.9288,3109.5,55
CPT,21554,HC EXC TUMOR TISSUE NECK/THORAX SUBFASC 5CM/>,3797.0,,815.2,3412.7745,85
CPT,21554,PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>,6169.0,,546.9308,5552.1,55
CPT,21555,HC EXSN TISS TUM NECK/THOR,6181.0,,486.45,5315.66,85
CPT,21555,PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM,1700.0,,188.29,1608.97,55
CPT,21556,PR EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM,2774.0,,310.24,2884.81,55
CPT,21557,PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,10143.0,,588.49,10548.44,55
CPT,21558,PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>,12567.0,,994.75,11310.3,55
CPT,21600,PR EXCISION RIB PARTIAL,3676.0,,381.38,3298.65,55
CPT,21601,PR EXCISION CHEST WALL TUMOR INCLUDING RIBS,7383.0,,847.688,6644.7,55
CPT,21602,PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC,13595.0,,1142.548,12235.5,55
CPT,21603,PR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC,11770.0,,1238.9456,10593.0,55
CPT,21610,PR COSTOTRANSVERSECTOMY SEPARATE PROCEDURE,5603.0,,622.47,5769.62,55
CPT,21615,PR EXCISION 1ST &/CERVICAL RIB,7283.0,,462.0884,7500.51,55
CPT,21616,PR EXCISION 1ST &/CERVICAL RIB W/SYMPATHECTOMY,8004.0,,526.516,8242.31,55
CPT,21620,PR OSTECTOMY STERNUM PARTIAL,6710.0,,374.7804,6674.55,55
CPT,21627,PR STERNAL DEBRIDEMENT,6493.0,,396.56,6736.38,55
CPT,21630,PR RADICAL RESECTION STERNUM,10006.0,,978.2728,10304.61,53
CPT,21685,PR HYOID MYOTOMY & SUSPENSION,6001.0,,728.6584,5684.99,55
CPT,21750,PR CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX,4804.0,,499.2196,4945.39,55
CPT,21811,PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS,6021.0,,492.5665,5418.9,47
CPT,21812,PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS,7007.0,,591.906,6306.3,47
CPT,21813,PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS,9490.0,,808.996,8541.0,47
CPT,21825,PR OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION,4282.0,,413.3928,4119.44,55
CPT,21899,PR NECK OR THORAX PROCEDURE,597.0,,358.2,2759.45,28
CPT,21899,PR UNLISTED PROCEDURE EXPLORATION OF CHEST WALL W/O THORACOTOMY,4213.0,,2527.8,3581.05,28
CPT,21899,PR UNLISTED PROCEDURE NECK AND THORAX  (BONE GRAFT USING ALLOGRAFT),1879.0,,1127.4,2759.45,28
CPT,21899,"UNLISTED PROCEDURE NECK/THORAX,PERCUTANEOUS RELEASE OF AXILLARY SCAR BY NEEDLE",1918.0,,1150.8,2759.45,28
CPT,21920,PR BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL,1329.0,,89.81,1129.65,55
CPT,21925,PR BIOPSY SOFT TISSUE BACK/FLANK DEEP,1916.0,,206.47,1904.31,55
CPT,21930,HC EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,1519.0,,425.32,1940.4755,85
CPT,21930,PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,3012.0,,253.06,3132.08,55
CPT,21931,HC EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>,2397.0,,486.45,2061.42,85
CPT,21931,PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>,3521.0,,353.3904,3168.9,55
CPT,21932,PR EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM,5132.0,,498.4836,4618.8,55
CPT,21933,PR EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>,5921.0,,551.8436,5328.9,55
CPT,21935,PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM,8097.0,,758.172,7005.97,55
CPT,21936,PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>,11998.0,,1049.3428,10798.2,55
CPT,22010,PR I&D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR,6568.0,,734.0772,5807.64,55
CPT,22015,PR I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC,5821.0,,715.1344,5749.99,55
CPT,22100,PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV,4055.0,,572.13,3709.04,55
CPT,22101,PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC,3603.0,,598.94,3709.04,55
CPT,22102,PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR,3603.0,,457.32,3709.04,55
CPT,22103,PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA,1297.0,,98.118,1114.43,55
CPT,22110,PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV,11079.0,,749.67,9417.15,55
CPT,22112,PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC,4881.0,,756.91,4945.39,55
CPT,22114,PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR,4804.0,,653.37,4945.39,55
CPT,22116,PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA,1960.0,,105.2572,2038.25,55
CPT,22206,PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC,30102.0,,1834.0752,25586.7,55
CPT,22207,PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR,18759.0,,1786.364,19184.22,55
CPT,22208,PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM,6549.0,,436.5124,5566.65,55
CPT,22210,PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV,14163.0,,1237.16,14587.17,55
CPT,22212,PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC,13630.0,,1139.3464,14175.06,55
CPT,22214,PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR,13869.0,,1137.626,14424.04,55
CPT,22216,PR OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM,4161.0,,268.0512,4327.21,55
CPT,22220,PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV,14961.0,,1221.9808,15411.4,55
CPT,22222,PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC,14564.0,,1125.38,14999.29,55
CPT,22224,PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR,14660.0,,1187.5544,15246.56,55
CPT,22226,PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL,4399.0,,265.8432,4574.48,55
CPT,22310,PR CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING,2204.0,,185.88,2268.36,55
CPT,22325,PR OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM LM,9526.0,,854.77,9476.94,55
CPT,22326,PR OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM CR,9932.0,,1136.89,10304.61,55
CPT,22327,PR OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM TH,9534.0,,1158.7768,9890.78,55
CPT,22328,PR OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM EA,2851.0,,208.7848,2965.51,55
CPT,22510,HC PC VRTBRPLSTY CVTR+BX+IMG,9219.0,,865.49,7928.34,85
CPT,22510,PR PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC,4547.0,,317.7312,4092.3,55
CPT,22511,HC PC VRTBRPLSTY LBSC+BX+IMG,9219.0,,814.49,7928.34,85
CPT,22511,PR PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL,4067.0,,299.2852,3660.3,55
CPT,22512,HC VRTBPLST EAAD CTLS+BX+IMG,5781.0,,418.15,4971.66,84
CPT,22512,PR VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL,2245.0,,151.4872,2020.5,55
CPT,22513,HC VTB AUG+BX 1VTB CN&IMG TH,20136.0,,1032.52,17316.96,85
CPT,22513,PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,4854.0,,375.0288,4368.6,55
CPT,22514,HC VT AUG+BX 1VTB CAN+IMG LB,20136.0,,962.03,17316.96,85
CPT,22514,PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,4484.0,,350.4372,4035.6,55
CPT,22515,HC VTAUG+BX VT CN+IM EAAD TL,13779.0,,440.94,11849.94,84
CPT,22515,PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,2245.0,,159.3532,2020.5,55
CPT,22551,PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,12687.0,,1272.3968,11418.3,55
CPT,22552,PR ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,3442.0,,292.8912,3097.8,55
CPT,22554,PR ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2,13017.0,,948.2716,13537.99,55
CPT,22556,PR ARTHRD ANT INTERBODY MIN DSC THORACIC,15350.0,,1261.8168,14963.22,55
CPT,22558,PR ARTHRD ANT INTERBODY MIN DSC LUMBAR,14106.0,,1138.6104,13537.99,55
CPT,22585,PR ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE,4114.0,,239.0344,4062.78,55
CPT,22590,PR ARTHRODESIS POSTERIOR CRANIOCERVICAL,14843.0,,1199.5972,15437.16,55
CPT,22595,PR ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2,15154.0,,1145.9888,15722.21,55
CPT,22600,PR ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT,13017.0,,982.9464,13537.99,55
CPT,22610,PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC,12134.0,,967.4536,12588.42,55
CPT,22612,PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR,14106.0,,1181.1604,12255.29,55
CPT,22614,PR ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC,3968.0,,289.202,4085.1,55
CPT,22630,PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR,16899.0,,1174.0212,17575.02,55
CPT,22632,PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL,5071.0,,237.0656,5273.37,55
CPT,22633,PR ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR,14024.0,,1354.0376,12621.6,55
CPT,22634,PR ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL,3967.0,,358.064,3570.3,55
CPT,22800,PR ARTHRODESIS POSTERIOR SPINAL DFRM <6 VRT SGM,15911.0,,1026.4716,16388.46,55
CPT,22802,PR ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM,18910.0,,1571.1852,19666.51,55
CPT,22804,PR ARTHRODESIS POSTERIOR SPINAL DFRM 13+ VRT SGM,22920.0,,1803.0896,23607.36,55
CPT,22808,PR ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM,15311.0,,1357.4784,15770.28,55
CPT,22810,PR ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM,18448.0,,1492.2492,19000.24,55
CPT,22812,PR ARTHRODESIS ANTERIOR SPINAL DFRM 8+ VRT SGM,21397.0,,1635.3736,22039.6,55
CPT,22830,PR EXPLORATION SPINAL FUSION,14616.0,,619.9696,15200.19,55
CPT,22840,PR POSTERIOR NON-SEGMENTAL INSTRUMENTATION,8450.0,,556.7656,8788.37,55
CPT,22841,PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS,4566.0,,357.64,3881.1,40
CPT,22842,PR POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,10504.0,,563.6472,10924.5,55
CPT,22843,PR POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG,11556.0,,603.98,12018.32,55
CPT,22844,PR POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE,12821.0,,727.9224,13206.6,55
CPT,22845,PR ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,10962.0,,536.1024,11400.14,55
CPT,22846,PR ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,12060.0,,558.486,12542.05,55
CPT,22847,PR ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS,14758.0,,587.0152,13774.95,55
CPT,22848,PR PELVIC FIXATION OTHER THAN SACRUM,2786.0,,265.3464,2368.1,55
CPT,22849,PR REINSERTION SPINAL FIXATION DEVICE,10757.0,,978.2728,9143.45,55
CPT,22850,PR REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION,5937.0,,555.7812,6174.88,55
CPT,22852,PR REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,6852.0,,534.8788,7126.16,55
CPT,22853,PR INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD,2391.0,,190.3388,2151.9,55
CPT,22854,PR INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD,3372.0,,247.8848,3034.8,55
CPT,22855,PR REMOVAL ANTERIOR INSTRUMENTATION,12543.0,,731.24,11875.81,55
CPT,22857,PR TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR,25258.0,,1396.6605,21469.3,45
CPT,22859,PR INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD,3049.0,,247.6456,2744.1,55
CPT,22869,HC INSERTION STABLJ DEV W/O DCMPRN OR FUSION LUMBAR SINGLE LEVEL,11715.0,,3280.2,10074.9,83
CPT,22869,PR INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL,3897.0,,343.604,3507.3,47
CPT,22870,HC INSERTION STABLJ DEV W/O DCMPRN OR FUSION LUMBAR SECOND LEVEL,3515.0,,984.2,3022.9,83
CPT,22870,PR INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL,1297.0,,88.3915,1167.3,47
CPT,22899,HC UNLISTED PROCEDURE SPINE,5261.0,,289.8115,4524.46,83
CPT,22899,"HC UNLISTED PX, SPINE ETHANOL ABLATION",9390.0,,289.8115,8075.4,83
CPT,22899,PR UNLISTED PROCEDURE KYPHOPLASTY,15603.0,,8371.1,13262.55,28
CPT,22899,PR UNLISTED PROCEDURE PLMT FIBULA BONE GRAFT INTERNAL FIXATION SPINE,6898.0,,4138.8,8371.1,28
CPT,22899,PR UNLISTED PROCEDURE SPINE (CEMENT),1503.0,,901.8,8371.1,28
CPT,22899,PR UNLISTED PROCEDURE SPINE PERCUTANEOUS POSTERIOR SEGMENTAL INSTRUMENTATION,10608.0,,6364.8,9016.8,28
CPT,22899,"PR UNLISTED PROCEDURE SPINE SUGERY, OPEN VERTEBROPLASTY CERVICOTHORACIC OR LUMBOSACRAL, EACH ADDITIONAL",10507.0,,6304.2,8930.95,28
CPT,22899,"PR UNLISTED PROCEDURE SPINE SURGERY, FIDUCIAL MARKER PLACEMENT,SPINE",2050.0,,1230.0,8371.1,28
CPT,22899,"PR UNLISTED PROCEDURE SPINE SURGERY, OPEN VERTEBROPLASTY CERVICOTHORACIC OR LUMBOSACRAL, INTIAL",10923.0,,6553.8,9284.55,28
CPT,22899,"PR UNLISTED PROCEDURE SPINE SURGERY, PARTIAL S1 VERTEBRECTOMY",8745.0,,5247.0,8371.1,28
CPT,22899,"PR UNLISTED PROCEDURE SPINE SURGERY, SACRUM VERTEBROPLASTY",10507.0,,6304.2,8930.95,28
CPT,22899,"PR UNLISTED PROCEDURE SPINE, CAGE PLACEMENT WITHOUT SPINAL INSTRUMENTATION",3236.0,,1941.6,8371.1,28
CPT,22899,"PR UNLISTED PX SPINE, ETHANOL ABLATION",4275.0,,2565.0,8371.1,28
CPT,22900,"HC EXCISION TUMOR SOFT TISSUE ABDOMINAL WALL, SUBFASCIAL < 5CM",11619.0,,815.2,9992.34,85
CPT,22900,PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM,2676.0,,291.02,2659.86,55
CPT,22901,PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>,5196.0,,499.468,4676.4,55
CPT,22902,PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM,2264.0,,251.8224,2037.6,55
CPT,22903,PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>,3401.0,,331.0068,3060.9,55
CPT,22904,PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM,9819.0,,776.8664,8837.1,55
CPT,22905,PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>,11968.0,,991.3092,10771.2,55
CPT,22999,"PR UNLISTED PROCEDURE ABDOMEN WALL SURG INSERTION OF PROLENE MESH, EXCEPT HERNIA REPAIR",1879.0,,1127.4,3219.65,28
CPT,22999,PR UNLISTED PROCEDURE LAPAROSCOPIC ROBOITC EXC TUMOR SOFT TISS OF ABD WALL SUBFASCIAL <5CM,2585.0,,1551.0,3219.65,28
CPT,22999,"PR UNLISTED PX ABDOMEN, IMPLANTATION OF BIOLOGICAL IMPLANT FOR SOFT TISSUE REINFORCEMENT",2146.0,,1287.6,3219.65,28
CPT,23000,PR REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN,2226.0,,249.8,2239.16,55
CPT,23030,PR I&D SHOULDER DEEP ABSCESS/HEMATOMA,1947.0,,183.44,1654.95,55
CPT,23031,PR I&D SHOULDER INFECTED BURSA,2077.0,,97.9,1765.45,55
CPT,23035,PR INCISION BONE CORTEX SHOULDER AREA,5150.0,,492.66,4377.5,55
CPT,23065,PR BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL,573.0,,90.97,570.53,55
CPT,23066,PR BIOPSY SOFT TISSUE SHOULDER DEEP,1613.0,,162.91,1578.05,55
CPT,23071,PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>,3025.0,,316.7468,2722.5,55
CPT,23073,PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>,5621.0,,523.0752,5058.9,55
CPT,23075,PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,2356.0,,135.35,2002.6,55
CPT,23076,PR EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM,2645.0,,362.67,2553.4,55
CPT,23077,PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM,11190.0,,762.53,11637.11,55
CPT,23078,PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/>,13134.0,,1072.95,11820.6,55
CPT,23105,PR ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY,6665.0,,485.1988,6756.98,55
CPT,23106,PR ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX,4445.0,,358.52,4505.79,55
CPT,23120,PR CLAVICULECTOMY PARTIAL,3978.0,,385.05,3753.69,55
CPT,23125,PR CLAVICULECTOMY TOTAL,6134.0,,536.3508,6004.86,55
CPT,23130,PR ACROMIOPLASTY/ACROMIONECTOMY PRTL +-LIGAMENT RLS,4307.0,,468.7216,3753.69,55
CPT,23140,PR EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA,2298.0,,364.06,2328.46,55
CPT,23145,PR EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT,3447.0,,525.78,3490.96,55
CPT,23146,PR EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT,2964.0,,437.5,3005.01,55
CPT,23150,PR EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS,4601.0,,500.71,4505.79,55
CPT,23155,PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT,5555.0,,602.0112,5630.53,55
CPT,23156,PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT,4984.0,,514.464,4881.86,55
CPT,23170,PR SEQUESTRECTOMY CLAVICLE,3334.0,,385.8,3357.03,55
CPT,23180,PR PARTIAL EXCISION BONE CLAVICLE,4065.0,,413.67,3455.25,55
CPT,23182,PR PARTIAL EXCISION BONE SCAPULA,3069.0,,494.2,3005.01,55
CPT,23184,PR PARTIAL EXCISION BONE PROXIMAL HUMERUS,4601.0,,558.2376,4505.79,55
CPT,23190,PR OSTECTOMY SCAPULA PARTIAL,3658.0,,436.5124,3109.3,55
CPT,23195,PR RESECTION HUMERAL HEAD,5924.0,,564.6316,6004.86,55
CPT,23200,PR RADICAL RESECTION TUMOR CLAVICLE,7399.0,,696.28,7359.7,55
CPT,23210,PR RADICAL RESECTION TUMOR SCAPULA,7666.0,,709.89,7509.09,55
CPT,23220,PR RADICAL RESECTION TUMOR PROXIMAL HUMERUS,7935.0,,893.21,7509.09,55
CPT,23334,PR PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT,8196.0,,795.8,7376.4,55
CPT,23335,PR PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT,9660.0,,944.8308,8694.0,55
CPT,23350,HC INJ ARTHROGRM SHLDR/CTMRI,1939.0,,98.4,1667.54,84
CPT,23350,PR INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG,877.0,,36.3952,841.38,55
CPT,23395,PR MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE,7488.0,,922.77,7457.58,55
CPT,23397,PR MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE,8688.0,,850.6412,8946.35,55
CPT,23400,PR SCAPULOPEXY,7405.0,,729.6428,7509.09,55
CPT,23405,PR TENOTOMY SHOULDER AREA 1 TENDON,3875.0,,462.576,3753.69,55
CPT,23406,PR TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION,4815.0,,553.564,4881.86,55
CPT,23410,PR OPEN REPAIR OF ROTATOR CUFF ACUTE,6131.0,,616.5196,5630.53,55
CPT,23412,PR OPEN REPAIR OF ROTATOR CUFF CHRONIC,6612.0,,640.6236,6756.98,55
CPT,23415,PR CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY,5000.0,,490.42,4250.0,55
CPT,23430,PR TENODESIS LONG TENDON BICEPS,7051.0,,560.4548,5993.35,55
CPT,23450,PR CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON,6961.0,,709.2372,7057.48,55
CPT,23455,PR CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR,7775.0,,727.4348,7883.44,55
CPT,23466,PR CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,9034.0,,838.8376,9097.46,55
CPT,23470,PR ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY,7371.0,,893.918,7509.09,55
CPT,23472,PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER,10118.0,,1075.6548,9842.69,55
CPT,23473,PR REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT,12005.0,,1195.6688,10804.5,55
CPT,23474,PR REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT,13066.0,,1290.346,11759.4,55
CPT,23480,PR OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION,5697.0,,578.42,4842.45,55
CPT,23485,PR OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL,5186.0,,714.3984,5256.2,55
CPT,23490,PR PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE,4445.0,,647.0176,4505.79,55
CPT,23491,PR PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS,5750.0,,762.1096,5630.53,55
CPT,23500,PR CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,1277.0,,121.81,1085.45,55
CPT,23505,PR CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,1233.0,,205.22,1258.67,55
CPT,23515,PR OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION,3727.0,,483.45,3812.07,55
CPT,23570,PR CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,1035.0,,129.53,953.02,55
CPT,23575,PR CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION,1307.0,,223.89,1334.22,55
CPT,23600,PR CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,1367.0,,195.6,1220.9,55
CPT,23605,PR CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ,1989.0,,325.24,1981.59,55
CPT,23615,PR OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY,5400.0,,664.4792,5338.6,55
CPT,23616,PR OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT,13790.0,,921.9596,11721.5,55
CPT,23620,PR CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ,1425.0,,180.83,1211.25,55
CPT,23625,PR CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION,2346.0,,261.21,1994.1,55
CPT,23650,PR CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,2079.0,,175.51,1767.15,55
CPT,23655,PR CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,1592.0,,244.87,1602.1,55
CPT,23700,PR MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS,1384.0,,148.0464,1334.22,55
CPT,23900,PR INTERTHORACOSCAPULAR AMPUTATION,9794.0,,1033.3624,9682.99,55
CPT,23920,PR DISARTICULATION SHOULDER,7329.0,,841.5424,7244.64,55
CPT,23921,PR DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION,2238.0,,327.08,2288.96,55
CPT,23929,HC CRYOABLATN BONE-SHLDR RGN,13708.0,,289.8115,11788.88,83
CPT,23929,HC UNLISTED PROCEDURE SHOULDER; CEMENTOPLASTY,5314.0,,289.8115,4570.04,83
CPT,23929,"PR RECONSTRUCTION OF CAPSULAR/PROXIMAL HUMERUS (GLENOID, ETC.) WITH SURGIMEND",8516.0,,2428.04,7238.6,28
CPT,23929,PR RECONSTRUCTION OF SHOULDER (CLAVICLE/SCAPULA/PROXIMAL HUMERUS) WITH CEMENTATION,1503.0,,901.8,2428.04,28
CPT,23929,PR RECONSTRUCTION OF SHOULDER WITH TISSUE MEND,1877.0,,1126.2,2428.04,28
CPT,23929,PR UNLISTED PROCEDURE SHOULDER (HUMERAL SUSPENSION USING GORE-TEX GRAFT),2964.0,,1778.4,2519.4,28
CPT,23929,PR UNLISTED PROCEDURE SHOULDER SURG CRYOABLATION OF BONE-SHOULDER REGION,5605.0,,2428.04,4764.25,28
CPT,23929,PR UNLISTED PROCEDURE SHOULDER SURG REVISION OF RT HUMERAL PROSTHESIS,7405.0,,2428.04,6294.25,28
CPT,23929,"PR UNLISTED PROCEDURE SHOULDER/PROXIMAL HUMERUS, FOR RECONSTRUCTION WITH ALLOGRAFT",1879.0,,1127.4,2428.04,28
CPT,23930,PR I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,1509.0,,147.0,1406.34,55
CPT,23931,PR INCISION&DRAINAGE UPPER ARM/ELBOW BURSA,1452.0,,80.67,1406.34,55
CPT,23935,PR INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW,3192.0,,359.55,2810.97,55
CPT,24000,PR ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB,3988.0,,364.6972,3865.3,55
CPT,24006,PR ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX,4895.0,,540.2884,4160.75,55
CPT,24065,PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL,843.0,,89.95,716.55,55
CPT,24066,PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP,1916.0,,255.32,1628.6,55
CPT,24071,PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>,2918.0,,305.6792,2626.2,55
CPT,24073,PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>,5621.0,,520.858,5058.9,55
CPT,24075,PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM,2126.0,,192.1,1807.1,55
CPT,24076,PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM,2402.0,,329.12,2249.47,55
CPT,24077,PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW <5CM,7210.0,,733.46,7028.29,55
CPT,24079,PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM+,13510.0,,988.8436,12159.0,55
CPT,24105,PR EXCISION OLECRANON BURSA,2211.0,,251.63,1879.35,55
CPT,24110,PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS,4503.0,,448.8036,4217.32,55
CPT,24115,PR EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT,5437.0,,556.7656,5213.27,55
CPT,24116,PR EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT,4878.0,,646.2816,4567.62,55
CPT,24120,PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN,6678.0,,406.0144,5676.3,55
CPT,24125,PR EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT,4927.0,,439.07,4727.32,55
CPT,24126,PR EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT,4927.0,,493.3132,4727.32,55
CPT,24140,PR PARTIAL EXCISION BONE HUMERUS,5566.0,,531.438,4731.1,55
CPT,24145,PR PARTIAL EXCISION BONE RADIAL HEAD/NECK,3262.0,,450.7724,3161.28,55
CPT,24150,PR RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS,6162.0,,928.54,5973.96,55
CPT,24160,PR PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS,3988.0,,415.95,3865.3,55
CPT,24164,PR PROSTHESIS REMOVAL RADIAL HEAD,3625.0,,395.31,3514.99,55
CPT,24200,HC REMOVAL OF FOREIGN BODY,314.0,,87.92,1940.4755,85
CPT,24200,PR RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,819.0,,71.62,696.15,55
CPT,24201,HC REMOVAL FOREIGN BODY DEEP,948.0,,265.44,3412.7745,85
CPT,24201,PR REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,2451.0,,250.88,2083.35,55
CPT,24300,PR MANIPULATION ELBOW UNDER ANESTHESIA,1992.0,,338.3852,1693.2,55
CPT,24301,PR MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE,4730.0,,565.8644,4919.63,55
CPT,24341,PR REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC,6900.0,,500.52,5865.0,55
CPT,24360,PR ARTHROPLASTY ELBOW W/MEMBRANE,7972.0,,678.4908,7730.6,55
CPT,24361,PR ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT,7972.0,,756.4516,7730.6,55
CPT,24362,PR ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ,7972.0,,795.064,7730.6,55
CPT,24363,PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM,11954.0,,1080.8252,11594.18,55
CPT,24370,PR REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT,12262.0,,1145.9888,11035.8,55
CPT,24371,PR REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT,13833.0,,1313.7048,12449.7,55
CPT,24430,PR REPAIR NON/MALUNION HUMERUS W/O GRAFT,5924.0,,791.8624,5973.96,55
CPT,24435,PR REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT,6950.0,,811.2928,7028.29,55
CPT,24498,PR PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT,6301.0,,648.9864,5621.94,55
CPT,24500,HC CLOSED TX HUMERAL SHAFT FX W/O MANIPULATION,960.0,,85.32,825.6,85
CPT,24500,PR CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION,1631.0,,189.38,1386.35,55
CPT,24505,"HC CLOSED TX HUMERAL SHAFT FX W/MANIPULATION, W/WO SKELETAL TRACTION",2227.0,,593.04,1915.22,85
CPT,24505,PR CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ,2304.0,,323.62,2074.31,55
CPT,24515,PR OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE,5066.0,,662.5104,4976.3,55
CPT,24516,PR TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE,5800.0,,645.0488,6032.34,55
CPT,24530,PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ,1826.0,,206.47,1552.1,55
CPT,24535,PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,2991.0,,387.34,2542.35,55
CPT,24545,PR OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN,5192.0,,688.72,5278.51,55
CPT,24546,PR OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN,7642.0,,779.0744,6495.7,55
CPT,24575,PR OPEN TX HUMERAL EPICONDYLAR FRACTURE,3859.0,,555.2844,3921.96,55
CPT,24579,PR OPEN TREATMENT HUMERAL CONDYLAR FRACTURE,4526.0,,630.292,4598.53,55
CPT,24600,PR TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,1353.0,,196.21,1150.05,55
CPT,24605,PR TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,1636.0,,246.5,1635.6,55
CPT,24650,PR CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,1068.0,,148.29,1037.16,55
CPT,24655,PR CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,1525.0,,242.86,1547.15,55
CPT,24665,PR OPEN TX RADIAL HEAD/NECK FRACTURE,3879.0,,499.2196,3810.35,55
CPT,24666,PR OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT,4785.0,,553.3248,4864.68,55
CPT,24670,PR CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,1336.0,,147.31,1135.6,55
CPT,24675,PR CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ,1708.0,,271.88,1734.32,55
CPT,24685,PR OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX,4271.0,,495.282,4073.07,55
CPT,24900,PR AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE,4032.0,,576.4352,3770.87,55
CPT,24920,PR AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR,2968.0,,544.04,3017.03,55
CPT,24925,PR AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ,2152.0,,432.5748,1978.39,55
CPT,24930,PR AMPUTATION ARM THRU HUMERUS RE-AMPUTATION,3710.0,,582.8292,3770.87,55
CPT,24931,PR AMPUTATION ARM THRU HUMERUS W/IMPLANT,4228.0,,698.6572,4299.74,55
CPT,24999,HC RECONSTRUCTION WITH CEMENTATION OF HUMERUS OR ELBOW,5314.0,,289.8115,4570.04,83
CPT,24999,PR RECONSTRUCTION WITH CEMENTATION OF HUMERUS OR ELBOW,1503.0,,901.8,1931.79,28
CPT,24999,PR UNLISTED PROCEDURE HUMERUS OR ELBOW   CORE DECOMPRESSION HUMERUS,3044.0,,1826.4,2587.4,28
CPT,24999,PR UNLISTED PROCEDURE HUMERUS OR ELBOW (BONE GRAFT USING ALLOGRAFT),1879.0,,1127.4,1931.79,28
CPT,24999,"PR UNLISTED PROCEDURE UPPER ARM/ELBOW SURGERY PLCMT OF INTERCALARY SPACER IN HUMERUS, STRYKER SYSTEM",5934.0,,1931.79,5043.9,28
CPT,25000,PR INCISION EXTENSOR TENDON SHEATH WRIST,2147.0,,242.9,2045.13,55
CPT,25020,PR DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT,4202.0,,343.48,3571.7,55
CPT,25023,PR DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT,8570.0,,590.76,7284.5,55
CPT,25024,PR DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DB,5045.0,,585.534,4288.25,55
CPT,25025,PR DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT,5656.0,,918.2704,4807.6,55
CPT,25028,PR I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA,2524.0,,233.88,2145.4,55
CPT,25031,PR INCISION & DRAINAGE FOREARM&/WRIST BURSA,1716.0,,145.57,1712.63,55
CPT,25065,PR BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL,963.0,,85.62,818.55,55
CPT,25066,PR BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP,1875.0,,178.66,1620.6,55
CPT,25071,PR EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>,3146.0,,320.1876,2831.4,55
CPT,25073,PR EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/>,3956.0,,406.0144,3560.4,55
CPT,25075,PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM,2260.0,,194.32,1921.0,55
CPT,25076,PR EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM,3237.0,,291.65,2751.45,55
CPT,25077,PR RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM,8575.0,,625.09,7288.75,55
CPT,25078,PR RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>,9436.0,,871.5436,8492.4,55
CPT,25100,PR ARTHROTOMY WRIST JOINT WITH BIOPSY,3433.0,,268.0512,2918.05,55
CPT,25101,PR ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB,4461.0,,310.6012,3791.85,55
CPT,25105,PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY,4870.0,,371.8364,4139.5,55
CPT,25109,PR EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA,3656.0,,408.2316,3583.94,55
CPT,25110,PR EXCISION LESION TENDON SHEATH FOREARM&/WRIST,2409.0,,222.7,2047.65,55
CPT,25111,PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY,2070.0,,224.4,2153.3,55
CPT,25112,PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,2746.0,,278.25,2334.1,55
CPT,25118,PR SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT,3106.0,,293.3788,3229.96,55
CPT,25119,PR SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA,4288.0,,382.6556,3644.8,55
CPT,25120,PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA,6003.0,,382.1588,5102.55,55
CPT,25125,PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT,5146.0,,452.4928,4374.1,55
CPT,25126,PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT,5328.0,,455.446,4528.8,55
CPT,25130,PR EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES,4288.0,,315.38,3644.8,55
CPT,25135,PR EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT,5146.0,,415.49,4374.1,55
CPT,25136,PR EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT,5146.0,,360.72,4374.1,55
CPT,25145,PR SEQUESTRECTOMY FOREARM &/WRIST,5146.0,,396.9156,4374.1,55
CPT,25150,PR PARTIAL EXCISION BONE ULNA,4439.0,,431.5904,3773.15,55
CPT,25151,PR PARTIAL EXCISION BONE RADIUS,4439.0,,441.41,3773.15,55
CPT,25170,PR RADICAL RESECTION TUMOR RADIUS OR ULNA,7659.0,,697.92,6510.15,55
CPT,25210,PR CARPECTOMY 1 BONE,3392.0,,362.31,2883.2,55
CPT,25215,PR CARPECTOMY ALL BONES PROXIMAL ROW,4829.0,,470.442,5022.66,55
CPT,25260,PR RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MU,4339.0,,406.97,3688.15,55
CPT,25263,PR RPR TDN/MUSC FLXR F/ARM&/WRIST SEC 1 EA TDN/MUS,6003.0,,455.03,5102.55,55
CPT,25265,PR RPR TDN/MUSC FLXR F/ARM&/WRISTSEC FR GRF EA,4958.0,,569.5536,4214.3,55
CPT,25270,PR RPR TDN/MUSC XTNSR F/ARM&/WRIST PRIM 1 EA TDN,3293.0,,304.99,2799.05,55
CPT,25272,PR RPR TDN/MUSC XTNSR F/ARM&/WRIST SEC 1 EA TDN/MU,3433.0,,337.42,2918.05,55
CPT,25274,PR RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN,4288.0,,504.6292,3644.8,55
CPT,25280,PR LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRIST 1 EA TDN,3954.0,,373.8,3360.9,55
CPT,25300,PR TENODESIS WRIST FLEXORS FINGERS,6003.0,,523.5628,5102.55,55
CPT,25301,PR TENODESIS WRIST EXTENSORS FINGERS,5146.0,,487.416,4374.1,55
CPT,25310,PR TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN,4560.0,,513.57,4665.49,55
CPT,25312,PR TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GR,5511.0,,542.9932,5022.66,55
CPT,25337,PR RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ,7291.0,,631.06,6197.35,55
CPT,25400,PR RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT,5574.0,,604.2284,4737.9,55
CPT,25405,PR RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT,7474.0,,778.826,6352.9,55
CPT,25425,PR REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA,6434.0,,723.2488,5468.9,55
CPT,25426,PR REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA,7291.0,,840.0612,6197.35,55
CPT,25441,PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS,7291.0,,705.2996,6197.35,55
CPT,25442,PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA,7291.0,,592.4,6197.35,55
CPT,25443,PR ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL,7291.0,,592.6732,6197.35,55
CPT,25444,PR ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE,8147.0,,624.634,6924.95,55
CPT,25445,PR ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM,6439.0,,544.962,6696.88,55
CPT,25446,PR ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/ENTIR CARPS,11146.0,,877.6892,9474.1,55
CPT,25449,PR REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT,5146.0,,720.48,4374.1,55
CPT,25490,PR PROPH TX W/WO METHYLMETHACRYLATE RADIUS,4720.0,,543.2416,4012.0,55
CPT,25491,PR PROPH TX W/WO METHYLMETHACRYLATE ULNA,4886.0,,558.486,4153.1,55
CPT,25492,PR PROPH TX W/WO METHYLMETHACRYLATE RADIUS&ULNA,5574.0,,681.9408,4737.9,55
CPT,25500,PR CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,1507.0,,157.5,1280.95,55
CPT,25505,PR CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,2096.0,,286.74,1781.6,55
CPT,25515,PR OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ,5074.0,,508.3184,4312.9,55
CPT,25530,PR CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION,1098.0,,153.1,1052.61,55
CPT,25535,PR CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,1646.0,,286.03,1590.86,55
CPT,25545,PR OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ,4456.0,,475.1156,3787.6,55
CPT,25560,PR CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MNPJ,1421.0,,154.43,1315.34,55
CPT,25565,PR CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,2605.0,,341.63,2496.73,55
CPT,25574,PR OPTX RADIAL&ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA,5244.0,,512.7436,4862.96,55
CPT,25575,PR OPTX RADIAL&ULNAR SHFT FX W/INT FIXJ RADIUS&ULNA,5296.0,,682.18,5321.44,55
CPT,25600,PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,1160.0,,184.52,1135.04,55
CPT,25605,PR CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ,3418.0,,320.62,2905.3,55
CPT,25607,PR OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION,5843.0,,562.4236,4966.55,55
CPT,25608,PR OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG,5958.0,,626.3636,5714.43,55
CPT,25609,PR OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3+ FRAG,7233.0,,793.8312,7430.34,55
CPT,25622,PR CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,1269.0,,162.37,1215.74,55
CPT,25624,PR CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ,1646.0,,272.69,1578.05,55
CPT,25628,PR OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ,3564.0,,521.28,3417.12,55
CPT,25652,PR OPEN TREATMENT ULNAR STYLOID FRACTURE,3016.0,,474.3796,2891.67,55
CPT,25800,PR ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT,5946.0,,552.5796,5054.1,55
CPT,25805,PR ARTHRODESIS WRIST W/SLIDING GRAFT,5136.0,,638.4064,4928.21,55
CPT,25810,PR ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT,14249.0,,654.8836,12111.65,55
CPT,25830,PR ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE,5672.0,,627.85,5257.91,55
CPT,25900,PR AMPUTATION FOREARM THROUGH RADIUS & ULNA,4957.0,,543.3,4213.45,55
CPT,25905,PR AMP FOREARM THRU RADIUS & ULNA OPEN CIRCULAR,3564.0,,529.9568,3417.12,55
CPT,25907,PR AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE,2792.0,,452.18,2791.28,55
CPT,25909,PR AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION,4109.0,,482.75,3942.58,55
CPT,25920,PR DISARTICULATION THROUGH WRIST,4109.0,,526.27,3942.58,55
CPT,25922,PR DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ,2193.0,,436.01,2182.69,55
CPT,25924,PR DISARTICULATION THRU WRIST RE-AMPUTATION,4109.0,,536.1024,3942.58,55
CPT,25999,PR UNLISTED PROCEDURE FOREARM OR WRIST (RECONSTRUCTION USING ALLOGRAFT),1879.0,,1127.4,1931.79,28
CPT,25999,"PR UNLISTED PROCEDURE UPPER ARM/ELBOW SURGERY, DEBULKING OF PARATHYROID AUTOGRAFT",2809.0,,1685.4,2387.65,28
CPT,26010,PR DRAINAGE FINGER ABSCESS SIMPLE,1454.0,,62.24,1235.9,55
CPT,26011,PR DRAINAGE FINGER ABSCESS COMPLICATED,1771.0,,122.9,1505.35,55
CPT,26020,PR DRAINAGE TENDON SHEATH DIGIT&/PALM EACH,4502.0,,281.0,3826.7,55
CPT,26035,PR DECOMPRESSION FINGERS&/HAND INJECTION INJURY,5958.0,,478.01,5324.88,55
CPT,26037,PR DECOMPRESSIVE FASCIOTOMY HAND,4611.0,,426.4292,3919.35,55
CPT,26055,HC INCISE FINGER TENDON SHEATH,2332.0,,593.04,2005.52,85
CPT,26055,PR TENDON SHEATH INCISION,3005.0,,206.29,2554.25,55
CPT,26111,PR EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>,3190.0,,316.0108,2871.0,55
CPT,26113,PR EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/>,3642.0,,415.8492,3277.8,55
CPT,26115,PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM,2950.0,,190.84,2507.5,55
CPT,26116,PR EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM,3728.0,,305.36,3168.8,55
CPT,26117,PR RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM,12407.0,,449.06,10545.95,55
CPT,26118,PR RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>,8215.0,,791.3748,7393.5,55
CPT,26121,PR FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT,4754.0,,455.446,4943.67,55
CPT,26160,PR EXC LESION TDN SHTH/JT CAPSL HAND/FNGR,2639.0,,182.5,2243.15,55
CPT,26180,PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH,2130.0,,308.54,1900.88,55
CPT,26200,PR EXCISION/CURETTAGE CYST/TUMOR METACARPAL,2556.0,,333.37,2282.09,55
CPT,26205,PR EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT,3526.0,,458.8868,3042.78,55
CPT,26210,PR EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER,3395.0,,301.11,2885.75,55
CPT,26215,PR EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT,3406.0,,423.12,3042.78,55
CPT,26230,PR PARTIAL EXCISION BONE METACARPAL,3586.0,,349.07,3048.1,55
CPT,26235,PR PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER,3198.0,,343.05,2718.3,55
CPT,26236,PR PARTIAL EXCISION DISTAL PHALANX FINGER,3734.0,,305.71,3173.9,55
CPT,26250,PR RADICAL RESECTION TUMOR METACARPAL,11960.0,,456.14,10166.0,55
CPT,26260,PR RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER,4258.0,,428.05,3803.48,55
CPT,26340,PR MANIPULATION FINGER JOINT UNDER ANES EACH JOINT,1747.0,,276.1656,1484.95,55
CPT,26356,PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,5299.0,,516.83,4713.57,55
CPT,26357,PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,9246.0,,509.73,7859.1,55
CPT,26358,PR RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON,10336.0,,555.36,8785.6,55
CPT,26410,PR REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,3377.0,,261.02,2870.45,55
CPT,26412,PR REPAIR EXTENSOR TENDON HAND W/GRAFT EACH,4571.0,,415.81,3885.35,55
CPT,26418,PR REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,3407.0,,262.58,2895.95,55
CPT,26420,PR REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH,5069.0,,418.45,4308.65,55
CPT,26433,PR REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF,5333.0,,286.03,4533.05,55
CPT,26434,PR REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT,4897.0,,370.37,4162.45,55
CPT,26440,PR TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON,2900.0,,284.74,2553.08,55
CPT,26442,PR TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO,5248.0,,370.15,4460.8,55
CPT,26445,PR TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH,2498.0,,251.76,2399.21,55
CPT,26485,PR TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH,4656.0,,476.65,4529.84,55
CPT,26489,PR TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH,8593.0,,408.12,7304.05,55
CPT,26497,PR TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR,7616.0,,592.25,6473.6,55
CPT,26498,PR TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS,9246.0,,868.83,7859.1,55
CPT,26508,PR RELEASE THENAR MUSCLE,4354.0,,337.61,3700.9,55
CPT,26591,PR REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE,3577.0,,184.03,3681.56,55
CPT,26600,PR CLTX METACARPAL FX W/O MANIPULATION EACH BONE,1472.0,,115.3,1251.2,55
CPT,26605,PR CLTX METACARPAL FX W/MANIPULATION EACH BONE,1354.0,,171.03,1239.77,55
CPT,26608,PR PRQ SKELETAL FIXJ METACARPAL FX EACH BONE,3422.0,,293.15,2908.7,55
CPT,26615,PR OPEN TX METACARPAL FRACTURE SINGLE EA BONE,3169.0,,343.9,2693.65,55
CPT,26665,PR OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB,5157.0,,470.72,4383.45,55
CPT,26720,PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA,1713.0,,89.63,1456.05,55
CPT,26725,PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,5866.0,,155.74,4986.1,55
CPT,26727,PR PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T,3358.0,,246.42,2854.3,55
CPT,26735,PR OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA,2877.0,,318.68,2630.67,55
CPT,26770,PR CLTX IPHAL JT DISLC W/MANJ W/O ANES,912.0,,115.57,799.8,55
CPT,26775,PR CLTX IPHAL JT DISLC W/MANJ REQ ANES,1150.0,,151.31,1140.41,55
CPT,26843,PR ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH,4092.0,,470.83,3757.12,55
CPT,26844,PR ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT,4912.0,,538.27,4509.23,55
CPT,26850,PR ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ,10752.0,,382.47,9139.2,55
CPT,26852,PR ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT,4295.0,,470.82,3908.23,55
CPT,26860,PR ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ,2739.0,,302.0,2328.15,55
CPT,26861,PR ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT,1359.0,,75.0076,1409.79,55
CPT,26862,PR ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT,15195.0,,414.77,12915.75,55
CPT,26863,PR ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT,1883.0,,166.98,1729.16,55
CPT,26910,PR AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER,3886.0,,425.04,3382.78,55
CPT,26951,PR AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,3583.0,,245.79,3045.55,55
CPT,26952,PR AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,5914.0,,340.33,5026.9,55
CPT,26989,PR UNLISTED PROCEDURE HANDS OR FINGERS (BONE GRAFT WITH ALLOGRAFT),1879.0,,1127.4,1729.16,28
CPT,26989,"PR UNLISTED PROCEDURE HANDS OR FINGERS, OPEN SOFT TISSUE BIOPSY OF HAND",1257.0,,754.2,1729.16,28
CPT,26990,PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA,4024.0,,338.27,3420.4,55
CPT,26991,PR I&D PELVIS/HIP JOINT AREA INFECTED BURSA,2791.0,,264.68,2372.35,55
CPT,27025,PR FASCIOTOMY HIP/THIGH ANY TYPE,5366.0,,563.09,4561.1,55
CPT,27030,PR ARTHROTOMY HIP W/DRAINAGE,6003.0,,701.362,5192.65,55
CPT,27033,PR ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY,9113.0,,729.1552,7746.05,55
CPT,27036,PR CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC,7267.0,,764.0784,7557.17,55
CPT,27040,PR BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL,1368.0,,111.26,1162.8,55
CPT,27041,PR BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM,3404.0,,392.04,2893.4,55
CPT,27043,PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>,3662.0,,352.6544,3295.8,55
CPT,27045,PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>,6485.0,,549.6356,5836.5,55
CPT,27047,PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM,2057.0,,271.9888,1842.94,55
CPT,27048,"HC EXCISION TUMOR SOFT TISSUE PELVIS & HIP, SUBFASCIAL < 5CM",11619.0,,815.2,9992.34,85
CPT,27048,PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM,4905.0,,354.7,4169.25,55
CPT,27049,PR RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5 CM,14408.0,,799.91,12246.8,55
CPT,27050,PR ARTHROTOMY W/BIOPSY SACROILIAC JOINT,2791.0,,310.3528,2372.35,55
CPT,27052,PR ARTHROTOMY W/BIOPSY HIP JOINT,6510.0,,439.9532,5533.5,55
CPT,27059,PR RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>,17092.0,,1349.6124,15382.8,55
CPT,27060,PR EXCISION ISCHIAL BURSA,2791.0,,312.0,2372.35,55
CPT,27062,PR EXCISION TROCHANTERIC BURSA/CALCIFICATION,3095.0,,320.55,2630.75,55
CPT,27065,PR EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL,3722.0,,387.56,3163.7,55
CPT,27066,PR EXCISION BONE CYST/BENIGN TUMOR DEEP,6185.0,,607.12,5257.25,55
CPT,27067,PR EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC,7345.0,,776.8664,6243.25,55
CPT,27070,PR PARTIAL EXCISION SUPERFICIAL PELVIS,3413.0,,599.14,3079.5,55
CPT,27071,PR PARTIAL EXCISION DEEP PELVIS,6652.0,,665.59,5654.2,55
CPT,27075,PR RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL,12476.0,,1030.77,10604.6,55
CPT,27076,PR RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC,15155.0,,1275.19,12881.75,55
CPT,27077,PR RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL,18590.0,,1414.52,15801.5,55
CPT,27078,PR RAD RESCT TUMOR ISCHIAL TUBEROSITY&GRT TRCHNTR,5581.0,,755.12,4743.85,55
CPT,27080,PR COCCYGECTOMY PRIMARY,3703.0,,375.13,3147.55,55
CPT,27086,PR RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,677.0,,75.9,620.38,55
CPT,27087,PR REMOVAL FOREIGN BODY PELVIS/HIP DEEP,4101.0,,389.53,3485.85,55
CPT,27090,PR REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE,5486.0,,622.1776,4663.1,55
CPT,27091,PR RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA,13106.0,,1186.0732,11496.3,55
CPT,27093,HC INJ HIP ARTHRO W/O ANES,1679.0,,134.85,1443.94,84
CPT,27093,PR INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA,1097.0,,49.9192,1051.55,55
CPT,27095,PR INJECTION HIP ARTHROGRAPHY W/ANESTHESIA,981.0,,60.0024,940.91,55
CPT,27096,HC INJ SACROILIAC JOINT ARTHRGRPHY&/ANES/STEROID W/ IMG GUIDANCE FLUR/CT,2463.0,,164.46,2118.18,84
CPT,27096,PR INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,1287.0,,61.4836,1287.14,55
CPT,27098,PR TRANSFER ADDUCTOR ISCHIUM,7438.0,,526.0284,6322.3,55
CPT,27100,PR TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF,9296.0,,625.6184,7901.6,55
CPT,27120,PR ACETABULOPLASTY,10726.0,,969.4224,9117.1,55
CPT,27122,PR ACETABULOPLASTY RESECTION FEMORAL HEAD,9623.0,,824.8168,8179.55,55
CPT,27125,PR HEMIARTHROPLASTY HIP PARTIAL,9628.0,,846.216,10012.7,55
CPT,27130,PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT,13551.0,,957.3704,14092.63,55
CPT,27132,PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT,16045.0,,1243.1316,16687.25,55
CPT,27134,PR REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT,17474.0,,1413.0556,18172.58,55
CPT,27137,PR REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT,13907.0,,1090.4116,14463.54,55
CPT,27138,PR REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT,13907.0,,1132.4648,14463.54,55
CPT,27146,PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE,9296.0,,910.12,7901.6,55
CPT,27147,PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ,12085.0,,1090.4116,10272.25,55
CPT,27151,PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT,12085.0,,1177.7104,10272.25,55
CPT,27156,PR OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ,13479.0,,1268.2108,11457.15,55
CPT,27158,PR OSTEOTOMY PELVIS BILATERAL,13943.0,,1043.4456,11851.55,55
CPT,27165,PR OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL,11836.0,,1022.0464,10060.6,55
CPT,27185,PR EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR,5296.0,,393.53,4501.6,55
CPT,27187,"HC REINFORCE HIP BONES W/WO METHYL, FEMORAL NECK/PROX FEMUR",17021.0,,2034.68,14638.06,85
CPT,27187,PR PROPH TX N/P/PLTWR W/WO MMA FEM NCK & PROX FEMUR,8371.0,,747.1044,8159.88,55
CPT,27197,PR CLSD TX PELVIC RING FX W/O MANIPULATION,799.0,,99.1024,719.1,55
CPT,27198,PR CLSD TX PELVIC RING FX W/MANIPULATION W/ANES,2582.0,,236.0812,2323.8,55
CPT,27200,PR CLOSED TREATMENT COCCYGEAL FRACTURE,958.0,,108.01,983.93,55
CPT,27215,PR OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD,7689.0,,447.58,7649.9,50
CPT,27216,"HC PERCUTANEOUS SKELETAL FIXATION OF POSTERIOR PELVIC BONE FRACTURE/ DISLOCATION, UNILATERAL",14010.0,,1789.19,12048.6,84
CPT,27216,PR PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS,5253.0,,607.68,4465.05,50
CPT,27217,PR OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR,7795.0,,621.9292,8025.95,50
CPT,27218,PR OPTX POST PEL BONE FX&/DISLC INT FIXJ IF PFRMD,8924.0,,853.0976,8879.38,50
CPT,27220,PR CLTX ACETABULUM HIP/SOCKT FX W/O MANJ,2098.0,,313.0576,2089.77,55
CPT,27222,PR CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ,4466.0,,616.34,4598.53,55
CPT,27226,PR OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ,6739.0,,787.4372,6939.0,55
CPT,27227,PR OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT,12425.0,,1229.3592,10561.25,55
CPT,27228,PR OPTX ACTBLR FX INVG ANT&POST 2 COLUMNS FX W/INT,15310.0,,1395.1064,15883.62,55
CPT,27230,PR CLTX FEM FX PROX END NCK W/O MANJ,2664.0,,282.3,2264.4,55
CPT,27232,PR CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ,4644.0,,546.6824,4598.53,55
CPT,27235,HC PERCUTANEOUS SKELETAL FIX PROX/NECK FEMUR FX,16874.0,,1852.38,14511.64,85
CPT,27235,PR PRQ SKEL FIXJ FEMORAL FX PROX END NECK,8622.0,,679.972,8966.94,55
CPT,27236,PR OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT,8968.0,,891.4616,9279.47,55
CPT,27238,PR CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ,2642.0,,346.7,2342.18,55
CPT,27240,PR CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ,5098.0,,716.8548,4333.3,55
CPT,27244,PR TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT,8320.0,,917.286,8652.7,55
CPT,27245,PR TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW,9964.0,,916.0532,9487.24,55
CPT,27246,PR CLTX GREATER TROCHANTERIC FX W/O MANJ,2428.0,,285.55,2063.8,55
CPT,27248,PR OPEN TREATMENT GREATER TROCHANTERIC FRACTURE,5239.0,,558.7344,4453.15,55
CPT,27265,PR CLTX POST HIP ARTHRP DISLC W/O ANES,3083.0,,279.95,2620.55,55
CPT,27266,PR CLTX POST HIP ARTHRP DISLC REQ ANES,3198.0,,389.79,3013.6,55
CPT,27275,PR MANIPULATION HIP JOINT GENERAL ANESTHESIA,1689.0,,138.57,1756.65,55
CPT,27279,PR ARTHRD SI JT PLMT TRANSARTICULAR&/I-ARTIC DEVICE,6529.0,,673.761,5876.1,47
CPT,27280,PR ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ,7471.0,,785.08,7751.2,55
CPT,27290,PR INTERPELVIABDOMINAL AMPUTATION,15880.0,,1209.6804,15047.37,55
CPT,27295,PR DISARTICULATION HIP,12602.0,,934.2508,12540.34,55
CPT,27299,HC CEMENTOPLASTY OF PELVIS OR HIP,7590.0,,289.8115,6527.4,83
CPT,27299,HC CRYOABL BONE-PLVS/HIP JNT,13708.0,,289.8115,11788.88,83
CPT,27299,PR RECONSTRUCTION OF PELVIS AND HIP JOINT WITH CEMENTATION,1503.0,,901.8,2575.72,28
CPT,27299,PR UNLISTED PROCEDURE PELVIS OR HIP JOINT (HIP GLUTEUS MUSCLE TENDON REPAIR),4003.0,,2401.8,3402.55,28
CPT,27299,PR UNLISTED PROCEDURE PELVIS OR HIP JOINT (ROBOTIC-ASSISTED COCCYGECTOMY),4837.0,,2575.72,4111.45,28
CPT,27299,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, CEMENTOPLASTY OF PELVIS OR HIP JOINT",5463.0,,2575.72,4643.55,28
CPT,27299,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, CORE COMPRESSION OF FEMORAL HEAD/NECK OR HIP",4355.0,,2575.72,3701.75,28
CPT,27299,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, CRYOABLATION OF BONE-PELVIS OR HIP JOINT",5605.0,,2575.72,4764.25,28
CPT,27299,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, INSERTION OF ALLOGRAFT",1879.0,,1127.4,2575.72,28
CPT,27299,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, INTERNAL FIXATION OF VASCULARIZED FIBULAR GRAFT",8622.0,,2575.72,7328.7,28
CPT,27299,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, REPAIR OF THE HIP CAPSULE USING TISSUE MEND",1877.0,,1126.2,2575.72,28
CPT,27299,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT, OPEN MANIPULATION OF HIP PROSTHETIC DISLOCATION",9442.0,,2575.72,8025.7,28
CPT,27299,"PR UNLISTED PROCEDURE RESECTION OF ILIAC CREST, SURGERY",6428.0,,2575.72,5463.8,28
CPT,27301,HC I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION,6282.0,,815.2,5402.52,85
CPT,27301,PR I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION,3029.0,,284.41,2574.65,55
CPT,27303,PR INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE,4623.0,,468.18,3929.55,55
CPT,27310,PR ARTHRT KNE W/EXPL DRG/RMVL FB,5383.0,,552.828,5237.3,55
CPT,27323,PR BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL,1664.0,,100.88,1414.4,55
CPT,27324,PR BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP,2270.0,,245.54,2182.51,55
CPT,27327,PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM,1840.0,,220.1,1564.0,55
CPT,27328,PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM,3690.0,,322.7,3136.5,55
CPT,27329,PR RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM,14464.0,,777.1056,12655.38,55
CPT,27330,PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY,5229.0,,322.4048,4801.16,55
CPT,27331,PR ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB,5988.0,,363.4736,5500.03,55
CPT,27334,PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR,6713.0,,519.6344,6981.93,55
CPT,27335,PR ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA,7721.0,,577.668,8029.39,55
CPT,27337,PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>,3276.0,,316.4984,2948.4,55
CPT,27339,PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>,5964.0,,566.1128,5367.6,55
CPT,27340,PR EXCISION PREPATELLAR BURSA,2602.0,,270.33,2706.23,55
CPT,27345,PR EXCISION SYNOVIAL CYST POPLITEAL SPACE,4029.0,,371.3396,4189.84,55
CPT,27347,PR EXCISION LESION MENISCUS/CAPSULE KNEE,6639.0,,400.8532,5891.54,55
CPT,27350,PR PATELLECTOMY/HEMIPATELLECTOMY,5038.0,,495.0336,4282.3,55
CPT,27355,PR EXCISION/CURETTAGE CYST/TUMOR FEMUR,5411.0,,461.84,4801.16,55
CPT,27356,PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT,5662.0,,558.9736,5673.46,55
CPT,27357,PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT,6294.0,,614.56,6545.77,55
CPT,27358,PR EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION,3691.0,,201.6548,3616.32,55
CPT,27360,PR PRTL EXC BONE FEMUR PROX TIBIA&/FIBULA,6000.0,,637.23,5100.0,55
CPT,27364,PR RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>,14262.0,,1164.9224,12835.8,55
CPT,27365,PR RADICAL RESECTION TUMOR FEMOR OR KNEE,13150.0,,1020.17,12655.38,55
CPT,27372,PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE,2378.0,,279.28,2100.08,55
CPT,27380,PR SUTURE INFRAPATELLAR TENDON PRIMARY,3660.0,,468.4824,3319.25,55
CPT,27381,PR SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF,5242.0,,616.2804,4455.7,55
CPT,27385,PR SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY,3913.0,,457.1664,4069.64,55
CPT,27386,PR SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ,5452.0,,643.08,5010.64,55
CPT,27396,PR TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON,3650.0,,468.7216,3757.12,55
CPT,27397,PR TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN,4259.0,,672.26,4383.89,55
CPT,27405,PR RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL,5093.0,,510.5356,4329.05,55
CPT,27407,PR REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT,5473.0,,601.5236,5633.97,55
CPT,27409,PR RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE,6384.0,,725.9536,6573.25,55
CPT,27415,PR OSTEOCHONDRAL ALLOGRAFT KNEE OPEN,10232.0,,1026.72,9208.8,55
CPT,27418,PR ANTERIOR TIBIAL TUBERCLEPLASTY,6384.0,,614.3116,6573.25,55
CPT,27420,PR RCNSTJ DISLOCATING PATELLA,5048.0,,563.1596,5196.09,55
CPT,27422,PR RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RL,5178.0,,560.9424,5384.98,55
CPT,27424,PR RCNSTJ DISLC PATELLA W/PATELLECTOMY,5473.0,,565.616,5633.97,55
CPT,27425,PR LATERAL RETINACULAR RELEASE OPEN,4516.0,,346.4996,4696.4,55
CPT,27427,PR LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR,7296.0,,533.8944,7512.52,55
CPT,27428,PR LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR,8633.0,,839.5736,8889.67,55
CPT,27429,PR LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR,8510.0,,887.89,8764.32,55
CPT,27430,PR QUADRICEPSPLASTY,4838.0,,559.222,4383.89,55
CPT,27437,PR ARTHROPLASTY PATELLA W/O PROSTHESIS,6170.0,,499.7072,5244.5,55
CPT,27438,PR ARTHROPLASTY PATELLA W/PROSTHESIS,4982.0,,632.7576,5010.64,55
CPT,27446,PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT,9187.0,,857.5228,9140.39,55
CPT,27447,PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS,11346.0,,956.1376,11769.33,55
CPT,27448,PR OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION,4910.0,,623.162,5010.64,55
CPT,27450,PR OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION,6482.0,,754.2344,5633.97,55
CPT,27454,PR OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT,6081.0,,966.4692,6260.73,55
CPT,27455,PR OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL,4866.0,,720.0564,5010.64,55
CPT,27457,PR OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL,5853.0,,715.6312,5822.86,55
CPT,27458,PR OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV,15755.0,,1528.215,14179.5,33
CPT,27465,PR OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876,6020.0,,877.69,6260.73,55
CPT,27466,PR OSTEOPLASTY FEMUR LENGTHENING,8809.0,,886.052,8764.32,55
CPT,27470,PR RPR NON/MAL FEMUR DSTL H/N W/O GRF,6600.0,,882.6112,6260.73,55
CPT,27472,PR RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE,7100.0,,944.8308,7200.01,55
CPT,27475,PR ARREST EPIPHYSEAL DISTAL FEMUR,5777.0,,501.4276,5948.19,55
CPT,27477,PR ARREST EPIPHYSEAL TIBIA & FIBULA PROXIMAL,6384.0,,553.8124,6573.25,55
CPT,27479,PR ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB,7296.0,,689.5584,7512.52,55
CPT,27486,PR REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT,9440.0,,1047.6224,9391.08,55
CPT,27487,PR REVJ TOT KNEE ARTHRP FEM&ENTIRE TIBIAL COMPONE,13841.0,,1303.3824,13773.26,55
CPT,27488,PR RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER,8069.0,,897.6072,7512.52,55
CPT,27495,PR PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR,5410.0,,845.2316,5321.44,55
CPT,27500,PR CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,3642.0,,364.9456,3095.7,55
CPT,27501,PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,3023.0,,378.4696,2992.99,55
CPT,27502,PR CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ,4274.0,,566.352,3632.9,55
CPT,27503,PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,5267.0,,602.508,4476.95,55
CPT,27506,PR OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW,8362.0,,999.9112,8005.34,55
CPT,27507,PR OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE,7041.0,,723.4972,7308.19,55
CPT,27508,PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,2109.0,,331.45,2089.77,55
CPT,27509,HC PERCUTANEOUS SKELETAL FIXATION FEMORAL FX DISTAL END,11105.0,,1379.08,9550.3,85
CPT,27509,PR PRQ SKELETAL FIXJ FEMORAL FX DISTAL END,4436.0,,386.34,4244.78,55
CPT,27514,PR OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE,7210.0,,721.0408,7447.27,55
CPT,27519,PR OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION,6545.0,,665.7028,6265.87,55
CPT,27524,PR OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR,4983.0,,567.8332,4768.51,55
CPT,27530,PR CLTX TIBIAL FX PROXIMAL W/O MANIPULATION,1817.0,,225.262,1602.1,55
CPT,27532,PR CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ,2616.0,,431.7,2223.6,55
CPT,27535,PR OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR,5687.0,,669.8888,5288.82,55
CPT,27536,PR OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ,6251.0,,888.5084,5656.28,55
CPT,27566,PR OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY,4216.0,,670.8732,4176.1,55
CPT,27570,PR MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA,1141.0,,117.19,1183.11,55
CPT,27580,PR ARTHRODESIS KNEE ANY TECHNIQUE,9677.0,,1098.526,8225.45,55
CPT,27590,PR AMPUTATION THIGH THROUGH FEMUR ANY LEVEL,5309.0,,576.4352,5082.76,55
CPT,27591,PR AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST,5270.0,,723.2488,5221.86,55
CPT,27592,PR AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR,6323.0,,499.468,6265.87,55
CPT,27594,PR AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION,2654.0,,346.72,2255.9,55
CPT,27596,PR AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION,4919.0,,526.516,4873.27,55
CPT,27598,PR DISARTICULATION KNEE,5818.0,,515.9452,5568.71,55
CPT,27599,HC CRYOABLAT BONE-FEMUR/KNEE,13708.0,,289.8115,11788.88,83
CPT,27599,HC UNLISTED PROCEDURE FEMUR/KNEE; CEMENTOPLASTY,5314.0,,289.8115,4570.04,83
CPT,27599,PR RECONSTRUCTION OF FEMUR OR KNEE WITH CEMENT,1503.0,,901.8,6439.31,28
CPT,27599,PR UNLISTED PROCEDURE FEMUR OR KNEE (FOR ROTATIONPLASTY),7375.0,,4425.0,6439.31,28
CPT,27599,PR UNLISTED PROCEDURE FEMUR OR KNEE (RECONSTRUCTION USING ALLOGRAFT),1879.0,,1127.4,6439.31,28
CPT,27599,PR UNLISTED PROCEDURE FEMUR OR KNEE - STANMORE BONE LENGTHENING,1285.0,,771.0,6439.31,28
CPT,27599,PR UNLISTED PROCEDURE FEMUR OR KNEE CORE DECOMPRESSION KNEE,4787.0,,2872.2,6439.31,28
CPT,27599,PR UNLISTED PROCEDURE FEMUR/KNEE SURG CEMENTOPLASTY FEMUR OR KNEE,5463.0,,3277.8,6439.31,28
CPT,27599,PR UNLISTED PROCEDURE FEMUR/KNEE SURG CRYOABLATION OF BONE-FEMUR OR KNEE,5605.0,,3363.0,6439.31,28
CPT,27599,PR UNLISTED PROCEDURE FEMUR/KNEE SURG INTERCALARY RECONSTRUCTION ON FEMUR WITH MODULAR ENDOPRESTHESIS,8078.0,,4846.8,6866.3,28
CPT,27599,PR UNLISTED PROCEDURE FEMUR/KNEE SURG KNEE REPAIR WITH TISSUE MEND,1785.0,,1071.0,6439.31,28
CPT,27599,"PR UNLISTED PROCEDURE FEMUR/KNEE SURG UNLISTED, FEMUR TRANSPOSITION",7985.0,,4791.0,6787.25,28
CPT,27600,PR DCMPRN FASCT LEG ANT&/LAT COMPARTMENTS ONLY,2305.0,,299.71,2397.15,55
CPT,27601,PR DCMPRN FASCT LEG POST COMPARTMENT ONLY,3635.0,,300.43,3089.75,55
CPT,27602,PR DCMPRN FASCT LEG ANT&/LAT&PST CMPRT,3390.0,,352.406,3513.3,55
CPT,27603,PR INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA,2363.0,,237.09,2008.55,55
CPT,27604,PR INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA,2173.0,,168.72,1847.05,55
CPT,27605,PR TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,1407.0,,127.02,1195.95,55
CPT,27606,PR TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES,2317.0,,202.91,1969.45,55
CPT,27612,PR ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH,4017.0,,432.8232,3994.09,55
CPT,27613,PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL,1306.0,,88.81,1110.1,55
CPT,27614,PR BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP,2064.0,,253.01,1758.36,55
CPT,27615,PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM,8601.0,,687.91,8944.62,55
CPT,27616,PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>,10994.0,,929.0896,9894.6,55
CPT,27618,HC EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM,531.0,,148.68,1940.4755,85
CPT,27618,PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM,1931.0,,228.69,1641.35,55
CPT,27619,PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM,2764.0,,350.4372,2716.52,55
CPT,27630,PR EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK,2683.0,,257.81,2280.55,55
CPT,27632,HC EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>,521.0,,145.88,3412.7745,85
CPT,27632,PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>,3169.0,,307.8964,2852.1,55
CPT,27634,PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>,5703.0,,501.9244,5132.7,55
CPT,27635,PR EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA,4497.0,,434.5436,4471.45,55
CPT,27637,PR EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT,5759.0,,564.6316,5989.41,55
CPT,27638,PR EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT,5621.0,,559.958,5591.04,55
CPT,27640,PR PARTIAL EXCISION BONE TIBIA,5380.0,,619.9696,5350.64,55
CPT,27641,PR PARTIAL EXCISION BONE FIBULA,4819.0,,492.8256,4792.57,55
CPT,27645,PR RADICAL RESECTION OF TUMOR TIBIA,6423.0,,866.74,6389.52,55
CPT,27646,PR RADICAL RESECTION TUMOR BONE FIBULA,5621.0,,782.75,5591.04,55
CPT,27647,PR RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS,5818.0,,729.42,5989.41,55
CPT,27650,PR REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON,4762.0,,495.7788,4952.25,55
CPT,27652,PR RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT,5739.0,,499.7072,5910.42,55
CPT,27654,PR REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT,5376.0,,539.304,5591.04,55
CPT,27658,PR REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,2838.0,,279.8548,2795.52,55
CPT,27659,PR RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH,3935.0,,355.1108,3593.99,55
CPT,27680,PR TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,3043.0,,319.7,2586.55,55
CPT,27681,PR TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN,3104.0,,383.8792,3195.62,55
CPT,27685,PR LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX,3562.0,,328.12,3027.7,55
CPT,27686,PR LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA,3104.0,,399.1328,3195.62,55
CPT,27690,PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC,4238.0,,481.022,3994.09,55
CPT,27691,PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP,5044.0,,558.9736,5190.94,55
CPT,27692,PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN,1053.0,,75.4952,895.05,55
CPT,27695,PR RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL,4377.0,,366.666,4552.16,55
CPT,27696,PR RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS,6360.0,,411.6724,6549.2,55
CPT,27705,PR OSTEOTOMY TIBIA,5431.0,,557.9984,5591.04,55
CPT,27707,PR OSTEOTOMY FIBULA,2717.0,,307.648,2795.52,55
CPT,27709,PR OSTEOTOMY TIBIA & FIBULA,6204.0,,728.98,6389.52,55
CPT,27712,PR OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD,6981.0,,826.0496,7187.99,55
CPT,27713,PR OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV,16553.0,,1548.8275,14897.7,33
CPT,27720,PR REPAIR NONUNION/MALUNION TIBIA W/O GRAFT,6929.0,,655.6288,7187.99,55
CPT,27722,PR REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT,7368.0,,673.0812,7586.36,55
CPT,27724,PR RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT,8062.0,,934.4992,8384.83,55
CPT,27725,PR RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH,10857.0,,850.27,11182.07,55
CPT,27726,PR REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION,7194.0,,717.3516,7463.46,55
CPT,27745,PR PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA,6823.0,,551.356,6787.89,55
CPT,27750,PR CLTX TIBIAL SHAFT FX W/O MANIPULATION,1603.0,,223.56,1614.11,55
CPT,27752,PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ,3086.0,,366.13,2651.27,55
CPT,27756,PR PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE,4272.0,,446.3472,4299.74,55
CPT,27758,PR OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE,5858.0,,673.3296,6092.45,55
CPT,27759,PR TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLA,6430.0,,747.3528,6521.73,55
CPT,27760,PR CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION,1195.0,,185.24,1200.28,55
CPT,27762,PR CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,1781.0,,280.88,1790.99,55
CPT,27766,PR OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE,3538.0,,457.4148,3439.46,55
CPT,27767,PR CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,1342.0,,227.2308,1314.85,55
CPT,27768,PR CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,2682.0,,344.5308,2628.46,55
CPT,27780,PR CLTX PROX FIBULA/SHFT FX W/O MANJ,1139.0,,150.71,985.64,55
CPT,27781,PR CLTX PROX FIBULA/SHFT FX W/MANJ,1401.0,,253.42,1372.69,55
CPT,27786,PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ,1382.0,,178.84,1174.7,55
CPT,27788,PR CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,1906.0,,254.7,1620.1,55
CPT,27792,PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS,3906.0,,484.7112,3655.81,55
CPT,27808,PR CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,1726.0,,187.46,1467.1,55
CPT,27810,PR CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ,2917.0,,328.5504,2508.76,55
CPT,27814,PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE,4698.0,,573.7304,4730.75,55
CPT,27816,PR CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,2294.0,,217.64,1949.9,55
CPT,27818,PR CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION,3348.0,,337.8976,2867.64,55
CPT,27822,PR OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP,5307.0,,652.6756,5518.91,55
CPT,27823,PR OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP,6271.0,,735.0524,6521.73,55
CPT,27829,PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION,3495.0,,410.57,3405.1,55
CPT,27840,PR CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,1842.0,,201.7,1565.7,55
CPT,27842,PR CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ,1894.0,,266.04,1736.4,55
CPT,27860,PR MANIPULATION ANKLE UNDER GENERAL ANESTHESIA,1051.0,,122.13,966.76,55
CPT,27870,PR ARTHRODESIS ANKLE OPEN,6547.0,,753.0108,6808.49,55
CPT,27880,PR AMPUTATION LEG THROUGH TIBIA&FIBULA,4974.0,,661.526,4837.21,55
CPT,27881,PR AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST,5693.0,,612.3428,5733.55,55
CPT,27882,PR AMPUTATION LEG THRU TIBIA&FIBULA OPEN CIRCULAR,3848.0,,436.5124,3942.58,55
CPT,27884,PR AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REV,3285.0,,372.49,2792.25,55
CPT,27886,PR AMP LEG THRU TIBIA&FIBULA RE-AMPUTATION,4769.0,,481.022,4802.86,55
CPT,27888,PR AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR&RESCJ NRV,4983.0,,422.74,5017.5,55
CPT,27892,PR DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NERVE,3060.0,,350.51,3082.28,55
CPT,27893,PR DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV,3168.0,,350.36,3082.28,55
CPT,27894,PR DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUS,4158.0,,467.49,4012.97,55
CPT,27899,HC UNLISTED PROCEDURE LEG/ANKLE-CEMENTOPLASTY OF LOWER LEG OR ANKLE,4971.0,,289.8115,4275.06,83
CPT,27899,PR UNLISTED PROCEDURE LEG OR ANKLE (BONE GRAFT USING ALLOGRAFT),1879.0,,1127.4,3959.75,28
CPT,27899,PR UNLISTED PROCEDURE LEG OR ANKLE (BONE RECONSTRUCTION USING CEMENTATION),1503.0,,901.8,3959.75,28
CPT,27899,PR UNLISTED PROCEDURE LEG OR ANKLE - STANMORE BONE LENGTHENING,1285.0,,771.0,3959.75,28
CPT,28005,PR INCISION BONE CORTEX FOOT,2562.0,,408.49,2635.83,55
CPT,28020,PR ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,10826.0,,271.9888,9202.1,55
CPT,28022,PR ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT,2241.0,,236.06,2306.13,55
CPT,28024,PR ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT,1680.0,,213.51,1729.16,55
CPT,28039,PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>,3004.0,,251.574,2703.6,55
CPT,28041,PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>,3956.0,,336.9132,3560.4,55
CPT,28043,PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM,4521.0,,166.5,3842.85,55
CPT,28045,PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM,3137.0,,261.9056,2666.45,55
CPT,28046,PR RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM,11194.0,,500.11,11527.22,55
CPT,28047,PR RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>,9351.0,,774.1616,8415.9,55
CPT,28070,PR SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX,2000.0,,259.9368,2058.86,55
CPT,28072,PR SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH,1511.0,,244.9408,1502.5,55
CPT,28090,PR EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,1945.0,,232.392,2017.65,55
CPT,28092,PR EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA,1699.0,,181.05,1444.15,55
CPT,28100,PR EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS,3601.0,,315.514,3707.31,55
CPT,28102,PR EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT,4742.0,,463.312,4881.86,55
CPT,28103,PR EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT,4139.0,,289.6988,4117.73,55
CPT,28104,PR EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL,2802.0,,268.0512,2883.09,55
CPT,28106,PR EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT,3998.0,,318.7156,4117.73,55
CPT,28107,PR EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT,3998.0,,260.1852,4117.73,55
CPT,28108,PR EXC/CURTG CST/B9 TUM PHALANGES FOOT,2000.0,,217.6352,2058.86,55
CPT,28110,PR OSTECTOMY PRTL 5TH METAR HEAD SPX,2622.0,,222.3088,2470.97,55
CPT,28111,PR OSTECTOMY COMPLETE 1ST METATARSAL HEAD,3199.0,,238.786,3293.49,55
CPT,28112,PR OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4,2383.0,,235.842,2470.97,55
CPT,28113,PR OSTECTOMY COMPLETE 5TH METATARSAL HEAD,2402.0,,300.44,2470.97,55
CPT,28114,PR OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC,5377.0,,629.556,5354.07,55
CPT,28120,PR PARTIAL EXCISION BONE TALUS/CALCANEUS,3097.0,,345.5,3212.8,55
CPT,28122,PR PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS,2722.0,,329.7832,2800.67,55
CPT,28124,PR PARTICAL EXCISION BONE PHALANX TOE,1980.0,,252.31,2058.86,55
CPT,28150,PR PHALANGECTOMY TOE EACH TOE,2241.0,,210.266,2306.13,55
CPT,28160,PR HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE,2000.0,,201.1672,2058.86,55
CPT,28171,PR RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,3998.0,,569.99,4117.73,55
CPT,28173,PR RADICAL RESECTION TUMOR METATARSAL,3313.0,,469.84,3293.49,55
CPT,28175,PR RADICAL RESECTION TUMOR PHALANX OR TOE,2241.0,,350.1888,2306.13,55
CPT,28190,HC REMOV FOREIGN BODY&FT SQ,2239.0,,138.98,1925.54,85
CPT,28190,PR REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,1084.0,,75.76,1112.72,55
CPT,28192,PR REMOVAL FOREIGN BODY FOOT DEEP,1680.0,,207.3,1729.16,55
CPT,28193,PR REMOVAL FOREIGN BODY FOOT COMPLICATED,2642.0,,255.27,2718.24,55
CPT,28200,PR RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON,2495.0,,245.9252,2594.62,55
CPT,28202,PR RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON,3186.0,,323.3892,3278.03,55
CPT,28208,PR REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,1890.0,,228.17,1606.5,55
CPT,28210,PR RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON,1962.0,,315.2748,1809.87,55
CPT,28220,PR TENOLYSIS FLEXOR FOOT SINGLE TENDON,2648.0,,228.9512,2250.8,55
CPT,28222,PR TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS,2457.0,,277.3984,2527.63,55
CPT,28225,PR TENOLYSIS EXTENSOR FOOT SINGLE TENDON,1257.0,,192.3,1195.15,55
CPT,28226,PR TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON,1611.0,,256.04,1571.19,55
CPT,28285,PR CORRECTION HAMMERTOE,2286.0,,288.41,1981.59,55
CPT,28292,PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE,3545.0,,365.4424,3686.71,55
CPT,28295,PR CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT,4655.0,,448.8036,4189.5,55
CPT,28296,PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT,4465.0,,386.3448,4643.17,55
CPT,28297,PR CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS,3981.0,,448.316,4097.12,55
CPT,28298,PR CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT,3576.0,,379.9508,3482.38,55
CPT,28299,PR CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY,5000.0,,446.8348,5050.14,55
CPT,28306,PR OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,3391.0,,305.6792,2936.33,55
CPT,28307,PR OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE,3218.0,,392.4904,3310.67,55
CPT,28308,PR OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,2192.0,,291.9068,2254.62,55
CPT,28309,PR OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT,3330.0,,633.03,3330.3,55
CPT,28400,PR CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,1220.0,,161.44,1217.45,55
CPT,28405,PR CLOSED TX CALCANEAL FRACTURE W/MANIPULATION,1978.0,,281.51,1978.15,55
CPT,28415,PR OPEN TREATMENT CALCANEAL FRACTURE,5574.0,,810.92,4869.84,55
CPT,28420,PR OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT,5929.0,,899.79,5936.18,55
CPT,28430,PR CLOSED TX TALUS FRACTURE W/O MANIPULATION,1238.0,,153.41,1238.08,55
CPT,28435,PR CLOSED TX TALUS FRACTURE W/MANIPULATION,1676.0,,226.86,1675.94,55
CPT,28445,PR OPEN TREATMENT TALUS FRACTURE,5493.0,,610.6,4869.84,55
CPT,28450,PR TX TARSAL BONE FX XCP TALUS&CALCNS W/O MNPJ EACH,1125.0,,125.23,1123.01,55
CPT,28455,PR TX TARSAL BONE FX XCP TALUS&CALCN W/MNPJ EACH,1525.0,,174.3584,1523.11,55
CPT,28470,PR CLTX METATARSAL FRACTURE W/O MANIPULATION EACH,1169.0,,124.78,993.65,55
CPT,28475,PR CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH,1259.0,,173.43,1256.95,55
CPT,28476,PR PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH,2285.0,,224.37,2283.81,55
CPT,28485,PR OPEN TREATMENT METATARSAL FRACTURE EACH,4005.0,,340.15,3404.25,55
CPT,28490,PR CLTX FX GRT TOE PHLX/PHLG W/O MANJ,690.0,,64.5,586.5,55
CPT,28495,PR CLTX FX GRT TOE PHLX/PHLG W/MANJ,840.0,,87.03,837.97,55
CPT,28510,PR CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ,763.0,,63.74,648.55,55
CPT,28515,PR CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ,690.0,,82.64,628.49,55
CPT,28525,PR OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE,1599.0,,174.43,1600.38,55
CPT,28630,PR CLTX METATARSOPHLNGL JT DISLC W/O ANES,1273.0,,83.6096,1082.05,55
CPT,28635,PR CLTX METATARSOPHLNGL JT DISLC REQ ANES,1012.0,,98.3664,915.24,55
CPT,28800,PR AMPUTATION FOOT MIDTARSAL,3805.0,,393.2264,3805.21,55
CPT,28805,PR AMPUTATION FOOT TRANSMETARSAL,3805.0,,496.92,3686.71,55
CPT,28810,PR AMPUTATION METATARSAL W/TOE SINGLE,2563.0,,314.2904,2665.01,55
CPT,28820,PR AMPUTATION TOE METATARSOPHALANGEAL JOINT,1946.0,,131.0724,1978.15,55
CPT,28825,PR AMPUTATION TOE INTERPHALANGEAL JOINT,2135.0,,127.88,1814.75,55
CPT,28899,HC UNLISTED PX FOOT/TOES-CEMENTOPLASTY OF FOOT/TOES,4273.0,,289.8115,3674.78,83
CPT,28899,PR RECONSTRUCTION OF FOOT/TOE WITH ALLOGRAFT,1879.0,,1127.4,1931.79,28
CPT,28899,PR RECONSTRUCTION OF FOOT/TOE WITH TISSUE MEND,1877.0,,1126.2,1931.79,28
CPT,28899,PR UNLISTED PX FOOT/TOES-CEMENTOPLASTY OF FOOT/TOES,1877.0,,1126.2,1931.79,28
CPT,29049,PR APPLICATION CAST FIGURE-OF-EIGHT,362.0,,41.82,358.87,55
CPT,29055,PR APPLICATION CAST SHOULDER SPICA,827.0,,97.16,721.2,55
CPT,29058,PR APPLICATION CAST PLASTER VELPEAU,432.0,,62.63,432.72,55
CPT,29065,HC APPL SHOUL/HAND CAST,515.0,,49.28,442.9,85
CPT,29065,PR APPLICATION CAST SHOULDER TO HAND LONG ARM,440.0,,51.152,394.95,55
CPT,29075,HC APPL ELBOW/FINGER CAST,538.0,,45.13,462.68,85
CPT,29075,PR APPLICATION CAST ELBOW TO FINGER SHORT ARM,455.0,,46.06,386.75,55
CPT,29085,HC APPL HAND/FOREARM CAST,538.0,,48.73,462.68,85
CPT,29085,PR APPLICATION CAST HAND & LOWER FOREARM GAUNTLET,289.0,,44.64,286.76,55
CPT,29086,HC APPL FINGER CAST,297.0,,42.36,255.42,85
CPT,29086,PR APPLICATION CAST FINGER,219.0,,36.892,221.51,55
CPT,29105,HC APPL LONG ARM SPLINT,534.0,,40.14,459.24,85
CPT,29105,PR APPLICATION LONG ARM SPLINT SHOULDER TO HAND,421.0,,30.7372,357.85,55
CPT,29125,HC APPL SHORT ARM SPL STA,590.0,,81.61,507.4,85
CPT,29125,PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC,329.0,,30.2496,279.65,55
CPT,29126,HC APPL SHORT ARM SPL DYN,590.0,,99.47,507.4,85
CPT,29126,PR APPLICATION SHORT ARM SPLINT DYNAMIC,310.0,,37.1312,286.76,55
CPT,29130,HC APPL FINGER SPL STA,615.0,,58.98,528.9,85
CPT,29130,PR APPLICATION FINGER SPLINT STATIC,323.0,,20.82,274.55,55
CPT,29131,HC APPL FINGER SPLINT DYN,594.0,,69.3105,510.84,85
CPT,29131,PR APPLICATION FINGER SPLINT DYNAMIC,267.0,,25.8244,254.14,55
CPT,29200,PR STRAPPING THORAX,234.0,,13.0364,198.9,55
CPT,29240,HC STRAPPING SHOULDER,448.0,,35.08,385.28,85
CPT,29240,PR STRAPPING SHOULDER,251.0,,12.954,213.35,55
CPT,29260,HC STRAPPING ELBOW/WRIST,474.0,,37.28,407.64,85
CPT,29260,PR STRAPPING ELBOW/WRIST,201.0,,13.6255,170.85,55
CPT,29280,HC STRAPPING HAND/FINGER,474.0,,40.39,407.64,85
CPT,29280,PR STRAPPING HAND/FINGER,208.0,,14.5084,176.8,55
CPT,29345,HC APPL OF LONG LEG CAST,448.0,,63.67,385.28,85
CPT,29345,PR APPLICATION LONG LEG CAST THIGH-TOE,685.0,,74.2716,582.25,55
CPT,29358,PR APPLICATION LONG LEG CAST BRACE,1002.0,,77.2156,1007.96,55
CPT,29365,PR APPLICATION CYLINDER CAST THIGH TO ANKLE,469.0,,65.412,467.06,55
CPT,29405,HC APPL SHORT LEG CAST,476.0,,39.03,409.36,85
CPT,29405,PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE,473.0,,44.022,432.72,55
CPT,29425,PR APPLICATION SHORT LEG CAST WALKING/AMBULATORY,467.0,,40.5812,485.95,55
CPT,29505,HC APPL LONG LEG SPLINT,326.0,,48.45,280.36,85
CPT,29505,PR APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES,414.0,,39.5968,358.87,55
CPT,29515,HC APPL SHORT LEG SPLINT,391.0,,34.33,336.26,85
CPT,29515,PR APPLICATION SHORT LEG SPLINT CALF TO FOOT,431.0,,37.3796,366.35,55
CPT,29580,HC STRAPPING UNNA BOOT,391.0,,33.12,336.26,85
CPT,29580,PR STRAPPING UNNA BOOT,203.0,,19.182,200.91,55
CPT,29581,HC COMPRESSION LEG BELOWKNEE,491.0,,51.75,422.26,85
CPT,29581,PR APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE&FOOT,306.0,,19.4304,275.4,55
CPT,29584,"HC APPLICATION MULT LAYER COMPRESSION SYSTEM UPP ARM,FOREARM,HAND/FINGERS",466.0,,30.26,400.76,85
CPT,29584,PR APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND&FNGR,216.0,,11.526,194.4,55
CPT,29700,PR REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,310.0,,24.5916,263.5,55
CPT,29705,PR REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,292.0,,33.442,248.2,55
CPT,29710,PR RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET,388.0,,56.35,329.8,55
CPT,29720,PR REPAIR SPICA BODY CAST/JACKET,257.0,,28.84,218.45,55
CPT,29730,PR WINDOWING CAST,216.0,,31.83,183.6,55
CPT,29740,PR WEDGING CAST EXCEPT CLUBFOOT CASTS,317.0,,47.28,269.45,55
CPT,29750,PR WEDGING CLUBFOOT CAST,363.0,,55.58,308.55,51
CPT,29800,PR ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX,3228.0,,333.94,3320.96,55
CPT,29804,PR ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL,5481.0,,443.6424,5644.26,55
CPT,29805,PR DIAGNOSTIC ARTHROSCOPY SHOULDER +- SYNOVIAL BX,4110.0,,356.3344,3493.5,55
CPT,29806,PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY,8149.0,,792.3592,6926.65,55
CPT,29807,PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION,6061.0,,773.9132,6303.66,53
CPT,29819,PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB,3832.0,,442.658,3985.51,55
CPT,29820,PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY,5157.0,,404.0456,4383.45,55
CPT,29821,PR SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY,4934.0,,448.5552,5130.84,55
CPT,29822,PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2,3960.0,,409.7036,4107.42,55
CPT,29823,PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+,4529.0,,446.8348,4710.14,55
CPT,29824,PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC,4872.0,,510.7748,4141.2,55
CPT,29825,PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS,4645.0,,442.9064,4830.34,55
CPT,29826,PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS,5110.0,,126.6472,5314.57,55
CPT,29827,PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR,5460.0,,798.5048,4914.0,55
CPT,29828,PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS,7083.0,,686.1176,6833.02,53
CPT,29830,PR ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX,2347.0,,347.7324,2414.32,55
CPT,29834,PR ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB,4280.0,,374.7804,4407.92,55
CPT,29835,PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL,4692.0,,386.8324,4830.34,55
CPT,29836,PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE,5570.0,,443.394,5735.27,55
CPT,29837,PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED,4280.0,,393.7232,4407.92,55
CPT,29838,PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE,5454.0,,449.5396,5615.07,55
CPT,29840,PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX,3187.0,,288.92,2708.95,55
CPT,29843,PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE,2934.0,,369.8676,3018.75,55
CPT,29844,PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL,7059.0,,380.19,6000.15,55
CPT,29845,PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE,4692.0,,443.6424,4830.34,55
CPT,29846,PR ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT,5357.0,,396.1796,4553.45,55
CPT,29847,PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY,5277.0,,411.9208,5433.05,55
CPT,29848,PR NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM,4225.0,,307.12,3591.25,55
CPT,29850,PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ,4164.0,,472.6592,4287.71,55
CPT,29851,PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ,4574.0,,698.6572,4710.14,55
CPT,29855,PR ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR,4457.0,,587.5028,4588.21,55
CPT,29856,PR ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR,4954.0,,744.8964,5101.66,55
CPT,29860,PR ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX,3492.0,,420.59,2968.2,55
CPT,29861,PR ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB,4105.0,,522.5784,4227.62,55
CPT,29862,PR ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG,6508.0,,609.8864,6700.31,55
CPT,29863,PR ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY,5277.0,,613.0788,5433.05,55
CPT,29866,PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST,8655.0,,790.878,7789.5,55
CPT,29867,PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT,10350.0,,957.858,9315.0,55
CPT,29868,PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT,14022.0,,1244.116,12619.8,55
CPT,29870,PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX,2202.0,,302.54,2264.91,55
CPT,29871,PR ARTHROSCOPY KNEE SURG INFECTION LAVAGE&DRAINAGE,3482.0,,390.2732,3621.46,55
CPT,29873,PR ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE,3502.0,,407.4864,3151.8,55
CPT,29874,PR ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY,4412.0,,404.7816,4588.21,55
CPT,29875,PR ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX,4354.0,,375.7648,4528.12,55
CPT,29876,PR ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2/>CMPRT,5196.0,,492.5772,5403.86,55
CPT,29877,PR ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG,4645.0,,468.7216,4830.34,55
CPT,29879,PR ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX,5341.0,,499.2196,5554.98,55
CPT,29880,PR ARTHRS KNEE SURG MENISCECTOMY MED&LAT W/SHAVING,6386.0,,424.4604,6641.93,55
CPT,29881,PR ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG,5284.0,,409.216,5494.87,55
CPT,29882,PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL,5719.0,,518.4016,5948.19,55
CPT,29883,PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL&LATERAL,7504.0,,630.292,7727.17,55
CPT,29884,PR ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ,4354.0,,467.7372,4528.12,55
CPT,29885,PR ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ,6449.0,,571.0256,6641.93,55
CPT,29886,PR ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION,5161.0,,482.0064,5314.57,55
CPT,29887,PR ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ,6156.0,,568.8176,6339.71,55
CPT,29888,PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,9368.0,,727.9224,9719.06,55
CPT,29889,PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,9439.0,,838.16,9719.06,55
CPT,29891,PR ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS&/TIB DRLG,5922.0,,507.0856,6097.6,55
CPT,29892,PR ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX,7035.0,,481.2704,7244.64,55
CPT,29893,PR ENDOSCOPIC PLANTAR FASCIOTOMY,2593.0,,330.7676,2204.05,55
CPT,29894,PR ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY,4516.0,,380.4384,4650.04,55
CPT,29895,PR ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL,4516.0,,345.0276,4650.04,55
CPT,29897,PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED,4224.0,,370.1068,4347.82,55
CPT,29898,PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,5878.0,,420.2744,6097.6,55
CPT,29899,PR ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS,5732.0,,745.6324,5158.8,55
CPT,29900,PR ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY,1725.0,,384.376,1724.1,55
CPT,29901,PR ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT,5887.0,,411.424,5003.95,55
CPT,29902,PR ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM,2481.0,,435.7672,2553.4,55
CPT,29904,PR ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY,4558.0,,484.4628,4468.26,55
CPT,29905,PR ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY,4824.0,,384.376,4730.75,55
CPT,29906,PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT,5079.0,,500.4524,4978.51,55
CPT,29907,PR ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS,6434.0,,659.8056,6308.06,55
CPT,29914,PR ARTHROSCOPY HIP W/FEMOROPLASTY,7176.0,,744.8964,6458.4,55
CPT,29915,PR ARTHROSCOPY HIP W/ACETABULOPLASTY,7650.0,,759.1564,6885.0,55
CPT,29916,PR ARTHROSCOPY HIP W/LABRAL REPAIR,7338.0,,760.1408,6604.2,55
CPT,30000,PR DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH,642.0,,62.17,545.7,55
CPT,30020,PR DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM,560.0,,63.24,573.52,55
CPT,30100,HC BIOPSY INTRANASAL,2132.0,,88.87,1833.52,85
CPT,30100,PR BIOPSY INTRANASAL,611.0,,50.6552,519.35,55
CPT,30110,HC EXCISION NASAL POLYP(S),4401.0,,154.21,3784.86,85
CPT,30110,PR EXCISION NASAL POLYP SIMPLE,911.0,,94.27,901.5,55
CPT,30115,PR EXCISION NASAL POLYP EXTENSIVE,2618.0,,228.47,2225.3,55
CPT,30117,PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR,2145.0,,195.11,1823.25,55
CPT,30118,PR EXCISION/DESTRUCTION INTRANASAL LESION XTRNL,3978.0,,527.252,4093.67,55
CPT,30120,HC EXSN RHINOPHYMA NOSE,4473.0,,844.59,3895.3605,85
CPT,30120,PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA,5010.0,,311.8248,4911.05,55
CPT,30124,PR EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS,1592.0,,139.65,1636.45,55
CPT,30125,PR EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG,5960.0,,415.55,6138.8,55
CPT,30130,PR EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE,2141.0,,158.62,2129.26,55
CPT,30140,PR SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL,2038.0,,131.0724,3027.33,55
CPT,30150,PR RHINECTOMY PARTIAL,3531.0,,562.8,3001.35,55
CPT,30160,PR RHINECTOMY TOTAL,4117.0,,605.9488,4093.67,55
CPT,30200,PR INJECTION TURBINATE THERAPEUTIC,261.0,,36.16,224.95,55
CPT,30210,HC DISPLACE THRPY(PROETX ),2029.0,,89.42,1822.9685,85
CPT,30210,PR DISPLACEMENT THERAPY PROETZ TYPE,365.0,,41.02,344.1,55
CPT,30220,PR INSERTION NASAL SEPTAL PROSTHESIS BUTTON,1235.0,,95.6616,1268.97,55
CPT,30300,PR REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,768.0,,47.01,652.8,55
CPT,30310,PR REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES,1474.0,,116.03,1514.52,55
CPT,30320,PR RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY,3181.0,,285.63,3274.6,55
CPT,30400,PR RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL TI,6393.0,,660.12,6581.83,50
CPT,30410,PR RHINP PRIM COMPLETE XTRNL PARTS,8309.0,,916.15,8556.55,50
CPT,30420,PR RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR,11022.0,,1077.3752,11352.07,50
CPT,30430,PR RHINOPLASTY SECONDARY MINOR REVISION,3373.0,,430.85,3372.53,50
CPT,30435,PR RHINOPLASTY SECONDARY INTERMEDIATE REVISION,5193.0,,709.75,5347.19,50
CPT,30450,PR RHINOPLASTY SECONDARY MAJOR REVISION,8270.0,,937.51,8515.33,50
CPT,30460,PR RHINP DFRM W/COLUM LNGTH TIP ONLY,4396.0,,601.23,4524.69,55
CPT,30462,PR RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT,11699.0,,1178.2072,12050.95,55
CPT,30465,HC REPAIR NASAL VEST STENOS,10242.0,,1954.22,8808.12,85
CPT,30465,PR REPAIR NASAL VESTIBULAR STENOSIS,7690.0,,762.358,7977.88,55
CPT,30520,HC SEPTPLASTY W/WO CARTILAGE,6253.0,,886.62,5377.58,85
CPT,30520,PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF,5932.0,,405.72,6169.72,55
CPT,30540,PR REPAIR CHOANAL ATRESIA INTRANASAL,4795.0,,465.33,4936.8,55
CPT,30545,PR REPAIR CHOANAL ATRESIA TRANSPALATINE,7192.0,,713.28,7404.34,55
CPT,30560,PR LYSIS INTRANASAL SYNECHIA,862.0,,56.7,732.7,55
CPT,30580,PR REPAIR FISTULA OROMAXILLARY,3966.0,,340.354,4114.3,55
CPT,30600,PR REPAIR FISTULA ORONASAL,3979.0,,284.28,4093.67,55
CPT,30620,PR SEPTAL/OTHER INTRANASAL DERMATOPLASTY,6759.0,,429.22,6959.61,55
CPT,30630,PR REPAIR NASAL SEPTAL PERFORATIONS,4915.0,,435.14,5058.73,55
CPT,30801,PR ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC,722.0,,48.79,740.1,55
CPT,30802,PR ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,1363.0,,93.64,1399.47,55
CPT,30901,HC COAGULATION-SMPLE,774.0,,115.06,665.64,85
CPT,30901,PR CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,649.0,,41.5564,551.65,55
CPT,30903,HC COAGULATION-COMPLEX,774.0,,46.68,665.64,85
CPT,30903,PR CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,909.0,,56.5616,772.65,55
CPT,30905,"HC NASAL HEMORHAGE,POST,INIT",574.0,,46.68,493.64,85
CPT,30905,PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST,1240.0,,77.7124,1275.84,55
CPT,30906,"HC NASAL HEMORHAGE,POST,SUBS",631.0,,87.58,542.66,85
CPT,30906,PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ,1157.0,,97.382,1188.27,55
CPT,30915,PR LIGATION ARTERIES ETHMOIDAL,4375.0,,388.58,4504.09,55
CPT,30920,PR LIGATION ARTERIES INT MAXILLARY TRANSANTRAL,6759.0,,644.86,6959.61,55
CPT,30930,PR FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC,802.0,,62.61,822.51,55
CPT,30999,PR UNLISTED PROCEDURE NASAL SURG MIDDLE OR SUPERIOR TURBINECTOMY,2484.0,,322.83,2111.4,28
CPT,31000,HC IRRIGATION MAXILL SINUS,520.0,,87.58,447.2,85
CPT,31000,PR LAVAGE CANNULATION MAXILLARY SINUS,455.0,,49.28,386.75,55
CPT,31002,PR LAVAGE CANNULATION SPHENOID SINUS,894.0,,72.41,759.9,55
CPT,31020,PR SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL,2005.0,,182.15,2062.3,55
CPT,31030,PR SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS,4116.0,,381.1744,4270.55,55
CPT,31032,PR SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS,4953.0,,441.6736,4928.21,55
CPT,31040,PR PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH,9588.0,,563.54,9947.44,55
CPT,31050,PR SINUSOTOMY SPHENOID W/WO BIOPSY,7142.0,,364.82,7105.56,55
CPT,31051,PR SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP,6699.0,,490.63,6896.08,55
CPT,31070,PR SINUSOTOMY FRONTAL EXTERNAL SIMPLE,3167.0,,294.28,3284.91,55
CPT,31075,PR SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL,5615.0,,615.0476,5584.16,55
CPT,31080,PR SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC,6901.0,,672.05,7105.56,55
CPT,31081,PR SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC,6901.0,,753.69,7105.56,55
CPT,31084,PR SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC,8280.0,,897.1196,8527.37,55
CPT,31085,PR SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC,7655.0,,924.1676,7881.71,55
CPT,31086,PR SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC,7655.0,,767.5,7881.71,55
CPT,31087,PR SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC,7655.0,,767.44,7881.71,55
CPT,31090,PR SINUSOT UNI 3/> PARANSL SINUSES,9566.0,,701.09,9853.0,55
CPT,31200,PR ETHMOIDECTOMY INTRANASAL ANTERIOR,3623.0,,311.34,3729.64,55
CPT,31201,PR ETHMOIDECTOMY INTRANASAL TOTAL,4832.0,,497.57,4974.57,55
CPT,31205,PR ETHMOIDECTOMY EXTRANASAL TOTAL,5843.0,,586.83,5542.96,55
CPT,31225,PR MAXILLECTOMY W/O ORBITAL EXENTERATION,11738.0,,1276.47,11013.78,55
CPT,31230,PR MAXILLECTOMY W/ORBITAL EXENTERATION,13080.0,,1432.63,12933.56,55
CPT,31231,"HC ENDOSCOPY,DIAGNOSTIC",655.0,,68.14,563.3,85
CPT,31231,PR NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,1091.0,,47.4628,1394.32,55
CPT,31233,PR NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY,1901.0,,99.8476,1971.29,55
CPT,31235,PR NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY,2046.0,,117.5484,2103.51,55
CPT,31237,HC ENDOSCOPY BIOPSY,5711.0,,321.59,4911.46,85
CPT,31237,PR NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX,2746.0,,117.7968,3547.64,55
CPT,31238,PR NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE,2211.0,,123.2064,2299.25,55
CPT,31239,PR NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY,5220.0,,447.0832,5190.94,55
CPT,31240,PR NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION,2496.0,,117.0608,2596.33,55
CPT,31241,PR NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART,4503.0,,326.3332,4052.7,55
CPT,31253,PR NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL,4670.0,,365.93,4203.0,55
CPT,31254,PR NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY,4486.0,,178.296,4665.49,55
CPT,31255,PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY,4571.0,,236.8172,6370.62,55
CPT,31256,PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY,3538.0,,132.0568,3679.85,55
CPT,31257,PR NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY,4434.0,,326.5816,3990.6,55
CPT,31259,PR NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL,4751.0,,345.0276,4275.9,55
CPT,31267,PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS,5305.0,,194.7732,5517.2,55
CPT,31276,PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS,5305.0,,277.15,5517.2,55
CPT,31287,PR NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY,4433.0,,147.5496,4598.53,55
CPT,31288,PR NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS,4876.0,,171.6536,5058.73,55
CPT,31290,PR NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID,5743.0,,842.03,5912.14,55
CPT,31291,PR NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID,9004.0,,903.2652,7653.4,55
CPT,31292,PR NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN,5917.0,,729.6428,5254.48,55
CPT,31293,PR NASAL/SINUS NDSC SURG MEDIAL&INF ORB WALL DCMPRN,5743.0,,792.3592,5912.14,55
CPT,31294,PR NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN,8771.0,,904.498,9032.2,55
CPT,31295,PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS,3207.0,,115.828,2886.3,55
CPT,31296,PR NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS,2351.0,,131.5692,2115.9,55
CPT,31297,PR NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS,1347.0,,105.7448,1212.3,55
CPT,31298,PR NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS,9789.0,,187.634,8810.1,55
CPT,31299,"PR ANTERIOR BICORONAL, TRANSZYGOMATIC AND/OR LEFORT I OSTEOTOMY APPROACH,  WITH OR WITHOUT INTERNAL FIXATION, WITHOUT BONE GRAFT",9203.0,,3468.64,7822.55,28
CPT,31299,"PR ANTERIOR CRANIOFACIAL APPROACH; EXTRADURAL, INCLUDING LATERAL RHINOTOMY, ORBITAL EXENTERATION, ETHMOIDECTOMY, SPHENOIDECTOMY AND/OR MAXILLECTOMY",12883.0,,3468.64,10950.55,28
CPT,31299,"PR ANTERIOR CRANIOFACIAL APPROACH; EXTRADURAL, INCLUDING UNILATERAL OR BIFRONTAL CRANIOTOMY, ELEVATION OF FRONTAL LOBE(S), OSTEOTOMY OF BASE OF ANTERIOR CRANIAL FOSSA",13251.0,,3468.64,11263.35,28
CPT,31299,"PR ANTERIOR CRANIOFACIAL APPROACH; EXTRADURAL, LATERAL RHINOTOMY, ETHMOIDECTOMY, SPHENOIDECTOMY, WITHOUT MAXILLECTOMY OR ORBITAL EXENTERATION",10808.0,,3468.64,9186.8,28
CPT,31299,"PR ANTERIOR CRANIOFACIAL APPROACH; INTRADURAL, INCLUDING UNILATERAL OR BIFRONTAL CRANIOTOMY, ELEVATION OR RESECTION OF FRONTAL LOBE, OSTEOTOMY OF BASE OF ANTERIOR CRANIAL FOSSA",16223.0,,3468.64,13789.55,28
CPT,31299,"PR ANTERIOR ORBITOCRANIAL APPROACH, EXTRADURAL, INCLUDING SUPRAORBITAL RIDGE OSTEOTOMY AND ELEVATION OF FRONTAL AND/OR TEMPORAL LOBE(S); WITH ORBITAL EXENTERATION",17305.0,,3468.64,14709.25,28
CPT,31299,"PR ANTERIOR ORBITOCRANIAL APPROACH, EXTRADURAL, INCLUDING SUPRAORBITAL RIDGE OSTEOTOMY AND ELEVATION OF FRONTAL AND/OR TEMPORAL LOBE(S); WITHOUT ORBITAL EXENTERATION",13304.0,,3468.64,11308.4,28
CPT,31299,"PR INFRATEMPORAL POST-AURICULAR APPROACH TO MIDDLE FOSSA INCLUDING MASTOIDECTOMY, RESECTION OF SIGMOID SINUS, W/O DECOMPRESSION AND/OR MOBILIZATION OF AUDITORY CANAL CONTENTS OR PETROUS CAROTID ARTERY",16638.0,,3468.64,14142.3,28
CPT,31299,"PR INFRATEMPORAL PRE-AURICULAR APPROACH TO MIDDLE FOSSA W/O DISARTICULATION OF MANDIBLE, INCLUD PAROTIDECTOMY, CRANIOTOMY, DECOMPRESSION AND/OR MOBILIZATION OF THE FACIAL NERVE AND/OR PETROUS CAROTID ",10759.0,,3468.64,9145.15,28
CPT,31299,"PR ORBITOCRANIAL ZYGOMATIC APPROACH TO MIDDLE FOSSA  INCLUDING OSTEOTOMY OF ZYGOMA, CRANIOTOMY, EXTRA- OR INTRADURAL ELEVATION OF TEMPORAL LOBE",18073.0,,3468.64,15362.05,28
CPT,31299,PR PB ENDOSCOPIC MAXILLECTOMY,6016.0,,3468.64,5113.6,28
CPT,31299,"PR TRANSCOCHLEAR APPROACH TO POSTERIOR FOSSA, JUGULAR FORAMEN OR MIDLINE SKULL BASE, INCLUDING LABYRINTHECTOMY, DECOMPRESSION, WITH OR WITHOUT MOBILIZATION OF FACIAL NERVE AND/OR PETROUS CAROTID ARTER",13251.0,,3468.64,11263.35,28
CPT,31299,"PR TRANSCONDYLAR (FAR LATERAL) APPROACH TO POSTERIOR FOSSA, JUGULAR FORAMEN OR MIDLINE SKULL BASE, INCLUDING OCCIPITAL CONDYLECTOMY, MASTOIDECTOMY, RESECTION OF C1-C3 VERTEBRAL BODY(S), DECOMPRESSION ",17079.0,,3468.64,14517.15,28
CPT,31299,"PR TRANSPETROSAL APPROACH TO POSTERIOR FOSSA, CLIVUS OR FORAMEN MAGNUM, INCLUDING LIGATION OF SUPERIOR PETROSAL SINUS AND/OR SIGMOID SINUS",11043.0,,3468.64,9386.55,28
CPT,31299,"PR TRANSTEMPORAL APPROACH TO POSTERIOR FOSSA, JUGULAR FORAMEN OR MIDLINE SKULL BASE, INCLUDING MASTOIDECTOMY, DECOMPRESSION OF SIGMOID SINUS AND/OR FACIAL NERVE, W/O MOBILIZATION",12295.0,,3468.64,10450.75,28
CPT,31299,PR UNLISTED PROCEDURE NASOPHARYNGEAL BIOPSY OF PREVERTEBRAL TISSUE,1174.0,,704.4,3468.64,28
CPT,31299,PR UNLISTED PROCEDURE SINUS SURGERY  ENDOSCOPIC SEPTECTOMY,5991.0,,3468.64,5092.35,28
CPT,31299,PR UNLISTED PROCEDURE SINUS SURGERY ENDOSCOPIC ENDONASAL APPROACH TO PTERYGOMAXILLARY SPACE,9659.0,,3468.64,8210.15,28
CPT,31299,PR UNLISTED PROCEDURE SINUS SURGERY ENDOSCOPIC MEDIAL MAXILLECTOMY,6212.0,,3468.64,5280.2,28
CPT,31299,PR UNLISTED PROCEDURE SINUS SURGERY ENDOSCOPIC NASAL LYSIS OF INTRANASAL SYNECHIA,862.0,,517.2,3468.64,28
CPT,31299,PR UNLISTED PROCEDURE SINUS SURGERY ENDOSCOPIC REMOVAL MAXILLARY SINUS TUMOR,12504.0,,3468.64,10628.4,28
CPT,31299,PR UNLISTED PROCEDURE SINUS SURGERY INTRAORAL BIOPSY OF MAXILLARY SINUS,4151.0,,2490.6,3528.35,28
CPT,31299,PR UNLISTED PROCEDURE SINUS SURGERY TRANSNASAL ENDOSCOPIC RESECTION OF INTRAORBITAL MASS,5967.0,,3468.64,5071.95,28
CPT,31299,"PR UNLISTED PROCEDURE, ACCESSORY SINUSES, NASAL ENDOSCOPY W/NASOPHARYT",1313.0,,787.8,3468.64,28
CPT,31300,PR LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY,6220.0,,837.3,6403.25,55
CPT,31360,PR LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION,10487.0,,1185.32,8913.95,55
CPT,31365,PR LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION,12434.0,,1676.8,12804.77,55
CPT,31367,PR LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ,8687.0,,1261.87,8642.41,55
CPT,31368,PR LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ,12434.0,,1766.22,12804.77,55
CPT,31370,PR PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL,8687.0,,1246.6,8642.41,55
CPT,31375,PR PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL,6841.0,,1124.84,7043.74,55
CPT,31380,PR PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL,6841.0,,1215.27,7043.74,55
CPT,31382,PR PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL,7057.0,,1181.92,7057.76,55
CPT,31390,PR PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ,10880.0,,1833.03,11204.39,55
CPT,31395,PR PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ,14297.0,,2155.42,14726.27,55
CPT,31400,PR ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH,5598.0,,586.41,5762.75,55
CPT,31420,PR EPIGLOTTIDECTOMY,4666.0,,589.14,4802.86,55
CPT,31500,HC ENDOTRACHEAL INTUBATION,926.0,,87.58,796.36,85
CPT,31500,PR INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,1694.0,,102.5524,1439.9,55
CPT,31502,HC TRACHSTMY-TUBE CHG,990.0,,70.08,851.4,85
CPT,31502,PR TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,523.0,,25.576,544.34,55
CPT,31505,HC LARYNGSCPY INDIRECT,493.0,,56.2,423.98,85
CPT,31505,PR LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,533.0,,33.52,554.64,55
CPT,31510,PR LARYNGOSCOPY INDIRECT W/BIOPSY,1478.0,,76.42,1517.95,55
CPT,31511,PR LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY,1661.0,,97.62,1727.46,55
CPT,31512,PR LARYNGOSCOPY INDIRECT W/REMOVAL LESION,2014.0,,95.4132,2070.89,55
CPT,31513,PR LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION,2779.0,,96.646,2761.17,55
CPT,31515,PR LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION,1046.0,,81.65,1037.16,55
CPT,31520,PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN,875.0,,118.983,898.07,51
CPT,31525,HC DIRECT LARYNGOSCOPY DX,5121.0,,321.87,4404.06,85
CPT,31525,PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,1530.0,,117.7968,1517.95,55
CPT,31526,PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE,1760.0,,115.3404,1830.49,55
CPT,31527,PR LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR,3317.0,,142.876,3449.74,55
CPT,31528,PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN,1991.0,,105.9932,2070.89,55
CPT,31529,PR LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ,1661.0,,118.2844,1727.46,55
CPT,31530,PR LARYNGOSCOPY W/FOREIGN BODY REMOVAL,2140.0,,145.8292,2203.1,55
CPT,31531,PR LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE,2583.0,,154.6796,2656.42,55
CPT,31535,PR LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY,2335.0,,138.6992,2208.26,55
CPT,31536,PR LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE,2561.0,,153.9436,2656.42,55
CPT,31540,PR LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT,2561.0,,176.5664,2656.42,55
CPT,31541,PR LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP,3062.0,,192.556,3176.72,55
CPT,31545,PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP,3233.0,,264.6104,2909.7,55
CPT,31546,PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT,5177.0,,400.8532,4659.3,55
CPT,31551,PR LARYNGOPLASTY LARYNGEAL STEN W/O STENT < 12 YRS,11675.0,,1198.6496,10507.5,51
CPT,31552,PR LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS >,11131.0,,1101.9668,10017.9,55
CPT,31553,PR LARYNGOPLASTY LARYNGEAL STEN W/STENT < 12 YRS,11947.0,,1305.296,10752.3,51
CPT,31554,PR LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS >,11947.0,,1243.6192,10752.3,55
CPT,31560,PR LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY,2851.0,,228.2152,2934.6,55
CPT,31561,PR LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE,4133.0,,249.6052,3693.59,55
CPT,31570,HC LARYNGOSCOPY DIR INJ VOCALCORD TX,4228.0,,460.44,4380.465,85
CPT,31570,PR LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC,2323.0,,167.9644,2416.02,55
CPT,31571,PR LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE,2789.0,,182.2244,2900.26,55
CPT,31572,PR LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI,1689.0,,132.5536,1520.1,55
CPT,31573,PR LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI,1344.0,,109.434,1209.6,55
CPT,31574,PR LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI,2172.0,,109.9308,2083.13,55
CPT,31575,HC LARYNGOSCOPY FLEXIBLE DIAGNOSTIC,689.0,,68.14,592.54,85
CPT,31575,PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC,816.0,,50.6552,726.36,55
CPT,31576,HC LARYNGOSCOPY FLEXIBLE W/ BIOPSY(IES),522.0,,146.16,2091.2175,85
CPT,31576,PR LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES),1544.0,,88.044,1588.36,55
CPT,31577,PR LARYNGOSCOPY FLX RMVL FOREIGN BODY(S),2348.0,,98.118,2416.02,55
CPT,31578,PR LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER,2683.0,,109.9308,2761.17,55
CPT,31579,HC LARYNGSCPY STRBSCPY,1955.0,,104.65,1681.3,85
CPT,31579,PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY,1769.0,,88.044,1864.83,55
CPT,31580,PR LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION,6681.0,,861.06,6880.61,55
CPT,31584,PR LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS,6368.0,,1031.92,6556.08,55
CPT,31587,PR LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT,6033.0,,611.31,6212.65,55
CPT,31590,PR LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE,7372.0,,411.71,7591.52,55
CPT,31591,PR LARYNGOPLASTY MEDIALIZATION UNLIATERAL,7898.0,,816.2148,7108.2,55
CPT,31592,PR CRICOTRACHEAL RESECTION,14688.0,,1280.7504,13219.2,55
CPT,31599,"PR LAYRYNGOPLASTY, NOT OTHERWISE SPECIFIED",6389.0,,3468.64,5430.65,28
CPT,31599,PR RE-SUSPEND LARYNX - PEXY THYROID CARTILAGE TO MANDIBLE,5598.0,,3358.8,4758.3,28
CPT,31599,PR UNLISTED PROCEDURE LARYNX SURG LASER ABLATION OF GLOTTIC STENOSIS,4442.0,,2665.2,3775.7,28
CPT,31599,"PR UNLISTED PROCEDURE LARYNX SURG TRANSORAL LASER ANTERIOR, LATERAL, VERTICAL PARTIAL",6841.0,,3468.64,5814.85,28
CPT,31599,PR UNLISTED PROCEDURE LARYNX SURG TRANSORAL LASER PARTIAL SUPRAGLOTTIC LARYNGECTOMY,8393.0,,3468.64,7134.05,28
CPT,31600,HC INCISION OF WINDPIPE,3402.0,,618.82,3895.3605,85
CPT,31600,PR TRACHEOSTOMY PLANNED SEPARATE PROCEDURE,2480.0,,223.054,2239.16,55
CPT,31601,PR TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX,2555.0,,312.93,2558.55,51
CPT,31603,PR TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,2536.0,,233.8732,2558.55,55
CPT,31605,HC TRACHEO CRICOTHYROID,3685.0,,87.58,3169.1,85
CPT,31605,PR TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,2315.0,,240.7548,1967.75,55
CPT,31610,PR TRACHEOSTOMY FENESTRATION W/SKIN FLAPS,6734.0,,505.83,5723.9,55
CPT,31611,HC TRACHEOESPH PROSTH (TEP),5445.0,,886.62,4682.7,85
CPT,31611,PR CONSTJ TRACHEOESOPHAGEAL FSTL&INSJ SP PROSTH,3999.0,,398.636,4158.93,55
CPT,31612,PR TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR&/NJX,533.0,,35.1624,453.05,55
CPT,31613,PR TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION,2589.0,,215.77,2200.65,55
CPT,31614,PR TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION,3832.0,,451.72,3837.83,55
CPT,31615,HC TRACHEOBRONCHOSCOPY,3071.0,,187.22,2641.06,85
CPT,31615,PR TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC,1232.0,,85.0908,1281.0,55
CPT,31622,HC BRONCH DIAGNOS,4113.0,,262.14,3537.18,85
CPT,31622,PR BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX,1554.0,,95.91,1615.85,55
CPT,31623,HC BRONCH W/BRUSHING,3506.0,,258.18,3015.16,85
CPT,31623,PR BRNCHSC BRUSHING/PROTECTED BRUSHINGS,1631.0,,95.174,1696.54,55
CPT,31624,HC BRONCH W/LAVAGE,3855.0,,261.68,3315.3,85
CPT,31624,PR BRNCHSC W/BRNCL ALVEOLAR LAVAGE,1641.0,,96.3976,1696.54,55
CPT,31625,HC BRONCHOSCOPY W/BX,3644.0,,306.27,3133.84,85
CPT,31625,PR BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES,1746.0,,112.6356,1727.46,55
CPT,31626,HC BRONCH W/PLACE FIDUC MRK,4574.0,,388.64,8291.868,85
CPT,31626,PR BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT,1051.0,,142.14,945.9,55
CPT,31627,HC BRONCH W/IMAGE GUIDE NAV,3267.0,,189.3,2809.62,84
CPT,31627,PR BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION,1480.0,,69.3496,1332.0,55
CPT,31628,HC BRONCH W/TRANS BIO,3879.0,,343.71,4380.465,85
CPT,31628,PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE,1907.0,,126.6472,1919.78,55
CPT,31629,HC BRONC W/TRAN NDL ASP,4108.0,,365.86,4380.465,85
CPT,31629,PR BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON,2158.0,,134.5224,2239.16,55
CPT,31630,HC BRONCH W/TRACH,8987.0,,391.15,7728.82,85
CPT,31630,PR BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX,2032.0,,143.1244,2048.56,55
CPT,31631,HC BRONCHOSCOPY W/STENT,7172.0,,445.5,8291.868,85
CPT,31631,PR BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT,2644.0,,163.0424,2558.55,55
CPT,31632,HC BRONCH W/TNSBRNC LUNG BXS,3173.0,,95.57,2728.78,84
CPT,31632,PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE,805.0,,35.1624,1117.37,55
CPT,31633,HC BRONCH TRNSBRNC NDLASP BX,3519.0,,123.34,3026.34,84
CPT,31633,PR BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE,1032.0,,45.2456,1117.37,55
CPT,31634,HC BRONCH W/BALLOON AIR LEAK,7370.0,,368.71,8291.868,85
CPT,31634,PR BRONCHOSCOPY BALLOON OCCLUSION,2115.0,,135.5068,1903.5,55
CPT,31635,HC BRONCH W/REM FOREIGN,4472.0,,345.45,3845.92,85
CPT,31635,PR BRONCHOSCOPY W/REMOVAL FOREIGN BODY,3076.0,,126.6472,3199.05,55
CPT,31636,HC BRONCH W/PLAC BRNCH STENT,8914.0,,425.13,8291.868,85
CPT,31636,PR BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS,2384.0,,155.9124,2145.6,55
CPT,31637,HC BRONCH EAADD BRNCUS STNTD,2850.0,,148.63,2451.0,84
CPT,31637,PR BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED,1114.0,,54.5928,1002.6,55
CPT,31638,HC BRONC RVS TR/BRNC PRVSTNT,5933.0,,482.21,8291.868,85
CPT,31638,PR BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS,2705.0,,177.0632,2434.5,55
CPT,31640,HC BRONCH W/EXC TUMOR,5911.0,,484.84,5083.46,85
CPT,31640,PR BRONCHOSCOPY W/EXCISION TUMOR,3076.0,,178.0476,3199.05,55
CPT,31641,HC BRONCH W/DESTRUCT,6451.0,,498.62,5547.86,85
CPT,31641,PR BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC,3923.0,,182.9604,4158.93,55
CPT,31643,HC BRONCH W/CATH PLACE,3845.0,,330.33,3306.7,85
CPT,31643,PR BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL,2238.0,,121.9736,1902.3,55
CPT,31645,HC THERAPEUTIC BRONCHOSCOPY INITIAL,3707.0,,289.03,3188.02,85
CPT,31645,PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST,1713.0,,106.2416,1727.46,55
CPT,31646,HC BRNC W/TXASP BRNC TRE SUB,3061.0,,155.59,2632.46,85
CPT,31646,PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ,1661.0,,102.5524,1727.46,55
CPT,31647,HC PLMNT BRONCHIAL INIT LOBE,7769.0,,401.59,8291.868,85
CPT,31647,PR BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE,2234.0,,147.798,2010.6,55
CPT,31648,HC BRONCH REMOV INIT LOBE,6565.0,,387.87,5645.9,85
CPT,31648,PR BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL,2192.0,,142.6368,1972.8,55
CPT,31649,HC BRONCH REMOV EA ADD LOBE,3053.0,,130.02,2625.58,85
CPT,31649,PR BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL,723.0,,47.9504,650.7,55
CPT,31651,HC BRONCH INSERT EA ADD LOBE,3466.0,,148.63,2980.76,84
CPT,31651,PR BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE,762.0,,54.5928,685.8,55
CPT,31652,HC BRONCH EBUS SAMPLNG 1OR2,9928.0,,431.31,8538.08,85
CPT,31652,PR BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX,2624.0,,158.6172,2361.6,55
CPT,31653,HC BRONCH EBUS SAMPLNG 3OR>,13779.0,,478.51,11849.94,85
CPT,31653,PR BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX,7084.0,,175.8304,6375.6,55
CPT,31654,HC BRONCH EBUS IVNTJ PERPH,3752.0,,131.16,3226.72,84
CPT,31654,PR BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES,767.0,,48.1988,690.3,55
CPT,31660,PR BRONCHOSCOPIC THERMOPLASTY ONE LOBE,2140.0,,136.482,1926.0,51
CPT,31661,PR BRONCHOSCOPIC THERMOPLASTY 2/> LOBES,2267.0,,144.1088,2040.3,51
CPT,31717,PR CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY,567.0,,76.728,481.95,55
CPT,31720,HC CATH ASPIRA NASOTRACHEAL,320.0,,89.6,275.2,85
CPT,31720,PR CATHETER ASPIRATION NASOTRACHEAL SPX,351.0,,35.1624,321.11,55
CPT,31725,PR CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX,640.0,,57.0492,642.21,55
CPT,31730,PR TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER,1029.0,,107.962,874.65,55
CPT,31750,PR TRACHEOPLASTY CERVICAL,6383.0,,707.08,6396.38,55
CPT,31755,PR TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE,7658.0,,946.24,7675.65,55
CPT,31760,PR TRACHEOPLASTY INTRATHORACIC,7658.0,,1002.616,7675.65,55
CPT,31766,PR CARINAL RECONSTRUCTION,8486.0,,1289.3616,8508.47,55
CPT,31770,PR BRONCHOPLASTY GRAFT REPAIR,8486.0,,964.988,8508.47,55
CPT,31775,PR BRONCHOPLASTY EXCISION STENOSIS & ANASTOMOSIS,8486.0,,1016.8852,8508.47,55
CPT,31780,PR EXCISION TRACHEAL STENOSIS&ANASTOMOSIS CERVICA,7978.0,,884.8192,7996.76,55
CPT,31781,PR EXC TRACHEAL STENOSIS&ANAST CERVICOTHORACIC,8934.0,,1059.426,8954.92,55
CPT,31785,HC EXCIS BEN LES TRACH CRVCL,12995.0,,2167.01,11175.7,85
CPT,31785,PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL,7597.0,,792.3592,7356.25,55
CPT,31786,PR EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC,8615.0,,1047.8708,8635.54,55
CPT,31800,PR SUTURE TRACHEAL WOUND/INJURY CERVICAL,4407.0,,404.37,4158.93,55
CPT,31805,PR SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC,5744.0,,598.8188,5757.61,55
CPT,31820,PR SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR,2032.0,,247.3972,1919.78,55
CPT,31825,PR SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR,2555.0,,361.5048,2558.55,55
CPT,31830,PR REVISION TRACHEOSTOMY SCAR,1917.0,,264.84,1919.78,55
CPT,31899,"HC UNLISTED PX, TRACHEA, BRONCHI; INJECTION OF RADIO ENHANCER",2998.0,,234.5195,2578.28,83
CPT,31899,PR BRONCHOSCOPY W/ABLATION EBUS GUIDED,4339.0,,2603.4,5151.44,28
CPT,31899,PR UNLISTED PROCEDURE MESH PLACEMENT FOR RIGID SUPPORT OF TRACHEA,5773.0,,3463.8,5151.44,28
CPT,31899,"PR UNLISTED PROCEDURE TRACHAE, BRONI; BRONCHOPLASTY EXCISION & ANASTOMOSIS",8486.0,,5091.6,7213.1,28
CPT,31899,"PR UNLISTED PROCEDURE TRACHEA, BRONCHI, INJECTION RADIOENHANCER",2152.0,,1291.2,5151.44,28
CPT,31899,"PR UNLISTED PROCEDURE TRACHEA, BRONCHI, TRACHEOBRONCHIAL EXCHANGE OF TRACH",484.0,,290.4,5151.44,28
CPT,32035,PR THORACOSTOMY W/RIB RESECTION EMPYEMA,5962.0,,520.67,5067.7,55
CPT,32036,PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA,6879.0,,564.87,5847.15,55
CPT,32096,PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL,6951.0,,583.326,6255.9,55
CPT,32097,PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL,6951.0,,584.3104,6255.9,55
CPT,32098,PR THORACOTOMY W/BIOPSY OF PLEURA,6754.0,,552.5796,6078.6,55
CPT,32100,PR THORACOTOMY WITH EXPLORATION,7596.0,,591.928,6456.6,55
CPT,32110,PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,9165.0,,847.93,7790.25,55
CPT,32120,PR THORACOTOMY POSTOPERATIVE COMPLICATIONS,9491.0,,637.9188,8067.35,55
CPT,32124,PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS,7338.0,,673.578,6237.3,55
CPT,32140,PR THORCOM W/REMOVAL OF CYST,9170.0,,723.2488,7794.5,55
CPT,32141,PR THORACOTOMY W/RESECTION BULLAE,9491.0,,942.02,8067.35,55
CPT,32150,PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP,8713.0,,743.176,7406.05,55
CPT,32151,PR THORCOM W/RMVL IPUL FB,8713.0,,733.8288,7406.05,55
CPT,32160,PR THORACOTOMY W/CARDIAC MASSAGE,9491.0,,583.5652,8067.35,55
CPT,32200,PR PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST,5962.0,,703.83,5067.7,55
CPT,32215,PR PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX,8070.0,,587.5028,6859.5,55
CPT,32220,PR DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE,8796.0,,1166.1552,7545.14,55
CPT,32225,PR DECORTICATION PULMONARY PARTIAL SEPARATE PROC,6598.0,,725.9536,5623.66,55
CPT,32310,PR PLEURECTOMY PARIETAL SEPARATE PROCEDURE,9472.0,,671.1216,8051.2,55
CPT,32320,PR DECORTICATION & PARIETAL PLEURECTOMY,11390.0,,1169.596,9681.5,55
CPT,32400,"HC BIOPSY, PLEURA",3272.0,,165.06,2813.92,85
CPT,32400,PR BIOPSY PLEURA PERCUTANEOUS NEEDLE,1081.0,,60.4992,918.85,55
CPT,32408,"HC CORE NDL BX LNG/MED PERQ, IMG",5796.0,,299.08,4984.56,85
CPT,32408,PR CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG,1937.0,,109.6824,1743.3,55
CPT,32440,PR REMOVAL OF LUNG PNEUMONECTOMY,12338.0,,1141.076,10487.3,55
CPT,32442,PR REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA,15313.0,,1484.23,13016.05,55
CPT,32445,PR REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL,20658.0,,1546.57,17559.3,55
CPT,32480,PR RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT,10925.0,,1075.6548,9286.25,55
CPT,32482,PR RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC,11865.0,,1149.678,10085.25,55
CPT,32484,PR RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY,11498.0,,1041.2284,9773.3,55
CPT,32486,PR RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY,14710.0,,1360.59,12503.5,55
CPT,32488,PR RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC,15375.0,,1460.71,13068.75,55
CPT,32491,PR RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG,10906.0,,1072.95,11231.88,50
CPT,32501,PR RESCJ&BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY,3658.0,,175.5912,3109.3,55
CPT,32503,PR RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ,16638.0,,1303.3824,15768.32,55
CPT,32504,PR RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ,17884.0,,1484.1348,18290.08,55
CPT,32505,PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL,8238.0,,678.9876,7414.2,55
CPT,32506,PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL,1571.0,,112.6356,1413.9,55
CPT,32507,PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE,1571.0,,112.3872,1413.9,55
CPT,32540,PR EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY,9170.0,,884.51,7794.5,55
CPT,32550,HC INS NDW TN PLRL CTH W/CUF,5906.0,,404.97,5079.16,85
CPT,32550,PR INSERTION INDWELLING TUNNELED PLEURAL CATHETER,5189.0,,147.5496,5396.75,55
CPT,32551,HC CHEST TUBE PLACEMENT,3433.0,,312.89,2952.38,85
CPT,32551,PR TUBE THORACOSTOMY INCLUDES WATER SEAL,1732.0,,112.8748,1796.87,55
CPT,32552,HC  REM TUNN PLEUR CAT W/CUFF,1651.0,,223.75,1419.86,85
CPT,32552,PR RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF,1478.0,,114.5952,1330.2,55
CPT,32553,HC INSMRK RTX GD PC IT S/MLT,4033.0,,343.73,3468.38,85
CPT,32553,PR PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT,3013.0,,126.1596,2711.7,55
CPT,32554,HC THORACENTESIS W/O IMAGE,2272.0,,175.59,1953.92,85
CPT,32554,PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,1237.0,,64.1884,1189.14,55
CPT,32555,HC THORACENTESIS W/IMAGE,3395.0,,214.33,2919.7,85
CPT,32555,PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,1427.0,,78.6968,1284.3,55
CPT,32556,HC PLEURAL DRAINAGE W/O IMAG,4101.0,,248.17,3526.86,85
CPT,32556,PR PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,1473.0,,90.0036,1325.7,55
CPT,32557,HC  PLEURAL DRAINAGE W/IMAGE,5029.0,,292.96,4324.94,85
CPT,32557,PR PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING,2145.0,,107.4652,1930.5,55
CPT,32560,HC CHEMICAL PLEURODESIS,862.0,,152.25,741.32,85
CPT,32560,PR INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS,1107.0,,55.0896,1151.72,55
CPT,32561,HC INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY,1160.0,,133.23,997.6,85
CPT,32561,PR INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY,749.0,,48.6956,674.1,55
CPT,32562,HC INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 2ND DAY,409.0,,114.52,737.0235,85
CPT,32562,PR INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY,636.0,,43.5252,572.4,55
CPT,32601,"HC THORACOS, DIAGW/OBIOPSY",7880.0,,626.36,7102.9405,85
CPT,32601,PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX,2733.0,,223.5416,2323.05,55
CPT,32604,PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX,4129.0,,347.2356,3509.65,55
CPT,32606,PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX,3801.0,,334.2084,3230.85,55
CPT,32607,HC THORAW/BIOPSY LUNG INFILT,9802.0,,625.06,12489.0805,85
CPT,32607,PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL,2668.0,,223.054,2401.2,55
CPT,32608,HC THORAW/BIOPSY LUNG NODULE,9802.0,,769.96,12489.0805,85
CPT,32608,PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL,3301.0,,274.206,2970.9,55
CPT,32609,HC THORAW/BIOPSY LUNG PLEURA,9802.0,,517.46,8429.72,85
CPT,32609,PR THORACOSCOPY WITH BIOPSYIES OF PLEURA,2399.0,,185.6744,2159.1,55
CPT,32650,HC THORACOS W/PLEURODESIS,9511.0,,1361.61,8179.46,84
CPT,32650,PR THORACOSCOPY W/PLEURODESIS,5949.0,,489.1364,6186.89,55
CPT,32651,PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION,7441.0,,797.7688,6411.82,55
CPT,32652,PR THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS,8516.0,,1174.35,7238.6,55
CPT,32653,PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT,8068.0,,770.7116,6857.8,55
CPT,32654,PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE,8254.0,,813.48,7015.9,55
CPT,32655,PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX,8713.0,,697.6728,7406.05,55
CPT,32656,PR THORACOSCOPY W/PARIETAL PLEURECTOMY,8254.0,,586.7668,7015.9,55
CPT,32658,PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC,9004.0,,522.5784,8072.32,55
CPT,32659,PR THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC,7617.0,,537.0868,7921.21,55
CPT,32661,PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS,11390.0,,583.326,9681.5,55
CPT,32662,PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS,9402.0,,652.4272,8676.76,55
CPT,32663,HC THORACOSCOPY WITH LOBECTOMY SINGLE LOBE,30819.0,,2846.3,26504.34,84
CPT,32663,PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE,12338.0,,1015.404,10487.3,55
CPT,32664,PR THORACOSCOPY W/THORACIC SYMPATHECTOMY,10270.0,,618.9852,8729.5,55
CPT,32665,PR THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE,10089.0,,895.1508,8575.65,55
CPT,32666,"HC THORACOSCOPY W/THERAPEUTIC WEDGE RESECTION, INITIAL UNILATERAL",25495.0,,1773.4,21925.7,84
CPT,32666,PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT,7294.0,,634.9656,6564.6,55
CPT,32667,PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL,1510.0,,112.8748,1359.0,55
CPT,32668,PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN,1448.0,,112.8748,1303.2,55
CPT,32669,PR THORACOSCOPY W/SEGMENTECTOMY,12306.0,,975.0712,11075.4,55
CPT,32670,PR THORACOSCOPY W/BILOBECTOMY,14919.0,,1160.994,13427.1,55
CPT,32671,PR THORACOSCOPY W/PNEUMONECTOMY,16131.0,,1284.9364,14517.9,55
CPT,32672,PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL,12584.0,,1101.7276,11325.6,55
CPT,32673,PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL,11052.0,,883.8348,9946.8,55
CPT,32674,HC THORACOSCOPY WITH MEDIASTINAL & REGIONAL LYMPHDENECTOMY,29103.0,,437.99,25028.58,84
CPT,32674,PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY,2158.0,,155.1764,1942.2,55
CPT,32701,PR THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE,2019.0,,168.3935,1817.1,47
CPT,32800,PR REPAIR LUNG HERNIA THROUGH CHEST WALL,7338.0,,687.838,6237.3,55
CPT,32810,PR CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA,5073.0,,637.73,4312.05,55
CPT,32815,PR OPEN CLOSURE MAJOR BRONCHIAL FISTULA,15734.0,,1269.63,13373.9,55
CPT,32820,PR MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC,11330.0,,971.8788,9630.5,55
CPT,32851,PR LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS,27846.0,,2150.83,23669.1,55
CPT,32852,PR LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS,21949.0,,2329.78,20664.15,55
CPT,32853,PR LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS,49628.0,,2674.78,42183.8,55
CPT,32854,PR LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS,41481.0,,2854.18,35258.85,55
CPT,32900,PR RESECTION RIBS EXTRAPLEURAL ALL STAGES,6645.0,,929.86,5648.25,55
CPT,32905,PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL,8254.0,,970.8944,7015.9,55
CPT,32906,PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL,12838.0,,1196.4048,10912.3,55
CPT,32940,PR PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX,5503.0,,897.6072,4677.55,55
CPT,32960,PR PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR,806.0,,65.6604,685.1,55
CPT,32994,"HC ABLATION THERAPY REDUCT OR ERAD >= 1 PULM TUMOR(S) W/IMG, UNI; CRYOABLATION",17515.0,,4904.2,15062.9,83
CPT,32994,PR ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION,5263.0,,336.0135,4736.7,47
CPT,32997,PR TOTAL LUNG LAVAGE UNILATERAL,2364.0,,242.972,2431.49,55
CPT,32998,"HC ABLATION PULMONARY TUMOR PERQ INCLU IMG RADIOFREQUENCY, UNI",17293.0,,859.0,14871.98,85
CPT,32998,PR ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY,5067.0,,336.226,4306.95,47
CPT,32999,HC CRYOABLATION LUNG,15218.0,,737.0235,13087.48,83
CPT,32999,HC LUNG TUMOR COIL MRK PLCMT,15218.0,,737.0235,13087.48,83
CPT,32999,HC RFA LUNG,16020.0,,737.0235,13777.2,83
CPT,32999,HC UNLISTED PX DECLOT PLEURAL CATHETER,607.0,,169.96,737.0235,83
CPT,32999,PR LUNG CRYO-ABLATION,5605.0,,2987.83,4764.25,28
CPT,32999,"PR RFA,LUNG",5605.0,,2987.83,4764.25,28
CPT,32999,PR THORACOSCOPIC ROBOTIC RESECTION AND REPAIR OF PORTION OF BRONCHUS (BRONCHOPLASTY),3535.0,,2121.0,3004.75,28
CPT,32999,PR THORACOSCOPIC/ROBOTIC - NEUROLYSIS OF THE PHRENIC NERVE,6069.0,,2987.83,5158.65,28
CPT,32999,"PR UNLISTED PROCEDURE CHEST SURGERY, CLIP PLCMT CHESTWALL (AFT MASTECT)",813.0,,487.8,2987.83,28
CPT,32999,"PR UNLISTED PROCEDURE CHEST SURGERY, LUNG TUMOR COIL MARKER PLACEMNT",2561.0,,1536.6,2987.83,28
CPT,32999,"PR UNLISTED PROCEDURE CHEST SURGERY, OPEN TALC SCLEROTHERAPY",1177.0,,706.2,2987.83,28
CPT,32999,"PR UNLISTED PROCEDURE CHEST SURGERY, REMOVAL OF DENVER CATHETER",253.0,,151.8,2987.83,28
CPT,32999,"PR UNLISTED PROCEDURE CHEST SURGERY, VACCINE INJECTION- CHEST",335.0,,201.0,2987.83,28
CPT,32999,"PR UNLISTED PROCEDURE LUNGS & PLEURA, THORACOTOMY WITH RESECTION OF PLEURAL TUMOR",7960.0,,2987.83,6766.0,28
CPT,32999,PR UNLISTED PROCEDURE LUNGS AND PLEURA (THORASCOSPIC SLEEVE LOBECTOMY),14213.0,,2987.83,12081.05,28
CPT,32999,"PR UNLISTED PROCEDURE LUNGS AND PLEURA, THORACOSCOPIC RESECTION OF PLEURAL NODULES/MASS",2538.0,,1522.8,2987.83,28
CPT,32999,PR UNLISTED PX DECLOT PLEURAL CATHETER,437.0,,262.2,2987.83,28
CPT,33016,HC PERICARDIOCENTESIS W/IMAGING,5347.0,,446.27,4598.42,85
CPT,33016,PR PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,2315.0,,168.7004,2083.5,55
CPT,33017,HC PRCRD DRG 6YR+ W/O CGEN CAR,5203.0,,499.4,4474.58,84
CPT,33017,PR PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY,2535.0,,177.0632,2281.5,55
CPT,33020,PR PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,7481.0,,598.0828,7442.11,55
CPT,33025,PR CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX,7314.0,,557.75,7606.97,55
CPT,33030,PR PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS,8985.0,,1365.84,8683.61,55
CPT,33031,PR PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS,15789.0,,1162.8,15711.91,55
CPT,33050,PR RESECTION PERICARDIAL CYST/TUMOR,8031.0,,729.1552,8269.79,55
CPT,33120,PR EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP,17934.0,,1505.5248,18605.3,55
CPT,33130,PR RESECTION EXTERNAL CARDIAC TUMOR,12466.0,,985.6512,12402.97,55
CPT,33206,HC INS/RPL PM S/LD ART W/GEN,26193.0,,914.51,22525.98,85
CPT,33206,PR INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL,6601.0,,331.2552,6865.16,55
CPT,33207,HC INS/RPL PM S/LD VEN W/GEN,18672.0,,963.14,16057.92,85
CPT,33207,PR INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR,6601.0,,347.7324,6865.16,55
CPT,33208,HC INS/RPL PM D/LD A&V W/GEN,24849.0,,1042.87,21370.14,85
CPT,33208,PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT,7156.0,,376.7492,7442.11,55
CPT,33210,HC TEMPORARY PM SINGLE,8561.0,,323.92,9722.8245,85
CPT,33210,PR INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH,2942.0,,116.564,3059.95,55
CPT,33213,PR INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS,3500.0,,244.6924,3640.35,55
CPT,33214,HC UPGRADE PM SYS SNGL-DUAL,35345.0,,963.75,30396.7,85
CPT,33214,PR UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS,7892.0,,348.9652,8187.37,55
CPT,33215,HC PM/AICD  LEAD REVISION,6731.0,,626.14,5788.66,85
CPT,33215,PR RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE,2727.0,,225.7588,2454.3,55
CPT,33216,HC PM/AICD SNGL LD REPLACE,12978.0,,747.37,11161.08,85
CPT,33217,PR INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,4653.0,,268.548,3955.05,55
CPT,33222,HC PM POCKET REVISION,4364.0,,691.15,3753.04,85
CPT,33222,PR RELOCATION OF SKIN POCKET FOR PACEMAKER,3182.0,,250.3504,3308.94,55
CPT,33223,HC AICD POCKET REVISION,5526.0,,709.01,4752.36,85
CPT,33223,PR RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR,2625.0,,298.3008,2730.26,55
CPT,33224,PR INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN,4249.0,,371.588,3824.1,55
CPT,33225,HC LV LEAD PLACEM W/NW GENRT,27654.0,,929.15,23782.44,84
CPT,33225,PR INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN,3915.0,,335.9288,3523.5,55
CPT,33226,HC REPOSITION EXIST LV LEAD,6602.0,,986.61,5677.72,85
CPT,33226,PR RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD,4279.0,,353.6296,3851.1,55
CPT,33227,HC REM/REPL PM GEN SGL,19044.0,,684.09,16377.84,85
CPT,33227,PR REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD,2910.0,,246.9004,2619.0,55
CPT,33228,HC REM/REPL PM GEN DUAL,27525.0,,714.05,23671.5,85
CPT,33228,PR REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS,3060.0,,257.7288,2754.0,55
CPT,33229,HC REMOV/REPL PULSE MULTLEAD,32396.0,,750.74,27860.56,85
CPT,33229,PR REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD,3117.0,,272.4764,2805.3,55
CPT,33233,HC REMOVE PM GENERATOR,5786.0,,468.63,9722.8245,85
CPT,33233,PR REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY,1829.0,,170.6692,1902.6,55
CPT,33234,HC REMOVE SINGLE PM LEAD,4364.0,,974.29,4390.585,85
CPT,33234,PR RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR,2629.0,,327.62,2563.71,55
CPT,33235,HC REMOVE DUAL PM LEAD,5390.0,,1280.14,4635.4,85
CPT,33235,PR RMVL TRANSVNS PM ELTRD DUAL LEAD SYS,2711.0,,387.6,2812.69,55
CPT,33240,HC AICD GENERATOR REPLACEMNT,17080.0,,742.6,26134.164,85
CPT,33241,HC AICD GENERATOR REMOVAL,7323.0,,432.46,6297.78,85
CPT,33241,PR REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY,2176.0,,156.6484,1935.22,55
CPT,33244,HC AICD LEADS REMOVAL,6342.0,,1737.81,5454.12,85
CPT,33244,PR RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ,7395.0,,613.2,6285.75,55
CPT,33249,HC AICD INS/REP LD GENERATOR,23964.0,,1836.12,36879.0395,85
CPT,33249,PR INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR,7992.0,,663.9824,8187.37,55
CPT,33258,PR ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTENSIV W/O BYP,6097.0,,469.706,5781.89,55
CPT,33259,PR ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTEN W/BYPASS,7147.0,,612.0944,7432.8,55
CPT,33262,HC REMV&REPL CVD SINGL LEAD,24405.0,,749.46,26134.164,85
CPT,33262,PR RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD,3260.0,,271.492,2934.0,55
CPT,33263,HC REMV&REPL CVD DUAL LEAD,24405.0,,779.29,26134.164,85
CPT,33263,PR RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD,3370.0,,281.8236,3033.0,55
CPT,33264,HC REMV&REPL CVD MULTI LEAD,24405.0,,813.01,36879.0395,85
CPT,33264,PR RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD,3418.0,,293.8756,3076.2,55
CPT,33285,HC INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,19422.0,,176.46,16702.92,85
CPT,33285,PR INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,998.0,,63.6916,898.2,55
CPT,33286,HC REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,2576.0,,172.95,2215.36,85
CPT,33286,PR REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,779.0,,62.7072,701.1,55
CPT,33289,HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR,34080.0,,672.77,33700.313,85
CPT,33289,PR TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR,3180.0,,255.34,2862.0,47
CPT,33300,PR REPAIR CARDIAC WOUND W/O BYPASS,11334.0,,1089.07,9633.9,55
CPT,33315,PR CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP,20599.0,,1221.42,17509.15,55
CPT,33320,PR SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP,11641.0,,774.4008,9894.85,55
CPT,33330,PR INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS,16995.0,,1026.9684,14445.75,55
CPT,33370,"HC TRANSCATH PLCMT SBSQ REMOVAL CEPD INCL ARTL ACCESS, CATH, IMG RS&I PERQ",8278.0,,268.93,7119.08,84
CPT,33511,PR CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS,21310.0,,1530.3648,18113.5,55
CPT,33600,PR CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH,23484.0,,1242.8832,19961.4,55
CPT,33602,PR CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH,23484.0,,1206.7364,19961.4,55
CPT,33606,PR ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX,14420.0,,1285.424,12257.0,55
CPT,33608,PR RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT,28530.0,,1301.4136,24250.5,55
CPT,33610,PR RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT,28221.0,,1283.952,23987.85,55
CPT,33611,PR RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR,30807.0,,1406.174,26185.95,55
CPT,33612,PR RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ,29251.0,,1443.5536,24863.35,55
CPT,33615,PR RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX,28737.0,,1442.0816,24426.45,55
CPT,33617,PR RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX,29352.0,,1561.838,24949.2,55
CPT,33619,PR RPR 1 VNTRC W/O/F OBSTRCJ&AORTIC ARCH HYPOPLAS,32856.0,,1983.5936,27927.6,55
CPT,33620,PR APPLICATION RIGHT & LEFT PULMONARY ARTERY BAND,6997.0,,1189.0264,6297.3,55
CPT,33621,PR TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT,6348.0,,672.0968,5713.2,55
CPT,33622,PR RECONSTRUCTION COMPLEX CARDIAC ANOMALY,32628.0,,2469.0408,29365.2,55
CPT,33641,PR RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH,16479.0,,1182.1448,14007.15,55
CPT,33645,PR DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG,19569.0,,1249.2772,16633.65,55
CPT,33647,PR RPR ATRIAL & VENTRIC SEPTAL DFCT DIR/PATCH CLS,25750.0,,1310.264,21887.5,55
CPT,33660,PR RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR,22143.0,,1266.242,18821.55,55
CPT,33665,PR RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR,23689.0,,1379.126,20135.65,55
CPT,33670,PR RPR COMPL AV CANAL W/WO PROSTC VALVE,27809.0,,1419.698,23637.65,55
CPT,33675,PR CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS,19242.0,,1420.6824,18875.14,55
CPT,33676,PR CLOSURE MULTIPLE VSD W/RESECTION,19778.0,,1458.798,19401.32,55
CPT,33677,PR CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND,20583.0,,1514.3752,20189.98,55
CPT,33681,PR CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH,23484.0,,1333.632,19961.4,55
CPT,33684,PR CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ,23689.0,,1361.6644,20135.65,55
CPT,33688,PR CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND,23689.0,,1356.494,20135.65,55
CPT,33690,PR BANDING PULMONARY ARTERY,9787.0,,871.5436,8318.95,55
CPT,33692,PR COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA,22659.0,,1408.3912,19260.15,55
CPT,33694,PR COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH,25234.0,,1406.174,21448.9,55
CPT,33697,PR COMPLETE REPAIR TOF W/PULMONARY ATRESIA,26367.0,,1481.1816,22411.95,55
CPT,33702,PR RPR SINUS VALSALVA FISTULA,20599.0,,1119.1892,17509.15,55
CPT,33710,PR RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT,26778.0,,1478.9644,22761.3,55
CPT,33720,PR RPR SINUS VALSALVA ANEURYSM,24204.0,,1119.6768,20573.4,55
CPT,33724,PR REPAIR ISOLATED PARTIAL PULM VENOUS RETURN,14779.0,,1109.5936,14496.41,55
CPT,33726,PR REPAIR PULMONARY VENOUS STENOSIS,19868.0,,1464.2076,19490.85,55
CPT,33730,PR COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN,24204.0,,1448.2272,20573.4,55
CPT,33732,PR RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB,23895.0,,1192.4672,20310.75,55
CPT,33735,PR ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART,15450.0,,939.9088,13132.5,55
CPT,33736,PR ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS,19469.0,,1019.3416,16548.65,55
CPT,33750,PR SHUNT SUBCLAVIAN TO PULMONARY ARTERY,12877.0,,913.5968,10945.45,55
CPT,33755,PR SHUNT ASCENDING AORTA TO PULMONARY ARTERY,14420.0,,954.914,12257.0,55
CPT,33762,PR SHUNT DESCENDING AORTA TO PULMONARY ARTERY,12877.0,,927.6084,10945.45,55
CPT,33764,PR SHUNT CENTRAL W/PROSTHETIC GRAFT,15450.0,,954.914,13132.5,55
CPT,33766,PR SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG,11950.0,,964.252,10157.5,55
CPT,33767,PR SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS,15142.0,,1028.4404,12870.7,55
CPT,33768,PR ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA,4288.0,,299.0368,4204.56,55
CPT,33770,PR RPR TGA W/VSD&SUBPULM STEN W/O SURG ENLGMNT VSD,29251.0,,1524.4584,24863.35,55
CPT,33771,PR RPR TGA W/VSD&SUBPULM STEN W/SURG ENLGMNT VSD,29664.0,,1567.496,25214.4,55
CPT,33774,PR RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP,25750.0,,1301.9012,21887.5,55
CPT,33775,PR RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND,29869.0,,1340.2652,25388.65,55
CPT,33776,PR RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD,30897.0,,1416.5056,26262.45,55
CPT,33777,PR RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC,30897.0,,1365.3536,26262.45,55
CPT,33778,PR RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION,30897.0,,1695.376,26262.45,55
CPT,33779,PR RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND,31928.0,,1673.2408,27138.8,55
CPT,33780,PR RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD,37077.0,,1704.9716,31515.45,55
CPT,33781,PR RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ,37077.0,,1663.9028,31515.45,55
CPT,33782,PR A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ,32189.0,,2322.4756,28970.1,55
CPT,33783,PR A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA,34869.0,,2509.622,31382.1,55
CPT,33786,PR TOTAL REPAIR TRUNCUS ARTERIOSUS,28118.0,,1641.2708,23900.3,55
CPT,33788,PR REIMPLANTATION ANOMALOUS PULMONARY ARTERY,16995.0,,1107.6248,14445.75,55
CPT,33800,PR AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX,11950.0,,713.1656,10157.5,55
CPT,33802,PR DIVISION ABERRANT VESSEL VASCULAR RING,11334.0,,787.1888,9633.9,55
CPT,33803,PR DIVISION ABERRANT VESSEL W/REANASTOMOSIS,14420.0,,832.9312,12257.0,55
CPT,33814,PR OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS,22558.0,,1103.448,19174.3,53
CPT,33820,PR REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION,10304.0,,700.8744,8758.4,55
CPT,33822,PR REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS,12360.0,,775.6888,10506.0,51
CPT,33824,PR REPAIR PDA BY DIVISION 18 YEARS & OLDER,14420.0,,856.5384,12257.0,55
CPT,33840,PR EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS,14420.0,,898.5916,12257.0,55
CPT,33845,PR EXCISION COARCTATION AORTA W/WO PDA W/GRAFT,20599.0,,967.2052,17509.15,55
CPT,33851,PR EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC,22659.0,,922.4472,19260.15,55
CPT,33852,PR RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS,19057.0,,1013.4352,16198.45,55
CPT,33853,PR RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS,25338.0,,1325.0208,21537.3,55
CPT,33863,PR AS-AORT GRF W/CARD BYP & AORTIC ROOT RPLCMT,27168.0,,2261.728,23092.8,55
CPT,33864,PR ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL,32146.0,,2311.8956,31536.65,55
CPT,33875,PR DESCENDING THORACIC AORTA GRAFT W/WO BYPASS,20599.0,,1972.526,17509.15,55
CPT,33877,PR RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS,25611.0,,2589.7908,21769.35,55
CPT,33880,HC EV RPR DTA IC LSC INT EP,25119.0,,3622.79,21602.34,84
CPT,33880,PR EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA,16677.0,,1169.2855,17344.42,55
CPT,33881,HC EVRP DTA WO LSC IN EP DTA,20201.0,,3111.44,17372.86,84
CPT,33881,PR EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA,15003.0,,981.342,14717.19,55
CPT,33883,HC PLC PEP EVRP DTA INT EXT,18512.0,,2254.28,15920.32,84
CPT,33883,PR DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN,10717.0,,798.2564,10511.4,55
CPT,33884,HC PLC PR EPRST RPR DTA EAAD,10667.0,,804.28,9173.62,84
CPT,33886,HC PLC DEP DLY AFT EVRP DTA,18512.0,,1947.07,15920.32,84
CPT,33886,PR DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART,9111.0,,690.7912,8935.3,55
CPT,33910,PR PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS,18540.0,,1300.45,15759.0,55
CPT,33915,PR PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS,13805.0,,991.3092,11734.25,55
CPT,33916,PR PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS,18540.0,,1457.54,15759.0,55
CPT,33917,PR RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT,23174.0,,1055.9852,19697.9,55
CPT,33920,PR RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT,27602.0,,1306.8232,23461.7,55
CPT,33922,PR TRANSECTION PULMONARY ARTERY W/CARD BYPASS,18540.0,,1005.8176,15759.0,55
CPT,33924,PR LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART,3711.0,,205.0956,3154.35,55
CPT,33925,PR RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS,15806.0,,1237.9612,15504.62,55
CPT,33926,PR RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS,22503.0,,1739.398,22075.16,55
CPT,33935,PR HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC,42293.0,,3541.2548,35949.05,50
CPT,33945,PR HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY,33400.0,,3172.32,28390.0,50
CPT,33946,PR ECMO/ECLS INITIATION VENO-VENOUS,3235.0,,222.5572,2911.5,55
CPT,33947,PR ECMO/ECLS INITIATION VENO-ARTERIAL,3412.0,,246.1644,3070.8,55
CPT,33948,PR ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS,2353.0,,171.1568,2117.7,55
CPT,33949,PR ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL,2288.0,,165.9956,2059.2,55
CPT,33951,PR ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ,4394.0,,318.8996,3954.6,51
CPT,33952,PR ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ,4051.0,,306.912,3645.9,55
CPT,33953,PR ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN,4913.0,,355.5708,4421.7,51
CPT,33954,PR ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN,4913.0,,341.3384,4421.7,55
CPT,33955,PR ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS,8623.0,,622.0488,7760.7,51
CPT,33956,PR ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER,8623.0,,600.0424,7760.7,55
CPT,33957,PR ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS,1894.0,,138.6624,1704.6,51
CPT,33958,PR ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER,1894.0,,132.0568,1704.6,55
CPT,33959,PR ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS,2412.0,,175.5912,2170.8,51
CPT,33962,PR ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER,2412.0,,167.2284,2170.8,55
CPT,33963,PR ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS,4852.0,,351.1732,4366.8,51
CPT,33964,PR ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER,5121.0,,353.142,4608.9,55
CPT,33965,PR ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS,1894.0,,138.6624,1704.6,51
CPT,33966,PR ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER,2428.0,,169.4364,2185.2,55
CPT,33967,HC IABP INSERT BALLOON PUMP,5250.0,,522.08,4515.0,84
CPT,33967,PR INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ,2253.0,,185.1776,1915.05,55
CPT,33968,PR REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ,308.0,,24.3432,261.8,55
CPT,33969,PR ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS,2815.0,,205.022,2533.5,51
CPT,33970,PR INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN,4277.0,,254.2788,4437.1,55
CPT,33971,PR RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF,7728.0,,485.17,6568.8,55
CPT,33973,PR INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA,6851.0,,359.7844,5823.35,55
CPT,33974,PR RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA,7210.0,,635.53,6128.5,55
CPT,33975,PR INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE,13597.0,,931.546,11557.45,55
CPT,33976,PR INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR,16326.0,,1133.9368,13877.1,55
CPT,33977,PR REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE,11950.0,,806.6192,10157.5,55
CPT,33978,PR REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR,14318.0,,954.1688,12170.3,55
CPT,33979,PR INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC,16860.0,,1395.3548,14331.0,55
CPT,33980,PR RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC,16056.0,,1278.5424,13647.6,55
CPT,33984,PR ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER,2945.0,,203.872,2650.5,55
CPT,33985,PR ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS,5332.0,,386.2988,4798.8,51
CPT,33986,PR ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER,5391.0,,376.0132,4851.9,55
CPT,33987,PR ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS,2179.0,,148.7824,1961.1,55
CPT,33988,PR INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS,8086.0,,555.7812,7277.4,55
CPT,33989,PR RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS,5121.0,,353.142,4608.9,55
CPT,33990,PR INSJ PERQ VAD W/RS&I L HRT ARTERIAL ACCESS ONLY,3633.0,,259.2008,3269.7,53
CPT,33991,PR INSJ PERQ VAD W/RS&I L HRT ARTERIAL&VEN ACCESS,5978.0,,326.3332,5380.2,55
CPT,33992,PR REMOVAL PERQ LEFT HRT VAD ARTL/ARTL&VEN SEP INSJ,1932.0,,134.5224,1738.8,53
CPT,33993,PR REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ,1719.0,,119.2688,1547.1,55
CPT,34001,"HC EMBOLECTOMY OR THROMBECTOMY W/WO CATH CRTD SUBCLA/INNOMINATE ART, NECK INCISION",11074.0,,1864.16,9523.64,84
CPT,34001,PR EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART,4369.0,,656.8524,4495.5,55
CPT,34051,PR EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY,4831.0,,718.336,4974.57,55
CPT,34101,"HC EMBOLECTOMY OR THROMBECTOMY W/WO CATH; AXILLARY, BRACHIAL, INNOMINATE, SUBCLAVIAN ARTERY",11074.0,,1210.52,9523.64,85
CPT,34101,PR EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART,3875.0,,430.1184,3855.0,55
CPT,34111,PR EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC,7245.0,,431.5904,7461.01,55
CPT,34151,PR EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART,7863.0,,973.51,7708.27,55
CPT,34201,"HC EMBOLECTOMY OR THROMBECTOMY W/WO CATH FEMOROPOPLITEAL, AORTOILLIAC ARTERY, LEG INCISION",11372.0,,2075.99,9779.92,85
CPT,34201,PR EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART,6195.0,,624.76,6423.86,55
CPT,34203,"HC EMBOLECTOMY OR THROMBECTOMY, W/WO CATH; POPLITEAL-TIBIO-PERONEAL ARTERY, LEG INCISION",11223.0,,1927.0,9651.78,85
CPT,34203,PR EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC,6612.0,,680.9564,5781.64,55
CPT,34401,PR THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC,8348.0,,690.31,7095.8,55
CPT,34421,"HC THROMBECTOMY DIRECT W/CATH VENA CAVA, ILIAC FEMOROPOPLITEAL VEIN LEG INCISION",12999.0,,1417.33,11179.14,85
CPT,34421,PR THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC,4390.0,,499.2196,4366.71,55
CPT,34451,PR THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL&LEG,8336.0,,851.92,7388.9,55
CPT,34471,PR THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC,4369.0,,431.74,4495.5,55
CPT,34490,"HC THROMBECTOMY, DIRECT W/CATH; AXILLARY & SUBCLAVIAN VEIN, ARM INCISION",12469.0,,1118.22,10723.34,85
CPT,34490,PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN,5256.0,,469.9544,4495.5,55
CPT,34501,PR VALVULOPLASTY FEMORAL VEIN,4057.0,,587.86,4176.1,55
CPT,34502,PR RECONSTRUCTION VENA CAVA ANY METHOD,11795.0,,1107.1372,11176.91,55
CPT,34510,PR VENOUS VALVE TRANSPOSITION ANY VEIN DONOR,4928.0,,711.89,5075.89,55
CPT,34520,PR CROSS-OVER VEIN GRAFT VENOUS SYSTEM,5178.0,,711.206,5331.75,55
CPT,34530,PR SAPHENOPOPLITEAL VEIN ANASTOMOSIS,4991.0,,676.7704,5139.43,55
CPT,34701,"HC EVASC RPR DPLMNT AORTO-AORTIC NDGF, S & I",29424.0,,2501.99,25304.64,84
CPT,34701,PR EVASC RPR DPLMNT AORTO-AORTIC NDGFT,13141.0,,887.2848,11826.9,55
CPT,34702,"HC EVASC RPR DPLMNT AORTO-AORTIC NDGFT RUPTURE, S & I",29424.0,,3745.16,25304.64,84
CPT,34702,PR EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT,20252.0,,1323.788,18226.8,55
CPT,34703,"HC EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT, S & I",29424.0,,2781.27,25304.64,84
CPT,34703,PR EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT,13761.0,,986.6356,12384.9,55
CPT,34704,"HC EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RUPTURE, S & I",29424.0,,4641.2,25304.64,84
CPT,34704,PR EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT,25313.0,,1641.5192,22781.7,55
CPT,34705,"HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT, S & I",29424.0,,3093.2,25304.64,84
CPT,34705,PR EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT,15885.0,,1094.3492,14296.5,55
CPT,34706,"HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RUPTURE, S & I",29424.0,,4617.81,25304.64,84
CPT,34706,PR EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT,24281.0,,1630.4516,21852.9,55
CPT,34707,"HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT, S & I",29424.0,,2351.22,25304.64,84
CPT,34707,PR EVASC RPR DPLMNT ILIO-ILIAC NDGFT,12973.0,,836.6204,11675.7,55
CPT,34708,"HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT RUPTURE, S & I",29424.0,,3703.17,25304.64,84
CPT,34708,PR EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT,21251.0,,1302.1496,19125.9,55
CPT,34709,HC PLACEMENT XTN PROSTH FOR ENDOVASCULAR REPAIR S & I,14437.0,,653.01,12415.82,84
CPT,34709,PR PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR,3492.0,,230.92,3142.8,55
CPT,34710,HC DLYD PLACEMENT XTN PROSTH FOR EVASC REPAIR 1ST VSL,14437.0,,1612.6,12415.82,84
CPT,34710,PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL,8097.0,,570.2896,7287.3,55
CPT,34711,HC DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL,9538.0,,597.65,8202.68,84
CPT,34711,PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL,3239.0,,210.5052,2915.1,55
CPT,34712,HC TRANSCATHETER DLVR ENHNCD FIXATION DEVICES ENDOGRAFT RS&I,15080.0,,1325.15,12968.8,84
CPT,34712,PR TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I,6988.0,,471.4264,6289.2,55
CPT,34713,HC PERQ ACCESS & CLOSURE FEML ART FOR DELIVERY NDGFT THRU LARGE SHEATH =>12 FRENCH,10742.0,,249.66,9238.12,84
CPT,34713,PR PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT,1345.0,,88.2832,1210.5,55
CPT,34714,"HC OPEN FEMORAL ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH, UNI",11225.0,,545.97,9653.5,84
CPT,34714,PR OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH,2726.0,,193.0436,2453.4,55
CPT,34715,HC OPEN AXILLARY/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI,10927.0,,606.58,9397.22,84
CPT,34715,PR OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI,3377.0,,214.4428,3039.3,55
CPT,34716,HC OPEN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ UNI,11225.0,,753.15,9653.5,84
CPT,34716,PR OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ,3864.0,,266.8276,3477.6,55
CPT,34717,HC EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,18271.0,,898.94,15713.06,84
CPT,34717,PR EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,4923.0,,316.7468,4430.7,55
CPT,34718,HC EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,18271.0,,2510.65,15713.06,84
CPT,34718,PR EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,13681.0,,885.0676,12312.9,55
CPT,34808,HC EV PLC ILIACART OCCL DVC,5233.0,,412.12,4500.38,84
CPT,34808,PR EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE,2327.0,,144.8448,2312.99,55
CPT,34812,HC OP FMA EXP DL EVP GRN UNI,8774.0,,418.59,7545.64,84
CPT,34812,PR OPN FEM ART EXPOS DLVR EVASC PROSTH UNI,2658.0,,147.3104,2764.61,55
CPT,34813,HC PLC FM-FM PGRFT EV AA RPR,5233.0,,477.58,4500.38,84
CPT,34813,PR PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR,2248.0,,168.7004,2312.99,55
CPT,34820,HC IA XP DLV EP/OCC EVTX UNI,13165.0,,685.37,11321.9,84
CPT,34820,PR OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI,3870.0,,240.7548,3983.78,55
CPT,34830,HC RP IAA+RP ARTRM-F EVR TBP,25119.0,,3592.35,21602.34,84
CPT,34830,PR OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH,10292.0,,1263.5372,10599.96,55
CPT,34831,HC RPIAA+RP ARTRM-F EVR ABIP,25119.0,,3924.74,21602.34,84
CPT,34831,PR OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH,11538.0,,1381.5824,11882.66,55
CPT,34832,HC RPIAA+RP ARTRM-F EVR ABFP,25119.0,,3862.66,21602.34,84
CPT,34832,PR OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH,11538.0,,1357.9752,11882.66,55
CPT,34833,"HC OPEN ILIAC ART EXPOS W/CRTJ CONDUIT, UNI",15208.0,,800.11,13078.88,84
CPT,34833,PR OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP,4208.0,,280.6,3787.2,55
CPT,34834,"HC OPEN BRACH ART EXPOS DPLMNT AORTIC/ILIAC PROSTHESIS, UNI",5233.0,,262.98,4500.38,84
CPT,34834,PR OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI,2080.0,,92.7084,1872.0,55
CPT,34841,HC ENDOVASCULAR VISCERAL AORTA REPAIR W/FENEST ENDOGRAFT S&I; INCL 1 VIS ART ENDOPROSTHESIS,18711.0,,2925.25,16091.46,84
CPT,34845,HC ENDOVAS VIS AOR REPAIR & INFRARENAL ABDOM AORTA W/FENEST ENDOGRAFT S&I;  INCL 1 VIS ART ENDO,18711.0,,3982.1,16091.46,84
CPT,35001,PR DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY,8152.0,,809.0756,8393.42,55
CPT,35002,PR DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY,8420.0,,816.9508,8671.6,55
CPT,35005,PR DIR RPR ANEURYSM VERTEBRAL ARTERY,8420.0,,715.6312,8671.6,55
CPT,35011,PR DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION,6424.0,,727.1864,6681.43,55
CPT,35013,PR DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS,6811.0,,913.8452,7066.06,55
CPT,35021,PR DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY,8751.0,,909.6592,8704.22,55
CPT,35022,PR DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN,7798.0,,1039.508,8029.39,55
CPT,35045,PR DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY,5875.0,,699.154,6047.79,55
CPT,35081,HC DIR RPR ANEURYSM ABDOMINAL AORTA,12985.0,,3518.95,11167.1,84
CPT,35081,PR DIR RPR ANEURYSM ABDOMINAL AORTA,10267.0,,1241.6504,10277.14,55
CPT,35082,PR DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA,13927.0,,1551.5156,11837.95,55
CPT,35091,PR DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS,11476.0,,1276.5736,11819.13,55
CPT,35092,PR DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS,12476.0,,1852.7696,12847.7,55
CPT,35102,PR DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS,10263.0,,1345.6748,10569.05,55
CPT,35103,PR DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS,10292.0,,1593.3204,10599.96,55
CPT,35111,PR DIR RPR ANEURYSM SPLENIC ARTERY,6762.0,,953.6812,6963.04,55
CPT,35112,PR DIR RPR RUPTD ANEURYSM SPLENIC ARTERY,7174.0,,972.02,7388.9,55
CPT,35121,PR DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC,8694.0,,1133.2008,8953.2,55
CPT,35122,PR DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN,8420.0,,1354.5344,8671.6,55
CPT,35131,PR DIR RPR ANEURYSM & GRAFT ILIAC ARTERY,8420.0,,989.3404,8671.6,55
CPT,35132,PR DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY,8734.0,,1171.8132,8992.7,55
CPT,35141,HC DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY,12985.0,,2220.31,11167.1,84
CPT,35141,PR DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY,7676.0,,785.22,7388.9,55
CPT,35142,PR DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART,7174.0,,948.2716,7388.9,55
CPT,35151,PR DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY,8407.0,,889.4928,7388.9,55
CPT,35152,PR DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY,7174.0,,864.92,7388.9,55
CPT,35180,PR REPAIR CONGENITAL AV FISTULA HEAD & NECK,7486.0,,564.144,7708.27,55
CPT,35182,PR REPAIR CONGENITAL AV FISTULA THORAX & ABDOMEN,6864.0,,923.49,7066.06,55
CPT,35184,PR REPAIR CONGENITAL AV FISTULA EXTREMITIES,7486.0,,692.76,7708.27,55
CPT,35188,PR RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD & NECK,7245.0,,741.9,7461.01,55
CPT,35189,PR RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX&ABDOMEN,6864.0,,991.6,7066.06,55
CPT,35190,PR RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES,7245.0,,551.1076,7461.01,55
CPT,35201,PR REPAIR BLOOD VESSEL DIRECT NECK,8371.0,,674.8016,7708.27,55
CPT,35206,HC REPAIR BLOOD VESSEL DIRECT; UPR EXTREM,11881.0,,1606.22,10217.66,85
CPT,35206,PR REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY,6267.0,,568.3208,6231.53,55
CPT,35207,PR REPAIR BLOOD VESSEL DIRECT HAND FINGER,11821.0,,558.486,10047.85,55
CPT,35211,PR RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS,10292.0,,1002.616,10599.96,55
CPT,35216,PR RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS,12654.0,,974.78,10755.9,55
CPT,35221,HC REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL,11881.0,,3003.59,10217.66,84
CPT,35221,PR REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL,9126.0,,924.94,8992.7,55
CPT,35226,PR REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY,5685.0,,599.3064,5912.14,55
CPT,35231,PR REPAIR BLOOD VESSEL W/VEIN GRAFT NECK,8813.0,,893.59,8348.77,55
CPT,35236,PR REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY,8028.0,,718.5844,8348.77,55
CPT,35241,PR RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP,11538.0,,1035.5704,11882.66,55
CPT,35246,PR RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP,8715.0,,1126.0708,8671.6,55
CPT,35251,PR REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL,9287.0,,894.92,8671.6,55
CPT,35256,HC REPAIR BLOOD VESSEL W/ VEIN GRAFT LOWER EXTREMITY,11621.0,,2054.41,9994.06,85
CPT,35256,PR REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY,8392.0,,734.3164,8348.77,55
CPT,35261,PR REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK,10261.0,,703.8276,8721.85,55
CPT,35266,HC RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY,11850.0,,1758.39,10191.0,85
CPT,35266,PR RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY,8049.0,,620.2088,8348.77,55
CPT,35271,PR RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP,11538.0,,1000.408,11882.66,55
CPT,35276,PR RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP,8715.0,,988.1,8671.6,55
CPT,35281,PR RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL,9153.0,,1167.8756,8671.6,55
CPT,35286,HC RPR BLDVS WGFT OTVN LWEXT,16020.0,,1882.62,13777.2,85
CPT,35286,PR RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY,8028.0,,668.9044,8348.77,55
CPT,35301,PR TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC,8125.0,,811.7804,8082.61,55
CPT,35302,HC THROMBOENDARTERECTOMY W/GRAFT SUPERFICIAL FEMORAL ARTERY,16020.0,,2270.19,13777.2,84
CPT,35302,PR TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY,10762.0,,803.666,11192.13,55
CPT,35303,PR TEAEC W/GRAFT POPLITEAL ARTERY,12619.0,,888.2692,12376.95,55
CPT,35304,PR TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY,13156.0,,912.364,12903.14,55
CPT,35305,PR TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL,12619.0,,877.9376,12376.95,55
CPT,35306,PR TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART,4965.0,,318.9548,4868.12,55
CPT,35311,PR TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC,8107.0,,1119.4284,8348.77,55
CPT,35321,PR TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL,7772.0,,644.3128,8082.61,55
CPT,35331,PR TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA,9362.0,,1049.0944,9313.81,55
CPT,35341,PR TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL,8758.0,,992.5328,7708.27,55
CPT,35351,PR TEAEC W/WO PATCH GRAFT ILIAC,8445.0,,921.7112,7708.27,55
CPT,35355,HC THRMBENDARTRCTRMY PGF IFM,16020.0,,2090.0,13777.2,84
CPT,35355,PR TEAEC W/WO PATCH GRAFT ILIOFEMORAL,7772.0,,738.0056,8082.61,55
CPT,35361,PR TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC,9045.0,,1091.6444,9313.81,55
CPT,35363,PR TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL,11347.0,,1163.6988,10277.14,55
CPT,35371,HC THRMBENDARTRCTRMY PGF CFM,13165.0,,1653.88,11321.9,84
CPT,35371,PR TEAEC W/WO PATCH GRAFT COMMON FEMORAL,6248.0,,585.534,6216.07,55
CPT,35372,HC THRMBENDARTRCTRMY PGF DFM,16020.0,,1983.32,13777.2,85
CPT,35372,PR TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL,6177.0,,700.626,6423.86,55
CPT,35390,PR ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO,1382.0,,113.6108,1361.7,55
CPT,35400,PR ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ,1267.0,,105.4964,1313.61,55
CPT,35500,PR HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX,3466.0,,227.2308,3604.29,55
CPT,35501,PR BYPASS W/VEIN COMMON-IPSILATERAL CAROTID,8573.0,,1045.902,8827.87,55
CPT,35506,PR BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID,8573.0,,913.3484,8827.87,55
CPT,35508,PR BYPASS W/VEIN CAROTID-VERTEBRAL,9644.0,,952.9452,9931.98,55
CPT,35509,PR BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID,8573.0,,1011.7148,8827.87,55
CPT,35510,PR BYPASS W/VEIN CAROTID-BRACHIAL,9921.0,,881.6268,9731.33,55
CPT,35511,PR BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN,8573.0,,803.1784,8827.87,55
CPT,35512,PR BYPASS W/VEIN SUBCLAVIAN-BRACHIAL,9921.0,,863.9168,9731.33,55
CPT,35515,PR BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL,9644.0,,952.9452,9931.98,55
CPT,35516,PR BYPASS W/VEIN SUBCLAVIAN-AXILLARY,8573.0,,874.736,8827.87,55
CPT,35518,PR BYPASS W/VEIN AXILLARY-AXILLARY,9999.0,,819.1588,10299.46,55
CPT,35521,PR BYPASS W/VEIN AXILLARY-FEMORAL,8573.0,,881.13,8827.87,55
CPT,35522,PR BYPASS W/VEIN AXILLARY-BRACHIAL,9630.0,,838.5892,8981.91,55
CPT,35523,PR BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL,12861.0,,909.4108,12614.91,55
CPT,35525,PR BYPASS W/VEIN BRACHIAL-BRACHIAL,9158.0,,813.2616,8981.91,55
CPT,35526,PR BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE,9501.0,,1098.46,9784.32,55
CPT,35531,PR BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC,9857.0,,1397.3236,10151.78,55
CPT,35533,PR BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL,12501.0,,1080.5768,12875.18,55
CPT,35535,PR BYPASS W/VEIN HEPATORENAL,20359.0,,1363.6332,18323.1,55
CPT,35536,PR BYPASS W/VEIN SPLENORENAL,9501.0,,1211.8976,9784.32,55
CPT,35537,PR BYPASS W/VEIN AORTOILIAC,22394.0,,1492.7368,21968.45,55
CPT,35538,PR BYPASS W/VEIN AORTOBI-ILIAC,25114.0,,1673.0016,24636.17,55
CPT,35539,PR BYPASS W/VEIN AORTOFEMORAL,23591.0,,1569.7132,23142.25,55
CPT,35540,PR BYPASS W/VEIN AORTOBIFEMORAL,26390.0,,1749.7296,25888.46,55
CPT,35556,PR BYPASS W/VEIN FEMORAL-POPLITEAL,9197.0,,999.9112,9564.51,55
CPT,35558,PR BYPASS W/VEIN FEMORAL-FEMORAL,8573.0,,885.316,8827.87,55
CPT,35560,PR BYPASS W/VEIN AORTORENAL,10715.0,,1221.7324,11034.4,55
CPT,35563,PR BYPASS W/VEIN ILIOILIAC,8930.0,,778.48,9197.05,55
CPT,35565,PR BYPASS W/VEIN ILIOFEMORAL,8930.0,,939.6604,9197.05,55
CPT,35566,PR BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL,10636.0,,1191.9796,11034.4,55
CPT,35570,PR BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL,15539.0,,1056.2244,13985.1,55
CPT,35571,PR BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL,10636.0,,949.4952,11034.4,55
CPT,35572,PR HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX,3598.0,,245.6768,3238.2,55
CPT,35583,PR IN-SITU VEIN BYPASS FEMORAL-POPLITEAL,9692.0,,1035.322,10079.66,55
CPT,35585,PR IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART,11744.0,,1196.8924,11549.54,55
CPT,35587,PR IN-SITU VEIN BYP POP-TIBL PRONEAL,8930.0,,979.0088,9197.05,55
CPT,35600,PR OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB,3821.0,,133.2896,3973.47,55
CPT,35601,PR BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD,8504.0,,1006.5536,8462.11,55
CPT,35606,PR BPG OTH/THN VEIN CAROTID-SUBCLAVIAN,8216.0,,842.2784,8462.11,55
CPT,35612,PR BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN,8216.0,,750.5452,8462.11,55
CPT,35616,PR BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY,8216.0,,790.142,8462.11,55
CPT,35621,PR BPG OTH/THN VEIN AXILLARY-FEMORAL,8874.0,,787.6856,8827.87,55
CPT,35623,PR BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL,11144.0,,821.52,11477.41,55
CPT,35626,PR BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID,10435.0,,1144.756,9049.37,55
CPT,35631,PR BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL,12921.0,,1325.2692,10982.85,55
CPT,35632,PR BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC,19289.0,,1294.2836,17360.1,55
CPT,35633,PR BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC,20886.0,,1421.1792,18797.4,55
CPT,35634,PR BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL,18860.0,,1266.9872,16974.0,55
CPT,35636,PR BPG OTH/THN VEIN SPLENORENAL,8788.0,,1143.7808,9049.37,55
CPT,35637,PR BPG OTH/THN VEIN AORTOILIAC,17659.0,,1188.778,17322.34,55
CPT,35638,PR BPG OTH/THN VEIN AORTOBI-ILIAC,17954.0,,1244.6036,17611.81,55
CPT,35642,PR BPG OTH/THN VEIN CAROTID-VERTEBRAL,8930.0,,709.9732,9197.05,55
CPT,35645,PR BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL,8930.0,,680.2204,9197.05,55
CPT,35646,PR BPG OTH/THN VEIN AORTOBIFEMORAL,12341.0,,1223.2136,12803.06,55
CPT,35647,PR BPG OTH/THN VEIN AORTOFEMORAL,10571.0,,1113.0344,10519.25,55
CPT,35650,PR BPG OTH/THN VEIN AXILLARY-AXILLARY,8930.0,,733.0928,9197.05,55
CPT,35654,PR BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL,11330.0,,978.0244,9630.5,55
CPT,35656,"HC  BYPASS GRAFT OTH/THN VEIN, FEMORAL-POPLITEAL",9363.0,,2178.31,8052.18,84
CPT,35656,PR BPG OTH/THN VEIN FEMORAL-POPLITEAL,8930.0,,771.2084,9197.05,55
CPT,35661,HC BYPASS GRAFT OTH/THN VEIN FEMORAL-FEMORAL,9363.0,,2197.23,8052.18,84
CPT,35661,PR BPG OTH/THN VEIN FEMORAL-FEMORAL,8488.0,,778.09,8827.87,55
CPT,35663,PR BPG OTH/THN VEIN ILIOILIAC,9390.0,,874.0,9343.01,55
CPT,35665,PR BPG OTH/THN VEIN ILIOFEMORAL,7840.0,,842.03,6664.0,55
CPT,35666,HC ART BYPASS FEM-ANT-POST TIBIAL/PERONEAL,12631.0,,2609.62,10862.66,84
CPT,35666,PR BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART,8887.0,,925.888,9197.05,55
CPT,35671,PR BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART,10715.0,,815.9664,11034.4,55
CPT,35681,PR BYPASS COMPOSITE GRAFT PROSTHETIC & VEIN,1559.0,,57.0492,1620.98,55
CPT,35682,PR BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS,3314.0,,251.8224,3410.26,55
CPT,35683,PR BYP AUTOG COMPOSIT 3/> SEG FROM 2/> LOCATION,3805.0,,292.6428,3915.1,55
CPT,35685,PR PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT,2146.0,,141.6524,2208.26,55
CPT,35686,PR CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO,2493.0,,114.8436,2280.38,55
CPT,35691,PR TRPOS&/RIMPLTJ VERTEBRAL CAROTID ART,8573.0,,679.7236,8827.87,55
CPT,35693,PR TRPOS&/RIMPLTJ VERTEBRAL SUBCLAVIAN ART,8573.0,,600.7876,8827.87,55
CPT,35694,PR TRPOS&/RIMPLTJ SUBCLAVIAN CAROTID ART,8573.0,,709.4764,8827.87,55
CPT,35695,PR TRPOS&/RIMPLTJ CAROTID SUBCLAVIAN ART,8573.0,,736.5336,8827.87,55
CPT,35697,PR RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART,4330.0,,105.0088,4491.57,55
CPT,35700,HC REOPERATION BYPASS GRAFT,10287.0,,307.95,8846.82,84
CPT,35700,PR ROPRTJ > 1 MO AFTER ORIGINAL OPRATION,1636.0,,108.4496,1701.7,55
CPT,35701,PR EXPLORATION N/FLWD SURG NECK ARTERY,4157.0,,321.172,4193.28,55
CPT,35702,PR EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY,3923.0,,298.0524,3530.7,55
CPT,35703,PR EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY,3972.0,,301.0056,3574.8,55
CPT,35800,PR EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK,4070.0,,413.64,4047.31,55
CPT,35820,PR EXPL PO HEMRRG THROMBOSIS/INFCTJ CH,11140.0,,687.97,9469.0,55
CPT,35840,PR EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD,4646.0,,575.96,4783.98,55
CPT,35860,PR EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR,3920.0,,395.34,3897.92,55
CPT,35870,PR RPR GRF-ENTERIC FSTL,12857.0,,895.8868,13242.65,55
CPT,35875,PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL,4493.0,,426.1808,4672.37,55
CPT,35876,PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF,6804.0,,676.7704,5783.4,55
CPT,35879,PR REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP,10715.0,,662.262,11034.4,55
CPT,35881,PR REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS,11144.0,,735.0524,11477.41,55
CPT,35883,PR REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF,12378.0,,859.2432,12140.24,53
CPT,35884,PR REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF,13181.0,,888.5084,12928.89,55
CPT,35901,PR EXCISION INFECTED NECK GRAFT,4438.0,,343.3072,4413.07,55
CPT,35903,PR EXCISION INFECTED GRAFT EXTREMITY,4365.0,,407.9832,4413.07,55
CPT,35905,PR EXCISION INFECTED GRAFT THORAX,9520.0,,821.12,8092.0,55
CPT,35907,PR EXCISION INFECTED GRAFT ABDOMEN,14258.0,,851.77,12119.3,55
CPT,36000,PR INTRODUCTION NEEDLE/INTRACATHETER VEIN,251.0,,6.6424,261.0,48
CPT,36002,HC INJ PRC TX EXT PSDOANEURY,1971.0,,223.75,1695.06,84
CPT,36002,PR INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM,1087.0,,75.256,923.95,53
CPT,36005,HC VENOGRAM,2955.0,,827.4,2541.3,83
CPT,36005,PR NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,743.0,,34.6748,1294.24,53
CPT,36010,HC INTRO CATH  SUP VENA CAVA,3412.0,,217.04,2934.32,84
CPT,36010,PR INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA,1323.0,,77.7124,1313.61,55
CPT,36011,HC SEL VENOUS 1ST ORDER,3848.0,,310.11,3309.28,84
CPT,36011,PR SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,1762.0,,112.1388,1497.7,55
CPT,36012,HC SEL VENOUS 2ND ORDER,4592.0,,345.32,3949.12,84
CPT,36012,PR SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,1890.0,,123.9424,1751.49,55
CPT,36013,HC INTRO CTH RTHRT/MN PULART,9233.0,,248.31,7940.38,84
CPT,36013,PR INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,1405.0,,89.7644,1461.3,55
CPT,36014,HC SELCTHPLC LT/RT PULM ART,5049.0,,299.93,4342.14,84
CPT,36014,PR SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,1684.0,,108.698,1751.49,55
CPT,36015,HC SLCTHPLC SGMT/SBSG PLMART,5264.0,,336.74,4527.04,84
CPT,36015,PR SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART,1965.0,,122.4704,2043.4,55
CPT,36100,HC INTR ND/ITRCTH CTD/VTBART,3181.0,,309.06,2735.66,84
CPT,36100,PR INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY,1674.0,,110.6668,1605.54,55
CPT,36140,HC INTRO NEEDLE OR INTRACATHER UPPER/LOWER EXTREMITY ARTERY,3023.0,,178.83,2599.78,84
CPT,36140,PR INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,1057.0,,63.94,1095.54,55
CPT,36160,PR INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR,1760.0,,88.5316,1825.33,55
CPT,36200,HC INTRO CATH AORTA,4367.0,,281.16,3755.62,84
CPT,36200,PR INTRODUCTION CATHETER AORTA,1578.0,,99.5992,1641.6,55
CPT,36215,HC CATH PLAC EA1ST THOR/BRAC,4007.0,,420.3,3446.02,84
CPT,36215,PR SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH,3087.0,,152.4716,2623.95,55
CPT,36216,HC SEL THORAC BRACH/CEP 2ND,6289.0,,547.74,5408.54,84
CPT,36216,PR SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH,2583.0,,194.2764,2263.2,55
CPT,36217,HC SEL THORAC BRACH/CEP 3RD,6511.0,,675.21,5599.46,84
CPT,36217,PR SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH,3553.0,,237.5624,3020.05,55
CPT,36218,HC SEL THORAC BRACH/CEP >3,3887.0,,105.81,3342.82,84
CPT,36218,PR SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH,561.0,,37.3796,583.83,55
CPT,36221,HC NSCP TA ANGECC/V/ICV RS&I,7521.0,,404.17,6468.06,85
CPT,36221,PR NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART,2100.0,,143.1244,1890.0,55
CPT,36222,HC S/I  COM EXTR CAROT W/ANG,8900.0,,582.34,7654.0,85
CPT,36222,PR SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART,2964.0,,205.344,2667.6,55
CPT,36223,HC S/I INTR CAROT W/ANG EXTR,8900.0,,676.3,7654.0,85
CPT,36223,PR SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,3000.0,,236.578,2700.0,55
CPT,36224,HC S/I INIT INTR CAROTID,5689.0,,761.34,6537.7615,85
CPT,36224,PR SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART,3388.0,,266.3308,3049.2,55
CPT,36225,HC S/I SUBCLAVIAN VERTABRAL,7216.0,,670.87,6205.76,85
CPT,36225,PR SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,3000.0,,234.3608,2700.0,55
CPT,36226,HC S/I VERTABRAL,7216.0,,756.02,6537.7615,85
CPT,36226,PR SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY,5984.0,,264.6104,5385.6,55
CPT,36227,HC S/I EXTR CAROTID W/ANGIO,7628.0,,249.51,6560.08,84
CPT,36227,PR SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,1193.0,,87.0596,1073.7,55
CPT,36228,HC S/I INTRA BRANCH W/ANGIO,1908.0,,515.92,1640.88,84
CPT,36228,PR SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT,2405.0,,178.5352,2164.5,55
CPT,36245,HC SEL ABD PEL EXTREM RENALS,4444.0,,469.99,3821.84,84
CPT,36245,PR SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,2324.0,,168.9488,1975.4,55
CPT,36246,HC SEL ABD PEL EXTR RENAL 2,5265.0,,508.09,4527.9,84
CPT,36246,PR SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH,2383.0,,180.2556,2043.4,55
CPT,36247,HC SCP AR IN3RD+ A/PV/LXTABR,6164.0,,593.28,5301.04,84
CPT,36247,PR SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,3155.0,,213.9552,2681.75,55
CPT,36248,HC SEL ABD PEL EXTR REN >3,3589.0,,94.4,3086.54,84
CPT,36248,PR SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,584.0,,34.6748,496.4,55
CPT,36251,HC S/I 1ST RENAL UNILATERAL,7864.0,,510.18,6763.04,85
CPT,36251,PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN,3057.0,,183.9448,2751.3,55
CPT,36252,HC RNL ANG SELCTHPLC BILRS&I,7864.0,,718.35,6763.04,85
CPT,36252,PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL,3628.0,,255.76,3265.2,55
CPT,36253,HC S/I 1-2+ RENAL UNILATERAL,7864.0,,693.72,6763.04,85
CPT,36253,PR SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I,4046.0,,253.0552,3641.4,55
CPT,36254,HC S/I 1-2+ RENAL BILATERAL,7734.0,,837.08,6651.24,85
CPT,36254,PR SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I,4123.0,,297.5648,3710.7,55
CPT,36260,PR INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM,4253.0,,482.9908,4378.73,55
CPT,36261,PR REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP,2128.0,,247.72,2189.36,55
CPT,36262,PR REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP,1775.0,,195.67,1825.33,55
CPT,36299,PR VASCULAR INJECTION PROCEDURE,455.0,,273.0,3468.64,28
CPT,36400,PR VNPNXR <3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN,188.0,,8.52,175.14,51
CPT,36405,PR VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN,259.0,,11.0585,262.73,51
CPT,36406,PR VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN,190.0,,6.664,194.04,51
CPT,36410,HC DIFF INTRAV ACCESS >3YRS,270.0,,18.11,232.2,84
CPT,36410,PR VNPNXR 3 YEARS/> PHYS/QHP SKILL DX/THER PURPOSES,187.0,,6.6424,158.95,55
CPT,36415,HC CONFIRM TYPE-BLOOD SAMPLE,1602.0,,11.3625,1377.72,84
CPT,36415,HC PRECOLL/ADDL BLOOD SAMPLE,1602.0,,11.3625,1377.72,84
CPT,36415,HC ROUTINE VENIPUNCTURE,57.0,,11.3625,49.02,82
CPT,36420,PR VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR,360.0,,36.4044,367.46,51
CPT,36425,PR VENIPUNCTURE CUTDOWN AGE 1 YR/>,405.0,,25.14,344.25,55
CPT,36430,HC BLOOD ADMINISTRATION,1492.0,,30.73,1283.12,85
CPT,36430,HC TRANSFUSE BLD/BLD COMP (ANESTH),1492.0,,30.73,1283.12,85
CPT,36430,PR TRANSFUSION BLOOD/BLOOD COMPONENTS,274.0,,28.7684,285.06,50
CPT,36440,PR PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER,583.0,,36.601,497.97,51
CPT,36450,PR BLOOD EXCHANGE TRANSFUSION NEWBORN,1760.0,,124.9585,1773.81,51
CPT,36455,HC EXCHG TRANSFS BLD NOT NB,1467.0,,164.3,1261.62,85
CPT,36455,PR BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN,1760.0,,90.7488,1773.81,55
CPT,36460,PR TRANSFUSION INTRAUTERINE FETAL,3518.0,,251.574,3547.64,55
CPT,36468,HC INJ S/M SCLR SLN SPV L/TK,627.0,,175.56,539.22,85
CPT,36468,PR INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK,286.0,,26.53,243.1,40
CPT,36470,HC INJECTION SCLEROSANT SINGLE INCOMPETENT VEIN,2886.0,,70.6,2481.96,85
CPT,36470,PR INJECTION SCLEROSANT SINGLE INCMPTNT VEIN,434.0,,28.0324,368.9,55
CPT,36471,"HC INJECT SCLEROSANT, MULT INCOMPETENT VEIN",2886.0,,116.28,2481.96,85
CPT,36471,PR INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS,749.0,,54.8412,638.77,55
CPT,36473,PR ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN,3793.0,,130.088,3413.7,55
CPT,36474,PR ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS,953.0,,64.676,857.7,55
CPT,36475,HC EVABL IPV XT G PRF 1ST VN,8774.0,,560.97,7545.64,85
CPT,36475,PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,7532.0,,199.9344,6778.8,55
CPT,36476,HC EVA IPV XT 2&SQV SRF EAAC,6139.0,,268.77,5279.54,84
CPT,36476,PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS,1427.0,,96.3976,1284.3,55
CPT,36478,PR ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN,3843.0,,199.686,3843.27,55
CPT,36479,HC EVABL IV XT LSR2+VN SE SA,5498.0,,273.69,4728.28,84
CPT,36479,PR ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS,2343.0,,97.382,2108.7,55
CPT,36481,HC PRC PRTL VN CATH ANY MTHD,7157.0,,636.62,6155.02,84
CPT,36481,PR PRQ PORTAL VEIN CATHETERIZATION ANY METHOD,3503.0,,234.3608,3121.78,55
CPT,36500,HC VNS CTH SL ORGAN BLD SMPL,4592.0,,364.75,3949.12,84
CPT,36500,PR VEN CATHJ SLCTV ORGAN BLD SAMPLING,1314.0,,105.72,1136.75,55
CPT,36510,PR CATHJ UMBILICAL VEIN DX/THER NB,531.0,,39.27,534.04,51
CPT,36511,HC THERAP APHERESIS FOR WBC,4411.0,,216.96,3793.46,85
CPT,36511,PR THERAPEUTIC APHERESIS WHITE BLOOD CELLS,1179.0,,79.1844,1061.1,55
CPT,36512,HC THERAP APHERESIS FOR RBC,4411.0,,206.35,3793.46,85
CPT,36512,PR THERAPEUTIC APHERESIS RED BLOOD CELLS,562.0,,74.5875,505.8,55
CPT,36513,HC THERAP APHERESIS FR PLATE,4411.0,,164.3,3793.46,85
CPT,36513,PR THERAPEUTIC APHERESIS PLATELETS,1264.0,,76.728,1137.6,55
CPT,36514,HC THERAP APHER FR PLAS PHER,4411.0,,183.07,3793.46,85
CPT,36514,PR THERAPEUTIC APHERESIS PLASMA PHERESIS,975.0,,67.3808,877.5,55
CPT,36516,PR THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,1099.0,,61.7228,989.1,55
CPT,36522,HC PHOTOPHER-LEUK W/UV,13598.0,,186.77,11694.28,85
CPT,36522,PR PHOTOPHERESIS EXTRACORPOREAL,1484.0,,68.1105,1347.97,55
CPT,36555,HC INSERT NON-TUN CVC <5YRS,3599.0,,1007.72,3709.7505,84
CPT,36555,PR INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,2322.0,,64.2988,2415.05,51
CPT,36556,HC INS NON-TUN CVC 5 YRS/>,3779.0,,168.3,3709.7505,85
CPT,36556,PR INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>,1990.0,,60.9868,2069.17,55
CPT,36557,HC INS TN CVC WO PRT/PMP<5YR,4935.0,,1381.8,6537.7615,84
CPT,36557,PR INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR,4734.0,,245.824,4484.21,51
CPT,36558,HC INS TN CVC WO PRT/PM 5YR+,4935.0,,513.48,4244.1,85
CPT,36558,PR INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>,4222.0,,188.1308,4138.33,55
CPT,36560,HC INSERTION TUNNELED CENTRAL VENOUS CATH W/SUBCUTANEOUS PORT< 5 YRS AGE,9776.0,,1118.22,8407.36,84
CPT,36560,PR INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR,5322.0,,294.8876,4523.7,51
CPT,36561,HC INS TN CVAD W SCPRT 5YRS+,8774.0,,663.7,7545.64,85
CPT,36561,PR INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,3392.0,,241.2516,3225.79,55
CPT,36563,HC INS TN CVAD W SUBCU PUMP,8774.0,,729.77,7545.64,85
CPT,36563,PR INSJ TUNNELED CTR VAD W/SUBQ PUMP,4828.0,,265.3464,4103.8,55
CPT,36565,HC INS TN CVAD 2C/2AS WOSCPP,8921.0,,682.29,7672.06,85
CPT,36565,PR INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP,3103.0,,243.708,3227.01,55
CPT,36566,HC INS TN CVAD 2C/2AS W/SCP,8774.0,,716.11,7545.64,85
CPT,36566,PR INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT,4956.0,,259.2008,4212.6,55
CPT,36568,"HC INSERT PICC W/O SUBQ PORT/PMP & IMG GUIDANCE, < 5YRS",3475.0,,446.27,2988.5,84
CPT,36568,PR INSERTION PICC W/O IMG GDN < 5 YR,1995.0,,69.9752,2069.17,51
CPT,36569,"HC INSERT PICC W/O SUBQ PORT/PMP & IMG GUIDANCE, = OR > 5YRS",3623.0,,189.38,3115.78,85
CPT,36569,PR INSERTION PICC W/O IMG GDN 5 YR/>,1658.0,,67.6292,1724.5,55
CPT,36570,HC INSERT PICD W/PORT <5YRS,6289.0,,1118.22,5408.54,84
CPT,36570,PR INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR,2917.0,,255.3736,2860.28,51
CPT,36571,HC INS PICC W/ PORT 5YRS>,6604.0,,632.19,5679.44,85
CPT,36571,PR INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,3286.0,,227.2308,2850.47,55
CPT,36572,"HC INSERT PICC W/O SUBQ PORT/PMP, IMG GUIDANCE, RS&I < 5YRS",4135.0,,223.75,3556.1,84
CPT,36572,PR INSERTION PICC W/RS&I < 5 YR,1025.0,,61.456,922.5,51
CPT,36573,"HC INSERT PICC W/O SUBQ PORT/PMP & IMG GUIDANCE, RS&I = OR > 5YRS",4418.0,,163.46,3799.48,85
CPT,36573,PR INSERTION PICC W/RS&I 5 YR/>,958.0,,60.7384,862.2,55
CPT,36575,HC RPR TUN/NON CVAD W/O PORT,1771.0,,65.69,1523.06,85
CPT,36575,PR RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,372.0,,24.104,360.61,55
CPT,36576,HC RPR CVAD W/PT/PMP C/P INS,2660.0,,368.23,2287.6,85
CPT,36576,PR RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,1760.0,,133.2896,1724.5,55
CPT,36578,HC RPLCMT CATH CTR VAD SUBQ PORT/PMP,3324.0,,410.25,3709.7505,85
CPT,36578,PR RPLCMT CATH CTR VAD SUBQ PORT/PMP,3316.0,,148.0464,3449.02,55
CPT,36580,HC REPL NON-TUN CVC W/O PT,3142.0,,128.91,2702.12,85
CPT,36580,PR RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP,1658.0,,47.4628,1724.5,55
CPT,36581,HC REPL TUN CVC W/O PORT,6033.0,,361.24,5188.38,85
CPT,36581,PR RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP,3325.0,,132.3052,3449.02,55
CPT,36582,HC REPL TUN CVC W/PORT,6562.0,,574.5,5643.32,85
CPT,36582,PR RPLCMT COMPL TUN CTR VAD W/SUBQ PORT,3308.0,,208.2972,2811.8,55
CPT,36583,HC REPL TNCVAD W/PMP SM VACC,7772.0,,673.75,6683.92,85
CPT,36583,PR RPLCMT COMPL TUN CTR VAD W/SUBQ PMP,2881.0,,240.2672,2823.48,55
CPT,36584,"HC RPLCMT COMPL PRPH CVC W/O SUBQ PORT/PMP, INCL IMG GUI, RS & I",3393.0,,114.59,2917.98,85
CPT,36584,PR COMPLETE REPLACEMENT PICC RS&I,1327.0,,42.3016,1379.85,55
CPT,36585,PR RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT,2976.0,,204.3596,2580.63,55
CPT,36589,HC REM TUNN CVC W/O PORT,1943.0,,223.75,1670.98,85
CPT,36589,PR RMVL TUN CVC W/O SUBQ PORT/PMP,1251.0,,99.3508,1111.24,55
CPT,36590,HC REM TUNN CVAD W/PORT,2991.0,,379.81,2572.26,85
CPT,36590,PR RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,1915.0,,138.2116,1724.5,55
CPT,36591,HC CENTRAL VENOUS ACCESS IMPLANTABLE PORT/DEVICE,118.0,,33.04,156.3195,85
CPT,36592,HC CENT/PERI CATH VENOUS COL,97.0,,27.16,156.3195,85
CPT,36593,HC DECLOT VENOUS ACC DEV,1043.0,,26.3,896.98,85
CPT,36593,PR DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH,995.0,,24.3432,1035.2,50
CPT,36595,HC MECHANICAL REMOVAL TUNNELED CENTRAL VENOUS CATH,9429.0,,355.67,8108.94,85
CPT,36595,PR MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS,2205.0,,130.088,1934.25,55
CPT,36596,HC MECH RMV ILMN OBSTMT CVD,2807.0,,89.43,2414.02,85
CPT,36596,PR MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN,995.0,,31.97,1035.2,55
CPT,36597,HC REPO VENOUS CATH GUIDE,3337.0,,118.61,2869.82,85
CPT,36597,PR RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE,796.0,,44.022,827.91,55
CPT,36598,HC CONTRAST INJ EXISTING CVC,617.0,,69.62,530.62,85
CPT,36598,PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,416.0,,25.8244,400.35,48
CPT,36600,HC ARTERIAL PUNCTURE,82.0,,22.96,156.3195,85
CPT,36620,HC ARTERIAL LINE FOR BP MON,780.0,,87.14,670.8,84
CPT,36620,PR ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,659.0,,32.2184,560.15,55
CPT,36625,PR ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN,683.0,,76.4796,580.55,55
CPT,36640,PR ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN,989.0,,84.594,983.93,55
CPT,36660,PR CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY,661.0,,49.8355,657.67,51
CPT,36680,PR PLACEMENT NEEDLE INTRAOSSEOUS INFUSION,666.0,,43.286,566.1,55
CPT,36800,PR INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN,1348.0,,87.2988,1306.76,55
CPT,36810,PR INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL,2955.0,,151.7356,3073.69,55
CPT,36815,PR INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR,2074.0,,97.6304,2151.59,55
CPT,36818,"HC ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM CEPHALIC VEIN TRANSPOSITION",12999.0,,1398.96,11179.14,85
CPT,36818,PR ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS,5305.0,,496.5148,4774.5,55
CPT,36819,"HC ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM BASILIC VEIN TRANSPOSITION",13098.0,,1483.36,11264.28,85
CPT,36819,PR ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS,5257.0,,525.5316,5453.67,55
CPT,36820,"HC ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM FOREARM VEIN TRANSPOSITION",13147.0,,1474.0,11306.42,85
CPT,36820,PR ARVEN ANAST OPN F/ARM VEIN TRPOS,5199.0,,520.858,5407.3,55
CPT,36821,"HC ARTERIOVENOUS ANASTOMOSIS, OPEN; DIRECT, ANY SITE",13469.0,,1118.22,11583.34,85
CPT,36821,PR ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT,4789.0,,476.1,4763.37,55
CPT,36823,PR INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL,10697.0,,1028.928,10491.78,55
CPT,36825,HC CREATION ARTERIOVENOUS FISTULA XCP DIR ARVEN ANASTOMOSIS; AUTOGRAFT,13397.0,,1610.69,11521.42,85
CPT,36825,PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF,5911.0,,571.5224,6147.39,55
CPT,36830,HC CREATION ARTERIOVENOUS FISTULA XCP DIR ARVEN ANAST; NONAUTOGENOUS GRAFT,13397.0,,1352.63,11521.42,85
CPT,36830,PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF,5964.0,,479.7892,6185.16,55
CPT,36831,"HC THRMBOECTOMY OPEN ARTERIOVENOUS FISTULA W/O REVISION, AUTO/NONAUTO DIALYSIS GRAFT",12999.0,,1252.48,11179.14,85
CPT,36831,PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF,4210.0,,443.8908,4378.73,55
CPT,36832,HC AV FISTULA REV OPEN W/O THROMBECT AUTOGENOUS OR NONAUTOGEN DIALYS GRFT,11897.0,,1534.75,10231.42,85
CPT,36832,PR REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF,5168.0,,516.67,5139.43,55
CPT,36833,HC AV FISTULA REV OPEN W/ THROMBECT AUTOGENOUS OR NONAUTOGEN DIALYS GRFT,12364.0,,1637.98,10633.04,85
CPT,36833,PR REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF,4705.0,,581.3572,4878.43,55
CPT,36835,PR INSERTION THOMAS SHUNT SEPARATE PROCEDURE,7461.0,,351.1,7682.52,55
CPT,36837,HC PERQ AV FISTULA CREATION UPPER EXTREMITY SEP ACCESS SITES,8101.0,,1939.15,21537.9935,84
CPT,36837,PR PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES,5154.0,,332.7272,4638.6,53
CPT,36838,PR DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS,10150.0,,820.1432,9954.55,55
CPT,36860,PR XTRNL CANNULA DECLTNG SPX W/O BALO CATH,1122.0,,80.4172,1152.22,55
CPT,36861,PR XTRNL CANNULA DECLTNG SPX W/BALO CATH,1719.0,,101.0712,1766.95,55
CPT,36901,HC INTRO CATH DIALYSIS CIRCUIT DX ANGIOGARPHY FLUOR GUID S&I W/ IMG DOCUMENT,10283.0,,332.64,8843.38,85
CPT,36901,PR INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I,1809.0,,120.75,1628.1,55
CPT,36902,"HC INTRO CATH DIALYSIS CIRCUIT DX ANGIOP FLUOR GUID S&I W/ IMG DOC, TRLUML BALO",10876.0,,474.35,9353.36,85
CPT,36902,PR INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP,2677.0,,171.6536,2409.3,55
CPT,36903,"HC INTRO CATH DIALYSIS CIRCUIT DX ANGIOGARPHY FLUOR GUID S&I W/ IMG DOC, W/TCAT PLMT IV STENT",11175.0,,625.86,13563.3645,85
CPT,36903,PR INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT,8221.0,,225.5104,7398.9,55
CPT,36904,"HC PERQ THRMBC/NFS THROMB DIALYSIS CIRCUIT IMG, S&I, DX ANGRPH, FLUOR GUID",11362.0,,727.96,9771.32,85
CPT,36904,PR PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH,4209.0,,263.8744,3788.1,55
CPT,36905,"HC PERQ THRMBC/NFS THROMB DIALYSIS CIRCUIT IMG, S&I, DX ANGRPH, FLUOR GUID W/TRLUML BALO ANGIOP",11664.0,,871.22,13563.3645,85
CPT,36905,PR PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP,5050.0,,317.2344,4545.0,55
CPT,36906,"HC PERQ THRMBC/NFS THROMB DIALYSIS CIRCUIT IMG, S&I, DX ANGRPH, FLUOR GUID W/TCAT PLMT IV STENT",11664.0,,1008.0,21537.9935,85
CPT,36906,PR PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT,5775.0,,365.6816,5197.5,55
CPT,36907,HC TRANSLUMINAL BALLOON ANGIOGRAPY CENTRAL DIALYSIS SEG W/IMG S&I,10876.0,,288.78,9353.36,84
CPT,36907,PR TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I,1615.0,,104.7604,1453.5,55
CPT,36908,PR STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR,2356.0,,147.798,2120.4,55
CPT,36909,PR DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I,2284.0,,144.1088,2055.6,55
CPT,37140,PR VENOUS ANASTOMOSIS OPEN PORTOCAVAL,11562.0,,1348.29,11908.43,55
CPT,37145,PR VENOUS ANASTOMOSIS OPEN RENOPORTAL,11562.0,,1332.24,11908.43,55
CPT,37160,PR VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC,11562.0,,1355.35,11908.43,55
CPT,37180,PR VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL,11562.0,,1286.16,11908.43,55
CPT,37181,PR VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL,11562.0,,1449.96,11908.43,55
CPT,37182,HC INSERTION OF TIPS,21923.0,,1586.39,21537.9935,85
CPT,37182,PR INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT,6335.0,,584.062,5701.5,55
CPT,37183,HC REVISION OF TIPS,16453.0,,728.16,14149.58,85
CPT,37183,PR REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS),4885.0,,268.2996,4396.5,55
CPT,37184,HC PRC TRNS MCH THROMBECTOMY,10707.0,,2997.96,9208.02,83
CPT,37184,PR PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,5558.0,,308.6324,4724.3,55
CPT,37185,HC SUBSQ VESSLS THROMBECTOMY,10440.0,,2923.2,8978.4,83
CPT,37185,PR PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ,1818.0,,116.8124,1724.5,55
CPT,37186,HC SECND THROMBART THRMBCTMY,10530.0,,2948.4,9055.8,83
CPT,37186,PR SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL,2648.0,,173.8616,2585.53,55
CPT,37187,HC MCH VEN THROMBECT W/FLUOR,10708.0,,2998.24,9208.88,83
CPT,37187,PR PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,4312.0,,281.0876,4220.5,55
CPT,37188,HC SUB TX VEN THROMB W/FLUOR,10442.0,,1544.74,8980.12,83
CPT,37188,PR PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX,4286.0,,201.1672,3643.1,55
CPT,37191,HC INSERTION IVC FILTR RS&I,11980.0,,434.87,10302.8,85
CPT,37191,PR INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,4140.0,,158.8656,3726.0,55
CPT,37192,HC REPOSITION IVC FILTR RS&I,7899.0,,700.84,6793.14,85
CPT,37192,PR REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,3716.0,,246.4128,3344.4,55
CPT,37193,HC RETRVL(RMV) IVC FLTR RS&I,8032.0,,685.36,6907.52,85
CPT,37193,PR RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,3985.0,,248.1332,3586.5,55
CPT,37195,HC THROMBOLYSIS CEREB-IV INF,804.0,,225.12,2135.0,85
CPT,37195,PR THROMBOLYSIS CEREBRAL IV INFUSION,1923.0,,191.99,2198.36,48
CPT,37197,HC TC RTR PC IVSC FBD W RS&I,7672.0,,597.28,6597.92,85
CPT,37197,PR PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING,3802.0,,214.9304,3421.8,55
CPT,37200,HC TRANSCATHETER BIOPSY,7546.0,,418.46,6537.7615,85
CPT,37200,PR TRANSCATHETER BIOPSY,2668.0,,153.7044,2768.04,55
CPT,37211,HC TCTX AI-THR OCR WRS&I IND,9787.0,,773.52,8416.82,85
CPT,37211,PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,3712.0,,276.414,3340.8,55
CPT,37212,HC TCTX VI-THR ANY WRS&I IND,9625.0,,671.48,8277.5,85
CPT,37212,PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,3677.0,,241.7392,3309.3,55
CPT,37213,HC TCTX AVI-TB OCR WRS&I CNT,8774.0,,459.19,7545.64,85
CPT,37213,PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX,2518.0,,165.2596,2266.2,55
CPT,37214,HC TCT AVI-TR OC RSI CD SESS,8774.0,,243.14,7545.64,85
CPT,37214,PR CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL,1371.0,,87.5472,1233.9,55
CPT,37215,HC TRANSCATHETER IV STENT CRV CRTD ART EMBOLIC PROTECJ,8417.0,,2010.66,7238.62,84
CPT,37215,PR TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ,9219.0,,713.414,8297.1,50
CPT,37216,HC TRANSCATHETER IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ,8018.0,,2245.04,6895.48,83
CPT,37216,PR TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ,9430.0,,713.1656,8487.0,50
CPT,37217,PR TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE,10336.0,,777.6024,9302.4,55
CPT,37218,HC IVSC STNTPLC IT CCAR+PLST,9049.0,,1675.01,7782.14,84
CPT,37218,PR TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,8368.0,,593.4092,7531.2,55
CPT,37220,HC ILIAC REVASC UNI INIT VSL,14715.0,,803.98,12654.9,84
CPT,37221,HC ILIAC REVSC UNI INIW/STNT,14962.0,,992.22,12867.32,84
CPT,37222,HC ILIAC REVASC UNI ADD VESL,14962.0,,371.8,12867.32,84
CPT,37223,HC ILIAC REVSC UNI ADD WSTNT,14715.0,,427.07,12654.9,84
CPT,37224,HC FEM/POP REVSC UNI INI VSL,14715.0,,895.2,12654.9,84
CPT,37225,HC FM/POP RVSC UNI VSL WATHR,21693.0,,1200.83,18655.98,84
CPT,37226,HC FM/POP RVSC UNI VSL WSTNT,31237.0,,1044.21,26863.82,84
CPT,37227,HC FM/POP RVSCUNI WSTNT&ATHR,54097.0,,1437.66,46523.42,84
CPT,37228,HC TIB/PER RVSC UNI INIT VSL,14962.0,,1087.27,12867.32,84
CPT,37229,HC TIB/PER RVSC UNI W/ATHRCT,31237.0,,1386.03,26863.82,84
CPT,37230,HC TIB/PER RVSC UNI VS WSTNT,31237.0,,1390.95,26863.82,84
CPT,37231,HC TIB/PER RVSCUNI WSTN&ATHR,54097.0,,1461.44,46523.42,84
CPT,37232,HC TIB/PER RVSC UNI ADDL VSL,14715.0,,398.77,12654.9,84
CPT,37233,HC TIB/PER RVSUN ADL VSWATHR,27494.0,,642.69,23644.84,84
CPT,37234,HC TIB/PER RVSCUN AD VSLWSTN,14715.0,,563.84,12654.9,84
CPT,37235,HC TB/PR RVSUN ADVSLWSTN&ATH,14715.0,,725.71,12654.9,84
CPT,37236,HC TRNSCTH ARTERY STENT INIT,33627.0,,886.64,28919.22,85
CPT,37236,PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL,4926.0,,316.25,4433.4,55
CPT,37237,HC TRNSCTH ARTERY STENT ADDL,17362.0,,425.9,14931.32,84
CPT,37237,PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL,2239.0,,150.2544,2015.1,55
CPT,37238,HC TRNSCTH VENOUS STENT INIT,33627.0,,613.9,28919.22,85
CPT,37238,PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,3178.0,,218.868,2860.2,55
CPT,37239,HC TRNSCTH VENOUS STENT ADDL,17653.0,,300.83,15181.58,84
CPT,37239,PR OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL,2404.0,,107.4652,2163.6,55
CPT,37241,HC EMB VEIN WIMG NOTUMR/HEMR,31453.0,,843.89,27049.58,85
CPT,37241,PR VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,5147.0,,307.648,4632.3,55
CPT,37242,HC EMB ARTRY WIMG NOTUMR/HMR,32790.0,,942.37,28199.4,85
CPT,37242,PR VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,5500.0,,341.09,4950.0,55
CPT,37243,HC EMB ORGAN/TUMORHAE/TACE,31453.0,,1092.15,27049.58,85
CPT,37243,PR VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,9659.0,,401.0924,8693.1,55
CPT,37244,HC EMB VASCGI BLEED/LYMEXT,32790.0,,1288.85,28199.4,85
CPT,37244,PR VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,9659.0,,473.892,8693.1,55
CPT,37246,"HC TRLUML BALO ANGIOP OPEN OR PERCT, S&I  PERFORM ANGIOP W/SAME ARTERY, INITIAL  ARTERY",11395.0,,695.07,9799.7,85
CPT,37246,PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART,4701.0,,248.8692,4230.9,55
CPT,37247,"HC TRLUML BALO ANGIOP OPEN OR PERCT, S&I PERFORM ANGIOP W/SAME ARTERY, EA ADDL ARTERY",10442.0,,346.89,8980.12,84
CPT,37247,PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART,1905.0,,123.2064,1714.5,55
CPT,37248,"HC TRLUML BALO ANGIOP OPEN OR PERCT, S&I  PERFORM ANGIOP W/SAME VEIN, INITIAL VEIN",11586.0,,587.52,9963.96,85
CPT,37248,PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,3326.0,,212.2256,2993.4,55
CPT,37249,"HC TRLUML BALO ANGIOP OPEN OR PERCT, S&I  PERFORM ANGIOP W/SAME VEIN, EA ADDL VEIN",10442.0,,290.2,8980.12,84
CPT,37249,PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,1647.0,,104.0244,1482.3,55
CPT,37252,HC US INTRAVASCULAR NONCORONARY VESSEL S&I INITIAL,2118.0,,177.95,1821.48,84
CPT,37252,PR INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,3027.0,,63.94,2724.3,55
CPT,37253,HC US INTRAVASCULAR NONCORONARY VESSEL S&I EA ADD'L,1423.0,,141.32,1223.78,84
CPT,37253,PR INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,799.0,,50.6552,719.1,55
CPT,37255,HC REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,2845.0,,796.6,2446.7,83
CPT,37255,PR REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,1774.0,,123.7345,1596.6,33
CPT,37257,HC REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,3154.0,,883.12,2712.44,83
CPT,37257,PR REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,2300.0,,159.8425,2070.0,33
CPT,37258,HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,4542.0,,1271.76,13563.3645,84
CPT,37258,PR REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,5173.0,,365.0325,4655.7,33
CPT,37259,HC REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,2845.0,,796.6,2446.7,83
CPT,37259,PR REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,2365.0,,165.444,2128.5,33
CPT,37260,HC REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,5055.0,,1415.4,13563.3645,84
CPT,37260,PR REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,7502.0,,527.6545,6751.8,33
CPT,37261,HC REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,3102.0,,868.56,2667.72,83
CPT,37261,PR REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,2512.0,,175.78,2260.8,33
CPT,37263,HC REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,4542.0,,1271.76,6687.066,84
CPT,37263,PR REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,4582.0,,323.7225,4123.8,33
CPT,37265,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,5055.0,,1415.4,6687.066,84
CPT,37265,PR REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,6207.0,,437.682,5586.3,33
CPT,37565,PR LIGATION INTERNAL JUGULAR VEIN,3733.0,,281.37,3841.26,55
CPT,37600,PR LIGATION EXTERNAL CAROTID ARTERY,3837.0,,325.16,3456.62,55
CPT,37605,PR LIGATION INTERNAL/COMMON CAROTID ARTERY,3477.0,,401.3,3456.62,55
CPT,37606,PR LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION,3733.0,,401.02,3841.26,55
CPT,37607,HC LIGATN ANGIOACCESS AV FISTULA,8185.0,,759.66,7039.1,85
CPT,37607,PR LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA,2416.0,,270.756,2053.6,55
CPT,37609,PR LIGATION/BIOPSY TEMPORAL ARTERY,1548.0,,150.0152,1536.85,55
CPT,37615,PR LIGATION MAJOR ARTERY NECK,3694.0,,377.7336,3841.26,55
CPT,37616,PR LIGATION MAJOR ARTERY CHEST,5793.0,,650.35,5762.75,55
CPT,37617,PR LIGATION MAJOR ARTERY ABDOMEN,8627.0,,784.99,7332.95,55
CPT,37618,PR LIGATION MAJOR ARTERY EXTREMITY,3090.0,,284.5284,3073.69,55
CPT,37619,PR LIGATION OF INFERIOR VENA CAVA,15161.0,,1263.0496,13644.9,53
CPT,37650,PR LIGATION OF FEMORAL VEIN,2320.0,,298.97,2306.13,55
CPT,37660,PR LIGATION OF COMMON ILIAC VEIN,4603.0,,537.64,4604.18,55
CPT,37700,PR LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ,2911.0,,178.0476,2996.42,55
CPT,37718,PR LIG DIV & STRIPPING SHORT SAPHENOUS VEIN,3625.0,,284.0408,3553.27,55
CPT,37722,PR LIG DIV&STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW,5489.0,,336.6648,4665.65,55
CPT,37735,PR LIG&DIV&COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC,6528.0,,419.7868,6720.91,55
CPT,37760,PR LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG,4551.0,,415.8492,4686.1,55
CPT,37761,PR LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG,4939.0,,391.7544,4445.1,55
CPT,37765,PR STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS,3590.0,,195.7484,3733.58,55
CPT,37766,PR STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS,4387.0,,239.5312,4562.71,55
CPT,37780,PR LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX,1874.0,,170.6692,1592.9,55
CPT,37785,PR LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG,2018.0,,152.01,2074.31,55
CPT,37788,PR PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT,10295.0,,991.899,10601.67,47
CPT,37790,PR PENILE VENOUS OCCLUSIVE PROCEDURE,3880.0,,388.008,3994.09,47
CPT,37799,"HC UNLISTED PX, VASCULAR SURGERY, LIVER HEMOFILTRATION",12008.0,,737.0235,10326.88,83
CPT,37799,PR UNLISTED PROCEDURE VASCULAR SURGERY (LAPAROSCOPIC CONTROL OF RIGHT  HEPATIC ARTERY),8689.0,,5213.4,7385.65,28
CPT,37799,"PR UNLISTED PROCEDURE VASCULAR SURGERY, EN BLOC RESECT & RECON OF SUPERIOR MESENTERIC VEIN/PORTA VEIN CONFLUENC",11562.0,,5781.64,9827.7,28
CPT,37799,"PR UNLISTED PROCEDURE VASCULAR SURGERY, LAPAROSCOPIC LIPASES OF MEDIAN ARCUATE LIGAMENT",4859.0,,2915.4,5781.64,28
CPT,37799,"PR UNLISTED PROCEDURE VASCULAR SURGERY, PORTAL VEIN THROMBECTOMY & RECONSTRUCTION OF MAIN PORTAL VEIN",7863.0,,4717.8,6683.55,28
CPT,37799,"PR UNLISTED PROCEDURE VASCULAR SURGERY, RESECTION AND RECONSTRUCTION OF VENA CAVA",5761.0,,3456.6,5781.64,28
CPT,37799,"PR UNLISTED PROCEDURE VASCULAR SURGERY, RT RENAL VEIN THROMBECTOMY",4212.0,,2527.2,5781.64,28
CPT,37799,"PR UNLISTED PROCEDURE VASCULAR, ROBOTIC LAPAROSCOPIC LITIGATION, MAJOR ARTERY; ABDOMEN",8994.0,,5396.4,7644.9,28
CPT,37799,"PR UNLISTED PX, VASCULAR SURGERY, LIVER HEMOFILTRATION",710.0,,426.0,5781.64,28
CPT,38100,PR SPLENECTOMY TOTAL SEPARATE PROCEDURE,9992.0,,728.39,8493.2,55
CPT,38101,PR SPLENECTOMY PARTIAL SEPARATE PROCEDURE,10468.0,,687.45,8897.8,55
CPT,38102,PR SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX,3743.0,,191.084,4169.24,55
CPT,38115,PR RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT,13321.0,,720.09,11322.85,55
CPT,38120,PR LAPAROSCOPIC SURGICAL SPLENECTOMY,10834.0,,777.6024,9208.9,55
CPT,38129,PR LAPAROSCOPIC SPLENIC CYST RESECTION,15727.0,,3468.64,13367.95,28
CPT,38129,PR UNLISTED PROCEDURE LAPAROSCOPIC SPLENORRHAPHY,12870.0,,3468.64,10939.5,28
CPT,38200,PR INJECTION PROCEDURE SPLENOPORTOGRAPY,1981.0,,94.1896,1683.85,55
CPT,38204,HC FORMAL SEARCH-NMDP,2727.0,,200.3,2345.22,84
CPT,38204,HC NMDP DONOR SEARCH,5817.0,,200.3,5002.62,84
CPT,38204,HC RELATED DONOR SEARCH MANAGEMENT - MDACC,11830.0,,200.3,10173.8,84
CPT,38204,HC UNRELATED DONOR SEARCH MANAGEMENT - MDACC,7530.0,,200.3,6475.8,84
CPT,38204,PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ,503.0,,75.8455,452.7,40
CPT,38205,HC DONOR BLD DERV HARVSTALLO,5211.0,,164.72,4481.46,84
CPT,38205,HC MNC APERHERSIS T-CELLS MNC(A),58000.0,,164.72,49880.0,84
CPT,38205,HC PRIMARY PBSC COLLECTION,104659.0,,164.72,90006.74,84
CPT,38205,HC SECONDARY PBSC COLLECTION,104659.0,,164.72,90006.74,84
CPT,38205,PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC,883.0,,59.568,794.7,42
CPT,38206,"HC BLD DERIVED HARVEST, AUTO",4482.0,,161.49,3854.52,85
CPT,38206,PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL,1180.0,,58.548,1062.0,50
CPT,38207,HC TXPREP CRO/STOR,10295.0,,89.01,8853.7,85
CPT,38207,PR TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR,1400.0,,33.3795,1260.0,42
CPT,38208,HC TXPREP THAWING,3984.0,,56.3,3426.24,85
CPT,38208,PR TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR,883.0,,21.4625,794.7,42
CPT,38209,HC TXPREP WASHING,7499.0,,23.33,6449.14,85
CPT,38209,PR TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR,666.0,,9.163,599.4,42
CPT,38210,HC ALLO  TXPREP TCELL DEP,38445.0,,156.64,33062.7,85
CPT,38210,HC AUTO TXPREP TCELL DEP,37236.0,,156.64,32022.96,85
CPT,38210,PR TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL,2469.0,,59.619,2222.1,42
CPT,38211,HC TXPREP TUMORCELL DEP,40668.0,,142.05,34974.48,85
CPT,38211,PR TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ,2230.0,,54.094,2007.0,42
CPT,38212,HC TXPREP RBC REMOVAL,6435.0,,93.83,5534.1,85
CPT,38212,PR TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL,1479.0,,35.4875,1331.1,42
CPT,38213,HC ALLO  TXPRE PLAT DEP,3890.0,,23.33,3345.4,85
CPT,38213,PR TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ,898.0,,9.163,808.2,42
CPT,38214,HC TXPREP PLASMA DEPL,6859.0,,80.28,5898.74,85
CPT,38214,PR TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ,1278.0,,30.4215,1150.2,42
CPT,38215,HC TXPREP CELL CONCEN,7637.0,,93.83,6567.82,85
CPT,38215,PR TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM,1479.0,,35.4875,1331.1,42
CPT,38220,HC DIAGNOSTIC BONE MARROW ASPIRATION,1038.0,,92.74,1940.4755,85
CPT,38220,PR DIAGNOSTIC BONE MARROW ASPIRATIONS,817.0,,48.2715,694.45,55
CPT,38221,HC DIAGNOSTIC BONE MARROW BIOPSY,1494.0,,95.79,1940.4755,85
CPT,38221,PR DIAGNOSTIC BONE MARROW BIOPSIES,848.0,,50.4985,720.8,55
CPT,38222,HC DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,2483.0,,147.74,3412.7745,85
CPT,38222,PR DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,906.0,,54.7315,815.4,55
CPT,38225,HC AUTO CAR-T CELLS HARVESTING PER COLLECTION,4482.0,,1254.96,3854.52,83
CPT,38225,PR CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY,2546.0,,71.3184,2291.4,48
CPT,38226,HC AUTO CAR-T CELLS PREP & CRYO,10295.0,,2882.6,8853.7,83
CPT,38226,HC AUTO CAR-T CELLS PREP - FRESH TRANSFER,1689.0,,472.92,1452.54,83
CPT,38227,HC AUTO CAR-T CELLS THAWING & MANIP HANDLING,5673.0,,1588.44,4878.78,83
CPT,38227,HC AUTO FRESH CAR-T CELLS PREP & MANIP HANDLING,1689.0,,472.92,1452.54,83
CPT,38227,PR CAR-T THERAPY RECEIPT & PREPJ CAR-T CELLS F/ADMN,853.0,,29.852,767.7,40
CPT,38228,HC AUTO CAR-T CELLS IV ADMINISTRATION,5336.0,,388.079,4588.96,84
CPT,38228,PR CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION,5119.0,,129.6004,4607.1,55
CPT,38230,HC MARROW COLLECTION,119807.0,,412.23,103034.02,85
CPT,38230,PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC,4056.0,,148.0464,4207.01,55
CPT,38232,PR BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS,3705.0,,139.6975,3334.5,55
CPT,38240,HC BONE MARROW TRANSPL ALLO PER DONOR,6820.0,,472.72,73903.048,85
CPT,38240,PR TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR,5119.0,,136.86,4351.15,50
CPT,38241,HC BONE MARR STEM CELL AUTO,5336.0,,349.5,4588.96,85
CPT,38241,PR TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR,3445.0,,128.3676,3496.12,50
CPT,38242,HC PERIPH STEM CELL ALLO DLI,5306.0,,247.05,4563.16,85
CPT,38242,PR ALLOGENEIC LYMPHOCYTE INFUSIONS,1219.0,,90.988,1097.1,55
CPT,38243,HC HPC BOOST,5532.0,,242.53,4757.52,85
CPT,38243,PR TRNSPLJ HEMATOPOIETIC CELL BOOST,3520.0,,88.111,3168.0,55
CPT,38300,PR DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL,844.0,,67.3,717.4,55
CPT,38305,PR DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV,1643.0,,212.06,1613.59,55
CPT,38308,PR LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS,2328.0,,270.21,1978.8,55
CPT,38380,PR SUTR&/LIG THORACIC DUCT CERVICAL APPROACH,6022.0,,390.82,5118.7,55
CPT,38381,PR SUTR&/LIG THORACIC DUCT THORACIC APPROACH,11631.0,,585.2948,9886.35,55
CPT,38382,PR SUTR&/LIG THORACIC DUCT ABDOMINAL APPROACH,10234.0,,496.28,8698.9,55
CPT,38500,HC  BIOPSY: LYMPH NODE,4909.0,,524.25,4600.276,85
CPT,38500,PR BX/EXC LYMPH NODE OPEN SUPERFICIAL,2101.0,,147.72,1785.85,55
CPT,38505,HC  BX/EX LYMPH NODES NDL SFC,3009.0,,168.94,2587.74,85
CPT,38505,PR BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,1320.0,,62.468,1122.0,55
CPT,38510,PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE,3349.0,,220.53,2846.65,55
CPT,38520,PR BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD,3013.0,,268.14,2951.77,55
CPT,38525,PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE,4098.0,,240.83,3483.3,55
CPT,38530,PR BX/EXC LYMPH NODE OPEN INT MAMMARY NODE,4623.0,,307.27,3929.55,55
CPT,38531,PR OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES,3493.0,,329.5348,3143.7,55
CPT,38542,PR DISSECTION DEEP JUGULAR NODE,4242.0,,332.37,3605.7,55
CPT,38550,PR EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ,3492.0,,325.78,2968.2,55
CPT,38555,PR EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ,9306.0,,705.94,7910.1,55
CPT,38562,PR LMTD LMPHADEC STAGING SPX PEL&PARA-AORTIC,6682.0,,517.9048,6949.29,55
CPT,38564,PR LMTD LMPHADEC STAGING SPX RPR AORTIC&/SPLENIC,7575.0,,515.4484,7878.28,55
CPT,38570,PR LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT,9550.0,,377.4852,8117.5,55
CPT,38571,PR LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY,10585.0,,481.5096,8997.25,55
CPT,38572,PR LAPS BI TOT PEL LMPHADEC & PRI-AORTIC LYMPH BX 1,8646.0,,662.262,8803.81,55
CPT,38573,PR LAPS W/BI TOT PEL LMPHADEC & OMNTC LYMPH BX,11085.0,,860.2276,9976.5,55
CPT,38589,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, LAPAROSCOPIC EXTRAPERITONEAL LYMPH NODE DISSECTION",10381.0,,3468.64,8823.85,28
CPT,38589,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, LAPAROSCOPIC GROIN DISSECTION-BILATERAL",12213.0,,3468.64,10381.05,28
CPT,38589,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, LAPAROSCOPIC GROIN DISSECTION-UNILATERAL",6109.0,,3468.64,5192.65,28
CPT,38589,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, LAPAROSCOPIC PELVIC AND PERIAORTIC LYMPH NODE SAMPLING",8724.0,,3468.64,7415.4,28
CPT,38589,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, ROBOTIC ASSISTED INTERNAL MAMMARY LYMPHADENECTOMY",2084.0,,1250.4,3468.64,28
CPT,38589,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, ROBOTIC-ASSISTED GASTRIC LYMPHADENECTOMY",9887.0,,3468.64,8403.95,28
CPT,38589,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, VATS RADICAL LYMPH NODE DISSECTION OF MEDIASTIMUM",2968.0,,1780.8,3468.64,28
CPT,38589,"PR UNLISTED PROCEDURE LAPAROSCOPY, LYMPHATIC SYSTEM (LAPAROSCOPIC RETROPERITONEAL TRANSABDOMINAL LYMPHADENECTOMY)",16995.0,,3468.64,14445.75,28
CPT,38589,"PR UNLISTED PX LYMPH SYS, SUPERFICIAL, INGUINOFEMORAL W/PELVIC LYMPHAY",12294.0,,3468.64,10449.9,28
CPT,38589,"PR UNLISTED PX LYMPH SYS, SUPERFICIAL, VIDEOSCOPIC, INGUINOFEMORAL LYE",7642.0,,3468.64,6495.7,28
CPT,38700,PR SUPRAHYOID LYMPHADENECTOMY,7587.0,,582.93,6448.95,55
CPT,38720,PR CERVICAL LYMPHADENECTOMY,12165.0,,957.52,10656.63,55
CPT,38724,PR CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ,15170.0,,963.76,12894.5,55
CPT,38740,PR AXILLARY LYMPHADENECTOMY SUPERFICIAL,4622.0,,390.11,3928.7,55
CPT,38745,PR AXILLARY LYMPHADENECTOMY COMPLETE,7465.0,,595.95,6345.25,55
CPT,38746,PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC,2968.0,,153.9436,2522.8,55
CPT,38747,PR ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC,2883.0,,193.5404,2678.76,55
CPT,38760,PR INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX,6442.0,,523.08,5475.7,55
CPT,38765,PR INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC,12504.0,,961.0596,10628.4,55
CPT,38770,PR PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR&OBTURATOR,8107.0,,587.2544,8431.2,55
CPT,38780,PR RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC&RNL,13397.0,,761.6128,13898.59,55
CPT,38790,HC INJ PRC LYMPHANGIOGRAPHY,1974.0,,163.96,1697.64,84
CPT,38790,PR INJECTION PROCEDURE LYMPHANGIOGRAPHY,1008.0,,59.7632,2850.43,55
CPT,38792,PR INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,1664.0,,23.6072,1414.4,55
CPT,38794,HC CANNULATION THORACIC DUCT,7356.0,,557.05,6326.16,84
CPT,38794,PR CANNULATION THORACIC DUCT,1747.0,,203.872,1484.95,55
CPT,38900,PR INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION,1780.0,,99.8476,1602.0,55
CPT,38999,"HC ABLATION SPLEEN NODE, RADIOFREQUENCY",13701.0,,518.3395,11782.86,83
CPT,38999,"HC ADMINISTRATION, OTHER CELLULAR THERAPY",5336.0,,518.3395,4588.96,83
CPT,38999,HC AUTOLOGOUS DLI,5354.0,,518.3395,4604.44,83
CPT,38999,HC AXILLARY SEED PLACEMENT,7308.0,,518.3395,6284.88,83
CPT,38999,"HC BLD DERIVED HARVEST, OTHER CELLULAR THERAPY",4482.0,,518.3395,3854.52,83
CPT,38999,HC CORD RESERVATION,5421.0,,518.3395,4662.06,83
CPT,38999,HC CORD SAMPLE SHIP,514.0,,143.92,518.3395,83
CPT,38999,HC CRYOBLATION HEMIC OR LYMPHATIC SYSTEM,8166.0,,518.3395,7022.76,83
CPT,38999,HC DONOR MNC COLLECTION ALLO,4282.0,,518.3395,3682.52,83
CPT,38999,HC LYMPH NODE ETHANOL ABLATION,8771.0,,518.3395,7543.06,83
CPT,38999,HC LYMPHNOD IRRV ELCTRPR ABL,13708.0,,518.3395,11788.88,83
CPT,38999,HC MARROW-WORKUP CANCEL,8011.0,,518.3395,6889.46,83
CPT,38999,HC MNC APHERESIS MONONUCLEAR CELLS  WORKUP CANCELLATION,5523.0,,518.3395,4749.78,83
CPT,38999,HC MNC THERAPEUTIC T CELL COLLECTION AUTO,4282.0,,518.3395,3682.52,83
CPT,38999,HC NON-THERAP LEUKAPHERSIS,4282.0,,518.3395,3682.52,83
CPT,38999,HC PBSC-WORKUP CANCELLATION,8284.0,,518.3395,7124.24,83
CPT,38999,HC TXPREP CRYO/STOR - OTHER CELLULAR THERAPY,10295.0,,518.3395,8853.7,83
CPT,38999,HC TXPREP THAWING - OTHER CELLULAR THERAPY,3984.0,,518.3395,3426.24,83
CPT,38999,PR ABLATION OF THE SPLEEN,3802.0,,2281.2,10946.82,28
CPT,38999,"PR ADMINISTRATION, OTHER CELLULAR THERAPY",3822.0,,2293.2,10946.82,28
CPT,38999,"PR BLOOD/LYMPH SYSTEM PROCEDURE, IMAG GUID CLIP PLC FLW LYMPHNOD BX",813.0,,487.8,10946.82,28
CPT,38999,"PR BLOOD/LYMPH SYSTEM PROCEDURE, IMAG GUID SEED PLC FLW LYMPHNOD BX",813.0,,487.8,10946.82,28
CPT,38999,"PR BLOOD/LYMPH SYSTEM PROCEDURE, INTRAOPERATIVE ID OF SENTINAL LYMPH NODE(S)",1780.0,,1068.0,10946.82,28
CPT,38999,"PR BLOOD/LYMPH SYSTEM PROCEDURE, LIGATION OF LYMPHATIC CHANNEL",5818.0,,3490.8,10946.82,28
CPT,38999,"PR BLOOD/LYMPH SYSTEM PROCEDURE, LYMPHATIC BYPASS, EACH ADDITIONAL ANASTOMOSIS",629.0,,377.4,10946.82,28
CPT,38999,"PR BLOOD/LYMPH SYSTEM PROCEDURE, LYMPHATIC BYPASS, FIRST ANASTOMOSIS",10630.0,,6378.0,10946.82,28
CPT,38999,"PR BLOOD/LYMPH SYSTEM PROCEDURE, RADICAL LYMPH NODE DISSECTION OF MEDIASTINUM, OPEN",2968.0,,1780.8,10946.82,28
CPT,38999,"PR BLOOD/LYMPH SYSTEM PROCEDURE, VACCINE INJECTION-LYMPHATIC SYSTM",335.0,,201.0,10946.82,28
CPT,38999,"PR BLOOD/LYMPH SYSTEM PROCEDURE, VIDEO ASSISTED THORASCOPIC LIGATION OF THORACIC DUCT",11411.0,,6846.6,10946.82,28
CPT,38999,"PR CELL HARVEST, OTHER CELLULAR THERAPY",2559.0,,1535.4,10946.82,28
CPT,38999,PR CRYOABLATION - LYMPH NODE,3844.0,,2306.4,10946.82,28
CPT,38999,PR LYMPH NODE ETHANOL ABLATION,1324.0,,794.4,10946.82,28
CPT,38999,PR LYMPHOSCINTIGRAPHY W/ ICG,584.0,,350.4,10946.82,28
CPT,38999,PR MNC THERAPEUTIC T CELL COLLECTION,2559.0,,1535.4,10946.82,28
CPT,38999,"PR TRANS PREP CELLS, CRYO & STOR OTHER CELLULAR THERAPY",1353.0,,811.8,10946.82,28
CPT,38999,"PR TRANS PREP CELLS,THAW OTHER CELLULAR THERAPY",853.0,,511.8,10946.82,28
CPT,38999,"PR UNLISTED PROCEDURE,HEMIC OR LYMPHATIC SYSTEM,PHOTODYNAMIC IMMUNOTHS",266.0,,159.6,10946.82,28
CPT,38999,"PR UNLISTED PX LYMPH NODE TRANSFER WITH NO ANASTOMOSIS, LYMPHEDEMA",3714.0,,2228.4,10946.82,28
CPT,39000,PR MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR,5002.0,,352.406,4251.7,55
CPT,39010,PR MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR,10350.0,,572.746,8797.5,55
CPT,39200,PR RESECTION OF MEDIASTINAL CYST,11631.0,,631.028,9886.35,55
CPT,39220,PR RESECTION MEDIASTINAL TUMOR,13241.0,,824.8168,11254.85,55
CPT,39401,PR MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY,3084.0,,222.8056,2775.6,55
CPT,39402,PR MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES,3789.0,,290.9224,3410.1,55
CPT,39499,"PR UNLISTED PROCEDURE MEDIASTINAL ED, TRACHEOTOMY",5002.0,,3001.2,4251.7,28
CPT,39501,PR REPAIR LACERATION DIAPHRAGM ANY APPROACH,10468.0,,621.4416,8897.8,55
CPT,39503,PR RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ,20821.0,,1937.89,20829.6,51
CPT,39540,PR RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT,13260.0,,632.7576,11271.0,55
CPT,39541,PR RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC,8392.0,,682.6768,7969.29,55
CPT,39545,PR IMBRICATION DIAPHRAGM EVENTRATION,11429.0,,652.1788,10193.0,55
CPT,39560,PR RESCJ DIAPHRAGM W/SIMPLE REPAIR,4869.0,,587.0152,4138.65,55
CPT,39561,PR RESCJ DIAPHRAGM W/COMPLEX REPAIR,7198.0,,914.5812,6118.3,55
CPT,39599,"PR UNLISTED PROCEDURE DIAPHRAGM SURG, RELEASE OF MEDIAN ACRUATE LIGAMENT COMPRESSION OF CELIAC ARTERY",6349.0,,3434.3,5396.65,28
CPT,39599,"PR UNLISTED PROCEDURE DIAPHRAGM SURG, VATS DIAPHRAGM PLICATION",12793.0,,3434.3,10874.05,28
CPT,39599,"PR UNLISTED PROCEDURE DIAPHRAGM SURG, VIDEO-ASSISTED THORACOSCOPY W PRIMARY REPAIR OF DIAPHRAGMATIC HERNIA",13260.0,,3434.3,11271.0,28
CPT,39599,PR UNLISTED PX DIAPHRAGM THORACOSCOPIC RESECTION OF DIAPHRAGM WITH COMPLEX REPAIR,6954.0,,3434.3,5910.9,28
CPT,39599,"PR VATS/LAPAROSCOPIC, RESECTION OF DIAPHRAGM WITH SIMPLE REPAIR",4704.0,,2822.4,3998.4,28
CPT,40490,HC BIOPSY LIP,1219.0,,64.23,1048.34,85
CPT,40490,PR BIOPSY OF LIP,430.0,,49.1725,391.52,55
CPT,40500,HC VERMILION W/MUCOSAL ADV,4401.0,,744.92,3895.3605,85
CPT,40500,PR VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT,3345.0,,276.1656,3442.88,55
CPT,40510,HC EXC LIP TRNV WDG W/PRM CL,6315.0,,704.84,5430.9,85
CPT,40510,PR EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR,3449.0,,259.9368,3549.35,55
CPT,40520,PR EXC LIP V-EXC W/PRIM DIR LINR CLSR,3166.0,,265.5948,2840.16,55
CPT,40525,HC EXC FULL RES W/LOCAL FLAP,6253.0,,886.62,5377.58,85
CPT,40525,PR EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP,6785.0,,410.1912,5767.25,55
CPT,40527,PR EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP,6707.0,,467.2496,6671.12,55
CPT,40530,PR RESCJ LIP > ONE-FOURTH W/O RCNSTJ,2857.0,,301.99,2840.16,55
CPT,40650,PR REPAIR LIP FULL THICKNESS VERMILION ONLY,1986.0,,236.578,1775.52,55
CPT,40652,HC REPAIR LIP FULL -1/2 VERT,1919.0,,187.22,1650.34,85
CPT,40652,PR REPAIR LIP FULL THICKNESS <HALF VERTICAL HEIGHT,2275.0,,269.5324,2342.18,55
CPT,40654,HC REPAIR LIP OVER 1/2VERTIC,2872.0,,420.64,2469.92,85
CPT,40654,PR RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX,3217.0,,317.7312,3336.42,55
CPT,40700,PR PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI,7582.0,,695.62,7807.86,55
CPT,40701,PR PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX,8716.0,,878.186,8977.26,55
CPT,40702,PR PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS,7582.0,,723.48,7807.86,55
CPT,40720,PR PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT & RECL,6443.0,,757.436,6635.05,55
CPT,40761,HC REPAIR CLEFT LIP/NASAL,10242.0,,1954.22,8808.12,85
CPT,40761,PR PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP,9095.0,,795.064,9367.05,55
CPT,40800,HC DRAIN ABSC MOUTH SIMPL,526.0,,131.78,831.9905,85
CPT,40800,PR DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,475.0,,60.48,437.96,55
CPT,40801,HC DRAIN ABSCS MOUTH COMP,1400.0,,187.22,1204.0,85
CPT,40801,PR DRG ABSC CST HMTMA VESTIBULE MOUTH COMP,1863.0,,134.3,1916.35,55
CPT,40804,HC REMV EMBED FB MOUTH SIMP,434.0,,121.52,1065.6245,85
CPT,40804,PR RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,636.0,,57.06,568.38,55
CPT,40805,HC REMV EMBED FB MOUTH COMP,1400.0,,150.61,1204.0,85
CPT,40805,PR RMVL EMBEDDED FB VESTIBULE MOUTH COMP,1715.0,,146.0776,1703.41,55
CPT,40806,HC INCS LABIAL FRENUM,455.0,,59.09,633.6615,85
CPT,40806,PR INCISION LABIAL FRENUM FRENOTOMY,831.0,,21.68,853.41,55
CPT,40808,HC ORAL BIOPSY,968.0,,107.7,832.48,85
CPT,40808,PR BIOPSY VESTIBULE MOUTH,650.0,,55.42,568.38,55
CPT,40810,HC EXLES-VEST MOUTH WO REP,4068.0,,137.59,3895.3605,85
CPT,40810,PR EXC LES MUCOSA & SBMCSL VESTIBULE MOUTH W/O RPR,717.0,,80.15,709.18,55
CPT,40812,HC EX LES-MOUTH W/SIMP REPR,1322.0,,164.45,1822.9685,85
CPT,40812,PR EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR,1011.0,,120.71,887.77,55
CPT,40814,PR EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR,2141.0,,209.5208,2129.26,55
CPT,40816,PR EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC,2938.0,,222.81,2769.76,55
CPT,40818,PR EXC MUCOSA VESTIBULE MOUTH AS DON GRF,1139.0,,149.82,1172.81,55
CPT,40819,HC EXC FRENUM LABIAL/BUCCAL,1400.0,,392.0,1822.9685,85
CPT,40819,PR EXC FRENUM LABIAL/BUCCAL,969.0,,115.16,994.23,55
CPT,40820,HC DESTR LES MOUTH-PHYSICL,858.0,,178.29,3895.3605,85
CPT,40820,PR DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS,1100.0,,56.66,935.0,55
CPT,40830,PR CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<,776.0,,75.51,659.6,55
CPT,40831,PR CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,1381.0,,142.0,1420.08,55
CPT,40840,PR VESTIBULOPLASTY ANTERIOR,2760.0,,469.2184,2840.16,50
CPT,40842,PR VESTIBULOPLASTY POSTERIOR UNILATERAL,2298.0,,477.785,2298.15,50
CPT,40843,PR VESTIBULOPLASTY POSTERIOR BILATERAL,3033.0,,643.3284,3123.49,50
CPT,40844,PR VESTIBULOPLASTY ENTIRE ARCH,4827.0,,870.5592,4969.42,50
CPT,40845,PR VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG,6438.0,,890.974,6032.34,50
CPT,40899,"PR UNLISTED PROCEDURE MOUTH SURGERY, INTRAORAL LASER HAIR REMOVAL",1992.0,,1195.2,3468.64,28
CPT,41000,PR INTRAORAL I&D TONGUE/FLOOR LINGUAL,634.0,,65.35,613.02,55
CPT,41005,PR INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,703.0,,59.34,692.02,55
CPT,41006,PR INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD,1864.0,,131.16,1918.06,55
CPT,41007,PR INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,1864.0,,163.7876,1918.06,55
CPT,41008,PR INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,1864.0,,136.53,1918.06,55
CPT,41009,PR INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE,1864.0,,211.4896,1918.06,55
CPT,41010,PR INCISION LINGUAL FRENUM FRENOTOMY,882.0,,44.33,904.93,55
CPT,41015,PR XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL,1941.0,,147.35,1995.32,55
CPT,41016,PR XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENT,1505.0,,251.45,1535.13,55
CPT,41017,PR XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB,1909.0,,168.96,1962.7,55
CPT,41018,PR XTRORAL I&D FLOOR MASTICATOR SPACE,2157.0,,289.05,1995.32,55
CPT,41019,PR PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT,4909.0,,353.6,4647.34,47
CPT,41100,HC BIOPSY TONGUE,2008.0,,111.3,1726.88,85
CPT,41100,PR BIOPSY TONGUE ANTERIOR TWO-THIRDS,811.0,,76.24,689.35,55
CPT,41105,PR BIOPSY TONGUE POSTERIOR ONE-THIRD,928.0,,79.1,788.8,55
CPT,41108,HC BX FLOOR OF MOUTH,2008.0,,104.93,1940.4755,85
CPT,41108,PR BIOPSY FLOOR MOUTH,709.0,,61.32,602.65,55
CPT,41110,HC EXCISION LESION TONGUE W/O CLOSURE,938.0,,142.3,3895.3605,85
CPT,41110,PR EXCISION LESION TONGUE W/O CLOSURE,698.0,,91.53,692.02,55
CPT,41112,PR EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS,1699.0,,164.89,1687.96,55
CPT,41113,PR EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD,2009.0,,195.5092,1995.32,55
CPT,41114,PR EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP,2279.0,,460.6072,2277.38,55
CPT,41115,PR EXCISION LINGUAL FRENUM FRENECTOMY,1237.0,,108.698,1227.76,55
CPT,41116,HC EXC LES FLOOR MOUTH,3687.0,,433.66,3895.3605,85
CPT,41116,PR EXCISION LESION FLOOR MOUTH,2317.0,,160.8344,2300.97,55
CPT,41120,PR GLOSSECTOMY <ONE-HALF TONGUE,4496.0,,552.68,4143.48,55
CPT,41130,PR GLOSSECTOMY HEMIGLOSSECTOMY,7126.0,,660.35,6442.73,55
CPT,41135,PR GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ,11172.0,,1365.39,11506.61,55
CPT,41140,PR GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ,10474.0,,1445.83,8902.9,55
CPT,41145,PR GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ,13104.0,,1723.5,13038.31,55
CPT,41150,PR GLSSC COMPOSIT W/RESCJ FLOOR & MANDIBULAR RESCJ,12998.0,,1376.65,11887.82,55
CPT,41153,PR GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ,14180.0,,1612.74,13038.31,55
CPT,41155,PR GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ & RAD NECK,16951.0,,1915.3,15723.92,55
CPT,41250,PR RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONG,1341.0,,94.21,1139.85,55
CPT,41251,PR RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,662.0,,136.2428,613.02,55
CPT,41252,PR RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,2683.0,,154.6796,2761.17,55
CPT,41510,PR SUTURE TONGUE LIP MICROGNATHIA,2683.0,,199.19,2761.17,55
CPT,41512,PR TONGUE BASE SUSPENSION PERMANENT SUTURE TQ,3619.0,,536.01,3257.1,47
CPT,41520,PR FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY,1792.0,,182.48,1842.51,55
CPT,41530,PR SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION,2350.0,,311.9925,2115.0,47
CPT,41599,"PR UNLISTED PROCEDURE TONGUE AND MOUTH SURG, LASER ABLATION OF LEUKOPLAKIA OF THE TONGUE",2350.0,,417.27,1997.5,28
CPT,41599,"PR UNLISTED PROCEDURE TONGUE AND MOUTH SURG, TRANSORAL ROBOTIC SURGERY CENTRAL TONGUE BASE RESECTION",11504.0,,417.27,9778.4,28
CPT,41800,"HC DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES",501.0,,140.28,430.86,85
CPT,41800,PR DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,767.0,,58.91,651.95,55
CPT,41805,HC REM FB-DENTVLR SOFT TIS,3249.0,,220.93,2794.14,85
CPT,41805,PR RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS,674.0,,66.11,692.02,55
CPT,41806,PR RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE,876.0,,136.64,874.24,55
CPT,41820,"HC EXCISION,GUM,EA QUAD",1622.0,,454.16,3895.3605,85
CPT,41820,PR GINGIVECTOMY EXC GINGIVA EACH QUADRANT,1476.0,,67.9236,1535.13,48
CPT,41821,HC EXCISION OF GUM FLAP,1506.0,,194.31,1822.9685,85
CPT,41821,PR OPRCULECTOMY EXC PRICORONAL TISSUE,782.0,,26.6156,803.63,48
CPT,41822,PR EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS,973.0,,149.5184,827.05,50
CPT,41823,PR EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS,1776.0,,225.31,1765.24,50
CPT,41825,PR EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR,743.0,,90.252,767.56,55
CPT,41826,PR EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR,1298.0,,140.37,1342.81,55
CPT,41827,PR EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR,2125.0,,213.4584,2110.37,55
CPT,41828,PR EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC,2163.0,,164.2752,2223.7,50
CPT,41830,HC ALVEOLECTMY W CURET OSTE,3063.0,,276.02,3895.3605,85
CPT,41830,PR ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY,2154.0,,229.54,1842.51,50
CPT,41850,PR DESTRUCTION LESION DENTOALVEOLAR STRUCTURES,775.0,,23.15,767.56,48
CPT,41870,PR PERIODONTAL MUCOSAL GRAFTING,1864.0,,109.9124,1918.06,44
CPT,41872,HC GINGIVOPLASTY EA QUAD,656.0,,183.68,3895.3605,85
CPT,41872,PR GINGIVOPLASTY EACH QUADRANT SPECIFY,2237.0,,177.01,2300.97,50
CPT,41874,HC ALVEOLOPLASTY EA QUAD,3116.0,,222.86,3895.3605,85
CPT,41874,PR ALVEOLOPLASTY EACH QUADRANT SPECIFY,1722.0,,180.504,1610.69,50
CPT,41899,HC UNLISTED PROC DENT SURG,3767.0,,278.277,3239.62,84
CPT,41899,"PR DENTAL SURGERY PROCEDURE, EXTRACTION TOOTH, COMMERCIAL PAYORS",181.0,,108.6,8365.94,28
CPT,41899,"PR DENTAL SURGERY PROCEDURE, EXTRACTION, IMPACTION",7166.0,,4299.6,8365.94,28
CPT,41899,PR UNLISTED PROCEDURE PERIODONTAL SCALING AND ROOT PLANING UA (1 TO 3 TEETH PER QUADRANT),170.0,,102.0,8365.94,28
CPT,41899,PR UNLISTED PROCEDURE PERIODONTAL SCALING AND ROOT PLANING UA (4 OR MORE TEETH PER QUADRANT),285.0,,171.0,8365.94,28
CPT,41899,"PR UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES (RECEMENTATION OF DENTAL CROWN)",116.0,,69.6,8365.94,28
CPT,42000,HC DRAIN ABSCS PALATE UVULA,455.0,,87.58,391.3,85
CPT,42000,PR DRAINAGE ABSCESS PALATE UVULA,703.0,,58.02,692.02,55
CPT,42100,HC PALATE UVULA BIOPSY,1364.0,,221.05,1822.9685,85
CPT,42100,PR BIOPSY PALATE UVULA,838.0,,66.58,767.56,55
CPT,42104,HC EXC PALATE UVULA WO CLO,1356.0,,126.8,3895.3605,85
CPT,42104,PR EXC LESION PALATE UVULA W/O CLOSURE,1073.0,,100.3352,1112.72,55
CPT,42106,PR EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE,1381.0,,118.7812,1420.08,55
CPT,42107,PR EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE,3191.0,,239.5312,2712.35,55
CPT,42120,PR RESCJ PALATE/EXTENSIVE RESCJ LESION,4088.0,,437.97,4064.49,55
CPT,42140,PR UVULECTOMY EXCISION UVULA,2154.0,,96.31,1830.9,55
CPT,42145,PR PALATOPHARYNGOPLASTY,6979.0,,511.2716,6942.43,55
CPT,42160,PR DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM,725.0,,104.512,616.25,55
CPT,42180,PR REPAIR LACERATION PALATE <2 CM,822.0,,139.4352,843.13,55
CPT,42182,PR REPAIR LACERATION PALATE >2 CM/COMPLEX,2015.0,,191.82,2072.59,55
CPT,42200,PR PALATOP CL PALATE SOFT&/HARD PALATE ONLY,8714.0,,613.64,8973.82,55
CPT,42205,PR PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE,9161.0,,646.02,9435.73,55
CPT,42210,PR PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE,11544.0,,794.5672,11887.82,55
CPT,42215,PR PALATOPLASTY CLEFT PALATE MAJOR REVJ,11172.0,,520.122,11506.61,55
CPT,42220,PR PALATOPLASTY CLEFT PALATE SEC LNGTH PX,8566.0,,410.31,8820.99,55
CPT,42225,PR PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP,7449.0,,542.92,7670.5,55
CPT,42226,PR LENGTHENING PALATE & PHARYNGEAL FLAP,9309.0,,577.94,9586.84,55
CPT,42227,PR LENGTHENING PALATE W/ISLAND FLAP,9309.0,,527.27,9586.84,55
CPT,42235,PR REPAIR ANTERIOR PALATE W/VOMER FLAP,6779.0,,425.63,6978.48,55
CPT,42260,PR REPAIR NASOLABIAL FISTULA,3668.0,,430.51,3774.3,55
CPT,42280,HC MAXIL IMPRSSN PALTL PROST,897.0,,216.16,771.42,85
CPT,42280,PR MAXILLARY IMPRESJ PALATAL PROSTHESIS,674.0,,80.1688,692.02,55
CPT,42281,PR INSJ PIN-RETAINED PALATAL PROSTHESIS,1342.0,,109.12,1380.59,55
CPT,42300,PR DRAINAGE ABSCESS PAROTID SIMPLE,585.0,,91.79,537.47,55
CPT,42305,PR DRAINAGE ABSCESS PAROTID COMPLICATED,1979.0,,257.59,1682.15,55
CPT,42310,PR DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL,703.0,,83.18,692.02,55
CPT,42320,PR DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL,772.0,,133.538,767.56,55
CPT,42330,PR SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL,1139.0,,104.36,1131.59,55
CPT,42335,PR SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL,2461.0,,186.11,2532.79,55
CPT,42340,PR SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL,3698.0,,257.4804,3836.1,55
CPT,42400,HC BIOPSY NDL SALIVRY GLAND,3009.0,,57.58,2587.74,85
CPT,42400,PR BIOPSY SALIVARY GLAND NEEDLE,463.0,,38.8516,461.91,55
CPT,42405,HC BIOPSY OF SALIVARY GLAND,2389.0,,420.64,2054.54,85
CPT,42405,PR BIOPSY SALIVARY GLAND INCISIONAL,1216.0,,152.8,1033.6,55
CPT,42408,PR EXC SUBLINGUAL SALIVARY CYST RANULA,1864.0,,251.06,1918.06,55
CPT,42409,PR MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA,1931.0,,173.6224,1918.06,55
CPT,42410,PR EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ,3332.0,,468.4824,3145.81,55
CPT,42415,PR EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NR,7365.0,,784.484,7287.57,55
CPT,42420,PR EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NR,7745.0,,877.2016,8055.15,55
CPT,42425,PR EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL,5399.0,,622.426,5369.52,55
CPT,42426,PR EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ,11544.0,,996.958,11887.82,55
CPT,42440,PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND,4798.0,,310.1044,5867.5,55
CPT,42450,PR EXISION OF SUBLINGUAL GLAND,2702.0,,257.71,2685.61,55
CPT,42500,PR PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM,3087.0,,257.4804,3068.54,55
CPT,42505,PR PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP,4425.0,,341.826,4601.96,55
CPT,42507,PR PAROTID DUCT DIVERSION BILATERAL WILKE PX,4844.0,,354.0,4986.6,55
CPT,42509,PR PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS,7077.0,,606.4364,7287.57,55
CPT,42510,PR PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS,5959.0,,451.7568,6137.08,55
CPT,42550,PR INJECTION PROCEDURE SIALOGRAPHY,1362.0,,44.2612,1157.7,55
CPT,42600,PR CLOSURE SALIVARY FISTULA,3727.0,,266.0824,3836.1,55
CPT,42650,PR DILATION SALIVARY DUCT,426.0,,36.49,362.1,55
CPT,42660,PR DILAT&CATHJ SALIVARY DUCT W/WO INJECTION,396.0,,51.34,345.15,55
CPT,42665,PR LIGATION SALIVARY DUCT INTRAORAL,787.0,,148.96,736.24,55
CPT,42699,PR SIALOLITHTOMY; SUBMANDIBULAR (SUBMAXILLARY),4081.0,,2448.6,3468.85,28
CPT,42699,PR UNLISTED PROCEDURE SALIVARY SURG  EXCISION OF PREAURICULAR CYST,1484.0,,890.4,3468.64,28
CPT,42699,PR UNLISTED PROCEDURE SALIVARY SURG  PLACEMENT OF SALIVARY BYPASS TUBE,1335.0,,801.0,3468.64,28
CPT,42699,PR UNLISTED PROCEDURE SALIVARY SURG  SIALEN W/DIL STENT STER INJ SUBMAN,5129.0,,3077.4,4359.65,28
CPT,42699,PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOS W/DIL STENT DUCT SUBMAN,4753.0,,2851.8,4040.05,28
CPT,42699,"PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOSCOPY DIAG,PAROTID GLAND",3253.0,,1951.8,3468.64,28
CPT,42699,"PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOSCOPY DIAG,SUBMANDIBULAR GLAND",3753.0,,2251.8,3468.64,28
CPT,42699,"PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOSCOPY W/DILAT/STENTING/STEROID INJ OF DUCT,PAROTID GLD",4378.0,,2626.8,3721.3,28
CPT,42699,"PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOSCOPY, LIALOLITHOTOMY; PARTOID",6979.0,,3468.64,5932.15,28
CPT,42699,"PR UNLISTED PROCEDURE SALIVARY SURG  STEROID INJECTION, INTRADUCTAL",377.0,,226.2,3468.64,28
CPT,42699,PR UNLISTED PROCEDURE SALIVARY SURG SIALENDOSCOPY W/DIL STENT PAROTID,4003.0,,2401.8,3468.64,28
CPT,42700,PR I&D ABSCESS PERITONSILLAR,922.0,,78.4,783.7,55
CPT,42720,PR I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR,1456.0,,227.3,1415.4,55
CPT,42725,PR I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR,3600.0,,476.11,3060.0,55
CPT,42800,HC BIOPSY:OROPHARYNX,2008.0,,85.54,1822.9685,85
CPT,42800,PR BIOPSY OROPHARYNX,658.0,,67.35,559.3,55
CPT,42804,HC BX NASOPHARYNX VISIBLE LES SI,4064.0,,247.77,3895.3605,85
CPT,42804,PR BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE,2543.0,,76.17,2161.55,55
CPT,42806,PR BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION,905.0,,97.15,928.99,55
CPT,42808,PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD,2289.0,,123.694,1945.65,55
CPT,42809,PR REMOVAL FOREIGN BODY PHARYNX,649.0,,82.12,664.54,55
CPT,42810,PR EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TIS,1484.0,,211.4896,1526.54,55
CPT,42815,PR EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX,3805.0,,400.6048,3782.89,55
CPT,42820,PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12,1873.0,,227.18,1924.93,51
CPT,42821,PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/>,2069.0,,227.2308,2057.15,55
CPT,42825,PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12,1807.0,,197.32,1857.95,51
CPT,42826,PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>,1891.0,,191.3232,1957.54,55
CPT,42830,PR ADENOIDECTOMY PRIMARY <AGE 12,1356.0,,145.37,1394.32,51
CPT,42831,PR ADENOIDECTOMY PRIMARY AGE 12/>,1421.0,,164.25,1461.3,55
CPT,42835,PR ADENOIDECTOMY SECONDARY<AGE 12,1148.0,,129.94,1177.97,51
CPT,42836,PR ADENOIDECTOMY SECONDARY AGE 12/>,1356.0,,183.7056,1394.32,55
CPT,42842,PR RADICAL RESECTION TONSIL W/O CLOSURE,8760.0,,498.03,8958.36,55
CPT,42844,PR RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP,12004.0,,814.54,11944.49,55
CPT,42845,PR RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP,11597.0,,1391.83,11944.49,55
CPT,42860,PR EXCISION TONSIL TAGS,1163.0,,133.43,1195.15,55
CPT,42870,PR EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX,2167.0,,241.98,2003.06,55
CPT,42890,PR LIMITED PHARYNGECTOMY,4781.0,,705.54,4685.25,55
CPT,42892,PR RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR,9160.0,,861.11,7786.0,55
CPT,42894,PR RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS,14025.0,,1253.04,11921.25,55
CPT,42900,PR SUTURE PHARYNX WOUND/INJURY,2340.0,,245.9252,1989.0,55
CPT,42950,PR PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX,4851.0,,564.82,4644.89,55
CPT,42953,PR PHARYNGOESOPHAGEAL REPAIR,6115.0,,501.76,5840.02,55
CPT,42955,PR PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING,4267.0,,339.0,3626.95,55
CPT,42960,PR CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE,845.0,,107.23,837.97,55
CPT,42961,PR CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ,2390.0,,226.54,2031.5,55
CPT,42962,PR CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,1868.0,,385.112,1866.71,55
CPT,42970,PR CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS,1401.0,,195.29,1399.09,55
CPT,42971,PR CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION,1648.0,,287.37,1646.1,55
CPT,42972,PR CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,1871.0,,377.246,1869.64,55
CPT,42999,"PR UNLISTED PROCEDURE THROAT SURGERY, CONTROL OF OROPHARAYNGEAL BLEEDING W ENDOSCOPE",3086.0,,70.41,2623.1,28
CPT,42999,"PR UNLISTED PROCEDURE THROAT SURGERY, NECK EXPLORATION, DEBRIDEMENT OF PHARYNGOCUTANEOUS FISTULA",7143.0,,70.41,6071.55,28
CPT,43020,PR ESOPHAGOTOMY CERVICAL APPR W/RMVL FB,3997.0,,420.7712,4116.0,55
CPT,43030,PR CRICOPHARYNGEAL MYOTOMY,4429.0,,389.7856,4116.0,55
CPT,43045,PR ESOPHAGOTOMY THORACIC APPR W/RMVL FB,5596.0,,954.1688,5761.03,55
CPT,43100,PR EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR,4434.0,,473.3952,4409.64,55
CPT,43101,PR EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR,5915.0,,735.7976,5731.84,55
CPT,43107,PR TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY,23311.0,,1742.56,19814.35,55
CPT,43108,PR TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ,13937.0,,2002.65,13941.41,55
CPT,43112,PR TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY,27767.0,,1777.96,23601.95,55
CPT,43113,PR TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ,13808.0,,2034.18,13814.29,55
CPT,43116,PR PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF,15449.0,,1915.93,15455.89,55
CPT,43117,PR PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY,26782.0,,1880.9,22764.7,55
CPT,43118,PR PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ,12786.0,,1973.74,13168.8,55
CPT,43121,PR PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY,23955.0,,1708.27,20361.75,55
CPT,43122,PR PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL,10847.0,,1705.93,11170.05,55
CPT,43123,PR PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ,13977.0,,1973.74,13983.34,55
CPT,43124,PR TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY,20979.0,,1699.64,17832.15,55
CPT,43130,PR DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR,5033.0,,587.9996,4409.64,55
CPT,43135,PR DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR,5761.0,,934.03,5731.84,55
CPT,43180,HC ESOPHAGOSCOPY RIGID TRANSORAL HYPOPHARYNX/CRV ESOPH W/ CRICMYOTOMY,6459.0,,1105.13,6955.2575,85
CPT,43180,PR ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH,4834.0,,404.5424,4350.6,55
CPT,43191,PR ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH,1053.0,,114.5952,947.7,55
CPT,43192,PR ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL,1590.0,,125.1752,1431.0,55
CPT,43193,PR ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY,1646.0,,124.6784,1481.4,55
CPT,43194,PR ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY,1589.0,,139.6836,1430.1,55
CPT,43195,PR ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION,1653.0,,136.2428,1487.7,55
CPT,43196,PR ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION,1735.0,,144.1088,1561.5,55
CPT,43197,PR ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC,922.0,,60.0024,829.8,55
CPT,43198,PR ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY,979.0,,71.5668,881.1,55
CPT,43200,HC ESOPHAGOSCOPY,2804.0,,176.22,2411.44,85
CPT,43200,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC,1245.0,,64.4276,1294.73,55
CPT,43201,HC ESOPH W/DIREC SUB INJ,2220.0,,206.7,2254.5405,85
CPT,43201,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ,1018.0,,75.7436,916.2,55
CPT,43202,HC ESOPH W/ BIOP,2947.0,,205.15,2534.42,85
CPT,43202,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY,1357.0,,75.256,1411.49,55
CPT,43204,HC ESOPH W/INJ SCLEROS,3356.0,,266.78,2886.16,85
CPT,43204,PR ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES,1886.0,,98.118,1940.38,55
CPT,43205,HC ESOPH W/ BAND LIGAT,3227.0,,279.02,2775.22,85
CPT,43205,PR ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES,1886.0,,102.5524,1940.38,55
CPT,43206,HC ESOPH WOPTC ENDMC CELVSIO,13383.0,,261.96,11509.38,85
CPT,43206,PR ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY,1310.0,,96.3976,1179.0,55
CPT,43211,HC ESOPH W/ENDO MUCOSL RESEC,10450.0,,463.36,8987.0,85
CPT,43211,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN,2138.0,,170.1816,1924.2,55
CPT,43212,HC ESOPH W/ STENT PLACEMENT,7780.0,,377.7,7132.7485,85
CPT,43212,PR ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT,1853.0,,137.2272,1667.7,55
CPT,43213,HC ESOPH W/DIL BLLN/DIL RTRO,3281.0,,519.36,2821.66,85
CPT,43213,PR ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER,2401.0,,188.8668,2160.9,55
CPT,43214,HC ESOPH W/DILAT BALLN>30MM,9518.0,,387.91,8185.48,85
CPT,43214,PR ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM,1716.0,,141.404,1544.4,55
CPT,43215,HC ESOPH W/ FOR BOD REMV,3412.0,,282.67,2934.32,85
CPT,43215,PR ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY,1810.0,,103.04,1882.01,55
CPT,43216,HC ESOPH W/PLYP HTBX/BPCAUT,2779.0,,264.17,2389.94,85
CPT,43216,PR ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS,2000.0,,97.1428,2058.86,55
CPT,43217,HC ESOPH W/POLYPECT SNARE,2803.0,,316.54,2410.58,85
CPT,43217,PR ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE,2000.0,,116.3248,2058.86,55
CPT,43220,HC ESOPH W/BALLN DIL<30MM,3958.0,,234.85,3403.88,85
CPT,43220,PR ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM,1527.0,,86.0752,1588.36,55
CPT,43226,HC ESOPH W/DILATE,3421.0,,261.31,2942.06,85
CPT,43226,PR ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION,1648.0,,95.174,1411.49,55
CPT,43227,HC ESOPHAG W/BLEED CONT,2052.0,,327.35,2254.5405,85
CPT,43227,PR ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL,1886.0,,120.0048,1940.38,55
CPT,43229,HC ESOPH W/ABLATION OF TUMOR,6086.0,,389.76,5233.96,85
CPT,43229,PR ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION,2132.0,,142.876,1918.8,55
CPT,43231,HC ESOPHAGO W/US EXAM,3953.0,,310.19,3399.58,85
CPT,43231,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM,1505.0,,114.1076,1559.17,55
CPT,43232,HC ESOPHAGO W/US GUIDE BX,6033.0,,392.92,5188.38,85
CPT,43232,PR ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX,1979.0,,144.3572,1823.61,55
CPT,43233,HC EGD W/DILAT BALLOON>30MM,3965.0,,457.23,3409.9,85
CPT,43233,PR EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER,2057.0,,166.4924,1851.3,55
CPT,43235,HC EGD,2938.0,,243.06,2526.68,85
CPT,43235,PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC,1511.0,,89.2676,1294.73,55
CPT,43236,"HC EGD,W/DIREC SUB INJECT",2719.0,,274.72,2338.34,85
CPT,43236,PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION,1462.0,,100.832,1315.8,55
CPT,43237,HC UPPER GI ENDO W/ULTRAS ESOPH,4720.0,,386.11,4059.2,85
CPT,43237,PR ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS,2163.0,,141.8916,1838.55,55
CPT,43238,HC UPP GI ENDO W/FNA/BIOP,4050.0,,457.9,3483.0,85
CPT,43238,PR EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS,2025.0,,168.2128,1907.26,55
CPT,43239,HC EGD W/ BX OR POLYPCT COLD,3432.0,,274.72,2951.52,85
CPT,43239,PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE,1511.0,,100.832,1500.78,55
CPT,43240,HC EGD W/DRAIN PSEUDOCYST,3788.0,,773.68,7132.7485,85
CPT,43240,PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST,2029.0,,283.7924,1940.38,55
CPT,43241,HC EGD W/INTRALUMINAL TUBE/CATHETER INSERTION,2205.0,,282.69,2254.5405,85
CPT,43241,PR EGD INTRALUMINAL TUBE/CATHETER INSERTION,1583.0,,103.5368,1646.74,55
CPT,43242,HC UP GAST ENDO W/TRANS US,5145.0,,518.34,4424.7,85
CPT,43242,PR EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY,2200.0,,190.3388,1870.0,55
CPT,43243,HC EGD W/ INJECT SCLER VAR,3677.0,,471.32,3162.22,85
CPT,43243,PR EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES,2043.0,,172.3896,2117.24,55
CPT,43244,HC EGD W/ BAND LIGAT VAR,3834.0,,483.43,3297.24,85
CPT,43244,PR EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES,2060.0,,177.5508,2000.47,55
CPT,43245,HC EGD W/DIL GASTRIC OUTLET,3600.0,,349.37,3096.0,85
CPT,43245,PR EGD DILATION GASTRIC/DUODENAL STRICTURE,1776.0,,127.6316,1765.24,55
CPT,43246,HC EGD W/PEG,4179.0,,399.8,3593.94,85
CPT,43246,PR EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE,2488.0,,145.5808,2587.74,55
CPT,43247,HC EGD W/ FOR BOD REMOVAL,3595.0,,334.95,3091.7,85
CPT,43247,PR EGD FLEXIBLE FOREIGN BODY REMOVAL,1776.0,,128.3676,1765.24,55
CPT,43248,HC EGD W/DILATE,3131.0,,329.04,2692.66,85
CPT,43248,PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS,1634.0,,120.75,1559.17,55
CPT,43249,HC EGD W/BALLN DILATE<30MM,4618.0,,304.42,3971.48,85
CPT,43249,PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM,1716.0,,111.6512,1705.13,55
CPT,43250,HC EGD W/POLYP HOT BX/BPCAUT,3052.0,,338.68,2624.72,85
CPT,43250,PR EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS,1872.0,,123.694,1940.38,55
CPT,43251,HC EGD W/ POLYPECT-SNARE,3586.0,,387.28,3083.96,85
CPT,43251,PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH,1875.0,,142.14,1940.38,55
CPT,43252,HC EGD W/OPTC ENDMC CELLVSIO,12971.0,,332.96,11155.06,85
CPT,43252,PR EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY,2294.0,,122.222,2064.6,55
CPT,43253,HC EGD W/US GUIDED TRANSMURAL INJ/FIDUCIAL MARKER,7219.0,,517.69,6208.34,85
CPT,43253,PR EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER,2459.0,,190.0996,2213.1,55
CPT,43254,HC EGD W/ENDO MUCOSL RESEC,8834.0,,532.54,7597.24,85
CPT,43254,PR EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION,2571.0,,195.5092,2313.9,55
CPT,43255,HC EGD W/ CONTROL BLEEDING,3490.0,,394.84,3001.4,85
CPT,43255,PR EGD TRANSORAL CONTROL BLEEDING ANY METHOD,2070.0,,145.0932,2058.86,55
CPT,43257,PR EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD,2300.0,,179.146,2070.0,47
CPT,43259,HC EGD W/EUS EXAM,5064.0,,445.0,4355.04,85
CPT,43259,PR EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM,1714.0,,163.5392,1559.17,55
CPT,43260,HC ERCP,6554.0,,636.89,5636.44,85
CPT,43260,PR ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING,2105.0,,233.6248,2175.63,55
CPT,43261,HC ERCP W/ BIOPSY,5494.0,,668.55,4724.84,85
CPT,43261,PR ERCP W/BIOPSY SINGLE/MULTIPLE,2447.0,,245.18,2440.08,55
CPT,43262,HC ERCP W/SPHINCTOMY/PAPILLO,6503.0,,703.6,5592.58,85
CPT,43262,PR ERCP W/SPHINCTEROTOMY/PAPILLOTOMY,3279.0,,258.2164,3410.26,55
CPT,43263,PR ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI,2856.0,,258.704,2939.76,55
CPT,43264,HC ERCP W/REMOV OF STONES,6153.0,,717.79,5291.58,85
CPT,43264,PR ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT,3581.0,,263.3776,3703.89,55
CPT,43265,HC ERCP W/LITHOTRIPSY,6795.0,,854.2,7132.7485,85
CPT,43265,PR ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD,3347.0,,313.306,3470.37,55
CPT,43266,HC EGD W/ STENT PLACEMENT,9418.0,,431.61,8099.48,85
CPT,43266,PR EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION,2221.0,,157.8812,1998.9,55
CPT,43270,HC EGD W/ABLATION OF TUMOR,8358.0,,442.65,7187.88,85
CPT,43270,PR EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE,2307.0,,162.5548,2076.3,55
CPT,43273,HC ENDOS CANN PAP W/D VISUAL,6007.0,,234.76,5166.02,84
CPT,43273,PR ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC,1148.0,,86.0752,1033.2,55
CPT,43274,HC ERCP W/STENT PLACEMENT,11733.0,,912.95,10090.38,85
CPT,43274,PR ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT,4644.0,,334.696,4179.6,55
CPT,43275,HC ERCP W/RMV FORGN BDY/STNT,9228.0,,742.03,7936.08,85
CPT,43275,PR ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT,3515.0,,272.2372,3163.5,55
CPT,43276,HC ERCP W/STENT RMV & EXCHG,11799.0,,950.47,10147.14,85
CPT,43276,PR ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE,4840.0,,348.4684,4356.0,55
CPT,43277,HC ERCP W/BALN DIL+SPHINCTRO,11326.0,,745.93,9740.36,85
CPT,43277,PR ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA,3536.0,,273.7092,3182.4,55
CPT,43278,HC ERCP W/ABLAT TUMR + DILAT,11677.0,,854.45,10042.22,85
CPT,43278,PR ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE,4375.0,,313.306,3937.5,55
CPT,43279,PR LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED,11334.0,,943.8464,10200.6,55
CPT,43280,PR LAPS SURG ESOPG/GSTR FUNDOPLASTY,8498.0,,794.8156,8815.83,55
CPT,43281,PR LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH,14185.0,,1129.76,12766.5,55
CPT,43282,PR LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH,15507.0,,1272.3968,13956.3,55
CPT,43283,PR LAPS ESOPHAGEAL LENGTHENING ADDL,1445.0,,114.8436,1300.5,55
CPT,43284,PR LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL,5502.0,,561.6885,4951.8,47
CPT,43285,PR REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE,5686.0,,577.2945,5117.4,47
CPT,43287,PR ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ,33829.0,,2584.6296,30446.1,55
CPT,43288,PR ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ,38611.0,,2725.7852,34749.9,55
CPT,43289,"PR LAP,ESOPHAGUS,OTHER PROC, MIS IVOR ESOPHAGOGASTRECTOMY",12938.0,,3288.33,10997.3,28
CPT,43289,PR TOTAL/NEAR TOTAL ESOPHAGECTOMY W/THORACOTOMY W/PHARYNGOGASTROSTOMY OR CERVICAL ESOPHAGOGASTROSTOMY W/WO PYLOROPLAST,10388.0,,3288.33,8829.8,28
CPT,43289,PR UNLISTED PROCEDURE LAPOROSCOPIC EXCISION OF LESION OF ESOPHAGUS,5713.0,,3288.33,4856.05,28
CPT,43300,PR ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL,6486.0,,466.0168,6677.98,55
CPT,43305,PR ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL,9511.0,,810.06,9796.33,55
CPT,43310,PR ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL,10809.0,,1079.344,11130.55,55
CPT,43312,PR ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL,12276.0,,1152.3828,12645.07,55
CPT,43313,PR ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL,12968.0,,2137.5464,13355.99,55
CPT,43314,PR ESPHGP CGEN DFCT THRC APPR W/RPR FSTL,14741.0,,2286.8164,15183.02,55
CPT,43320,PR EGST W/WO VAGOTOMY&PYLOROPLASTY TABDL/TTHRC AP,8646.0,,926.57,8905.14,55
CPT,43325,PR ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH,9944.0,,937.95,10239.36,55
CPT,43327,PR ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY,7047.0,,602.508,6342.3,55
CPT,43328,PR ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY,10509.0,,817.19,9458.1,55
CPT,43330,PR ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH,7567.0,,927.83,7792.42,55
CPT,43331,PR ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH,10233.0,,978.0244,8698.05,55
CPT,43332,PR RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH,9930.0,,845.2316,8937.0,55
CPT,43333,PR LAPT RPR PARAESOPH HIATAL HERNIA W/MESH,10942.0,,925.888,9847.8,55
CPT,43334,PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH,11278.0,,903.0168,10150.2,55
CPT,43335,PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH,12223.0,,969.91,11000.7,55
CPT,43336,PR RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH,13160.0,,1053.5196,11844.0,55
CPT,43337,PR RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH,14098.0,,1122.1332,12688.2,55
CPT,43338,PR ESOPHAGUS LENGTHENING,1130.0,,82.6252,1017.0,55
CPT,43340,PR ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR,9944.0,,963.68,10239.36,55
CPT,43341,PR ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR,11240.0,,870.59,11575.3,55
CPT,43351,PR ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR,6920.0,,774.84,7124.45,55
CPT,43352,PR ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR,5190.0,,702.3,5343.76,55
CPT,43360,PR GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH,16326.0,,1637.094,14513.33,55
CPT,43361,PR GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT,17551.0,,1957.69,18076.41,55
CPT,43400,PR LIGATION DIRECT ESOPHAGEAL VARICES,8646.0,,910.74,8905.14,55
CPT,43405,PR LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J,5114.0,,1037.64,5115.26,55
CPT,43410,PR SUTR ESOPHGL WND/INJ CRV APPR,7025.0,,664.62,5971.25,55
CPT,43415,PR SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR,9709.0,,1009.59,8547.97,55
CPT,43420,PR CLSR ESOPHAGOSTOMY/FSTL CRV APPR,5660.0,,556.88,5343.76,55
CPT,43425,PR CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR,7003.0,,882.59,7212.02,55
CPT,43450,HC ESOPHOGEAL DILATION,1487.0,,158.38,1278.82,85
CPT,43450,PR DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS,779.0,,58.282,662.15,55
CPT,43453,HC DILAT ESOPHAG OVR GDWIRE,1637.0,,172.84,2254.5405,85
CPT,43453,PR DILATION ESOPHAGUS GUIDE WIRE,1199.0,,63.4432,1159.08,55
CPT,43460,PR ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE,1819.0,,153.9436,1869.97,55
CPT,43496,PR FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS,14390.0,,1417.44,14319.29,48
CPT,43497,HC TRANSORAL LOWER ESOPHAGEAL MYOTOMY,6451.0,,1806.28,7132.7485,84
CPT,43497,PR TRANSORAL LOWER ESOPHAGEAL MYOTOMY,7153.0,,631.499,6437.7,45
CPT,43499,HC UNLISTED PROC ESOPHAGUS - CHROMOSCOPY ESOPHAGUS,2645.0,,740.6,2274.7,83
CPT,43499,"HC UNLISTED PROCEDURE, ESOPHAGUS, ENDOVAC SPONGE PLACEMENT",896.0,,250.88,1065.6245,83
CPT,43499,HC UNLISTED PX EGD FLX TRANSORAL ABLATN TUMOR/PLYP/LES VIA BAND/CLIP,8713.0,,1065.6245,7493.18,83
CPT,43499,HC UNLISTED PX ESOPHAGUS SURG ZENKER'S DIVERTICULOTOMY VIA TRANSORAL APPRCH,2159.0,,604.52,1856.74,83
CPT,43499,"HC UNLISTED PX ESOPHAGUS, EGD OVESCO PLCMT TO CLOSE DUODENAL PERFORATION",2400.0,,672.0,2064.0,83
CPT,43499,"HC UNLISTED PX, ENDOSCOPIC TRACHEOESOPHAGEAL REPAIR",1371.0,,383.88,1179.06,83
CPT,43499,"HC UNLISTED PX, ESOPHAGUS, EGD W/ FTRD IN ESOPHAGUS/STOMACH",3649.0,,1021.72,3138.14,83
CPT,43499,PR HYBRID IVOR LEWIS WITH LYMPH NODE DISSECTION,21285.0,,6439.31,18092.25,28
CPT,43499,"PR UNLISTED PROCEDURE ESOPHAGUS SURG, ENDOSCOP MUCOSAL RESECT CAP TECHNIQUE & MUCOSAL RESECT-SUCTION TECHNIQUE",1945.0,,1167.0,6439.31,28
CPT,43499,"PR UNLISTED PROCEDURE ESOPHAGUS SURG, GASTRIC LEAK REPAIR W OTSC",2000.0,,1200.0,6439.31,28
CPT,43499,"PR UNLISTED PROCEDURE ESOPHAGUS SURG, ZENKER'S DIVERTICULOTOMY VIA A TRANSORAL APPROACH",4283.0,,2569.8,6439.31,28
CPT,43499,"PR UNLISTED PROCEDURE ESOPHAGUS, EGD OVESCO CLIP PLCMT TO CLOSE DUODENAL PERFORATION",2078.0,,1246.8,6439.31,28
CPT,43499,"PR UNLISTED PROCEDURE ESOPHAGUS, EGD W/ ESD IN ESOPHAGUS/STOMACH",6469.0,,3881.4,6439.31,28
CPT,43499,"PR UNLISTED PROCEDURE ESOPHAGUS, EGD W/ FTRD IN ESOPHAGUS/STOMACH",2271.0,,1362.6,6439.31,28
CPT,43499,"PR UNLISTED PROCEDURE ESOPHAGUS, ENDOVAC SPONGE PLACEMENT",202.0,,121.2,6439.31,28
CPT,43499,"PR UNLISTED PROCEDURE, STOMACH, CHROMOSCOPY OF ESOPHAGUS",1648.0,,988.8,6439.31,28
CPT,43499,PR UNLISTED PX EGD FLX TRANSORAL ABLATN TUMOR/PLYP/LES VIA BAND/CLIP,2218.0,,1330.8,6439.31,28
CPT,43499,PR UNLISTED PX ENDOSCOPIC TRACHEOESOPHAGEAL FISTULA REPAIR,10635.0,,6381.0,9039.75,28
CPT,43500,HC GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL,3367.0,,942.76,2895.62,84
CPT,43500,PR GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL,4740.0,,491.97,4753.07,55
CPT,43501,PR GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER,6555.0,,797.37,6576.68,55
CPT,43502,PR GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC,6555.0,,866.27,6576.68,55
CPT,43510,PR GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE,4399.0,,593.45,4198.43,55
CPT,43520,PR PYLOROMYOTOMY CUTTING PYLORIC MUSC,4740.0,,401.92,4753.07,55
CPT,43605,PR BIOPSY STOMACH LAPAROTOMY,5724.0,,509.8,5546.39,55
CPT,43610,PR EXC LOCAL ULCER/BENIGN TUMOR STOMACH,6039.0,,657.73,6099.3,55
CPT,43611,PR EXC LOCAL MALIGNANT TUMOR STOMACH,8957.0,,730.13,7613.45,55
CPT,43620,PR GSTRCT TOT W/ESOPHAGOENTEROSTOMY,11054.0,,1282.13,11091.05,55
CPT,43621,PR GSTRCT TOT W/ROUX-EN-Y RCNSTJ,15272.0,,1297.32,14655.86,55
CPT,43622,PR GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE,15988.0,,1336.73,16039.89,55
CPT,43631,PR GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY,8175.0,,1069.0124,7921.21,55
CPT,43632,PR GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY,9158.0,,1081.67,7921.21,55
CPT,43633,PR GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ,10961.0,,1094.52,10455.71,55
CPT,43634,PR GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH,12832.0,,1494.49,12871.75,55
CPT,43635,PR VAGOTOMY PFRMD W/PRTL DSTL GSTRCT,2864.0,,82.1376,2970.67,55
CPT,43640,PR VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV,7621.0,,853.96,7644.74,55
CPT,43641,PR VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL,9084.0,,859.94,9111.19,55
CPT,43644,PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM,15148.0,,1280.9988,13633.2,55
CPT,43645,PR LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ,15349.0,,1360.9284,13814.1,55
CPT,43651,PR LAPS SURG TRNSXJ VAGUS NRV TRUNCAL,5529.0,,488.4004,5546.39,55
CPT,43652,PR LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV,8687.0,,568.3208,8714.53,55
CPT,43653,PR LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX,4758.0,,429.87,4832.05,55
CPT,43659,"PR DIAGNOSTIC LAPAROSCOPY, OMENTAL PATCH REPAIR OF PERFORATED DUODENAL ULCER",7701.0,,4620.6,6545.85,28
CPT,43659,"PR LAP,STOMACH,OTHER,W/O TUBE, LAPAROSCOPIC GASTROSTOMY(STAMM)",4819.0,,2891.4,5120.53,28
CPT,43659,"PR LAP,STOMACH,OTHER,W/O TUBE, LAPAROSCOPIC PARTIAL GASTRECTOM",6082.0,,3649.2,5169.7,28
CPT,43659,"PR LAP,STOMACH,OTHER,W/O TUBE, LAPAROSCOPIC PYLOROPLASTY",5529.0,,3317.4,5120.53,28
CPT,43659,"PR LAP,STOMACH,OTHER,W/O TUBE, LAPAROSCOPIC-ASSISTED GASTROJEJUNOSTOMY",7959.0,,4775.4,6765.15,28
CPT,43659,PR LAPAROSCOPIC ASSISTED COMPLETE GASTRECTOMY WITH ROUX-EN-Y RECONSTRUCTION,14755.0,,5120.53,12541.75,28
CPT,43659,PR LAPAROSCOPIC GASTRECTOMY PARTIAL DISTAL W/ROUX-EN-Y RECONSTRUCTION AND VAGOTOMY,19772.0,,5120.53,16806.2,28
CPT,43659,PR LAPAROSCOPIC GASTRECTOMY WITH GASTROJEJUNOSTOMY,8867.0,,5120.53,7536.95,28
CPT,43659,PR UNLISTED PROCEDURE LAPAROSCOPIC PARTIAL GASTRECTOMY MALIGNANT TUMOR,8653.0,,5120.53,7355.05,28
CPT,43659,PR UNLISTED PROCEDURE LAPAROSCOPIC TOTAL GASTRECTOMY WITH ESOPHAGOJEJUNOSTOMY,11054.0,,5120.53,9395.9,28
CPT,43659,"PR UNLISTED PROCEDURE LAPAROSCOPY PROCEDURE, STOMACH, ROBOTIC GASTROJEJUNOSTOMY",12655.0,,5120.53,10756.75,28
CPT,43659,PR UNLISTED PX LAPAROSCOPIC EXCISION OF BENIGN TUMOR OF STOMACH,9535.0,,5120.53,8104.75,28
CPT,43659,"PR UNLISTED PX LAPAROSCOPY PROCEDURE STOMACH, CLOSURE GASTROCOLIC FISTULA",7233.0,,4339.8,6148.05,28
CPT,43752,HC NASOGASTRIC TUBE PLACMNT,760.0,,79.51,653.6,85
CPT,43752,PR NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE,455.0,,29.0168,386.75,55
CPT,43753,HC GASTRIC LAVAGE SIMPLE,166.0,,43.81,253.69,85
CPT,43753,PR GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE,266.0,,15.7412,239.4,55
CPT,43754,PR GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN,465.0,,28.0324,418.5,55
CPT,43755,PR GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC,481.0,,43.7736,432.9,55
CPT,43756,PR DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN,577.0,,37.3796,519.3,55
CPT,43757,PR DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN,743.0,,56.3132,668.7,55
CPT,43761,HC GAST FEED TUBE REPOS DUOD,2113.0,,110.15,1817.18,85
CPT,43761,PR REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO,866.0,,75.992,793.32,55
CPT,43762,HC PERCU REPLACEMENT GASTRO TUBE NOT REQ REVISION GASTRO TRACT WO IMGGUID,1122.0,,75.99,964.92,85
CPT,43762,PR PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,670.0,,27.2964,603.0,55
CPT,43763,HC PERCU REPLACEMENT GASTRO TUBE REQUIRING REVIS GASTRO TRACT WO IMGGUID,1122.0,,110.15,964.92,85
CPT,43763,PR PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,796.0,,64.1884,716.4,55
CPT,43770,PR LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE,13425.0,,833.1796,11411.25,55
CPT,43771,PR LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE,10449.0,,944.8308,10248.92,55
CPT,43772,PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE,8321.0,,702.5948,7884.16,55
CPT,43773,PR LAPS GASTRIC RESTRICTIVE PX REMOVE&RPLCMT DEVICE,10449.0,,944.8308,10248.92,55
CPT,43774,PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT,8735.0,,710.7092,7884.16,55
CPT,43775,PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY,11108.0,,812.2772,9997.2,55
CPT,43800,PR PYLOROPLASTY,10154.0,,585.52,8630.9,55
CPT,43810,PR GASTRODUODENOSTOMY,5923.0,,634.28,5943.06,55
CPT,43820,PR GASTROJEJUNOSTOMY W/O VAGOTOMY,7901.0,,680.49,6715.85,55
CPT,43825,PR GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE,7107.0,,878.26,6040.95,55
CPT,43830,PR GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX,4783.0,,459.54,4832.05,55
CPT,43831,PR GASTROSTOMY OPEN NEONATAL FOR FEEDING,4819.0,,418.41,4832.05,51
CPT,43832,PR GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE,5333.0,,657.77,5546.39,55
CPT,43840,PR GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ,6132.0,,666.76,5943.06,55
CPT,43842,PR GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP,10896.0,,848.424,10933.08,50
CPT,43843,PR GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP,12238.0,,949.0076,12279.33,55
CPT,43846,PR GSTR RSTCV PX W/BYP SHORT LIMB 150 CM/<ROUX-EN-Y,13754.0,,1169.84,13783.54,55
CPT,43847,PR GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ,13739.0,,1236.7,13783.54,55
CPT,43848,PR REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE,15192.0,,1294.22,12913.2,55
CPT,43860,PR REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY,11228.0,,1052.2,9543.8,55
CPT,43865,PR REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY,9084.0,,1168.93,9111.19,55
CPT,43870,PR CLOSURE GASTROSTOMY SURGICAL,3911.0,,447.65,3961.46,55
CPT,43880,PR CLOSURE GASTROCOLIC FISTULA,7233.0,,910.04,6148.05,55
CPT,43887,PR GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY,2141.0,,248.8692,1926.9,55
CPT,43999,HC UNLISTED PROC - GE TUBE REPLACEMENT W/ OR W/O FLUORO,1403.0,,392.84,1206.58,83
CPT,43999,HC UNLISTED PX - EGD VIA GASTROSTOMY SITE W/ BIOPSY SINGLE/MULTIPLE,3432.0,,960.96,2951.52,83
CPT,43999,HC UNLISTED PX - EGD VIA GASTROSTOMY SITE W/INSRT GW & PASS ESOPHAG DILATOR,3131.0,,876.68,2692.66,83
CPT,43999,"HC UNLISTED PX COLON, CONTRAST INJECTION VIA GASTROSTOMY TUBE",2489.0,,696.92,2140.54,83
CPT,43999,"HC UNLISTED PX, STOMACH, PERC GASTROSTOMY PLACEMENT, CT GUIDANCE",4003.0,,1065.6245,3442.58,83
CPT,43999,"HC UNLISTED PX, STOMACH, TRANSESOPHAGEAL GASTROSTOMY PLACEMENT",6345.0,,1065.6245,5456.7,83
CPT,43999,PR EXCISION OF GASTROCUTANEOUS FISTULA,6493.0,,3468.64,5519.05,28
CPT,43999,PR SURGICAL GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY,8591.0,,3468.64,7302.35,28
CPT,43999,PR UNLISTED PROCEDURE EGD VIA GASTROSTOMY SITE W/INSRT GW & PASS ESOPHAG DILATOR,1606.0,,963.6,3468.64,28
CPT,43999,PR UNLISTED PROCEDURE REPLACEMNT GASTROJEJUNOSTOMY TUBE ENDOSCOPIC W/FLUORO,1535.0,,921.0,3468.64,28
CPT,43999,PR UNLISTED PROCEDURE STOMACH (G-POEM),7679.0,,3468.64,6527.15,28
CPT,43999,PR UNLISTED PROCEDURE STOMACH (STAINING CHROMOSCOPY W/METHYLENE BLUE),1459.0,,875.4,3468.64,28
CPT,43999,PR UNLISTED PROCEDURE STOMACH - ENDOSCOPIC CLOSURE OF GASTRO-CUTANEOUS FISTULA,6965.0,,3468.64,5920.25,28
CPT,43999,"PR UNLISTED PROCEDURE STOMACH SURGERY, UPPER GASTROINTESTINAL ENDOSCOPY FOR GERD",1459.0,,875.4,3468.64,28
CPT,43999,"PR UNLISTED PROCEDURE STOMACH, PERCUTANEOUS GASTROSTOMY TUBE PLACEMENT USING CT GUIDANCE",2294.0,,1376.4,3468.64,28
CPT,43999,"PR UNLISTED PROCEDURE STOMACH, REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY",8038.0,,3468.64,6832.3,28
CPT,43999,"PR UNLISTED PROCEDURE STOMACH, TRANSESOPHAGEAL GASTROSTOMY PLACEMENT",2178.0,,1306.8,3468.64,28
CPT,43999,"PR UNLISTED PX EGD VIA GASTROSTOMY SITE, BIOPSY SINGLE/MULTIPLE",1406.0,,843.6,3468.64,28
CPT,43999,PR UNLISTED PX REPLACEMNT GASTROJEJUNOSTOMY TUBE ENDOSCOPIC W/O FLUORO,1578.0,,946.8,3468.64,28
CPT,43999,"PR UNLISTED PX STOMACH, CONTRAST INJECTION VIA GASTROSTOMY TUBE",2405.0,,1443.0,3468.64,28
CPT,43999,"PR UNLISTED PX STOMACH, ENDOVAC SPONGE PLACEMENT",202.0,,121.2,3468.64,28
CPT,44005,HC ENTEROLYSIS FREEING INTESTINAL ADHESION,77061.0,,2245.9,66272.46,84
CPT,44005,PR ENTEROLSS FRING INTSTINAL ADHESION SPX,5726.0,,741.49,5067.31,55
CPT,44010,PR DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL,5657.0,,591.61,5431.34,55
CPT,44015,PR TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD,2809.0,,103.04,2498.45,55
CPT,44020,PR ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL,5926.0,,666.54,5431.34,55
CPT,44021,PR ENTEROTOMY SM INT OTH/THN DUO DCMPRN,5316.0,,635.92,4706.71,55
CPT,44025,PR COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL,5926.0,,669.87,5431.34,55
CPT,44050,PR RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,6643.0,,649.37,5646.55,55
CPT,44055,PR CORRJ MALROTATION BANDS&/RDCTJ VOLVULUS,8538.0,,694.95,7257.3,55
CPT,44100,PR BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS,873.0,,77.464,796.75,55
CPT,44110,PR EXC 1/> SMALL/LARGE LESIONS INTESTINE ENTEROTOM,5399.0,,604.74,4778.82,55
CPT,44111,PR EXC 1/> SM/LG LESIONS INTESTNE MULT ENTEROTOMIE,8178.0,,720.7924,7241.21,55
CPT,44120,PR ENTRC RESCJ SMALL INTESTINE 1 RESCJ & ANAST,7523.0,,809.76,6660.82,55
CPT,44121,PR ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ & ANA,3203.0,,175.8304,3331.26,55
CPT,44125,PR ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY,7609.0,,865.6372,7023.13,55
CPT,44126,PR ENTRC RESCJ ATRESIA RESCJ & ANAST W/O TAPRING,8730.0,,1816.3652,8337.08,55
CPT,44127,PR ENTRC RESCJ ATRESIA RESCJ & ANAST SGM W/TAPRING,9654.0,,2096.4776,9656.29,55
CPT,44128,PR ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS,4368.0,,177.5508,4000.96,55
CPT,44130,PR ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX,8334.0,,715.39,7083.9,55
CPT,44139,PR MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT,1076.0,,87.5472,914.6,55
CPT,44140,PR COLECTOMY PARTIAL W/ANASTOMOSIS,7863.0,,988.1076,7627.57,55
CPT,44141,PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY,9856.0,,1054.84,8755.74,55
CPT,44143,PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT,9050.0,,1089.77,9003.01,55
CPT,44144,PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA,8995.0,,1042.13,8305.84,55
CPT,44145,PR COLECTOMY PRTL W/COLOPROCTOSTOMY,9630.0,,1210.4256,9581.69,55
CPT,44146,PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY,12467.0,,1314.67,10596.95,55
CPT,44147,PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH,11855.0,,1158.17,10076.75,55
CPT,44150,PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS,9805.0,,1219.64,9463.21,55
CPT,44151,PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST,13822.0,,1003.91,11748.7,55
CPT,44155,PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY,13081.0,,1391.21,11583.89,55
CPT,44156,PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST,17377.0,,1141.27,14770.45,55
CPT,44157,PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST,19038.0,,1607.0928,18675.21,55
CPT,44158,PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR,22870.0,,1647.1772,19439.5,55
CPT,44160,PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS,8995.0,,914.0844,7646.47,55
CPT,44180,PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE,8000.0,,679.236,7578.76,55
CPT,44186,PR LAPAROSCOPY SURGICAL JEJUNOSTOMY,5495.0,,482.494,5135.5,55
CPT,44187,PR LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE,8474.0,,801.2096,8372.32,55
CPT,44188,PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY,9008.0,,892.1976,9255.42,55
CPT,44202,PR LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ & ANA,8809.0,,1020.5744,9039.06,55
CPT,44203,PR LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS,3211.0,,175.0944,3331.26,55
CPT,44204,PR LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS,8178.0,,1126.3192,7241.21,55
CPT,44204,PR ROBOT ASSISTED PARTIAL COLECTOMY,10630.0,,1126.3192,9035.5,55
CPT,44205,PR LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM,8649.0,,977.776,7964.13,55
CPT,44205,PR ROBOT ASSISTED RIGHT COLECTOMY WITH TI RESECTION,10780.0,,977.776,9163.0,55
CPT,44206,PR LAPS COLECTOMY PRTL W/END CLST & CLSR DSTL SGM,9479.0,,1275.8376,8531.1,55
CPT,44206,PR ROBOT ASSISTED HARTMANN PROCEDURE,11905.0,,1275.8376,10714.5,55
CPT,44207,PR LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST,9930.0,,1324.0364,8937.0,55
CPT,44207,PR ROBOT ASSISTED COLECTOMY WITH COLOANAL ANAST,12414.0,,1324.0364,11172.6,55
CPT,44208,PR LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST,11273.0,,1441.5848,10145.7,55
CPT,44208,PR ROBOT ASSISTED COLECTOMY WITH COLOANAL ANAST AND COLOSTOMY,15581.0,,1441.5848,14022.9,55
CPT,44210,PR LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS,11465.0,,1295.0196,10318.5,55
CPT,44210,PR ROBOT ASSISTED TAC/ILEOSTOMY,14400.0,,1295.0196,12960.0,55
CPT,44211,PR LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS,17005.0,,1541.92,15304.5,55
CPT,44211,PR ROBOT ASSISTED TAC/PROCTECTOMY/ILEOSTOMY WITH POUCH ANAST,25447.0,,1541.92,22902.3,55
CPT,44212,PR LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY,13953.0,,1478.716,12557.7,55
CPT,44212,PR ROBOT ASSISTED TAC/PROCTECTOMY/ILEOSTOMY,17083.0,,1478.716,15374.7,55
CPT,44213,PR LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY,1884.0,,135.5068,1839.8,55
CPT,44227,PR LAPS CLSR NTRSTM LG/SM INT W/RESCJ & ANASTOMOSIS,13620.0,,1214.1056,13928.52,55
CPT,44238,PR UNLISTED PROCEDURE LAPAROSCOPIC INTESTINE-EXCEPT RECTUM-PARACOLOSTOMY HERNIA,4943.0,,2965.8,4448.7,28
CPT,44238,"PR UNLISTED PROCEDURE LAPAROSCOPIC, ROBOTIC SUTURE OF LARGE INTESTINE W/O COLOSTOMY",5449.0,,3269.4,4904.1,28
CPT,44238,"PR UNLISTED PROCEDURE LAPAROSCOPY PROC,INTESTINE, LAPAROSCOPIC CORRECTION MALROTATION",8249.0,,4949.4,7424.1,28
CPT,44238,"PR UNLISTED PROCEDURE LAPAROSCOPY, INTESTINE, FULL THICKNESS EXCISION TRANSVERSE COLON POLYP SITE",5215.0,,3129.0,4693.5,28
CPT,44238,"PR UNLISTED PROCEDURE LAPAROSCOPY,INTESTINE, FULL THICKNESS EXCISION W/DIRECT REPAIR",6780.0,,4068.0,6102.0,28
CPT,44238,PR UNLISTED PX LAPAROSCOPIC ROBOTIC CLOSURE OF ENTEROVESICAL FISTULA:W/INTESTINE AND/OR BLADDER RESECTION,7991.0,,4794.6,7191.9,28
CPT,44238,PR UNLISTED PX LAPAROSCOPIC ROBOTIC DUODENOJEJUNOSTOMY BYPASS,8237.0,,4942.2,7413.3,28
CPT,44238,PR UNLISTED PX LAPAROSCOPIC SPLENIC FLEXURE MOBILIZATION,5772.0,,3463.2,5194.8,28
CPT,44238,"PR UNLISTED PX,  LAPAROSCOPY INTESTINE (LAPAROSCOPIC REVISION OF PRIO)",5350.0,,3210.0,4815.0,28
CPT,44300,PR PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN,4262.0,,505.68,4340.96,55
CPT,44310,PR ILEOSTOMY/JEJUNOSTOMY NON-TUBE,5411.0,,662.47,5611.64,55
CPT,44312,PR REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX,3358.0,,288.27,2854.3,55
CPT,44314,PR REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX,6018.0,,585.58,5985.99,55
CPT,44316,PR CONTINENT ILEOSTOMY KOCK PROCEDURE SPX,9084.0,,817.54,9353.3,55
CPT,44320,PR COLOSTOMY/SKIN LEVEL CECOSTOMY,7793.0,,681.5,6624.05,55
CPT,44322,PR COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX,4943.0,,717.74,5087.91,55
CPT,44340,PR REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX,2643.0,,233.49,2246.55,55
CPT,44345,PR REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX,5573.0,,528.05,4737.05,55
CPT,44346,PR REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX,5116.0,,633.64,5087.91,55
CPT,44360,HC SMALL BOWEL THROUGH STOMA,2317.0,,284.49,2254.5405,85
CPT,44360,PR ENDOSCOPY UPPER SMALL INTESTINE,2014.0,,104.512,2094.92,55
CPT,44361,HC SMBWL WO ILUM WBX/PLYPCLD,3541.0,,313.28,3045.26,85
CPT,44361,PR ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY,2158.0,,115.092,2244.31,55
CPT,44363,HC SM BOWEL ENDO W/FB REM,3864.0,,378.29,3323.04,85
CPT,44363,PR ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY,2183.0,,138.9476,2244.31,55
CPT,44364,HC SM BWL ENDO W/SNARE REM,3987.0,,402.91,3428.82,85
CPT,44364,PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE,2445.0,,148.0464,2543.1,55
CPT,44365,HC SMBWL W/PLYPCT HTBX/BPCT,4275.0,,360.44,3676.5,85
CPT,44365,PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY,2445.0,,132.3052,2543.1,55
CPT,44366,HC SM BWL W/BLEED CONTR,3500.0,,472.48,3010.0,85
CPT,44366,PR ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING,2878.0,,173.6224,2992.99,55
CPT,44369,HC SM BWL W/TUM ABL,6001.0,,484.08,5160.86,85
CPT,44369,PR ENTEROSCOPY > 2ND PRTN ABLTJ LESION,2445.0,,177.7992,2543.1,55
CPT,44370,HC SM INTES ENDO W/O ILEUM,6969.0,,526.72,7132.7485,85
CPT,44370,PR ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT,3029.0,,193.5404,3142.38,55
CPT,44372,HC SMALL BOWEL ENDO W/ PLACEMENT PERCU JEJUNOSTOMY TUBE,4505.0,,474.32,3874.3,85
CPT,44372,PR ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE,2108.0,,173.6224,2094.92,55
CPT,44373,HC SM BWL ENDO W/GAST-JEJ,2131.0,,378.43,2254.5405,85
CPT,44373,PR ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE,2014.0,,138.6992,2094.92,55
CPT,44376,HC DX SM BOWEL W/ILEUM,2152.0,,558.88,2254.5405,85
CPT,44376,PR ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX,2335.0,,205.344,2319.87,55
CPT,44377,HC SMBOWL ENDO W/BX/PLYPCCLD,2432.0,,564.97,2254.5405,85
CPT,44377,PR ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE,2473.0,,216.66,2543.1,55
CPT,44378,HC SM BOWEL W/BLEED CONTR,4683.0,,564.97,4027.38,85
CPT,44378,PR ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING,3381.0,,278.1344,3516.73,55
CPT,44379,PR ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT,3379.0,,296.5804,3478.94,55
CPT,44380,HC SM BWL ILEOSCPY THR STOMA,2804.0,,114.09,2411.44,85
CPT,44380,PR ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD,1583.0,,42.0532,1646.74,55
CPT,44381,HC ILEOSCP STOMA W/TE BLN DL,5828.0,,168.67,5012.08,85
CPT,44381,PR ILEOSCOPY STOMA W/BALLOON DILATION,1133.0,,61.9712,1019.7,55
CPT,44382,HC SM BWL THRU STOMA W/BX,2804.0,,147.04,2411.44,85
CPT,44382,PR ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE,2087.0,,54.1052,2170.47,55
CPT,44384,PR ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT,1617.0,,118.9915,1455.3,47
CPT,44385,HC SM BWL ENDO W/POUCH EVAL,2551.0,,145.65,2193.86,85
CPT,44385,PR NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX,1907.0,,53.3692,1983.31,55
CPT,44386,HC SM BWL ENDO W/EVAL &BX,2551.0,,177.43,2193.86,85
CPT,44386,PR NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE,2231.0,,65.1728,2319.87,55
CPT,44388,HC COLONOSCOPY THRU STOMA,3006.0,,311.46,2585.16,85
CPT,44388,PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX,2373.0,,113.6108,2244.31,55
CPT,44389,HC COLNSC STOMA W/BX/PLYPCLD,3277.0,,340.52,2818.22,85
CPT,44389,PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE,2518.0,,124.6784,2618.65,55
CPT,44390,HC COLON STOMA W/FB REM,2287.0,,328.5,1966.82,85
CPT,44390,PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY,2545.0,,152.4716,2618.65,55
CPT,44391,HC COLONOSC STOMA BLDNG TX,3009.0,,429.26,2587.74,85
CPT,44391,PR COLONOSCOPY STOMA CONTROL BLEEDING,3490.0,,167.2284,3592.27,55
CPT,44392,HC CLNSC STMA WPLYP HBX/BPCT,3325.0,,400.44,2859.5,85
CPT,44392,PR COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS,2951.0,,145.3416,3068.54,55
CPT,44394,HC COLON STOMA SNARE POLYP,3570.0,,429.26,3070.2,85
CPT,44394,PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE,2951.0,,163.5392,3068.54,55
CPT,44401,HC COLONOSC STOMA W/ABL TUMR,4062.0,,478.21,3493.32,85
CPT,44401,PR COLONOSCOPY STOMA ABLATION LESION,2853.0,,186.779,2567.7,47
CPT,44402,PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT,2676.0,,200.787,2408.4,47
CPT,44403,HC COLONOSCOPY STOMA W/ EMR,5702.0,,429.26,4903.72,85
CPT,44403,PR COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ,2965.0,,220.3492,2668.5,55
CPT,44404,HC COLNSC STOMAW/DR SBMUCINJ,3981.0,,340.52,3423.66,85
CPT,44404,PR COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION,1749.0,,124.6784,1574.1,55
CPT,44405,HC COLONOSC STOMA W/BALN DIL,4230.0,,362.39,3637.8,85
CPT,44405,PR COLONOSCOPY STOMA W/BALLOON DILATION,1679.0,,133.0412,1511.1,55
CPT,44406,HC COLONOSCOPY STOMA W/ EUS,5549.0,,429.26,4772.14,85
CPT,44406,PR COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM,2379.0,,166.244,2141.1,55
CPT,44407,HC COLONOSCP STOMA W/EUS FNA,5821.0,,429.26,5006.06,85
CPT,44407,PR COLONOSCOPY STOMA W/US GID NDL ASPIR/BX,2731.0,,199.1984,2457.9,55
CPT,44408,HC COLONOSC STOMA W/DECMPRSN,4920.0,,328.5,4231.2,85
CPT,44408,PR COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION,2731.0,,167.716,2457.9,55
CPT,44500,HC INTRODUCT LONG GI TUBE,1489.0,,37.54,1280.54,85
CPT,44500,PR INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE,304.0,,13.7724,315.95,55
CPT,44602,PR ENTERORRHAPHY SINGLE PERFORATION,5685.0,,621.65,5611.64,55
CPT,44603,PR ENTERORRHAPHY MULTIPLE PERFORATIONS,15156.0,,780.89,12882.6,55
CPT,44604,PR SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY,5449.0,,737.92,5611.64,55
CPT,44605,PR SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY,6393.0,,832.34,6360.32,55
CPT,44615,PR INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ,6539.0,,695.41,6732.95,55
CPT,44620,PR CLOSURE ENTEROSTOMY LG/SMALL INTESTINE,4734.0,,560.56,4114.3,55
CPT,44625,PR CLSR NTRSTM LG/SM RESCJ & ANAST OTH/THN CLRCT,6777.0,,742.1916,5834.88,55
CPT,44626,PR CLSR NTRSTM LG/SM RESCJ & COLORECTAL ANASTOMOSIS,6709.0,,1122.74,6416.98,55
CPT,44640,PR CLOSURE INTESTINAL CUTANEOUS FISTULA,6720.0,,698.06,5712.0,55
CPT,44650,PR CLSR ENTEROENTERIC/ENTEROCOLIC FSTL,5267.0,,739.98,5237.3,55
CPT,44660,PR CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ,5088.0,,742.47,5237.3,55
CPT,44661,PR CLSR ENTEROVES FSTL W/INTESTINE&/BLADDER RESCJ,7991.0,,1045.19,8230.29,55
CPT,44680,PR INTESTINAL PLICATION SEPARATE PROCEDURE,9957.0,,794.5672,8463.45,55
CPT,44700,PR EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS,4815.0,,735.7976,4957.41,55
CPT,44701,PR INTRAOPERATIVE COLONIC LAVAGE,891.0,,123.694,801.9,55
CPT,44705,PR PREPARE FECAL MICROBIOTA FOR INSTILLATION,776.0,,54.094,698.4,42
CPT,44720,PR BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA,2498.0,,199.4376,2248.2,55
CPT,44721,PR BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA,3497.0,,279.1188,3147.3,55
CPT,44799,HC UNLISTED PROC ENTEROCUTANEOUS FISTULA PLUG PLACEMENT,6980.0,,1065.6245,6002.8,83
CPT,44799,HC UNLISTED PROC INTESTINE,6345.0,,1065.6245,5456.7,83
CPT,44799,PR UNLISTED PROCEDURE ENTEROCUTANEOUS FISTULA PLUG PLACEMENT,3594.0,,2156.4,3863.58,28
CPT,44799,"PR UNLISTED PROCEDURE INTESTINE SURG, RESECTION OF ILEUM W/ ILEAL RECTAL ANASTOMOSIS",7270.0,,3863.58,6179.5,28
CPT,44799,"PR UNLISTED PROCEDURE SMALL INTESTIN, DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBTANCE",2001.0,,1200.6,3863.58,28
CPT,44799,PR UNLISTED PROCEDURE SMALL INTESTINE (DOUBLE BALLOON ENDOSCOPY WITH RETROGRADE BIOPSY OF J-POUCH),2078.0,,1246.8,3863.58,28
CPT,44799,PR UNLISTED PROCEDURE SMALL INTESTINE RETROGRADE DOUBLE-BALLOON ENDOSCOPY W,3041.0,,1824.6,3863.58,28
CPT,44799,PR UNLISTED PROCEDURE SMALL INTESTINE RETROGRADE DOUBLE-BALLOON ENDOSCOPY WM,1555.0,,933.0,3863.58,28
CPT,44799,"PR UNLISTED PROCEDURE SMALL INTESTINE, RESECTION OF POLYP FROM POUCH",1197.0,,718.2,3863.58,28
CPT,44799,PR UNLISTED PX SMALL INTESTINE - RETROGRADE ENTEROSCOPY WITH/WITHOUT ILEUM,3030.0,,1818.0,3863.58,28
CPT,44800,PR EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT,4359.0,,540.19,4488.62,55
CPT,44820,PR EXCISION LESION MESENTERY SEPARATE PROCEDURE,3762.0,,536.66,3741.67,55
CPT,44850,PR SUTURE MESENTERY SEPARATE PROCEDURE,6712.0,,507.45,5705.2,55
CPT,44900,PR INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN,3441.0,,430.83,3578.53,55
CPT,44950,PR APPENDECTOMY,4184.0,,452.23,4090.24,55
CPT,44955,PR APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX,1196.0,,60.9868,2215.12,55
CPT,44960,PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS,4915.0,,553.37,5111.94,55
CPT,44970,PR LAPAROSCOPIC APPENDECTOMY,3994.0,,447.0832,4090.24,55
CPT,45000,HC TRANSREC DRAIN PELVIC ABS,1718.0,,429.26,1477.48,85
CPT,45000,PR TRANSRECTAL DRAINAGE OF PELVIC ABSCESS,2234.0,,192.5,1898.9,55
CPT,45005,PR I&D SUBMUCOSAL ABSCESS RECTUM,1173.0,,107.89,1193.42,55
CPT,45020,PR I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC,1883.0,,242.32,1918.06,55
CPT,45100,PR BX ANORECTAL WALL ANAL APPROACH,2016.0,,181.95,1713.6,55
CPT,45108,PR ANORECTAL MYOMECTOMY,4179.0,,245.94,4176.1,55
CPT,45110,PR PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST,11241.0,,1330.182,11075.61,55
CPT,45111,PR PRCTECT PRTL RESCJ RECTUM TABDL APPR,10250.0,,800.4736,8946.35,55
CPT,45112,PR PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX,13758.0,,1323.788,11694.3,55
CPT,45113,PR PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR,13368.0,,1360.9284,12085.29,55
CPT,45114,PR PRCTECT PRTL W/ANAST ABDL & TRANSSAC APPROACH,12531.0,,1304.52,12528.32,55
CPT,45116,PR PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY,8773.0,,1051.62,8946.35,55
CPT,45119,PR PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM,12711.0,,1371.0116,11929.02,55
CPT,45120,PR PRCTECT COMPL W/PULL-THRU PX & ANASTOMOSIS,12531.0,,1180.6636,12528.32,55
CPT,45121,PR PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS,11241.0,,1217.16,11075.61,55
CPT,45123,PR PRCTECT PRTL W/O ANAST PRNL APPR,7351.0,,816.9508,7241.21,55
CPT,45126,PR PELVIC EXENTERATION COLORECTAL MALIGNANCY,21398.0,,2006.4648,21084.86,55
CPT,45130,PR EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH,6884.0,,767.14,7071.22,55
CPT,45135,PR EXC RCT PROCIDENTIA W/ANAST ABDL & PRNL APPROACH,11695.0,,950.4796,11929.02,55
CPT,45136,PR EXC ILEOANAL RSVR W/ILEOSTOMY,7520.0,,1303.87,7668.79,55
CPT,45150,PR DIVISION STRICTURE RECTUM,3243.0,,299.54,2982.69,55
CPT,45160,PR EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL,7520.0,,683.39,7517.68,55
CPT,45171,PR EXC RCT TUM NOT INCL MUSCULARIS PROPRIA,4778.0,,457.1664,4300.2,55
CPT,45172,PR EXC RCT TUM INCL MUSCULARIS PROPRIA,6454.0,,608.6536,5808.6,55
CPT,45190,PR DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH,6546.0,,448.46,5564.1,55
CPT,45300,HC RIGID PROCTOSIGMOIDOSCOPY,1919.0,,82.5,1650.34,85
CPT,45300,PR PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX,450.0,,35.4108,382.5,55
CPT,45303,PR PROCTOSGMDSC RIGID W/DILATION,1613.0,,48.76,1371.05,55
CPT,45305,HC PROCTOSIGMOIDOSCOPY W/BX,2104.0,,147.04,1809.44,85
CPT,45305,PR PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE,569.0,,53.6084,483.65,55
CPT,45307,HC PROCTOSIG W/ FOR BDY REM,1353.0,,206.28,3261.147,85
CPT,45307,PR PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY,556.0,,74.0232,508.29,55
CPT,45308,PR PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY,520.0,,62.468,508.29,55
CPT,45309,PR PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ,646.0,,66.1572,549.1,55
CPT,45315,HC PROCTOSIGMOIDOSCOPY RIGID REMOVAL MULT TUMOR/POLYP BY CAUTERY/SNARE,5780.0,,217.48,4970.8,85
CPT,45315,PR PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE,829.0,,77.9608,813.93,55
CPT,45317,PR PROCTOSGMDSC RIGID CONTROL BLEEDING,1119.0,,81.4016,951.15,55
CPT,45320,PR PROCTOSGMDSC RIGID ABLATION LESION,11658.0,,77.2156,9909.3,55
CPT,45321,PR PROCTOSGMDSC RIGID DCMPRN VOLVULUS,674.0,,76.2312,662.83,55
CPT,45327,PR PROCTOSGMDSC RIGID TNDSC STENT PLMT,348.0,,86.0752,346.69,55
CPT,45330,HC FLEXIBLE SIGMOIDOSCOPY,1319.0,,113.04,1134.34,85
CPT,45330,PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD,684.0,,41.5564,581.4,55
CPT,45331,HC FLEX SIG W/ BIOPSY,2033.0,,143.79,1748.38,85
CPT,45331,PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE,723.0,,52.8724,702.3,55
CPT,45332,HC SIGMOID W/FB REM,1941.0,,209.96,1669.26,85
CPT,45332,PR SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY,892.0,,76.9764,879.18,55
CPT,45333,HC FLEX SIGMOID W/POLYP,2338.0,,188.47,2010.68,85
CPT,45333,PR SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS,1467.0,,68.862,1521.4,55
CPT,45334,HC SIGMOID W/BLEED CONT,2813.0,,232.77,2419.18,85
CPT,45334,PR SIGMOIDOSCOPY FLX CONTROL BLEEDING,1266.0,,85.5784,1317.05,55
CPT,45335,HC FLEX SIGMOID W/SUBMUC INJ,1598.0,,133.11,1374.28,85
CPT,45335,PR SGMDSC FLX DIRED SBMCSL NJX ANY SBST,1551.0,,48.9348,1395.9,55
CPT,45337,HC SIGMOID W/DCMP VOLVULUS,3353.0,,227.16,2883.58,85
CPT,45337,PR SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE,1182.0,,83.122,1229.49,55
CPT,45338,HC SIGMOID W/SNARE POLYP,3013.0,,238.5,2591.18,85
CPT,45338,PR SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ,1532.0,,87.5472,1521.4,55
CPT,45340,HC SIGMOID FLEX DILAT BY BLN,2696.0,,156.29,2318.56,85
CPT,45340,PR SIGMOIDOSCOPY FLX TNDSC BALO DILAT,1327.0,,57.2976,1194.3,55
CPT,45341,HC SIGMOID W/US EXAM,2812.0,,245.41,2418.32,85
CPT,45341,PR SIGMOIDOSCOPY FLX NDSC US XM,935.0,,90.252,794.75,55
CPT,45342,HC SIGMOID W/US GUID BX,2996.0,,338.55,2576.56,85
CPT,45342,PR SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX,1179.0,,123.9424,1002.15,55
CPT,45346,HC SIGMOIDOSCOPY W/ABL TUMOR,4807.0,,317.72,4134.02,85
CPT,45346,PR SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES,3206.0,,116.564,2885.4,55
CPT,45347,HC SIGMOIDOSCOPY W/STENT PLC,5638.0,,304.84,7132.7485,85
CPT,45347,PR SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT,1508.0,,111.8904,1357.2,55
CPT,45349,HC SIGMOIDOSCOPY WITH EMR,5274.0,,390.93,4535.64,85
CPT,45349,PR SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION,1951.0,,143.6212,1755.9,55
CPT,45350,HC SIGMOIDOSCPY W/BAND LIGAT,3396.0,,201.24,2920.56,85
CPT,45350,PR SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S),3149.0,,73.7748,2834.1,55
CPT,45378,HC COLONOSCOPY,3247.0,,328.5,2792.42,85
CPT,45378,PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD,1917.0,,134.0256,1657.04,55
CPT,45379,HC COLONOSC W/ FOR BDY REM,3236.0,,429.26,2782.96,85
CPT,45379,PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S),1997.0,,172.8864,1933.51,55
CPT,45380,HC COLON W/BX OR POLYPC COLD,3438.0,,396.92,2956.68,85
CPT,45380,PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE,2112.0,,145.5808,1821.9,55
CPT,45381,HC COLONOSFLEXW/SUBMUC INJ,3095.0,,396.27,2661.7,85
CPT,45381,PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST,2489.0,,145.3416,2240.1,55
CPT,45382,HC COLONOSCOPY W/BLEED CONT,3277.0,,429.26,2818.22,85
CPT,45382,PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD,2226.0,,187.3948,2209.97,55
CPT,45384,HC COLN W/PLYP HOTBX/BIPCAUT,3649.0,,429.26,3138.14,85
CPT,45384,PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS,2363.0,,165.7472,2347.34,55
CPT,45385,HC COLONOSC W/ POLYP SNARE,3833.0,,429.26,3296.38,85
CPT,45385,PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ,2363.0,,184.1932,2347.34,55
CPT,45386,HC COLONOS FLEX W/DILAT BLN,3794.0,,419.46,3262.84,85
CPT,45386,PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT,2301.0,,153.7044,2070.9,55
CPT,45388,HC COLONOSCOPY W/ABLT TUMOR,5372.0,,429.26,4619.92,85
CPT,45388,PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES,2650.0,,195.9968,2385.0,55
CPT,45389,HC COLONOSCOPY W/STENT PLCMT,5952.0,,571.89,7132.7485,85
CPT,45389,PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT,2976.0,,209.7692,2678.4,55
CPT,45390,HC COLONOSCOPY WITH EMR,6450.0,,656.3,5547.0,85
CPT,45390,PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION,3348.0,,240.7548,3013.2,55
CPT,45391,HC CLNSCPY SPFLX W/EN US EXM,2898.0,,429.26,2492.28,85
CPT,45391,PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX,2527.0,,186.6496,2274.3,55
CPT,45392,HC CLNSCPY W/EN US FNA BX(S),2632.0,,429.26,2263.52,85
CPT,45392,PR COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL,3362.0,,220.3492,3025.8,55
CPT,45393,HC COLONOSCOPY W/DECOMPRESSN,4949.0,,429.26,4256.14,85
CPT,45393,PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION,2594.0,,182.2244,2334.6,55
CPT,45395,PR LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY,16226.0,,1431.2624,16030.8,55
CPT,45395,PR ROBOT ASSISTED PROCTECTOMY/APR,18289.0,,1431.2624,16030.8,55
CPT,45397,PR LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR,18856.0,,1548.5624,17870.61,55
CPT,45397,PR ROBOT ASSISTED PROCTECTOMY/J-POUCH,24513.0,,1548.5624,20836.05,55
CPT,45398,HC COLONOSCOPY W/BAND LIGAT,5315.0,,429.26,4570.9,85
CPT,45398,PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S),2328.0,,170.9176,2095.2,55
CPT,45399,HC UNLISTED PROCEDURE COLON,3828.0,,1071.84,3292.08,83
CPT,45399,"HC UNLISTED PX COLON, COLONOSCOPY W/ LIGATURE POLYP",5522.0,,1092.615,4748.92,83
CPT,45399,"HC UNLISTED PX, COLON, COLONOSCOPY W/ FTRD IN COLON/RECTUM",3649.0,,1021.72,3138.14,83
CPT,45399,"HC UNLISTED PX, COLON, ENDOSCOPIC COLO/RECTAL FISTULA REPAIR",1371.0,,383.88,1179.06,83
CPT,45399,"HC UNLISTED PX, COLON, FLEXIBLE SIGMOIDOSCOPY W/ FTRD IN COLON/RECTUM",3649.0,,1021.72,3138.14,83
CPT,45399,PR UNLISTED PROCEDURE COLON,2309.0,,1385.4,2078.1,28
CPT,45399,PR UNLISTED PROCEDURE COLON (STAINING CHROMOSCOPY W/METHYLENE BLUE),1613.0,,967.8,1451.7,28
CPT,45399,PR UNLISTED PROCEDURE COLON - COLONOSCOPY FOR FECAL MICROBIOTA TRANSPLANT,1404.0,,842.4,1263.6,28
CPT,45399,"PR UNLISTED PROCEDURE COLON, COLONOSCOPY W/ ESD IN COLON/RECTUM",6469.0,,3881.4,5822.1,28
CPT,45399,"PR UNLISTED PROCEDURE COLON, COLONOSCOPY W/ FTRD IN COLON/RECTUM",2271.0,,1362.6,2043.9,28
CPT,45399,"PR UNLISTED PROCEDURE COLON, FLEXIBLE SIGMOIDOSCOPY W/ ESD IN COLON/RECTUM",6469.0,,3881.4,5822.1,28
CPT,45399,"PR UNLISTED PROCEDURE COLON, FLEXIBLE SIGMOIDOSCOPY W/ FTRD IN COLON/RECTUM",2271.0,,1362.6,2043.9,28
CPT,45399,"PR UNLISTED PX COLON, COLONOSCOPY W/ LIGATURE POLYP",3602.0,,2161.2,3241.8,28
CPT,45399,"PR UNLISTED PX COLON, ENDOSCOPIC COLO/RECTAL FISTULA REPAIR",11933.0,,7159.8,10739.7,28
CPT,45400,PR LAPAROSCOPY PROCTOPEXY PROLAPSE,9282.0,,830.4748,9492.15,55
CPT,45402,PR LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ,13416.0,,1110.3296,13160.71,55
CPT,45499,"HC UNLISTED PX, RECTUM, LAP/ROBOTIC EXCISION RECTAL TUMOR, FULL THICKNESS",6720.0,,1881.6,7102.9405,83
CPT,45499,PR ROBOTIC SUTURE CLOSURE OF RECTAL WALL DEFECT,5095.0,,3057.0,4585.5,28
CPT,45499,"PR UNLISTED PROCEDURE LAP/ROBOTIC EXCISION OF RECTAL TUMOR, FULL THICKNESS",6469.0,,3881.4,5822.1,28
CPT,45499,"PR UNLISTED PROCEDURE LAPAROSCOPY PROC, RECTUM; ROBOTIC TOTAL PELVIC EXENTERATION",20673.0,,12403.8,18605.7,28
CPT,45499,"PR UNLISTED PROCEDURE LAPAROSCOPY,  ROBOTIC PRCTECT CMBN ADBONINOPRNL PULL-THRU",18665.0,,11199.0,16798.5,28
CPT,45499,"PR UNLISTED PROCEDURE LAPARSCOPIC  EXPLORATION, RETROPERITONEAL W/WO BIOPSY",8847.0,,5308.2,7962.3,28
CPT,45499,PR UNLISTED PROCEDURE ROBO LAPARSCOP TOT PROCTECTOMY-HAND SEWN COLOANAL RECONSTRUCT-NATURAL ORIFICE SPEC EXTRAC,16343.0,,9805.8,14708.7,28
CPT,45500,PR PROCTOPLASTY STENOSIS,2953.0,,423.476,3037.63,55
CPT,45505,PR PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE,3358.0,,427.67,3492.67,55
CPT,45520,PR PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE,219.0,,30.0012,221.51,55
CPT,45540,PR PROCTOPEXY ABDOMINAL APPROACH,4981.0,,770.4724,4969.42,55
CPT,45541,PR PROCTOPEXY PERINEAL APPROACH,4828.0,,691.2788,4969.42,55
CPT,45550,PR PROCTOPEXY W/SIGMOID RESCJ ABDL APPR,6635.0,,999.2,5798.8,55
CPT,45560,PR REPAIR RECTOCELE SEPARATE PROCEDURE,3012.0,,439.01,2560.2,55
CPT,45562,PR EXPL RPR & PRESACRAL DRG RECTAL INJURY,5095.0,,680.4,5247.61,55
CPT,45563,PR EXPL RPR & PRESACRAL DRG RECTAL INJ W/COLOSTOMY,5830.0,,1055.04,5798.8,55
CPT,45800,PR CLOSURE RECTOVESICAL FISTULA,5095.0,,784.37,5247.61,55
CPT,45805,PR CLSR RECTOVESICAL FISTULA W/COLOSTOMY,5632.0,,974.29,5798.8,55
CPT,45820,PR CLOSURE RECTOURETHRAL FISTULA,5095.0,,764.61,5247.61,55
CPT,45825,PR CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY,5632.0,,875.84,5798.8,55
CPT,45900,PR RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE,664.0,,76.51,662.29,55
CPT,45905,PR DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL,1162.0,,74.6,987.7,55
CPT,45910,PR DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL,1293.0,,90.29,1099.05,55
CPT,45915,HC REMOVAL FECAL IMPACTION/FOREIGN BODY SPEC UNDER ANES,3661.0,,429.26,3148.46,85
CPT,45915,PR RMVL FECAL IMPACTION/FB SPX UNDER ANES,1340.0,,92.7,1139.0,55
CPT,45990,PR ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX,959.0,,77.7124,945.65,55
CPT,45999,"PR UNLISTED PROCEDURE RECTUM, ANO-VAGINAL FISTULA REPAIR W/ PLUG",5121.0,,3072.6,9581.69,28
CPT,46020,PR PLACEMENT SETON,1096.0,,86.0752,931.6,55
CPT,46030,PR REMOVAL ANAL SETON OTHER MARKER,503.0,,51.57,427.55,55
CPT,46040,PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX,1617.0,,212.92,1433.82,55
CPT,46045,PR I&D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES,1572.0,,201.03,1603.81,55
CPT,46050,PR I&D PERIANAL ABSCESS SUPERFICIAL,945.0,,58.45,803.25,55
CPT,46060,PR I&D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON,3577.0,,361.9924,3557.92,55
CPT,46070,PR INCISION ANAL SEPTUM INFANT,704.0,,136.74,703.5,55
CPT,46080,PR SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX,1542.0,,116.8124,1584.93,55
CPT,46083,PR INCISION THROMBOSED HEMORRHOID EXTERNAL,651.0,,64.19,553.35,55
CPT,46200,PR FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED,2648.0,,232.35,2250.8,55
CPT,46220,PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS,1137.0,,70.64,966.45,55
CPT,46221,HC HEMORRHOID BANDING,673.0,,163.62,1092.615,85
CPT,46221,PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS,1326.0,,68.67,1127.1,55
CPT,46230,PR EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS,905.0,,106.4,769.25,55
CPT,46250,PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP,2356.0,,236.8172,2002.6,55
CPT,46255,PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP,2749.0,,263.626,2450.36,55
CPT,46257,PR HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO,2530.0,,309.3684,2603.21,55
CPT,46258,PR HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY,2678.0,,359.7844,2756.02,55
CPT,46260,PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO,3777.0,,358.064,3210.45,55
CPT,46261,PR HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSU,3275.0,,396.1796,3168.14,55
CPT,46262,PR HRHC 2/> COL/GRP W/FSTULECTMY INCL FSSRECTMY,3273.0,,436.0156,3367.33,55
CPT,46270,PR SURG TX ANAL FISTULA SUBQ,2809.0,,183.69,2387.65,55
CPT,46275,PR SURG TX ANAL FISTULA INTERSPHINCTERIC,3004.0,,314.5296,2694.2,55
CPT,46280,PR TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON,3139.0,,357.3188,3123.49,55
CPT,46285,PR SURG TX ANAL FISTULA 2ND STAGE,7039.0,,210.02,5983.15,55
CPT,46288,PR CLSR ANAL FSTL W/RCT ADVMNT FLAP,2975.0,,357.0,3061.67,55
CPT,46320,PR EXC THROMBOSED HEMORRHOID XTRNL,607.0,,73.85,515.95,55
CPT,46500,HC INJ SCLEROSIS HEMORHOID,669.0,,187.32,1092.615,85
CPT,46500,PR INJECTION SCLEROSING SOLUTION HEMORRHOIDS,1195.0,,59.71,1015.75,55
CPT,46505,PR CHEMODENERVATION INTERNAL ANAL SPHINCTER,1763.0,,185.6744,1503.73,55
CPT,46600,HC ANOSCOPY W/WO BRUSH/WASH,746.0,,82.94,641.56,85
CPT,46600,PR ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,342.0,,24.71,290.7,55
CPT,46601,HC ANOSCOPY HIGH RESOLUTION,820.0,,187.98,705.2,85
CPT,46601,PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,744.0,,75.123,669.6,47
CPT,46604,PR ANOSCOPY W/DILATION,1500.0,,48.6956,1275.0,55
CPT,46606,HC ANOSCOPY W BIOPSY,2372.0,,152.51,2039.92,85
CPT,46606,PR ANOSCOPY W/BX SINGLE/MULTIPLE,674.0,,37.61,572.9,55
CPT,46607,HC ANOSCOPY HI RESOL BIOPSY,2310.0,,250.53,1986.6,85
CPT,46607,PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX,795.0,,99.7475,715.5,47
CPT,46608,PR ANOSCOPY W/RMVL FOREIGN BODY,429.0,,62.468,364.65,55
CPT,46610,PR ANOSCOPY W/RMVL LESION CAUTERY,1016.0,,59.018,863.6,55
CPT,46611,PR ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ,752.0,,59.2664,639.2,55
CPT,46612,PR ANOSC RMVL MULT TUMORS CAUTERY/SNARE,879.0,,70.334,747.15,55
CPT,46614,PR ANOSCOPY CONTROL BLEEDING,850.0,,47.4628,722.5,55
CPT,46615,HC ANOSCOPY ABLATION LESION,1786.0,,181.83,3261.147,85
CPT,46615,PR ANOSCOPY ABLATION LESION,847.0,,66.6448,719.95,55
CPT,46700,PR ANOPLASTY PLASTIC OPERATION STRICTURE ADULT,4400.0,,459.32,3740.0,51
CPT,46705,PR ANOPLASTY PLASTIC OPERATION STRICTURE INFANT,5144.0,,356.44,4372.4,55
CPT,46706,PR REPAIR ANAL FISTULA W/FIBRIN GLUE,1793.0,,134.0256,1613.7,55
CPT,46707,PR REPAIR ANORECTAL FISTULA PLUG,3546.0,,375.2772,3191.4,55
CPT,46710,PR RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR,8574.0,,820.8792,8409.12,55
CPT,46712,PR RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR,18218.0,,1630.9484,17870.61,55
CPT,46715,PR RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK,4476.0,,364.31,3804.6,55
CPT,46716,PR RPR LW IMPERFORATE ANUS W/TRPOS FISTULA,5591.0,,606.66,4752.35,55
CPT,46730,PR RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR,11180.0,,1077.63,9503.0,55
CPT,46735,PR RPR HI IMPRF ANUS W/O FISTULA CMBN APPR,12299.0,,1301.34,10454.15,55
CPT,46740,PR RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR,13415.0,,1155.99,11402.75,55
CPT,46742,PR RPR HI IMPRF ANUS W/FSTL TABDL & SACROPRNL,14758.0,,1571.49,12544.3,55
CPT,46744,PR RPR CLOACAL ANOMALY SACROPERINEAL,17480.0,,1761.41,14858.0,55
CPT,46746,PR RPR CLOACAL ANOMALY CMBN ABDL&SACROPRNL,20067.0,,1938.91,17056.95,55
CPT,46748,PR RPR CLOACAL ANOMALY CMBN ABDL & SACROPRNL W/GRF,22191.0,,2148.16,18862.35,55
CPT,46750,PR SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT,5673.0,,480.02,4822.05,55
CPT,46751,PR SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD,5591.0,,419.76,4752.35,51
CPT,46753,PR GRAFT THIERSCH RCT INCONTINENCE &/PROLAPSE,3916.0,,390.78,3328.6,55
CPT,46754,PR RMVL THIERSCH WIRE/SUTURE ANAL CANAL,898.0,,104.7,763.3,55
CPT,46760,PR SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT,7829.0,,610.48,6654.65,55
CPT,46761,PR SPHNCTROP ANAL LEVATOR MUSC IMBRCJ,8474.0,,595.04,7801.01,55
CPT,46900,HC DES LESION ANAL CHEM,1126.0,,137.87,968.36,85
CPT,46900,PR DSTRJ LESION ANUS SIMPLE CHEMICAL,1109.0,,70.66,942.65,55
CPT,46910,HC DES LESION ANAL ELEC,1134.0,,160.02,2424.1655,85
CPT,46910,PR DSTRJ LESION ANUS SMPL ELTRDSICCATION,1125.0,,77.93,956.25,55
CPT,46916,HC DES LESION CRYO,1126.0,,74.34,968.36,85
CPT,46916,PR DSTRJ LESION ANUS SIMPLE CRYOSURGERY,1011.0,,77.99,859.35,55
CPT,46917,PR DSTRJ LESION ANUS SIMPLE LASER SURG,1503.0,,95.91,1560.88,55
CPT,46922,HC DES LESION SURG EXC,3666.0,,280.48,3261.147,85
CPT,46922,PR DSTRJ LESION ANUS SIMPLE SURG EXCISION,1125.0,,102.5524,1054.32,55
CPT,46924,PR DSTRJ LESION ANUS EXTENSIVE,3099.0,,134.274,2634.15,55
CPT,46930,PR DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY,983.0,,112.6356,884.7,55
CPT,46940,PR CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST,758.0,,87.73,644.3,55
CPT,46942,PR CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ,797.0,,77.54,677.45,55
CPT,46945,PR INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN,898.0,,87.57,792.7,55
CPT,46946,PR INT HRHC BY LIGATION 2+ HROID W/O IMG GDN,2494.0,,124.62,2119.9,55
CPT,46947,PR HEMORRHOIDOPEXY STAPLING,2580.0,,335.835,2322.0,47
CPT,46948,PR INT HRHC TRANSANAL HROID DARTLZJ 2+ W/US GDN,3049.0,,329.5348,2744.1,55
CPT,47000,"HC BIOPSY, LIVER",4065.0,,172.48,3495.9,85
CPT,47000,PR BIOPSY LIVER NEEDLE PERCUTANEOUS,1245.0,,63.4432,1074.94,55
CPT,47001,PR BX LVR NDL DONE PURPOSE TM OTH MAJOR PX,613.0,,75.4952,580.4,55
CPT,47010,PR HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES,6167.0,,562.04,5241.95,55
CPT,47015,PR LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS,5055.0,,545.11,4955.7,55
CPT,47100,PR BIOPSY LIVER WEDGE,4620.0,,351.62,3927.0,55
CPT,47120,HC HEPATECTOMY RESECTION OF LIVER; PARTIAL LOPECTOMY,63860.0,,4802.27,54919.6,84
CPT,47120,PR HEPATECTOMY RESCJ PARTIAL LOBECTOMY,11884.0,,1151.89,10101.4,55
CPT,47122,PR HEPATECTOMY RESCJ TRISEGMENTECTOMY,18517.0,,1744.08,15739.45,55
CPT,47125,PR HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY,15906.0,,1629.02,13520.1,55
CPT,47130,PR HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY,17264.0,,1774.61,14674.4,55
CPT,47135,PR LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE,38252.0,,3972.1092,37466.45,50
CPT,47146,PR BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA,2874.0,,238.786,2586.6,55
CPT,47147,PR BKBENCH RCNSTJ LVR GRF ARTL ANAST EA,3497.0,,278.8704,3147.3,55
CPT,47300,PR MARSUPIALIZATION CST/ABSC LVR,6365.0,,593.8,6030.62,55
CPT,47350,PR MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ,6365.0,,666.86,5797.09,55
CPT,47360,PR MGMT LVR HEMRRG CPLX SUTR WND/INJ,9840.0,,944.14,8364.0,55
CPT,47361,PR MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR,10487.0,,1493.79,10490.21,55
CPT,47362,PR MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING,5926.0,,565.06,5037.1,55
CPT,47370,PR LAPS SURG ABLTJ 1/> LVR TUM RF,7546.0,,926.1364,6414.1,55
CPT,47379,HC LAPAROSCOPIC PROCEDURE LIVER,45341.0,,7102.9405,38993.26,83
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, LAPAROSCOPIC HAND-ASSISTED RADIOFREQUENCY ABLATION OF LIVER",10808.0,,2546.53,9186.8,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, LAPAROSCOPIC HEPATIC CYSTECTOMY",6569.0,,2546.53,5583.65,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS EXTENDED HEPATECTOMY",23255.0,,2546.53,19766.75,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS LEFT HEPATECTOMY",17235.0,,2546.53,14649.75,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS LEFT HEPATECTOMY W/ULTRASOUND",23210.0,,2546.53,19728.5,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS PARTIAL HEPATECTOMY",14352.0,,2546.53,12199.2,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS PARTIAL HEPATECTOMY W/ULTRASOUND",15588.0,,2546.53,13249.8,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS RIGHT HPATECTOMY",22090.0,,2546.53,18776.5,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS WEDGE",5799.0,,2546.53,4929.15,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS WEDGE W/ULTRASOUND",7033.0,,2546.53,5978.05,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, ROBOTIC EXCIS BILE DUCT TUMOR, EXTRAHEPATIC",8384.0,,2546.53,7126.4,28
CPT,47379,"PR UNLISTED PROCEDURE LAPAROSCOPY PROCEDURE, LIVER (LAPAROSCOPIC MARSUPIALIZATION OF CYST OR ABSCESS OF LIVER- UNROOFING CYST)",6148.0,,2546.53,5225.8,28
CPT,47380,PR ABLTJ OPN 1/> LVR TUM RF,8667.0,,1066.8044,7998.48,55
CPT,47382,HC ABLAT 1+ LIVR TUMR PRC RF,15367.0,,1443.15,13215.62,85
CPT,47382,PR ABLTJ 1/> LVR TUM PRQ RF,6279.0,,528.9724,5771.34,55
CPT,47383,HC CRYOABLTX LIVRTUMRS+IMCRY,14583.0,,2813.82,12541.38,83
CPT,47383,PR ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION,4698.0,,322.4048,4228.2,55
CPT,47399,HC CRYOABLATION LIVER,13708.0,,831.9905,11788.88,83
CPT,47399,"HC UNLISTED PX, FIDUCIAL MARKER PLACEMENT IN LIVER",4393.0,,831.9905,3777.98,83
CPT,47399,PR LIVER IRREVERSIBLE ELECTROPORATION ABLATION,5605.0,,3363.0,5937.9,28
CPT,47399,"PR UNLISTED PROCEDURE LIVER SURGERY, ABLATION LIVER LESION BY PERCU ETHANOL",5605.0,,3363.0,5937.9,28
CPT,47399,"PR UNLISTED PROCEDURE LIVER SURGERY, BIOPSY OF LIVER, NEEDLE(TRU-CUT)",593.0,,355.8,5937.9,28
CPT,47399,"PR UNLISTED PROCEDURE LIVER SURGERY, CRYOABLATION OF LIVER",5605.0,,3363.0,5937.9,28
CPT,47399,"PR UNLISTED PROCEDURE LIVER SURGERY, FIDUCIAL MARKER PLACEMENT,LIVER",2050.0,,1230.0,5937.9,28
CPT,47399,"PR UNLISTED PROCEDURE LIVER SURGERY, INJECTION OF ETHANOL FOR TREATMENT EFFECT OF A LIVER TUMOR",8313.0,,4987.8,7066.05,28
CPT,47399,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - 10.1 CM TO 20 CM",19597.0,,5937.9,16657.45,28
CPT,47399,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - 20.1 CM TO 30 CM",23056.0,,5937.9,19597.6,28
CPT,47399,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - 5 CM OR LESS",12681.0,,5937.9,10778.85,28
CPT,47399,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - 5.1 CM TO 10 CM",16512.0,,5937.9,14035.2,28
CPT,47399,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - GREATER THAN 30 CM",28820.0,,5937.9,24497.0,28
CPT,47400,PR HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1,7191.0,,936.98,7191.79,55
CPT,47420,PR CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP,7456.0,,873.87,6337.6,55
CPT,47425,PR CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP,7398.0,,963.07,7617.28,55
CPT,47460,PR TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS,5693.0,,937.204,5860.63,55
CPT,47480,PR CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX,4556.0,,574.67,4689.54,55
CPT,47490,HC CHOLECYSTOSTMY PC CPWRS&I,6870.0,,648.85,5908.2,85
CPT,47490,PR CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT,2872.0,,240.7548,2441.2,55
CPT,47531,"HC INJ CHOLANGIOGRAPHY,PERCUTANEOUS,COMPLETE DIA PX IMG GUIDANCE S&I, EXISTING ACCESS",1817.0,,137.56,4206.6425,85
CPT,47531,HC INJ CHOLANGIOGRAPHYPERCUTANEOUSCOMPLETE DIA PX IMG GUIDANCE S&I EXISTING ACCESS,1817.0,,137.56,4206.6425,85
CPT,47531,PR NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS,988.0,,50.6552,889.2,55
CPT,47532,"HC INJ CHOLANGIOGRAPHY,PERCUTANEOUS,COMPLETE DIA PX IMG GUIDANCE S&I, NEW ACCESS",2887.0,,412.42,4206.6425,85
CPT,47532,HC INJ CHOLANGIOGRAPHYPERCUTANEOUSCOMPLETE DIA PX IMG GUIDANCE S&I NEW ACCESS,2887.0,,412.42,4206.6425,85
CPT,47532,PR NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS,2411.0,,150.9996,2169.9,55
CPT,47533,HC PLACEMENT BILIARY DRAINAGE CATHPERCT INCL DIA CHOLANGIOGR IMG GUID S&I EXTERNAL,10263.0,,512.33,8826.18,85
CPT,47533,PR PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL,3166.0,,187.8824,2849.4,55
CPT,47534,HC PLACEMENT BILIARY DRAINAGE CATHPERCT INCL DIA CHOLANGIOGR IMG GUID S&I INTERNAL-EXTERNAL,10677.0,,716.93,9182.22,85
CPT,47534,PR PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT,5455.0,,262.89,4909.5,55
CPT,47535,HC CONVERSION EXT BILI DRAIN CATH TO IN-EXTERNAL BILI DRAIN CATHPERCUTDIA CHOLANG IMG GUID S&I,9324.0,,380.63,8018.64,85
CPT,47535,PR CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH,2928.0,,139.6836,2635.2,55
CPT,47536,HC EXCHANGE BILIARY DRAINGE CATHPERCUTINCL DIA CHOLANGIOGRAPHY IMG GUID S&I,8879.0,,256.63,7635.94,85
CPT,47536,PR EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I,2063.0,,94.1896,1856.7,55
CPT,47537,HC REMOVAL BILIARY DRAINGE CATHPERCUTREQ FLUOROSCOPIC GUIDINCL DIA CHOLANG IMG GUID S&I,8642.0,,188.02,7432.12,85
CPT,47537,PR REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I,1001.0,,69.1012,900.9,55
CPT,47538,HC PLCMT STENT BILE DUCTPERCUT DIA CHOLIMG GUID BALL DIALCATH EXCH/REM S&I EA STE EXIST ACCE,9481.0,,455.99,8153.66,85
CPT,47538,PR PLMT BILE DUCT STENT PRQ EXISTING ACCESS,4027.0,,167.2284,3624.3,55
CPT,47539,HC PLCT STE BDUCTPERC DIA CHOLIMG G BAL DILC EXC/REM S&I EA STENEW A WO/PLCT SEP BIL DRA CAT,10573.0,,829.55,9092.78,85
CPT,47539,PR PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH,5850.0,,303.7104,5265.0,55
CPT,47540,HC PLCT STE BDUCTPERC DIA CHOLIMG G BAL DILC EXC/REM S&I EA STENEW A W/PLCT SEP BIL DRA CAT,11485.0,,854.21,9877.1,85
CPT,47540,PR PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH,8185.0,,312.8092,7366.5,55
CPT,47541,"HC PLMT ACCESS THRU BILIARY TREE & SMALL BOWEL INCL CHOLANGIO, IMAGING, S & I, NEW ACCESS",10070.0,,653.57,8660.2,85
CPT,47541,PR PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW,3793.0,,239.5312,3413.7,55
CPT,47542,"HC BALLON DILATION BILIARY DUCT(S), AMPULLA, PERCUTANEOUS, INCL IMG GUIDANCE  S & I, EA DUCT",6767.0,,264.05,5819.62,84
CPT,47542,PR BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT,1678.0,,96.646,1510.2,55
CPT,47543,"HC ENDOLUMINAL BIOPSY BILIARY TREE, PERCUT, ANY METH INCL IMG GUIDANCE, S & I SINGLE OR MULT",6790.0,,278.65,5839.4,84
CPT,47543,PR ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT,1736.0,,102.0556,1562.4,55
CPT,47544,HC REMOVE CALCULI/DEBRIS FR BILIARY DUCTGALLBLADERPERCT INCL DESCT ANY METHODIMG GUID S&I,4521.0,,304.47,3888.06,84
CPT,47544,PR REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I,2350.0,,111.4028,2115.0,55
CPT,47550,HC BILIARY ENDOSCOPY INTRAOP,3804.0,,334.67,3271.44,84
CPT,47550,PR BILIARY NDSC INTRAOPERATIVE,1265.0,,119.2688,1075.25,55
CPT,47552,HC BILIARY ENDO PERC T-TUBE DX W/COLLECT SPEC BRUSH,3804.0,,550.11,7606.146,85
CPT,47552,PR BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH,1883.0,,200.1828,1600.55,55
CPT,47553,HC BILENDO VIA T-TB W/BX S/M,5579.0,,552.02,7606.146,85
CPT,47553,PR BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE,1785.0,,200.422,1655.32,55
CPT,47554,HC BILENDO VIA T-TB RMV CALC,10667.0,,889.5,12489.0805,85
CPT,47554,PR BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS,3051.0,,323.1408,2593.35,55
CPT,47555,HC BILENDO V T-TB DIL WO STN,10232.0,,657.96,8799.52,85
CPT,47555,PR BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT,2498.0,,238.786,2123.3,55
CPT,47556,HC BILENDO V T-TB DIL W/ STN,14450.0,,745.5,12489.0805,85
CPT,47556,PR BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT,2671.0,,270.5168,2270.35,55
CPT,47562,PR LAPAROSCOPY SURG CHOLECYSTECTOMY,5199.0,,489.8724,5170.34,55
CPT,47563,PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,5303.0,,532.4224,5515.48,55
CPT,47564,PR LAPS SURG CHOLECSTC W/EXPL COMMON DUCT,5892.0,,784.52,6066.68,55
CPT,47570,PR LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY,5023.0,,574.7148,5170.34,55
CPT,47579,"PR UNLISTED PROCEDURE LAPAROSCOPY PROCEDURE, BILIARY TRACT (LAP HEPATICODUODENOSTOMY)",30455.0,,1150.49,25886.75,28
CPT,47579,PR UNLISTED PROCEDURE ROBOTIC HEPATICOJEJUNOSTOMY ROUX-EN-Y,13947.0,,1150.49,11854.95,28
CPT,47579,"PR UNLISTED PX LAPAROSCOPY, BILIARY TRACT, GALLBLADDER BIOPSY",3197.0,,1150.49,2717.45,28
CPT,47600,PR CHOLECYSTECTOMY,5199.0,,639.76,5170.34,55
CPT,47605,PR CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,5545.0,,693.89,5515.48,55
CPT,47610,PR CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT,6828.0,,844.88,6066.68,55
CPT,47612,PR CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY,9036.0,,939.4212,9306.94,55
CPT,47620,PR CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP,7243.0,,963.88,6896.08,55
CPT,47700,PR EXPL CONGENITAL ATRESIA BILE DUCTS,5023.0,,745.38,5170.34,55
CPT,47701,PR PORTOENETEROSTOMY,9238.0,,1153.82,9513.0,55
CPT,47711,PR EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC,8384.0,,1053.04,8341.9,55
CPT,47712,PR EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC,9079.0,,1230.26,9032.2,55
CPT,47715,PR EXCISION CHOLEDOCHAL CYST,6168.0,,795.35,6135.38,55
CPT,47720,PR CHOLECYSTOENTEROSTOMY DIRECT,5023.0,,763.65,5170.34,55
CPT,47721,PR CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY,6362.0,,937.35,6550.92,55
CPT,47740,PR CHOLECYSTOENTEROSTOMY ROUX-EN-Y,5443.0,,868.98,4626.55,55
CPT,47741,PR CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM,7276.0,,1088.9396,7239.51,55
CPT,47760,PR ANAST XTRHEPATC BILIARY DUCTS & GI TRACT,8495.0,,1111.22,7239.51,55
CPT,47765,PR ANAST INTRAHEPATC DUCTS & GI TRACT,9130.0,,1201.21,9133.28,55
CPT,47780,PR ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS & GI,13711.0,,1181.96,11654.35,55
CPT,47785,PR ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS & GI,14437.0,,1296.99,12271.45,55
CPT,47800,PR RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST,8351.0,,1094.81,7582.94,55
CPT,47801,HC PLACMNT CHOLEDOCHAL STENT,5487.0,,1536.36,4718.82,84
CPT,47801,PR PLACEMENT CHOLEDOCHAL STENT,4641.0,,580.41,4550.44,55
CPT,47900,PR SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY,6877.0,,1011.31,5845.45,55
CPT,47999,HC UNLISTED PROC BILIARY TRACT - ERCP W/ AMPULLECTOMY/PAPILLOTOMY,6503.0,,1065.6245,5592.58,83
CPT,47999,"HC UNLISTED PX BILIARY TRACT EMBOLIZATION, BILIARY DUCT STUMP",11407.0,,1065.6245,9810.02,83
CPT,47999,PR BILIARY TRACT(BILIARY TRACT RETRIEV),3599.0,,2159.4,3219.65,28
CPT,47999,"PR UNLISTED PROCEDURE BILE TRACT SURG, PERC LIVER COIL TUMOR MARKING",3599.0,,2159.4,3219.65,28
CPT,47999,PR UNLISTED PROCEDURE BILIARY TRACT - ERCP W/ AMPULLECTOMY/PAPILLOTOMY,3314.0,,1988.4,3219.65,28
CPT,47999,"PR UNLISTED PROCEDURE BILIARY TRACT, ERCP ANTEGRADE BILIARY STENT PLACEMENT",3741.0,,2244.6,3219.65,28
CPT,47999,"PR UNLISTED PROCEDURE BILIARY, EXCISION OF CYSTIC DUCT REMNANT",14532.0,,3219.65,12352.2,28
CPT,47999,"PR UNLISTED PX BILIARY TRACT, CHOLEDODUODENOSTOMY AND STENT PLACEMENT",4207.0,,2524.2,3575.95,28
CPT,47999,"PR UNLISTED PX BILIARY TRACT, EMBOLIZATION OF BILIARY DUCT STUMP",972.0,,583.2,3219.65,28
CPT,47999,PR UNLISTED PX BILIARY TRACT- REMOVAL OF THROMBUS,1930.0,,1158.0,3219.65,28
CPT,48000,PR PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS,8339.0,,718.61,7088.15,55
CPT,48001,PR PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY,10980.0,,888.69,11305.69,55
CPT,48020,PR REMOVAL PANCREATIC CALCULUS,6026.0,,697.54,6205.77,55
CPT,48100,PR BIOPSY PANCREAS OPEN,4689.0,,490.63,4826.91,55
CPT,48102,HC BIOPSY PANCREAS PRCU NDL,3899.0,,462.54,3353.14,85
CPT,48102,PR BIOPSY PANCREA PERCUTANEOUS NEEDLE,1578.0,,169.9332,1341.3,55
CPT,48105,PR RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS,13567.0,,2068.6844,11531.95,55
CPT,48120,PR EXCISION LESION PANCREAS,6238.0,,816.05,6205.77,55
CPT,48140,PR PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY,8500.0,,1149.21,7239.51,55
CPT,48145,PR PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY,8034.0,,1203.7832,8273.22,55
CPT,48146,PR PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX,9373.0,,1300.6,9652.1,55
CPT,48148,PR EXCISION AMPULLA VATER,8034.0,,791.41,8273.22,55
CPT,48150,PR PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY,15708.0,,2187.35,13788.7,55
CPT,48152,PR PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY,15794.0,,2074.95,13424.9,55
CPT,48153,PR PNCRTECT W/PANCREATOJEJUNOSTOMY,18917.0,,2184.43,16079.45,55
CPT,48154,PR PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY,12817.0,,2084.29,12753.25,55
CPT,48155,PR PANCREATECTOMY TOTAL,11779.0,,1341.0012,11719.54,55
CPT,48160,PR PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS,13723.0,,788.38,14133.85,48
CPT,48400,PR INJECTION INTRAOPERATIVE PANCREATOGRAPHY,1074.0,,77.7124,1104.13,55
CPT,48500,PR MARSUPIALIZATION PANCREATIC CYST,5023.0,,745.34,5170.34,55
CPT,48510,PR EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN,6945.0,,678.83,6896.08,55
CPT,48520,PR INT ANAST PANCREATIC CYST GI TRACT DIRECT,5693.0,,812.2772,5860.63,55
CPT,48540,PR INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y,7274.0,,964.0128,6896.08,55
CPT,48545,PR PANCREATORRHAPHY INJURY,5892.0,,800.6,6066.68,55
CPT,48547,PR DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ,12050.0,,1145.28,12409.82,55
CPT,48548,PR PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST,9373.0,,1232.064,9191.65,55
CPT,48552,PR BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA,2151.0,,171.902,1935.9,55
CPT,48554,PR TRANSPLANTATION PANCREATIC ALLOGRAFT,21952.0,,1742.85,18659.2,50
CPT,48556,PR RMVL TRANSPLANTED PANCREATIC ALLOGRAFT,6842.0,,761.43,7045.47,47
CPT,48999,HC PANCREAS IRRV ELCTRPR ABL,13708.0,,831.9905,11788.88,83
CPT,48999,HC UNLISTED PX PANCREAS CRYOABLATION,17515.0,,831.9905,15062.9,83
CPT,48999,"HC UNLISTED PX, PANCREAS, ENDOSCOPIC PANCREATIC NECROSECTOMY",1905.0,,533.4,1638.3,83
CPT,48999,"PR UNLISTED PROCEDURE ABLATION OF PANCREAS, FOR EXCISION OF LESION/TUMOR",10342.0,,1013.11,8790.7,28
CPT,48999,PR UNLISTED PROCEDURE PANCREAS (RFA VIA EGD PANCREAS),2620.0,,1013.11,2227.0,28
CPT,48999,"PR UNLISTED PROCEDURE PANCREAS SUR, LAPAROSCOPIC PANCREATICODUODENECTOMY(WHIPPLE)",15708.0,,1013.11,13351.8,28
CPT,48999,"PR UNLISTED PROCEDURE PANCREAS SURGERY, ENDOSCOPIC ULTRASOUND; DUODENAL",948.0,,568.8,1013.11,28
CPT,48999,"PR UNLISTED PROCEDURE PANCREAS SURGERY, LAPAROSCOPIC - DISTAL PANCREATECTOMY WITH SPLENECTOMY",12405.0,,1013.11,10544.25,28
CPT,48999,"PR UNLISTED PROCEDURE PANCREAS SURGERY, MIS DISTAL PANCREATECTOMY",12405.0,,1013.11,10544.25,28
CPT,48999,"PR UNLISTED PROCEDURE PANCREAS SURGERY, MIS TOTAL PANCREATECTOMY",14793.0,,1013.11,12574.05,28
CPT,48999,"PR UNLISTED PROCEDURE PANCREAS SURGERY, MIS TRADITIONAL PD",19729.0,,1013.11,16769.65,28
CPT,48999,"PR UNLISTED PROCEDURE PANCREAS SURGERY, ROBOTIC PYLORUS-SPARING WHIPPLE",23760.0,,1013.11,20196.0,28
CPT,48999,PR UNLISTED PX PANCREAS (ENDOSCOPIC PANCREATIC NECROSECTOMY),2864.0,,1013.11,2434.4,28
CPT,48999,PR UNLISTED PX PANCREAS CRYOABLATION,5523.0,,1013.11,4694.55,28
CPT,49000,HC EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY,60579.0,,1580.12,52097.94,84
CPT,49000,PR EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX,4382.0,,568.0724,4358.12,55
CPT,49002,PR REOPENING RECENT LAPAROTOMY,5192.0,,549.76,4413.2,55
CPT,49010,PR EXPL RETROPERITONEUM W/WO BX SPX,4382.0,,634.69,4358.12,55
CPT,49020,PR DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN,7195.0,,681.8,6115.75,55
CPT,49040,PR DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN,4798.0,,551.74,4940.23,55
CPT,49060,PR DRAINAGE OF RETROPERITONEAL ABSCESS OPEN,4748.0,,559.05,4722.16,55
CPT,49062,PR DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN,3879.0,,570.0412,3633.49,55
CPT,49082,HC PARACNTESIS AB WO IMGGUID,1782.0,,146.85,1532.52,85
CPT,49082,PR ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,688.0,,53.6084,619.2,55
CPT,49083,HC PARACNTESIS AB W IMG GUID,3512.0,,208.44,3020.32,85
CPT,49083,PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE,1049.0,,76.728,944.1,55
CPT,49084,HC PERITONEAL LAVAG W IMG GD,1782.0,,218.22,1532.52,85
CPT,49084,PR PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,1006.0,,77.9608,905.4,55
CPT,49180,HC BX ABD/RTPRITNL MASS PCND,3272.0,,162.19,2813.92,85
CPT,49180,PR BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,1198.0,,59.5148,1090.39,55
CPT,49185,"HC SCLEROTHERAPY FLUID COLLECTION, PERCUTANEOUS INCL CONTRAST INJ, DX, IMAG GUID, RAD S & I",7378.0,,234.45,6345.08,85
CPT,49185,PR SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID,1319.0,,85.8268,1187.1,55
CPT,49186,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS,12712.0,,971.382,11440.8,55
CPT,49187,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM,16553.0,,1241.4112,14897.7,55
CPT,49188,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM,19644.0,,1483.3896,17679.6,55
CPT,49189,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM,23111.0,,1725.6256,20799.9,55
CPT,49190,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST >30 CM,28889.0,,2127.2148,26000.1,55
CPT,49215,PR EXC PRESAC/SACROCOCCYGEAL TUMOR,8664.0,,990.04,8209.69,55
CPT,49250,PR UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX,3455.0,,428.19,2936.75,55
CPT,49255,PR OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX,7389.0,,538.16,6280.65,55
CPT,49320,PR LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX,3055.0,,244.444,3123.49,55
CPT,49321,PR LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE,3753.0,,255.5116,3487.53,55
CPT,49322,PR LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE,3353.0,,277.886,3487.53,55
CPT,49323,PR LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY,4406.0,,473.3952,3745.1,55
CPT,49324,PR LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER,3229.0,,286.0096,3299.38,55
CPT,49325,PR LAPS W/REVISION INTRAPERITONEAL CATHETER,3469.0,,304.9432,3563.08,55
CPT,49326,PR LAPAROSCOPY W/OMENTOPEXY,1804.0,,137.4664,1842.26,55
CPT,49327,PR LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT,1215.0,,94.9256,1093.5,55
CPT,49329,PR LAPAROSCOPIC ASSISTED FREE OMENTAL FLAP,18214.0,,2927.74,15481.9,28
CPT,49329,"PR LAPAROSCOPY OF ABDOMEN, PERITONEUM WITH DRAINAGE OF CYST",6951.0,,2927.74,5908.35,28
CPT,49329,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/MESENT/RETROPERIT RESECTION/DESTRUCTION = OR 20.1 TO 30 CM",22170.0,,2927.74,18844.5,28
CPT,49329,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/MESENT/RETROPERIT RESECTION/DESTRUCTION = OR > 30CM",27710.0,,2927.74,23553.5,28
CPT,49329,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOIC OMENTECTOMY WITH MULTIPLE PERITONEAL BIOPSIES",3530.0,,2118.0,3000.5,28
CPT,49329,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC  OMENTAL PEDICLED FLAP,EXTRA-ABDOMINAL",7008.0,,2927.74,5956.8,28
CPT,49329,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC  PLACEMENT OF ALLODERM SPACER",5773.0,,2927.74,4907.05,28
CPT,49329,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC INTRA ABDOMINAL OMENTAL FLAP",3501.0,,2100.6,2975.85,28
CPT,49329,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC REMOVAL OF INTRA-ABDOMINAL IUD",4059.0,,2435.4,3450.15,28
CPT,49329,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC RESECTION OF MESENTERIC MASS",3636.0,,2181.6,3090.6,28
CPT,49329,"PR UNLISTED PROCEDURE LAP,ABD/PERIT/MESENT/RETROPERIT RESECTION/DESTRUCTION = OR 10.1 TO 20 CM",20645.0,,2927.74,17548.25,28
CPT,49329,"PR UNLISTED PROCEDURE LAP,ABD/PERIT/MESENT/RETROPERIT RESECTION/DESTRUCTION = OR 5.1 TO 10 CM",15727.0,,2927.74,13367.95,28
CPT,49329,PR UNLISTED PROCEDURE LAPAROSCOPY REMOVAL OF PERITONEAL FOREIGN BODY FROM PERITONEAL CAVITY,4059.0,,2435.4,3450.15,28
CPT,49329,PR UNLISTED PX LAPAROSCOPY ABD PERTONEUM & OMENTUM - LAP CONTROL OF POST-OP BLEEDING,12634.0,,2927.74,10738.9,28
CPT,49329,"PR UNLSTD PROCEDURE LAP,ABD/PERIT/MESENT/RETROPERIT RESC/DSTR= OR <5 CM",11254.0,,2927.74,9565.9,28
CPT,49400,HC INJ AIR/CNTRST PRITNLCVTY,1225.0,,177.57,1053.5,84
CPT,49400,PR INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX,597.0,,64.9244,508.29,55
CPT,49402,PR REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY,4059.0,,631.5248,3450.15,55
CPT,49405,HC DRAIN VISCRAL/ORG W IMG,5781.0,,380.02,4971.66,85
CPT,49405,PR IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,2889.0,,139.4352,2600.1,55
CPT,49406,HC DRAIN IP PERIT/RTRO W IMG,5309.0,,380.02,4565.74,85
CPT,49406,PR IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ,2328.0,,139.4352,2095.2,55
CPT,49407,HC DRAIN TRNSVAG/RECTL W IMG,5781.0,,404.28,4971.66,85
CPT,49407,PR IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL,2382.0,,147.798,2143.8,55
CPT,49411,HC INS MRK RTX IA/IP/RTP S/M,3391.0,,296.23,2916.26,85
CPT,49411,PR INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT,2004.0,,133.7772,1803.6,55
CPT,49412,PR PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT,763.0,,60.0024,686.7,55
CPT,49418,HC IP CATH PLCMNT INC IMAGNG,8448.0,,392.42,7265.28,85
CPT,49418,PR INSJ INTRAPERITONEAL CATHETER W/IMG GUID,3333.0,,143.8604,3196.6,55
CPT,49419,HC INSRT TUNNEL IP CATH PORT,7165.0,,852.48,6537.7615,85
CPT,49419,PR INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT,3276.0,,306.912,2948.4,55
CPT,49421,PR INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN,2795.0,,165.508,2907.14,55
CPT,49422,HC IP CATH REMOVL INC IMAGNG,7218.0,,453.27,6207.48,85
CPT,49422,PR REMOVAL TUNNELED INTRAPERITONEAL CATHETER,2245.0,,161.8188,2180.78,55
CPT,49423,HC XCHG PRV AB/CYS DRNCTH GD,3154.0,,138.46,2712.44,85
CPT,49423,PR EXCHNG ABSC/CST DRG CATH RAD GID SPX,1198.0,,50.6552,1090.39,55
CPT,49424,HC CNTR INJ AB/CYS VIA PPCTH,1225.0,,73.13,1053.5,84
CPT,49424,PR CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX,523.0,,26.8088,544.34,55
CPT,49425,HC INSERTION PERITONEAL-VENOUS SHUNT,6957.0,,1613.59,5983.02,84
CPT,49425,PR INSERTION PERITONEAL-VENOUS SHUNT,4445.0,,578.9008,4576.2,55
CPT,49426,HC REVISION PERITONEAL-VENOUS SHUNT,5761.0,,1151.54,4954.46,85
CPT,49426,PR REVIS PERITONEAL-VENOUS SHUNT,4601.0,,497.4992,4576.2,55
CPT,49427,HC INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT,3309.0,,77.24,2845.74,84
CPT,49427,PR INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT,461.0,,28.0324,472.22,55
CPT,49428,HC LIGATION PERITONEAL-VENOUS SHUNT,4460.0,,889.79,3835.6,84
CPT,49428,PR LIGATION PERITONEAL-VENOUS SHUNT,1564.0,,112.76,1562.96,55
CPT,49429,HC REMOVAL PERITONEAL-VENOUS SHUNT,5426.0,,944.3,4666.36,85
CPT,49429,PR RMVL PERITONEAL-VENOUS SHUNT,3599.0,,338.1368,3703.89,55
CPT,49435,PR INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER,1139.0,,85.8268,1184.83,55
CPT,49436,PR DELAYED CREATION EXIT SITE EMBEDDED CATHETER,1447.0,,137.9632,1416.65,55
CPT,49440,HC PLACE GASTROSTOMY TUB PRC,3646.0,,397.05,3135.56,85
CPT,49440,PR INSERT GASTROSTOMY TUBE PERCUTANEOUS,2933.0,,145.8292,2493.05,55
CPT,49441,HC PLACE DUOD/JEJ TUBE PERC,2531.0,,477.21,2254.5405,85
CPT,49441,PR INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,3268.0,,173.8616,2777.8,55
CPT,49442,HC PLACE CECOSTOMY TUBE PERC,4324.0,,403.23,3718.64,85
CPT,49442,PR INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS,3753.0,,149.0308,3190.05,55
CPT,49446,HC CHANGE G-TUBE TO G-J PERC,3880.0,,286.33,3336.8,85
CPT,49446,PR CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ,3350.0,,104.7604,2847.5,55
CPT,49450,HC REPLACE G/C TUBE PERC,1472.0,,128.42,1265.92,85
CPT,49450,PR REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,1422.0,,46.9752,1208.7,55
CPT,49451,HC REPLACE DUOD/JEJ TUBE PRC,1472.0,,173.4,1265.92,85
CPT,49451,PR REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,1858.0,,63.4432,1579.3,55
CPT,49452,HC REPLACE G-J TUBE PERC,1472.0,,266.64,1265.92,85
CPT,49452,PR REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,1842.0,,97.6304,1565.7,55
CPT,49460,HC FIX G/COLON TUBE W/DEVICE,1433.0,,100.45,1232.38,85
CPT,49460,PR OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE,601.0,,36.6436,510.85,55
CPT,49465,HC FLUORO EXAM G/COLON TUBE,563.0,,59.57,484.18,85
CPT,49465,PR CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE,456.0,,22.6185,387.6,47
CPT,49491,PR RPR 1ST INGUN HRNA PRETERM INFT RDC,3673.0,,622.3064,3781.15,51
CPT,49492,PR RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED,4190.0,,747.0216,4313.47,51
CPT,49495,PR RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC,3151.0,,319.6724,3241.98,51
CPT,49496,PR RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER,3595.0,,462.67,3698.74,51
CPT,49500,PR RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE,2728.0,,326.3884,2805.81,51
CPT,49501,PR RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED,3278.0,,427.35,3374.19,51
CPT,49505,PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE,3131.0,,372.68,3113.19,55
CPT,49507,PR RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED,4557.0,,437.0,3873.45,55
CPT,49520,PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE,3470.0,,453.01,3568.24,55
CPT,49521,PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED,4656.0,,504.42,4086.81,55
CPT,49525,PR RPR INGUN HERNIA SLIDING ANY AGE,3244.0,,426.4292,3374.19,55
CPT,49540,PR REPAIR LUMBAR HERNIA,4333.0,,471.8,4459.43,55
CPT,49550,PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE,3713.0,,402.84,3861.86,55
CPT,49553,PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED,4301.0,,422.99,4459.43,55
CPT,49555,PR RPR RECRT FEM HERNIA REDUCIBLE,4084.0,,449.5396,4203.58,55
CPT,49557,PR RPR RECRT FEM HRNA INCARCERATED,4667.0,,524.29,4804.59,55
CPT,49591,PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE,3374.0,,252.0708,3036.6,53
CPT,49592,PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED,4689.0,,350.1888,4220.1,53
CPT,49593,PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE,5687.0,,421.7556,5118.3,53
CPT,49594,PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED,7460.0,,548.8904,6714.0,53
CPT,49595,PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE,8489.0,,567.3364,7640.1,53
CPT,49596,PR RPR AA HERNIA 1ST > 10 CM NCRC8/STRANGULATED,10348.0,,752.514,9313.2,53
CPT,49600,PR RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE,4581.0,,501.36,4717.0,51
CPT,49605,PR RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH,17015.0,,1008.99,17022.49,51
CPT,49606,PR RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH,5624.0,,838.5892,5790.22,55
CPT,49610,PR RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG,4581.0,,534.83,4717.0,51
CPT,49611,PR RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG,4581.0,,477.4432,4717.0,51
CPT,49613,PR RPR AA HERNIA RECR < 3 CM REDUCIBLE,4113.0,,310.6012,3701.7,53
CPT,49614,PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED,5681.0,,420.5228,5112.9,53
CPT,49615,PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE,6352.0,,470.2028,5716.8,53
CPT,49616,PR RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED,8618.0,,631.7732,7756.2,53
CPT,49617,PR RPR AA HERNIA RECR > 10 CM REDUCIBLE,8884.0,,650.9552,7995.6,53
CPT,49618,PR RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED,12564.0,,911.8764,11307.6,53
CPT,49621,PR RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE,7802.0,,545.698,7021.8,53
CPT,49622,PR RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED,9455.0,,672.842,8509.5,53
CPT,49623,PR RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR,2079.0,,144.6056,1871.1,53
CPT,49650,PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA,3959.0,,322.644,4117.73,55
CPT,49651,PR LAPS SURG RPR RECURRENT INGUINAL HERNIA,4547.0,,421.0196,4717.0,55
CPT,49659,"PR ROBOTIC ASSISTED LAPAROSCOPIC, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE",10414.0,,1085.12,8851.9,32
CPT,49659,"PR ROBOTIC ASSISTED LAPAROSCOPY, SURGICAL; REPAIR INITIAL INGUINAL HERNIA",5199.0,,1085.12,4419.15,32
CPT,49659,PR UNLISTED PROCEDURE LAPAROSCOPIC INITIAL FEMORAL HERNIA REPAIR ANY AGE INCARCEATED OR STRANGULTED,4484.0,,1085.12,3811.4,32
CPT,49659,PR UNLISTED PROCEDURE LAPAROSCOPIC INITIAL FEMORAL HERNIA REPAIR ANY AGE REDUCIBLE,3807.0,,1085.12,3235.95,32
CPT,49659,"PR UNLISTED PROCEDURE LAPAROSCOPY, HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY (ROBOTIC ASSISTED COMPONENT SEPARATION)",12745.0,,1085.12,10833.25,32
CPT,49659,PR UNLISTED PROCEDURE ROBOTIC LAPAROSCOPIC UMBILICAL HERNIA REPAIR 5YRS OR OLDER,3750.0,,1085.12,3187.5,32
CPT,49900,PR SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN,4669.0,,506.63,4289.44,55
CPT,49904,PR OMENTAL FLAP EXTRA-ABDOMINAL,7254.0,,1025.4872,6528.6,55
CPT,49905,PR OMENTAL FLAP INTRA-ABDOMINAL,3623.0,,257.4804,3430.87,55
CPT,49906,PR FREE OMENTAL FLAP W/MICROVASCULAR ANAST,18852.0,,1053.92,16024.2,48
CPT,49999,HC ABLATION ABDOMINAL UNLISTED,13708.0,,1065.6245,11788.88,83
CPT,49999,HC RFA ABD PERITONM OMENTUM,13708.0,,1065.6245,11788.88,83
CPT,49999,"HC UNLISTED PX ABDOMEN, PERITONEUM & OMENTUM (IP CATHETER REPOSITIONING)",3830.0,,1065.6245,3293.8,83
CPT,49999,"PR UNLISTED PROCEDURE ABDOMEN SURGERY, RFA ABDOMEN, PERITONEUM,OMENTUM",5605.0,,3363.0,4764.25,28
CPT,49999,"PR UNLISTED PROCEDURE ABDOMEN SURGERY, TPA INJECTION (ABDOMEN, PERITONEUM & OMENTUM)",4026.0,,2415.6,3468.64,28
CPT,49999,"PR UNLISTED PROCEDURE ABDOMEN SURGERY, VACCINE INJECTION-ABD PERIT & OMNTM",335.0,,201.0,3468.64,28
CPT,49999,"PR UNLISTED PROCEDURE ABLATION, ABDOMINAL",3619.0,,2171.4,3468.64,28
CPT,49999,"PR UNLISTED PX ABDOMEN, PERITONEUM & OMENTUM (INTRAPERITONEAL CATHETER REPOSITIONING)",860.0,,516.0,3468.64,28
CPT,50010,PR RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX,6000.0,,544.962,6178.3,55
CPT,50020,PR DRAINAGE PERIRENAL/RENAL ABSCESS OPEN,5360.0,,679.06,5518.91,55
CPT,50040,PR NEPHROSTOMY NEPHROTOMY W/DRAINAGE,7451.0,,670.3764,7412.93,55
CPT,50045,PR NEPHROTOMY W/EXPLORATION,7199.0,,675.2984,7412.93,55
CPT,50060,PR NEPHROLITHOTOMY REMOVAL CALCULUS,7599.0,,823.584,7825.04,55
CPT,50065,PR NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS,9599.0,,873.264,9883.91,55
CPT,50070,PR NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY,9278.0,,856.5384,9554.21,55
CPT,50075,PR NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS,9839.0,,1052.0476,10131.17,55
CPT,50080,PR PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION,7683.0,,505.3652,7989.9,55
CPT,50081,PR PERQ NL/PL LITHOTRP COMPLEX >2 CM MLT LOCATIONS,8918.0,,814.246,9183.31,55
CPT,50100,PR TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX,4801.0,,795.5516,4941.96,55
CPT,50120,PR PYELOTOMY W/EXPLORATION,7199.0,,687.102,7412.93,55
CPT,50125,PR PYELOTOMY W/DRAINAGE PYELOSTOMY,7199.0,,710.7092,7412.93,55
CPT,50130,PR PYELOTOMY WITH REMOVAL CALCULUS,7199.0,,747.3528,7412.93,55
CPT,50200,HC RENAL BX PRC TROCAR/NEEDL,4065.0,,248.56,3495.9,85
CPT,50200,PR RENAL BIOPSY PRQ TROCAR/NEEDLE,1568.0,,91.2364,1483.61,55
CPT,50205,PR RENAL BIOPSY SURG EXPOSURE KIDNEY,3991.0,,537.76,3707.31,55
CPT,50220,PR NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ,7451.0,,765.5504,7412.93,55
CPT,50225,PR NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL,8685.0,,873.0156,8896.55,55
CPT,50230,PR NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD,10985.0,,925.888,11424.19,55
CPT,50234,PR NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC,9106.0,,943.1012,9059.68,55
CPT,50236,PR NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN,9197.0,,1058.4416,9471.8,55
CPT,50240,PR NEPHRECTOMY PARTIAL,10304.0,,959.5784,9059.68,55
CPT,50250,PR OPEN ABLATION 1/>RENAL MASS LESION CRYOSURGICAL,10702.0,,879.9064,10496.68,55
CPT,50280,PR EXCISION/UNROOFING CYST KIDNEY,6624.0,,697.9212,6588.7,55
CPT,50290,PR EXCISION PERINEPHRIC CYST,6400.0,,651.4428,6588.7,55
CPT,50320,PR DONOR NEPHRECTOMY OPEN LIVING DONOR,12672.0,,1272.27,13179.11,47
CPT,50327,PR BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA,1999.0,,157.6328,1799.1,55
CPT,50328,PR BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA,1677.0,,137.7148,1509.3,55
CPT,50329,PR BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA,1671.0,,131.0724,1503.9,55
CPT,50340,PR RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE,7199.0,,706.284,7412.93,55
CPT,50360,PR RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY,23429.0,,1783.42,19914.65,55
CPT,50365,PR RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY,19429.0,,2124.7584,20013.36,55
CPT,50370,PR REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT,6400.0,,833.37,6588.7,55
CPT,50380,PR RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY,12797.0,,999.48,13179.11,55
CPT,50382,HC RMV/RPLC INT URETERL STNT,6304.0,,491.81,5421.44,85
CPT,50382,PR RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ,2910.0,,181.0008,2890.94,55
CPT,50384,HC INT URETERAL STENT REMOVL,5316.0,,444.22,4571.76,85
CPT,50384,PR REMOVAL INDWELLING URETERAL STENT PRQ,4160.0,,163.2908,3536.0,55
CPT,50385,HC REMOVE & REPLACE INDWELL URETERAL STENT TRANSURETHRAL,6304.0,,423.64,5421.44,85
CPT,50385,PR REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL,2352.0,,155.664,2334.09,55
CPT,50386,HC REMOV STNT VIA TRANSURETH,2011.0,,321.64,2456.009,85
CPT,50386,PR REMOVE INT DWELL URETERAL STENT TRANSURETHRAL,1669.0,,116.564,1735.55,55
CPT,50387,HC RMV/RPLC EXT URETERL STNT,4244.0,,162.47,3649.84,85
CPT,50387,PR RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH,1399.0,,59.7632,1189.15,55
CPT,50389,HC NPHRSTMY TUBE RMV W/FLURO,1603.0,,104.82,1378.58,85
CPT,50389,PR RMVL NFROS TUBE REQ FLUORO GUIDANCE,619.0,,38.364,577.69,55
CPT,50390,HC ASP/INJ RENLCYST/PLV NDLP,2550.0,,185.13,2193.0,85
CPT,50390,PR ASPIR &/NJX RENAL CYST/PELVIS NEEDLE PRQ,1110.0,,68.1168,1153.92,55
CPT,50391,HC NPHROSTMY INSTL ANTICARCN,659.0,,41.53,566.74,85
CPT,50391,PR INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB,1050.0,,70.334,945.0,55
CPT,50396,HC MANOMTRY NPHR IDW URTRCTH,1316.0,,227.0,1131.76,85
CPT,50396,PR MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH,827.0,,78.92,702.95,55
CPT,50400,PR PYELOPLASTY SIMPLE,8279.0,,835.1484,8237.15,55
CPT,50405,PR PYELOPLASTY COMPLICATED,9527.0,,1008.274,9883.91,55
CPT,50430,HC INJ ANTEGRADE NEPHROSTOGRAM &OR URETEROGRAMCOMPL DIA PX IMG GUID S&I NEW ACCESS,2949.0,,301.21,2536.14,85
CPT,50430,PR NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS,1608.0,,110.4184,1447.2,55
CPT,50431,HC INJ ANTEGRADE NEPHROSTOGRAM &OR URETEROGRAMCOMPL DIA PX IMG GUID S&I EXIST ACCESS,2449.0,,130.04,2106.14,85
CPT,50431,PR NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS,642.0,,47.4628,577.8,55
CPT,50432,HC PLCMT NEPHROSTOMY CATH PERCUT INCL DIA NEPHROSTOGRAM/URETEROGRAM IMG GUID S&I,8608.0,,398.77,7402.88,85
CPT,50432,PR PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,2545.0,,147.062,2290.5,55
CPT,50433,HC PLCMT NEPHROSTOMY CATH PERCUT INCL DIA NEPHROSTOGRAM/URETEROGRAM IMG GUID S&I NEW ACCESS,10108.0,,495.79,8692.88,85
CPT,50433,PR PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I,2989.0,,182.4728,2690.1,55
CPT,50434,HC CONVERT NEPHR CATHPERCUT INCL DIA NEPHRGRAM/UREGRAM IMG GUID S&I PRE-EXST NEPHR TRACT,9092.0,,372.73,7819.12,85
CPT,50434,PR CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ,2105.0,,136.9788,1894.5,55
CPT,50435,HC EXCHANGE NEPHROSTOMY CATH PERCUT INCL DIA NEPHROSTOGRAM/URETEROGRAM IMG GUID S&I.,8247.0,,195.12,7092.42,85
CPT,50435,PR EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I,1567.0,,71.806,1410.3,55
CPT,50436,HC PERQ DILATION EXST TRACT ENDOUROLOGIC PX W/IMG GUID RAD S&I,16453.0,,292.84,14149.58,85
CPT,50436,PR PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG,1500.0,,107.2168,1350.0,55
CPT,50437,HC PERQ DILATION EXST TRACT NEW ACCESS RENAL COLTJ SYS RAD S&I,16901.0,,484.64,14534.86,85
CPT,50437,PR PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS,2515.0,,178.7836,2263.5,55
CPT,50500,PR NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY,7199.0,,915.5656,7412.93,55
CPT,50520,PR CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA,7199.0,,853.0976,7412.93,55
CPT,50525,PR CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR,8798.0,,1080.3284,9059.68,55
CPT,50526,PR CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR,8798.0,,1036.08,9059.68,55
CPT,50540,PR SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI,11198.0,,829.0028,11532.38,55
CPT,50541,PR LAPAROSCOPY SURG ABLATION RENAL CYSTS,6351.0,,664.2308,6588.7,55
CPT,50542,PR LAPS ABLTJ RENAL MASS LESION W/INTRAOP US,8520.0,,844.7348,7668.0,55
CPT,50543,PR LAPAROSCOPY SURG PARTIAL NEPHRECTOMY,10779.0,,1076.6392,9701.1,55
CPT,50544,PR LAPAROSCOPY SURG PYELOPLASTY,8381.0,,896.8712,8237.15,55
CPT,50545,PR LAPAROSCOPY RADICAL NEPHRECTOMY,11483.0,,963.7644,11424.19,55
CPT,50546,PR LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT,7165.0,,871.5436,7412.93,55
CPT,50547,PR LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR,12797.0,,1248.17,13179.11,47
CPT,50548,PR LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY,8755.0,,968.9256,9059.68,55
CPT,50549,PR LAPAROSCOPIC EXCISION OR UNROOFING OF CYST(S) OF KIDNEY,6400.0,,3840.0,5440.0,28
CPT,50551,PR RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION,1623.0,,211.4896,1612.4,55
CPT,50553,HC RNLENDO ESTNPH W/URTR CTH,9625.0,,622.25,8277.5,85
CPT,50553,PR RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA,2473.0,,225.998,2102.05,55
CPT,50555,PR RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY,2914.0,,244.9408,2476.9,55
CPT,50557,PR RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI,2841.0,,248.1332,2414.85,55
CPT,50561,PR RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS,2911.0,,282.808,2635.83,55
CPT,50562,PR RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR,3645.0,,415.61,3280.5,55
CPT,50570,PR RENAL NDSC NEPHROTOMY W/WO IRRIGATION,1866.0,,330.23,1864.65,55
CPT,50572,PR RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER,2044.0,,380.4384,2042.74,55
CPT,50574,PR RENAL NDSC NEPHROTOMY W/BIOPSY,2147.0,,404.7816,2146.65,55
CPT,50575,PR RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY,4129.0,,511.5108,3509.65,55
CPT,50576,PR RNL NDSC NFROT FULGURATION &/INCISION W/WO BX,2322.0,,403.7972,2388.56,55
CPT,50580,PR RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS,2722.0,,434.792,2800.67,55
CPT,50590,PR LITHOTRIPSY XTRCORP SHOCK WAVE,7060.0,,414.8648,7342.53,55
CPT,50592,HC ABLAT 1+ RNLTMR PC UNI RF,16020.0,,1888.85,13777.2,83
CPT,50592,PR ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY,3935.0,,246.9004,3548.36,55
CPT,50593,HC ABLAT 1+ RNLTMR P/UNI CRY,16020.0,,896.38,13777.2,85
CPT,50593,PR ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY,6489.0,,329.5348,5515.65,55
CPT,50600,PR URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE,5705.0,,678.4908,5874.38,55
CPT,50605,PR URETEROTOMY INSERTION INDWELLING STENT ALL TYPES,4750.0,,669.68,4037.5,55
CPT,50606,HC ENDOLUMINAL BIOPSY URETER/RENAL PELVIS NON-ENDOSCOPIC INCL IMG GUID S&I,9324.0,,275.03,8018.64,84
CPT,50606,PR ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC,1733.0,,99.8476,1559.7,55
CPT,50610,PR URTROLITHOTOMY UPPER ONE-THIRD URETER,4174.0,,683.4128,4158.93,55
CPT,50620,PR URTROLITHOTOMY MIDDLE ONE-THIRD URETER,5705.0,,653.8992,5874.38,55
CPT,50630,PR URTROLITHOTOMY LOWER ONE-THIRD URETER,6061.0,,646.0332,6241.84,55
CPT,50650,PR URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE,6643.0,,750.5452,6607.59,55
CPT,50660,PR URETERECTOMY TOT ECTOPIC URETER CMBN APPR,7431.0,,825.8012,7709.99,55
CPT,50684,PR INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH,1184.0,,36.892,1150.03,55
CPT,50686,PR MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH,671.0,,57.47,570.35,55
CPT,50688,HC CHG URTROS TB/EXT USTN IL,4072.0,,153.65,3501.92,85
CPT,50688,PR CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL,651.0,,48.17,553.35,55
CPT,50690,HC RTROGRD ILEAL CNDUIT STDY,547.0,,137.84,470.42,84
CPT,50690,PR NJX VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG,1215.0,,45.24,1214.61,55
CPT,50693,HC PLCMT URETER STENTPERCUT INCL DIA NEPHRGRAM/UREGRAM IMG GUID S&I PRE-EXST NEPHR TRACT,9478.0,,396.8,8151.08,85
CPT,50693,PR PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT,2195.0,,145.8292,1975.5,55
CPT,50694,HC PLCMT URET STENTPERCUT INCL DIA NEPHRGRAM/UREGRAM IMG GUID S&I NEW ACCESS WO SEP NEPHR CATH,10436.0,,517.92,8974.96,85
CPT,50694,PR PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH,3841.0,,191.084,3456.9,55
CPT,50695,HC PLCMT URET STENTPERCUT INCL DIA NEPHRGRAM/UREGRAM IMG GUID S&I NEW ACCESS W SEP NEPHR CATH,10420.0,,665.11,8961.2,85
CPT,50695,PR PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH,5794.0,,244.6924,5214.6,55
CPT,50700,PR URETEROPLASTY PLASTIC OPERATION URETER,5550.0,,670.6248,5712.95,55
CPT,50705,HC URETERAL EMBOLIZATION OR OCCLUSION INCL IMAGING GUIDANCE S&I,10259.0,,350.06,8822.74,84
CPT,50705,PR URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,5791.0,,127.6316,5211.9,55
CPT,50706,HC BALLOON DILATION URETERAL STRICTURE INCL IMAGING GUIDANCE S&I,9693.0,,352.71,8335.98,84
CPT,50706,PR BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I,2068.0,,129.352,1861.2,55
CPT,50715,PR URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS,11339.0,,880.6424,9638.15,55
CPT,50722,PR URETEROLYSIS FOR OVARIAN VEIN SYNDROME,4424.0,,749.57,4443.98,55
CPT,50725,PR URTROLSS RETROCAVAL URTR W/REANAST,8556.0,,797.0328,8812.4,55
CPT,50727,PR REVJ URINARY-CUTANEOUS ANASTAMOSIS,4430.0,,372.0756,4406.21,55
CPT,50728,PR REVJ UR-CUTAN ANAST RPR FSCAL DFCT & HERNIA,5906.0,,508.3184,5874.38,55
CPT,50740,PR URETEROPYELOSTOMY ANAST URETER RENAL PELVIS,7487.0,,899.8244,7709.99,55
CPT,50750,PR URETEROCALYCOSTOMY ANAST URETER RENAL CALYX,7844.0,,833.1796,8077.46,55
CPT,50760,PR URETEROURETEROSTOMY,7748.0,,824.0808,7709.99,55
CPT,50770,PR TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR,8121.0,,833.1796,8077.46,55
CPT,50780,PR URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER,7748.0,,805.3864,7709.99,55
CPT,50782,PR URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR,8199.0,,777.354,8443.22,55
CPT,50783,PR URETERONEOCYSTOSTOMY W/URETERAL TAILORING,8857.0,,814.7336,8812.4,55
CPT,50785,PR URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP,9687.0,,879.4096,9178.15,55
CPT,50800,PR URETEROENTEROSTOMY ANAST URETER INTESTINE,7748.0,,671.8576,7709.99,55
CPT,50810,PR URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER & COLOSTO,11406.0,,1033.85,11748.73,55
CPT,50815,PR URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS,9859.0,,885.8036,10155.21,55
CPT,50820,PR URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS,11808.0,,950.4796,11748.73,55
CPT,50825,PR CONTINENT DVRJ W/INT ANAST ANY SGM SM&/LG INTSTN,12915.0,,1188.778,12851.13,55
CPT,50830,PR URINARY UNIDIVERSION,11185.0,,1299.9324,11518.63,55
CPT,50840,PR RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST,10206.0,,890.7256,10155.21,55
CPT,50845,PR CUTANANEOUS APPENDICO-VESICOSTOMY,8415.0,,907.9388,8371.1,55
CPT,50860,PR URETEROSTOMY TRANSPLANTATION URETER SKIN,4932.0,,684.3972,5077.6,55
CPT,50900,PR URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE,6643.0,,611.11,6607.59,55
CPT,50920,PR CLOSURE URETEROCUTANEOUS FISTULA,6417.0,,638.9032,6607.59,55
CPT,50930,PR CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR,7844.0,,796.7844,8077.46,55
CPT,50940,PR DELIGATION URETER,6417.0,,643.816,6607.59,55
CPT,50945,PR LAPAROSCOPY URTROLITHOTOMY,5705.0,,701.8588,5874.38,55
CPT,50947,PR LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT,8388.0,,999.4236,8702.51,55
CPT,50948,PR LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT,7487.0,,919.9908,7709.99,55
CPT,50949,"PR ROBOTIC LAPAROSCOPIC URETEROLYSIS, W/WO REPOSITIONING OF URETER FOR RETROPERITONEAL FIBROSIS",6417.0,,3468.64,5454.45,28
CPT,50949,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER (LAPAROSCOPIC URETERONEOCYSTOSTOMY; ANASTOMOSIS OF SINGLE URETER TO BLADDER)",7487.0,,3468.64,6363.95,28
CPT,50949,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER (ROBOTIC ASSISTED BILATERAL TOTAL URETERECTOMY)",6417.0,,3468.64,5454.45,28
CPT,50949,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER (URETERECTOMY)",6417.0,,3468.64,5454.45,28
CPT,50949,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER, ROBOTIC (URETEROURETEROSTOMY)",7748.0,,3468.64,6585.8,28
CPT,50949,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER, ROBOTIC LAPAROSCPOIC URETERONEOCYSTOSTOMY PSOAS HITCH",9359.0,,3468.64,7955.15,28
CPT,50949,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER, ROBOTIC-ASSISTED LAPAROSCOPIC INTERNALIZED STENT PLACEMENT",3203.0,,1921.8,3468.64,28
CPT,50949,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER, URNINARY UNDIVERSION",11185.0,,3468.64,9507.25,28
CPT,50949,"PR UNLISTED PROCEDURE LAPAROSCOPY,URETER,URETER REANASTOMOSIS TO ILEAT CONDUIT",9095.0,,3468.64,7730.75,28
CPT,50951,HC URETERAL ENDOSCOPY VIA URETEROSTOMY,5822.0,,608.3,5006.92,85
CPT,50951,PR URETERAL ENDOSCOPY VIA URETEROSTOMY,1398.0,,219.8524,1188.3,55
CPT,50953,PR URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER,2169.0,,234.3608,2080.31,55
CPT,50955,PR URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY,2774.0,,252.5584,2357.9,55
CPT,50957,PR URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY,2738.0,,254.0396,2327.3,55
CPT,50961,HC URETERAL ENDOSCOPY VIA ESTABLISHED URETEROSTOMY W/REMOVAL FOREIGN BODY,8114.0,,628.37,6978.04,85
CPT,50961,PR URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE,2911.0,,227.4792,2474.35,55
CPT,50970,PR URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING,1975.0,,265.5948,1678.75,55
CPT,50972,PR NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER,1361.0,,256.58,1397.75,55
CPT,50974,PR URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX,1812.0,,338.882,1785.19,55
CPT,50976,PR URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX,1998.0,,333.7116,2055.42,55
CPT,50980,PR NDSC URETEROTOMY RMVL FB/CALCULUS,2354.0,,255.5116,2422.9,55
CPT,51020,PR CYSTOTOMY/CYSTOSTOMY FULG&/INSJ RADACT MATRL,6736.0,,342.5712,5725.6,55
CPT,51040,HC CYSTOST W/ DRNG,6413.0,,586.73,5515.18,85
CPT,51040,PR CYSTOSTOMY CYSTOTOMY W/DRAINAGE,4062.0,,212.474,4224.19,55
CPT,51045,PR CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX,4468.0,,366.4176,4646.61,55
CPT,51050,PR CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS,4872.0,,343.3072,5067.31,55
CPT,51060,PR TRANSVESICAL URETROLITHOTOMY,8981.0,,424.212,7633.85,55
CPT,51065,PR CYSTOTOMY W/CALCULUS BASKET XTRJ&/FRAGMENTATIO,7858.0,,422.2432,6679.3,55
CPT,51080,PR DRG PRIVESICAL/PREVESICAL SPACE ABSC,5053.0,,298.0524,4295.05,55
CPT,51100,HC DRAIN BLADDER BY NEEDLE,9311.0,,36.54,8007.46,85
CPT,51101,PR ASPIRATION BLADDER TROCAR/INTRACATHETER,535.0,,36.6436,522.5,55
CPT,51102,HC INSERT SUPRAPUBIC CATH,5577.0,,282.96,4796.22,85
CPT,51102,PR ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,1117.0,,103.776,1101.43,55
CPT,51500,PR EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR,7298.0,,463.312,6203.3,55
CPT,51520,PR CYSTOTOMY SIMPLE EXCISION VESICAL NECK,7858.0,,433.3108,6679.3,55
CPT,51525,PR CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE,8489.0,,623.6588,7601.81,55
CPT,51530,PR CYSTOTOMY EXCISION BLADDER TUMOR,7858.0,,558.7344,6679.3,55
CPT,51535,PR CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE,7858.0,,565.8644,6679.3,55
CPT,51550,PR CYSTECTOMY PARTIAL SIMPLE,7800.0,,698.418,6630.0,55
CPT,51555,PR CYSTECTOMY PARTIAL COMPLICATED,10456.0,,911.3796,8887.6,55
CPT,51565,PR CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST,12778.0,,931.7944,10861.3,55
CPT,51570,PR CYSTECTOMY COMPLETE SEPARATE PROCEDURE,13469.0,,1064.8356,11448.65,55
CPT,51575,PR CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY,20202.0,,1313.4656,17171.7,55
CPT,51580,PR CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES,19863.0,,1367.81,16883.55,55
CPT,51585,PR CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES,25553.0,,1521.266,21720.05,55
CPT,51590,PR CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST,21371.0,,1392.65,19254.38,55
CPT,51595,PR CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC,22239.0,,1575.8588,22127.18,55
CPT,51596,PR CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR,26035.0,,1701.2824,22129.75,55
CPT,51597,PR PELVIC EXENTERATION COMPLETE MALIGNANCY,25211.0,,1659.4684,24067.56,55
CPT,51600,HC INJ PROC FOR CYSTOG/VCUG,593.0,,85.76,509.98,84
CPT,51600,PR NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY,731.0,,31.7216,1199.2,55
CPT,51605,PR NJX & PLACEMENT CHAIN CONTRAST&/URETHROCSTOGRAPY,1549.0,,27.7932,1316.65,55
CPT,51610,HC INJ RETROGRAD URETHROGRAM,545.0,,127.42,468.7,84
CPT,51610,PR NJX RETROGRADE URETHROCSTOGRAPY,1251.0,,40.01,1250.84,55
CPT,51700,HC BLADDER IRRIGATION,583.0,,44.3,501.38,85
CPT,51700,PR BLDR IRRIGATION SMPL LAVAGE &/INSTLJ,382.0,,21.8868,381.8,55
CPT,51701,HC CATHETER NON-INDWELLING,197.0,,51.34,169.42,85
CPT,51701,PR INSJ NON-NDWELLG BLADDER CATHETER,262.0,,18.446,235.8,55
CPT,51702,HC BLADDER CATH TEMP INDWELL,227.0,,50.43,195.22,85
CPT,51702,PR INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE,322.0,,18.1976,289.8,55
CPT,51703,HC CATHETERIZATION COMPLEX,677.0,,57.79,582.22,85
CPT,51703,PR INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED,432.0,,55.3288,388.8,55
CPT,51705,HC CHANGE CYSTOSTOMY TUBE SIMPLE,907.0,,51.77,780.02,85
CPT,51705,PR CHANGE CYSTOSTOMY TUBE SIMPLE,513.0,,37.3796,436.05,55
CPT,51710,HC CHANGE CYSTOSTOMY TUBE COMPLICATED,1628.0,,159.98,1400.08,85
CPT,51710,PR CHANGE CYSTOSTOMY TUBE COMPLICATED,974.0,,58.0336,1013.11,55
CPT,51715,HC COLLAGN INJ SUBMUCOS TISS,6253.0,,398.87,5377.58,85
CPT,51715,PR NDSC NJX IMPLT MATRL URT&/BLDR NCK,2008.0,,144.6056,2027.96,55
CPT,51720,HC BLADDER INST I11,1052.0,,44.85,904.72,85
CPT,51720,PR BLADDER INSTILLATION ANTICARCINOGENIC AGENT,533.0,,31.7216,532.87,55
CPT,51721,PR INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS,2341.0,,169.116,2106.9,47
CPT,51725,HC SIMPLE CYSTOMETROGRAM,824.0,,110.15,708.64,85
CPT,51725,PR SIMPLE CYSTOMETROGRAM,653.0,,28.23,555.05,55
CPT,51726,HC COMPLEX CYSTOMETROGRAM,1501.0,,110.15,1290.86,85
CPT,51726,PR BLADDER PRESSURE MEASUREMENT DURING FILLING,858.0,,28.85,729.3,55
CPT,51727,HC URETHRAL PRESSURE PROFILE,412.0,,115.36,819.26,85
CPT,51728,HC VOIDING PRESSURE STUDY,1219.0,,222.58,1048.34,85
CPT,51728,PR COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,1173.0,,75.256,1055.7,55
CPT,51729,HC COMP W/VOID PRESS STUDY,1634.0,,222.31,1405.24,85
CPT,51736,PR SIMPLE UROFLOMETRY,180.0,,7.616,187.16,55
CPT,51741,HC COMPLEX UROFLOWMETRY,702.0,,28.72,603.72,85
CPT,51741,PR COMPLEX UROFLOMETRY,221.0,,7.616,230.09,55
CPT,51784,HC EMG ANAL URETH SPHINCT,364.0,,22.14,313.04,85
CPT,51784,PR EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL,422.0,,32.3595,401.8,55
CPT,51785,HC NEEDLE EMG ANAL/URETHRAL,525.0,,110.15,862.98,85
CPT,51785,PR NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ,1264.0,,20.55,1074.4,55
CPT,51792,PR STIMULUS EVOKED RESPONSE,610.0,,20.31,518.5,55
CPT,51797,HC INTRAABDOMINAL PRESSURE TEST,596.0,,166.88,512.56,84
CPT,51797,PR VOID PRESSURE STUDIES INTRAABDOMINAL,720.0,,20.32,612.0,55
CPT,51798,HC US MS POSTVOID URIN/BLADD,181.0,,22.25,155.66,85
CPT,51800,PR CSTOPLASTY/CSTOURTP PLSTC ANY,6981.0,,751.5296,7187.99,55
CPT,51820,PR CSTOURTP W/UNI/BI URTRONEOCSTOST,10119.0,,785.7168,10419.66,55
CPT,51840,PR ANT VESICOURETHROPEXY/URETHROPEXY SMPL,6296.0,,508.5668,5604.76,55
CPT,51841,PR ANT VESICOURETHROPEXY/URETHROPEXY COMP,5984.0,,586.2792,6161.13,55
CPT,51845,PR ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL,5101.0,,423.476,5252.75,55
CPT,51860,PR CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE,4851.0,,543.9776,5031.25,55
CPT,51865,PR CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED,6235.0,,651.4428,6468.5,55
CPT,51880,PR CLOSURE CYSTOSTOMY SEPARATE PROCEDURE,3142.0,,338.1368,3235.1,55
CPT,51900,PR CLSR VESICOVAGINAL FISTUL AABDL APPROACH,7329.0,,597.8344,7545.14,55
CPT,51920,PR CLOSURE VESICOUTERINE FISTULA,6281.0,,554.3092,6468.5,55
CPT,51925,PR CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY,7329.0,,795.3032,7545.14,55
CPT,51940,PR CLOSURE EXSTROPHY BLADDER,6069.0,,1184.3528,6070.16,55
CPT,51960,PR ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS,11556.0,,1000.6472,11498.04,55
CPT,51980,PR CUTANEOUS VESICOSTOMY,6120.0,,518.4016,6301.93,55
CPT,51990,PR LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT,5443.0,,540.2884,5604.76,55
CPT,51992,PR LAPAROSCOPY SLING OPERATION STRESS INCONT,5322.0,,609.3896,5534.37,55
CPT,51999,"PR ROBOTIC PELVIC EXENTERATION, COMPLETE, FOR VESICAL, PROSTATIC ORURETHRAL MALIGNANCY, W REMOVAL OF BLADDER AND URETERAL TRANSPLANTATIONS, W/WO HYSTERECTOMY AND/OR ABDOMINOPERINEAL RESECTION OF RECTU",41574.0,,24944.4,37416.6,28
CPT,51999,PR ROBOTIC-ASSISTED CYSTECTOMY W/BILAT PELVIC LYMPHADENECTOMY,20202.0,,12121.2,18181.8,28
CPT,51999,"PR UNLISTED PROCEDURE LAP  BLADDER, LAPAROSCOPIC PARTIAL CYSTECTOMY URACHAL EXCISION",10413.0,,6247.8,9371.7,28
CPT,51999,"PR UNLISTED PROCEDURE LAP BLADDER, LAPAROSCOPIC CYSTECOMY, SIMPLE",7858.0,,4714.8,7072.2,28
CPT,51999,"PR UNLISTED PROCEDURE LAP BLADDER, ROBOTIC CYSTOLITHOLAPAXY",3586.0,,2151.6,3227.4,28
CPT,51999,"PR UNLISTED PROCEDURE LAP BLADDER, ROBOTIC-ASSISTED LAPAROSCOPIC RESECTION OF BLADDER NECK",10102.0,,6061.2,9091.8,28
CPT,51999,"PR UNLISTED PROCEDURE LAPAROSCOPY BLADDER (LAPAROSCOPIC PARTIAL CYSTECTOMY, REIMPLANTATION OF URETER (URETERONEOCYSTOSTOMY)",12347.0,,7408.2,11112.3,28
CPT,51999,PR UNLISTED PROCEDURE LAPAROSCOPY BLADDER - REPAIR OF VESICOVAGINAL FISTULA,8908.0,,5344.8,8017.2,28
CPT,51999,"PR UNLISTED PROCEDURE LAPAROSCOPY PROC, BLADDER (ROBOTIC-ASSISTED CYSTECTOMY & BILATERAL LYMPHADENECTOMY W/ILEAL CONDUIT URINARY DIVERSION)",29401.0,,17640.6,26460.9,28
CPT,51999,"PR UNLISTED PROCEDURE LAPAROSCOPY, BLADDER (ROBOTIC-ASSISTED LAPAROSCOPIC CYSTORRHAPY)",4887.0,,2932.2,4398.3,28
CPT,51999,PR UNLISTED PROCEDURE ROBOTIC-ASSISTED RADICAL CYSTECTOMY W/ ILEAL CONDUIT URINARY DIVERSION,25586.0,,15351.6,23027.4,28
CPT,51999,PR UNLISTED PROCEDURE ROBOTIC-ASSISTED RADICAL CYSTECTOMY W/ILEAL CONDUIT URINARY DIVERSION-NEOBLADDER,28054.0,,16832.4,25248.6,28
CPT,51999,PR UNLISTED PX ROBOTIC-ASSIST RAD CYSTECTOMY W/URETEROSIGMOIDOSTOMY/URETEROCUTAN TRANPS CONDUIT URI DIV,21833.0,,13099.8,19649.7,28
CPT,51999,PR UNLISTED PX ROBOTIC-ASSIST RAD CYSTECTOMY W/URETEROSIGMOIDOSTOMY/UY,22241.0,,13344.6,20016.9,28
CPT,52000,HC CYSTOURETHROSCOPY,1821.0,,159.99,1566.06,85
CPT,52000,PR CYSTOURETHROSCOPY,1626.0,,58.0336,1382.1,55
CPT,52001,HC CYSTO IRR&CLOT EVACUATION,2308.0,,569.2,4141.5295,85
CPT,52001,PR CYSTO W/IRRIG & EVAC MULTPLE OBSTRUCTING CLOTS,1339.0,,206.08,1157.36,55
CPT,52005,HC CYSTOURETHRSCOPY - CATH,5132.0,,264.74,4413.52,85
CPT,52005,PR CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION,1254.0,,95.174,1294.73,55
CPT,52007,HC CYSTO W URET CATH & BRUSH BX,7925.0,,330.55,6815.5,85
CPT,52007,PR CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS,1916.0,,119.2688,1628.6,55
CPT,52010,PR CYSTO W/EJACULATORY DUCT CATHETERIZATION,1331.0,,118.7812,1366.86,55
CPT,52204,HC CYSTO W/BIOPSYM,3634.0,,281.2,3125.24,85
CPT,52204,PR CYSTOURETHROSCOPY WITH BIOPSY,2122.0,,101.3196,1803.7,55
CPT,52214,HC CYSTO W/FULG DIAG,4853.0,,346.56,4173.58,85
CPT,52214,PR CYSTO W/DESTRUCTION OF LESIONS,1965.0,,125.9112,1670.25,55
CPT,52224,HC CYSTO W/ FULGURATION,4179.0,,401.16,4141.5295,85
CPT,52224,PR CYSTO W/REMOVAL OF LESIONS SMALL,2384.0,,145.8292,2026.4,55
CPT,52234,HC CYSTO W/FULG OF TUMOR,5864.0,,486.83,5043.04,85
CPT,52234,PR CYSTO W/REMOVAL OF TUMORS SMALL,2801.0,,176.5664,2380.85,55
CPT,52235,PR CYSTOURETHROSCOPY W/DEST &/RMVL MED BLADDER TUM,3385.0,,207.0644,3367.33,55
CPT,52240,PR CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE,4531.0,,281.0876,4711.85,55
CPT,52250,PR CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG,1506.0,,171.902,1548.86,55
CPT,52260,PR CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH,2105.0,,151.7356,1789.25,55
CPT,52265,PR CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA,1564.0,,117.0608,1329.4,55
CPT,52270,PR CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE,2792.0,,130.3364,2373.2,55
CPT,52275,PR CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE,2679.0,,178.0476,2277.15,55
CPT,52276,HC CYSTOURETHRSCOPY-VIU,4516.0,,523.07,3883.76,85
CPT,52276,PR CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY,2766.0,,189.6028,2489.86,55
CPT,52277,PR CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER,1897.0,,231.9044,1883.7,55
CPT,52281,HC CYSTO W/DILAT URETH STRIC,4516.0,,301.89,3883.76,85
CPT,52281,PR CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,1481.0,,109.434,1258.85,55
CPT,52283,PR CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE,1183.0,,144.6056,1177.97,55
CPT,52284,HC CYSTOURETHROSCOPY W/DIL RX BALLOON CATH URTL STRX/STEN MALE INCL FLOURO,4832.0,,1352.96,6299.6195,84
CPT,52284,PR CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE,1809.0,,128.724,1628.1,47
CPT,52285,PR CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME,1996.0,,140.668,1696.6,55
CPT,52287,HC CYSTOURETHROSCOPY W/INJ,7259.0,,335.73,6242.74,85
CPT,52287,PR CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER,1774.0,,121.9736,1596.6,55
CPT,52290,PR CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI,1364.0,,175.0944,1256.95,55
CPT,52300,PR CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI,1769.0,,201.4064,1816.74,55
CPT,52301,PR CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI,1769.0,,208.0488,1816.74,55
CPT,52305,PR CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT,1769.0,,200.1828,1816.74,55
CPT,52310,HC CYSTO W/REM FB/STENT URETH/BLDR; SIMPLE,3887.0,,300.9,3342.82,85
CPT,52310,PR CYSTO W/SIMPLE REMOVAL STONE & STENT,1578.0,,108.9464,1460.83,55
CPT,52315,HC CYSTOSCOPY W/COMPLEX REMOVAL STONE & STENT,7238.0,,543.67,6224.68,85
CPT,52315,PR CYSTO W/COMPLEX REMOVAL STONE & STENT,2279.0,,197.478,2220.28,55
CPT,52317,HC CYSTOLITHOLAPAXY SMPL/SML,8132.0,,685.65,6993.52,85
CPT,52317,PR LITHOLAPAXY SMPL/SM <2.5 CM,3560.0,,248.63,3026.0,55
CPT,52318,PR LITHOLAPAXY COMP/LG > 2.5 CM,3572.0,,339.3696,3702.18,55
CPT,52320,PR CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS,2041.0,,176.5664,2105.23,55
CPT,52325,PR CYSTO FRAGMENTATION URETERAL STONE,4161.0,,229.6872,4284.28,55
CPT,52327,PR CYSTO W/SUBURTRIC NJX IMPLT MATRL,2584.0,,185.9136,2635.83,55
CPT,52330,PR CYSTO MANJ W/O RMVL URETERAL STONE,2788.0,,188.8668,2369.8,55
CPT,52332,HC CYSTOURETHRSCOPY - STENT,6577.0,,308.67,5656.22,85
CPT,52332,PR CYSTO W/INSERT URETERAL STENT,2559.0,,111.8904,2559.39,55
CPT,52334,PR CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR,1892.0,,131.5692,1608.2,55
CPT,52341,PR CYSTO W/TX URETERAL STRICTURE,2599.0,,204.1112,2702.79,55
CPT,52342,PR CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE,2883.0,,221.5728,2967.24,55
CPT,52343,PR CYSTO W/TX INTRA-RENAL STRICTURE,3169.0,,246.9004,3262.58,55
CPT,52344,HC CYSTOUR W/URETER-STRICTUR,6937.0,,732.09,5965.82,85
CPT,52344,PR CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE,2853.0,,264.362,2967.24,55
CPT,52345,PR CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX,3169.0,,282.5596,3262.58,55
CPT,52346,PR CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE,3600.0,,319.7,3592.27,55
CPT,52351,HC CYSTOURETHROSCOPY RETRO,3886.0,,600.22,4141.5295,85
CPT,52351,PR CYSTO W/URTROSCOPY&/PYELOSCOPY DX,2853.0,,216.8992,2967.24,55
CPT,52352,PR CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES,5069.0,,254.0396,5271.64,55
CPT,52353,PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY,5860.0,,281.0876,6590.42,55
CPT,52354,PR CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION,3578.0,,298.7976,3557.92,55
CPT,52355,PR CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR,4241.0,,334.696,4217.32,55
CPT,52356,PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT,4040.0,,297.8132,3636.0,55
CPT,52400,PR CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS,2684.0,,345.276,2762.88,55
CPT,52402,PR CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS,2635.0,,204.0595,2371.5,47
CPT,52441,PR CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT,2217.0,,150.5028,1995.3,51
CPT,52442,PR CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA,1340.0,,36.3952,1206.0,51
CPT,52450,PR TRANSURETHRAL INCISION PROSTATE,2031.0,,345.0276,1770.38,55
CPT,52500,PR TRANSURETHRAL RESECTION BLADDER NECK,3080.0,,308.1845,3068.54,55
CPT,52601,PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE,4913.0,,461.873,5094.78,55
CPT,52630,PR TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS,5118.0,,295.3476,5524.07,55
CPT,52640,PR TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE,2833.0,,235.0968,2946.64,55
CPT,52648,PR LASER VAPORIZATION OF PROSTATE FOR URINE FLOW,5590.0,,463.981,5560.13,55
CPT,52649,PR LASER ENUCLEATION PROSTATE W/MORCELLATION,8673.0,,577.66,9019.94,55
CPT,52700,PR TRURL DRAINAGE PROSTATIC ABSCESS,2207.0,,317.15,2271.79,55
CPT,53000,PR URTT/URTS XTRNL SPX PENDULOUS URETHRA,2011.0,,107.962,1709.35,55
CPT,53010,PR URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA,2610.0,,216.66,2342.18,55
CPT,53020,PR MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT,1231.0,,69.8372,1046.35,55
CPT,53025,PR MEATOTOMY CUTTING MEATUS SPX INFANT,603.0,,50.8668,512.55,55
CPT,53040,PR DRAINAGE DEEP PERIURETHRAL ABSCESS,1790.0,,253.33,1716.53,55
CPT,53060,PR DRG OF SKENE'S GLAND ABSCESS OR CYST,974.0,,95.89,827.9,55
CPT,53080,PR DRG PERINEAL URINARY XTRVASATION UNCOMP SPX,1805.0,,306.4152,1803.86,55
CPT,53085,PR DRG PERINEAL URINARY XTRVASATION COMPLIC,2610.0,,471.1872,2569.46,55
CPT,53200,PR BIOPSY URETHRA,1084.0,,102.5524,935.84,55
CPT,53210,PR URETHRECTOMY TOT W/CYSTOST FEMALE,6780.0,,563.6472,6092.45,55
CPT,53215,PR URETHRECTOMY TOT W/CYSTOST MALE,8636.0,,672.0968,7497.08,55
CPT,53220,PR EXC/FULGURATION CARCINOMA URETHRA,5216.0,,329.038,4686.1,55
CPT,53230,PR EXC URETHRAL DIVERTICULUM SPX FEMALE,6259.0,,443.8908,5320.15,55
CPT,53235,PR EXC URETHRAL DIVERTICULUM SPX MALE,6477.0,,460.8556,5621.94,55
CPT,53240,PR MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE,2610.0,,309.6168,2342.18,55
CPT,53250,PR EXCISION OF BULBOURETHRAL GLAND,5736.0,,288.9536,5154.87,55
CPT,53260,PR EXC/FULGURATION URETHRAL POLYP DSTL URETHRA,1007.0,,129.24,855.95,55
CPT,53265,PR EXC/FULGURATION URETHRAL CARUNCLE,4539.0,,138.2116,3858.15,55
CPT,53270,PR EXCISION OR FULGURATION SKENES GLANDS,1566.0,,124.56,1408.06,55
CPT,53275,PR EXCISION/FULGURATION URETHRAL PROLAPSE,2090.0,,191.5716,1875.13,55
CPT,53400,PR URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX,5337.0,,580.8604,4686.1,55
CPT,53405,PR URETHROPLASTY 2ND STAGE W/URINARY DIVERSION,7555.0,,633.2452,6557.78,55
CPT,53410,PR URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA,8002.0,,709.2372,7497.08,55
CPT,53415,PR URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT,9385.0,,817.19,8432.92,55
CPT,53420,PR URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE,9385.0,,609.3896,8108.37,55
CPT,53425,PR URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE,9385.0,,678.0032,8108.37,55
CPT,53430,PR URETHROPLASTY RCNSTJ FEMALE URETHRA,7301.0,,707.756,6557.78,55
CPT,53431,PR URTP W/TUBULARIZATION POST URT&/LWR BLDR,9840.0,,833.428,10132.89,55
CPT,53440,PR SLING OPRATION CORRJ MALE URINARY INCONTINENCE,8109.0,,546.434,8432.92,55
CPT,53442,PR RMVL/REVJ SLING MALE URINARY INCONTINENCE,3131.0,,454.39,2810.97,55
CPT,53444,PR INSERTION TANDEM CUFF,7413.0,,575.2116,7375.15,55
CPT,53445,PR INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,9783.0,,549.8748,10174.1,55
CPT,53446,PR REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,7129.0,,467.0012,7091.82,55
CPT,53447,PR RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC,6968.0,,585.0464,6557.78,55
CPT,53448,PR RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD,11003.0,,922.944,10948.54,55
CPT,53449,PR RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER,5003.0,,446.5956,4686.1,55
CPT,53450,PR URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT,3131.0,,277.2,2661.35,55
CPT,53460,PR URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM,3652.0,,295.52,3104.2,55
CPT,53500,PR URETHROLSS TRVG SEC OPN W/CSTO,6658.0,,546.6824,6528.84,55
CPT,53502,PR URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE,4551.0,,353.6296,4686.1,55
CPT,53505,PR URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE,4551.0,,353.3904,4686.1,55
CPT,53510,PR URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL,5889.0,,459.8712,5857.2,55
CPT,53515,PR URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS,9098.0,,576.932,9370.47,55
CPT,53520,PR CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX,4485.0,,406.7504,3812.25,55
CPT,53600,HC DILATE URET STRICT BY FIL/FLWR,841.0,,34.88,723.26,85
CPT,53600,PR DILAT URETHRAL STRIX DILATOR MALE 1ST,525.0,,46.4784,446.25,55
CPT,53601,HC DILAT URTH STRICT SND SBQ,353.0,,39.07,303.58,85
CPT,53601,PR DILAT URETHRAL STRIX DILATOR MALE SBSQ,489.0,,38.6124,415.65,55
CPT,53605,PR DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES,723.0,,46.4784,655.95,55
CPT,53620,HC DILATE URT STR FIL/FLWT,1304.0,,92.46,1121.44,85
CPT,53620,PR DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST,757.0,,62.7072,643.45,55
CPT,53621,HC DILAT URTH STRCT F&F SBSQ,388.0,,94.13,333.68,85
CPT,53621,PR DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE SBSQ,720.0,,51.888,612.0,55
CPT,53660,HC DILAT FEMALE URETHRA INIT,316.0,,39.59,271.76,85
CPT,53660,PR DILAT FEMALE URETHRA W/SUPPOSITORY&/INSTLJ INI,394.0,,30.2496,362.83,55
CPT,53661,HC DILAT FEMALE URETHRA SBSQ,316.0,,29.6,271.76,85
CPT,53661,PR DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ,400.0,,29.5136,366.92,55
CPT,53665,PR DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES,805.0,,27.5448,684.25,55
CPT,53850,PR TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH,9274.0,,258.9524,7882.9,51
CPT,53852,HC TRNSURTH PROST MWV THRMOT,10759.0,,765.79,9252.74,85
CPT,53852,PR TRURL DSTRJ PRSTATE TISS RF THERMOTH,8237.0,,277.3984,7001.45,55
CPT,53854,PR TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY,3721.0,,277.3984,3721.31,51
CPT,53855,PR INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT,1614.0,,59.018,1452.6,55
CPT,53860,HC TRNSURTH BLADD NECK&PROX,5388.0,,1508.64,4633.68,83
CPT,53860,PR TRURL RF FEMALE BLADDER NECK STRS URIN INCONT,3845.0,,177.1485,3460.5,47
CPT,53899,HC PERCUTANOUS URETEROPLASTY,10667.0,,293.549,9173.62,83
CPT,53899,HC UNLIST PROCD URINARY SYST,316.0,,88.48,293.549,83
CPT,53899,"HC UNLIST URINARY SYS,RENAL INSTILLAT ANTICARCINOG AGENT INCLUD RETENT TIME",1019.0,,285.32,876.34,83
CPT,53899,HC UNLISTED PX UROLOGY - PERCUTANEOUS BIOPSY OF URETER,9044.0,,293.549,7777.84,83
CPT,53899,PR PB ROBOTIC LAPAROSCOPIC REMOVAL OF AUS,6887.0,,1442.4,5853.95,28
CPT,53899,"PR UNLISTED PROCEDURE  CYSTOSCOPY, LASER ABLATION OF STOMAL CALCIFICATIONS & BASKETING",3585.0,,1442.4,3047.25,28
CPT,53899,"PR UNLISTED PROCEDURE ABLATION OF PROSTATE TISSUE, TRANSURETHRAL",7632.0,,1442.4,6487.2,28
CPT,53899,"PR UNLISTED PROCEDURE URINARY SYS,RENAL INSTILLAT ANTICARCINOG AGENT INCLUD RETENT TIME",481.0,,288.6,1442.4,28
CPT,53899,PR UNLISTED PROCEDURE URINARY SYSTEM - PERCUTANEOUS BIOPSY OF URETER,1054.0,,632.4,1442.4,28
CPT,53899,PR UNLISTED PROCEDURE URINARY SYSTEM REMOVAL & REPLACEMENT OF NEOBLADDER,24859.0,,1442.4,21130.15,28
CPT,53899,"PR UNLISTED PROCEDURE URINARY SYSTEM(RFA,RENAL)",5605.0,,1442.4,4764.25,28
CPT,53899,"PR UNLISTED PROCEDURE URINARY SYSTEM, LASTER ABLATION OF URETERAL OR RENAL PELVIC TUMOR",4497.0,,1442.4,3822.45,28
CPT,53899,"PR UNLISTED PROCEDURE URINARY SYSTEM, PERCUTANEOUS URETHRAL BIOPSY",1084.0,,650.4,1442.4,28
CPT,53899,PR UNLISTED PROCEDURE UROLOGY SURGERY ABLATION RENAL LESIONS BY ARGON BEAM COAGULATION DEVICE,3271.0,,1442.4,2780.35,28
CPT,53899,PR UNLISTED PROCEDURE UROLOGY SURGERY MONTI ILEOVESICOSTOMY,8129.0,,1442.4,6909.65,28
CPT,53899,"PR UNLISTED PROCEDURE UROLOGY SURGERY, BRUSH BIOPSY OF URETER VIA URINARY CATHETER",1851.0,,1110.6,1573.35,28
CPT,53899,"PR UNLISTED PROCEDURE UROLOGY SURGERY, PERCUTANEOUS URETEROPLASTY",2236.0,,1341.6,1900.6,28
CPT,53899,"PR UNLISTED PX URINARY SYS, VESICOURETHERAL ANASTOMOSIS",11517.0,,1442.4,9789.45,28
CPT,53899,PR URETERAL CATHETER RETRIEVAL,2167.0,,1300.2,1841.95,28
CPT,53899,PR URETHROLYSIS PERFORMED RETROPUBIC,6658.0,,1442.4,5659.3,28
CPT,54000,PR SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN,745.0,,67.83,633.25,51
CPT,54001,HC SITTNG PREPUC EXCPT NWBRN,4217.0,,282.23,3626.62,85
CPT,54001,PR SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN,934.0,,94.29,793.9,55
CPT,54015,PR I&D PENIS DEEP,1815.0,,185.36,1542.75,55
CPT,54050,HC DES LESION PENIS CHEM,275.0,,77.0,477.618,85
CPT,54050,PR DSTRJ LESION PENIS SIMPLE CHEMICAL,457.0,,49.46,388.45,55
CPT,54055,HC DES LESION PENIS ELEC,964.0,,73.09,2424.1655,85
CPT,54055,PR DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION,801.0,,57.42,680.85,55
CPT,54056,HC DES LESION PENIS CRYO,949.0,,223.18,816.14,85
CPT,54056,PR DSTRJ LESION PENIS SIMPLE CRYOSURGERY,572.0,,54.61,486.2,55
CPT,54057,HC DES LESION PENIS LASER,3396.0,,196.54,2920.56,85
CPT,54057,PR DSTRJ LESION PENIS SIMPLE LASER,1584.0,,72.0544,1368.56,55
CPT,54060,HC EXC LESION PENIS,3243.0,,264.45,2788.98,85
CPT,54060,PR DSTRJ LESION PENIS SIMPLE SURG EXCISION,1030.0,,98.38,925.54,55
CPT,54065,HC DES LESION PENIS EXTEN,3218.0,,342.93,2767.48,85
CPT,54065,PR DSTRJ LESION PENIS EXTENSIVE,1944.0,,129.6004,1921.48,55
CPT,54100,HC BIOPSY PENIS,2228.0,,241.62,1940.4755,85
CPT,54100,PR BIOPSY PENIS SEPARATE PROCEDURE,684.0,,78.97,581.4,55
CPT,54105,PR BIOPSY PENIS DEEP STRUCTURES,1259.0,,138.75,1070.15,55
CPT,54110,PR EXCISION OF PENILE PLAQUE,3321.0,,462.8244,2987.83,55
CPT,54111,PR EXC PENILE PLAQUE GRAFT &/5 CM LENGTH,4736.0,,590.456,4407.92,55
CPT,54112,PR EXC PENILE PLAQUE GRAFT > 5 CM LENGTH,6483.0,,692.024,5829.72,55
CPT,54115,PR REMOVAL FOREIGN BODY DEEP PENILE TISSUE,2101.0,,318.2188,1955.82,55
CPT,54120,PR AMPUTATION PENIS PARTIAL,3954.0,,469.4668,3554.49,55
CPT,54125,PR AMPUTATION PENIS COMPLETE,5330.0,,612.3428,5299.13,55
CPT,54130,PR AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE,9482.0,,878.922,8534.22,55
CPT,54135,PR AMPUTATION PENIS RADICAL W/LYMPH NODES,11854.0,,1109.5936,10665.21,55
CPT,54150,PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK,1014.0,,72.0,861.9,51
CPT,54160,PR CIRCUMCISION NEONATE,956.0,,113.3624,812.6,51
CPT,54161,PR CIRCUMCISION AGE >28 DAYS,1802.0,,146.8136,1531.7,55
CPT,54162,PR LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS,767.0,,149.0308,700.84,55
CPT,54163,PR REPAIR INCOMPLETE CIRCUMCISION,2524.0,,163.7876,2145.4,55
CPT,54164,PR FRENULOTOMY PENIS,768.0,,145.8292,686.74,55
CPT,54200,HC INJECTION PROCEDURE FOR PEYRONIE DISEASE,629.0,,60.08,540.94,85
CPT,54200,PR INJECTION PROCEDURE FOR PEYRONIE DISEASE,424.0,,42.32,360.4,55
CPT,54205,PR INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE,2798.0,,395.4436,2877.94,55
CPT,54220,PR IRRIGATION CORPORA CAVERNOSA PRIAPISM,1043.0,,99.1024,1069.79,55
CPT,54230,PR INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY,843.0,,59.2664,863.73,55
CPT,54231,PR DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS,1306.0,,90.114,1358.27,51
CPT,54235,HC PENILE INJECTION,866.0,,35.16,744.76,85
CPT,54235,PR INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT,570.0,,50.01,513.42,51
CPT,54240,PR PENILE PLETHYSMOGRAPHY,541.0,,44.78,559.79,47
CPT,54250,HC NOCTURNAL PENILE TUMESCENCE/RIGID TEST,595.0,,166.6,511.7,85
CPT,54250,PR NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST,684.0,,84.11,700.6,51
CPT,54300,PR PENIS STRAIGHTENING CHORDEE,4382.0,,478.3172,4358.12,55
CPT,54304,PR PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR,5192.0,,552.828,5345.48,55
CPT,54308,PR URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR <3 CM,6389.0,,530.2052,6578.4,55
CPT,54312,PR URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR > 3 CM,7189.0,,605.2128,7400.91,55
CPT,54316,PR URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF,7987.0,,732.8444,8225.14,55
CPT,54318,PR URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS,3993.0,,527.7488,4110.85,55
CPT,54322,PR 1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT,4942.0,,577.4196,5139.43,55
CPT,54324,PR 1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS,6787.0,,714.3984,6988.79,55
CPT,54326,PR 1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS,7667.0,,695.4648,7895.45,55
CPT,54328,PR 1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ,9024.0,,691.0396,9293.2,55
CPT,54332,PR 1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR,8304.0,,745.1356,8551.4,55
CPT,54336,PR 1 STG PERINEAL HYPOSPADIAS RPR W/GRF&/FLAP,9541.0,,875.2328,9827.24,55
CPT,54340,PR RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE,4793.0,,422.4916,4933.37,55
CPT,54344,PR RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS & URTP,6389.0,,696.9368,6578.4,55
CPT,54348,PR RPR HYPOSPADIAS COMPLCTJS DSJ & URTP FLAP/GRF,7267.0,,745.1356,7483.33,55
CPT,54352,PR REVISION PRIOR HYPOSPADIAS REPAIR DSJ&EXC RCNSTJ,10780.0,,1038.772,11101.36,55
CPT,54360,PR PLASTIC RPR PENIS CORRECT ANGULATION,5272.0,,533.646,5427.91,55
CPT,54380,PR PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR,4793.0,,591.4404,4933.37,55
CPT,54385,PR PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT,7987.0,,687.3504,8225.14,55
CPT,54390,PR PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER,9582.0,,914.0844,9868.44,55
CPT,54400,PR INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID,3932.0,,425.663,4078.23,47
CPT,54401,PR INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED,5826.0,,539.8435,4952.1,47
CPT,54405,PR INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH,6106.0,,640.968,6331.12,47
CPT,54406,PR RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH,4505.0,,541.7604,4670.64,55
CPT,54408,PR RPR COMPONENT INFLATABLE PENILE PROSTHESIS,8107.0,,630.9295,6890.95,47
CPT,54410,PR RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS,5494.0,,686.936,5189.21,47
CPT,54411,PR RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL,7245.0,,816.476,7208.59,47
CPT,54415,PR RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT,3601.0,,395.4436,3707.31,55
CPT,54416,PR RMVL & RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI,4084.0,,574.175,3966.62,47
CPT,54420,PR CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI,5591.0,,520.122,5757.61,55
CPT,54430,PR CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI,5591.0,,474.1312,5757.61,55
CPT,54435,PR CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM,3196.0,,308.8808,3290.06,55
CPT,54437,PR REPAIR OF TRAUMATIC CORPOREAL TEAR(S),6247.0,,504.3808,5622.3,55
CPT,54440,PR PLASTIC OPERATION PENIS INJURY,4394.0,,459.52,4522.96,48
CPT,54450,PR FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING,409.0,,42.0532,347.65,55
CPT,54500,HC BIOPSY OF TESTIS NEEDLE,3272.0,,148.7,3412.7745,85
CPT,54500,PR BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE,770.0,,54.27,654.5,55
CPT,54505,PR BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE,1722.0,,155.9124,1770.38,55
CPT,54512,PR EXC XTRPARENCHYMAL LESION TESTIS,2582.0,,400.1172,2656.42,55
CPT,54520,PR ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH,2986.0,,244.6924,3097.73,55
CPT,54522,PR ORCHIECTOMY PARTIAL,3011.0,,435.7672,3097.73,55
CPT,54530,PR ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH,4298.0,,378.9664,4425.09,55
CPT,54535,PR ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL,5072.0,,550.62,5044.98,55
CPT,54550,PR EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA,3440.0,,365.4424,3540.76,55
CPT,54560,PR EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL,4899.0,,509.0544,5044.98,55
CPT,54600,PR RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,3870.0,,336.9132,3983.78,55
CPT,54620,PR FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE,1959.0,,221.0852,2014.22,55
CPT,54640,PR ORCHIOPEXY INGUINAL OR SCROTAL APPROACH,4899.0,,321.172,5044.98,55
CPT,54650,PR ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS,5428.0,,527.988,5398.71,55
CPT,54660,PR INSJ TESTICULAR PROSTH SEPARATE PROCEDURE,1783.0,,270.94,1770.38,51
CPT,54670,PR SUTURE/REPAIR TESTICULAR INJURY,3376.0,,304.9432,3475.51,55
CPT,54680,PR TRANSPLANTATION TESTIS TO THIGH,4300.0,,582.3416,4425.09,55
CPT,54690,PR LAPAROSCOPY SURGICAL ORCHIECTOMY,5072.0,,485.1988,5044.98,55
CPT,54692,PR LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS,4899.0,,558.2376,5044.98,55
CPT,54700,HC INCIS/DRAIN OF EPIDIDYMIS,4605.0,,429.33,3960.3,85
CPT,54700,PR I&D EPIDIDYMIS TESTIS&/SCROTAL SPACE,1338.0,,133.26,1195.15,55
CPT,54800,PR BIOPSY EPIDIDYMIS NEEDLE,974.0,,92.2208,827.9,55
CPT,54830,PR EXCISION LOCAL LESION EPIDIDYMIS,2133.0,,277.886,2213.4,55
CPT,54840,PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY,3235.0,,240.0188,3363.88,55
CPT,54860,PR EPIDIDYMECTOMY UNILATERAL,3414.0,,312.0732,3540.76,55
CPT,54861,PR EPIDIDYMECTOMY BILATERAL,5181.0,,421.7556,5333.47,55
CPT,54865,PR EXPLORATION EPIDIDYMIS W/WO BIOPSY,2153.0,,269.284,2108.42,55
CPT,54900,PR EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI,4300.0,,636.9135,4425.09,47
CPT,54901,PR EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI,6297.0,,836.9355,6483.95,47
CPT,55000,HC PUNC ASP HYDRO W/WO INJ,495.0,,54.26,831.9905,85
CPT,55000,PR PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED,631.0,,56.07,536.35,55
CPT,55040,PR EXCISION HYDROCELE UNILATERAL,3405.0,,252.5584,3540.76,55
CPT,55041,PR EXCISION HYDROCELE BILATERAL,5277.0,,380.19,5488.02,55
CPT,55060,PR RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE,3145.0,,283.3048,2673.25,55
CPT,55100,PR DRAINAGE SCROTAL WALL ABSCESS,1191.0,,85.06,1012.35,55
CPT,55110,PR SCROTAL EXPLORATION,2672.0,,290.4348,2656.42,55
CPT,55120,PR REMOVAL FOREIGN BODY SCROTUM,1464.0,,214.08,1505.93,55
CPT,55150,PR RESECTION SCROTUM,4450.0,,367.402,4425.09,55
CPT,55175,PR SCROTOPLASTY SIMPLE,3440.0,,272.7248,3540.76,55
CPT,55180,PR SCROTOPLASTY COMPLICATED,5105.0,,510.7748,5309.42,55
CPT,55200,PR VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX,1074.0,,194.47,1104.13,47
CPT,55250,PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS,1394.0,,190.06,1184.9,51
CPT,55300,PR VASOTOMY VASOGRAMS UNI/BI,1154.0,,145.3925,1184.83,47
CPT,55400,PR VASOVASOSTOMY VASOVASORRHAPHY,4445.0,,400.6985,4576.2,47
CPT,55500,PR EXC HYDROCELE SPRMATIC CORD UNI SPX,1935.0,,291.9068,1644.75,55
CPT,55520,PR EXC LESION SPERMATIC CORD SEPARATE PROCEDURE,2145.0,,296.56,1823.25,55
CPT,55530,PR EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX,2430.0,,262.6416,2500.17,55
CPT,55535,PR EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL,2615.0,,320.436,2690.77,55
CPT,55540,PR EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR,2485.0,,406.74,2556.83,55
CPT,55550,PR LAPS LIGATION SPERMATIC VEINS VARICOCELE,2615.0,,319.9392,2690.77,55
CPT,55559,"PR UNLISTED PX LAPAROSCOPY, SPERMATIC CORD (EXCISION OF SPERMATIC CORD)",3915.0,,2349.0,3468.64,28
CPT,55600,PR VESICULOTOMY,2093.0,,314.2904,2151.59,55
CPT,55605,PR VESICULOTOMY COMPLICATED,3402.0,,389.5372,3501.26,55
CPT,55650,PR VESICULECTOMY ANY APPROACH,5411.0,,531.6772,5381.53,55
CPT,55680,PR EXCISION MULLERIAN DUCT CYST,5229.0,,259.2008,5381.53,55
CPT,55700,HC PROSTATE BIOPSY,3272.0,,259.54,2813.92,84
CPT,55705,PR BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED,2847.0,,87.5925,2929.46,55
CPT,55706,PR BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID,3413.0,,179.2225,3071.7,55
CPT,55707,"HC BIOPSY, PROSTATE, TRANSRECTAL, US-GUIDE (SEXTANT, US-LOCALIZED DISCRETE LESION)",8837.0,,2474.36,7599.82,84
CPT,55707,PR BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED,1555.0,,119.952,1399.5,33
CPT,55708,"HC BIOPSY, PROSTATE, TRANSRECTAL, US-GUIDE (SEXTANT) W MRI-FUSION GUIDE, 1ST TARGET LESION",8837.0,,2474.36,7599.82,84
CPT,55708,PR BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST,2004.0,,149.3365,1803.6,33
CPT,55709,PR BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED,1909.0,,143.5225,1718.1,33
CPT,55710,PR BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1,2252.0,,165.8435,2026.8,33
CPT,55711,"HC TRANSRECTAL PROSTATE BIOPSY, MRI US FUSION BX, 1ST LESION",8837.0,,2474.36,7599.82,84
CPT,55711,PR BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST,1543.0,,119.374,1388.7,33
CPT,55712,PR BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST,1833.0,,139.128,1649.7,33
CPT,55713,HC PROSTATE BIOPSY CT OR MRI (SEXTNT) W BX 1ST LESION W BX OF ADDL LESIONS,13441.0,,3763.48,11559.26,84
CPT,55713,PR BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST,2365.0,,163.8885,2128.5,33
CPT,55714,HC PROSTATE BX CT OR MRI 1ST TARGETED LESION,13441.0,,3763.48,11559.26,84
CPT,55714,PR BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST,2140.0,,149.192,1926.0,33
CPT,55715,HC PROSTATE BX CT OR MRI EA ADDL LESION,2025.0,,567.0,1741.5,83
CPT,55715,PR BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI,621.0,,41.718,558.9,33
CPT,55720,PR PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE,2847.0,,335.6804,2929.46,55
CPT,55725,PR PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED,3669.0,,443.1456,3776.01,55
CPT,55801,PR PROSTATECTOMY PERINEAL SUBTOTAL,5890.0,,807.3552,5858.91,55
CPT,55810,PR PROSTATECTOMY PERINEAL RADICAL,8219.0,,960.8112,8462.11,55
CPT,55812,PR PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX,9798.0,,1180.6636,10089.97,55
CPT,55815,PR PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC,11693.0,,1292.3148,12042.36,55
CPT,55821,PR PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES,6259.0,,618.9852,6509.72,55
CPT,55831,PR PROSTATECTOMY RETROPUBIC SUBTOTAL,6259.0,,634.7172,6509.72,55
CPT,55840,PR PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING,9015.0,,862.1964,8462.11,55
CPT,55842,PR PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX,8506.0,,860.2276,8462.11,55
CPT,55845,PR PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM,11123.0,,1001.144,11067.02,55
CPT,55860,PR EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST,3236.0,,645.2972,3235.91,55
CPT,55862,PR EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX,4301.0,,806.3708,4426.82,55
CPT,55865,PR EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH,7586.0,,981.962,7813.02,55
CPT,55866,PR LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING,12842.0,,879.4096,11557.8,55
CPT,55867,PR LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE,10824.0,,772.6804,9741.6,55
CPT,55868,PR LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX,13278.0,,976.055,11950.2,33
CPT,55869,PR LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC,16204.0,,1171.7505,14583.6,33
CPT,55870,PR ELECTROEJACULATION,1066.0,,112.353,1105.84,47
CPT,55873,PR CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI,9154.0,,605.0555,7855.95,47
CPT,55874,HC TRANSPERINEAL PLACEMENT BIODEGRADABLE MATERIAL,11472.0,,325.49,9865.92,85
CPT,55874,PR TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX,1769.0,,120.75,1592.1,55
CPT,55875,HC TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ,6313.0,,1554.82,6299.6195,85
CPT,55875,PR TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ,4499.0,,580.1244,4260.98,55
CPT,55876,HC PLC INRST DVC-RT GD PROST,1515.0,,70.87,1626.2265,85
CPT,55876,PR PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT,972.0,,75.4952,911.31,55
CPT,55877,PR ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS,7981.0,,589.917,7182.9,33
CPT,55880,PR TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US,9543.0,,773.687,8588.7,47
CPT,55881,PR ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US,5662.0,,380.103,5095.8,47
CPT,55882,PR ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC,6644.0,,467.381,5979.6,47
CPT,55899,"HC UNLISTED PX, MALE GENITAL SYSTEM, BIOPSY OF SEMINAL VESICLE",5843.0,,293.549,5024.98,83
CPT,55899,PR ROBOTIC LAPAROSCOPIC ASSISTED VESICULECTOMY,5229.0,,3137.4,14387.98,28
CPT,55899,"PR UNLISTED PROCEDURE LAPAROSCOPY MALE GENITAL SYSTEM (LAPAROSCOPIC PARTIAL PROSTATECTOMY, INTRA-ABDOMINAL APPROACH)",6323.0,,3793.8,14387.98,28
CPT,55899,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM  (HIGH INTENSITY FOCUSED ULTRASOUND OF PROSTATE),4378.0,,2626.8,14387.98,28
CPT,55899,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM (BIOPSY OF SEMINAL VESICLES),890.0,,534.0,14387.98,28
CPT,55899,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM (PARTIAL RESECTION SEMINAL VESICLES),10452.0,,6271.2,14387.98,28
CPT,55899,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM (ROBOTIC BILATERAL VAS DEFERENS RESECTION),1394.0,,836.4,14387.98,28
CPT,55899,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM (ROBOTIC PARTIAL PROSTATECTOMY),5689.0,,3413.4,14387.98,28
CPT,55899,"PR UNLISTED PROCEDURE MALE GENITAL SYSTEM, PENILE LENGTHENING BY TRANSECT PENILE SUSP LIGAMENT",902.0,,541.2,14387.98,28
CPT,55899,PR UNLISTED PX MALE GENITAL SYSTEM-LAPAROSCOPIC EXPLORATION/EVACUATION OF HEMATOMA POST PROSTATECTOMY,13869.0,,8321.4,14387.98,28
CPT,55920,HC PLC NDL PLVC/GENITL-RADIO,4569.0,,911.56,5877.42,85
CPT,55920,PR PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL,4284.0,,335.1635,4368.92,47
CPT,56405,PR I&D VULVA/PERINEAL ABSCESS,752.0,,72.54,639.2,55
CPT,56420,HC INCISE/DRAIN CYST,611.0,,70.52,525.46,85
CPT,56420,PR I&D OF BARTHOLINS GLAND ABSCESS,903.0,,71.45,767.55,55
CPT,56440,PR MARSUPIALIZATION BARTHOLINS GLAND CYST,1888.0,,135.2584,1943.81,55
CPT,56441,PR LYSIS LABIAL ADHESIONS,1375.0,,115.092,1168.75,55
CPT,56442,PR HYMENOTOMY SIMPLE INCISION,587.0,,35.6592,572.79,55
CPT,56501,HC DESTR LESION VULVA SIMPLE,964.0,,111.02,2424.1655,85
CPT,56501,PR DESTRUCTION LESIONS VULVA SIMPLE,837.0,,66.49,711.45,55
CPT,56515,HC VULVA LEEP DEST LESION,4642.0,,431.14,3992.12,85
CPT,56515,PR DESTRUCTION LESIONS VULVA EXTENSIVE,1970.0,,157.8812,2048.56,55
CPT,56605,HC BIOPSY-VULVA,1530.0,,44.85,1315.8,85
CPT,56605,PR BIOPSY VULVA/PERINEUM 1 LESION SPX,522.0,,43.5252,460.2,55
CPT,56606,HC BX VULVA/PERIN ADD LES,1241.0,,59.01,1067.26,84
CPT,56606,PR BIOPSY VULVA/PERINEUM EACH ADDL LESION,307.0,,21.1508,260.95,55
CPT,56620,HC VULVECTOMY SIMPLE,5549.0,,1063.52,4772.14,85
CPT,56620,PR VULVECTOMY SIMPLE PARTIAL,4123.0,,436.264,4098.83,55
CPT,56625,PR VULVECTOMY SIMPLE COMPLETE,5351.0,,496.7632,5510.32,55
CPT,56630,PR VULVECTOMY RADICAL PARTIAL,6810.0,,713.1656,7064.34,55
CPT,56631,PR VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY,8875.0,,882.8504,8829.58,55
CPT,56632,PR VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY,10650.0,,1066.0684,10596.53,55
CPT,56633,PR VULVECTOMY RADICAL COMPLETE,8574.0,,858.7556,8829.58,55
CPT,56634,PR VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC,10700.0,,964.5004,11020.66,55
CPT,56637,PR VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC,11763.0,,1129.76,12114.48,55
CPT,56640,PR VLVCTMY RAD COMPL INGUINOFEM ILIAC&PEL LYMPHADEC,10632.0,,1134.4336,10950.25,55
CPT,56700,PR PARTIAL HYMENECTOMY OR REVISION HYMENAL RING,6643.0,,146.2,5646.55,55
CPT,56740,PR EXCISION BARTHOLINS GLAND OR CYST,1772.0,,224.22,1837.35,55
CPT,56800,PR PLASTIC REPAIR INTROITUS,2060.0,,188.3792,2120.68,55
CPT,56805,PR CLITOROPLASTY INTERSEX STATE,4309.0,,860.7244,4310.06,55
CPT,56810,PR PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX,2060.0,,201.4064,2120.68,55
CPT,56820,HC COLPO OF VULVA,545.0,,55.1,468.7,85
CPT,56820,PR COLPOSCOPY VULVA,660.0,,62.2196,594.0,55
CPT,56821,HC COLPO W/BX(S) OF VULVA,690.0,,72.54,593.4,85
CPT,56821,PR COLPOSCOPY VULVA W/BIOPSY,948.0,,83.858,853.2,55
CPT,57000,PR COLPOTOMY W/EXPLORATION,1873.0,,149.7668,1718.87,55
CPT,57010,PR COLPOTOMY W/DRAINAGE PELVIC ABSCESS,2058.0,,281.82,1966.13,55
CPT,57020,PR COLPOCENTESIS SEPARATE PROCEDURE,657.0,,58.282,558.45,55
CPT,57022,PR I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM,750.0,,134.7616,714.34,55
CPT,57023,PR I&D VAGINAL HEMATOMA NON-OBSTETRICAL,1137.0,,237.0656,1136.1,55
CPT,57061,HC DESTR LESION VAGINA,5081.0,,98.83,4369.66,85
CPT,57061,PR DESTRUCTION VAGINAL LESIONS SIMPLE,1164.0,,69.76,1073.22,55
CPT,57065,HC VAG LEEPDEST OF LESION,5593.0,,377.27,4809.98,85
CPT,57065,PR DESTRUCTION VAGINAL LESIONS EXTENSIVE,2068.0,,137.9632,2144.72,55
CPT,57100,HC BIOPSY VAGINA,879.0,,47.06,1082.15,85
CPT,57100,PR BIOPSY VAGINAL MUCOSA SIMPLE,695.0,,48.4472,590.75,55
CPT,57105,PR BIOPSY VAGINAL MUCOSA EXTENSIVE,1123.0,,108.698,1054.32,55
CPT,57106,PR VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL,3860.0,,399.1328,3717.62,55
CPT,57107,PR VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS,6804.0,,1079.8408,5783.4,55
CPT,57109,PR VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC,8695.0,,1286.1692,7390.75,55
CPT,57110,PR VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL,4860.0,,667.92,4646.61,55
CPT,57111,PR VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS,6055.0,,1286.1692,5981.18,55
CPT,57120,PR COLPOCLEISIS LE FORT TYPE,3999.0,,393.7232,3985.51,55
CPT,57130,PR EXCISION VAGINAL SEPTUM,2015.0,,128.616,1857.95,55
CPT,57135,PR EXCISION VAGINAL CYST/TUMOR,1487.0,,139.932,1430.38,55
CPT,57150,PR IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE,278.0,,18.6944,236.3,55
CPT,57155,HC INSERTION UTERINE TANDEM&/VAGINAL OVOIDS,6775.0,,563.88,5877.42,85
CPT,57155,PR INSERTION UTERINE TANDEM&/VAGINAL OVOIDS,3350.0,,208.4285,3475.51,55
CPT,57156,HC INS VAG BRACHYTX DEVICE,1822.0,,116.74,1566.92,85
CPT,57156,PR INSERTION VAGINAL RADIATION DEVICE,955.0,,110.5255,859.5,55
CPT,57160,HC PESSARY FIT/INSERT,381.0,,33.5,327.66,85
CPT,57160,PR FIT&INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI,321.0,,33.9388,272.85,55
CPT,57170,HC FITTING OF DIAPHRAGM,321.0,,35.71,276.06,85
CPT,57180,HC VAGINAL PACKING,607.0,,70.52,522.02,85
CPT,57180,PR INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX,676.0,,68.27,643.93,55
CPT,57200,PR COLPORRHAPHY SUTURE INJURY VAGINA,2280.0,,226.68,2264.91,55
CPT,57210,PR COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU,2359.0,,282.37,2453.8,55
CPT,57220,PR PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH,2723.0,,257.7288,2831.57,55
CPT,57230,PR PLASTIC REPAIR URETHROCELE,2568.0,,310.1044,2642.68,55
CPT,57240,PR ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO,3418.0,,454.9492,3398.24,55
CPT,57250,PR POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY,3156.0,,427.19,3247.14,55
CPT,57260,PR CMBND ANTERPOST COLPORRAPHY W/CYSTO,4986.0,,576.4352,5134.27,55
CPT,57265,PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR,5498.0,,644.5612,5659.73,55
CPT,57267,PR INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE,2328.0,,183.7056,2095.2,55
CPT,57268,PR REPAIR ENTEROCELE VAGINAL APPROACH SPX,4554.0,,376.2616,4114.3,55
CPT,57270,PR REPAIR ENTEROCELE ABDOMINAL APPROACH SPX,4210.0,,601.0268,4378.73,55
CPT,57280,PR COLPOPEXY ABDOMINAL APPROACH,5133.0,,714.15,5283.66,55
CPT,57282,PR COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH,5080.0,,513.728,5283.66,55
CPT,57283,PR COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH,4992.0,,517.9048,4492.8,55
CPT,57284,PR PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR,5616.0,,619.9696,5585.89,55
CPT,57285,PR PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH,5922.0,,512.992,6055.4,55
CPT,57287,PR RMVL/REVJ SLING STRESS INCONTINENCE,4837.0,,549.3872,4979.73,55
CPT,57288,PR SLING OPERATION STRESS INCONTINENCE,5591.0,,551.8436,5814.27,55
CPT,57289,PR PEREYRA PX W/ANTERIOR COLPORRHAPHY,5093.0,,586.7668,5283.66,55
CPT,57291,PR CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT,4229.0,,407.9832,4354.69,55
CPT,57292,PR CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT,8063.0,,612.5912,8302.42,55
CPT,57295,PR REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP,4439.0,,372.324,3915.1,55
CPT,57296,PR REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR,8349.0,,708.7404,8661.79,55
CPT,57300,PR CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR,4401.0,,453.974,4529.84,55
CPT,57305,PR CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH,6232.0,,708.11,6416.98,55
CPT,57307,PR CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST,8638.0,,713.58,7342.3,55
CPT,57308,PR CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ,5499.0,,493.5616,5661.43,55
CPT,57310,PR CLOSURE URETHROVAGINAL FISTULA,5110.0,,354.78,5261.34,55
CPT,57311,PR CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL,8063.0,,412.6568,8302.42,55
CPT,57320,PR CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH,5316.0,,418.3148,5474.27,55
CPT,57330,PR CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR,5865.0,,567.8332,6039.21,55
CPT,57335,PR VAGINOPLASTY INTERSEX STATE,4232.0,,799.57,4232.25,55
CPT,57400,PR DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL,919.0,,79.29,944.43,55
CPT,57410,PR PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL,668.0,,64.61,680.0,55
CPT,57415,PR REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,1543.0,,76.87,1311.55,55
CPT,57420,HC COLPO OF ENTIRE VAGINA,1150.0,,57.86,989.0,85
CPT,57420,PR COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT,662.0,,66.6448,595.8,55
CPT,57421,HC COLPO W/BX OF VAGINA,1349.0,,76.14,1160.14,85
CPT,57421,PR COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX,988.0,,90.252,889.2,55
CPT,57423,PR PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH,8225.0,,685.63,8410.35,55
CPT,57425,PR LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX,5000.0,,719.3204,4903.68,55
CPT,57426,PR REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC,7665.0,,646.5208,6898.5,55
CPT,57452,HC COLPOSCOPY OF CERVIX,509.0,,56.75,437.74,85
CPT,57452,PR COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA,601.0,,55.51,510.85,55
CPT,57454,HC COLPOSCOPY W/BX & EEC,1173.0,,65.06,1008.78,85
CPT,57454,PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE,857.0,,86.58,755.54,55
CPT,57455,HC COLPO W/BX OF CERVIX,1212.0,,70.04,1042.32,85
CPT,57455,PR COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX,644.0,,80.4172,579.6,55
CPT,57456,HC COLPO W/ENDOCRV CURETTAGE,1224.0,,66.44,1052.64,85
CPT,57456,PR COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE,494.0,,74.0232,444.6,55
CPT,57460,HC COLPOSCOPY W/LEEP,3825.0,,174.42,3803.326,85
CPT,57460,PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX,2033.0,,118.2844,2113.81,55
CPT,57461,HC COLPO W/LEEP CONE,7499.0,,185.22,6449.14,85
CPT,57461,PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX,2329.0,,135.2584,2096.1,55
CPT,57500,HC CERVICAL BIOPSY,1578.0,,91.36,1357.08,85
CPT,57500,PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX,633.0,,51.53,556.35,55
CPT,57505,HC ENDOCERVICAL CURETTAGE,1023.0,,91.91,1082.15,85
CPT,57505,PR ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D&C,814.0,,58.82,691.9,55
CPT,57510,PR CAUTERY CERVIX ELECTRO/THERMAL,894.0,,75.78,759.9,55
CPT,57511,HC CRYO-SURGERY CERVIX,645.0,,104.93,554.7,85
CPT,57511,PR CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT,543.0,,89.68,556.35,55
CPT,57513,HC CAUT CERVIX LASER,2414.0,,297.83,3803.326,85
CPT,57513,PR CAUTERY CERVIX LASER ABLATION,2011.0,,108.9464,1957.54,55
CPT,57520,PR CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER,2268.0,,221.0852,2350.77,55
CPT,57522,HC LEEP CONE,7038.0,,519.16,6052.68,85
CPT,57522,PR CONIZATION CERVIX W/WO D&C RPR ELTRD EXC,2260.0,,190.0996,2350.77,55
CPT,57530,PR TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX,1875.0,,278.6312,1861.38,55
CPT,57531,PR RAD TRACHELECTOMY W/BI PEL LMPHADEC,9301.0,,1354.0376,9252.0,55
CPT,57540,PR EXCISION CERVICAL STUMP ABDOMINAL APPROACH,3298.0,,586.0308,3394.8,55
CPT,57545,PR EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR,4280.0,,569.82,4407.92,55
CPT,57550,PR EXCISION CERVICAL STUMP VAGINAL APPROACH,2982.0,,319.9392,3068.54,55
CPT,57555,PR EXC CRV STUMP VAG APPR W/ANT &/POST REPAIR,3963.0,,458.8868,4079.95,55
CPT,57556,PR EXC CRV STUMP VAG APPR W/RPR NTRCL,3615.0,,435.7672,3721.06,55
CPT,57558,PR DILATION & CURETTAGE CERVICAL STUMP,1270.0,,95.174,1243.71,55
CPT,57700,PR CERCLAGE UTERINE CERVIX NONOBSTETRICAL,1875.0,,193.71,1926.63,55
CPT,57720,PR TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG,2222.0,,229.35,2285.53,55
CPT,57800,HC DILATION OF CERVIX,3188.0,,39.86,3803.326,85
CPT,57800,PR DILATION CERVICAL CANAL INSTRUMENTAL SPX,471.0,,35.6592,400.35,55
CPT,58100,HC BIOPSY  ENDOMETRIAL,524.0,,45.96,450.64,85
CPT,58100,PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX,525.0,,46.4784,458.48,55
CPT,58110,HC ENDOMETRIAL BX CNJ WCOLPO,509.0,,81.56,437.74,84
CPT,58110,PR ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY,454.0,,29.7528,404.76,55
CPT,58120,PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC,1491.0,,173.374,1480.18,55
CPT,58140,PR MYOMECTOMY 1-4 MYOMAS W/250 GM/< ABDOMINAL APPR,9706.0,,681.444,8250.1,55
CPT,58145,PR MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR,4598.0,,416.8336,3908.3,55
CPT,58146,PR MYOMECTOMY 5/> MYOMAS &/>250 GM ABDOMINA,5305.0,,853.0976,4774.5,55
CPT,58150,PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY,6302.0,,754.9796,6269.31,55
CPT,58152,PR TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY,7806.0,,914.5812,8037.98,55
CPT,58180,PR SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY,6697.0,,712.4296,5788.52,55
CPT,58200,PR TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM,8693.0,,1001.6316,8647.57,55
CPT,58210,PR RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY,12278.0,,1349.6124,12217.5,55
CPT,58240,PR PEL EXNTJ GYNECOLOGIC MAL,13571.0,,2173.9416,13503.65,55
CPT,58260,PR VAGINAL HYSTERECTOMY UTERUS 250 GM/<,5814.0,,621.1932,6046.09,55
CPT,58262,PR VAG HYST 250 GM/< W/RMVL TUBE&/OVARY,6277.0,,686.6144,6494.25,55
CPT,58263,PR VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL,6801.0,,736.5336,7072.93,55
CPT,58267,PR VAG HYST 250 GM/< W/COLPO-URTCSTOPEXY,7418.0,,790.878,7715.15,55
CPT,58270,PR VAGINAL HYSTERECTOMY 250 GM/< W/RPR ENTEROCELE,9336.0,,662.0228,7935.6,55
CPT,58275,PR VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY,6557.0,,734.3164,6751.82,55
CPT,58280,PR VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE,7181.0,,783.2604,7395.75,55
CPT,58285,PR VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION,7806.0,,1025.9,8037.98,55
CPT,58290,PR VAGINAL HYSTERECTOMY UTERUS > 250 GM,7615.0,,850.3928,6853.5,55
CPT,58291,PR VAG HYST > 250 GM RMVL TUBE&/OVARY,8155.0,,918.2704,7339.5,55
CPT,58292,PR VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR ENTRCLE,8896.0,,967.2052,8006.4,55
CPT,58294,PR VAGINAL HYSTERECTOMY >250 GM RPR ENTEROCELE,8425.0,,898.84,7582.5,55
CPT,58300,HC INSERTION INTRAUTERIN DVC,939.0,,262.92,807.54,83
CPT,58300,PR INSERTION INTRAUTERINE DEVICE IUD,657.0,,38.5475,558.45,50
CPT,58301,HC REMOVE INTRAUTER DEVICE,417.0,,51.22,358.62,84
CPT,58301,PR REMOVAL INTRAUTERINE DEVICE IUD,400.0,,51.578,340.0,55
CPT,58340,PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI,1028.0,,40.8204,991.41,55
CPT,58345,PR TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING,1974.0,,226.1425,1677.9,47
CPT,58346,PR INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY,3792.0,,363.817,3223.2,55
CPT,58350,PR CHROMOTUBATION OVIDUCT W/MATERIALS,780.0,,58.23,663.0,47
CPT,58353,PR ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID,3566.0,,170.9176,3031.1,55
CPT,58356,PR ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR,6132.0,,259.9368,5518.8,55
CPT,58400,PR UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX,4476.0,,342.3228,3804.6,55
CPT,58410,PR UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY,6066.0,,582.43,5156.1,55
CPT,58520,PR HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL,3792.0,,524.97,3223.2,55
CPT,58540,PR HYSTEROPLASTY RPR UTERINE ANOMALY,5002.0,,678.4908,4773.67,55
CPT,58541,PR LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<,7817.0,,541.7604,7667.06,55
CPT,58542,PR LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR,8313.0,,614.3116,8645.85,55
CPT,58543,PR LAPS SUPRACERVICAL HYSTERECTOMY >250,8983.0,,623.4104,8808.97,55
CPT,58544,PR LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY,9785.0,,670.6248,9597.63,55
CPT,58545,PR LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<,6295.0,,667.6716,5665.5,55
CPT,58546,PR LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS,8036.0,,822.848,7232.4,55
CPT,58548,PR LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY,16750.0,,1394.3704,16549.63,55
CPT,58550,PR LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<,6410.0,,654.1476,6600.71,55
CPT,58552,PR LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES,6853.0,,727.1864,6167.7,55
CPT,58553,PR LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS,7884.0,,827.5216,7095.6,55
CPT,58554,PR LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR,8799.0,,963.7644,7919.1,55
CPT,58555,HC HYSTEROSCOPY DX SEP PROC,5856.0,,306.38,5036.16,85
CPT,58555,PR HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE,1780.0,,112.3872,1845.93,55
CPT,58558,HC HYSTROSC SRG W BX/POLYPEC,6185.0,,469.1,5319.1,85
CPT,58558,PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C,3436.0,,170.6692,2991.27,55
CPT,58559,PR HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS,4247.0,,208.7848,3609.95,55
CPT,58560,PR HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM,4626.0,,229.9356,3932.1,55
CPT,58561,PR HYSTEROSCOPY REMOVAL LEIOMYOMATA,4418.0,,263.1384,4583.06,55
CPT,58562,HC HYSTEROSCOPY REMOVE FB,5856.0,,449.44,5036.16,85
CPT,58562,PR HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY,4096.0,,163.0424,3481.6,55
CPT,58563,PR HYSTEROSCOPY ENDOMETRIAL ABLATION,5940.0,,181.0008,5091.34,55
CPT,58565,PR HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS,5308.0,,357.34,4777.2,51
CPT,58570,PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<,8424.0,,599.3064,8279.11,55
CPT,58571,PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY,9741.0,,673.3296,9229.67,55
CPT,58572,PR LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM,10697.0,,771.4568,10491.78,55
CPT,58573,PR LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR,11614.0,,902.0324,12078.91,55
CPT,58575,PR LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC,17826.0,,1432.486,16043.4,55
CPT,58578,"PR LAPAROSCOPIC HYSTERECTOMY/BSO, �WITH OMENTECTOMY AND TUMOR DEBULKING",19485.0,,2769.76,16562.25,28
CPT,58578,"PR UNLISTED PROCEDURE LAPAROSCOPY, UTERUS (LAPAROSCOPIC RADICAL TRACHELECTOMY W/BILATERAL PELVIC LND & PARA-AORTIC SAMPLING W/WO BSO)",8985.0,,2769.76,7637.25,28
CPT,58578,"PR UNLISTED PROCEDURE LAPAROSCOPY, UTERUS (LAPAROSCOPIC TRACHELECTOMY)",1809.0,,1085.4,2769.76,28
CPT,58600,PR LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI,2823.0,,294.0575,2905.42,51
CPT,58605,PR LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX,2837.0,,257.47,2919.15,51
CPT,58611,PR LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG,1403.0,,37.58,1459.58,51
CPT,58615,PR OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR,2837.0,,199.495,2919.15,51
CPT,58660,PR LAPAROSCOPY W/LYSIS OF ADHESIONS,4597.0,,509.0544,4732.47,55
CPT,58661,PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES,4565.0,,455.446,4538.43,55
CPT,58662,PR LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE,5000.0,,528.7332,5185.79,55
CPT,58670,PR LAPAROSCOPY FULGURATION OVIDUCTS,3381.0,,254.5272,2919.15,51
CPT,58671,PR LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS,2837.0,,253.7912,2919.15,51
CPT,58672,PR LAPAROSCOPY FIMBRIOPLASTY,7240.0,,540.04,7454.15,55
CPT,58673,PR LAPAROSCOPY SALPINGOSTOMY,6610.0,,586.0308,6806.77,55
CPT,58679,"PR UNLISTED PROCEDURE LAPAROSCOPY, OVIDUCT, OVARY (LAPAROSCOPIC BILATERAL OVARIAN TRANSPOSITION)",4834.0,,2094.92,4108.9,28
CPT,58679,"PR UNLISTED PROCEDURE LAPAROSCOPY, OVIDUCT, OVARY (LAPAROSCOPIC RESECTION (INITIAL) OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY W/BILATERAL SALPINGO-OOPHORECTOMY AND OMENTECTOMY)",11844.0,,2094.92,10067.4,28
CPT,58700,PR SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX,4916.0,,446.2,4178.6,55
CPT,58720,PR SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX,4466.0,,518.4016,4442.26,55
CPT,58740,PR LYSIS OF ADHESIONS SALPINX/OVARY,4500.0,,454.73,4632.87,55
CPT,58750,PR TUBOTUBAL ANASTATOMOSIS,7395.0,,696.02,7615.56,47
CPT,58752,PR TUBOUTERINE IMPLANTATION,6779.0,,685.99,6978.48,47
CPT,58760,PR FIMBRIOPLASTY,7086.0,,596.46,7297.88,47
CPT,58770,PR SALPINGOSTOMY,6471.0,,622.77,6664.26,55
CPT,58800,PR DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR,3062.0,,228.47,3152.69,55
CPT,58805,PR DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL,3867.0,,317.2344,3980.35,55
CPT,58820,PR DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN,3667.0,,231.54,3774.3,55
CPT,58822,PR DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH,4028.0,,443.07,4146.91,55
CPT,58825,PR TRANSPOSITION OVARY,4834.0,,346.67,4976.3,55
CPT,58900,HC BIOPSY OVARY UNILT/BILAT,3272.0,,891.2,3803.326,85
CPT,58900,PR BIOPSY OVARY UNI/BI SEPARATE PROCEDURE,4351.0,,324.1252,4480.03,55
CPT,58920,PR WEDGE RESCJ/BISCTJ OVARY UNI/BI,5237.0,,473.22,5391.84,55
CPT,58925,PR OVARIAN CYSTECTOMY UNI/BI,5418.0,,571.0256,5391.84,55
CPT,58940,PR OOPHORECTOMY PARTIAL/TOTAL UNI/BI,5418.0,,413.1444,5391.84,55
CPT,58943,PR OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY,8920.0,,891.71,8874.23,55
CPT,58950,PR RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO,8336.0,,855.0664,8293.83,55
CPT,58951,PR RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD,12711.0,,1069.9968,13185.98,55
CPT,58952,PR RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING,15390.0,,1220.012,16005.55,55
CPT,58953,PR BSO W/OMENTECTOMY TAH&RAD DEBULKING DISSECTION,19298.0,,1483.3896,20070.03,55
CPT,58954,PR BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY,20971.0,,1605.3724,21809.5,55
CPT,58956,PR BSO W/TOT OMENTECTOMY & HYSTERECTOMY MALIGNANC,11761.0,,1009.746,10584.9,55
CPT,58958,PR RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC,16135.0,,1222.9652,15291.21,55
CPT,58960,PR LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK,8858.0,,741.4464,9121.49,55
CPT,58999,HC CT BIOPSY VAGINAL CUFF,3272.0,,237.5325,2813.92,83
CPT,58999,HC NONOBST PELVIC EXAM FEMAL,357.0,,99.96,307.02,83
CPT,58999,HC UNLISTED PROC PERCUTANEOUS CT-GUIDED BIOPSY UTERUS,3139.0,,237.5325,2699.54,83
CPT,58999,PR NONOBSTETRIC LAPAROSCOPIC VAGINECTOMY,6914.0,,3468.64,5876.9,28
CPT,58999,PR UNLISTED PROCEDURE LAPAROSCOPIC VAGINECTOMY,3889.0,,2333.4,3468.64,28
CPT,58999,PR UNLISTED PROCEDURE LAPAROSCOPY FEMALE GENITAL SYSTEM (NONOBSTERTICAL) PARA-AORTIC LYMPH NODE SAMPLING,6914.0,,3468.64,5876.9,28
CPT,58999,PR UNLISTED PROCEDURE PERCUTANEOUS CT-GUIDED BIOPSY UTERUS,1158.0,,694.8,3468.64,28
CPT,58999,PR UNLISTED PROCEDURE TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM & SENT LYMPH NODE BIOPSY,10175.0,,3468.64,8648.75,28
CPT,58999,PR VAGINAL CUFF BIOPSY,1158.0,,694.8,3468.64,28
CPT,59070,PR TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE,2594.0,,227.9668,2542.6,55
CPT,59100,PR HYSTEROTOMY ABDOMINAL,3794.0,,533.05,3906.51,55
CPT,59120,PR TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR,4310.0,,606.9332,4438.83,55
CPT,59121,PR TX ECTOPIC PREGNANCY W/O SALPING&/OOPHORECTOMY,4354.0,,556.98,4481.76,55
CPT,59130,PR TX ECTOPIC PREGNANCY ABDL PREGNANCY,4025.0,,633.21,4143.48,55
CPT,59136,PR TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER,4713.0,,643.84,4852.66,55
CPT,59140,PR TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION,3105.0,,310.8404,3197.33,55
CPT,59150,PR LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY,4197.0,,515.71,4320.35,55
CPT,59151,PR LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY,4949.0,,575.6992,5094.78,55
CPT,59160,PR CURETTAGE POSTPARTUM,1498.0,,139.4352,1538.58,55
CPT,59200,PR INSERTION CERVICAL DILATOR SEPARATE PROCEDURE,506.0,,44.89,518.57,55
CPT,59300,PR EPISIOTOMY/VAG RPR OTH/THN ATTENDING,1081.0,,105.86,1110.99,55
CPT,59320,PR CERCLAGE CERVIX PREGNANCY VAGINAL,2581.0,,112.6356,2193.85,55
CPT,59510,PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM,7515.0,,1326.86,7516.84,47
CPT,59525,PR STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY,2134.0,,354.3748,2196.23,55
CPT,59812,PR TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL,1954.0,,229.448,2010.79,55
CPT,59820,PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL,2683.0,,268.89,2280.55,55
CPT,59840,PR INDUCED ABORTION DILATION AND CURETTAGE,2399.0,,164.7628,2383.4,50
CPT,59841,PR INDUCED ABORTION DILATION & EVACUATION,2462.0,,277.886,2532.79,50
CPT,59870,PR UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE,2318.0,,245.98,2383.4,55
CPT,60000,PR I&D THYROGLOSSAL DUCT CYST INFECTED,546.0,,74.2,503.7,55
CPT,60100,HC THYROID BX PERC CORE NDL,2904.0,,42.63,2497.44,85
CPT,60100,PR BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,762.0,,55.5772,647.7,55
CPT,60200,PR EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS,4432.0,,497.0024,4371.87,55
CPT,60210,PR PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,5734.0,,524.5472,5963.66,55
CPT,60210,PR ROBOT ASSISTED TRANSAXILLARY PARTIAL THYROID LOBECTOMY,6045.0,,524.5472,5963.66,55
CPT,60212,PR PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC,6563.0,,759.1564,6756.98,55
CPT,60220,PR ROBOT ASSISTED TRANSAXILLARY THYROID LOBECTOMY,6903.0,,524.0596,5867.55,55
CPT,60220,PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,5833.0,,524.0596,5803.96,55
CPT,60225,PR ROBOT ASSISTED TRANSAXILLARY SUBTOTAL THYROIDECTOMY,9131.0,,694.968,7761.35,55
CPT,60225,PR TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC,7026.0,,694.968,7234.35,55
CPT,60240,PR ROBOT ASSISTED TRANSAXILLARY TOTAL THYROIDECTOMY,8095.0,,678.4908,7155.36,55
CPT,60240,PR THYROIDECTOMY TOTAL/COMPLETE,6998.0,,678.4908,7155.36,55
CPT,60252,PR THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT,9936.0,,974.832,10333.8,55
CPT,60254,PR THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT,12771.0,,1229.8468,12717.2,55
CPT,60260,PR ROBOT ASSISTED TRANSAXILLARY COMPLETION THYROIDECTOMY,8330.0,,564.97,7080.5,55
CPT,60260,PR THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL,8495.0,,564.97,7220.75,55
CPT,60270,PR THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC,10427.0,,1005.3208,8862.95,55
CPT,60271,PR THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH,8197.0,,779.3228,7155.36,55
CPT,60280,PR EXCISION THYROGLOSSAL DUCT CYST/SINUS,4795.0,,338.882,4768.51,55
CPT,60281,PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT,4865.0,,443.394,5008.92,55
CPT,60300,HC ASPIRATION AND/OR INJECTION THYROID CYST,2310.0,,59.52,1986.6,85
CPT,60300,PR ASPIRATION AND/OR INJECTION THYROID CYST,343.0,,35.1624,291.55,55
CPT,60500,PR PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS,7717.0,,718.0876,7313.32,55
CPT,60502,PR PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR,8131.0,,964.0128,8029.39,55
CPT,60505,PR PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC,9263.0,,1035.322,9538.76,55
CPT,60512,PR PARATHYROID AUTOTRANSPLANTATION ADD-ON,2375.0,,176.8148,2018.75,55
CPT,60520,PR THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX,8231.0,,775.146,8189.07,55
CPT,60521,PR THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX,8389.0,,822.112,8347.06,55
CPT,60522,PR THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX,11831.0,,994.9984,10373.3,55
CPT,60540,PR ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX,7790.0,,796.0484,7751.2,55
CPT,60545,PR ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR,9989.0,,922.4472,9937.14,55
CPT,60600,PR EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY,7990.0,,966.43,7948.68,55
CPT,60605,PR EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY,9503.0,,1024.99,9142.09,55
CPT,60650,"PR LAP,ADRENALECTOMY, ROBOT ASSISTED POSTERIOR ADRENALECTOMY",9384.0,,877.4408,7976.4,55
CPT,60650,PR LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL,7790.0,,877.4408,7751.2,55
CPT,60659,PR UNLISTED PX ROBOTIC ASSISTED LAPAROSCOPIC PARATHYROIDECTOMY,8593.0,,18.9,7304.05,28
CPT,60660,HC IR ABLATION THYR NODULE 1 LOBE INCL IMG GUIDE,3116.0,,644.53,2679.76,85
CPT,60660,PR ABLTJ 1/+THYROID NODULE 1 LOBE/ISTHMUS PERQ RF,3323.0,,247.452,2990.7,47
CPT,60661,HC IR ABLATION THYR NODULE ADDL LOBE INCL IMG GUIDE,1319.0,,369.32,1134.34,84
CPT,60661,PR ABLTJ 1/+THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY,2456.0,,169.9575,2210.4,47
CPT,60699,HC CRYOABLATION ADRENAL GLAND,13252.0,,3710.56,11396.72,83
CPT,60699,HC MICROWAVE ABLATION ADRENAL,13252.0,,3710.56,11396.72,83
CPT,60699,HC UNLISTED PX ENDOCRINE SYSTEM RFA,7971.0,,2231.88,7102.9405,83
CPT,60699,HC UNLISTED PX PERC IMAGE GUIDED THYROID CYST ETHANOL ABLATION,8771.0,,2455.88,7543.06,83
CPT,60699,"PR UNLISTED PROCEDURE ENDOCRINE SURGERY, CRYOABLATION OF ADRENAL GLAND",5605.0,,643.93,4764.25,28
CPT,60699,"PR UNLISTED PROCEDURE ENDOCRINE SURGERY, OPEN BIOPSY- THYROID",671.0,,402.6,643.93,28
CPT,60699,PR UNLISTED PROCEDURE ENDOCRINE; CRYOPRESERVATION OF PARATHYROID GLAND,1994.0,,643.93,1694.9,28
CPT,60699,PR UNLISTED PX  MICROWAVE ABLATION ADRENAL,5414.0,,643.93,4601.9,28
CPT,60699,PR UNLISTED PX ENDOCRINE SYSTEM RFA,1021.0,,612.6,867.85,28
CPT,60699,PR UNLISTED PX PERC IMAGE GUIDED THYROID CYST ETHANOL ABLATION,1324.0,,643.93,1125.4,28
CPT,61000,PR SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT,832.0,,86.2408,734.95,55
CPT,61001,PR SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ,611.0,,78.65,519.35,55
CPT,61020,HC OMMAYA TAP,1583.0,,225.28,1361.38,85
CPT,61020,PR VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX,1053.0,,79.6812,895.05,55
CPT,61026,HC OMMAYA PUNCT:W/INJ-DX/TX,1773.0,,227.32,1524.78,85
CPT,61026,PR VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ,937.0,,81.4016,808.79,55
CPT,61050,PR CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX,832.0,,58.282,707.2,55
CPT,61055,PR CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION,1164.0,,85.8268,1176.25,55
CPT,61070,HC PUNCT SHUNT TUBE ASPIR/NJ,927.0,,113.47,829.3455,85
CPT,61070,PR PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX,637.0,,41.3172,662.83,55
CPT,61105,PR TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE,3775.0,,351.4216,3676.42,55
CPT,61107,PR TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE,3389.0,,231.4076,4778.82,55
CPT,61108,PR TWIST DRILL HOLE EVAC&/DRG SUBDURAL HEMATOMA,7086.0,,682.18,7351.12,55
CPT,61120,PR BURR HOLE FOR VENTRICULAR PUNCTURE,3684.0,,490.35,3676.42,55
CPT,61140,PR BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION,13655.0,,957.122,11606.75,55
CPT,61150,PR BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST,8098.0,,1013.932,7775.25,55
CPT,61151,PR BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST,3445.0,,445.86,3443.74,55
CPT,61154,PR BURR HOLE W/EVAC&/DRG HEMATOMA EXTRADURAL/SDRL,10348.0,,961.7956,9186.74,55
CPT,61156,PR BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL,9320.0,,930.81,7922.0,55
CPT,61210,PR BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE,4735.0,,271.2528,4924.78,55
CPT,61215,PR INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH,4787.0,,383.88,4778.82,55
CPT,61250,PR BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG,4954.0,,620.04,4562.46,55
CPT,61253,PR BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI,7866.0,,737.65,7016.27,55
CPT,61304,PR CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL,12838.0,,1229.3592,10912.3,55
CPT,61305,PR CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL,20794.0,,1502.3324,17674.9,55
CPT,61312,PR CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL,13464.0,,1549.05,12495.68,55
CPT,61313,PR CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL,13714.0,,1488.3116,13230.63,55
CPT,61314,PR CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL,13122.0,,1368.0584,11153.7,55
CPT,61315,PR CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR,12953.0,,1550.0344,12495.68,55
CPT,61316,PR INCISION&SUBCUTANEOUS PLMT CRANIAL BONE GRAFT,3206.0,,64.676,2885.4,55
CPT,61320,PR CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL,13333.0,,1417.49,12861.44,55
CPT,61321,PR CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL,11779.0,,1590.6156,11759.04,55
CPT,61322,PR CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY,14873.0,,1783.6592,13385.7,55
CPT,61323,PR CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY,17709.0,,1787.8452,15938.1,55
CPT,61330,PR DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH,10087.0,,1141.88,9612.6,55
CPT,61333,PR EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION,11190.0,,1509.214,11171.77,55
CPT,61340,PR SUBTEMPORAL CRANIAL DECOMPRESSION,7437.0,,1081.3128,7086.66,55
CPT,61343,PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD,19216.0,,1640.0472,18670.56,55
CPT,61345,PR OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA,9731.0,,1530.1164,8271.35,55
CPT,61450,PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION,34681.0,,1437.8956,29478.85,55
CPT,61458,PR CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV,15313.0,,1506.0216,14772.63,55
CPT,61460,PR CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NRV,14208.0,,1577.3308,13541.44,55
CPT,61500,PR CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL,11662.0,,969.91,12128.22,55
CPT,61501,PR CRANIECTOMY FOR OSTEOMYELITIS,9622.0,,843.9988,9554.21,55
CPT,61510,PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL,17141.0,,1650.3696,16537.86,55
CPT,61512,PR CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL,20967.0,,1908.3468,17821.95,55
CPT,61514,PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL,13987.0,,1434.2064,13963.85,55
CPT,61516,PR CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL,14478.0,,1405.1896,13963.85,55
CPT,61517,PR IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT,846.0,,64.4276,761.4,55
CPT,61518,PR CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA,17141.0,,2072.3736,16537.86,55
CPT,61519,PR CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA,18129.0,,2196.316,17126.83,55
CPT,61520,PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM,20012.0,,2766.6056,17126.83,55
CPT,61521,PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL,30227.0,,2372.3948,25692.95,55
CPT,61522,PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS,28852.0,,1637.83,24524.2,55
CPT,61524,PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST,14478.0,,1561.102,13963.85,55
CPT,61526,PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM,15240.0,,2474.9472,14700.51,55
CPT,61530,PR CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA,15999.0,,2291.9776,15435.44,55
CPT,61531,PR SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING,8983.0,,923.4316,8966.94,55
CPT,61533,PR CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING,16723.0,,1146.4856,14333.03,55
CPT,61534,PR CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY,13830.0,,901.59,14243.74,55
CPT,61535,PR CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX,9278.0,,635.33,9554.21,55
CPT,61536,PR CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY,17665.0,,1903.03,15015.25,55
CPT,61537,PR CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY,22191.0,,1834.572,18862.35,55
CPT,61538,PR CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY,14986.0,,1915.58,15435.44,55
CPT,61539,PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG,15826.0,,1765.2224,14734.85,55
CPT,61540,PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG,17513.0,,1629.228,17177.61,55
CPT,61541,PR CRANIOTOMY TRANSECTION CORPUS CALLOSUM,17032.0,,1609.7976,17542.39,55
CPT,61543,PR CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY,17841.0,,1504.46,18375.21,55
CPT,61544,PR CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS,12515.0,,1422.1544,12861.44,55
CPT,61545,PR CRANIOTOMY EXCISION CRANIOPHARYNGIOMA,21346.0,,2296.79,18375.21,55
CPT,61546,PR CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR,15458.0,,1726.8584,15802.92,55
CPT,61548,PR HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL,15620.0,,1171.3164,15067.98,55
CPT,61550,PR CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE,9203.0,,847.48,9186.74,55
CPT,61552,PR CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES,11043.0,,1117.708,11025.82,55
CPT,61556,PR CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP,10749.0,,1272.01,10730.46,55
CPT,61557,PR CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP,12883.0,,1267.4748,12861.44,55
CPT,61558,PR XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS,13251.0,,1412.568,13230.63,55
CPT,61559,PR XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT,15826.0,,1797.1832,15802.92,55
CPT,61563,PR EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN,14501.0,,1485.11,14478.99,55
CPT,61564,PR EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN,17446.0,,1800.6332,16628.85,55
CPT,61566,PR CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY,17177.0,,1676.4424,16850.13,55
CPT,61567,PR CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG,19595.0,,1909.3312,19222.25,55
CPT,61570,PR CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN,17125.0,,1371.33,16464.02,55
CPT,61571,PR CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN,16490.0,,1487.66,16464.02,55
CPT,61575,PR TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES,15964.0,,1871.9516,13569.4,55
CPT,61576,PR TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE,12872.0,,2589.89,12877.8,55
CPT,61580,PR CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ,12471.0,,1727.16,10600.35,55
CPT,61581,PR CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ,13333.0,,1964.88,12861.44,55
CPT,61582,PR CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT,13714.0,,1790.81,13230.63,55
CPT,61583,PR CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE,16792.0,,2046.41,14273.2,55
CPT,61584,PR ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ,14057.0,,1969.42,11948.45,55
CPT,61585,PR ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ,18930.0,,2198.54,16090.5,55
CPT,61586,PR BICORONAL TRANSZYGMTC&/LEFORT I W/O BONE GRFT,10636.0,,1506.5,9186.74,55
CPT,61590,PR INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN,18028.0,,2231.2392,15323.8,55
CPT,61591,PR INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR&/MOBI,17127.0,,2271.572,14557.95,55
CPT,61592,PR ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE,18707.0,,2265.77,15900.95,55
CPT,61595,PR TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV,12725.0,,1682.07,12275.89,55
CPT,61596,PR TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART,13714.0,,1797.68,13230.63,55
CPT,61597,PR TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL,17677.0,,2159.75,17051.28,55
CPT,61598,PR TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM,11429.0,,1901.65,11025.82,55
CPT,61600,PR RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL,13918.0,,1464.79,12200.34,55
CPT,61601,PR RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF,17259.0,,1576.36,14670.15,55
CPT,61605,PR RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL,14322.0,,1599.9628,13819.61,55
CPT,61606,PR RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR,19124.0,,2159.9208,18447.33,55
CPT,61607,PR RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL,18974.0,,2065.2,17271.08,55
CPT,61608,PR RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL,28606.0,,2399.85,24315.1,55
CPT,61611,PR TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR,3684.0,,345.276,3509.85,55
CPT,61613,PR OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ,19728.0,,2341.33,19697.42,55
CPT,61615,PR RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL,15694.0,,1819.95,15141.82,55
CPT,61616,PR RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL,24793.0,,2467.2,21074.05,55
CPT,61618,PR SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT,10602.0,,950.62,11025.82,55
CPT,61619,PR SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP,17665.0,,1065.82,16840.07,55
CPT,61623,HC EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK,7648.0,,1201.64,13563.3645,85
CPT,61623,PR EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK,3126.0,,423.9636,2813.4,55
CPT,61624,HC TC PERM OCCLU/EMBOL P CNS,24922.0,,2427.7,21537.9935,85
CPT,61624,PR TCAT PERM OCCLS/EMBOLIZATION PERQ CNS,12045.0,,855.0664,12495.68,55
CPT,61626,HC TC PRM OCLU/EMBL P NCNSHN,24922.0,,1861.06,21432.92,85
CPT,61626,PR TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK,8270.0,,662.7588,8601.19,55
CPT,61630,HC BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS,5534.0,,1549.52,4759.24,83
CPT,61630,PR BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS,11662.0,,1142.213,10495.8,42
CPT,61635,HC TRANSCATH INTRACRANIAL BALLOON ANGIOPLASTY W/STENT,8452.0,,2366.56,7268.72,83
CPT,61635,PR TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD,6589.0,,1234.115,5930.1,42
CPT,61645,HC PERC ART TRLUM MECH THRMBEC &/OR INFUS INTRACRANIAL INC ANGIO FLR GD/INJ,10530.0,,1748.21,9055.8,84
CPT,61645,PR PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL,7657.0,,618.9852,6891.3,55
CPT,61650,"HC EVASC PRLNG ADMN RX AGNT ART, IMG GUIDANCE, 1ST VAS TERRITORY",4841.0,,1217.25,4163.26,84
CPT,61650,PR EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST,5620.0,,428.398,5058.0,55
CPT,61651,"HC EVASC PRLNG ADMN RX AGNT ART, IMG GUIDANCE, EA ADD'L VAS TERRITORY",3154.0,,520.33,2712.44,84
CPT,61651,PR EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL,2292.0,,182.9604,2062.8,55
CPT,61680,PR INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL,25599.0,,1698.8168,21759.15,55
CPT,61682,PR INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL,21644.0,,3103.2704,19845.08,55
CPT,61684,PR INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL,19875.0,,2122.5412,19845.08,55
CPT,61686,PR INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL,24069.0,,3197.99,23813.41,55
CPT,61690,PR INTRACRANIAL ARVEN MALFRMJ DURAL SMPL,14354.0,,1633.6532,14333.03,55
CPT,61692,PR INTRACRANIAL ARVEN MALFRMJ DURAL CMPL,17226.0,,2566.7,17198.97,55
CPT,61697,PR COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION,23732.0,,3144.3392,24443.61,55
CPT,61698,PR CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ,22848.0,,3440.6712,23535.24,55
CPT,61700,PR SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION,21573.0,,2543.8,18375.21,55
CPT,61702,PR SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ,20978.0,,2845.81,19996.19,55
CPT,61703,PR ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART,9938.0,,992.51,9921.69,55
CPT,61705,PR ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART,16561.0,,1943.7576,15787.46,55
CPT,61708,PR ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS,14724.0,,1902.4404,14700.51,55
CPT,61710,PR ARYSM VASC MALFRMJ IA EMBOLIZATION,6807.0,,1465.62,6807.49,55
CPT,61711,PR ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES,16972.0,,1947.6952,15435.44,55
CPT,61720,PR CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS,14322.0,,956.386,13819.61,55
CPT,61735,PR CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN,13839.0,,1070.06,13191.13,55
CPT,61736,PR LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION,10259.0,,896.8712,9233.1,53
CPT,61737,PR LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS,13863.0,,1078.77,12476.7,53
CPT,61750,PR STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES,13251.0,,1056.4728,13230.63,55
CPT,61751,HC STEREOTACTIC BX ASPIR/EXC BURR HOLE(S) INTRACRANIAL LESION W/CT&MRI,5084.0,,1423.52,4372.24,84
CPT,61751,PR STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT&I/MR,13321.0,,1043.6848,13819.61,55
CPT,61760,PR STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING,13251.0,,1182.8808,13230.63,55
CPT,61770,PR STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC,13251.0,,1216.0744,13230.63,55
CPT,61781,PR STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL,1982.0,,174.11,1783.8,55
CPT,61782,PR STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL,1617.0,,126.1596,1455.3,55
CPT,61783,PR STEREOTACTIC COMPUTER ASSISTED PX SPINAL,1982.0,,170.4208,1783.8,55
CPT,61790,PR CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN,8693.0,,664.2308,9040.78,55
CPT,61791,PR CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC,9374.0,,848.1756,9040.78,55
CPT,61796,PR STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES,6172.0,,766.0472,5554.8,55
CPT,61797,PR STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE,2117.0,,162.3064,1905.3,55
CPT,61798,PR STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES,9546.0,,1035.322,8591.4,55
CPT,61799,PR STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX,2831.0,,224.2776,2547.9,55
CPT,61800,PR APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY,1263.0,,111.6512,1136.7,55
CPT,61850,PR TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL,7638.0,,742.9276,7864.54,55
CPT,61860,PR CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL,11043.0,,935.25,11025.82,55
CPT,61863,PR STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY,9575.0,,1131.4804,8589.42,55
CPT,61864,PR STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY,4101.0,,208.7848,4253.62,55
CPT,61867,PR STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY,13081.0,,1706.4436,12759.64,55
CPT,61868,PR STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY,6135.0,,368.8832,6380.43,55
CPT,61880,PR REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS,11989.0,,363.2,12348.02,55
CPT,61885,PR INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR,3581.0,,245.16,3043.85,55
CPT,61886,PR INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2/> ELTRDS,4920.0,,504.47,4182.0,55
CPT,61888,PR REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR,2522.0,,238.14,2143.7,55
CPT,62000,PR ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL,7805.0,,587.75,7792.42,55
CPT,62005,PR ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL,10308.0,,907.12,10290.87,55
CPT,62010,PR ELVTN DEPRS SKL FX W/RPR DURA&/DBRDMT BRN,12072.0,,1155.0876,12054.38,55
CPT,62100,PR CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA,13333.0,,1175.7508,12861.44,55
CPT,62115,PR RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY,10400.0,,1199.73,10709.85,55
CPT,62117,PR RDCTJ CRANIOMEGALIC CRANIO&RECNSTJ W/WO GRAFT,13193.0,,1471.0984,13587.79,55
CPT,62120,PR RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY,11043.0,,1299.77,11025.82,55
CPT,62121,PR CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE,11429.0,,1158.2892,11025.82,55
CPT,62140,PR CRANIOPLASTY SKULL DEFECT <5 CM DIAMETER,9140.0,,766.0472,9482.08,55
CPT,62141,PR CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER,11558.0,,857.7712,11539.23,55
CPT,62142,PR RMVL BONE FLAP/PROSTHETIC PLATE SKULL,6557.0,,671.8576,6616.18,55
CPT,62143,PR RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL,8480.0,,741.91,8819.28,55
CPT,62145,PR CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG,11779.0,,1063.94,11226.72,55
CPT,62146,PR CRANIOPLASTY W/AUTOGRAFT <5 CM DIAMETER,11706.0,,910.82,11686.92,55
CPT,62147,PR CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER,14354.0,,1060.898,14333.03,55
CPT,62148,PR INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT,1184.0,,92.9568,1065.6,55
CPT,62160,PR NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS,1663.0,,138.9476,1496.7,55
CPT,62161,PR NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS,16585.0,,1145.7404,14926.5,55
CPT,62162,PR NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG,16024.0,,1416.9932,14421.6,55
CPT,62164,PR NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY,19639.0,,1570.9368,17675.1,55
CPT,62165,PR NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID,15844.0,,1130.0084,14259.6,55
CPT,62180,PR VENTRICULOCISTERNOSTOMY,8983.0,,1180.48,8559.99,55
CPT,62190,PR CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR,8468.0,,701.8588,8068.88,55
CPT,62192,PR CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH,8876.0,,748.8248,8451.8,55
CPT,62194,PR RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER,3684.0,,218.7,3676.42,55
CPT,62200,PR VENTRICULOCISTERNOSTOMY 3RD VENTRICLE,13333.0,,1034.0984,12861.44,55
CPT,62201,PR VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC,11706.0,,785.62,11686.92,55
CPT,62220,PR CRTJ SHUNT VENTRICULO-ATR-JUG-AUR,9203.0,,731.3724,8771.19,55
CPT,62223,PR CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS,10286.0,,776.1212,9921.69,55
CPT,62225,PR RPLCMT/IRRIGATION VENTRICULAR CATHETER,4787.0,,334.27,4562.46,55
CPT,62230,PR RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS,7241.0,,632.5092,6983.64,55
CPT,62252,PR REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT,1036.0,,34.1872,880.6,55
CPT,62256,PR RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT,4345.0,,444.76,4337.52,55
CPT,62258,PR RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT,10550.0,,836.8688,10069.35,55
CPT,62263,PR PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS,2370.0,,239.0344,2412.6,55
CPT,62264,HC EPIDURAL LYSIS MLTSES 1DY,3574.0,,340.77,3073.64,85
CPT,62264,PR PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY,2481.0,,179.2804,2232.9,55
CPT,62267,HC ASP NUCLP IVTDSC/PVTIS DX,5935.0,,257.6,5104.1,85
CPT,62267,PR PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS,1605.0,,111.8904,1444.5,55
CPT,62268,HC PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX,4870.0,,340.77,4188.2,85
CPT,62268,PR PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX,4323.0,,244.9408,4449.14,55
CPT,62269,HC BIOPSY SPINAL CORD PC NDL,3272.0,,486.45,2813.92,85
CPT,62269,PR BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE,3515.0,,188.1308,3618.03,55
CPT,62270,HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC,1434.0,,130.82,1233.24,85
CPT,62270,PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE,567.0,,46.7268,481.95,55
CPT,62272,HC SPINAL PUNCTURE THERA,1582.0,,191.02,1360.52,85
CPT,62272,PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF,1012.0,,67.6292,860.2,55
CPT,62273,HC INJ EPIDRL-BLD/CLOT PATCH,1973.0,,225.24,1696.78,85
CPT,62273,PR INJECTION EPIDURAL BLOOD/CLOT PATCH,1267.0,,82.8736,1095.54,55
CPT,62280,HC INJ NEUR W/WO OTH'SUBAR,1356.0,,318.08,1166.16,85
CPT,62280,PR INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID,1618.0,,105.27,1607.26,55
CPT,62281,HC INJ NEUR W/WO OTH SUB EPI,1370.0,,308.0,1178.2,85
CPT,62281,PR INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC,1311.0,,114.1076,1301.6,55
CPT,62282,HC INJ NEUR W/WO OTH SUB EPI,1370.0,,281.64,1178.2,85
CPT,62282,PR INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL,1369.0,,104.2728,1420.08,55
CPT,62284,HC INJ PROCEDURE MYELOGRAPHY/CT LUMBAR,2526.0,,164.64,2172.36,84
CPT,62284,PR INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR,1311.0,,60.4992,1301.6,55
CPT,62287,HC PERCUT DISCECTOMY LUMBAR,8889.0,,659.94,7644.54,85
CPT,62287,PR DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR,8224.0,,444.866,8553.12,55
CPT,62290,HC INJ PRO DISKO EA LEV LUM,1431.0,,308.64,1230.66,84
CPT,62290,PR INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,1864.0,,113.8592,1584.4,55
CPT,62291,HC INJ PRO DISK EA LEV CV/TH,1534.0,,281.28,1319.24,84
CPT,62291,PR INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,8216.0,,103.776,6983.6,55
CPT,62292,PR INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR,6645.0,,444.8645,6842.84,47
CPT,62294,PR NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL,2690.0,,558.78,2689.58,55
CPT,62302,HC MYELOGRAPHY CERV INJ+S&,3115.0,,234.39,2678.9,85
CPT,62302,PR MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL,1231.0,,86.3144,1107.9,55
CPT,62303,HC MYELOGRAPHY THOR INJ+S&I,3198.0,,234.13,2750.28,85
CPT,62303,PR MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC,1237.0,,86.3144,1113.3,55
CPT,62304,HC MYELOGRAPHY LSAC INJ+S&I,3131.0,,231.78,2692.66,85
CPT,62304,PR MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL,1211.0,,85.33,1089.9,55
CPT,62305,HC MYELOGRAPHY 2+REG INJ+S&I,3677.0,,240.26,3162.22,85
CPT,62305,PR MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS,1263.0,,88.5316,1136.7,55
CPT,62320,HC INJ INTERLAMINAR CRV/THRC NON-NEUROLYTIC W/O IMG GUID,2169.0,,200.55,1865.34,85
CPT,62320,PR NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,998.0,,73.2872,898.2,55
CPT,62321,HC INJ INTERLAMINAR CRV/THRC NON-NEUROLYTIC W/ IMG GUID,3449.0,,213.32,2966.14,85
CPT,62321,PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,1638.0,,78.6968,1474.2,55
CPT,62322,HC INJ INTERLAMINAR LMBR/SAC NON-NEUROLYTIC W/O IMG GUID,2169.0,,158.18,1865.34,85
CPT,62322,PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,1050.0,,58.0336,945.0,55
CPT,62323,HC INJ INTERLAMINAR LMBR/SAC NON-NEUROLYTIC W/ IMG GUID,3449.0,,197.43,2966.14,85
CPT,62323,PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,1415.0,,72.7904,1273.5,55
CPT,62324,HC INJ INTERLAMINAR CRV/THRC CONTINU/INTERMIT NON-NEUROLYTIC W/O IMG GUID,2420.0,,176.27,2081.2,85
CPT,62324,PR NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,1496.0,,64.9244,1346.4,55
CPT,62325,HC INJ INTERLAMINAR CRV/THRC CONTINU/INTERMIT NON-NEUROLYTIC W/ IMG GUID,3701.0,,218.93,3182.86,85
CPT,62325,PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,1524.0,,80.6656,1371.6,55
CPT,62326,HC INJ INTERLAMINAR LMBR/SAC CONTINU/INTERMIT NON-NEUROLYTIC W/O IMG GUID,2420.0,,169.08,2081.2,85
CPT,62326,PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,1458.0,,62.2196,1312.2,55
CPT,62327,HC INJ INTERLAMINAR LMBR/SAC CONTINU/INTERMIT NON-NEUROLYTIC W/ IMG GUID,3701.0,,213.54,3182.86,85
CPT,62327,PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,1026.0,,78.6968,923.4,55
CPT,62328,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,2394.0,,168.66,2058.84,85
CPT,62328,PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,955.0,,61.9712,859.5,55
CPT,62329,HC THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF W/FLUOR/CT,2394.0,,209.14,2058.84,85
CPT,62329,PR THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT,1075.0,,75.992,967.5,55
CPT,62330,PR DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR,4729.0,,415.684,4256.1,33
CPT,62331,PR DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR,2512.0,,165.512,2260.8,33
CPT,62350,HC IMPL EPI CATH MEDS WO LAM,10572.0,,814.66,10310.8195,85
CPT,62350,PR IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM,4728.0,,296.0928,5611.64,55
CPT,62351,PR IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM,10201.0,,520.4,8894.83,55
CPT,62355,HC REM IMPL INTHEC/EPI CATH,2810.0,,566.75,2416.6,85
CPT,62355,PR RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH,2773.0,,206.08,3423.99,55
CPT,62360,HC IMPLNT/REPL DEV EPI RESV,30882.0,,637.32,26558.52,85
CPT,62360,PR IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR,3421.0,,126.27,3557.92,55
CPT,62361,HC IMPL/RE DEV-EPI INF NOPRG,30916.0,,922.06,26587.76,85
CPT,62361,PR IMPLTJ/RPLCMT FS NON-PRGRBL PUMP,3577.0,,276.93,3557.92,55
CPT,62362,PR IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP,3784.0,,287.2332,3763.99,55
CPT,62365,HC REMV IMPLT SUB RESV/PUMP,2810.0,,615.19,4013.661,85
CPT,62365,PR RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS,2554.0,,222.8056,2259.78,55
CPT,62367,HC ELC ANLY PRO PMP WO REPG,866.0,,49.77,744.76,85
CPT,62367,PR ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL,267.0,,18.1976,250.71,55
CPT,62368,HC ELEC ANALY PRO PUM W REP,911.0,,68.54,783.46,85
CPT,62368,PR ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG,362.0,,25.0884,307.7,55
CPT,62369,HC ANALYSIS PMP W/REPRG REFL,954.0,,69.83,820.44,85
CPT,62369,PR ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL,455.0,,25.576,409.5,55
CPT,62370,HC ANALY PMP W/REPG RFL RQMD,1005.0,,91.21,864.3,85
CPT,62370,PR ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP,499.0,,33.442,449.1,55
CPT,63001,PR LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV,8680.0,,920.7268,8905.14,55
CPT,63003,PR LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC,9811.0,,924.1676,10177.53,55
CPT,63005,PR LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR,8279.0,,900.0728,8585.74,55
CPT,63011,PR LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL,9296.0,,811.7804,9667.55,55
CPT,63012,PR LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR,9786.0,,892.9336,10177.53,55
CPT,63015,PR LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL,10995.0,,1109.842,10939.96,55
CPT,63016,PR LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC,11508.0,,1141.076,11449.95,55
CPT,63017,PR LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR,10519.0,,949.0076,10939.96,55
CPT,63020,PR LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL,10023.0,,821.376,10048.75,55
CPT,63030,PR LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR,9357.0,,684.8848,9731.08,55
CPT,63035,PR LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR,3060.0,,171.6536,3181.88,55
CPT,63040,PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL,15417.0,,1026.4716,13104.45,55
CPT,63042,PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,10519.0,,966.2208,10939.96,55
CPT,63043,PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV,5643.0,,198.29,4796.55,48
CPT,63044,PR LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR,3485.0,,198.29,3624.91,48
CPT,63045,PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM CERVICAL,11647.0,,964.0128,12083.57,55
CPT,63046,PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM THORACIC,11315.0,,919.7424,11767.62,55
CPT,63047,PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR,11343.0,,826.5372,11767.62,55
CPT,63048,PR LAM FACETECTOMY&FORAMOT 1 VRT SGM EA ADDL SGM,2993.0,,154.928,3815.5,55
CPT,63050,PR LAMOP CERVICAL W/DCMPRN SPI CORD 2/> VERT SEG,16703.0,,1091.396,15032.7,55
CPT,63051,PR LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ,12106.0,,1258.1276,10895.4,55
CPT,63052,PR LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM,2386.0,,189.8512,2147.4,53
CPT,63053,PR LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM,1877.0,,168.7004,1689.3,53
CPT,63055,PR TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,12537.0,,1214.354,13038.31,55
CPT,63056,PR TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,11526.0,,1111.0656,11958.21,55
CPT,63057,PR TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,4169.0,,236.578,4325.49,55
CPT,63064,PR COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG,19859.0,,1325.7568,16880.15,55
CPT,63066,PR COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG,3521.0,,151.7356,3624.91,55
CPT,63075,PR DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,11238.0,,1009.2584,10048.75,55
CPT,63076,PR DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,3249.0,,177.5508,3370.76,55
CPT,63077,PR DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC,13848.0,,1079.8408,11770.8,55
CPT,63078,PR DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC,3068.0,,152.72,3181.88,55
CPT,63081,PR VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG,15335.0,,1313.4656,13034.75,55
CPT,63082,PR VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG,4030.0,,195.7484,4007.81,55
CPT,63085,PR VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG,14699.0,,1446.01,12494.15,55
CPT,63086,PR VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG,3863.0,,140.9164,4007.81,55
CPT,63087,PR VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG,20800.0,,1797.9284,17680.0,55
CPT,63088,PR VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG,3732.0,,190.5872,3880.76,55
CPT,63090,PR VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG,14889.0,,1442.5692,12655.65,55
CPT,63091,PR VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG,3669.0,,128.616,3815.5,55
CPT,63101,PR VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG,14634.0,,1733.9884,13862.29,55
CPT,63102,PR VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG,14438.0,,1701.034,13862.29,55
CPT,63103,PR VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG,4405.0,,215.9148,4581.11,55
CPT,63170,PR LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR,9901.0,,1197.6376,9667.55,55
CPT,63172,PR LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID,10300.0,,1061.8824,10685.82,55
CPT,63173,PR LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL,11343.0,,1207.66,11767.62,55
CPT,63185,PR LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS,13350.0,,925.888,11347.5,55
CPT,63190,PR LAMINECTOMY W/RHIZOTOMY > 2 SEGMENTS,11130.0,,918.758,11575.3,55
CPT,63191,PR LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE,8760.0,,1019.26,8650.99,55
CPT,63197,PR LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC,10539.0,,1183.09,8966.94,55
CPT,63200,PR LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR,9810.0,,1033.02,10177.53,55
CPT,63250,PR LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL,20347.0,,2212.3056,17294.95,55
CPT,63251,PR LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC,20566.0,,2107.98,17481.1,55
CPT,63252,PR LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR,20562.0,,2261.728,17477.7,55
CPT,63265,PR LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL,13275.0,,1250.7492,11283.75,55
CPT,63266,PR LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC,11523.0,,1283.7036,10177.53,55
CPT,63267,PR LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR,11442.0,,1026.4716,9725.7,55
CPT,63268,PR LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL,9246.0,,1043.9,7859.1,55
CPT,63270,PR LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL,13380.0,,1503.3,11373.0,55
CPT,63271,PR LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC,13440.0,,1552.0032,11424.0,55
CPT,63272,PR LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR,15909.0,,1399.5316,13522.65,55
CPT,63273,PR LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL,12128.0,,1398.51,10308.8,55
CPT,63275,PR LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL,11822.0,,1347.156,11702.36,55
CPT,63276,PR LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC,12119.0,,1338.7932,11702.36,55
CPT,63277,PR LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR,12378.0,,1167.6272,10685.82,55
CPT,63278,PR LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL,10625.0,,1198.3736,9032.2,55
CPT,63280,PR LAM BX/EXC ISPI NEO IDRL XMED CERVICAL,24046.0,,1587.9108,20439.1,55
CPT,63281,PR LAM BX/EXC ISPI NEO IDRL XMED THORACIC,16722.0,,1574.8744,14213.7,55
CPT,63282,PR LAM BX/EXC ISPI NEO IDRL XMED LUMBAR,13637.0,,1484.374,13993.04,55
CPT,63283,PR LAM BX/EXC ISPI NEO IDRL SACRAL,12481.0,,1428.7968,10812.87,55
CPT,63285,PR LAM BX/EXC ISPI NEO IDRL IMED CERVICAL,20060.0,,1955.3128,17051.0,55
CPT,63286,PR LAM BX/EXC ISPI NEO IDRL IMED THORACIC,18410.0,,1923.3428,15648.5,55
CPT,63287,PR LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR,25801.0,,2049.7508,21930.85,55
CPT,63290,PR LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL,18660.0,,2084.1772,15861.0,55
CPT,63295,PR OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX,2656.0,,242.972,2390.4,55
CPT,63300,PR VCRPEC LES 1 SGM XDRL CERVICAL,7659.0,,1344.69,7886.86,55
CPT,63301,PR VCRPEC LES 1 SGM XDRL THORACIC TTHRC,7907.0,,1543.49,8142.72,55
CPT,63302,PR VCRPEC LES 1 SEG XDRL THRC THORACOLMBR,11632.0,,1616.06,9887.2,55
CPT,63303,PR VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR,19710.0,,1621.29,16753.5,55
CPT,63304,PR VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL,8034.0,,1664.54,8036.06,55
CPT,63305,PR VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC,8318.0,,1807.11,8320.65,55
CPT,63306,PR VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR,8607.0,,1772.31,8609.48,55
CPT,63307,PR VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR,7907.0,,1799.6488,8142.72,55
CPT,63308,PR VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG,2905.0,,236.3296,2735.42,55
CPT,63600,PR CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ,6394.0,,823.0964,6360.32,55
CPT,63610,PR STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG,4944.0,,430.8544,5087.91,55
CPT,63620,PR STEREOTACTIC RADIOSURGERY 1 SPINAL LESION,8244.0,,846.4552,7419.6,55
CPT,63621,PR STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION,2222.0,,186.4104,1999.8,55
CPT,63650,HC PERCU IMPLT ELC ARRY EPI,25490.0,,829.8,21921.4,85
CPT,63650,PR PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,7865.0,,305.4308,6685.25,55
CPT,63655,PR LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL,10275.0,,629.556,10685.82,55
CPT,63661,HC REM SPIN ELEC/ARRAY FLUOR,6157.0,,659.94,5295.02,85
CPT,63661,PR RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,2735.0,,244.6924,2461.5,55
CPT,63662,PR RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR,6097.0,,639.1516,5487.3,55
CPT,63663,HC REV SPIN ELEC/ARRAY FLUOR,6105.0,,912.34,7487.6845,85
CPT,63663,PR REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,4560.0,,333.4724,4104.0,55
CPT,63664,PR REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR,6450.0,,665.2152,5805.0,55
CPT,63685,HC INC&PLCT SPINL NEU GEN,43854.0,,697.6,37714.44,85
CPT,63685,PR INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ&CONNJ,3700.0,,252.8068,3848.14,55
CPT,63688,HC REV IMPL SPINAL NUER GEN,15135.0,,617.42,13016.1,85
CPT,63688,PR REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA,3858.0,,223.5416,3279.3,55
CPT,63700,PR REPAIR MENINGOCELE < 5 CM DIAMETER,6202.0,,937.19,5292.25,55
CPT,63702,PR REPAIR MENINGOCELE > 5 CM DIAMETER,8031.0,,1050.97,8269.79,55
CPT,63704,PR REPAIR MYELOMENINGOCELE < 5 CM DIAMETER,8646.0,,1186.46,8905.14,55
CPT,63706,PR REPAIR MYELOMENINGOCELE > 5 CM DIAMETER,8956.0,,1357.33,9222.81,55
CPT,63707,PR RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM,9174.0,,703.0824,9540.48,55
CPT,63709,PR RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM,9786.0,,833.6672,10177.53,55
CPT,63710,PR DURAL GRAFT SPINAL,8950.0,,786.78,8905.14,55
CPT,63740,PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM,7413.0,,744.1512,7632.72,55
CPT,63741,PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM,4873.0,,513.4796,4142.05,55
CPT,63744,PR RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT,3707.0,,515.6968,3815.5,55
CPT,63746,PR RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT,2781.0,,408.83,2862.49,55
CPT,64400,HC INJEC ANESTH TRIGEM NERV,975.0,,67.55,838.5,85
CPT,64400,PR INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH,799.0,,38.1156,831.09,55
CPT,64405,HC INJECTION(S) ANESTH AGENT(S)/STEROID OCCIP NERVE EA,975.0,,30.18,838.5,85
CPT,64405,PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE,627.0,,38.8516,652.52,55
CPT,64408,HC INJECTION ANES AGENT &/STEROID VAGUS NERVE,2574.0,,90.08,2213.64,85
CPT,64408,PR INJECTION AA&/STRD VAGUS NERVE,538.0,,32.9544,559.79,55
CPT,64415,HC INJECTION(S) ANESTH AGENT(S)/STEROID EA BRACH PLEXUS INCL IMAGE GUIDANCE,1892.0,,137.7,1627.12,85
CPT,64415,PR INJECTION AA&/STRD BRACHIAL PLEXUS W/IMG GDN,2126.0,,50.6552,1807.1,55
CPT,64416,HC INJECTION(S) ANESTH AGENT(S)/STEROID BRACHIAL PLEX CONT INFUS INCL IMAGE GUIDANCE,2340.0,,152.66,2012.4,85
CPT,64416,PR INJECTION AA&/STRD BRACH PLEX CONT NFS CATH IMG,2953.0,,56.074,2657.7,53
CPT,64417,HC INJECTION(S) ANESTH AGENT(S)/STEROID AXILLARY NERVE EA INCL IMAGE GUIDANCE,2486.0,,127.22,2137.96,85
CPT,64417,PR INJECTION AA&/STRD AXILLARY NERVE W/IMG GDN,2434.0,,46.7268,2068.9,53
CPT,64418,HC INJECTION(S) ANESTH AGENT(S)/STEROID SUPRASCAP NERVE EA,529.0,,38.76,829.3455,85
CPT,64418,PR INJECTION AA&/STRD SUPRASCAPULAR NERVE,627.0,,40.5812,652.52,55
CPT,64420,HC INJECTION(S) ANESTH AGENT(S)/STEROID INTERCOSTAL NERVE - SINGLE LVL,975.0,,115.27,838.5,85
CPT,64420,PR INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL,719.0,,42.5408,745.23,55
CPT,64421,HC INJECTION(S) ANESTH AGENT(S)/STEROID INTERCOSTAL NERVE - EA ADD'L LVL,1039.0,,49.52,1039.1745,85
CPT,64421,PR INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL,1463.0,,18.1976,1243.55,55
CPT,64425,HC INJECTION(S) ANESTH AGENT(S)/STEROID ILIOINGUIN/ILIOHYPOGAST NERVES,975.0,,61.74,838.5,85
CPT,64425,PR INJECTION AA&/STRD ILIOINGUINAL IH NERVES,1664.0,,39.836,1414.4,55
CPT,64430,HC INJECTION(S) ANESTH AGENT(S)/STEROID PUDENDAL BLOCK,2003.0,,109.27,1722.58,85
CPT,64430,PR INJECTION AA&/STRD PUDENDAL NERVE,581.0,,40.0844,604.43,55
CPT,64435,HC INJECTION(S) ANESTH AGENT(S)/STEROID PARACERVICAL NERVE,638.0,,43.19,829.3455,85
CPT,64435,PR INJECTION AA&/STRD PARACERVICAL NERVE,615.0,,34.425,559.79,55
CPT,64445,HC INJ ANS AGT SCIATIC NERV INCL IMAGE GUIDANCE,2384.0,,73.64,2050.24,85
CPT,64445,PR INJECTION AA&/STRD SCIATIC NERVE W/IMG GDN,1738.0,,52.624,1477.3,53
CPT,64446,HC INJ ANES SCIATNRV CNT INF INCL IMAGE GUIDANCE,3027.0,,149.39,2603.22,85
CPT,64446,PR INJECTION AA&/STRD SCIATIC NRV CONT NFS CATH IMG,2776.0,,54.8412,2498.4,53
CPT,64447,HC INJ ANS AGT FEMORAL NERVE INCL IMAGE GUIDANCE,2437.0,,39.86,2095.82,85
CPT,64447,PR INJECTION AA&/STRD FEMORAL NERVE W/IMG GDN,2093.0,,45.9908,1883.7,55
CPT,64448,HC INJ ANES FEM NRV CONT INF INCL IMAGE GUIDANCE,2340.0,,142.61,2012.4,85
CPT,64448,PR INJECTION AA&/STRD FEM NRV CONT NFS CATH IMG GDN,3348.0,,52.3848,3013.2,53
CPT,64449,PR INJECTION AA&/STRD LUMBAR PLEXUS CONT NFS CATH,1403.0,,46.4784,1454.67,55
CPT,64450,HC INJ ANS AG OTR PERIP NEV,1076.0,,39.31,925.36,85
CPT,64450,PR INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH,1022.0,,30.7372,868.7,55
CPT,64451,HC INJECTION AA&/STRD NERVES NRVTG SACROILIAC JOINT W/IMG,3207.0,,161.9,2758.02,85
CPT,64451,PR INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG,871.0,,59.7632,783.9,55
CPT,64454,HC INJECTION AA&/STRD GENICULAR NERVE BRANCHES W/IMG,3207.0,,139.81,2758.02,83
CPT,64454,PR INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG,1009.0,,60.2508,908.1,55
CPT,64455,HC INJ ANS AG PLANTAR DIGIT,887.0,,17.99,762.82,85
CPT,64455,PR NJX AA&/STRD PLANTAR COMMON DIGITAL NERVES,387.0,,24.3432,348.3,55
CPT,64461,HC PARAVERTEBRAL BLOCK (PVB) THORACIC SINGLE INJ ST INCL IMG,2223.0,,154.83,1911.78,85
CPT,64461,PR PVB THORACIC SINGLE INJECTION SITE W/IMG GID,980.0,,56.81,882.0,55
CPT,64462,HC PARAVERTEBRAL BLOCK (PVB) THORACIC 2ND INJ & ANY ADD'L INC IMG,1096.0,,95.62,942.56,84
CPT,64462,PR PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID,642.0,,35.1624,577.8,55
CPT,64463,PR PVB THORACIC CONT CATHETER INFUSION W/IMG GID,1070.0,,59.2664,963.0,55
CPT,64466,HC THORACIC FASCIAL PLANE BLOCK UNILATERAL INJECTION,865.0,,242.2,743.9,83
CPT,64466,PR THORACIC FASCIAL PLANE BLOCK UNI INJECTION,867.0,,48.4472,780.3,55
CPT,64467,PR THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION,1005.0,,55.8256,904.5,55
CPT,64468,HC THORACIC FASCIAL PLANE BLOCK BILATERAL INJECTION,713.0,,199.64,613.18,83
CPT,64468,PR THORACIC FASCIAL PLANE BLOCK BI INJECTION,966.0,,53.8568,869.4,55
CPT,64469,PR THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION,1058.0,,58.5304,952.2,55
CPT,64473,"HC LOWER EXTREMITY FASCIAL PLANE BLOCK UNILAT, BY INJECTION",2444.0,,684.32,2101.84,83
CPT,64473,PR LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION,775.0,,43.286,697.5,55
CPT,64474,PR LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION,966.0,,53.8568,869.4,55
CPT,64479,HC INJ ANS EPI CER/TH 1LVL,975.0,,258.71,1039.1745,85
CPT,64479,PR NJX AA&/STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL,1347.0,,95.6616,1144.95,53
CPT,64480,HC INJ AN EPI CV/TH-EA ADD,975.0,,120.79,838.5,84
CPT,64480,PR NJX AA&/STRD TFRML EPI CERVICAL/THORACIC EA ADDL,841.0,,44.5096,714.85,53
CPT,64483,HC INJ ANS EPI LUM/SAC 1LVL,1076.0,,220.78,1039.1745,85
CPT,64483,PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL,1282.0,,81.65,1089.7,53
CPT,64484,HC INJ AN EPI LU/SAC-EA ADD,975.0,,102.28,838.5,84
CPT,64484,PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL EA ADDL,722.0,,37.628,613.7,53
CPT,64486,HC TAP BLOCK UNILAT-INJECTNS,975.0,,41.42,838.5,84
CPT,64486,HC TAP BLOCK UNILATERAL BY INJECTION(S),937.0,,41.42,805.82,84
CPT,64486,PR TAP BLOCK UNILATERAL BY INJECTION(S),879.0,,40.0844,791.1,55
CPT,64487,PR TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S),932.0,,45.9908,838.8,55
CPT,64488,HC TAP BLOCK BILAT-INJECTNS,1320.0,,51.26,1135.2,84
CPT,64488,HC TAP BLOCK BILATERAL BY INJECTION(S),1266.0,,51.26,1088.76,84
CPT,64488,PR TAP BLOCK BILATERAL BY INJECTION(S),1308.0,,49.81,1177.2,55
CPT,64489,PR TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S),1443.0,,56.074,1298.7,55
CPT,64490,HC INJ AN FACET CV/THR 1LVL,2266.0,,209.08,1948.76,85
CPT,64490,PR NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,1329.0,,77.2156,1196.1,55
CPT,64491,HC INJ AN FACET CV/THR 2LVL,1179.0,,117.79,1013.94,84
CPT,64491,PR NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,947.0,,43.286,852.3,55
CPT,64492,HC INJ AN FACET CV/TH >3LVL,1179.0,,119.73,1013.94,84
CPT,64492,PR NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,643.0,,44.022,578.7,55
CPT,64493,HC INJ AN FACET LU/SC 1LVL,2266.0,,179.63,1948.76,85
CPT,64493,PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,1073.0,,66.3964,965.7,55
CPT,64494,HC INJ AN FACET LU/SC 2LVL,1179.0,,100.99,1013.94,84
CPT,64494,PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,715.0,,37.1312,643.5,55
CPT,64495,HC INJ AN FACET LU/SC >3LVL,1179.0,,102.93,1013.94,84
CPT,64495,PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,576.0,,37.8672,518.4,55
CPT,64505,HC INJEC ANESTH SPENO GANG,638.0,,70.6,548.68,85
CPT,64505,PR INJECTION ANES AGENT SPHENOPALATINE GANGLION,773.0,,61.82,803.63,55
CPT,64510,HC INJ ANS AGT STELLT GANG,975.0,,152.76,1039.1745,85
CPT,64510,PR NJX ANES STELLATE GANGLION CRV SYMPATHETIC,1252.0,,56.5616,1301.6,55
CPT,64517,HC INJEC ANES SUP HYPO PLEX,932.0,,249.71,1039.1745,85
CPT,64517,PR INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,2958.0,,99.229,2666.49,55
CPT,64520,HC INJ ANES AGENT LUM/THOR,932.0,,168.64,1039.1745,85
CPT,64520,PR INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,1250.0,,62.468,1208.87,55
CPT,64530,HC INJ ANES CELIAC PLEX,975.0,,187.43,1039.1745,85
CPT,64530,PR INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,1552.0,,69.3496,1533.42,55
CPT,64553,PR PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE,3608.0,,103.88,3066.8,55
CPT,64555,HC PRECU IMPL NERO ELE CRAN,13618.0,,646.37,11711.48,85
CPT,64555,PR PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,3233.0,,83.89,2748.05,55
CPT,64561,HC IMP NEUROSTM SACRAL NRV,17239.0,,609.19,14825.54,85
CPT,64561,PR PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING,2998.0,,222.8056,2548.3,55
CPT,64566,PR POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE,355.0,,23.001,319.5,47
CPT,64568,PR OPEN IMPLANTATION CRANIAL NERVE NEA & PULSE GEN,4404.0,,448.316,3963.6,55
CPT,64569,PR REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV,5609.0,,577.4196,5048.1,55
CPT,64570,PR REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO,4643.0,,555.7812,4178.7,55
CPT,64575,HC INC IMPL PERIPHERAL NER,20271.0,,636.15,17433.06,85
CPT,64575,PR OPEN IMPLANTATION NEA PERIPHERAL NERVE,1979.0,,233.1372,1682.15,55
CPT,64580,PR OPEN IMPLANTATION NEA NEUROMUSCULAR,1979.0,,220.45,1682.15,55
CPT,64581,PR OPEN IMPLANTATION NEA SACRAL NERVE,6198.0,,482.494,5268.3,55
CPT,64585,PR REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY,1254.0,,94.57,1116.15,55
CPT,64590,PR INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ&CONN,1966.0,,143.33,1671.1,55
CPT,64595,PR REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA,1710.0,,94.96,1453.5,55
CPT,64600,HC DEST NEU TRIG NERV SUPAOR,3439.0,,340.77,2957.54,85
CPT,64600,PR DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,1099.0,,161.29,982.2,55
CPT,64605,HC 2ND & 3RD DIV FORAM OVAL,3439.0,,659.94,2957.54,85
CPT,64605,PR DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,1563.0,,227.38,1607.26,55
CPT,64610,HC 2ND&3RD DIV OVAL W/RAD,3439.0,,659.94,2957.54,85
CPT,64610,PR DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR,3284.0,,357.3188,2791.4,55
CPT,64611,HC CHEMODENRV SALVI GLANDS,669.0,,67.55,575.34,85
CPT,64611,PR CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS,526.0,,84.3548,473.4,55
CPT,64612,HC CHEMODENRV MUS INNRV FAC,737.0,,64.78,633.82,85
CPT,64612,PR CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL,1529.0,,88.5316,1590.08,55
CPT,64615,HC CHMDNRVTN MUSC SPNL BLAT,1104.0,,59.25,949.44,85
CPT,64615,PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,969.0,,90.988,872.1,55
CPT,64616,HC CHEMODNRV NCK WO LRYN UNI,1142.0,,57.3,982.12,85
CPT,64616,PR CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,841.0,,81.4016,756.9,55
CPT,64617,HC CHEMODENRV MUS LRYN EMG,1202.0,,74.47,1033.72,85
CPT,64617,PR CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG,1045.0,,79.6812,940.5,55
CPT,64620,HC DESTR-NEUROL INTRCST NRV,2810.0,,340.77,2416.6,85
CPT,64620,PR DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,1556.0,,122.72,1322.6,55
CPT,64624,HC DESTRUCTION NEUROLYTIC AGENT GENICULAR NERVE W/IMG GUID,4500.0,,659.94,3870.0,83
CPT,64624,PR DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG,1704.0,,107.2168,1533.6,55
CPT,64625,HC RADIOFREQUENCY ABLATION NERVES INNRVAT SI JOINT W IMAGE GUIDE,5029.0,,659.94,4324.94,83
CPT,64625,PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN,1995.0,,143.6212,1795.5,55
CPT,64628,PR THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC,3963.0,,304.2072,3566.7,53
CPT,64629,PR THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC,2089.0,,143.8604,1880.1,53
CPT,64630,HC DSTRCTV NEURO PUDNDL BLOK,3007.0,,340.77,2586.02,85
CPT,64630,PR DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE,1297.0,,141.1556,1260.38,55
CPT,64632,PR DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE,595.0,,49.4316,535.5,55
CPT,64633,HC DES FCT NRV C/T 1LVL W GD,4517.0,,381.97,3884.62,85
CPT,64633,PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,2013.0,,141.1556,1811.7,55
CPT,64634,HC DES FCT NRV C/T EA AD WGD,2787.0,,133.04,2396.82,84
CPT,64634,PR DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,872.0,,48.9348,784.8,55
CPT,64635,HC DEST FCT JTNV L/S-1LV WGD,5189.0,,382.61,4462.54,85
CPT,64635,PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,1950.0,,141.404,1755.0,55
CPT,64636,HC DES FC JTNV L/S-EA ADLVGD,2787.0,,116.24,2396.82,84
CPT,64636,PR DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,806.0,,42.7892,725.4,55
CPT,64640,HC DEST OTH PERIPH NERV,1618.0,,145.34,1391.48,85
CPT,64640,PR DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE,1310.0,,87.5472,1113.5,55
CPT,64642,HC CHEMODNRV 1EXTRM 1-4MUSCS,1142.0,,68.66,982.12,85
CPT,64642,PR CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,909.0,,79.1844,818.1,55
CPT,64643,HC CHEMODNRV ADD EXTR1-4MSCS,1142.0,,142.32,982.12,84
CPT,64643,PR CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,618.0,,51.4004,556.2,55
CPT,64644,HC CHEMODNRV 1EXTRM 5+ MUSCS,1142.0,,85.54,982.12,85
CPT,64644,PR CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES,921.0,,92.497,828.9,55
CPT,64645,HC CHEMODNRV ADD EXTR 5+MUSC,1142.0,,166.79,982.12,84
CPT,64645,PR CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES,705.0,,59.7632,634.5,55
CPT,64646,HC CHEMODNRV TRNK 1-5 MUSCLS,1142.0,,68.66,982.12,85
CPT,64646,PR CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES,1011.0,,85.8268,909.9,55
CPT,64647,HC CHEMODNRV TRNK 6+ MUSCLS,1142.0,,75.3,982.12,85
CPT,64647,PR CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES,1120.0,,98.8632,1008.0,55
CPT,64650,HC CHEMODENRV ECC GLAND AXIL,659.0,,50.66,566.74,85
CPT,64650,PR CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE,392.0,,29.6735,367.96,55
CPT,64653,HC CHEMODENRV ECC GLAND OTH,696.0,,57.86,598.56,83
CPT,64653,PR CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY,493.0,,38.1156,462.41,55
CPT,64680,HC DEST CELIAC PLX W/WO RAD,2810.0,,318.49,2416.6,85
CPT,64680,PR DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,2261.0,,117.7968,1921.85,55
CPT,64681,HC SUPERIOR HYPOGAST PLEX,3439.0,,340.77,2957.54,85
CPT,64681,PR DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS,3458.0,,160.3376,3390.15,55
CPT,64702,PR NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT,10276.0,,286.95,8734.6,55
CPT,64704,PR NEUROPLASTY NERVE HAND/FOOT,3233.0,,241.9876,3362.18,55
CPT,64708,PR NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,5389.0,,380.4384,5604.76,55
CPT,64712,PR NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,6287.0,,444.13,6538.9,55
CPT,64713,PR NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS,6712.0,,597.3376,6911.52,55
CPT,64714,PR NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS,5219.0,,556.47,5137.71,55
CPT,64716,PR NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE,5676.0,,365.48,6071.84,55
CPT,64718,PR NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW,4928.0,,431.77,6071.84,55
CPT,64719,PR NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST,3907.0,,306.4152,4062.78,55
CPT,64721,PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE,4131.0,,310.16,4296.3,55
CPT,64722,PR DECOMPRESSION UNSPECIFIED NERVE,4131.0,,277.886,4296.3,55
CPT,64726,PR DECOMPRESSION PLANTAR DIGITAL NERVE,2400.0,,147.73,2040.0,55
CPT,64727,PR INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE,1740.0,,126.463,1479.0,55
CPT,64732,PR TRANSECTION/AVULSION SUPRAORBITAL NERVE,2725.0,,295.92,2804.1,55
CPT,64734,PR TRANSECTION/AVULSION INFRAORBITAL NERVE,2235.0,,318.0,1899.75,55
CPT,64736,PR TRANSECTION/AVULSION MENTAL NERVE,3267.0,,245.18,3362.18,55
CPT,64738,PR TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO,3992.0,,331.9912,4109.14,55
CPT,64740,PR TRANSECTION/AVULSION LINGUAL NERVE,5165.0,,338.882,5137.71,55
CPT,64742,PR TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL,5165.0,,357.98,5137.71,55
CPT,64744,PR TRANSECTION/AVULSION GREATER OCCIPITAL NERVE,3177.0,,382.5,3269.45,55
CPT,64746,PR TRANSECTION/AVULSION PHRENIC NERVE,2351.0,,319.2032,2337.05,55
CPT,64755,PR TRANSECTION/AVULSION VAGUS NERVES,9979.0,,681.444,10275.41,55
CPT,64760,PR TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL,6349.0,,387.8168,6538.9,55
CPT,64763,PR TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY,2725.0,,383.64,2804.1,55
CPT,64766,PR TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY,4227.0,,473.1468,4203.58,55
CPT,64771,PR TRANSECTION/AVULSION OTH CRANIAL NRV XDRL,5697.0,,430.606,4842.45,55
CPT,64772,PR TRANSECTION/AVULSION OTH SPINAL NRV XDRL,3824.0,,416.346,3250.4,55
CPT,64774,PR EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE,2805.0,,256.87,2384.25,55
CPT,64776,PR EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT,2179.0,,254.89,2242.6,55
CPT,64778,PR EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT,888.0,,131.5692,911.81,55
CPT,64782,PR EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE,3224.0,,339.1212,2991.27,55
CPT,64783,PR EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT,1455.0,,156.8968,1495.65,55
CPT,64784,PR EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,5270.0,,506.24,4479.5,55
CPT,64786,PR EXCISION NEUROMA SCIATIC NERVE,6079.0,,743.912,6257.28,55
CPT,64787,PR IMPLANTATION NERVE END BONE/MUSCLE,3144.0,,170.6692,3269.45,55
CPT,64788,HC EXC NEUROFIBROM; CUTANEOUS NERVE,6875.0,,659.94,5912.5,85
CPT,64788,PR EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV,3233.0,,270.66,3362.18,55
CPT,64790,PR EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV,5527.0,,607.4,5137.71,55
CPT,64792,PR EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV,6103.0,,791.3,6071.84,55
CPT,64795,HC BIOPSY OF NERVE,3207.0,,403.91,2758.02,85
CPT,64795,PR BIOPSY NERVE,1801.0,,144.1088,1868.26,55
CPT,64802,PR SYMPATHECTOMY CERVICAL,6579.0,,485.37,6772.43,55
CPT,64804,PR SYMPATHECTOMY CERVICOTHORACIC,9614.0,,897.6072,9901.09,55
CPT,64809,PR SYMPATHECTOMY THORACOLUMBAR,9343.0,,820.3916,9621.19,55
CPT,64818,PR SYMPATHECTOMY LUMBAR,6806.0,,578.404,7005.97,55
CPT,64820,PR SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT,3358.0,,571.274,3456.62,55
CPT,64831,PR SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE,5077.0,,406.5,4315.45,55
CPT,64832,PR SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV,2270.0,,219.82,2337.05,55
CPT,64834,PR SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE,3722.0,,432.16,3830.96,55
CPT,64835,PR SUTURE 1 NERVE MEDIAN MOTOR THENAR,3903.0,,552.09,4016.4,55
CPT,64836,PR SUTURE 1 NERVE ULNAR MOTOR,4536.0,,583.73,4670.64,55
CPT,64837,PR SUTURE EACH ADDITIONAL NERVE HAND/FOOT,2399.0,,264.8588,2337.05,55
CPT,64840,PR SUTURE POSTERIOR TIBIAL NERVE,5443.0,,714.15,5604.76,55
CPT,64856,PR SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS,15196.0,,725.26,12916.6,55
CPT,64857,PR SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS,5443.0,,778.826,5604.76,55
CPT,64858,PR SUTURE SCIATIC NERVE,6349.0,,869.0872,6538.9,55
CPT,64859,PR SUTURE EACH ADDITIONAL PERIPHERAL NERVE,2814.0,,180.0164,2896.83,55
CPT,64861,PR SUTURE BRACHIAL PLEXUS,6349.0,,1043.98,6538.9,55
CPT,64862,PR SUTURE LUMBAR PLEXUS,7983.0,,1013.6836,8219.99,55
CPT,64864,PR SUTURE FACIAL NERVE EXTRACRANIAL,6706.0,,634.2296,6351.73,55
CPT,64865,PR SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT,7711.0,,801.458,7940.09,55
CPT,64866,PR ANASTOMOSIS FACIAL-SPINAL ACCESSORY,10883.0,,892.25,11207.82,55
CPT,64868,PR ANASTOMOSIS FACIAL HYPOGLOSSAL,11266.0,,735.3008,11207.82,55
CPT,64872,PR SUTURE NERVE REQ SECONDARY/DELAYED SUTURE,853.0,,84.1064,875.75,55
CPT,64874,PR SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE,1362.0,,126.1596,1399.47,55
CPT,64876,PR SUTURE NERVE REQ SHORTENING BONE EXTREMITY,1401.0,,142.876,1440.68,55
CPT,64885,PR NERVE GRAFT HEAD/NECK < 4 CM,7628.0,,793.0952,7589.79,55
CPT,64886,PR NERVE GRAFT HEAD/NECK >4 CM,13142.0,,949.256,11170.7,55
CPT,64890,PR NERVE GRAFT 1 STRAND HAND/FOOT <4 CM,5895.0,,798.5048,6071.84,55
CPT,64891,PR NERVE GRAFT 1 STRAND HAND/FOOT >4 CM,7513.0,,848.9208,7473.02,55
CPT,64892,PR NERVE GRAFT 1 STRAND ARM/LEG <4 CM,5503.0,,777.354,5666.59,55
CPT,64893,PR NERVE GRAFT 1 STRAND ARM/LEG >4 CM,6775.0,,828.506,6975.05,55
CPT,64895,PR NERVE GRAFT MLT STRANDS HAND/FOOT <4 CM,8889.0,,977.2884,9154.12,55
CPT,64896,PR NERVE GRAFT MLT STRANDS HAND/FOOT > 4 CM,10883.0,,1054.2648,11207.82,55
CPT,64897,PR NERVE GRAFT MLT STRANDS ARM/LEG <4 CM,8889.0,,934.7476,9154.12,55
CPT,64898,PR NERVE GRAFT MLT STRANDS ARM/LEG >4 CM,11266.0,,1012.2116,11207.82,55
CPT,64901,PR NERVE GRAFT EACH NERVE 1 STRAND,3760.0,,432.3264,3196.0,55
CPT,64902,PR NERVE GRAFT EACH NERVE MULTIPLE STRANDS,4602.0,,500.204,4577.93,55
CPT,64905,PR NERVE PEDICLE TRANSFER FIRST STAGE,8376.0,,735.29,7119.6,55
CPT,64907,PR NERVE PEDICAL TRANSFER SECOND STAGE,12247.0,,959.0908,10409.95,55
CPT,64910,PR NERVE REPAIR W/CONDUIT EACH NERVE,5785.0,,565.1284,5899.63,55
CPT,64911,PR NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE,7625.0,,758.172,7478.18,55
CPT,64912,PR NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND,6468.0,,662.998,5821.2,55
CPT,64913,PR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND,1737.0,,125.9112,1563.3,55
CPT,64999,HC INJECTION(S) ANESTH AGENT(S)/CERVICAL PLEX - UNLISTED EA,638.0,,178.64,548.68,83
CPT,64999,HC INJECTION(S) ANESTH AGENT(S)/FACIAL NERVE - UNLISTED EA,638.0,,178.64,548.68,83
CPT,64999,HC PUDENDAL NERVE CRYOABLATION,8166.0,,360.64,7022.76,83
CPT,64999,HC UNLISTED PROCEDURE MOTOR FUNCTION MAPPING NAVIGATED TMS TX PLAN,4201.0,,360.64,3612.86,83
CPT,64999,HC UNLISTED PROCEDURE NERVOUS SYSTEM - ERECTOR SPINAE BLOCK,936.0,,262.08,804.96,83
CPT,64999,"HC UNLISTED PX NERVOUS SYSTEM, IMAGE-GUIDED TARLOV CYST ASPIRATION AND FIBRIN EMBOLIZATION",9859.0,,360.64,8478.74,83
CPT,64999,HC UNLISTED PX PERCUTANEOUS NERVE BIOPSY,8006.0,,360.64,6885.16,83
CPT,64999,"HC UNLISTED PX, BILATERAL PEC II BLOCK",735.0,,205.8,632.1,83
CPT,64999,"HC UNLISTED PX, GANGLION IMPAR BLOCK",825.0,,231.0,709.5,83
CPT,64999,PR ENDOSCOPIC ENDONASAL REPAIR OF SKULL BASE CSF LEAK,5795.0,,3477.0,5795.38,28
CPT,64999,PR NEURORRHAPHY/SUTURE REPAIR MOTOR NERVE LOWER LEG,3903.0,,2341.8,5795.38,28
CPT,64999,"PR RESECTION OR EXCISION OF  LESION OF BASE OF POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN, FORAMEN MAGNUM, OR C1-C3 VERTEBRAL BODIES; INTRADURAL, INCLUDING DURAL REPAIR, W/O  GRAFT",21558.0,,5795.38,18324.3,28
CPT,64999,PR RESECTION OR EXCISION OF LESION OF BASE OF ANTERIOR CRANIAL FOSSA; EXTRADURAL,13447.0,,5795.38,11429.95,28
CPT,64999,"PR RESECTION OR EXCISION OF LESION OF BASE OF ANTERIOR CRANIAL FOSSA; INTRADURAL, INCLUDING DURAL REPAIR, WITH OR WITHOUT GRAFT",14822.0,,5795.38,12598.7,28
CPT,64999,"PR RESECTION OR EXCISION OF LESION OF BASE OF POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN, FORAMEN MAGNUM, OR C1-C3 VERTEBRAL BODIES; EXTRADURAL",15164.0,,5795.38,12889.4,28
CPT,64999,"PR RESECTION OR EXCISION OF LESION OF INFRATEMPORAL FOSSA, PARAPHARYNGEAL SPACE, PETROUS APEX; EXTRADURAL",13839.0,,5795.38,11763.15,28
CPT,64999,"PR RESECTION OR EXCISION OF LESION OF INFRATEMPORAL FOSSA, PARAPHARYNGEAL SPACE, PETROUS APEX; INTRADURAL, INCLUDING DURAL REPAIR, WITH OR WITHOUT GRAFT",18477.0,,5795.38,15705.45,28
CPT,64999,"PR RESECTION OR EXCISION OF LESION OF PARASELLAR AREA, CAVERNOUS SINUS, CLIVUS OR MIDLINE SKULL BASE; EXTRADURAL",18974.0,,5795.38,16127.9,28
CPT,64999,"PR RESECTION OR EXCISION OF LESION OF PARASELLAR AREA, CAVERNOUS SINUS, CLIVUS OR MIDLINE SKULL BASE; INTRADURAL, INCLUDING DURAL REPAIR, WITH OR WITHOUT GRAFT",20095.0,,5795.38,17080.75,28
CPT,64999,PR UNLISTED PROCEDURE BRAIN ABLATION EACH ADDITIONAL LESION,6922.0,,4153.2,5883.7,28
CPT,64999,"PR UNLISTED PROCEDURE EACH ADDITIONAL LEVEL RADIOFREQENCY DENERVATION, CERVICAL/THORACIC",669.0,,401.4,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE EACH ADDITIONAL LEVEL/LUMBAR/SACRAL RADIOFREQUENCY DENERVATION,591.0,,354.6,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE ENDOSCOPIC RESECTION OF ANTERIOR EXTRADURAL SKULL BASE TUMOR,13447.0,,5795.38,11429.95,28
CPT,64999,"PR UNLISTED PROCEDURE ERECTOR SPINAE BLOCK, ADDITIONAL SITE",1768.0,,1060.8,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE GREATER OCCIPITAL NERVE RADIOFREQUENCY ABLATION, PULSED OR NON PULSED",1585.0,,951.0,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE LATERAL EXTRACAVITARY TYPE APPROACH TO CERVICAL SPINE FOR VERTEBRECTOMY,14133.0,,5795.38,12013.05,28
CPT,64999,PR UNLISTED PROCEDURE MOTOR FUNCTION MAPPING NAVIGATED TMS TX PLAN,1234.0,,740.4,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (APPLICATION OF QUTENZA PATCH),529.0,,317.4,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (DYE STUDY FOR SPINAL INTRATHECAL PUMP),802.0,,481.2,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (ENDOSCOPIC BIOPSY OF NERVE),1817.0,,1090.2,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (ENDOSCOPIC DISSECTION OF PTERYGOMAXILLARY SPACE FOR BIOPSY),8098.0,,4858.8,6883.3,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (FEMORAL CUTANEOUS NERVE RADIOFREQUENCY ABLATION),1585.0,,951.0,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (GANGLION IMPAR SYMPATHETIC BLOCK),1585.0,,951.0,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (GASSERIAN GANGLION RADIOFREQUENCY ABLATION),955.0,,573.0,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (GLOSSOPHARYNGEAL NERVE RADIOFREQUENCY ABLATION),852.0,,511.2,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (INTERCOSTAL NERVE PULSED RADIOFREQUENCY ABLATION),1173.0,,703.8,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE NERVOUS SYSTEM (NERVE ANASTOMOSIS, FREE ALT)",2504.0,,1502.4,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (NEUROABLATION OF SPINE),13839.0,,5795.38,11763.15,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (QUTENZA PAIN PATCH),554.0,,332.4,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (SENSORY NEURORRHAPHY),4618.0,,2770.8,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (SPHENOPALATINE GANGLION BLOCK),1033.0,,619.8,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (SUPRASCAPULAR NERVE PULSED RADIOFREQUENCY),1585.0,,951.0,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE NERVOUS SYSTEM (TRIGEMINAL NERVE, PULSED FREQUENCY)",1738.0,,1042.8,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM (VIDEO ASSISTED THORASCOPIC EXCISION OF THORACIC INLET),11920.0,,5795.38,10132.0,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM - ERECTOR SPINAE BLOCK,689.0,,413.4,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE NERVOUS SYSTEM BILATERAL  PENG BLOCK,942.0,,565.2,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE NERVOUS SYSTEM SURGERY, BIOPSY OF INTERVERTEBRAL DISC",1768.0,,1060.8,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE NERVOUS SYSTEM SURGERY, CT GUIDED PERCUTANEOUS SPINAL LESION CREATION WITH STIMULATION",5605.0,,3363.0,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE NERVOUS SYSTEM, INJECT NERV BLCK,CERV PLEXUS",1951.0,,1170.6,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE NERVOUS SYSTEM, INJECT NERV BLCK,FACIAL NERV",1239.0,,743.4,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE NERVOUS SYSTEM, NERVE BIOPSY",604.0,,362.4,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE PULSED RADIOFREQUENCY ABLATION OF THE GREATER OCCIPITAL NERVE,1585.0,,951.0,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE PULSED RADIOFREQUENCY DENERVATION, PULSED OR NON PULSED, LUMBAR/SACRAL",1913.0,,1147.8,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE RADIOFREQUENCY DENERVATION, PULSED OR NON PULSED, CERVICAL/THORACIC",1944.0,,1166.4,5795.38,28
CPT,64999,"PR UNLISTED PROCEDURE SPHENOPALATINE GANGLION BLOCK, APPLICATION OF ANESTHETIC AGENT (NON-INJECTED)",1033.0,,619.8,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE SPINAL ABLATION EACH ADDITIONAL LESION,6922.0,,4153.2,5883.7,28
CPT,64999,PR UNLISTED PROCEDURE SURAL NERVE GRAFT-BILATERAL,5002.0,,3001.2,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE SURAL NERVE GRAFT-UNILATERAL,2504.0,,1502.4,5795.38,28
CPT,64999,PR UNLISTED PROCEDURE THERMAL ABLATION OF BRAIN LESION WITH VISUALASE OR NEURO-BLATE SYSTEM,13839.0,,5795.38,11763.15,28
CPT,64999,PR UNLISTED PX IMPLANTATION OF NERVE INTO MUSCLE GRAFT (RPNI),2521.0,,1512.6,5795.38,28
CPT,64999,"PR UNLISTED PX NERVOUS SYSTEM LAPAROSCOPIC ALLOGRAFT, EACH NERVE, FIRD",7059.0,,4235.4,6000.15,28
CPT,64999,"PR UNLISTED PX NERVOUS SYSTEM, IMAGE-GUIDED TARLOV CYST ASPIRATION ANN",409.0,,245.4,5795.38,28
CPT,64999,"PR UNLISTED PX NERVOUS SYSTEM, QUADRATUS LUMBORUM BY CONTINUOUS CATHETER, BILATERAL",1061.0,,636.6,5795.38,28
CPT,64999,"PR UNLISTED PX NERVOUS SYSTEM; NERVE COAPTATION, BRACHIAL PLEXUS",6349.0,,3809.4,5795.38,28
CPT,64999,"PR UNLISTED PX NERVOUS SYSTEM; NERVE COAPTATION, FACIAL",6706.0,,4023.6,5795.38,28
CPT,64999,"PR UNLISTED PX NERVOUS SYSTEM; NERVE COAPTATION, HAND/FOOT NERVE",5781.0,,3468.6,5795.38,28
CPT,64999,PR UNLISTED PX PUDENDAL NERVE CRYOABLATION,3714.0,,2228.4,5795.38,28
CPT,64999,PR VENTRICULOSTOMY/OMMYA REMOVAL,629.0,,377.4,5795.38,28
CPT,65091,PR EVISCERATION OCULAR CONTENTS W/O IMPLANT,4706.0,,431.63,4208.73,55
CPT,65093,PR EVISCERATION OCULAR CONTENTS W/IMPLANT,5135.0,,460.82,4593.37,55
CPT,65101,PR ENUCLEATION OF EYE W/O IMPLANT,5462.0,,468.61,4642.7,55
CPT,65103,PR ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT,5135.0,,504.53,4593.37,55
CPT,65105,PR ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT,6643.0,,565.29,5646.55,55
CPT,65110,PR EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY,9298.0,,939.43,7903.3,55
CPT,65112,PR EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE,9625.0,,908.08,8611.49,55
CPT,65114,PR EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP,10626.0,,995.06,9032.1,55
CPT,65125,PR MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX,1340.0,,174.35,1378.88,55
CPT,65130,PR INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL,4706.0,,477.83,4208.73,55
CPT,65135,PR INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED,5349.0,,399.57,4783.98,55
CPT,65140,PR INSJ OC IMPLT AFTER ENCL MUSC ATTACHED,6417.0,,443.93,5740.43,55
CPT,65150,PR REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT,4706.0,,423.77,4208.73,55
CPT,65155,PR REINSERTION OCULAR IMPLT RNFCMT &/ ATTACH MUSCLE,6417.0,,591.75,5740.43,55
CPT,65175,PR REMOVAL OCULAR IMPLANT,3424.0,,417.88,3063.38,55
CPT,65205,"HC REMOVE FB,EXT CONJUC,SUPF",563.0,,56.75,484.18,85
CPT,65205,PR REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL,497.0,,21.0035,475.78,55
CPT,65210,PR RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR,636.0,,25.9505,540.6,55
CPT,65220,"HC REMOVE FB, CORNEA,WO SLIT",618.0,,82.41,531.48,85
CPT,65220,PR RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP,641.0,,33.1245,640.84,55
CPT,65222,HC REMOVE FB CORNEA W/SLIT,563.0,,98.27,484.18,85
CPT,65222,PR RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP,516.0,,36.023,516.26,55
CPT,65235,PR RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS,5563.0,,410.32,4974.57,55
CPT,65260,PR RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE,5563.0,,610.7,4974.57,55
CPT,65265,PR RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ,6417.0,,705.18,5740.43,55
CPT,65270,PR RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR,649.0,,95.28,551.65,55
CPT,65272,PR RPR LAC CJNC MOBLJ& REARGMT W/O HOSPITALIZATION,1096.0,,167.42,1094.29,55
CPT,65273,PR RPR LAC CJNC MOBLJ & REARGMT W/HOSPIZATION,1286.0,,237.63,1205.1,55
CPT,65275,PR RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY,1419.0,,178.39,1417.39,55
CPT,65280,PR RPR LAC CORNEA&/SCLERA PERFOR X INVG UVEAL TIS,5135.0,,488.9625,4593.37,55
CPT,65285,PR RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ UVEAL T,6846.0,,789.65,6123.36,55
CPT,65286,PR RPR LAC APPL TISSUE GLUE WOUND CORNEA&/SCLERA,2827.0,,322.23,2402.95,55
CPT,65290,PR RPR WND EXTRAOCULAR MUSCLE TENDON&/TENON CAPSU,3424.0,,358.462,2910.4,55
CPT,65400,PR EXCISION LESION CORNEA XCP PTERYGIUM,2953.0,,395.12,2682.18,55
CPT,65410,PR BIOPSY CORNEA,508.0,,74.8255,431.8,55
CPT,65420,PR EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT,2048.0,,266.22,2105.23,55
CPT,65426,PR EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG,2792.0,,350.1888,2872.79,55
CPT,65430,PR CORNEA SCRAPING DIAGNOSTIC SMEAR &/CULTURE,792.0,,61.19,728.5,55
CPT,65435,PR RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,584.0,,50.9036,496.4,55
CPT,65436,PR RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT,1622.0,,173.88,1378.7,55
CPT,65450,PR DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION,1786.0,,205.91,1518.1,55
CPT,65600,PR MULTIPLE PUNCTURES ANTERIOR CORNEA,1677.0,,187.67,1724.02,55
CPT,65710,PR KERATOPLASTY ANTERIOR LAMELLAR,7187.0,,800.98,7017.98,55
CPT,65730,PR KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA,8871.0,,914.5812,8613.22,55
CPT,65750,PR KERATOPLASTY PENETRAING APHAKIA,8674.0,,919.7424,8932.6,55
CPT,65755,PR KERATOPLASTY PENETRATING PSEUDOPHAKIA,8984.0,,917.0376,9250.28,55
CPT,65756,PR KERATOPLASTY ENDOTHELIAL,8895.0,,858.2535,8005.5,55
CPT,65760,PR KERATOMILEUSIS,7745.0,,949.38,7976.15,40
CPT,65765,PR KERATOPHAKIA,8984.0,,1038.41,9250.28,40
CPT,65767,PR EPIKERATOPLASTY,8364.0,,830.91,8613.22,40
CPT,65770,PR KERATOPROSTHESIS,8364.0,,977.43,8613.22,47
CPT,65771,PR RADIAL KERATOTOMY,4557.0,,415.68,4691.25,40
CPT,65772,PR CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM,2485.0,,287.08,2299.25,55
CPT,65775,PR CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM,2831.0,,391.07,2872.79,55
CPT,65778,HC PLC AMNIOTC MEMB OCULR RT,3808.0,,85.72,3274.88,85
CPT,65778,PR PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES,2630.0,,30.9485,2630.35,55
CPT,65779,PR PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED,2994.0,,73.8565,2694.6,55
CPT,65780,HC OCULR SF RCNS AMNMB TRNSP,9270.0,,1158.05,7972.2,85
CPT,65780,PR OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE,4898.0,,444.3545,4419.2,55
CPT,65781,PR OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT,6910.0,,970.683,6776.6,47
CPT,65782,PR OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT,6009.0,,841.364,5892.28,47
CPT,65800,PR PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX,824.0,,61.982,700.4,55
CPT,65810,PR PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX,3375.0,,323.65,3473.8,55
CPT,65815,PR PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR IN,3797.0,,298.95,3908.23,55
CPT,65820,PR GONIOTOMY,5482.0,,559.28,5644.26,55
CPT,65850,PR TRABECULOTOMY AB EXTERNO,5061.0,,615.7836,5211.55,55
CPT,65855,PR TRABECULOPLASTY BY LASER SURGERY,4509.0,,148.2655,4689.54,51
CPT,65860,PR SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX,3375.0,,180.9055,3473.8,55
CPT,65865,PR SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE,5061.0,,350.4372,5211.55,55
CPT,65870,PR SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE,3626.0,,380.65,3733.08,55
CPT,65875,PR SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE,3626.0,,403.04,3733.08,55
CPT,65880,PR SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL,3626.0,,438.31,3733.08,55
CPT,65900,PR RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE,5230.0,,608.09,5383.26,55
CPT,65920,PR RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE,6745.0,,527.04,6945.86,55
CPT,65930,PR RMVL BLOOD CLOT ANTERIOR SEGMENT EYE,4302.0,,469.4668,4428.52,55
CPT,66020,PR INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX,847.0,,96.1584,868.88,55
CPT,66030,PR INJX ANTERIOR CHAMBER EYE MEDICATION SPX,693.0,,54.77,609.59,55
CPT,66130,PR EXCISION LESION SCLERA,2500.0,,402.59,2574.0,55
CPT,66150,PR FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY,3997.0,,554.93,4116.0,55
CPT,66155,PR FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC,3748.0,,550.33,3858.42,55
CPT,66160,PR FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT,3748.0,,659.2,3858.42,55
CPT,66170,PR FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO,5948.0,,764.15,5055.8,55
CPT,66172,PR FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING,5607.0,,848.23,5247.61,55
CPT,66174,PR TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST,4272.0,,465.6215,3844.8,45
CPT,66175,PR TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST,6935.0,,535.228,6241.5,47
CPT,66179,PR AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT,7546.0,,790.142,6791.4,55
CPT,66180,PR AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT,5335.0,,833.428,4888.71,55
CPT,66183,PR INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR,6981.0,,753.0108,6282.9,55
CPT,66184,PR REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT,5165.0,,579.8852,4648.5,55
CPT,66185,PR REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT,3104.0,,544.17,2934.6,55
CPT,66225,PR REPAIR SCLERAL STAPHYLOMA W/GRAFT,6496.0,,685.3816,6690.02,55
CPT,66250,PR REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT,3274.0,,397.88,2831.57,55
CPT,66500,PR IRIDOTOMY STAB INC SPX XCP TRANSFIXION,1251.0,,248.29,1286.14,55
CPT,66505,PR IRIDOTOMY STAB INC SPX TRANSFIXION,1274.0,,229.25,1273.69,55
CPT,66600,PR IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES,3748.0,,569.69,3858.42,55
CPT,66605,PR IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY,5096.0,,775.53,5247.61,55
CPT,66625,PR IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX,2802.0,,314.042,2883.09,55
CPT,66630,PR IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX,3112.0,,412.52,2883.09,55
CPT,66635,PR IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX,2802.0,,418.554,2883.09,55
CPT,66680,PR REPAIR IRIS CILIARY BODY,2300.0,,361.96,2367.95,55
CPT,66682,PR SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE,2751.0,,412.44,2831.57,55
CPT,66683,PR IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ&RPR/RMVL IRIS,6165.0,,571.37,5548.5,47
CPT,66700,PR CILIARY BODY DESTRUCTION DIATHERMY,2401.0,,286.4972,2470.97,55
CPT,66710,HC CLBDY DSTRW/CYCLOPHOTCOAG,1629.0,,456.12,2793.327,85
CPT,66710,PR CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL,2500.0,,288.9536,2574.0,55
CPT,66711,PR ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS,3297.0,,383.656,2967.3,55
CPT,66720,PR CILIARY BODY DESTRUCTION CRYOTHERAPY,2513.0,,301.7416,2470.97,55
CPT,66740,PR CILIARY BODY DESTRUCTION CYCLODIALYSIS,3250.0,,286.4972,3345.01,55
CPT,66761,HC IRIDOTOMY/ECTMY LASR1+SSN,1398.0,,153.38,1202.28,85
CPT,66761,PR IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION,2065.0,,174.199,2574.0,55
CPT,66762,PR IRIDOPLASTY PHOTOCOAGULATION 1/> SESSIONS,2551.0,,310.6012,2625.52,55
CPT,66770,PR DSTRJ CYST/LESION IRIS/CILIARY BODY,2500.0,,350.02,2574.0,55
CPT,66820,PR DISCISSION SECONDARY MEMBRANOUS CATARACT,1900.0,,260.71,1976.44,55
CPT,66821,HC DISCIS 2' CATARACT LSRSRG,1370.0,,208.33,1178.2,85
CPT,66821,PR POST-CATARACT LASER SURGERY,2125.0,,166.28,2209.97,55
CPT,66825,PR REPOSITIONING IO LENS PROSTHESIS REQ INC SPX,4362.0,,487.1,3848.14,55
CPT,66830,PR RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ,3310.0,,497.78,2813.5,55
CPT,66840,PR RMVL LENS MATERIAL ASPIR TQ 1/> STAGES,4470.0,,509.966,4600.24,55
CPT,66850,PR RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR,4758.0,,575.4508,4948.82,55
CPT,66852,PR RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY,6583.0,,613.7765,5936.18,55
CPT,66920,PR RMVL LENS MATERIAL INTRACAPSULAR,4229.0,,546.434,4354.69,55
CPT,66930,PR REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS,4806.0,,625.6184,4948.82,55
CPT,66940,PR REMOVAL LENS MATERIAL EXTRACAPSULAR,4566.0,,572.9944,4699.83,55
CPT,66982,PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP,6218.0,,545.1135,6185.16,55
CPT,66983,PR ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG,4757.0,,474.13,4897.3,48
CPT,66984,PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,5172.0,,399.381,5144.59,55
CPT,66985,PR INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL,4036.0,,561.9268,4155.5,55
CPT,66986,PR EXCHANGE INTRAOCULAR LENS,5556.0,,658.3336,5443.36,55
CPT,66990,PR USE OPHTHALMIC ENDOSCOPE,358.0,,61.4125,322.2,55
CPT,66999,"PR UNLISTED PROCEDURE EYE SURG ANT SGMT, PLACEMENT OF AMINITOIC MEMBRANE GRAFT USING TISSUE GLUE",2037.0,,1030.29,1731.45,28
CPT,67005,PR RMVL VITREOUS ANT APPR PARTIAL REMOVAL,4709.0,,349.4528,4897.3,55
CPT,67010,PR RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT,5510.0,,399.372,5716.39,55
CPT,67015,PR ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL,3605.0,,419.92,3064.25,55
CPT,67025,PR INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX,3489.0,,427.43,2965.65,55
CPT,67027,PR IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS,10050.0,,618.307,10069.35,55
CPT,67028,HC INTRAVITRL INJ PHARM AGNT,880.0,,48.45,756.8,85
CPT,67028,PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX,1250.0,,65.5095,1062.91,55
CPT,67030,PR DISCISSION VITREOUS STRANS PARS PLANA APPROACH,3172.0,,330.39,3266.01,55
CPT,67031,PR SEVERING VITREOUS STRANS LASER 1/> STAGES,2623.0,,258.4648,2721.68,55
CPT,67036,PR VITRECTOMY MECHANICAL PARS PLANA,7588.0,,655.7835,7892.02,55
CPT,67039,PR VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC,8373.0,,699.8815,8707.67,55
CPT,67040,PR VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC,8895.0,,752.4285,9250.28,55
CPT,67041,PR VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE,9602.0,,826.5995,9986.45,55
CPT,67042,PR VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA,11721.0,,826.319,11632.46,55
CPT,67043,PR VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE,11622.0,,869.8135,12058.06,55
CPT,67101,PR RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX,4493.0,,211.769,4624.28,55
CPT,67105,PR RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC,2823.0,,204.289,4624.28,55
CPT,67107,PR REPAIR RETINAL DETACHMENT SCLERAL BUCKLING,6764.0,,813.28,6966.47,55
CPT,67108,PR RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH,10465.0,,858.874,10883.29,55
CPT,67110,PR RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS,5999.0,,594.3936,5443.36,55
CPT,67113,PR RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL,11367.0,,960.976,11821.34,55
CPT,67115,PR RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT,2917.0,,337.44,2479.45,55
CPT,67120,PR RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR,2645.0,,397.88,2611.79,55
CPT,67121,PR RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR,3428.0,,628.79,2992.99,55
CPT,67141,PR PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY,2803.0,,162.5115,2883.09,55
CPT,67145,PR PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION,2885.0,,162.5115,2992.99,55
CPT,67208,PR DSTRJ LOCLZD LESION RETINA 1/> SESS CRTX DTHRM,2988.0,,421.2588,3073.69,55
CPT,67210,"HC DESTRUCTION RETINAL LESION 1/+ SESSIONS,  PHOTOCOAGULATION",1856.0,,208.33,1596.16,85
CPT,67210,PR DSTRJ LOCLZD LESION RETINA 1/> SESS PC,3525.0,,369.393,3187.03,55
CPT,67218,PR DSTRJ LESION RETINA 1/> SESS RADJ IMPLTJ,9604.0,,843.35,8163.4,55
CPT,67220,PR DSTRJ LESION CHOROID PC 1/> SESS,3246.0,,369.002,3245.36,55
CPT,67221,PR DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY,1171.0,,146.3445,1062.91,50
CPT,67225,PR DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION,501.0,,19.2355,513.42,55
CPT,67227,PR DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY,3203.0,,185.8355,3296.92,55
CPT,67228,HC DESTR RETINOPATHYPHOT0,1261.0,,142.3,1084.46,85
CPT,67228,PR TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION,3529.0,,219.8865,3410.26,55
CPT,67229,PR EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT,8575.0,,839.273,8410.35,55
CPT,67250,PR SCLERAL REINFORCEMENT SPX W/O GRAFT,4344.0,,489.88,4471.45,55
CPT,67255,PR SCLERAL REINFORCEMENT SPX W/GRAFT,5429.0,,514.0545,5589.32,55
CPT,67299,HC THERMOTX CHOROID VASCLES,10439.0,,2711.4815,8977.54,83
CPT,67299,"PR UNLISTED PROCEDURE EYE SURG POST SGMT, BIOPSY OF CHOROID",5096.0,,2369.67,4331.6,28
CPT,67299,"PR UNLISTED PROCEDURE EYE SURG POST SGMT, FNA GENE EXPRESSION",5096.0,,2369.67,4331.6,28
CPT,67299,"PR UNLISTED PROCEDURE EYE SURG POST SGMT, LASER HYPERTHERMIA OF UVEAL",3196.0,,1917.6,2716.6,28
CPT,67299,"PR UNLISTED PROCEDURE EYE SURG POST SGMT, TRANSPUPILLARY THERMOTHERAPY",3196.0,,1917.6,2716.6,28
CPT,67299,"PR UNLISTED PROCEDURE,EYE,POSTERIOR SEGMENT,DESTRUCTION SCLERAL LESION",1047.0,,628.2,2369.67,28
CPT,67311,PR STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC,5066.0,,337.4755,5268.21,55
CPT,67312,PR STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC,6330.0,,482.97,6583.54,55
CPT,67314,PR STRABISMUS RECESSION/RESCJ 1 VER MUSC,5626.0,,337.4755,5793.66,55
CPT,67316,PR STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC,7031.0,,516.3155,7241.21,55
CPT,67318,PR STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE,6394.0,,438.65,6583.54,55
CPT,67320,PR TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC,6181.0,,121.482,5253.85,55
CPT,67331,PR STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC,1689.0,,87.7115,1756.65,55
CPT,67332,PR STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY,3626.0,,141.2955,3733.08,55
CPT,67334,PR STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION,3626.0,,86.6065,3733.08,55
CPT,67335,PR PLACEMENT ADJUSTABLE SUTURE STRABISMUS,1708.0,,130.254,1756.65,55
CPT,67340,PR STRABISMUS EXPL&/RPR DETACHED EXTROCULAR MUSC,3197.0,,203.3795,3290.06,55
CPT,67343,PR RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX,2560.0,,411.24,2634.1,55
CPT,67345,HC CHEMODNV EXTRAOCUL MUSCL,702.0,,102.16,603.72,85
CPT,67345,PR CHEMODENERVATION EXTRAOCULAR MUSCLE,1622.0,,161.322,1667.36,55
CPT,67346,PR BIOPSY EXTRAOCULAR MUSCLE,1536.0,,139.3575,1504.96,55
CPT,67400,PR ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY,7499.0,,649.4,7462.74,55
CPT,67405,PR ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY,5968.0,,534.82,6143.96,55
CPT,67412,PR ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION,7058.0,,634.93,7021.41,55
CPT,67413,PR ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY,7058.0,,571.05,7021.41,55
CPT,67414,PR ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN,5115.0,,607.69,5264.79,55
CPT,67415,PR FINE NEEDLE ASPIRATION ORBITAL CONTENTS,1026.0,,71.604,1054.32,55
CPT,67420,PR ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION,12350.0,,1161.35,12289.63,55
CPT,67430,PR ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB,11248.0,,749.01,11585.59,55
CPT,67440,PR ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG,10655.0,,876.97,10970.85,55
CPT,67445,PR ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN,8899.0,,795.47,8034.54,55
CPT,67450,PR ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX,8645.0,,899.23,8601.19,55
CPT,67500,HC RETROBULAR INJ MED,1071.0,,26.3,921.06,85
CPT,67500,PR RETROBULBAR INJECTION MEDICATION SPX,481.0,,47.872,408.85,55
CPT,67505,HC RETROBULBAR INJ ALCOHOL,908.0,,34.88,780.88,85
CPT,67505,PR RETROBULBAR INJECTION ALCOHOL,855.0,,50.4135,879.18,55
CPT,67515,HC INJ TX AGNT TENON'S CAPSL,818.0,,19.38,703.48,85
CPT,67515,PR INJECTION MEDICATION/OTHER SUBST TENON CAPSULE,511.0,,33.3795,434.35,55
CPT,67516,PR SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT,881.0,,69.3175,792.9,47
CPT,67550,PR ORBITAL IMPLANT INSERTION,5118.0,,630.37,5268.21,55
CPT,67560,PR ORBITAL IMPLANT REMOVAL/REVISION,5118.0,,591.16,5268.21,55
CPT,67570,PR OPTIC NERVE DECOMPRESSION,8823.0,,650.96,8778.06,55
CPT,67599,PR UNLISTED PROCEDURE ENDOSCOPIC ORBIT RESECTION,9065.0,,3468.64,7705.25,28
CPT,67700,PR BLEPHAROTOMY DRAINAGE ABSCESS EYELID,826.0,,56.12,702.1,55
CPT,67710,HC SEVERING OF TARSORRHAPHY,2078.0,,170.54,1787.08,85
CPT,67710,PR SEVERING TARSORRHAPHY,833.0,,64.13,708.05,55
CPT,67715,PR CANTHOTOMY SEPARATE PROCEDURE,965.0,,79.1844,820.25,55
CPT,67800,HC EXC CHALAZION SINGLE,763.0,,62.02,656.18,85
CPT,67800,PR EXCISION CHALAZION SINGLE,493.0,,72.0,485.95,55
CPT,67801,HC EXC CHALAZION MX SAME,1690.0,,74.75,1453.4,85
CPT,67801,PR EXCISION CHALAZION MULTIPLE SAME LID,914.0,,95.455,776.9,55
CPT,67805,HC EXC CHALAZ MULT DIF LID,756.0,,96.34,650.16,85
CPT,67805,PR EXCISION CHALAZION MULTIPLE DIFFERENT LIDS,961.0,,111.66,816.85,55
CPT,67808,PR EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT,1220.0,,183.54,1253.52,55
CPT,67810,HC BIOPSY EYELID,1093.0,,108.29,939.98,85
CPT,67810,PR INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN,836.0,,48.2035,710.6,55
CPT,67820,HC COR TRICH EPIL FORCP,1085.0,,43.44,933.1,85
CPT,67820,PR CORRECTION TRICHIASIS EPILATION FORCEPS ONLY,227.0,,16.422,227.28,55
CPT,67825,PR CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS,843.0,,70.74,716.55,55
CPT,67830,PR CORRECTION TRICHIASIS INCCISION LID MARGIN,1130.0,,102.8925,960.5,55
CPT,67835,PR CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF,3923.0,,322.644,4038.73,55
CPT,67840,HC EXC LES EYELID,1964.0,,169.43,1689.04,85
CPT,67840,PR EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE,1391.0,,100.94,1182.35,55
CPT,67850,PR DESTRUCTION LESION LID MARGIN < 1 CM,872.0,,77.29,753.1,55
CPT,67875,HC TEMP CLOS EYELID SUTURE,1748.0,,187.78,1503.28,85
CPT,67875,PR TEMPORARY CLOSURE EYELIDS SUTURE,1078.0,,70.261,916.3,55
CPT,67880,HC TARSORRHAPHY CONSTRUCT,3808.0,,698.3,3274.88,85
CPT,67880,PR CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY,2100.0,,244.76,1979.88,55
CPT,67882,PR CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS,3035.0,,339.5,2826.44,55
CPT,67900,HC BROW LIFT,4334.0,,698.3,3727.24,85
CPT,67900,PR REPAIR BROW PTOSIS,3357.0,,306.72,2853.45,55
CPT,67901,PR RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL,5277.0,,430.8544,5249.32,55
CPT,67902,PR RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING,5098.0,,479.7,5249.32,55
CPT,67903,PR RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL,7431.0,,352.9285,7383.74,55
CPT,67904,PR RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL,6227.0,,430.42,7266.97,55
CPT,67906,PR RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING,6707.0,,368.3864,6906.36,55
CPT,67908,PR RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ,4634.0,,323.3655,5654.57,55
CPT,67909,PR REDUCTION OVERCORRECTION PTOSIS,4707.0,,319.9392,4845.78,55
CPT,67911,PR CORRECTION LID RETRACTION,6211.0,,370.88,6459.91,55
CPT,67912,HC CRR LAGOPHT UP EYELD LOAD,4839.0,,698.3,4161.54,85
CPT,67912,PR CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD,7715.0,,367.795,6961.8,55
CPT,67914,HC REPAIR ECTROPION SUTURE,3642.0,,647.32,3132.12,85
CPT,67914,PR REPAIR ECTROPION SUTURE,2310.0,,241.7392,2261.48,55
CPT,67915,PR REPAIR ECTROPION THERMOCAUTERIZATION,1296.0,,135.17,1101.6,55
CPT,67916,PR REPAIR ECTROPION EXCISION TARSAL WEDGE,3218.0,,314.2904,3310.67,55
CPT,67917,PR REPAIR ECTROPION EXTENSIVE,3883.0,,334.2084,4038.73,55
CPT,67921,HC REPAIR ENTROPION SUTURE,3673.0,,612.95,3158.78,85
CPT,67921,PR REPAIR ENTROPION SUTURE,1777.0,,225.47,1737.75,55
CPT,67922,PR REPAIR ENTROPION THERMOCAUTERIZATION,1337.0,,129.78,1136.45,55
CPT,67923,PR REPAIR ENTROPION EXCISION TARSAL WEDGE,3218.0,,314.5296,3310.67,55
CPT,67924,PR REPAIR ENTROPION EXTENSIVE,4049.0,,334.696,4200.16,55
CPT,67930,PR SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK,1506.0,,148.79,1495.65,55
CPT,67935,PR SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK,3228.0,,311.15,2743.8,55
CPT,67938,PR REMOVAL EMBEDDED FOREIGN BODY EYELID,988.0,,56.48,839.8,55
CPT,67950,PR CANTHOPLASTY,4659.0,,338.8176,4845.78,55
CPT,67961,HC EXC/RPR EYELID 1/4 LID,4601.0,,698.3,3956.86,85
CPT,67961,PR EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN,4813.0,,331.9912,4442.26,55
CPT,67966,HC EXC/RPR EYELID >1/4 LID,5063.0,,698.3,4354.18,85
CPT,67966,PR EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN,5437.0,,447.92,5654.57,55
CPT,67971,PR RCNSTJ EYELID FULL THICKNESS <TWO-THIRDS 1 STG,5437.0,,525.776,5654.57,55
CPT,67973,PR RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG,6229.0,,672.826,6459.91,55
CPT,67974,PR RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG,6840.0,,671.296,7031.72,55
CPT,67975,PR RCNSTJ EYELID FULL THICKNESS SECOND STAGE,2266.0,,407.4,2265.19,55
CPT,67999,"PR UNLISTED PROCEDURE REVISION EYELID, REMOVAL OF GOLD WEIGHT IMPLANT FROM EYELID",988.0,,592.8,1358.27,28
CPT,68020,PR INCISION CONJUNCTIVA DRAINAGE OF CYST,827.0,,57.33,702.95,55
CPT,68040,PR EXPRESSION CONJUNCTIVAL FOLLICLES,767.0,,34.34,651.95,55
CPT,68100,HC BIOPSY OF CONJUNCTIVA,1400.0,,108.53,2793.327,85
CPT,68100,PR BIOPSY CONJUNCTIVA,828.0,,70.261,703.8,55
CPT,68110,PR EXCISION LESION CONJUNCTIVA <1 CM,1036.0,,93.68,880.6,55
CPT,68115,PR EXCISION LESION CONJUNCTIVA > 1 CM,1222.0,,134.33,1212.31,55
CPT,68130,PR EXCISION LESION CONJUNCTIVA ADJACENT SCLERA,2439.0,,282.01,2424.61,55
CPT,68135,PR DESTRUCTION LESION CONJUNCTIVA,911.0,,78.71,774.35,55
CPT,68200,PR SUBCONJUNCTIVAL INJECTION,468.0,,25.1685,467.96,55
CPT,68320,PR CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT,4659.0,,360.83,4845.78,55
CPT,68325,PR CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT,5320.0,,482.7424,5469.12,55
CPT,68326,PR CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT,5221.0,,473.3952,5077.6,55
CPT,68328,PR CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT,5882.0,,517.344,6056.38,55
CPT,68330,PR RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT,2356.0,,323.13,2424.61,55
CPT,68335,PR RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB,3654.0,,475.364,3635.2,55
CPT,68340,PR RPR & DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE,3531.0,,227.8,3635.2,55
CPT,68360,PR CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX,2747.0,,293.13,2826.44,55
CPT,68362,PR CONJUNCTIVAL FLAP TOTAL,3923.0,,482.2548,4038.73,55
CPT,68371,PR HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR,2665.0,,309.247,2610.06,47
CPT,68400,PR INCISION&DRAINAGE LACRIMAL GLAND,1185.0,,83.38,1074.94,55
CPT,68420,HC INC/DRAIN LACRIMAL SAC,3420.0,,204.59,2941.2,85
CPT,68420,PR INCISION&DRAINAGE LACRIMAL SAC,1160.0,,101.81,986.0,55
CPT,68440,HC SNIP INC LACRIMAL PUNCT,723.0,,54.26,621.78,85
CPT,68440,PR SNIP INCISION LACRIMAL PUNCTUM,866.0,,53.06,736.1,55
CPT,68500,PR EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL,5689.0,,593.76,5858.91,55
CPT,68505,PR EXCISION LACRIMAL GLAND XCPT TUMOR PRTL,4744.0,,613.77,4885.28,55
CPT,68510,PR BIOPSY LACRIMAL GLAND,1708.0,,203.7365,1451.8,55
CPT,68520,PR EXCISION LACRIMAL SAC,4419.0,,501.02,4395.9,55
CPT,68525,PR BIOPSY LACRIMAL SAC,985.0,,179.979,977.05,55
CPT,68530,PR RMVL FB/DACRYOLITH LACRIMAL PASSAGES,3322.0,,184.161,3418.85,55
CPT,68540,PR EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH,7364.0,,592.37,7323.63,55
CPT,68550,PR EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY,7364.0,,775.73,7323.63,55
CPT,68700,PR PLASTIC REPAIR CANALICULI,5180.0,,283.74,5372.96,55
CPT,68705,PR CORRECTION EVERTED PUNCTUM CAUTERY,973.0,,94.36,827.05,55
CPT,68720,PR DACRYOCSTORHINOSTOMY,7782.0,,593.6484,8302.42,55
CPT,68745,PR CONJUNCTIVORHINOSTOMY W/O TUBE,7586.0,,477.73,7813.02,55
CPT,68750,PR CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT,8534.0,,588.64,8788.37,55
CPT,68760,HC CLO LACR PUNC CAUT/LASER,1204.0,,108.29,1035.44,85
CPT,68760,PR CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER,887.0,,81.15,781.3,55
CPT,68761,HC CLOSE LACR PUNCT PLUG,1014.0,,78.62,872.04,85
CPT,68761,PR CLSR LACRIMAL PUNCTUM PLUG EACH,830.0,,70.34,705.5,55
CPT,68770,PR CLOSURE LACRIMAL FISTULA SPX,2410.0,,348.18,2441.78,55
CPT,68801,PR DILATION LACRIMAL PUNCTUM W/WO IRRGATION,709.0,,41.51,604.07,55
CPT,68810,HC PROBE NASOLACR DUCT,1128.0,,108.29,970.08,85
CPT,68810,PR PROBE NASOLACRIMAL DUCT W/WO IRRIGATION,1045.0,,74.06,888.25,55
CPT,68811,PR PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES,1085.0,,101.592,1074.94,55
CPT,68815,PR PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT,1410.0,,158.41,1466.44,55
CPT,68816,PR PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION,2292.0,,115.6595,1948.2,55
CPT,68840,PR PROBE LACRIMAL CANALICULI W/WO IRRIGATION,952.0,,53.2,809.2,55
CPT,68850,PR INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY,1304.0,,39.7205,1108.4,55
CPT,68899,PR UNLISTED PROCEDURE LACRIMAL SYSTEM (REMOVAL JONES TUBE/STENT),629.0,,377.4,3468.64,28
CPT,69000,PR DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE,559.0,,54.65,475.15,55
CPT,69005,PR DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP,1239.0,,103.76,1274.12,55
CPT,69020,PR DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,505.0,,59.1,504.04,55
CPT,69100,HC BIOPSY-EXTERNAL EAR,1241.0,,54.82,1067.26,85
CPT,69100,PR BIOPSY EXTERNAL EAR,513.0,,32.674,532.32,55
CPT,69105,HC BX EXTRNL AUDITORY CANAL,4739.0,,94.96,4075.54,85
CPT,69105,PR BIOPSY EXTERNAL AUDITORY CANAL,537.0,,48.1988,532.32,55
CPT,69110,PR EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR,2042.0,,199.36,2124.11,55
CPT,69120,PR EXCISION EXTERNAL EAR COMPLETE AMPUTATION,4814.0,,145.82,4955.7,55
CPT,69145,PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL,1766.0,,167.66,1501.1,55
CPT,69150,PR RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ,6130.0,,741.6948,5309.42,55
CPT,69155,PR RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ,7562.0,,1178.16,7787.27,55
CPT,69200,"HC REMOVE FB,AUDIT CANAL",269.0,,75.32,231.34,85
CPT,69200,PR RMVL FB XTRNL AUDITORY CANAL W/O ANES,416.0,,35.4108,389.79,55
CPT,69205,PR RMVL FB XTRNL AUDITORY CANAL ANES,1502.0,,70.5824,1557.45,55
CPT,69209,PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,90.0,,11.5552,81.0,50
CPT,69210,HC CERUMEN REMOVAL,531.0,,65.26,456.66,85
CPT,69210,PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT,238.0,,23.6072,202.3,55
CPT,69220,PR DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE,380.0,,38.364,323.0,55
CPT,69222,PR DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX,920.0,,67.64,956.45,55
CPT,69300,PR OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ,4470.0,,351.1732,4600.24,50
CPT,69310,PR RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX,6466.0,,671.65,6724.36,55
CPT,69320,PR RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG,6530.0,,1028.42,6724.36,55
CPT,69420,HC MYRINGOTOMY,1462.0,,87.58,1257.32,85
CPT,69420,PR MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ,926.0,,64.03,817.37,55
CPT,69421,PR MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES,1087.0,,92.04,1116.15,55
CPT,69424,PR VENTILATING TUBE RMVL REQUIRING GENERAL ANES,715.0,,45.494,743.52,55
CPT,69433,HC TYMPANOSTOMY,1972.0,,117.66,1695.92,85
CPT,69433,PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA,1076.0,,92.76,1116.15,55
CPT,69436,PR TYMPANOSTOMY GENERAL ANESTHESIA,1430.0,,119.2688,1487.06,55
CPT,69440,PR MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC,4689.0,,509.3028,4826.91,55
CPT,69450,PR TYMPANOLYSIS TRANSCANAL,4854.0,,403.3096,4826.91,55
CPT,69502,PR MASTOIDECTOMY COMPLETE,6661.0,,696.2008,6908.09,55
CPT,69505,PR MASTOIDECTOMY MODIFIED RADICAL,7283.0,,906.99,7500.51,55
CPT,69511,PR MASTOIDECTOMY RADICAL,8322.0,,928.3536,8570.3,55
CPT,69530,PR PETROUS APICECTOMY RADICAL MASTOIDECTOMY,10403.0,,1160.82,10713.28,55
CPT,69535,PR RESCJ TEMPORAL BONE EXTERNAL APPROACH,15622.0,,1966.3804,13278.7,55
CPT,69540,PR EXCISION AURAL POLYP,871.0,,81.09,892.91,55
CPT,69550,PR EXCISION AURAL GLOMUS TUMOR TRANSCANAL,7213.0,,785.22,7426.67,55
CPT,69552,PR EXCISION AURAL GLOMUS TUMOR TRANSMASTOID,8322.0,,1171.3164,8570.3,55
CPT,69554,PR EXCISION AURAL GLOMUS TUMOR EXTENDED,10817.0,,1802.32,11140.86,55
CPT,69601,PR REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY,5411.0,,750.5452,5572.14,55
CPT,69602,PR REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC,8654.0,,801.458,8911.99,55
CPT,69603,PR REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY,8654.0,,948.52,8911.99,55
CPT,69604,PR REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY,8322.0,,819.1588,8570.3,55
CPT,69631,PR TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ,7712.0,,654.6444,8020.81,55
CPT,69632,PR TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ,9108.0,,796.536,9061.39,55
CPT,69633,PR TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP,9704.0,,775.882,9655.53,55
CPT,69635,PR TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ,9016.0,,933.85,9284.62,55
CPT,69636,PR TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ,9593.0,,1039.9956,9878.76,55
CPT,69637,PR TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP,10451.0,,1035.5704,10399.05,55
CPT,69641,PR TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ,9693.0,,767.5192,9641.78,55
CPT,69642,PR TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ,10240.0,,984.4184,10546.72,55
CPT,69643,PR TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR,9999.0,,900.5604,10399.05,55
CPT,69644,PR TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR,10672.0,,1114.0188,10991.47,55
CPT,69645,PR TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR,10078.0,,1093.3648,10028.14,55
CPT,69646,PR TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR,10458.0,,1156.5688,10769.95,55
CPT,69650,PR STAPES MOBILIZATION,5052.0,,592.1764,5201.24,55
CPT,69660,PR STAPEDECTOMY/STAPEDOTOMY,8019.0,,681.6924,8319.58,55
CPT,69661,PR STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT,8363.0,,887.7724,8319.58,55
CPT,69662,PR REVISION STAPEDECTOMY/STAPEDOTOMY,9664.0,,848.6724,9952.6,55
CPT,69670,PR MASTOID OBLITERATION SEPARATE PROCEDURE,8569.0,,695.9524,8911.99,55
CPT,69710,PR IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE,5363.0,,316.76,4558.55,40
CPT,69711,PR RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE,5363.0,,589.11,5520.63,55
CPT,69714,PR IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP,7058.0,,367.1628,7576.06,55
CPT,69716,PR IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP<100,5975.0,,459.6228,5377.5,53
CPT,69717,PR RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP,7575.0,,415.61,7801.01,53
CPT,69719,PR RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP<100,5975.0,,477.0844,5377.5,55
CPT,69720,PR DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION,9406.0,,871.2952,8911.99,55
CPT,69725,PR DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE,14423.0,,1267.6,14855.05,55
CPT,69726,PR REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP,3627.0,,353.142,3264.3,53
CPT,69727,PR REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP<100,4360.0,,393.9624,3924.0,53
CPT,69801,HC LABYRINTHOTOMY TRANSCANAL,2388.0,,124.3,2053.68,85
CPT,69801,PR LABYRINTHOTOMY TRANSCANAL,6428.0,,92.2208,6684.86,55
CPT,69805,PR ENDOLYMPHATIC SAC W/O SHUNT,8654.0,,759.8924,8911.99,55
CPT,69806,PR ENDOLYMPHATIC SAC SHUNT,10385.0,,679.236,10696.12,55
CPT,69905,PR LABYRINTHECTOMY TRANSCANAL,7213.0,,676.5312,7426.67,55
CPT,69910,PR LABYRINTHECTOMY W/MASTOIDECTOMY,8614.0,,730.388,8570.3,55
CPT,69930,PR COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY,11867.0,,894.6632,10399.05,55
CPT,69955,PR TOTAL FACIAL NERVE DECOMPRESSION &/REPAIR,14423.0,,1447.9788,14855.05,55
CPT,69990,PR MICROSURG TQS REQ USE OPERATING MICROSCOPE,2743.0,,160.3376,2331.55,50
CPT,70010,HC MYELOGRAM POSTERIOR,645.0,,57.48,554.7,84
CPT,70010,PR MYELOGRAPY POST FOSSA RS&I,330.0,,16.238,297.0,53
CPT,70015,PR CISTERNOGRAPHY POSITIVE CONTRAST RS&I,346.0,,34.67,294.1,55
CPT,70030,HC X-RAY EYE FOR FOREIGN BODY,470.0,,32.75,404.2,85
CPT,70030,PR RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,91.0,,5.45,85.86,55
CPT,70100,"HC MAND, COMP 3VIEWS",295.0,,39.09,253.7,85
CPT,70100,PR RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS,81.0,,5.11,68.85,55
CPT,70110,"HC X-RAY MANDIBLE, COMPLETE MIN 4 VIEWS",411.0,,43.78,353.46,85
CPT,70110,PR RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS,131.0,,8.06,111.35,55
CPT,70120,PR RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE,57.0,,6.394,54.95,55
CPT,70130,PR RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,102.0,,10.4,106.46,55
CPT,70134,PR RADEX INTERNAL AUDITORY MEATI COMPLETE,209.0,,12.0,177.65,55
CPT,70140,HC ZYGOMATIC ARCHES,292.0,,32.08,251.12,85
CPT,70140,PR RADEX FACIAL BONES < 3 VIEWS,96.0,,6.8816,81.6,55
CPT,70150,"HC FACIAL BONES, COMP",375.0,,47.45,322.5,85
CPT,70150,PR RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS,133.0,,9.0988,113.05,55
CPT,70160,"HC NASAL BONES, COM",272.0,,37.76,233.92,85
CPT,70160,PR RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS,84.0,,4.99,71.4,55
CPT,70170,PR DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I,85.0,,10.5708,84.14,55
CPT,70190,PR RADEX OPTIC FORAMINA,105.0,,7.866,89.25,55
CPT,70200,"HC ORBITS, COMPLETE",363.0,,48.11,312.18,85
CPT,70200,PR RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,104.0,,9.8348,101.3,55
CPT,70210,PR RADEX SINUSES PARANASAL <3 VIEWS,81.0,,6.1456,68.85,55
CPT,70220,"HC SINUSES, PARANASAL",289.0,,37.76,248.54,85
CPT,70220,PR RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS,135.0,,7.6268,114.75,55
CPT,70240,PR RADIOLOGIC EXAMINATION SELLA TURCICA,67.0,,6.6424,68.68,55
CPT,70250,"HC SKULL,LESS THAN4 VWS",312.0,,36.09,268.32,85
CPT,70250,PR RADIOLOGIC EXAMINATION SKULL 4< VIEWS,90.0,,6.394,80.7,53
CPT,70260,HC SKULL COMPLETE,510.0,,44.78,438.6,85
CPT,70260,PR RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS,136.0,,9.8348,115.6,55
CPT,70300,HC RAD EXM TEETH SNGL VIEW,98.0,,13.03,102.2465,85
CPT,70300,PR RADIOLOGIC EXAMINATION TEETH 1 VIEW,40.0,,3.6892,34.0,55
CPT,70310,HC RAD EX TEETH <FULL MOUTH,130.0,,36.4,280.3355,85
CPT,70310,PR RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH,79.0,,4.24,67.15,55
CPT,70320,"HC RADIOL EXAM,FULL MOUTH",218.0,,53.46,280.3355,85
CPT,70320,PR RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH,121.0,,7.24,116.77,55
CPT,70328,PR RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT,142.0,,6.15,120.7,55
CPT,70330,HC RAD EX TMJ OP&CLO MO BIL,434.0,,53.13,373.24,85
CPT,70330,PR RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,142.0,,7.73,147.68,55
CPT,70332,PR TEMPOROMANDBLE JT ARTHROGRAPHY RS&I,200.0,,18.6944,202.63,55
CPT,70336,HC MRI TEMPOROMANDIBULAR JOINT,4294.0,,233.47,3692.84,85
CPT,70336,PR MRI TEMPOROMANDIBULAR JOINT,553.0,,50.9036,503.13,55
CPT,70350,PR CEPHALOGRAM ORTHODONTIC,114.0,,6.1456,96.9,55
CPT,70355,HC ORTHOPANTOGRAM,338.0,,18.38,290.68,85
CPT,70355,PR ORTHOPANTOGRAM,129.0,,7.13,109.89,55
CPT,70360,"HC NECK, LAT SOFT TISS",353.0,,31.41,303.58,85
CPT,70360,PR RADIOLOGIC EXAMINATION NECK SOFT TISSUE,84.0,,6.394,77.27,55
CPT,70370,PR RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ,163.0,,8.61,170.0,55
CPT,70371,PR CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC,417.0,,30.2496,354.45,55
CPT,70380,PR RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS,93.0,,5.9064,92.73,55
CPT,70390,PR SIALOGRAPHY RS&I,166.0,,11.4,164.86,55
CPT,70450,HC CT HEAD OR BRAIN W/O,2422.0,,104.75,2082.92,85
CPT,70450,PR CT HEAD/BRAIN W/O CONTRAST MATERIAL,340.0,,29.2652,327.98,55
CPT,70460,HC CT HEAD OR BRAIN WITH,3406.0,,152.36,2929.16,85
CPT,70460,PR CT HEAD/BRAIN W/CONTRAST MATERIAL,410.0,,39.1,377.77,55
CPT,70470,HC CT HEAD OR BRAIN W/O&W,3599.0,,175.06,3095.14,85
CPT,70470,PR CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,494.0,,44.022,453.32,55
CPT,70471,HC CTA H&N C+ W/NONCONTRAST IMG,5485.0,,409.8945,4717.1,84
CPT,70471,PR CTA HEAD&NECK C+ W/NONCONTRAST IMG&POST-PXESSING,1316.0,,102.493,1184.4,33
CPT,70472,HC CT CERE PRFU ALYS C+W/CT/CTA,398.0,,111.44,1881.0,83
CPT,70472,PR CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY,405.0,,31.603,364.5,33
CPT,70473,PR CT CERE PRFUJ ALYS C+ W/O CT/CTA SAME ANATOMY,526.0,,41.1145,473.4,33
CPT,70480,HC CT ORB SEL POST W/0,3084.0,,104.75,2652.24,85
CPT,70480,PR CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL,486.0,,44.5096,413.1,55
CPT,70481,HC CT ORB SEL POST WITH,3413.0,,175.06,2935.18,85
CPT,70481,PR CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL,528.0,,39.1,448.8,55
CPT,70482,HC CT ORB SEL POS W/O&W,3753.0,,175.06,3227.58,85
CPT,70482,PR CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR,613.0,,43.7736,521.05,55
CPT,70486,HC CT MAXILLOFAC W/O,3045.0,,104.75,2618.7,85
CPT,70486,PR CT MAXILLOFACIAL W/O CONTRAST MATERIAL,424.0,,29.5136,360.4,55
CPT,70487,HC CT MAXILLOFAC W/CON,3702.0,,156.38,3183.72,85
CPT,70487,PR CT MAXILLOFACIAL W/CONTRAST MATERIAL,494.0,,38.8516,419.9,55
CPT,70488,HC CT MAXILLOFAC W&W/O,4072.0,,175.06,3501.92,85
CPT,70488,PR CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL,674.0,,43.7736,572.9,55
CPT,70490,HC CT SOFT TIS NCK W/O CONTR,3142.0,,104.75,2702.12,85
CPT,70490,PR CT SOFT TISSUE NECK W/O CONTRAST MATERIAL,476.0,,44.2612,404.6,55
CPT,70491,HC CT SOFT TIS NCK W/ CONTR,3701.0,,175.06,3182.86,85
CPT,70491,PR CT SOFT TISSUE NECK W/CONTRAST MATERIAL,515.0,,47.7112,437.75,55
CPT,70492,HC CT SFT TIS NCK W&WO CONTR,3935.0,,175.06,3384.1,85
CPT,70492,PR CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,790.0,,55.5772,671.5,55
CPT,70496,HC CTA HEAD W&W/O CONTRAST,4240.0,,175.06,3646.4,85
CPT,70496,PR CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,670.0,,60.2508,582.11,55
CPT,70498,HC CTA NECK W&W/O CONTRAST,4095.0,,175.06,3521.7,85
CPT,70498,PR CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,834.0,,60.2508,708.9,55
CPT,70540,HC MRI ORB FAC&/OR NK WOCNTR,4603.0,,233.23,3958.58,85
CPT,70540,PR MRI ORBIT FACE &/NECK W/O CONTRAST,723.0,,46.4784,650.8,55
CPT,70542,HC MRI ORB FAC&/OR NK WCNTRS,4814.0,,276.66,4140.04,85
CPT,70542,PR MRI ORBIT FACE & NECK W/CONTRAST MATERIAL,766.0,,55.8256,746.96,55
CPT,70543,HC MRI ORB FC&/OR NK WWO CNT,6564.0,,349.16,5645.04,85
CPT,70543,PR MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,1073.0,,74.0232,912.05,55
CPT,70544,HC MRA HEAD W/O CON,2976.0,,222.2,3403.0,85
CPT,70544,PR MRA HEAD W/O CONTRST MATERIAL,585.0,,41.3172,525.45,55
CPT,70545,HC MRA HEAD W CON,3326.0,,234.23,3403.0,85
CPT,70545,PR MRA HEAD W/CONTRAST MATERIAL,689.0,,41.3172,619.9,55
CPT,70546,HC MRA HEAD W&W/O CON,3764.0,,340.15,3403.0,85
CPT,70546,PR MRA HEAD W/O & W/CONTRAST MATERIAL,826.0,,51.152,741.8,55
CPT,70547,HC MRA NECK W/O CON,2976.0,,222.54,3403.0,85
CPT,70547,PR MRA NECK W/O CONTRST MATERIAL,597.0,,41.3172,525.45,55
CPT,70548,HC MRA NECK W/CONTRAST,3327.0,,253.6,3403.0,85
CPT,70548,PR MRA NECK W/CONTRAST MATERIAL,689.0,,51.888,619.9,55
CPT,70549,HC MRA NECK W&W/O CON,3730.0,,356.19,3403.0,85
CPT,70549,PR MRA NECK W/O &W/CONTRAST MATERIAL,1010.0,,61.9712,858.5,55
CPT,70551,HC MRI BRAIN W/O CONT,4619.0,,202.15,3972.34,85
CPT,70551,PR MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL,676.0,,51.152,607.87,55
CPT,70552,HC MRI BRAIN W/CONT,5185.0,,278.66,4459.1,85
CPT,70552,PR MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,776.0,,61.4836,698.88,55
CPT,70553,HC MRI BRAIN W&W/O CON,6731.0,,328.11,5788.66,85
CPT,70553,PR MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL,1195.0,,78.936,1068.69,55
CPT,70554,HC FUNCTIONAL MRI BRAIN-TECH,4982.0,,233.47,4284.52,85
CPT,70554,PR MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION,1098.0,,73.2872,933.3,55
CPT,70555,HC FNCTNL MRI BRAIN-PHYS/PSY,4560.0,,280.3355,3921.6,85
CPT,70555,PR MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION,1258.0,,86.0752,1084.26,55
CPT,70557,HC MRI BRAIN INTRAOP W/O CNT,4510.0,,641.9875,4156.98,85
CPT,70557,PR MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL,982.0,,110.6668,1018.06,55
CPT,70558,HC MRI BRAIN INTRAOP W/CONT,5528.0,,206.08,4754.08,85
CPT,70558,PR MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL,1089.0,,121.9736,1075.71,55
CPT,70559,HC MRI BRAIN INTRAOP W&W/O,6950.0,,206.08,5977.0,85
CPT,70559,PR MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST,1416.0,,114.5952,1473.1,55
CPT,71045,HC X-RAY EXAM CHEST SINGLE VIEW,564.0,,25.73,485.04,85
CPT,71045,PR RADIOLOGIC EXAM CHEST SINGLE VIEW,98.0,,6.1456,88.2,55
CPT,71046,HC X-RAY EXAM CHEST 2 VIEWS,591.0,,33.75,508.26,85
CPT,71046,PR RADIOLOGIC EXAM CHEST 2 VIEWS,121.0,,7.6268,108.9,55
CPT,71048,HC X-RAY EXAM CHEST >= 4  VIEWS,616.0,,45.78,529.76,85
CPT,71048,PR RADIOLOGIC EXAM CHEST 4+ VIEWS,160.0,,10.5708,144.0,55
CPT,71100,"HC RIBS, UNILATERAL",233.0,,36.75,200.38,85
CPT,71100,PR RADEX RIBS UNILATERAL 2 VIEWS,86.0,,7.6268,85.86,55
CPT,71101,HC CHEST W/RIB DETAIL,254.0,,42.44,218.44,85
CPT,71101,PR RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS,98.0,,9.3472,97.87,55
CPT,71110,"HC RIBS, BILATERAL",497.0,,44.1,427.42,85
CPT,71110,PR RADEX RIBS BILATERAL 3 VIEWS,109.0,,10.0832,104.75,55
CPT,71111,PR RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,146.0,,11.316,124.1,55
CPT,71120,HC STERNUM,358.0,,33.75,307.88,85
CPT,71120,PR RADEX STERNUM MINIMUM 2 VIEWS,85.0,,6.8816,75.55,55
CPT,71130,HC STERNOCLAVICULAR,353.0,,41.44,303.58,85
CPT,71130,PR RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,92.0,,7.6268,89.29,55
CPT,71250,HC CT THORAX DIAGNOSTIC W/O CONTRAST,3125.0,,104.75,2687.5,85
CPT,71250,PR DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST,472.0,,37.3796,410.39,55
CPT,71260,HC CT THORAX DIAGNOSTIC W/CONTRAST,3704.0,,171.74,3185.44,85
CPT,71260,PR DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST,502.0,,40.3328,468.79,53
CPT,71270,HC CT THORAX DIAGNOSTIC W&W/O CONTRAST,4371.0,,175.06,3759.06,85
CPT,71270,PR DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+,641.0,,43.0376,564.94,53
CPT,71271,HC COMPUTED TOMOGRAPHY THORAX LW DOSE LUNG CA SCR W/O CONTRAST,1470.0,,104.75,1881.0,84
CPT,71271,PR COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,573.0,,37.3796,515.7,51
CPT,71275,HC CTA CHEST(NONCOR)W&WO CNT,4164.0,,175.06,3581.04,85
CPT,71275,PR CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,808.0,,62.7072,692.02,55
CPT,71550,HC MRI CHEST W/O CONTRAST,4268.0,,233.47,3670.48,85
CPT,71550,PR MRI CHEST W/O CONTRAST MATERIAL,914.0,,50.416,776.9,55
CPT,71551,HC MRI CHEST WITH CONTRAST,4766.0,,385.25,4098.76,85
CPT,71551,PR MRI CHEST W/CONTRAST MATERIAL,1049.0,,59.7632,891.65,55
CPT,71552,HC MRI CHEST W&W/O CONRAST,6553.0,,366.42,5635.58,85
CPT,71552,PR MRI CHEST W/O & W/CONTRAST MATERIAL,1306.0,,77.9608,1110.1,55
CPT,71555,PR MRA CHEST W/O & W/CONTRAST MATERIAL,932.0,,61.7228,792.2,50
CPT,72020,"HC SPINE,SINGLE VIEW",267.0,,24.39,229.62,85
CPT,72020,PR RADEX SPINE 1 VIEW SPECIFY LEVEL,69.0,,5.658,65.25,55
CPT,72040,HC SPINE CERV 2 OR 3 VIEWS,405.0,,39.76,348.3,85
CPT,72040,PR RADEX SPINE CERVICAL 2 OR 3 VIEWS,105.0,,7.42,94.45,55
CPT,72050,HC SPINE CERVICAL 4 OR 5 VWS,551.0,,53.8,473.86,85
CPT,72050,PR RADEX SPINE CERVICAL 4 OR 5 VIEWS,153.0,,9.3472,130.05,55
CPT,72052,PR RADEX SPINE CERVICAL 6 OR MORE VIEWS,138.0,,10.5708,142.52,55
CPT,72070,HC SPINE THORACIC 2 VIEWS,387.0,,33.08,332.82,85
CPT,72070,PR RADEX SPINE THORACIC 2 VIEWS,108.0,,7.13,91.8,55
CPT,72072,HC SPINE THORACIC 3 VIEWS,452.0,,39.76,388.72,85
CPT,72072,PR RADEX SPINE THORACIC 3 VIEWS,113.0,,7.866,96.17,55
CPT,72074,HC SPINE THORACIC 4 VIEWS,561.0,,44.78,482.46,85
CPT,72074,PR RADEX SPINE THORACIC MINIMUM 4 VIEWS,117.0,,8.6112,111.61,55
CPT,72080,"HC SPINE,THORACOLUMBAR 2 VIEWS",315.0,,34.75,270.9,85
CPT,72080,PR RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS,163.0,,7.3784,138.55,55
CPT,72081,HC RADIOLOGIC EXAM SPINE ENTIRE THORACIC&LUMBAR INCL SKULL/CERVICAL/SACRALSPINE 1 VIEW,577.0,,42.78,496.22,85
CPT,72081,PR RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,156.0,,9.0988,140.4,55
CPT,72082,HC RADIOLOGIC EXAM SPINE ENTIRE THORACIC&LUMBAR INCL SKULL/CERVICAL/SACRALSPINE 2 OR 3 VIEWS,650.0,,70.5,559.0,85
CPT,72082,PR RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,162.0,,11.0676,145.8,55
CPT,72083,HC RADIOLOGIC EXAM SPINE ENTIRE THORACIC&LUMBAR INCL SKULL/CERVICAL/SACRALSPINE 4 OR 5 VIEWS,779.0,,79.53,669.94,85
CPT,72083,PR RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,193.0,,12.5396,173.7,55
CPT,72084,HC RADIOLOGIC EXAM SPINE ENTIRE THORACIC&LUMBAR INCL SKULL/CERVICAL/SACRALSPINE MIN 6 VIEWS,802.0,,98.9,689.72,85
CPT,72084,PR RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,205.0,,14.5084,184.5,55
CPT,72100,"HC SPINE,LUMBOSACRAL,2 OR 3 VIEWS",350.0,,40.1,301.0,85
CPT,72100,PR RADEX SPINE LUMBOSACRAL 2/3 VIEWS,111.0,,7.866,94.35,55
CPT,72110,"HC SPINE,LUMBOSACRAL,MINIMUM4VIEW",657.0,,52.13,565.02,85
CPT,72110,PR RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS,142.0,,9.0988,125.36,55
CPT,72114,PR RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6,162.0,,10.5708,157.98,55
CPT,72120,PR RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS,126.0,,7.866,121.93,55
CPT,72125,HC CT C-SPINE W/O CONTR,3407.0,,104.75,2930.02,85
CPT,72125,HC INTRAOP CT C-SPINE W/O CONTRAST,3407.0,,104.75,2930.02,85
CPT,72125,PR CT CERVICAL SPINE W/O CONTRAST MATERIAL,425.0,,34.4264,394.95,55
CPT,72126,HC CT C-SPINE W/CONTRAST,3749.0,,173.41,3224.14,85
CPT,72126,PR CT CERVICAL SPINE W/CONTRAST MATERIAL,534.0,,42.0532,453.9,55
CPT,72127,HC CT C-SPINE W&W/O CON,4087.0,,175.06,3514.82,85
CPT,72127,PR CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL,617.0,,43.7736,544.34,55
CPT,72128,HC CT T-SPINE W/O,3408.0,,104.75,2930.88,85
CPT,72128,HC INTRAOP CT T-SPINE W/O CONTRAST,3408.0,,104.75,2930.88,85
CPT,72128,PR CT THORACIC SPINE W/O CONTRAST MATERIAL,429.0,,34.4264,394.95,55
CPT,72129,HC CT T-SPINE W/CON,3885.0,,174.75,3341.1,85
CPT,72129,PR CT THORACIC SPINE W/CONTRAST MATERIAL,458.0,,42.3016,451.61,55
CPT,72130,HC CT T-SPINE W&W/O,4087.0,,175.06,3514.82,85
CPT,72130,PR CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,649.0,,44.022,551.65,55
CPT,72131,HC CT L-SPINE W/O,3408.0,,104.75,2930.88,85
CPT,72131,HC INTRAOP CT L-SPINE W/O CONTRAST,3408.0,,104.75,2930.88,85
CPT,72131,PR CT LUMBAR SPINE W/O CONTRAST MATERIAL,436.0,,34.4264,394.95,55
CPT,72132,HC CT L-SPINE W/CON,3885.0,,173.75,3341.1,85
CPT,72132,PR CT LUMBAR SPINE W/CONTRAST MATERIAL,468.0,,42.0532,451.61,55
CPT,72133,HC CT L-SPINE W&W/O,4498.0,,175.06,3868.28,85
CPT,72133,PR CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,612.0,,43.7736,544.34,55
CPT,72141,HC MRI C-SPINE,4971.0,,196.48,4275.06,85
CPT,72141,PR MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL,770.0,,51.152,654.5,55
CPT,72142,HC MRI C-SPINE W/CON,5480.0,,284.01,4712.8,85
CPT,72142,PR MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,747.0,,61.9712,667.96,55
CPT,72146,HC MRI TSPINE W/O,4459.0,,196.14,3834.74,85
CPT,72146,PR MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL,764.0,,51.152,649.4,55
CPT,72147,HC MRI T-SPINE W/CON,5050.0,,281.34,4343.0,85
CPT,72147,PR MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,822.0,,61.4836,729.79,55
CPT,72148,HC MRI LSPINE W/O,4619.0,,197.14,3972.34,85
CPT,72148,PR MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL,793.0,,51.4004,674.05,55
CPT,72149,HC MRI L-SPINE W/CON,5277.0,,279.0,4538.22,85
CPT,72149,PR MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,752.0,,61.7228,692.02,55
CPT,72156,HC MRI C-SPINE W&W/O,7004.0,,329.79,6023.44,85
CPT,72156,PR MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL,1206.0,,79.1844,1079.63,55
CPT,72157,HC MRI T-SPINE W&W/O CO,7079.0,,330.45,6087.94,85
CPT,72157,PR MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL,1206.0,,79.1844,1079.63,55
CPT,72158,HC MRI L-SPINE W&W/O CO,6878.0,,329.13,5915.08,85
CPT,72158,PR MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL,1195.0,,79.1844,1069.17,55
CPT,72159,HC MRA SPINAL CANAL W/WO CONTRAST MATERIAL,3134.0,,603.62,3403.0,84
CPT,72159,PR MRA SPINAL CANAL W/WO CONTRAST MATERIAL,728.0,,62.2196,645.65,50
CPT,72170,"HC PELVIS,ONE OR TWO VIEWS",385.0,,28.06,331.1,85
CPT,72170,PR RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS,94.0,,6.1456,80.7,55
CPT,72190,"HC X-RAY PELVIS COMPLETE, MIN 3 VIEWS",505.0,,42.44,434.3,85
CPT,72190,PR RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS,127.0,,8.8504,107.95,55
CPT,72191,HC CT ANGIO PELVIS W&WO CON,4082.0,,175.06,3510.52,85
CPT,72191,PR CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,621.0,,61.7228,576.97,55
CPT,72192,HC CT PELVIS W/O CONTRAST,3035.0,,104.75,2610.1,85
CPT,72192,HC INTRAOP CT PELVIS W/O CONTRAST,3035.0,,104.75,2610.1,85
CPT,72192,PR CT PELVIS W/O CONTRAST MATERIAL,405.0,,37.628,344.25,55
CPT,72193,HC CT PELVIS W/CONTRAST,3606.0,,175.06,3101.16,85
CPT,72193,PR CT PELVIS W/CONTRAST MATERIAL,463.0,,40.0844,393.55,55
CPT,72194,HC CT PELVIS W&W/O CONT,3725.0,,175.06,3203.5,85
CPT,72194,PR CT PELVIS W/O & W/CONTRAST MATERIAL,650.0,,41.8048,552.5,55
CPT,72195,HC MRI PELVIS W/O CONTRAST,4715.0,,233.47,4054.9,85
CPT,72195,PR MRI PELVIS W/O CONTRAST MATERIAL,656.0,,50.6552,594.14,55
CPT,72196,HC MRI PELVIS WITH CONTRAST,5786.0,,276.66,4975.96,85
CPT,72196,PR MRI PELVIS W/CONTRAST MATERIAL,740.0,,59.5148,683.43,55
CPT,72197,HC MRI PELVIS W&W/O CON,6469.0,,347.16,5563.34,85
CPT,72197,PR MRI PELVIS W/O & W/CONTRAST MATERIAL,1095.0,,75.7436,930.75,55
CPT,72198,PR MRA PELVIS W/WO CONTRAST MATERIAL,720.0,,61.4836,621.61,55
CPT,72200,HC RAD EXAM SACROIL JOINT<3,231.0,,33.41,198.66,85
CPT,72200,PR RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS,91.0,,5.9064,85.86,55
CPT,72202,HC SACROILIAC JOINTS,422.0,,39.43,362.92,85
CPT,72202,PR RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,117.0,,7.28,101.3,55
CPT,72220,HC SACRUM AND COCCYX,387.0,,32.75,332.82,85
CPT,72220,PR RADEX SACRUM & COCCYX MINIMUM 2 VIEWS,101.0,,6.1456,85.86,55
CPT,72240,HC MYELOGRAPHY CERVICAL,2609.0,,112.26,2243.74,85
CPT,72240,PR MYELOGRAPHY CERVICAL RS&I,449.0,,31.7216,384.64,55
CPT,72255,HC MYELOGRAPHY THORACI,2955.0,,107.93,2541.3,85
CPT,72255,PR MYELOGRAPHY THORACIC RS&I,719.0,,31.4824,611.15,55
CPT,72265,HC MYELOGRAPHY LUMBAR,2526.0,,109.26,2172.36,85
CPT,72265,PR MYELOGRAPY LUMBOSACRAL RS&I,395.0,,29.0168,377.77,55
CPT,72270,HC MYLEOGRAPHY 2OR>REG,3788.0,,153.04,3257.68,85
CPT,72270,PR MYELOGRAPY 2/MORE REGIONS RS&I,642.0,,47.4628,545.7,55
CPT,72285,HC DISCOGRAPHY CERV/THOR,4628.0,,132.31,3980.08,85
CPT,72285,PR DISKOGRAPY CERVICAL/THORACIC RS&I,649.0,,40.5812,606.16,55
CPT,72295,HC DISCOGRAPHY LUMBER,4775.0,,111.6,4106.5,85
CPT,72295,PR DISKOGRAPY LUMBAR RS&I,582.0,,28.7684,571.81,55
CPT,73000,HC CLAVICLE,328.0,,32.75,282.08,85
CPT,73000,PR RADEX CLAVICLE COMPLETE,86.0,,5.9064,82.43,55
CPT,73010,HC SCAPULA,341.0,,24.06,293.26,85
CPT,73010,PR RADEX SCAPULA COMPLETE,92.0,,6.394,87.58,55
CPT,73020,HC SHOULDER 1 VIEW,285.0,,21.71,245.1,85
CPT,73020,PR RADEX SHOULDER 1 VIEW,80.0,,5.4096,75.55,55
CPT,73030,HC SHOULDER COMPLET MIN 2VWS,356.0,,35.09,306.16,85
CPT,73030,PR RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS,100.0,,6.6424,92.73,55
CPT,73040,HC ARTHROGRAPHY SHOULDR RS&I,1295.0,,131.99,1113.7,85
CPT,73040,PR RADEX SHOULDER ARTHROGRAPHY RS&I,278.0,,18.78,236.3,55
CPT,73050,HC ACROMIOCLAVIC,311.0,,29.08,267.46,85
CPT,73050,PR RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ,81.0,,6.6424,82.43,55
CPT,73060,HC HUMERUS,328.0,,32.08,282.08,85
CPT,73060,PR RADEX HUMERUS MINIMUM 2 VIEWS,85.0,,5.658,77.27,55
CPT,73070,HC ELBOW TWO VIEWS,319.0,,29.4,274.34,85
CPT,73070,PR RADEX ELBOW 2 VIEWS,85.0,,5.9064,72.25,55
CPT,73080,PR RADEX ELBOW COMPLETE MINIMUM 3 VIEWS,89.0,,6.1456,77.27,55
CPT,73085,PR RADEX ELBOW ARTHROGRAPHY RS&I,430.0,,18.6944,365.5,55
CPT,73090,HC FOREARM TWO VIEWS,484.0,,29.4,416.24,85
CPT,73090,PR RADEX FOREARM 2 VIEWS,70.0,,5.658,66.96,55
CPT,73092,"HC UPPER EXTREMITY INFANT,MIN2VWS",264.0,,73.92,227.04,84
CPT,73092,PR RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS,71.0,,5.85,70.41,51
CPT,73100,PR RADEX WRIST 2 VIEWS,86.0,,5.85,73.1,55
CPT,73110,HC WRIST,337.0,,41.44,289.82,85
CPT,73110,PR RADEX WRIST COMPLETE MINIMUM 3 VIEWS,89.0,,5.05,75.65,55
CPT,73115,PR RADEX WRIST ARTHROGRAPHY RS&I,154.0,,15.38,154.54,55
CPT,73120,PR RADEX HAND 2 VIEWS,88.0,,5.85,74.8,55
CPT,73130,HC HAND,302.0,,37.43,259.72,85
CPT,73130,PR RADEX HAND MINIMUM 3 VIEWS,89.0,,5.05,75.65,55
CPT,73140,HC FINGER(S),237.0,,38.43,203.82,85
CPT,73140,PR RADEX FINGR MINIMUM 2 VIEWS,60.0,,3.0,53.24,55
CPT,73200,HC CT SCAN EXTREM W/O,2843.0,,104.75,2444.98,85
CPT,73200,PR CT UPPER EXTREMITY W/O CONTRAST MATERIAL,364.0,,34.4264,309.4,55
CPT,73201,HC CT EXTREMITY W/CONTRAST,3123.0,,206.49,2685.78,85
CPT,73201,PR CT UPPER EXTREMITY W/CONTRAST MATERIAL,422.0,,40.0844,358.7,55
CPT,73202,HC CT SCAN EXT W&WO,3277.0,,175.06,2818.22,85
CPT,73202,PR CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,458.0,,41.8048,410.39,55
CPT,73206,HC CTA UPR EXTREMITY W&W/O,2970.0,,175.06,2554.2,85
CPT,73206,PR CT ANGIOGRAPHY UPPER EXTREMITY,683.0,,61.7228,580.55,55
CPT,73218,HC MRI UPPER EXT W/O CONTR,4248.0,,233.47,3653.28,85
CPT,73218,PR MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,700.0,,46.9752,595.0,55
CPT,73219,PR MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,525.0,,56.074,544.34,55
CPT,73220,HC MRI UP EXT W&W/O CON,5932.0,,366.42,5101.52,85
CPT,73220,PR MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS,792.0,,74.2716,673.2,55
CPT,73221,HC MRI ANY JNT UP EXT W/O,4317.0,,209.16,3712.62,85
CPT,73221,PR MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL,552.0,,46.9752,530.59,55
CPT,73222,HC MRI ANY JNT UP EXT W,4667.0,,323.1,4013.62,85
CPT,73222,PR MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,721.0,,56.3132,612.85,55
CPT,73223,HC MRI ANY JNT UP EXT W&W/O,6193.0,,366.42,5325.98,85
CPT,73223,PR MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,1081.0,,74.5108,918.85,55
CPT,73225,PR MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,683.0,,59.7632,580.55,50
CPT,73501,HC RADIOLOGIC EXAM HIP UNILATERAL WITH PELVIS  1 VIEW,379.0,,33.08,325.94,85
CPT,73501,PR RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,95.0,,6.6424,85.5,55
CPT,73502,HC RADIOLOGIC EXAM HIP UNILATERAL WITH PELVIS  2 OR 3 VIEWS,420.0,,47.78,361.2,85
CPT,73502,PR RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,122.0,,7.866,109.8,55
CPT,73503,HC RADIOLOGIC EXAM HIP UNILATERAL WITH PELVIS  MIN 4 VIEWS,520.0,,60.14,447.2,85
CPT,73503,PR RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,140.0,,9.5864,126.0,55
CPT,73521,HC RADIOLOGIC EXAM HIP BILATERAL WITH PELVIS 2 VIEWS,513.0,,41.44,441.18,85
CPT,73521,PR RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,117.0,,7.866,105.3,55
CPT,73522,HC RADIOLOGIC EXAM HIP BILATERAL WITH PELVIS 3-4 VIEWS,578.0,,54.13,497.08,85
CPT,73522,PR RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,152.0,,10.3316,136.8,55
CPT,73523,HC RADIOLOGIC EXAM HIP BILATERAL WITH PELVIS MIN 5 VIEWS,641.0,,62.15,551.26,85
CPT,73523,PR RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,162.0,,11.0676,145.8,55
CPT,73525,HC RAD EXAM HIP ARTHROGRAPHY R S& I,1655.0,,129.31,1423.3,85
CPT,73525,PR RADEX HIP ARTHROGRAPHY RS&I,292.0,,18.78,248.2,55
CPT,73551,HC RADIOLOGIC EXAM FEMUR 1 VIEW,390.0,,29.4,335.4,85
CPT,73551,PR RADIOLOGIC EXAMINATION FEMUR 1 VIEW,86.0,,5.9064,77.4,55
CPT,73552,HC RADIOLOGIC EXAM FEMUR MIN 2 VIEWS,432.0,,35.75,371.52,85
CPT,73552,PR RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,95.0,,6.394,85.5,55
CPT,73560,HC KNEE ONE OR TWO VIEWS,300.0,,34.41,258.0,85
CPT,73560,PR RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,107.0,,5.9064,90.95,55
CPT,73562,"HC KNEE, 3 VIEWS",371.0,,41.1,319.06,85
CPT,73562,PR RADIOLOGIC EXAMINATION KNEE 3 VIEWS,116.0,,5.45,98.6,55
CPT,73564,PR RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS,127.0,,7.68,107.95,55
CPT,73565,"HC RADIOLOGIC EXAM, KNEE, BOTH KNEES, STANDING ANTEROPOSTERIOR",369.0,,40.1,317.34,85
CPT,73565,PR RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,102.0,,4.74,86.7,55
CPT,73580,PR RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I,339.0,,22.3744,288.15,55
CPT,73590,HC TIBIA & FIBULA TWO VIEWS,346.0,,31.74,297.56,85
CPT,73590,PR RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS,81.0,,5.658,75.55,55
CPT,73592,"HC LOWER EXTREM, INF",297.0,,83.16,255.42,84
CPT,73592,PR RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS,78.0,,5.85,75.55,51
CPT,73600,HC RAD EXAM ANKLE 2 VIEWS,243.0,,32.41,208.98,85
CPT,73600,PR RADIOLOGIC EXAMINATION ANKLE 2 VIEWS,80.0,,5.658,70.41,55
CPT,73610,HC ANKLE COMPLETE MIN 3 VWS,313.0,,36.75,269.18,85
CPT,73610,PR RADEX ANKLE COMPLETE MINIMUM 3 VIEWS,89.0,,6.1456,75.65,55
CPT,73615,PR RADEX ANKLE ARTHROGRAPHY RS&I,257.0,,18.78,218.45,55
CPT,73620,HC RAD EXAM FOOT 2 VIEWS,237.0,,28.74,203.82,85
CPT,73620,PR RADIOLOGIC EXAMINATION FOOT 2 VIEWS,78.0,,5.4096,70.41,55
CPT,73630,HC FOOT 3VWS MIN,342.0,,34.41,294.12,85
CPT,73630,PR RADEX FOOT COMPLETE MINIMUM 3 VIEWS,87.0,,5.9064,73.95,55
CPT,73650,HC OS CALCIS (HEEL),289.0,,28.74,248.54,85
CPT,73650,PR RADEX CALCANEUS MINIMUM 2 VIEWS,89.0,,5.658,75.65,55
CPT,73660,HC TOE,225.0,,29.4,193.5,85
CPT,73660,PR RADEX TOE MINIMUM 2 VIEWS,60.0,,4.0,56.67,55
CPT,73700,HC CT LOWER EXT W/O,2754.0,,104.75,2368.44,85
CPT,73700,PR CT LOWER EXTREMITY W/O CONTRAST MATERIAL,384.0,,34.4264,326.4,55
CPT,73701,HC CT LOWER EXT W/CON,3173.0,,171.41,2728.78,85
CPT,73701,PR CT LOWER EXTREMITY W/CONTRAST MATERIAL,408.0,,40.0844,346.8,55
CPT,73702,HC CT LOWER EXT W&W/O,3315.0,,175.06,2850.9,85
CPT,73702,PR CT LOWER EXTREMITY W/O & W/CONTRAST MATRL,925.0,,41.8048,786.25,55
CPT,73706,HC CTA LOWER EXTRMITY W&W/O,3447.0,,175.06,2964.42,85
CPT,73706,PR CT ANGIOGRAPHY LOWER EXTREMITY,688.0,,64.9244,584.8,55
CPT,73718,HC MRI LOW EXT W/O CON,4495.0,,230.21,3865.7,85
CPT,73718,PR MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,704.0,,46.4784,598.4,55
CPT,73719,HC MRI LOW EXT W/CON,4758.0,,271.31,4091.88,85
CPT,73719,PR MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,620.0,,55.8256,635.34,55
CPT,73720,HC MRI LOW EXT W&W/O CON,6176.0,,347.5,5311.36,85
CPT,73720,PR MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,948.0,,74.0232,805.8,55
CPT,73721,HC MRI ANY JNT LOW EXT W/O,4340.0,,208.84,3732.4,85
CPT,73721,PR MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL,552.0,,46.9752,539.18,55
CPT,73722,PR MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL,864.0,,56.074,734.4,55
CPT,73723,HC MRI ANY JNT LOW EXTW&W/O,6427.0,,366.42,5527.22,85
CPT,73723,PR MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL,893.0,,74.2716,759.05,55
CPT,73725,HC MRA LOWER EXTREMITY W& W/O CONTRAST,2450.0,,586.99,3403.0,84
CPT,73725,HC MRA LOWER EXTREMITY W/O CONTRAST,1999.0,,559.72,3403.0,84
CPT,73725,HC MRA LOWER EXTREMITY WITH CONTR,2333.0,,586.99,3403.0,84
CPT,73725,PR MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL,891.0,,61.9712,757.35,50
CPT,74018,HC X-RAY EXAM ABDOMEN 1 VIEW,565.0,,30.4,485.9,85
CPT,74018,PR RADIOLOGIC EXAM ABDOMEN 1 VIEW,98.0,,6.394,88.2,55
CPT,74019,HC X-RAY EXAM ABDOMEN 2 VIEWS,587.0,,36.75,504.82,85
CPT,74019,PR RADIOLOGIC EXAM ABDOMEN 2 VIEWS,126.0,,7.866,113.4,55
CPT,74021,HC X-RAY EXAM ABDOMEN >= 3 VIEWS,616.0,,43.1,529.76,85
CPT,74021,PR RADIOLOGIC EXAM ABDOMEN 3+ VIEWS,145.0,,9.3472,130.5,55
CPT,74022,"HC RAD EX COMP ACUTE ABD >2+VIEW ABD W/S/E/D, 1 VIEW CHEST",580.0,,50.13,498.8,85
CPT,74022,PR RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES,138.0,,11.0676,133.95,55
CPT,74150,HC CT ABDOMEN W/O CONTRAST,2857.0,,104.75,2457.02,85
CPT,74150,PR CT ABDOMEN W/O CONTRAST MATERIAL,502.0,,41.0688,426.7,55
CPT,74160,HC CT ABDOMEN  W/CONTRAST,3884.0,,175.06,3340.24,85
CPT,74160,PR CT ABDOMEN W/CONTRAST MATERIAL,460.0,,44.022,461.91,55
CPT,74170,HC CT ABDOMEN W&W/O CNTRAST,4628.0,,175.06,3980.08,85
CPT,74170,PR CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL,535.0,,48.1988,554.64,55
CPT,74174,HC CT ANGIO AB&PLVS W&WO CON,7103.0,,366.42,6108.58,85
CPT,74174,PR CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING,1079.0,,75.4952,971.1,55
CPT,74175,HC CT ANGIO ABD W&WO CON,4503.0,,175.06,3872.58,85
CPT,74175,PR CTA ABDOMEN W/CONTRAST&IMG POSTPROCESSING,797.0,,62.468,686.86,55
CPT,74176,HC CT ABD & PELVIS W/O CNTRST,5606.0,,188.11,4821.16,85
CPT,74176,PR CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL,838.0,,60.0024,754.2,55
CPT,74177,HC CT ABD & PELVIS W/CONTRST,6866.0,,312.08,5904.76,85
CPT,74177,PR CT ABDOMEN & PELVIS W/CONTRAST MATERIAL,876.0,,62.7072,788.4,55
CPT,74178,HC CT ABD &PELVIS WO&WCNTRST,7944.0,,350.18,6831.84,85
CPT,74178,PR CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH,967.0,,69.1012,870.3,55
CPT,74181,HC MRI ABDOMEN W/O CONTRAST,4719.0,,201.81,4058.34,85
CPT,74181,PR MRI ABDOMEN W/O CONTRAST MATERIAL,713.0,,50.416,606.05,55
CPT,74182,HC MRI ABDOMEN W CON,5362.0,,311.75,4611.32,85
CPT,74182,PR MRI ABDOMEN W/CONTRAST MATERIAL,864.0,,59.5148,734.4,55
CPT,74183,HC MRI ABD W&W/O CONTRAST,6781.0,,348.5,5831.66,85
CPT,74183,PR MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST,1084.0,,75.7436,921.4,55
CPT,74185,PR MRA ABDOMEN W/WO CONTRAST MATERIAL,746.0,,61.4836,634.1,50
CPT,74190,HC PERITONEOGRAM RS&I,292.0,,81.04,641.9875,85
CPT,74190,PR PERITONEOGRAM RS&I,164.0,,15.9804,139.4,55
CPT,74210,PR RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY,169.0,,16.49,147.68,55
CPT,74220,HC RAD EX ESOPHAGUS INL SCOT/DELAY IMGES SINGLE CONTRAST STUDY,641.0,,97.56,551.26,85
CPT,74220,PR RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY,167.0,,17.97,154.54,55
CPT,74221,HC X-RAY XM ESOPHAGUS DOUBLE CONTRAST,797.0,,109.93,685.42,85
CPT,74221,PR RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY,365.0,,24.104,328.5,55
CPT,74230,"HC RAD EX SWALLOW FUNCJ W/CINERADIOGRAPY/VIDRADIOG, CONTRAST STUDY",690.0,,124.96,593.4,85
CPT,74230,PR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY,193.0,,13.51,188.89,55
CPT,74235,HC FB REMOVAL ESOPH RAD S&I,802.0,,224.56,689.72,84
CPT,74235,PR RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I,320.0,,41.0688,327.98,55
CPT,74240,HC RAD EX UPPER GI TRACT SINGLE CONTRAST STUDY,669.0,,122.96,575.34,85
CPT,74240,PR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,218.0,,24.0,206.06,55
CPT,74246,HC RAD UPPER GI SCOUT ABD RAD/DELAY IMGES DOUBLE CONTRAST W/GLUCAGON,878.0,,139.34,755.08,85
CPT,74246,PR RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,287.0,,25.83,243.95,55
CPT,74248,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,452.0,,82.53,388.72,84
CPT,74248,PR RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,365.0,,24.104,328.5,55
CPT,74250,HC RAD EX SMALL INTESTINE MULT IMG SINGLE CONTRAST STUDY,790.0,,121.96,679.4,85
CPT,74250,PR RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,195.0,,19.23,173.43,55
CPT,74251,PR RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY,483.0,,10.58,410.55,55
CPT,74261,HC CT COLONOGRAPHYDIAG WOCON,2488.0,,104.75,2139.68,85
CPT,74261,PR CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,1197.0,,82.6252,1077.3,55
CPT,74262,HC CT COLONOGRAPHYDIAG W/CON,2483.0,,175.06,2135.38,85
CPT,74262,PR CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,1240.0,,86.3144,1116.0,55
CPT,74263,HC CT COLONOGRAPHY SCREENING,2578.0,,280.3355,2217.08,85
CPT,74263,PR CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,1089.0,,78.936,980.1,55
CPT,74270,HC RAD EX COLON SINGLE CONTRAST STUDY,881.0,,153.7,757.66,85
CPT,74270,PR RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,253.0,,26.43,242.13,55
CPT,74280,HC RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY W/GLUCAGON,1040.0,,175.06,894.4,85
CPT,74280,PR RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,406.0,,29.79,345.1,55
CPT,74283,PR THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,523.0,,70.83,444.55,55
CPT,74290,PR CHOLECYSTOGRAPHY ORAL CONTRST,125.0,,7.82,125.36,55
CPT,74300,PR CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I,134.0,,9.5864,130.51,55
CPT,74301,HC CHLANG/PNCR ADDSETIO RS&I,1939.0,,85.52,1667.54,84
CPT,74301,PR CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS,139.0,,5.05,118.15,55
CPT,74328,HC END CTH-BIL DUCT S&I,210.0,,58.8,495.39,84
CPT,74328,PR ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I,367.0,,16.7256,362.33,55
CPT,74329,HC ENDO CATH PANCR DUCT S&I,476.0,,133.28,409.36,84
CPT,74329,PR ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I,347.0,,16.9648,360.61,55
CPT,74330,"HC FLUORO MON,ENDO CATH",183.0,,51.24,493.5,84
CPT,74330,PR CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I,374.0,,19.6696,382.93,55
CPT,74340,HC LONG GI TUBE INSERT RS&I,586.0,,164.08,503.96,84
CPT,74340,PR INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I,291.0,,18.446,247.35,55
CPT,74355,HC PERC PLACE ENTEROCL RS&I,889.0,,248.92,764.54,84
CPT,74355,PR PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I,415.0,,26.312,352.75,55
CPT,74360,HC ILUM DIL STRCT/OBSTR RS&I,1082.0,,302.96,930.52,84
CPT,74360,PR INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I,369.0,,19.6696,377.77,55
CPT,74363,HC PERCUTAN TRANSHEP DI,2065.0,,416.9,1775.9,84
CPT,74363,PR PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I,454.0,,30.0012,385.9,55
CPT,74400,HC PYELOGRAM W/WO KUB & TOMOGRAPHY,1231.0,,135.33,1058.66,85
CPT,74400,PR UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY,187.0,,11.64,188.89,53
CPT,74410,PR UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE,252.0,,12.93,214.2,53
CPT,74415,PR UROGRAPHY NFS DRIP &/BOLUS W/NEPHROTOMOGRAPHY,261.0,,13.75,226.66,53
CPT,74420,HC RETROGRAD URETEROPYELOGRM,1231.0,,78.19,1058.66,85
CPT,74420,PR UROGRAPHY RETROGRADE WITH/WO KUB,287.0,,17.71,243.95,53
CPT,74425,HC URETEROPYELO/CONDUIT S&I,1095.0,,135.99,941.7,85
CPT,74425,PR ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ & INTERPJ,171.0,,11.77,145.35,55
CPT,74430,HC CYSTOGRAPHY S&I,995.0,,41.44,855.7,85
CPT,74430,PR CYSTOGRAPHY MINIMUM 3 VIEWS RS&I,166.0,,11.0676,141.1,55
CPT,74440,PR VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I,124.0,,10.95,116.77,55
CPT,74445,PR CORPORA CAVERNOSOGRAPY RS&I,757.0,,38.8516,643.45,55
CPT,74450,HC RETROGRAD URETHROGRAM S&I,189.0,,52.92,280.3355,85
CPT,74450,PR URETHROCYSTOGRAPHY RETROGRADE RS&I,163.0,,11.316,138.55,55
CPT,74455,"HC URETHROCYSTOG,VOIDING S&I",792.0,,104.25,681.12,85
CPT,74455,PR URETHROCYSTOGRAPHY VOIDING RS&I,165.0,,10.01,151.11,55
CPT,74470,PR RADEX RENAL CYST STUDY TRANSLUMBAR RS&I,215.0,,17.9492,182.75,55
CPT,74485,HC DILATION NEPHROSTOMY/URETER/URETHRA RAD S&I,1250.0,,119.63,2456.009,85
CPT,74485,PR DILATION URETERS/URETHRA RS&I,428.0,,28.2808,363.8,55
CPT,74740,HC HYSTEROSALPNGOGRAPHY RS&I,1251.0,,66.83,1075.86,85
CPT,74740,PR HYSTEROSALPINGOGRAPHY RS&I,192.0,,12.04,163.2,55
CPT,74742,PR TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I,193.0,,24.259,164.05,47
CPT,75557,HC CARDIAC IMAGNG WO CNTRAST,2149.0,,233.47,3403.0,85
CPT,75557,PR CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST,1250.0,,80.1688,1062.5,55
CPT,75559,PR CARDIAC MRI W/O CONTRAST W/STRESS IMAGING,1286.0,,99.5992,1258.42,55
CPT,75561,HC CARDIAC IMAG W&WO CNTRST,3285.0,,366.42,3403.0,85
CPT,75561,PR CARDIAC MRI W/WO CONTRAST & FURTHER SEQ,1382.0,,88.78,1174.7,55
CPT,75563,PR CARDIAC MRI W/W/O CONTRAST W/STRESS,1592.0,,101.568,1353.2,55
CPT,75565,PR CARDIAC MRI FOR VELOCITY FLOW MAPPING,179.0,,8.6112,161.1,55
CPT,75571,HC CT HRT WO CON W/QT CA TST,1004.0,,86.58,1881.0,85
CPT,75571,PR CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,349.0,,19.918,314.1,55
CPT,75572,HC CT HT W/CN 3DPP ST/MORPHL,3332.0,,175.06,2865.52,85
CPT,75572,PR CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH,917.0,,59.7632,825.3,55
CPT,75573,PR CT HEART C+ CARDIAC STRUX&MORPH CGEN HRT DS,1069.0,,87.2988,962.1,55
CPT,75574,HC CTA HRT W/EVL CRDSTRMRP3D,3885.0,,175.06,3341.1,85
CPT,75574,PR CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,1226.0,,82.1376,1103.4,55
CPT,75600,PR AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I,335.0,,16.9648,348.59,55
CPT,75605,HC AORTOGRAPHY THOR RS&I,3639.0,,120.95,6537.7615,85
CPT,75605,PR AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I,692.0,,38.6124,692.42,55
CPT,75625,HC S/I ABDOMIN AORTOGRAM,3639.0,,126.64,3709.7505,85
CPT,75625,PR AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,768.0,,48.9348,844.6,55
CPT,75630,HC S/I ABD AORTOGRAM W/LLRO,7521.0,,157.04,6468.06,85
CPT,75630,PR AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I,1014.0,,67.8776,1013.91,55
CPT,75635,HC CTA ABDOMNAL AORTA W&W/O,4643.0,,175.06,3992.98,85
CPT,75635,PR CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP,1637.0,,81.65,1698.25,55
CPT,75705,HC ANGIOSPINAL SEL RS&I,6002.0,,250.94,6537.7615,85
CPT,75705,PR ANGIOGRAPHY SPINAL SELECTIVE RS&I,956.0,,84.594,812.6,55
CPT,75710,HC ANGIOEXTUNILAT RS&I,3639.0,,150.36,3709.7505,85
CPT,75710,PR ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,846.0,,59.7632,845.93,55
CPT,75716,HC ANGIOEXTBILAT RS&I,3885.0,,163.05,3709.7505,85
CPT,75716,PR ANGIOGRAPHY EXTREMITY BILATERAL RS&I,938.0,,66.8932,858.97,55
CPT,75726,HC VISC ANGIO SELEC RS&I,7718.0,,170.08,6637.48,85
CPT,75726,PR ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,1061.0,,67.8776,901.85,55
CPT,75731,HC ADREN ANGIO UNI SEL RS&I,3709.0,,153.7,3709.7505,85
CPT,75731,PR ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I,676.0,,39.3484,574.6,55
CPT,75733,HC ADREN ANGIOBILSEL RS&I,4636.0,,172.75,3986.96,85
CPT,75733,PR ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I,690.0,,44.2612,695.45,55
CPT,75736,HC PELVIC ANGIO SELEC RS&I,3709.0,,143.68,6537.7615,85
CPT,75736,PR ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,723.0,,37.628,614.55,55
CPT,75741,HC PULM ANGIO UNISEL RS&I,4011.0,,129.98,3709.7505,85
CPT,75741,PR ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I,703.0,,43.5252,702.79,55
CPT,75743,HC PULM ANGIO BILSEL RS&I,5013.0,,147.69,4311.18,85
CPT,75743,PR ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,818.0,,55.5772,806.32,55
CPT,75746,HC ANGIO PULM NONSEL RS&I,198.0,,55.44,3709.7505,85
CPT,75746,PR ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,614.0,,38.1156,614.26,55
CPT,75756,HC ANGIO INT MAMMARY RS&I,3292.0,,165.4,3709.7505,85
CPT,75756,PR ANGIOGRAPHY INTERNAL MAMMARY RS&I,597.0,,39.5968,539.13,55
CPT,75774,HC ANGIO SELECTIVE EA ADD'L,3081.0,,165.22,2649.66,84
CPT,75774,PR ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,695.0,,33.442,639.54,55
CPT,75801,HC LYMPHEXTUNILATRS&I,1504.0,,284.65,1293.44,85
CPT,75801,PR LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I,336.0,,30.9856,322.83,55
CPT,75803,HC LYMPHANGIOEXTBIL RS&I,154.0,,43.12,1849.4875,85
CPT,75803,PR LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I,430.0,,40.5812,441.3,55
CPT,75805,HC LYMPH UNILAT PEL/ABD RS&I,1048.0,,293.44,3709.7505,85
CPT,75805,PR LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I,457.0,,28.0324,418.98,55
CPT,75807,HC LYMPHBILATPEL/ABD RS&I,1699.0,,146.54,3709.7505,85
CPT,75807,PR LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I,539.0,,38.1156,523.73,55
CPT,75809,PR SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,234.0,,14.03,243.84,55
CPT,75810,HC SPLENOPORTOGRAM - S&I,193.0,,54.04,3709.7505,85
CPT,75810,PR SPLENOPORTOGRAPY RS&I,582.0,,34.9232,494.7,55
CPT,75820,HC VENOG EXT UNI RS&I,1153.0,,107.93,1849.4875,85
CPT,75820,PR VENOGRAPHY EXTREMITY UNILATERAL RS&I,430.0,,28.62,365.5,55
CPT,75822,HC VENOG EXT BILAT RS&I,1177.0,,133.65,1849.4875,85
CPT,75822,PR VENOGRAPHY EXTREMITY BILATERAL RS&I,510.0,,48.52,451.61,55
CPT,75825,HC S/I VENOG INFER VENACAVA,3639.0,,114.28,3709.7505,85
CPT,75825,PR VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,692.0,,38.6124,691.67,55
CPT,75827,HC VENOG CAVAL SUP RS&I,1177.0,,118.95,1849.4875,85
CPT,75827,PR VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,801.0,,38.8516,691.04,55
CPT,75831,HC S/I VENOG RENAL UNIATERAL,3639.0,,119.63,3709.7505,85
CPT,75831,PR VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,709.0,,37.3796,614.26,55
CPT,75833,HC S/I VENOG RENAL BILATERAL,4548.0,,148.35,3911.28,85
CPT,75833,PR VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,917.0,,50.6552,779.45,55
CPT,75840,HC VENOGADRENUNISEL RS&I,3333.0,,128.64,3709.7505,85
CPT,75840,PR VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I,774.0,,39.3484,657.9,55
CPT,75860,HC JUGULAR OR SINUS VENOGRAM,263.0,,73.64,3709.7505,85
CPT,75860,PR VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I,643.0,,38.6124,615.63,55
CPT,75870,HC VENOGRAPH SUPSAG SINUS SI,212.0,,59.36,3709.7505,85
CPT,75870,PR VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I,562.0,,42.3016,538.32,55
CPT,75872,HC VENOGRAPHY EPIDURAL,210.0,,58.8,737.0235,85
CPT,75872,PR VENOGRAPHY EPIDURAL RS&I,773.0,,39.3484,657.05,55
CPT,75880,PR VENOGRAPHY ORBITAL RS&I,367.0,,19.08,311.95,55
CPT,75885,HC PERC TRANS PORTW/HEM S&I,4841.0,,136.66,4163.26,85
CPT,75885,PR PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I,892.0,,47.2144,758.2,55
CPT,75887,HC PERC TRAN PORT W/OHEMS&I,3547.0,,137.66,3709.7505,85
CPT,75887,PR PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP,754.0,,47.4628,711.14,55
CPT,75889,HC VENOGHEPATW/HEMO RS&I,3639.0,,123.63,3709.7505,85
CPT,75889,PR HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I,773.0,,37.628,657.05,55
CPT,75891,HC VENOHEPATW/O HEMO RS&I,3639.0,,124.3,3709.7505,85
CPT,75891,PR HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I,641.0,,37.628,614.26,55
CPT,75893,HC VENOUS SAMP THRU CAT RS&I,3639.0,,105.25,6537.7615,85
CPT,75893,PR VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS&,361.0,,18.446,361.48,55
CPT,75894,HC TRANS THERAPYEMBOLI RS&I,192.0,,53.76,3067.44,84
CPT,75894,PR TRANSCATHETER EMBOLIZATION ANY METH RS&I,751.0,,42.29,781.3,55
CPT,75898,HC F/UP ANGIO  INFUS/EMBOL,1200.0,,133.71,3709.7505,85
CPT,75898,PR ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS,1460.0,,66.1572,1517.95,55
CPT,75901,HC MC RMV PC OBST CV VA RS&I,2021.0,,385.02,1738.06,84
CPT,75901,PR MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I,312.0,,16.2288,280.8,55
CPT,75902,HC MC RMV IL OBST CV DL RS&I75902,854.0,,149.07,734.44,84
CPT,75902,PR MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I,194.0,,13.0364,174.6,55
CPT,75956,HC ENDO RPR DS THRAORT WSBCL,4562.0,,1262.95,3923.32,84
CPT,75957,HC ENDO RPR DS THRAORTWOSBCL,4304.0,,953.77,3701.44,84
CPT,75958,HC PLC PRX PROSTH THRAC EXTN,4434.0,,632.44,3813.24,84
CPT,75959,HC PLC DSTL EXTEN - DELAYED,4562.0,,662.86,3923.32,84
CPT,75970,HC TRANSCATH BIOPSY RS&I,3534.0,,989.52,3039.24,84
CPT,75970,PR TRANSCATHETER BIOPSY RS&I,497.0,,27.2964,422.45,55
CPT,75984,HC  PERC TUBE/DRAIN CATH RS&I,1271.0,,162.96,1093.06,84
CPT,75984,PR CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I,348.0,,27.5448,295.8,55
CPT,75989,HC RAD GUIDEPERC DRAIN/SPEC,1762.0,,190.64,1515.32,84
CPT,75989,PR RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I,621.0,,40.0844,556.35,55
CPT,76000,HC FLUOROS (SEP) UP TO 1 HR,495.0,,42.78,425.7,85
CPT,76000,PR FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,282.0,,10.8192,239.7,55
CPT,76010,PR RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD,92.0,,6.4584,79.0,51
CPT,76014,HC MRI SAFETY IMPLANT INITIAL 15 MINUTES,93.0,,18.79,79.98,85
CPT,76015,HC MRI SAFETY IMPLANT EA ADDL 30 MINUTES,186.0,,48.98,159.96,84
CPT,76016,PR MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,309.0,,22.01,278.1,47
CPT,76017,HC MRI SAFETY MEDICAL PHYSICS EXAM CUSTOMIZATION PLNG & MNTR,387.0,,108.36,384.9,85
CPT,76017,PR MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR,390.0,,28.05,351.0,47
CPT,76019,PR MR SAFETY IMPLANT POS&/IMMOBLJ SUPVJ PHYS/QHP,296.0,,21.96,266.4,47
CPT,76080,"HC SINOGRAM, FISTULA S&I",971.0,,59.81,835.06,85
CPT,76080,PR RADEX ABSCESS/FISTULA/SINUS TRACT RS&I,234.0,,17.9492,198.9,55
CPT,76098,HC XRAY EXAM SURG SPECIMEN,326.0,,42.78,641.9875,85
CPT,76098,PR RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN,98.0,,7.42,83.3,55
CPT,76100,PR RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY,247.0,,20.1664,211.21,55
CPT,76120,PR CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC,201.0,,7.84,178.58,55
CPT,76125,PR CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION,142.0,,9.5864,147.68,55
CPT,76140,PR CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT,326.0,,10.34,338.1,40
CPT,76376,HC 3D RNDR WO POPRC INDWKSTA,193.0,,42.76,165.98,84
CPT,76376,PR 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,94.0,,6.8816,85.86,55
CPT,76377,HC 3D RNDR RQ POPRC INDWKSTA,1254.0,,133.69,1078.44,84
CPT,76377,PR 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,360.0,,27.5448,337.3,55
CPT,76380,HC CT LIMITED STUDY,1060.0,,86.58,1881.0,85
CPT,76380,PR CT LIMITED/LOCALIZED FOLLOW UP STUDY,365.0,,32.9544,310.25,55
CPT,76390,HC MR SPECTROSCOPY,3585.0,,102.2465,3403.0,85
CPT,76390,PR MRI SPECTROSCOPY,562.0,,38.1156,527.16,48
CPT,76391,HC MR ELASTOGRAPHY,4942.0,,207.16,4250.12,85
CPT,76391,PR MAGNETIC RESONANCE ELASTOGRAPHY,599.0,,38.1156,539.1,55
CPT,76496,HC FLUORO DIR PUNCT SCLRTHRP,454.0,,86.58,390.44,84
CPT,76496,HC IR UNLISTED FLUORO PROCED,371.0,,86.58,319.06,84
CPT,76496,"HC UNLISTED PX FLUOROSCOPIC, ADDITIONAL VENOGRAPHY AFTER INITIAL EXAM",3909.0,,86.58,3361.74,84
CPT,76496,"PR UNLISTED PROCEDURE FLUOROSCOPIC, FOR DIR PUNCT SCLEROTHERAPY",272.0,,17.13,244.8,40
CPT,76496,"PR UNLISTED PX FLOUROSCOPIC, ADDITIONAL VENOGRAPHY AFTER INITIAL",754.0,,17.13,678.6,40
CPT,76498,HC MRI TREATMENT PLANNING UNLST,5019.0,,86.58,4316.34,84
CPT,76498,HC MRI WHOLE BODY UNLST,10652.0,,86.58,9160.72,84
CPT,76498,"PR UNLISTED PROCEDURE MAGNETIC RESONANCE, MR GUIDED HIFU BONE ABLATION",4082.0,,21.42,3673.8,42
CPT,76498,"PR UNLISTED PROCEDURE MAGNETIC RESONANCE, MRI WHOLE BODY",1690.0,,21.42,1521.0,42
CPT,76499,HC DEXA BODY COMP 1/> SITES,547.0,,86.58,470.42,84
CPT,76499,PR UNLISTED PROCEDURE DIAGNOSITC RADIOGRAPHIC  (I/O CHAOLANGIOGRAM W/ AIR),135.0,,81.0,1677.65,28
CPT,76499,PR UNLISTED PROCEDURE DIAGNOSTIC RADIOGRAPHIC  BREAST TOMOSYNTHESIS,16.0,,9.6,1677.65,28
CPT,76499,PR UNLISTED PROCEDURE DIAGNOSTIC RADIOGRAPHIC  CT CHEST SCREENING,65.0,,39.0,1677.65,28
CPT,76499,PR UNLISTED PROCEDURE DIAGNOSTIC RADIOGRAPHIC  DEXA BODY COMP 1/MORE SITES,162.0,,97.2,1677.65,28
CPT,76499,PR UNLISTED PROCEDURE DIAGNOSTIC RADIOGRAPHIC  US GUIDED SKIN MARKER PLACEMENT,203.0,,121.8,1677.65,28
CPT,76506,PR ECHOENCEPHALOGRAPHY REAL TIME IMAGING,313.0,,18.9,290.19,55
CPT,76510,PR OPHTHALMIC US DX B-SCAN&QUAN A-SCAN SM PT ENCTR,539.0,,28.2808,485.1,53
CPT,76511,HC OPHTH US ECHO DX A-SCAN,571.0,,57.14,491.06,85
CPT,76511,PR OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY,318.0,,25.8244,317.68,53
CPT,76512,HC OPHTH US DX CONT B-SCAN,635.0,,48.11,546.1,85
CPT,76512,PR OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN,407.0,,22.1352,348.59,53
CPT,76513,HC OPHTH US-DX ANT SEG,441.0,,75.18,379.26,85
CPT,76513,PR DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI,409.0,,23.3588,348.59,53
CPT,76514,HC OPHTH US CORNEAL PACYMTRY,64.0,,11.36,55.04,85
CPT,76514,PR OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI,88.0,,5.658,88.31,55
CPT,76516,PR OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,322.0,,16.2288,333.12,55
CPT,76519,HC OPHTH BIOMETRY A-SCAN,501.0,,68.16,430.86,85
CPT,76519,PR OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL,322.0,,21.8868,333.12,55
CPT,76529,PR OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION,296.0,,23.3588,300.5,55
CPT,76536,HC U/S SOFT TISS HEAD &NECK,911.0,,104.75,783.46,85
CPT,76536,PR US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM,271.0,,18.16,266.16,55
CPT,76604,HC ULTRASOUND CHEST,642.0,,57.14,552.12,85
CPT,76604,PR US CHEST REAL TIME W/IMAGE DOCUMENTATION,304.0,,19.6696,276.47,55
CPT,76641,HC U/S BREAST UNILATCOMPLET,1401.0,,102.91,1204.86,85
CPT,76641,PR US BREAST UNI REAL TIME WITH IMAGE COMPLETE,390.0,,25.3276,351.0,55
CPT,76642,HC U/S BREAST UNILAT LIMITED,1124.0,,85.2,966.64,85
CPT,76642,PR US BREAST UNI REAL TIME WITH IMAGE LIMITED,364.0,,23.6072,327.6,55
CPT,76700,HC U/S ABD COMPL,1238.0,,104.75,1064.68,85
CPT,76700,PR US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION,376.0,,27.7932,319.6,55
CPT,76705,HC U/S ABDOMEN LIMITED,795.0,,87.21,683.7,85
CPT,76705,PR US ABDOMINAL REAL TIME W/IMAGE LIMITED,275.0,,20.1664,236.97,55
CPT,76770,HC US RETROPERITONEAL COMPLETE,812.0,,104.75,698.32,85
CPT,76770,PR US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE,307.0,,25.576,302.22,55
CPT,76775,HC US RETROPERITONEAL LTD,719.0,,59.81,618.34,85
CPT,76775,PR US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,266.0,,19.918,226.1,55
CPT,76776,HC US TRANSPLANTED KIDNEY DUPLEX DOPPLER WITH IMG DOCUMENTATION,979.0,,104.75,841.94,85
CPT,76776,PR US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,335.0,,26.0636,325.03,55
CPT,76800,PR ULTRASOUND SPINAL CANAL & CONTENTS,411.0,,34.5,349.35,55
CPT,76801,"HC U/S PREG 1ST TRI,SGI",519.0,,104.75,446.34,85
CPT,76801,PR US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT,507.0,,37.6096,456.3,55
CPT,76802,PR US PREG UTERUS 14 WK TRANSABDL EACH GESTATION,157.0,,31.648,155.96,55
CPT,76805,"HC U/S PREG AFTER 1ST TRI,SGL",519.0,,104.75,446.34,85
CPT,76805,PR US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION,360.0,,37.8672,306.0,55
CPT,76810,PR US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,501.0,,37.3336,425.85,55
CPT,76811,PR US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION,539.0,,72.2292,485.1,55
CPT,76813,PR US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,485.0,,44.9052,504.1,55
CPT,76814,PR US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,434.0,,37.6096,423.15,55
CPT,76815,HC U/S PEL LMTD (FETAL),126.0,,35.28,137.98,85
CPT,76815,PR US PREGNANT UTERUS LIMITED 1/> FETUSES,285.0,,24.61,242.25,55
CPT,76816,PR US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS,285.0,,22.03,242.25,55
CPT,76817,HC TRANSVAGINAL US OBSTETRIC,668.0,,92.89,574.48,85
CPT,76817,PR US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG,354.0,,28.6672,318.6,55
CPT,76818,PR FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING,490.0,,35.37,416.5,55
CPT,76819,PR FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING,275.0,,29.2192,279.9,55
CPT,76825,PR ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING,382.0,,37.88,355.45,55
CPT,76826,PR ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD,279.0,,17.76,237.15,55
CPT,76827,PR DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE,224.0,,22.1812,226.66,55
CPT,76828,PR DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT,147.0,,21.1048,137.37,55
CPT,76830,HC U/S TRANSVAGINAL,872.0,,104.75,749.92,85
CPT,76830,PR US TRANSVAGINAL,307.0,,23.8556,302.22,55
CPT,76831,HC SONOHYSTEROGRAPHY,251.0,,70.28,280.3355,85
CPT,76831,PR SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER,341.0,,24.96,348.59,55
CPT,76856,HC U/S PELVIC,1082.0,,96.28,930.52,85
CPT,76856,PR US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE,269.0,,24.3432,264.44,55
CPT,76857,HC U/S PELVIS LIMITED,627.0,,50.79,539.22,85
CPT,76857,PR US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U,248.0,,17.4616,242.13,55
CPT,76870,HC U/S TESTICULAR,894.0,,100.24,768.84,85
CPT,76870,PR US SCROTUM & CONTENTS,241.0,,21.8868,226.66,55
CPT,76872,HC PROSTATES STAG U/S,756.0,,104.75,650.16,85
CPT,76872,PR US TRANSRECTAL,450.0,,12.35,386.36,55
CPT,76873,HC PLANNING ULTRASOUND,582.0,,104.75,500.52,85
CPT,76873,PR US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX,738.0,,55.5772,627.3,55
CPT,76881,HC US COMPETE JOINT REAL-TIME W/ IMG DOCUMENT,774.0,,92.25,665.64,85
CPT,76881,PR US COMPL JOINT R-T W/IMAGE DOCUMENTATION,334.0,,22.1352,300.6,55
CPT,76882,HC US LIMITED JOINT/OTHER NONVAS EXTREMITY STRUCTURE(S) REAL-TIME W/ IMG DOCUMENT,593.0,,30.35,509.98,85
CPT,76882,PR US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG,201.0,,17.2132,180.9,53
CPT,76885,PR US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ,267.0,,20.95,271.31,51
CPT,76886,PR US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ,234.0,,22.41,238.68,51
CPT,76932,HC U/S GUID ENDOMYCAR BX,1155.0,,260.5,993.3,84
CPT,76932,PR US ENDOMYOCARDIAL BIOPSY RS&I,352.0,,26.0636,299.2,55
CPT,76936,HC US GUIDANC FR ARTERY REPR,1133.0,,253.69,974.38,85
CPT,76936,PR US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,921.0,,67.8776,782.85,55
CPT,76937,HC U/S GUID FOR VASC ACCESS,1039.0,,65.78,893.54,84
CPT,76937,PR US VASC ACCESS SITS VSL PATENCY NDL ENTRY,168.0,,10.0832,142.8,55
CPT,76940,HC US GUID&MN PRNCML TIS ABL,849.0,,237.72,730.14,84
CPT,76940,PR US &MNTR PARENCHYMAL TISSUE ABLATION,807.0,,72.7904,771.49,55
CPT,76941,PR US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I,385.0,,46.4784,327.25,55
CPT,76942,HC  ULTRASOUND GUIDANCE NEEDLE PLACMNT,1409.0,,99.19,1211.74,84
CPT,76942,PR US GUIDANCE NEEDLE PLACEMENT IMG S&I,480.0,,21.8868,408.0,55
CPT,76945,PR US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I,250.0,,23.1196,212.5,55
CPT,76946,PR US GUIDANCE AMNIOCENTESIS IMG S&I,272.0,,13.2756,231.2,55
CPT,76948,PR US GUIDANCE ASPIRATION OVA IMG S&I,260.0,,27.07,261.0,47
CPT,76965,HC U/S GD INTRST RADLMNT APP,1860.0,,161.36,1599.6,84
CPT,76965,PR US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION,720.0,,49.1832,612.0,55
CPT,76975,PR GI ENDOSCOPIC US S&I,438.0,,29.5136,425.86,55
CPT,76977,PR US BONE DENSITY MEAS & INTERP PERIPH ANY METHO,105.0,,1.9688,89.25,55
CPT,76978,HC ULTRASOUND TARGET DYNAMIC MICROBUBBLE 1ST LESION,1776.0,,175.06,1527.36,85
CPT,76978,PR ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION,880.0,,56.074,792.0,55
CPT,76979,HC ULTRASOUND TARGET DYNAMIC MICROBUBBLE EA ADD'L LESION,495.0,,138.6,425.7,84
CPT,76979,PR ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES,486.0,,29.2652,437.4,55
CPT,76981,HC ULTRASOUND ELASTOGRAPHY PARENCHYMA,1390.0,,104.59,1195.4,85
CPT,76981,PR ULTRASOUND ELASTOGRAPHY PARENCHYMA,321.0,,20.654,288.9,55
CPT,76982,HC ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION,1390.0,,93.56,1195.4,85
CPT,76982,PR ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION,321.0,,20.654,288.9,55
CPT,76983,HC ULTRASOUND ELASTOGRAPHY EA ADDL TARGET LESION,349.0,,61.81,300.14,84
CPT,76983,PR ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION,232.0,,18.1976,208.8,55
CPT,76998,HC US GUIDANCE INTRAOPERATIV,1252.0,,325.18,1076.72,84
CPT,76998,PR ULTRASONIC GUIDANCE INTRAOPERATIVE,1039.0,,33.9388,1076.9,55
CPT,76999,PR UNLISTED PROCEDURE ULTRASOUND  ABLATION CRYO EXTREMITY US GUIDANCE,2192.0,,386.36,1863.2,28
CPT,77001,HC FLUORO GUI CVC PLACE/REM,1252.0,,167.85,1076.72,84
CPT,77001,PR FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,353.0,,13.2756,343.43,55
CPT,77002,HC FLUORO GUIDED NDL PLACE,1277.0,,196.97,1098.22,84
CPT,77002,PR FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON,527.0,,19.4304,681.95,55
CPT,77003,HC FLURO GUID/NDL LOC SPINE,953.0,,179.24,819.58,84
CPT,77003,PR FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON,656.0,,20.654,681.95,55
CPT,77011,HC CT:3D LOCAL STEREOTACTIC,2443.0,,376.25,2100.98,84
CPT,77011,HC INTRAOP CT LOCAL STEREOTACTIC GUIDANCE,2443.0,,376.25,2100.98,84
CPT,77011,PR CT GUIDANCE STEREOTACTIC LOCALIZATION,601.0,,45.0064,510.85,55
CPT,77012,HC CT GUID FOR NDLE PLC RS&I,2481.0,,237.74,2133.66,84
CPT,77012,PR CT GUIDANCE NEEDLE PLACEMENT,576.0,,50.6552,533.54,55
CPT,77013,HC CT GUIDE&MON VIS TISS ABL,2177.0,,609.56,1881.0,84
CPT,77013,PR CT GUIDANCE &MONITORING VISC TISS ABLATION,1702.0,,133.2896,1463.25,55
CPT,77014,HC CT FOR XRT FIELD PLACMNT,846.0,,203.58,727.56,84
CPT,77014,HC CT PLACEMENT OF RA,767.0,,203.58,659.62,84
CPT,77014,HC CT XRT FIELD PLACEMNT 4D,846.0,,203.58,727.56,84
CPT,77021,HC MRI IMG GUIDANCE NEEDLE REPLACE RS&I,3949.0,,720.41,3403.0,84
CPT,77021,PR MRI GUIDANCE NEEDLE PLACEMENT RS&I,645.0,,51.6396,640.25,55
CPT,77022,HC MR IMG GUIDANCE & MONITORING PARENCHYMAL TISSUE ABLATION,4889.0,,1368.92,4204.54,84
CPT,77022,PR MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION,1836.0,,145.5808,1676.67,55
CPT,77046,"HC MRI BREAST WO CONTRAST, UNILATERAL",4670.0,,280.3355,4016.2,85
CPT,77046,PR MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,787.0,,49.9192,708.3,55
CPT,77047,"HC MRI BREAST WO CONTRAST, BILATERAL",4856.0,,280.3355,4176.16,85
CPT,77047,PR MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,871.0,,55.0896,783.9,55
CPT,77048,HC MRI BREAST W/WO CONTRAST W/CAD UNILATERAL,4227.0,,587.16,3635.22,84
CPT,77048,PR MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,1138.0,,72.542,1024.2,55
CPT,77049,HC MRI BREAST W/WO CONTRAST W/CAD BILATERAL,5069.0,,599.32,4359.34,84
CPT,77049,PR MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,1247.0,,79.4328,1122.3,55
CPT,77053,HC MAMMOGRAPHY DUCT/GA,668.0,,54.13,574.48,85
CPT,77053,PR MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE,177.0,,12.5396,154.54,55
CPT,77054,HC MAMMOGRAPHY DUCT/GA MULT,789.0,,69.5,678.54,85
CPT,77054,PR MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE,281.0,,15.4928,238.85,55
CPT,77061,PR DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,306.0,,32.0,275.4,40
CPT,77062,PR DIGITAL BREAST TOMOSYNTHESIS BILATERAL,306.0,,39.57,275.4,40
CPT,77063,HC SCREEN BREAST TOMOSYNTHS,180.0,,50.4,154.8,83
CPT,77063,PR SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,306.0,,20.9024,275.4,55
CPT,77065,"HC DIAGNOSTIC MAMMOGRAPHY INCL CAD, UNILATERAL",537.0,,150.36,461.82,84
CPT,77065,PR DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,399.0,,28.0324,359.1,55
CPT,77066,"HC DIAGNOSTIC MAMMOGRAPHY INCL CAD, BILATERAL",771.0,,215.88,663.06,84
CPT,77066,PR DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,492.0,,34.4264,442.8,55
CPT,77067,"HC SCREENING MAMMOGRAPHY INCL CAD, BILATERAL",595.0,,166.6,511.7,84
CPT,77067,PR SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,374.0,,26.312,336.6,55
CPT,77071,PR MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY,215.0,,50.269,182.75,47
CPT,77072,HC WRIST BONE AGE,356.0,,26.06,306.16,85
CPT,77072,PR BONE AGE STUDIES,94.0,,6.6424,98.12,55
CPT,77073,HC BONE LENGTH STUDY,531.0,,45.44,456.66,85
CPT,77073,PR BONE LENGTH STUDIES,145.0,,9.5864,123.25,55
CPT,77074,HC BONE SURVEY LMTD,723.0,,65.49,621.78,85
CPT,77074,PR RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,211.0,,15.2444,186.44,55
CPT,77075,HC BONE SURVEY COMPL,1142.0,,99.9,982.12,85
CPT,77075,PR RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE,267.0,,19.182,248.98,55
CPT,77076,HC BONE SURVEY INF,400.0,,104.75,344.0,84
CPT,77076,PR RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,224.0,,25.5668,199.92,51
CPT,77077,PR JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,163.0,,12.052,138.55,55
CPT,77078,PR CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE,360.0,,8.6112,372.87,55
CPT,77080,HC BONE DENSITY (DEXA),657.0,,39.09,565.02,85
CPT,77080,PR DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,173.0,,6.8816,155.77,55
CPT,77081,HC DXA APPENDICULAR,312.0,,31.74,268.32,85
CPT,77081,PR DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL,162.0,,6.8816,155.77,55
CPT,77084,HC MRI BONE MARROW BLOOD SUPPLY,10617.0,,233.47,9130.62,85
CPT,77084,PR MRI BONE MARROW BLOOD SUPPLY,817.0,,55.3288,798.47,55
CPT,77085,HC DEXA STUDY W/ VFA,826.0,,53.46,710.36,85
CPT,77085,PR DXA BONE DENSITY STD 1/> AXL SKEL W/VRT FX ASSMT,143.0,,10.3316,128.7,55
CPT,77086,HC DXA VRTB FRACTUR ASSESSMT,826.0,,33.75,710.36,85
CPT,77086,PR VERTEBRAL FRACTURE ASSESSMENT VIA DXA,81.0,,5.9064,72.9,55
CPT,77091,"HC TRABECULAR BONE SCORE,TECHNICAL CALCULATION ONLY",67.0,,18.76,102.2465,84
CPT,77092,PR TBS INTERPRETATION & REPORT FX RISK BY OTHER QHP,99.0,,8.42,89.1,45
CPT,77261,PR THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE,1078.0,,52.1364,1121.31,55
CPT,77262,PR THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE,1410.0,,80.6656,1466.44,55
CPT,77263,PR THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX,3194.0,,125.4236,2714.9,55
CPT,77280,HC XRT-SIM SIMPLE,1443.0,,157.918,1240.98,85
CPT,77280,PR THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE,978.0,,21.88,831.3,55
CPT,77285,HC XRT-SIM INTERMED,2185.0,,439.921,1879.1,85
CPT,77285,PR THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED,828.0,,34.48,858.57,55
CPT,77290,HC XRT- SIM COMPLEX,3026.0,,439.921,2602.36,85
CPT,77290,PR THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX,1831.0,,56.84,1556.35,55
CPT,77293,HC 4D CT MOTION MGMT SMULATN,1311.0,,367.08,1127.46,84
CPT,77293,PR RESPIRATORY MOTION MANAGEMENT SIMULATION,1007.0,,77.73,906.3,47
CPT,77295,HC 3D RECON TUMOR VOL,6543.0,,819.37,5626.98,85
CPT,77295,HC FUSION RECONSTRUCTION,6543.0,,819.37,5626.98,85
CPT,77295,HC STEREO RECNSTR TUMR VOLUM,6543.0,,819.37,5626.98,85
CPT,77295,PR 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS,2403.0,,193.4685,2042.55,55
CPT,77300,HC XRT-DOSIM CALC,891.0,,112.65,766.26,85
CPT,77300,PR BASIC RADIATION DOSIMETRY CALCULATION,420.0,,28.2115,393.23,55
CPT,77301,HC XRT-IMRT TX PLAN,10147.0,,1626.2265,8726.42,85
CPT,77301,PR NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS,4886.0,,360.825,4153.1,55
CPT,77306,HC TELTHRPY ISODOS PLAN SMPL,3900.0,,252.97,3354.0,85
CPT,77306,PR TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION,690.0,,54.05,621.0,55
CPT,77307,HC TELTHRPY ISODOS PLAN CMPLX,4129.0,,439.921,3550.94,85
CPT,77307,PR TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY,1533.0,,112.12,1379.7,55
CPT,77316,HC BRACHY ISODOSE PLAN SIMPL,2363.0,,419.01,2032.18,85
CPT,77316,PR BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL,743.0,,54.05,668.7,55
CPT,77317,HC BRACHY ISODOS PLAN INTRMD,3283.0,,439.921,2823.38,85
CPT,77317,PR BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL,971.0,,71.18,873.9,55
CPT,77318,HC BRACHY ISODOSE PLAN CMPLX,4287.0,,439.921,3686.82,85
CPT,77318,PR BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL,1533.0,,112.12,1379.7,55
CPT,77321,HC SPECIAL TELE PORT PLAN,1684.0,,160.89,1448.24,85
CPT,77321,PR SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY,556.0,,37.1312,513.42,55
CPT,77331,HC SPECIAL DOSIMETRY,1007.0,,111.35,866.02,85
CPT,77331,PR SPEC DOSIM ONLY PRESCRIBED TREATING PHYS,619.0,,39.423,526.15,47
CPT,77332,HC XRT-DEVICE SIMPLE,700.0,,67.33,602.0,85
CPT,77332,PR TX DEVICES DESIGN & CONSTRUCTION SIMPLE,360.0,,20.417,352.02,55
CPT,77333,HC XRT-DEVICE INTERME,1059.0,,157.918,910.74,85
CPT,77333,PR TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE,531.0,,30.37,451.35,55
CPT,77334,HC APERTURE DEVICE COMPLEX,1358.0,,214.11,1167.88,85
CPT,77334,HC AQUAPLAST TX DEV,1358.0,,214.11,1167.88,85
CPT,77334,HC COMPENSATOR DEVICE COMPLEX,1358.0,,214.11,1167.88,85
CPT,77334,HC VACLOCK TX DEV,1358.0,,214.11,1167.88,85
CPT,77334,HC XRT-DEVICE COMPLEX,1358.0,,214.11,1167.88,85
CPT,77334,PR TX DEVICES DESIGN & CONSTRUCTION COMPLEX,792.0,,51.765,745.23,55
CPT,77336,HC XRT-MED PHYSICS QA,1011.0,,151.99,869.46,85
CPT,77338,HC MLC FOR IMRT/PLAN,4989.0,,439.921,4290.54,85
CPT,77338,PR MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN,2176.0,,166.14,1958.4,55
CPT,77370,HC XRT - PHYSICS CONSLT,1431.0,,157.918,1230.66,85
CPT,77371,HC SRS GAMMA KNIFE,71624.0,,3428.07,61596.64,85
CPT,77372,HC SRS STEREO RADSRG SGL SES,31182.0,,1612.55,26816.52,85
CPT,77373,HC FRACTION GAMMA KNIFE <= 5 TX DELV,18191.0,,1684.55,15644.26,85
CPT,77373,HC SBRT STEREO BDY RAD TXDEL,18191.0,,1684.55,15644.26,85
CPT,77387,HC T* BAT IGRT GUIDANCE,877.0,,230.67,754.22,84
CPT,77387,HC T* CT BASED IGRT GUIDANCE,877.0,,230.67,754.22,84
CPT,77387,HC T* KV BASED IGRT GUIDANCE,877.0,,230.67,754.22,84
CPT,77387,HC T*MR BASED IGRT GUIDANCE,877.0,,230.67,754.22,84
CPT,77387,PR GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR,377.0,,15.2444,339.3,53
CPT,77402,HC XRT LEVEL 1 SINGLE/MULTI ELECTRON OR 2D SINGLE INCL IMG,2713.0,,119.876,2333.18,85
CPT,77407,HC XRT LEVEL 2 SINGLE ISOCENTER 3D INCL IMG,4178.0,,453.1575,3593.08,85
CPT,77407,HC XRT LEVEL 2 SINGLE ISOCENTER IMRT INCL IMG,4178.0,,453.1575,3593.08,85
CPT,77412,HC XRT LEVEL 3 2D INCL IMG,4730.0,,649.1865,4067.8,85
CPT,77412,HC XRT LEVEL 3 3D INCL IMG,4730.0,,649.1865,4067.8,85
CPT,77412,HC XRT LEVEL 3 IMRT INCL IMG,4730.0,,649.1865,4067.8,85
CPT,77417,HC PORT FILMS,327.0,,25.54,281.22,84
CPT,77427,PR RADIATION TREATMENT MANAGEMENT 5 TREATMENTS,1658.0,,142.876,1519.68,55
CPT,77431,PR RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY,568.0,,80.6656,487.66,55
CPT,77432,PR STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION,4409.0,,367.9565,4246.51,47
CPT,77435,PR STEREOTACTIC BODY RADIATION MANAGEMENT,5857.0,,478.5656,5548.85,55
CPT,77469,PR INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT,2697.0,,232.1435,2427.3,55
CPT,77470,HC SPCL TMT PROCD,3582.0,,243.35,3080.52,85
CPT,77470,PR SPECIAL TREATMENT PROCEDURE,1526.0,,79.4328,1297.1,55
CPT,77520,HC PROTON TX DEL SIMPLE W/O COMPENSATION,4531.0,,649.1865,3896.66,85
CPT,77522,HC PROTON TX DEL SIMPLE W/ COMPENSATION,5331.0,,1468.3315,4584.66,85
CPT,77523,HC PROTON TX DEL INTERMEDIATE,6380.0,,1468.3315,5486.8,85
CPT,77525,HC PROTON TX DEL COMPLEX,7535.0,,1368.24,6480.1,85
CPT,77525,PR PROTON TX DELIVERY COMPLEX,6022.0,,260.0,7685.04,40
CPT,77600,PR HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL,877.0,,25.7,874.02,42
CPT,77605,PR HYPERTHERMIA EXTERNALLY GENERATED DEEP,1647.0,,22.89,1457.86,42
CPT,77610,PR HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS,891.0,,17.14,757.35,42
CPT,77615,PR HYPERTHERMIA INTERSTIAL PROBE>5 APPLICATORS,1392.0,,22.89,1183.2,42
CPT,77620,PR HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES,800.0,,25.7,680.0,42
CPT,77750,PR NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE,1813.0,,171.84,1782.4,55
CPT,77761,PR INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE,1494.0,,126.7,1315.34,55
CPT,77762,HC XRT-INTRACAV APP INTERM,2329.0,,649.1865,2002.94,85
CPT,77762,PR INTRACAVITARY RADIATION SOURCE APPLIC INTERMED,2019.0,,206.35,1943.81,55
CPT,77763,HC XRT-INTRACAV APP COMPLEX,2709.0,,758.52,2329.74,85
CPT,77763,PR INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX,3062.0,,318.58,2847.03,55
CPT,77770,HC XRT-DR REMOTE INTER 1CH,6394.0,,592.13,5498.84,85
CPT,77770,PR HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL,1062.0,,75.74,955.8,55
CPT,77771,HC XRT-DR REMOTE INTER2-12CH,8146.0,,818.294,7005.56,85
CPT,77771,PR HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL,1885.0,,146.54,1696.5,55
CPT,77772,HC XRT-DR REMOTE INTER 12+CH,9148.0,,818.294,7867.28,85
CPT,77772,PR HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS,2570.0,,207.08,2313.0,55
CPT,77778,HC INTERSTIT RAD APPLC CMPLX,2567.0,,718.76,2207.62,85
CPT,77778,HC XRT-INTER11+COM SUP/RADIO,2567.0,,718.76,2207.62,85
CPT,77778,PR INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX,4621.0,,335.37,4191.57,55
CPT,77789,HC XRT-SURFACE APP,124.0,,34.72,227.27,85
CPT,77789,PR SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE,519.0,,29.28,441.15,55
CPT,77790,HC SPVS/HAND/LOAD RAD SOURC,116.0,,30.83,99.76,84
CPT,78012,PR THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,112.0,,6.394,100.8,55
CPT,78013,PR THYROID IMAGING WITH VASCULAR FLOW,257.0,,12.5396,231.3,55
CPT,78014,PR THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,289.0,,16.7256,260.1,55
CPT,78015,PR THYROID CARCINOMA METASTASES IMG LMTD AREA,549.0,,17.32,466.65,55
CPT,78016,PR THYROID CARCINOMA METASTASES IMG ADDL STUDY,582.0,,22.8,494.7,55
CPT,78018,PR THYROID CARCINOMA METASTASES IMG WHOLE BODY,906.0,,28.2808,770.1,55
CPT,78020,PR THYROID CARCINOMA METASTASES UPTAKE,230.0,,19.182,195.5,55
CPT,78070,PR PARATHYROID PLANAR IMAGING,398.0,,13.81,338.3,55
CPT,78071,PR PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,603.0,,40.5812,542.7,55
CPT,78072,PR PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT,795.0,,53.3692,715.5,55
CPT,78075,PR ADRENAL IMAGING CORTEX &/MEDULLA,594.0,,21.13,504.9,55
CPT,78102,PR BONE MARROW IMAGING LIMITED AREA,262.0,,13.85,224.95,55
CPT,78103,PR BONE MARROW IMAGING MULTIPLE AREAS,400.0,,20.69,353.74,55
CPT,78104,PR BONE MARROW IMAGING WHOLE BODY,381.0,,25.5,384.64,55
CPT,78110,PR PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE,204.0,,3.97,173.4,55
CPT,78111,PR PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES,263.0,,7.6268,223.55,55
CPT,78120,PR RED CELL VOLUME DETERMINATION SPX 1 SAMPLING,226.0,,6.8816,192.1,55
CPT,78121,PR RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS,228.0,,10.8192,236.97,55
CPT,78122,PR WHOLE BLOOD VOLUME DETERMINATION,345.0,,15.0052,358.87,55
CPT,78130,PR RED CELL SURVIVAL STUDY,457.0,,17.71,388.45,55
CPT,78140,PR LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE,449.0,,17.71,381.65,55
CPT,78185,PR SPLEEN IMAGING ONLY W/WO VASCULAR FLOW,392.0,,9.59,333.2,55
CPT,78191,PR PLATELET SURVIVAL STUDY,651.0,,17.71,553.35,55
CPT,78195,PR LYMPHATICS & LYMPH NODES IMAGING,605.0,,27.02,514.25,55
CPT,78199,HC LYMPHOSCINTIGRAPHY W/ ICG,2864.0,,469.6945,2463.04,83
CPT,78201,PR LIVER IMAGING STATIC ONLY,210.0,,9.74,202.63,55
CPT,78202,PR LIVER IMAGING W/VASCULAR FLOW,252.0,,11.77,221.51,55
CPT,78215,PR LIVER & SPLEEN IMAGING STATIC ONLY,267.0,,16.7256,278.18,55
CPT,78216,PR LIVER & SPLEEN IMAGING W/VASCULAR FLOW,312.0,,19.918,324.53,55
CPT,78226,PR HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,436.0,,25.3276,392.4,55
CPT,78227,PR HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,587.0,,30.7372,528.3,55
CPT,78230,PR SALIVARY GLAND IMAGING,250.0,,13.83,212.5,55
CPT,78231,PR SALIVARY GLAND IMAGING SERIAL IMAGES,176.0,,15.2444,178.58,55
CPT,78232,PR SALIVARY GLAND FUNCTION STUDY,185.0,,13.7724,187.16,55
CPT,78258,PR ESOPHAGEAL MOTILITY,264.0,,19.25,255.85,55
CPT,78261,PR GASTRIC MUCOSA IMAGING,272.0,,19.918,240.4,55
CPT,78262,PR GASTROESOPHAGEAL REFLUX STUDY,318.0,,23.6072,270.3,55
CPT,78264,PR GASTRIC EMPTYING IMAGING STUDY,443.0,,17.07,376.55,55
CPT,78267,PR UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS,44.0,,5.0,41.18,40
CPT,78268,PR UREA BREATH TEST C-14 ISOTOPIC ANALYSIS,396.0,,5.0,352.91,40
CPT,78278,PR ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,461.0,,30.75,391.85,55
CPT,78282,PR GASTROINTESTINAL PROTEIN LOSS,168.0,,11.0676,170.0,55
CPT,78290,PR INTESTINE IMAGING,438.0,,13.08,372.3,55
CPT,78291,PR PERITONEAL-VENOUS SHUNT PATENCY TEST,339.0,,21.03,288.15,55
CPT,78300,PR BONE &/JOINT IMAGING LIMITED AREA,311.0,,16.56,264.35,55
CPT,78305,PR BONE &/JOINT IMAGING MULTIPLE AREAS,355.0,,23.71,321.11,55
CPT,78306,PR BONE &/JOINT IMAGING WHOLE BODY,401.0,,26.88,341.71,55
CPT,78315,PR BONE &/JOINT IMAGING 3 PHASE STUDY,459.0,,30.39,390.15,55
CPT,78350,PR BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY,155.0,,9.2225,131.75,42
CPT,78351,PR BONE DENSTY 1/> SITES DUAL PHOTON ABSORPTIOMETR,167.0,,8.8,164.86,42
CPT,78414,PR CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM,401.0,,15.2444,417.27,55
CPT,78428,PR CARDIAC SHUNT DETECTION,316.0,,21.99,327.98,55
CPT,78445,PR NONCARDIAC VASCULAR FLOW IMAGING,381.0,,12.6,394.95,55
CPT,78451,PR MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS,874.0,,46.4784,786.6,55
CPT,78452,PR MYOCARDIAL SPECT MULTIPLE STUDIES,782.0,,54.8412,703.8,55
CPT,78453,PR MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,403.0,,33.6904,362.7,55
CPT,78454,PR MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,601.0,,46.23,540.9,55
CPT,78456,PR ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE,409.0,,26.96,401.8,55
CPT,78457,PR VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL,367.0,,26.312,329.69,55
CPT,78458,PR VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL,574.0,,31.234,515.14,55
CPT,78459,HC MYOCRD IMG POSI EMIS TOMO PET METAB EVAL  SINGLE STUDY,6970.0,,1521.0935,5994.2,85
CPT,78466,PR MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN,479.0,,23.1196,497.97,55
CPT,78468,PR MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ,439.0,,27.2964,456.77,55
CPT,78469,PR MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ,378.0,,36.618,357.17,47
CPT,78472,PR CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS,572.0,,33.2028,522.01,55
CPT,78473,PR CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT,905.0,,49.9192,941.0,55
CPT,78481,PR CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT,532.0,,32.9544,552.91,55
CPT,78483,PR CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT,1093.0,,49.68,1136.75,55
CPT,78491,"HC MYOCRD IMG POSI EMIS TOMO PET PERFUS SINGLE STUDY, REST/STRESS",3230.0,,904.4,4896.0,85
CPT,78492,"HC MYOCRD IMG POSI EMIS TOMO PET PERFUS MULT STUDIES, REST/STRESS",8185.0,,1680.058,7039.1,85
CPT,78494,PR CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT,854.0,,40.3328,887.77,55
CPT,78496,PR CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT,454.0,,16.4772,454.02,55
CPT,78579,PR PULMONARY VENTILATION IMAGING,230.0,,16.4772,207.0,55
CPT,78580,PR PULMONARY PERFUSION IMAGING PARTICULATE,315.0,,21.96,267.75,55
CPT,78582,PR PULMONARY VENTILATION & PERFUSION IMAGING,527.0,,36.1468,474.3,55
CPT,78597,PR QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,391.0,,24.5916,351.9,55
CPT,78598,PR QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN,372.0,,28.0324,334.8,55
CPT,78600,PR BRAIN IMAGING <4 STATIC VIEWS,210.0,,11.43,204.34,55
CPT,78601,PR BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW,278.0,,13.47,259.29,55
CPT,78605,PR BRAIN IMAGING MINIMUM 4 STATIC VIEWS,604.0,,18.446,513.4,55
CPT,78606,PR BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,318.0,,15.55,290.19,55
CPT,78608,HC PET BRAIN METABOLIC EVAL,8814.0,,1458.59,7580.04,85
CPT,78608,PR BRAIN IMAGING PET METABOLIC EVALUATION,2062.0,,50.1676,2144.72,55
CPT,78610,PR BRAIN IMAGING VASCULAR FLOW ONLY,150.0,,6.55,127.5,55
CPT,78630,PR CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY,425.0,,19.61,361.25,55
CPT,78635,PR CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY,448.0,,11.14,380.8,55
CPT,78645,PR CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ,279.0,,13.85,259.29,55
CPT,78650,PR CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO,367.0,,17.71,360.61,55
CPT,78660,PR RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY,240.0,,14.13,204.0,55
CPT,78700,PR KIDNEY IMAGING MORPHOLOGY,220.0,,15.2444,228.38,55
CPT,78701,PR KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW,242.0,,13.82,250.71,55
CPT,78707,PR KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,449.0,,32.2184,381.65,55
CPT,78708,PR KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,460.0,,40.8204,410.39,55
CPT,78709,PR KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE,664.0,,40.53,564.4,55
CPT,78725,PR KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY,246.0,,11.4,255.85,55
CPT,78730,PR URINARY BLADDER RESIDUAL STUDY,111.0,,5.4096,115.05,55
CPT,78740,PR URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM,335.0,,14.36,284.75,55
CPT,78761,PR TESTICULAR IMAGING WITH VASCULAR FLOW,282.0,,20.61,271.31,55
CPT,78800,PR RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,343.0,,21.15,291.55,55
CPT,78801,PR RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D,377.0,,24.5916,338.27,55
CPT,78802,PR RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING,433.0,,27.048,427.57,55
CPT,78803,PR RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,505.0,,36.3952,429.25,53
CPT,78804,PR RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,520.0,,33.9388,540.9,55
CPT,78811,HC PET LIMITED AREA,8109.0,,1305.48,6973.74,85
CPT,78811,PR PET IMAGING LIMITED AREA CHEST HEAD/NECK,471.0,,51.888,423.9,55
CPT,78812,HC PET SKULL BAS TO MIDTHIGH,8715.0,,1458.59,7494.9,85
CPT,78812,PR PET IMAGING SKULL BASE TO MID-THIGH,846.0,,65.1728,761.4,55
CPT,78813,HC PET  WHOLE BODY,9291.0,,1458.59,7990.26,85
CPT,78813,PR PET IMAGING WHOLE BODY,845.0,,66.3964,760.5,55
CPT,78814,HC PET/CT LIMITED AREA,8109.0,,1458.59,6973.74,85
CPT,78814,PR PET IMAGING CT FOR ATTENUATION LIMITED AREA,635.0,,74.0232,571.5,55
CPT,78815,HC PET CT SKUL BAS TOMDTHIGH,9085.0,,1458.59,7813.1,85
CPT,78815,PR PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,722.0,,82.8736,649.8,55
CPT,78816,HC PET CT WHOLE BODY,9085.0,,1458.59,7813.1,85
CPT,78816,PR PET IMAGING FOR CT ATTENUATION WHOLE BODY,749.0,,83.3704,674.1,55
CPT,78830,PR RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG,779.0,,48.6956,701.1,53
CPT,78831,PR RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG,867.0,,61.4836,780.3,53
CPT,78832,PR RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG,1223.0,,69.8372,1100.7,53
CPT,78835,PR RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA,218.0,,15.2444,196.2,55
CPT,78999,"PR UNLISTED PROCEDURE MISC, DIAGNOSTIC NUCLEAR MEDICINE, NAF WB BONE PET",511.0,,273.12,434.35,30
CPT,78999,PR UNLISTED PROCEDURE MOLECULAR BREAST IMAGING (MBI) GUIDED CORE BIOPSY,1743.0,,273.12,1481.55,30
CPT,79005,PR RP THERAPY ORAL ADMINISTRATION,755.0,,61.2352,679.5,55
CPT,79101,PR RP THERAPY INTRAVENOUS ADMINISTRATION,963.0,,67.6292,866.7,55
CPT,79200,PR RP THERAPY INRACAVITARY ADMINISTRATION,925.0,,57.546,951.3,55
CPT,79300,PR RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN,588.0,,53.3205,602.72,47
CPT,79403,PR RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS,1247.0,,65.1728,1296.45,55
CPT,79440,PR RP THERAPY INTRA-ARTICULAR ADMINISTRATION,1128.0,,57.546,1159.08,55
CPT,79445,PR RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN,1008.0,,80.1688,907.2,55
CPT,80047,HC METABOLIC PANEL IONIZED CA,487.0,,11.53,418.82,84
CPT,80048,HC METABOLIC PANEL TOTAL CALCIUM,420.0,,7.11,361.2,84
CPT,80050,HC GENERAL HEALTH PANEL,1228.0,,202.63,1056.08,84
CPT,80051,HC ELECTROLYTE PANEL,250.0,,5.89,215.0,84
CPT,80053,HC COMPREHEN METABOLIC PANEL,787.0,,8.87,676.82,84
CPT,80061,HC LIPID BATTERY,287.0,,11.25,246.82,84
CPT,80061,HC LIPID PANEL,265.0,,11.25,227.9,84
CPT,80069,HC RENAL FUNCTION PANEL,510.0,,7.29,438.6,84
CPT,80076,HC HEPATIC FUNCTION PANEL,468.0,,6.86,402.48,84
CPT,80143,HC REF ACETAMINOPHEN ASSAY,94.0,,15.66,80.84,84
CPT,80150,HC AMIKACIN,330.0,,12.67,283.8,84
CPT,80150,HC AMIKACIN PEAK,330.0,,12.67,283.8,84
CPT,80150,HC AMIKACIN TROUGH,330.0,,12.67,283.8,84
CPT,80156,HC CARBAMEZAPINE,228.0,,12.24,196.08,84
CPT,80158,HC REF CYCLOSPORINE A,86.0,,15.16,73.96,84
CPT,80162,HC DIGOXIN,73.0,,11.16,62.78,84
CPT,80164,HC REF VALPROIC ACID TOTAL,58.0,,11.37,49.88,84
CPT,80164,HC VALPROIC ACID,138.0,,11.37,118.68,84
CPT,80165,HC REF VALPROIC ACID FREE,58.0,,11.37,49.88,84
CPT,80169,HC REF EVEROLIMUS,645.0,,11.53,554.7,84
CPT,80170,HC GENTAMICIN,105.0,,13.76,90.3,84
CPT,80170,HC GENTAMICIN PEAK,105.0,,13.76,90.3,84
CPT,80170,HC GENTAMICIN TROUGH,105.0,,13.76,90.3,84
CPT,80175,HC REF LAMOTRIGINE (LAMICTAL),70.0,,11.13,60.2,84
CPT,80176,HC REF LIDOCAINE,200.0,,12.34,172.0,84
CPT,80177,HC REF LEVETIRACETAM (KEPPRA),111.0,,11.13,95.46,84
CPT,80178,HC REF SERUM LITHIUM,88.0,,5.55,75.68,84
CPT,80179,HC REF SALICYLATE,93.0,,15.66,79.98,84
CPT,80180,HC MYCOPHENOLIC ACID (MYCOPHEN),272.0,,15.16,233.92,84
CPT,80180,HC REF MYCOPHENOLIC ACID,83.0,,15.16,71.38,84
CPT,80183,HC REF OXCARBAZEPINE METABOLITES,75.0,,11.13,64.5,84
CPT,80184,HC REF PHENOBARBITAL,89.0,,12.85,85.14,168
CPT,80185,HC PHENYTOIN,219.0,,11.13,188.34,84
CPT,80185,HC PHENYTOIN LEVEL PEAK,198.0,,11.13,170.28,84
CPT,80185,HC PHENYTOIN LEVEL RANDOM,198.0,,11.13,170.28,84
CPT,80185,HC PHENYTOIN LEVEL TROUGH,198.0,,11.13,170.28,84
CPT,80186,HC REF FREE DILANTIN,258.0,,11.56,221.88,84
CPT,80187,HC REF POSACONAZOLE LEVEL,179.0,,22.77,153.94,84
CPT,80189,HC REF ITRACONAZOLE,95.0,,22.77,81.7,84
CPT,80193,HC REF LEFLUNOMIDE METABOLITE,509.0,,32.4,437.74,84
CPT,80195,HC RAPAMYCIN/SIROLIMUS,341.0,,11.53,293.26,84
CPT,80197,HC REF TACROLIMUS,645.0,,11.53,554.7,84
CPT,80197,HC TACROLIMUS,254.0,,11.53,218.44,84
CPT,80198,HC REF THEOPHYLINE,97.0,,11.88,83.42,84
CPT,80200,HC TOBRAMYCIN,124.0,,13.55,106.64,84
CPT,80200,HC TOBRAMYCIN PEAK,124.0,,13.55,106.64,84
CPT,80200,HC TOBRMYCIN TROUGH,124.0,,13.55,106.64,84
CPT,80201,HC REF TOPIRAMATE,85.0,,10.01,73.1,84
CPT,80202,HC VANCOMYCIN,160.0,,11.37,137.6,84
CPT,80202,HC VANCOMYCIN PEAK,160.0,,11.37,137.6,84
CPT,80202,HC VANCOMYCIN TROUGH,160.0,,11.37,137.6,84
CPT,80203,HC REF ZONISAMIDE,79.0,,11.13,67.94,84
CPT,80204,HC METHOTREXATE,176.0,,32.4,151.36,84
CPT,80230,HC REF INFLIXIMAB QUANTITATIVE,1080.0,,32.4,928.8,84
CPT,80235,HC REF LACOSAMIDE (VIMPAT),283.0,,22.77,243.38,84
CPT,80280,HC REF VEDOLIZUMAB ON,586.0,,32.4,503.96,84
CPT,80280,HC REF VEDOLIZUMAB QUANTITATION,541.0,,32.4,465.26,84
CPT,80285,HC REF VORICONAZOLE,104.0,,22.77,89.44,84
CPT,80299,HC REF 5-FLUCYTOSINE,478.0,,15.66,411.08,84
CPT,80299,HC REF CIPROFLOXACIN,250.0,,15.66,215.0,84
CPT,80299,HC REF DEXAMETHASONE,282.0,,15.66,242.52,84
CPT,80299,HC REF DIGITOXIN,180.0,,15.66,154.8,84
CPT,80299,HC REF ECULIZUMAB,579.0,,15.66,497.94,84
CPT,80299,HC REF MITOTANE (LYSODREN),194.0,,15.66,166.84,84
CPT,80299,HC REF STEPTOMYCIN LEVEL,327.0,,15.66,281.22,84
CPT,80299,HC REF SULFAMETHOXAZOLE,125.0,,15.66,107.5,84
CPT,80299,HC REF THIOPURINES METABOLITES,632.0,,15.66,543.52,84
CPT,80305,HC DRUG TEST PRESUMPTIVE DIRECT OPTICAL OBSERVATION,177.0,,10.58,152.22,84
CPT,80305,HC POC UDS QUALITATIVE,198.0,,10.58,170.28,84
CPT,80307,"HC REF DRUG OF ABUSE QT,URINE",90.0,,25.2,77.675,84
CPT,80307,HC REF DRUG SCR OXYCODONE (URINE),78.0,,21.84,77.675,84
CPT,80307,HC REF DRUG SCREEN QL BLOOD,252.0,,52.2,216.72,84
CPT,80307,"HC REF ETHYL GLUCURONIDE SCREEN, URINE",312.0,,52.2,268.32,84
CPT,80307,HC REF HYPOGLYCEMICS AGENT SCREEN,206.0,,52.2,177.16,84
CPT,80307,HC REF LSD (LYSERGIC ACID DIETHYLAMIDE) SCREEN BLOOD,280.0,,52.2,240.8,84
CPT,80307,HC REF PAIN CLINIC DRUG IMMUNOASSAY PANEL U,207.0,,52.2,178.02,84
CPT,80307,HC REF URINE DRUG SCREEN 10,141.0,,39.48,121.26,84
CPT,80320,HC REF ALCOHOL BLOOD,594.0,,9.42,510.84,83
CPT,80320,HC REF ETHANO GC-FID,116.0,,9.42,99.76,83
CPT,80321,"HC REF ETHYL GLUCURONIDE CONFIRMATION, URINE",409.0,,11.31,351.74,83
CPT,80323,HC REF NICOTINE AND METABOLITES,353.0,,17.09,303.58,83
CPT,80323,HC REF NICOTINE URINE QUANT,80.0,,17.09,68.8,83
CPT,80325,HC REF AMPHETAMINES LC/MS/MS,52.0,,10.92,44.72,83
CPT,80326,HC REF TARGETED STIMULANT SCREEN U,31.0,,7.75,26.66,83
CPT,80339,HC REF ANTIEPILEPTICS 1-3,16.0,,4.2,13.76,83
CPT,80345,HC REF BARBITURATES CONFIRMATION U,125.0,,9.16,107.5,83
CPT,80347,HC REF BENZODIAZEPINES 13 OR MORE,75.0,,19.35,64.5,83
CPT,80347,HC REF TARGETED BENZODIAZEPINE SCREEN U,77.0,,19.35,66.22,83
CPT,80349,HC REF CARBOXY-THC CONFIRMATION URINE,95.0,,11.27,81.7,83
CPT,80353,HC REF COCAINE & METABOLITE CONFIRMATION U,102.0,,10.25,87.72,83
CPT,80354,HC REF FENTANYL URINE,168.0,,12.81,144.48,83
CPT,80358,HC REF METHADONE GC/MS (URINE),170.0,,11.02,146.2,83
CPT,80359,HC REF METHYLENEDIOXYAMPH LC/MS (URINE),52.0,,8.5,44.72,83
CPT,80361,HC REF OPIATES 1 OR MORE,39.0,,10.92,33.54,83
CPT,80362,"HC REF OPIOIDS AND OPIATE ANALOGS 1 OR 2,URINE",31.0,,8.68,26.66,83
CPT,80364,"HC REF TARGETED OPIOID SCREEN, URINE",53.0,,13.38,45.58,83
CPT,80365,HC REF OXYCODONE,32.0,,8.96,27.52,83
CPT,80365,HC REF OXYCODONE WITH METABOLITE CONF. URINE,102.0,,11.91,87.72,83
CPT,80368,"HC REF SEDATIVE HYPNOTICS, NON BENZODIAZEPINES",34.0,,8.82,29.24,83
CPT,80375,HC BUSULFAN BY HPLC/MS/MS,544.0,,18.09,467.84,83
CPT,80375,HC REF ACYCLOVIR,373.0,,18.09,320.78,83
CPT,80375,HC REF BRODIFACOUM,550.0,,18.09,473.0,83
CPT,80375,HC REF BUPIVACAINE (MARCAINE),257.0,,18.09,221.02,83
CPT,80375,HC REF MELATONIN,496.0,,18.09,426.56,83
CPT,80503,PR PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN,190.0,,15.9035,171.0,55
CPT,80504,PR PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN,402.0,,33.6345,361.8,55
CPT,80505,PR PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN,677.0,,63.444,609.3,55
CPT,80506,PR PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30,356.0,,30.9856,320.4,55
CPT,81001,HC URINALYSIS AUTO W MICROSCOPY,117.0,,2.66,100.62,84
CPT,81002,HC ACETONE URINE,26.0,,2.92,22.36,84
CPT,81002,HC PH,262.0,,2.92,225.32,84
CPT,81002,HC POC CHEMO 10,84.0,,2.92,72.24,84
CPT,81002,HC POC SPECIFIC GRAVITY,25.0,,2.92,21.5,84
CPT,81002,HC SPECIFIC GRAVITY,36.0,,2.92,30.96,84
CPT,81003,HC URINALYSIS ROUTINE,95.0,,1.89,81.7,84
CPT,81025,HC HCG QUALITATIVE URINE,105.0,,7.23,90.3,84
CPT,81025,HC POC UHCG,105.0,,7.23,90.3,84
CPT,81050,HC VOL MEAS FOR TIMED COLL,67.0,,3.06,57.62,84
CPT,81105,HC REF HUMAN PLATELET AG 1 GENO,545.0,,102.66,468.7,83
CPT,81120,HC IDH1 EXON 4,2694.0,,162.33,2316.84,83
CPT,81121,HC IDH2 EXON 4,2694.0,,248.46,2316.84,83
CPT,81168,HC RT CCND1(BCL1)/IGH MTC,1465.0,,410.2,1259.9,83
CPT,81170,HC ABL1 FULL GENE,3316.0,,252.0,2851.76,83
CPT,81170,HC ABL1 KINASE DOMAIN MUT ASSAY (COMBINED TEST),1549.0,,252.0,1332.14,83
CPT,81170,HC ABL1 KINASE DOMAIN MUTATION ASSAY BY NGS,3002.0,,252.0,2581.72,83
CPT,81195,HC OPTICAL GENOME MAPPING,5904.0,,1653.12,5077.44,83
CPT,81206,HC BCR/ABL1 MAJR BKP QUANT,2289.0,,137.73,1968.54,83
CPT,81207,HC BCR/ABL1 MINR BKP QUANT,2289.0,,121.67,1968.54,83
CPT,81208,HC BCR/ABL ALT BKP QUAL,2085.0,,180.28,1793.1,83
CPT,81208,HC BCR/ABL1 ALT BKP QUAL,3099.0,,180.28,2665.14,83
CPT,81208,HC BCR/ABL1 ALT BKP QUAL (COMBINED TEST),1550.0,,180.28,1333.0,83
CPT,81210,HC REF BRAF GENE ANALYSIS,875.0,,147.34,752.5,83
CPT,81219,HC CALR MUTATION FOLLOWUP,1770.0,,102.17,1522.2,83
CPT,81219,HC CALR MUTATION INITIAL,3277.0,,102.17,2818.22,83
CPT,81228,HC REF CGH MICROARRAY ANALYSIS,1855.0,,519.4,1595.3,83
CPT,81229,HC REF CHROM MICROARRAY,4057.0,,974.4,3489.02,83
CPT,81232,HC REF DPYD FULL GENE SEQUENCING,1591.0,,445.48,1368.26,83
CPT,81240,HC REF PT G20210A VARIANT,182.0,,50.96,156.52,84
CPT,81241,HC REF FACTOR V LEIDEN MUTATION,192.0,,53.76,165.12,84
CPT,81242,HC REF FANCONI ANEMIA MUTAT ANAL,464.0,,30.76,399.04,83
CPT,81245,HC FLT3 ITD,703.0,,139.03,604.58,83
CPT,81245,HC FLT3-ITD FOLLOW UP MRD MUTATION ANALYSIS,4051.0,,139.03,3483.86,83
CPT,81246,HC FLT3 D835,703.0,,69.72,604.58,83
CPT,81256,HC REF HEMOCHROMAT HFE GENE ANAL,476.0,,54.9,409.36,83
CPT,81257,HC REF HBA1/HBA2 GENE SEQ,284.0,,79.52,244.24,83
CPT,81259,HC REF ALPHA GLOBIN GENE SEQUENCING,1250.0,,350.0,1075.0,83
CPT,81261,HC IGH GENE REARRANGE AMP METH,1371.0,,166.31,1179.06,83
CPT,81263,HC IGH SOMATIC HYPERMUT NGS,4202.0,,247.4,3613.72,83
CPT,81263,HC REF IGH SOMATIC HYPERMUTATION IN B-CLL,2254.0,,247.4,1938.44,166
CPT,81265,HC MST PRE & DONOR STUDY,1433.0,,195.78,1232.38,83
CPT,81265,HC REF ZYGOSITY COMP ANALYSIS STR1,1227.0,,195.78,1055.22,83
CPT,81265,HC REF ZYGOSITY DONOR,669.0,,187.32,575.34,83
CPT,81265,HC REF ZYGOSITY TESTING,1774.0,,195.78,1525.64,83
CPT,81266,HC REF ZYGOSITY ADD COMP ANALYSIS STR2,545.0,,152.6,468.7,83
CPT,81267,HC MST POST,1812.0,,174.27,1558.32,83
CPT,81268,HC MST W/ M CELL SORT,1143.0,,219.06,982.98,83
CPT,81268,HC MST W/ T CELL SORT,1143.0,,219.06,982.98,83
CPT,81268,HC MST W/NK CELL SORT,1588.0,,219.06,1365.68,83
CPT,81269,HC REF ALPHA GLOBIN CLUSTER LOCUS DEL/DUP,910.0,,170.02,782.6,83
CPT,81269,HC REF ALPHA GLOBIN CLUSTR LOCUS DEL/DUP,909.0,,170.02,781.74,83
CPT,81270,HC JAK2 DDPCR,2210.0,,76.99,1900.6,83
CPT,81273,HC KIT MCD D816V DDPCR,2004.0,,104.89,1723.44,83
CPT,81273,HC REF KIT D816V MUTATION BY DDPCR QUANTITATIVE,646.0,,104.89,555.56,83
CPT,81275,"HC REF KRAS GENE ANALYSIS, EXON 2",301.0,,84.28,258.86,83
CPT,81276,"HC REF KRAS GENE ANALYSIS, ADDITIONAL VARIANT",301.0,,84.28,258.86,84
CPT,81277,HC CLL CGH,7116.0,,1992.48,6119.76,83
CPT,81277,HC REF CMAPT MAYO,6985.0,,1955.8,6007.1,83
CPT,81278,HC IGH/BCL2 (T(14;18)) MBR,1465.0,,174.14,1259.9,83
CPT,81287,HC MGMT PROMOTER METHYLATION,3082.0,,104.7,2650.52,83
CPT,81287,HC REF MGMT MAYO,1800.0,,104.7,1548.0,83
CPT,81288,HC MLH1 PROMOTER METHYLATION ANALYSIS,1899.0,,161.55,1633.14,83
CPT,81291,HC REF METHYLENETETRAHYDROFOLATE REDUCTASE,413.0,,54.89,355.18,83
CPT,81301,HC MICROSATELLITE INSTABILITY,1305.0,,292.79,1122.3,83
CPT,81305,HC REF MYD88 L265P GENE MUTATION ANALYSIS,1591.0,,445.48,1368.26,166
CPT,81310,HC NPM1 EXON 12,1320.0,,207.08,1135.2,83
CPT,81310,HC NPM1 MUTATION ANALYSIS,5963.0,,207.08,5128.18,83
CPT,81311,HC REF NRAS GENE ANALYSIS,602.0,,168.56,517.72,83
CPT,81315,HC PML/RARALPHA (T(15/17)),2084.0,,174.14,1792.24,83
CPT,81339,HC REF MPL EXON 10 MUTATION DETECTION,1588.0,,444.64,1365.68,166
CPT,81340,HC TCRB GENE REARRANGE AMP METH,1345.0,,175.49,1156.7,83
CPT,81342,HC TCRG GENE REARRANGE,1345.0,,169.26,1156.7,83
CPT,81350,HC REF UGT1A1 TA REPEAT GENOTYPE,1364.0,,196.56,1173.04,83
CPT,81351,HC TP53 NGS FULL GENE,3380.0,,539.15,2906.8,83
CPT,81363,HC REF BETA GLOBIN CLUSTER LOCUS DUP/DEL,1602.0,,170.02,1377.72,83
CPT,81364,HC REF BETA GLOBIN GENE SEQUENCING,1250.0,,272.65,1075.0,83
CPT,81370,HC HLA-ABC DRB1/3/4/5&DQB1,2771.0,,337.78,2383.06,84
CPT,81371,HC HLA-ABD DRB1 LOW RES,2472.0,,339.8,2125.92,84
CPT,81372,HC HLA-ABC LOW RESOLUTION 81372,2142.0,,339.02,1842.12,84
CPT,81372,HC HLA-IR ABC STD,1500.0,,339.02,1290.0,84
CPT,81373,HC HLA CI SNGL LOCUS LOW RES,1479.0,,107.04,1271.94,84
CPT,81375,HC HLA-DRB1/3/4/5 & DQB1,2142.0,,185.42,1842.12,84
CPT,81376,HC CORD HLA-IR DRB3-4-5 STD,814.0,,102.66,700.04,84
CPT,81376,HC CORD HLA-IR DRB3-4-5URG,919.0,,102.66,790.34,84
CPT,81376,HC HLA CLASS II TYPING SNGL,1479.0,,102.66,1271.94,84
CPT,81376,HC HLA-IR DRB1,1409.0,,102.66,1211.74,84
CPT,81376,HC REF CELIAC ASSOCIATED HLA-DQ TYPING,506.0,,102.66,435.16,84
CPT,81376,HC REF CELIAC HLA-DQ TYPING,257.0,,71.96,221.02,84
CPT,81378,HC HLA-ABC DRB1 HIG RES,2771.0,,290.28,2383.06,84
CPT,81379,HC HLA-ABC HIGH RES,2376.0,,281.72,2043.36,84
CPT,81380,HC HLA-CI SNGL LOCUS HI RES,1575.0,,148.89,1354.5,84
CPT,81380,HC HLA-HR A STD,1466.0,,148.89,1260.76,84
CPT,81380,HC HLA-HR B STD,1466.0,,148.89,1260.76,84
CPT,81380,HC HLA-HR C STD,1480.0,,148.89,1272.8,84
CPT,81382,HC HLA CII SNGL LOCUS HI RES,1571.0,,103.89,1351.06,84
CPT,81382,HC HLA-HR DPB1 STD,1420.0,,103.89,1221.2,84
CPT,81382,HC HLA-HR DQB1 STD,1420.0,,103.89,1221.2,84
CPT,81382,HC HLA-HR DRB1 IR-DRB3-4-5,1420.0,,103.89,1221.2,84
CPT,81382,HC HLA-HR DRB1 STD,1455.0,,103.89,1251.3,84
CPT,81400,HC REF IL28B POLYMORPHISM GENO,704.0,,53.73,605.44,83
CPT,81401,HC FIP1L1,1437.0,,115.08,1235.82,83
CPT,81401,HC REF APOLIPOPROTEIN E GENOTYPING,1809.0,,115.08,1555.74,83
CPT,81401,HC REF EWSR1-FLI1,890.0,,115.08,765.4,83
CPT,81401,HC REF EWSR1/WT1,1569.0,,115.08,1349.34,83
CPT,81401,HC REF PAX3/FOXO1,1569.0,,115.08,1349.34,83
CPT,81401,HC RT CBFB/MYH11 (INV(16)),2085.0,,115.08,1793.1,83
CPT,81401,HC RUNX1/RUNX1T1 (T(8/21)),2085.0,,115.08,1793.1,83
CPT,81403,HC CTNNB1 EXON 3,2694.0,,155.57,2316.84,83
CPT,81403,HC HLA-KIR TESTING,682.0,,155.57,586.52,83
CPT,81403,HC REF DNA GENOTYPE,676.0,,155.57,581.36,83
CPT,81403,HC REF UBA1 MUTATION,3036.0,,155.57,2610.96,83
CPT,81404,HC REF AHUS/TMA/C3G GENE LEVEL 5,6192.0,,230.86,5325.12,83
CPT,81404,HC REF VHL GENE ERYTHROCYTOSIS MUTATIONS,2159.0,,230.86,1856.74,83
CPT,81405,HC REF SPED1 NEXT GEN GENE SEQUENCE,909.0,,253.13,781.74,83
CPT,81405,HC REF SPRED1 GENE SEQUENCE,841.0,,211.12,798.08,166
CPT,81406,HC REF CAPN3 DNA SEQUENCE,382.0,,106.96,328.52,83
CPT,81406,HC REF LMNA A/C GENE SEQUENCE,382.0,,106.96,328.52,83
CPT,81406,HC REF NF2 MUTATION KNOWN,580.0,,162.4,498.8,83
CPT,81408,HC REF NF1 FULL GENE SEQUENCE,696.0,,194.88,1680.0,83
CPT,81408,HC REF NF1 KNOWN MUTATION,580.0,,162.4,1680.0,83
CPT,81408,HC REF NF1 NEXT GEN GENE SEQUENCE,1136.0,,318.08,1680.0,83
CPT,81408,HC REF TISSUE NF1 GENE SEQUENCE,1508.0,,422.24,1680.0,83
CPT,81443,"HC REF HLH, HEMOPHAG LYMPHOHISTIO GENE SEQ",9134.0,,2557.52,7855.24,83
CPT,81455,HC ENDLYMPHOMA MUTATION ASSAY V1,6996.0,,1958.88,6016.56,83
CPT,81455,HC LEUKEMIA MUTATION PANEL DNA V1,8372.0,,2344.16,7199.92,83
CPT,81455,HC REF SARCP MAYO,5994.0,,1678.32,5154.84,83
CPT,81455,HC STP MAPP V1 (TUMOR ONLY),6201.0,,1736.28,5332.86,83
CPT,81456,HC ENDLEUKEMIA TRANSLOCATION ASSAY (RNA) V1,5695.0,,1594.6,4897.7,83
CPT,81457,HC REF COMPELTE �SARCOMA PANEL MAYO,3885.0,,753.37,3341.1,83
CPT,81457,HC REF COMPLETE ENDOMETRIAL PANEL MAYO,2310.0,,646.8,1986.6,83
CPT,81457,HC REF GIST PANEL MAYO,1838.0,,514.64,1580.68,83
CPT,81459,HC SOLID TUMOR MAPP V1 PANEL,5201.0,,1456.28,4472.86,83
CPT,81462,HC EARLY LBP MAPP V2,9140.0,,1004.5,7860.4,83
CPT,81462,HC FOCUSED LIQUID BIOPSY PANEL,7386.0,,1004.5,6351.96,83
CPT,81462,HC LBP MAPP V2,9140.0,,1004.5,7860.4,83
CPT,81479,HC CSF3R SANGER EXONS 14&17,2912.0,,815.36,2504.32,83
CPT,81479,HC GNAS EXON 8,2694.0,,754.32,2316.84,83
CPT,81479,HC REF AHUS/TMA/C3G UNLISTED,1.0,,0.28,0.86,83
CPT,81479,HC REF ASPSCR1/TFE3,1569.0,,439.32,1349.34,83
CPT,81479,HC REF BPGM FULL GENE SEQUENCING,1521.0,,425.88,1308.06,83
CPT,81479,HC REF CXCR4 MUTATION IN B-CELL LYMPHOMA,1766.0,,494.48,1518.76,166
CPT,81479,HC REF FHL2 FULL GENE,1784.0,,499.52,1534.24,83
CPT,81479,HC REF FUS/CREB3L2,2695.0,,754.6,2317.7,83
CPT,81479,HC REF GAMMA GLOBIN FULL GENE SEQUENCING,1250.0,,350.0,1075.0,83
CPT,81479,HC REF HEREDITARY ERYTHROCYTOSIS MUTATIONS,1889.0,,528.92,1624.54,83
CPT,81479,HC REF INI1/SMARCB1 KNOWN,580.0,,162.4,498.8,83
CPT,81479,HC REF INI1/SMARCB1 UNKNOWN,1856.0,,519.68,1596.16,83
CPT,81479,HC REF NF1 BIOPSY,6028.0,,1687.84,5184.08,83
CPT,81479,HC REF NF1 COPY NUMBER ANALYSIS MLPA,1137.0,,318.36,977.82,83
CPT,81479,HC REF NF1 GENE DEL/DUP,696.0,,194.88,598.56,83
CPT,81479,HC REF NF1 GENE MICROSATE MARKR,617.5,,150.92,598.56,166
CPT,81479,HC REF NF2 GENE MICROSATE MARKR,628.0,,173.04,548.68,166
CPT,81479,HC REF RB1 RETINOBLAS UNLAT SCRN,8693.0,,2434.04,7475.98,83
CPT,81479,HC REF RETINOBLAST UNIL TUMR BLD,3035.0,,849.8,2610.1,83
CPT,81479,HC REF RETINOBLASTOMA BILAT SCRN,5564.0,,1557.92,4785.04,83
CPT,81479,HC REF SGCA DELETION ANALYSIS,1725.0,,483.0,1483.5,83
CPT,81479,HC REF SPRED1 COPY NUMBER ANALYSIS MLPA,909.0,,254.52,781.74,83
CPT,81479,HC REF SPRED1 GENE DEL/DUP,609.0,,129.92,648.44,166
CPT,81479,HC REF SPRED1 MUTATION KNOWN,580.0,,162.4,498.8,83
CPT,81479,HC REF TISSUE LOSS HTR CHROM17Q,754.0,,211.12,648.44,83
CPT,81479,HC REF TISSUE NF1 GENE DEL/DUP,1508.0,,422.24,1296.88,83
CPT,81479,HC TGFB POLYMORPHISM ANALYSIS FOR RADIATION-INDUCED FIBROSIS,859.0,,240.52,738.74,83
CPT,81596,HC REF FIBRO TEST-ACTI TEST,569.0,,159.32,489.34,83
CPT,82010,HC CORE BETA HYDROXYBUTYRATE BHB,215.0,,6.86,184.9,84
CPT,82024,HC ACTH,583.0,,32.44,501.38,84
CPT,82040,HC ALBUMIN SERUM,49.0,,4.16,42.14,84
CPT,82040,HC REF ALBUMIN SERUM REF LAB,18.0,,4.16,15.48,84
CPT,82042,HC ALBUMIN FLUID,51.0,,6.54,43.86,84
CPT,82042,HC REF ALBUMIN BODY FLUID,356.0,,6.54,306.16,84
CPT,82042,HC REF ALBUMIN CSF REF LAB,22.0,,6.16,18.92,84
CPT,82043,HC MICROALBUMIN URINE 24 HR AND RANDOM (UMALB),191.0,,4.86,164.26,84
CPT,82085,HC REF ALDOLASE,63.0,,8.16,54.18,84
CPT,82088,HC REF ALDOSTERONE SERUM,78.0,,21.84,67.08,84
CPT,82088,HC REF ALDOSTERONE URINE,87.0,,24.36,74.82,84
CPT,82088,"HC REF ALDOSTERONE, 24-HOUR URINE",841.0,,34.23,723.26,84
CPT,82103,HC REF ALPHA 1 ANTI 24 HR FECES,81.0,,11.29,69.66,84
CPT,82103,HC REF ALPHA-1 ANTITRYPSIN TOTAL,39.0,,10.92,33.54,84
CPT,82103,HC REF ALPHA-1-ANTITRYPSIN,67.0,,11.29,57.62,84
CPT,82103,HC REF ALPHA-1-ANTITRYPSIN TOTAL,46.0,,11.29,39.56,84
CPT,82105,HC ALPHA-1-FETOPROTEIN,216.0,,14.09,185.76,84
CPT,82108,HC REF ALUMINUM,70.0,,19.6,60.2,84
CPT,82139,HC REF AMINO ACIDE URINE,371.0,,14.17,319.06,84
CPT,82140,"HC AMMONIA, BLOOD",234.0,,12.24,201.24,84
CPT,82150,HC AMYLASE,77.0,,5.44,66.22,84
CPT,82150,HC AMYLASE FLUID,77.0,,5.44,66.22,84
CPT,82150,HC REF AMYLASE BODY FLUID,94.0,,5.44,80.84,84
CPT,82150,HC REF AMYLASE PANCREATIC CYST,510.0,,5.44,438.6,84
CPT,82150,HC REF AMYLASE URINE,47.0,,5.44,40.42,84
CPT,82157,HC REF ANDROSTENEDIONE,79.0,,22.12,67.94,84
CPT,82164,HC REF ANGIO-1 CONVERT,65.0,,12.26,55.9,84
CPT,82164,"HC REF ANGIOTENSIN CONVERT ENZYME, CSF",156.0,,12.26,134.16,84
CPT,82166,HC REF ANTIMULLERIAN HORMONE (AMH),417.0,,32.44,358.62,84
CPT,82175,HC REF ARSENIC BLOOD,34.0,,9.52,29.24,84
CPT,82175,HC REF ARSENIC URINE,236.0,,15.93,202.96,84
CPT,82180,HC REF VITAMIN C,85.0,,8.31,73.1,84
CPT,82232,HC BETA-2 MICROGLOB,222.0,,13.59,190.92,84
CPT,82232,HC REF BETA 2 MICROGL CSF REFLAB,107.0,,13.59,92.02,84
CPT,82232,"HC REF BETA-2 MICROGLOBULIN,URINE",107.0,,13.59,92.02,84
CPT,82239,HC REF BILE ACIDS TOTAL SERUM,192.0,,14.38,165.12,84
CPT,82247,HC BILIRUBIN FLUID,53.0,,4.22,45.58,84
CPT,82247,HC BILIRUBIN TOTAL,53.0,,4.22,45.58,84
CPT,82247,HC REF BILIRUBIN BODY FLUID,293.0,,4.22,251.98,84
CPT,82248,HC BILIRUBIN DIRECT,101.0,,4.22,86.86,84
CPT,82270,HC OCCULT BLOOD/STOOL,31.0,,3.68,26.66,84
CPT,82271,HC POINT OF CARE GASTROCULT,7.0,,1.96,6.65,84
CPT,82274,HC FECAL OCCULT BLOOD,448.0,,13.37,385.28,84
CPT,82300,HC REF CADMIUM BLOOD,43.0,,12.04,36.98,84
CPT,82300,HC REF CADMIUM URINE,294.0,,19.86,252.84,84
CPT,82306,HC VITAMIN D - 25 OH,277.0,,24.86,238.22,84
CPT,82308,HC CALCITONIN,394.0,,22.5,338.84,84
CPT,82310,HC CALCIUM TOTAL,49.0,,4.33,42.14,84
CPT,82330,HC IONIZED CALCIUM,114.0,,11.49,98.04,84
CPT,82340,"HC CALCIUM, URINE",101.0,,5.07,86.86,84
CPT,82365,HC REF STONE ANALYSIS,73.0,,10.84,62.78,84
CPT,82365,HC REF STONE ANALYSIS KIDNEY,47.0,,10.84,40.42,84
CPT,82365,"HC REF STONE ANALYSIS, GALL BLADDER",94.0,,10.84,80.84,84
CPT,82373,HC REF CARBO DEF TRANS,99.0,,15.17,85.14,84
CPT,82374,HC CARBON DIOXIDE BICARBONATE,63.0,,4.1,54.18,84
CPT,82374,HC POC VENOU TCO2,58.0,,4.1,49.88,84
CPT,82374,HC POC-ARTERIAL TCO2,58.0,,4.1,49.88,84
CPT,82374,"HC REF BICARBONATE, URINE",195.0,,4.1,167.7,84
CPT,82375,HC POC CARBOXYHEMOGLOBIN,55.0,,10.35,47.3,84
CPT,82375,HC REF CARBOXYHEMOGLOBIN,67.0,,10.35,57.62,84
CPT,82378,HC CEA (EIA),183.0,,15.93,157.38,84
CPT,82378,"HC REF CARCINOEMBRYONIC ANTIGEN (CEA), BODY FLUID",74.0,,15.93,63.64,84
CPT,82378,HC REF CEA PANCREATIC CYST,489.0,,15.93,420.54,84
CPT,82379,HC REF CARNITINE,80.0,,14.17,68.8,84
CPT,82380,"HC REF CAROTENE, BETA, SERUM",279.0,,7.74,239.94,84
CPT,82384,HC REF CATECHOLAMINE-PLASM,95.0,,21.21,81.7,84
CPT,82384,HC REF CATECHOLAMINES FRAC,86.0,,21.21,73.96,84
CPT,82390,HC REF CERULOPLASMIN,65.0,,9.02,55.9,84
CPT,82397,HC REF ALPHA-SUBUNIT PITUITARY TUMOR MKR,514.0,,11.86,442.04,84
CPT,82397,"HC REF HEPATITIS B VIRUS CORE-RELATED AG, QUANT",647.0,,11.86,556.42,84
CPT,82397,"HC REF HMG COA REDUCTASE AB,S",480.0,,11.86,412.8,84
CPT,82397,HC REF INFLIXIMAB ANTIBODIES,396.0,,11.86,340.56,84
CPT,82397,HC REF PARATHYROID HORMONE RELATED PEPTIDE,84.0,,11.86,72.24,84
CPT,82397,HC REF VEDOLIZUMAB ANTIBODY,198.0,,11.86,170.28,84
CPT,82435,HC CHLORIDE,63.0,,3.86,54.18,84
CPT,82435,HC CHLORIDE WB,73.0,,3.86,62.78,84
CPT,82436,HC CHLORIDE URINE,39.0,,4.83,33.54,84
CPT,82438,HC REF CHLORIDE BODY FLUID/CSF,85.0,,4.2,73.1,84
CPT,82465,HC CHOLESTEROL,89.0,,3.65,76.54,84
CPT,82465,HC CHOLESTEROL FLUID,89.0,,3.65,76.54,84
CPT,82480,HC REF PSEUDOCHOLINESTERASE,48.0,,6.61,41.28,84
CPT,82482,HC REF ACETYLCHOLINESTERASE RBC,93.0,,8.24,79.98,84
CPT,82523,HC CTX BETA CROSSLINKS SERUM,165.0,,15.69,141.9,84
CPT,82523,HC REF BETA-CROSS LAPS (B-CTX),66.0,,15.69,56.76,84
CPT,82523,HC REF N-TELOPEPTIDE CROSS-LINKS,285.0,,15.69,245.1,84
CPT,82523,"HC REF N-TELOPEPTIDE, CROSS-LINKED, URINE",84.0,,15.69,72.24,84
CPT,82525,HC REF COPPER - URINE,296.0,,10.42,254.56,84
CPT,82525,HC REF COPPER SERUM,69.0,,10.42,59.34,84
CPT,82525,HC REF COPPER TISSUE MAYO,672.0,,10.42,577.92,84
CPT,82530,HC REF CORTISOL FREE SERUM,152.0,,14.04,130.72,84
CPT,82530,HC REF CORTISOL FREE URINE,80.0,,14.04,68.8,84
CPT,82533,HC CORTISOL,260.0,,13.69,223.6,84
CPT,82533,HC REF CORTISOL SALIVA,95.0,,13.69,81.7,84
CPT,82542,"HC REF BILE ACIDS, FRAC AND TOT, 48 HR, FECES",590.0,,20.24,507.4,84
CPT,82542,HC REF BROMINE TOTAL,255.0,,20.24,219.3,84
CPT,82542,HC REF PORPHYRINS FRACT PLASMA,154.0,,20.24,132.44,84
CPT,82542,HC REF SEROTONIN RELEASE ASSAY,795.0,,20.24,683.7,84
CPT,82542,HC REF TETRAHYDRO GC/MS,41.0,,11.48,35.26,84
CPT,82542,HC REF VITAMIN B6 PA,133.0,,20.24,114.38,84
CPT,82550,HC CPK,77.0,,5.47,66.22,84
CPT,82550,HC REF CKMB CK TOTAL,85.0,,5.47,73.1,84
CPT,82552,HC REF CKMB ISOENZYMES,22.0,,6.16,18.92,84
CPT,82553,HC CKMB,122.0,,9.7,104.92,84
CPT,82565,HC CREATININE,36.0,,4.3,30.96,84
CPT,82565,HC POC CREATININE,67.0,,4.3,57.62,84
CPT,82570,HC CREATININE URINE,81.0,,4.35,69.66,84
CPT,82570,"HC CREATININE,FLUID",87.0,,4.35,74.82,84
CPT,82570,HC REF CREATININE BODY FLUID,82.0,,4.35,70.52,84
CPT,82570,HC REF CREATININE CONC URINE,77.0,,4.35,66.22,84
CPT,82570,"HC REF CREATININE, RAN UA",41.0,,4.35,35.26,84
CPT,82570,"HC REF CREATININE, RANDOM URINE",37.0,,4.35,31.82,84
CPT,82570,"HC REF CREATININE, URINE",78.0,,4.35,67.08,84
CPT,82575,HC CREATININE CLEARAN,140.0,,7.95,120.4,84
CPT,82585,HC REF CRYOFIBRINOGEN,42.0,,11.76,36.12,84
CPT,82595,HC CRYOCRIT,81.0,,5.43,69.66,84
CPT,82595,HC REF CRYOGLOBULIN,38.0,,5.43,32.68,84
CPT,82595,PR CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,171.0,,3.0,168.29,39
CPT,82607,HC VITAMIN B-12,116.0,,12.67,99.76,84
CPT,82610,HC REF CYSTATIN C,95.0,,15.56,81.7,84
CPT,82626,HC REF DHEA,57.0,,15.96,49.02,84
CPT,82627,HC REF DHEA SULFATE,71.0,,18.67,61.06,84
CPT,82633,HC REF 11 - DEOXYCORTICOSTERONE,400.0,,26.02,344.0,84
CPT,82634,HC REF 11-DEOXYCORTISOL,90.0,,24.6,77.4,84
CPT,82638,HC REF DIBUCAINE NUMBER,47.0,,10.29,40.42,84
CPT,82642,HC REF DIHYDROTESTOSTERONE,96.0,,24.6,82.56,84
CPT,82652,HC REF 1 25-DIHYDROXYVITAMIN D,77.0,,21.56,66.22,84
CPT,82653,"HC REF PAN ELASTASE, STOOL",182.0,,19.29,156.52,84
CPT,82657,HC REF BETA-GLUCO LEUKOCYTE,166.0,,18.62,142.76,84
CPT,82657,HC REF DSAC MAYO,484.0,,18.62,416.24,84
CPT,82657,HC REF HEM ANEMIA ENZYME ACTIVITY IN RBC'S,221.0,,18.62,190.06,84
CPT,82657,HC REF HEXOKINASE,193.0,,18.62,165.98,84
CPT,82657,HC REF THIOPURIN METHYLTRANSFERSASE RBC,443.0,,18.62,380.98,84
CPT,82664,HC REF CHYLOMICRON SCREEN,93.0,,26.04,79.98,84
CPT,82664,HC REF IEF CONFIRMS,153.0,,42.84,131.58,84
CPT,82664,HC REF ISOELECTRIC FOCUSING,159.0,,44.52,136.74,84
CPT,82668,HC ERYTHROPOEITIN EPO,148.0,,15.78,127.28,84
CPT,82670,HC ESTRADIOL,167.0,,23.47,143.62,84
CPT,82693,HC REF ETHYLENE GLYCOL,97.0,,12.52,83.42,84
CPT,82710,HC REF FECAL FAT QUAN,83.0,,14.11,71.38,84
CPT,82728,HC FERRITIN,222.0,,11.45,190.92,84
CPT,82728,HC REF THALASSEMIA FERRITN,122.0,,11.45,104.92,84
CPT,82735,HC REF FLUORIDE URINE,227.0,,15.57,195.22,84
CPT,82746,HC FOLIC ACID,221.0,,12.35,190.06,84
CPT,82747,HC REF RBC FOLATE,85.0,,14.83,73.1,84
CPT,82760,HC REF GALACOSE URINE,744.0,,9.41,639.84,84
CPT,82777,HC REF GALECTIN 3,294.0,,55.3125,252.84,84
CPT,82784,HC IMMUNOGLOBULIN-A,146.0,,7.81,125.56,84
CPT,82784,HC IMMUNOGLOBULIN-M,149.0,,7.81,128.14,84
CPT,82784,HC IMMUNOGLUBIN-G,142.0,,7.81,122.12,84
CPT,82784,HC REF CELIAC IMMUNOGLOBULIN A,20.0,,5.6,17.2,84
CPT,82784,HC REF IMMUNOGLOBULIN D (IGD),92.0,,7.81,79.12,84
CPT,82784,"HC REF IMMUNOGLOBULIN G, CSF",25.0,,7.0,21.5,84
CPT,82784,"HC REF IMMUNOGLOBULIN G, SERUM",25.0,,7.0,21.5,84
CPT,82784,HC REF IMMUNOGLOBULIN IGA CSF,34.0,,7.81,29.24,84
CPT,82784,"HC REF M-PROTEIN STUDY,IMMUNOGLOBULIN A",78.0,,7.81,67.08,84
CPT,82784,"HC REF M-PROTEIN STUDY,IMMUNOGLOBULIN G",79.0,,7.81,67.94,84
CPT,82784,"HC REF M-PROTEIN STUDY,IMMUNOGLOBULIN M",78.0,,7.81,67.08,84
CPT,82784,HC REF TOTAL IGG,20.0,,5.6,17.2,84
CPT,82785,HC IGE IMMUNOGLOBULIN E,216.0,,13.83,185.76,84
CPT,82785,HC REF IMMUNOGLOBULIN E (IGE),365.0,,13.83,313.9,84
CPT,82787,HC REF IGG SUB 1,17.0,,4.76,14.62,84
CPT,82787,HC REF IGG SUB 2,17.0,,4.76,14.62,84
CPT,82787,HC REF IGG SUB 3,17.0,,4.76,14.62,84
CPT,82787,HC REF IGG SUB 4,17.0,,4.76,14.62,84
CPT,82803,HC BLOOD GAS,194.0,,21.9,166.84,84
CPT,82803,HC POC BLOOD GASSES,121.0,,21.9,104.06,84
CPT,82810,HC POC OXYGEN SATURATION,55.0,,8.21,47.3,84
CPT,82810,HC POC OXYHEMOGLOBIN,55.0,,8.21,47.3,84
CPT,82941,HC REF GASTRIN,71.0,,14.81,61.06,84
CPT,82943,HC REF GLUCAGON,94.0,,12.0,80.84,84
CPT,82945,"HC GLUCOSE, BODY FLUID",53.0,,3.3,45.58,84
CPT,82945,HC REF GLUCOSE BODY FLUID,89.0,,3.3,76.54,84
CPT,82945,HC REF GLUCOSE RANDOM URINE,89.0,,3.3,76.54,84
CPT,82947,HC GLUCOSE WB,44.0,,3.3,37.84,84
CPT,82947,"HC GLUCOSE, QUANT BLOOD",44.0,,3.3,37.84,84
CPT,82947,HC POC GLUCOSE MONITORING,76.0,,3.3,65.36,84
CPT,82947,HC POC GLUCOSE WB,44.0,,3.3,37.84,84
CPT,82951,HC GLUC TOLERANCE,211.0,,10.81,181.46,84
CPT,82951,PR GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,70.0,,5.0,67.46,39
CPT,82952,HC GTT-EA ADDTL>3 SPEC,50.0,,3.29,43.0,84
CPT,82955,HC REF GLUCOSE ENZYME ACTIVITY,82.0,,8.15,70.52,84
CPT,82955,HC REF HEM ANEMIA G6PD ENZYME ACTIVITY,107.0,,8.15,92.02,84
CPT,82977,HC GAMMA GLUTANYL,134.0,,6.05,115.24,84
CPT,82978,HC REF HEMOLYTIC ANEMIA GLUTATHIONE,160.0,,12.98,137.6,84
CPT,82985,HC REF FRUCTOSAMINE,72.0,,14.08,61.92,84
CPT,83001,HC FSH,216.0,,15.61,185.76,84
CPT,83002,HC LH,227.0,,15.56,195.22,84
CPT,83003,HC REF GROWTH HORMONE,68.0,,14.0,58.48,84
CPT,83010,HC HAPTOGLOBIN,162.0,,10.57,139.32,84
CPT,83010,HC REF HAPTOGLOBIN REF LAB,355.0,,10.57,305.3,84
CPT,83010,PR ASSAY OF HAPTOGLOBIN QUANTITATIVE,63.0,,5.0,65.93,39
CPT,83018,HC REF PLATINUM,148.0,,18.45,127.28,84
CPT,83020,"HC REF HB ELECT - HB VARIANT,A2 & F QUANTITATION",40.0,,10.81,34.4,84
CPT,83020,HC REF HB ELECTROPHORESIS SUMMARY INTERP,170.0,,10.81,146.2,84
CPT,83020,HC REF HEM ANEMIA HEMOGLOB ELECTROPHORESIS,127.0,,10.81,109.22,84
CPT,83020,HC REF THALASSEMIA HB VARIANT A2 & F QUANT,146.0,,10.81,125.56,84
CPT,83021,HC REF HB EVAL - HPLC HB VARIANT,47.0,,13.16,40.42,84
CPT,83021,HC REF HEM ANEMIA HB VARIANT A2 & F QUANT,127.0,,15.17,109.22,84
CPT,83021,HC REF HEM ANEMIA HPLC HB VARIANT,184.0,,15.17,158.24,84
CPT,83021,HC REF HEMOGLOBIN-FETAL,71.0,,15.17,61.06,84
CPT,83021,HC REF THALASSEMIA HPLC HB VARIANT,162.0,,15.17,139.32,84
CPT,83036,HC GLYHEB A1C,253.0,,8.16,217.58,84
CPT,83036,HC HEMOGLOBIN A1C,114.0,,8.16,98.04,84
CPT,83050,HC POC METHEMOGLOBIN,57.0,,6.89,49.02,84
CPT,83051,HC REF HEMOGLOBIN-PLASMA,93.0,,6.14,79.98,84
CPT,83068,HC REF HEM ANEMIA HB STABILITY,106.0,,7.95,91.16,84
CPT,83068,HC REF HEMOGLOBIN STABILITY,390.0,,7.95,335.4,84
CPT,83068,HC REF HEMOLYTIC ANEMIA UNSTABLE HGB,111.0,,7.95,95.46,84
CPT,83090,HC HOMOCYSTEINE SERUM,303.0,,15.05,260.58,84
CPT,83150,HC REF HOMOVANILLIC ACID HVA RANDOM URINE,294.0,,18.82,252.84,84
CPT,83150,"HC REF HOMOVANILLIC ACID, PEDI, URINE",70.0,,18.82,60.2,84
CPT,83497,HC REF 5 HIAA QUANT.,69.0,,10.84,59.34,84
CPT,83498,HC REF 17-HYDROXYPROGESTERONE,76.0,,21.28,65.36,84
CPT,83516,HC REF BULLOUS PEMPHIGOID 180 IGG AB,130.0,,9.69,111.8,84
CPT,83516,HC REF BULLOUS PEMPHIGOID 230 IGG AB,131.0,,9.69,112.66,84
CPT,83516,HC REF CENTROMERE ANTIBODIES IGG,90.0,,9.69,77.4,84
CPT,83516,HC REF DESMOGLEIN IGG ANTIBODY,131.0,,9.69,112.66,84
CPT,83516,"HC REF GANGLIOSIDE AB PAN IMMUNOASSAY, EA AB",68.0,,9.69,58.48,84
CPT,83516,HC REF GANGLIOSIDE GQ1B AB IGG,689.0,,9.69,592.54,84
CPT,83516,HC REF GLOMERULAR BASEMENT MEMBRANE AB'S IGG,84.0,,9.69,72.24,84
CPT,83516,HC REF HISTONE AB,73.0,,9.69,62.78,84
CPT,83516,HC REF IMMUNO ASSAY MULT STEP,1044.0,,9.69,897.84,84
CPT,83516,HC REF MYELOPEROX AB IGG,59.0,,9.69,50.74,84
CPT,83516,"HC REF MYELOPEROXIDASE AB, SERUM",48.0,,9.69,41.28,84
CPT,83516,HC REF MYOMARKER IMMUNOASSAY NON AB,38.0,,9.69,32.68,84
CPT,83516,HC REF PARIETAL CELL ANTIBODY IGG,80.0,,9.69,68.8,84
CPT,83516,HC REF PROTEINASE 3,48.0,,9.69,41.28,84
CPT,83516,HC REF PROTEINASE 3 AB (PR3),66.0,,9.69,56.76,84
CPT,83516,HC REF RNA POLYMERASE III AB IGG,416.0,,9.69,357.76,84
CPT,83516,HC REF TITIN ANTIBODY,286.0,,9.69,245.96,84
CPT,83519,HC REF ACHR GANGLIONIC NEURONAL AB,221.0,,15.46,190.06,84
CPT,83519,HC REF BOMBESIN RIA,393.0,,15.46,337.98,84
CPT,83519,HC REF CORTICOTROPIN RELEASING FACTOR,557.0,,15.46,479.02,84
CPT,83519,HC REF IGF,153.0,,15.46,131.58,84
CPT,83519,"HC REF MELANOCYTE STIMULATING HORMONE, ALPHA",477.0,,15.46,410.22,84
CPT,83519,HC REF NEUROKININ A,636.0,,15.46,546.96,84
CPT,83519,HC REF NEUROTENSIN,321.0,,15.46,276.06,84
CPT,83519,HC REF PANCREASTATIN,727.0,,15.46,625.22,84
CPT,83519,HC REF PANCREAT. POLYPEP,149.0,,15.46,128.14,84
CPT,83519,HC REF PARANEO ACH REC MOD AB,79.0,,15.46,67.94,84
CPT,83519,HC REF PARANEO ACH REC MUSCLE BINDING,95.0,,15.46,81.7,84
CPT,83519,HC REF PARANEO ACHR GANGLIONIC NEURONAL AB,143.0,,15.46,122.98,84
CPT,83519,HC REF PARANEO N/TYPE CA CH AB,31.0,,8.68,26.66,84
CPT,83519,HC REF PARANEOPLASTIC NEURONAL (V-G) K+ CH AB,171.0,,15.46,147.06,84
CPT,83519,HC REF PROCOLLAGEN I INTACT N-TERMINAL,409.0,,15.46,351.74,84
CPT,83519,HC REF VGKC-COMPLEX AB IPA CASF,234.0,,15.46,201.24,84
CPT,83520,HC CYTOKINE EA ANALYTE QUANT NOS,524.0,,14.51,450.64,84
CPT,83520,HC CYTOKINE PANEL 7 IMMUNOASSAY QUANT NOS,2072.0,,14.51,1781.92,84
CPT,83520,HC REF ADIPONECTIN,239.0,,14.51,205.54,84
CPT,83520,HC REF ANTI HMGCR AUTOANTIBODIES,489.0,,14.51,420.54,84
CPT,83520,"HC REF ANTI-C1Q ANTIBODIES, IGG",475.0,,14.51,408.5,84
CPT,83520,HC REF CXCL9,945.0,,14.51,812.7,84
CPT,83520,HC REF CYTOKINE PANEL IMMUNOASSAY QUANT NOS NONLAB,51.0,,14.28,43.86,84
CPT,83520,HC REF FIBROBLAST GROW FACT 23,116.0,,14.51,99.76,84
CPT,83520,HC REF FRIEDREICH ATAXIA,892.0,,14.51,767.12,84
CPT,83520,"HC REF GANGLIOSIDE PAN AB TITER IMMUNOASSAY, EA AB",239.0,,14.51,205.54,84
CPT,83520,HC REF GHRELIN TOTAL,773.0,,14.51,664.78,84
CPT,83520,HC REF GRANULOCYTE COLONY STIM FACTOR,1065.0,,14.51,915.9,84
CPT,83520,HC REF GROWTH HORMON-REL HORM,286.0,,14.51,245.96,84
CPT,83520,HC REF HUMAN ANTI-MOUSE AB (HAMA),561.0,,14.51,482.46,84
CPT,83520,HC REF IGF BINDING PROTEIN 3,77.0,,14.51,66.22,84
CPT,83520,HC REF IMMUNO QUANT,261.0,,14.51,224.46,84
CPT,83520,HC REF INHIBIN B,143.0,,14.51,122.98,84
CPT,83520,HC REF INSULIN-LIKE GROWTH FACTOR 2,193.0,,14.51,165.98,84
CPT,83520,HC REF INTERLEUKIN - 2,295.0,,14.51,253.7,84
CPT,83520,HC REF INTERLEUKIN 1 BETA,286.0,,14.51,245.96,84
CPT,83520,"HC REF INTERLEUKIN 1 BETA, SERUM",194.0,,14.51,166.84,84
CPT,83520,HC REF INTERLEUKIN 10,325.0,,14.51,279.5,84
CPT,83520,HC REF INTERLEUKIN 2 RECEPTOR,193.0,,14.51,165.98,84
CPT,83520,HC REF INTERLEUKIN 5,193.0,,14.51,165.98,84
CPT,83520,HC REF MAG ANTIBODY IGM,274.0,,14.51,235.64,84
CPT,83520,HC REF MYOMARKER IMMUNOASSAY QUANT,43.0,,12.04,36.98,84
CPT,83520,HC REF NEOPTERIN,385.0,,14.51,331.1,84
CPT,83520,HC REF NEURON SPEC ENOLASE,80.0,,14.51,68.8,84
CPT,83520,HC REF PARANEO STRIATIONAL AB,29.0,,8.12,24.94,84
CPT,83520,HC REF PROTHROMBIN AB IGG,375.0,,14.51,322.5,84
CPT,83520,HC REF SUBSTANCE P,364.0,,14.51,313.04,84
CPT,83520,HC REF THYROTROPIN RECEPTOR AB,81.0,,14.51,69.66,84
CPT,83520,HC REF TRYPTASE,100.0,,14.51,86.0,84
CPT,83520,HC REF VASCULAR ENDOTHELIAL GROWTH FACTOR,179.0,,14.51,153.94,84
CPT,83520,HC REF VWF COLLAGEN BIND ASSAY,325.0,,14.51,279.5,84
CPT,83521,HC FREE KAPPA,312.0,,14.51,268.32,84
CPT,83521,HC FREE LAMBDA,312.0,,14.51,268.32,84
CPT,83521,HC REF KAPPA FREE LIGHT CHAIN,108.0,,14.51,92.88,84
CPT,83521,HC REF LAMBDA FREE LIGHT CHAIN,108.0,,14.51,92.88,84
CPT,83525,HC INSULIN,187.0,,9.6,160.82,84
CPT,83529,HC HLA CYTOKIN INTERLEUKIN-6,513.0,,14.51,441.18,84
CPT,83529,"HC REF CYTOKINE PANEL, INTERLEUKIN 6",58.0,,14.51,49.88,84
CPT,83540,HC REF IRON- URINE (TOTAL),79.0,,5.43,67.94,84
CPT,83540,HC SERUM IRON,90.0,,5.43,77.4,84
CPT,83605,HC LACTATE POINT OF CARE,66.0,,9.72,56.76,84
CPT,83605,HC LACTATE WB,96.0,,9.72,82.56,84
CPT,83605,HC REF LACTIC ACID BF,43.0,,9.72,36.98,84
CPT,83605,HC REF LACTIC ACID CSF,67.0,,9.72,57.62,84
CPT,83615,HC LACTATE DEHYDROGENASE LDH,51.0,,5.07,43.86,84
CPT,83615,HC REF LACTATE DEHYDROGENASE,38.0,,5.07,32.68,84
CPT,83615,HC REF LACTATE DEHYDROGENASE (LDH) BODY FLUID,91.0,,5.07,78.26,84
CPT,83625,HC REF LDH ISOENZYME,39.0,,10.74,33.54,84
CPT,83630,HC FECAL LACTOFERRIN,237.0,,16.55,203.82,84
CPT,83632,HC REF HUMAN PLACENTAL LACTOGEN,302.0,,16.98,259.72,84
CPT,83655,HC REF LEAD BLOOD,43.5,,6.16,55.9,168
CPT,83655,HC REF LEAD URINE,151.0,,10.17,129.86,84
CPT,83690,HC LIPASE,122.0,,5.79,104.92,84
CPT,83690,HC REF LIPASE BODY FLUID,82.0,,5.79,70.52,84
CPT,83695,HC REF LIPOPROTEIN(A),353.0,,12.03,303.58,84
CPT,83695,HC REF LIPOPRTEIN (A),353.0,,12.03,303.58,84
CPT,83718,HC HI DNSITY LIPO PROT,99.0,,6.88,85.14,84
CPT,83727,HC REF GONADOTROP RELEASE HORMON,286.0,,14.44,245.96,84
CPT,83735,HC MAGNESIUM,112.0,,5.63,96.32,84
CPT,83735,HC REF MAGNESIUM-URINE,40.0,,5.63,34.4,84
CPT,83735,HC REF MG U RD,36.0,,5.63,30.96,84
CPT,83789,HC REF HEMOGLOBIN VARIANT BY MASS SPEC,318.0,,20.25,273.48,84
CPT,83789,HC REF IODINE 24H URINE,67.0,,18.76,57.62,84
CPT,83789,HC REF IODINE/CREATININE RATIO,357.0,,20.25,307.02,84
CPT,83789,HC REF THYMIDINE DETERMINATION,535.0,,20.25,460.1,84
CPT,83825,HC REF MERCURY BLOOD,29.0,,8.12,24.94,84
CPT,83835,HC REF METANEPHRINE,83.0,,14.23,71.38,84
CPT,83873,HC REF MYELIN BASIC PROT,64.0,,14.45,55.04,84
CPT,83874,HC REF MYOGLOBIN,82.0,,10.85,70.52,84
CPT,83874,HC REF MYOGLOBIN URINE,75.0,,10.85,64.5,84
CPT,83880,HC NT-PRO BNP,290.0,,32.98,249.4,84
CPT,83880,HC REF NATRIURETIC PEPTIDE BNP,106.0,,29.68,91.16,84
CPT,83883,"HC REF BETA-TRACE PROTEIN, BODY FLUID",182.0,,11.42,156.52,84
CPT,83883,HC REF C1 ESTERASE INHIBITOR AG,76.0,,11.42,65.36,84
CPT,83883,HC REF IGA SUBCLASS IGA TOTAL,93.0,,11.42,79.98,84
CPT,83883,"HC REF KAPPA TOTAL LIGHT CHAIN, RANDOM URINE",62.0,,11.42,53.32,84
CPT,83883,"HC REF LAMBDA TOTAL LIGHT CHAIN, RANDOM URINE",63.0,,11.42,54.18,84
CPT,83883,HC REF RETINOL BINDING PROTEIN,234.0,,11.42,201.24,84
CPT,83884,HC REF NEUROFILAMENT LIGHT CHAIN,1705.0,,14.51,1466.3,83
CPT,83915,HC REF HEM ANEMIA PYRIMIDINE 5' NUCLEOTIDASE,121.0,,9.37,104.06,84
CPT,83915,HC REF HEMOLYTIC ANEMIA RCB ENZYMES,1508.0,,9.37,1296.88,84
CPT,83916,HC REF OLIGOCLONAL BANDS CSF,52.0,,14.56,44.72,84
CPT,83916,"HC REF OLIGOCLONAL BANDS, SERUM",51.0,,14.28,43.86,84
CPT,83921,HC REF METHYLMALONIC ACID(SERUM),80.0,,17.82,68.8,84
CPT,83930,"HC OSMOLALITY, BLOOD",90.0,,5.55,77.4,84
CPT,83935,"HC OSMOLALITY, URINE",72.0,,5.73,61.92,84
CPT,83937,HC OSTEOCALCIN,354.0,,25.07,304.44,84
CPT,83970,HC IO PTHI MS,595.0,,34.68,511.7,84
CPT,83970,HC PTH INTACT,511.0,,34.68,439.46,84
CPT,83970,HC REF PARATHYROID HORMONE FNA,88.0,,24.64,75.68,84
CPT,83986,HC POC PH GASTROCULT,7.0,,1.96,6.02,84
CPT,83986,HC POC URINE PH,64.0,,3.01,55.04,84
CPT,83986,HC REF PH BODY FLUID,62.0,,3.01,53.32,84
CPT,83992,HC REF PHENCYCLI GC/MS,185.0,,14.11,159.1,83
CPT,83993,HC REF CALPROTECTIN,246.0,,16.49,211.56,84
CPT,84066,HC REF PROSTATIC ACID PHASPHAT,66.0,,8.11,56.76,84
CPT,84075,HC PHOSPHATAS ALKALIN,51.0,,4.35,43.86,84
CPT,84075,HC REF ALKALINE PHOSPHATASE,34.0,,4.35,29.24,84
CPT,84080,HC REF ALKALINE PHOSPHATASE ISOENZYMES,49.0,,12.42,42.14,84
CPT,84080,HC REF BONE ALKALINE PHOSPHATASE,79.0,,12.42,67.94,84
CPT,84087,HC REF HEM ANEMIA GLUCOSE PHOSPHATE ISOMERASE,117.0,,9.01,100.62,84
CPT,84100,HC PHOSPHORUS,40.0,,3.98,34.4,84
CPT,84105,HC PHOS UR 24,114.0,,4.86,98.04,84
CPT,84105,"HC PHOSPHOROUS,URINE",74.0,,4.86,63.64,84
CPT,84126,HC REF HEMOQUANT FECES,109.0,,30.52,93.74,84
CPT,84132,HC POTASSIUM SERUM PLASMA/WHOLE BLOOD,63.0,,4.0,54.18,84
CPT,84132,HC POTASSIUM WB,73.0,,4.0,62.78,84
CPT,84133,"HC POTASSIUM, URINE",46.0,,3.97,39.56,84
CPT,84134,HC PREALBUMIN,105.0,,12.26,90.3,84
CPT,84134,HC REF PREALBUMIN REF LAB,71.0,,12.26,61.06,84
CPT,84144,HC REF PROGESTERONE SE,74.0,,17.52,63.64,84
CPT,84145,HC PROCALCITONIN (PCT),423.0,,22.86,363.78,84
CPT,84146,HC PROLACTIN,134.0,,16.28,115.24,84
CPT,84152,HC REF PSA COMPLEXED,181.0,,15.45,155.66,84
CPT,84153,HC PROSTA SPEC ANTIGEN,222.0,,15.45,190.92,84
CPT,84153,HC REF PROSTATE HEALTH INDEX (PHI),70.0,,15.45,60.2,84
CPT,84153,HC REF PSA ULTRA,56.0,,15.45,48.16,84
CPT,84154,HC FREE PROSTATE SPEC ANTIG,263.0,,15.45,226.18,84
CPT,84154,HC REF PHI PSA FREE,87.0,,15.45,74.82,84
CPT,84155,HC PROTEIN TOTAL,49.0,,3.08,42.14,84
CPT,84155,"HC REF TOTAL PROTEIN, SERUM",76.0,,3.08,65.36,84
CPT,84155,HC TOTAL PROTEIN CSF,49.0,,3.08,42.14,84
CPT,84156,HC PROTEIN TOTAL URINE,64.0,,3.08,55.04,84
CPT,84156,"HC REF TOTAL PROTEIN, URINE",78.0,,3.08,67.08,84
CPT,84157,HC REF PROTEIN TOTAL BODY FLUID,82.0,,3.36,70.52,84
CPT,84160,"HC PROTEIN, BODY FLUID",35.0,,4.71,30.1,84
CPT,84165,"HC REF PROTEIN ELECTROPHORESIS, SERUM",77.0,,9.02,66.22,84
CPT,84165,HC SERUM ELECTROPHORES,161.0,,9.02,138.46,84
CPT,84165,PR PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,79.0,,7.0,80.7,45
CPT,84166,"HC REF ELECTROPHORSIS, 24-HOUR URINE",79.0,,14.98,67.94,84
CPT,84166,HC URINE PROT ELECTROPHO,243.0,,14.98,208.98,84
CPT,84166,PR PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATI,94.0,,15.198,84.6,45
CPT,84181,HC REF ANTIBODY WESTERN BLOT,105.0,,14.31,90.3,84
CPT,84182,HC REF AGNA-1 IMMUNOBLOT,239.0,,24.54,205.54,84
CPT,84182,"HC REF AGNA-1 IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
CPT,84182,"HC REF AMPHIPHYSIN IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
CPT,84182,"HC REF AMPHIPHYSIN IMMUNOBLOT, SERUM",239.0,,24.54,205.54,84
CPT,84182,HC REF AMPHIPHYSIN WB CSF,591.0,,24.54,508.26,84
CPT,84182,"HC REF ANNA-1 IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
CPT,84182,"HC REF ANNA-2 IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
CPT,84182,HC REF ANTI NEURONAL NUC AB-1 IMMUNOBLOT,239.0,,24.54,205.54,84
CPT,84182,HC REF ANTI NEURONAL NUC AB-2 IMMUNOBLOT,239.0,,24.54,205.54,84
CPT,84182,HC REF BOTULINUM TOXIN TYPE A,323.0,,24.54,277.78,84
CPT,84182,HC REF CRMP-5-IGG WESTERN BLOT,345.0,,24.54,296.7,84
CPT,84182,"HC REF CRMP-5-IGG WESTERN BLOT, CSF",490.0,,24.54,421.4,84
CPT,84182,HC REF PARANEO AA WB CSF,662.0,,24.54,569.32,84
CPT,84182,HC REF PARANEO AMPHI WB,591.0,,24.54,508.26,84
CPT,84182,HC REF PARANEO AUTO AB WB,144.0,,24.54,123.84,84
CPT,84182,HC REF PARANEO CRMP-5 WB CSF,689.0,,24.54,592.54,84
CPT,84182,"HC REF PCA-1 IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
CPT,84182,"HC REF PCA-1 IMMUNOBLOT, SERUM",239.0,,24.54,205.54,84
CPT,84182,"HC REF PCA-TR IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
CPT,84182,"HC REF PCA-TR IMMUNOBLOT, SERUM",239.0,,24.54,205.54,84
CPT,84206,HC REF PROINSULIN,85.0,,22.42,73.1,84
CPT,84207,HC REF VITAMIN B6 PLP,155.0,,23.6,133.3,84
CPT,84210,HC REF PYRUVATE CSF,81.0,,12.16,69.66,84
CPT,84210,HC REF PYRUVIC ACID BLOOD,79.0,,12.16,67.94,84
CPT,84220,HC REF HEMOLYTIC ANEMIA PK ENZYME ACTIVITY,105.0,,7.93,90.3,84
CPT,84220,HC REF PYRUVATE KINASE RBC,92.0,,7.93,79.12,84
CPT,84238,HC REF SOLUBLE TRANSFERRIN RECEP,61.0,,17.08,52.46,84
CPT,84244,HC REF RENIN ACTIVITY,69.0,,18.47,59.34,84
CPT,84252,HC REF VITAMIN B2 (RIBOFLAVIN),90.0,,17.0,77.4,84
CPT,84255,HC REF SELENIUM (S),80.0,,21.45,68.8,84
CPT,84260,HC REF SEROTONIN,85.0,,23.8,73.1,84
CPT,84270,HC REF SEX HORMONE BINDING GLOBULIN,75.0,,18.25,64.5,84
CPT,84295,HC SODIUM SERUM PLASMA OR WHOLE BLOOD,63.0,,4.04,54.18,84
CPT,84295,HC SODIUM WB,73.0,,4.04,62.78,84
CPT,84300,"HC SODIUM, URINE",51.0,,4.25,43.86,84
CPT,84302,HC REF SODIUM BODY FLUID,68.0,,4.08,58.48,84
CPT,84305,HC REF INSULIN-LIKE GROWTH FACTOR 1,142.0,,17.86,122.12,84
CPT,84307,HC REF SOMATOSTATIN,466.0,,15.36,400.76,84
CPT,84311,HC REF ADENOSINE DEAMINASE RBC,330.0,,6.8,283.8,84
CPT,84311,HC REF CHOLESTEROL BODY FLUID,512.0,,6.8,440.32,84
CPT,84311,HC REF PORPHYRINS TOTAL,493.0,,6.8,423.98,84
CPT,84315,HC REF SPECIFIC GRAVITY BODY FLUID,58.0,,2.76,49.88,84
CPT,84378,HC REF GLYCOMARK (TM),107.0,,9.69,92.02,84
CPT,84379,HC REF CARBOHYDRATE (REDUCING SUBSTANCE) URINE,114.0,,9.69,98.04,84
CPT,84402,HC REF TESTOS FREE,30.0,,8.4,31.8375,84
CPT,84403,HC REF TESTOST TL,31.0,,8.68,32.2625,84
CPT,84403,HC TESTOSTERONE PLASMA,148.0,,21.68,127.28,84
CPT,84410,HC REF TESTOSTERONE BIOAVAILABLE,30.0,,8.4,64.1,84
CPT,84425,HC REF THIAMIN B1,80.0,,17.83,68.8,84
CPT,84432,HC REF THYROGLOBULIN FNA NEEDLE WASH,678.0,,13.49,583.08,84
CPT,84432,HC THYROGLOBULIN,249.0,,13.49,214.14,84
CPT,84436,HC REF THYROXINE TOTAL S,103.0,,5.77,88.58,84
CPT,84436,HC THYROXINE (T4),124.0,,5.77,106.64,84
CPT,84439,HC FREE T4,168.0,,7.58,144.48,84
CPT,84439,HC REF T4 FREE DIRECT DIALYSIS,81.0,,7.58,69.66,84
CPT,84443,HC THYROID STIM HORMON,309.0,,14.11,265.74,84
CPT,84445,HC REF THYROID STIM IMMOGL,109.0,,30.52,93.74,84
CPT,84446,HC REF VITAMIN E,75.0,,11.91,64.5,84
CPT,84449,HC REF CORTICOSTEROID-BINDING GLOBULIN,259.0,,15.12,222.74,84
CPT,84450,HC TRANSFERASE ASPARTATE AMINO AST SGOT,112.0,,4.35,96.32,84
CPT,84460,HC TRANSFERASE ALANINE AMINO ALT SGPT,53.0,,4.45,45.58,84
CPT,84466,HC TRANSFERRIN,116.0,,10.72,99.76,84
CPT,84478,HC REF TRIGLYCERIDES BODY FLUID,512.0,,4.82,440.32,84
CPT,84478,HC REF TRIGLYCERIDES BODY FLUID WITH REFLEX,65.0,,4.82,55.9,84
CPT,84478,HC REF TRIGLYCERIDES REF LAB,28.0,,4.82,24.08,84
CPT,84478,HC TRIGLYCERIDE FLUID,103.0,,4.82,88.58,84
CPT,84478,HC TRIGLYCERIDES,77.0,,4.82,66.22,84
CPT,84479,HC REF T3 UPTAKE,162.0,,5.43,139.32,84
CPT,84479,HC REF THYROXINE BINDING CAPACITY,96.0,,5.43,82.56,84
CPT,84480,HC T3 TOTAL TRIIODOTHRONINE,165.0,,11.91,141.9,84
CPT,84481,HC FREE TRIIODOTHYRONINE,162.0,,14.23,139.32,84
CPT,84481,HC REF FREE T3,53.0,,14.23,45.58,84
CPT,84482,HC REF REVERSE T3,84.0,,13.24,72.24,84
CPT,84484,HC POC CTNI,247.0,,10.47,212.42,84
CPT,84484,HC REF TROPONIN I QUANTITATIVE,69.0,,10.47,59.34,84
CPT,84484,HC TROPONIN I,129.0,,10.47,110.94,84
CPT,84484,HC TROPONIN T,179.0,,10.47,153.94,84
CPT,84484,PR ASSAY OF TROPONIN QUANTITATIVE,63.0,,3.0,65.25,39
CPT,84520,HC POC BLOOD UREA NITRO-BUN,67.0,,3.32,57.62,84
CPT,84520,HC REF UREA NITROGEN (BUN) BODY FLUID,110.0,,3.32,94.6,84
CPT,84520,HC UREA NITROGEN BUN,40.0,,3.32,34.4,84
CPT,84540,HC UREA NITROGEN,40.0,,4.67,34.4,84
CPT,84540,HC UREA UR 24,76.0,,4.67,65.36,84
CPT,84550,HC URIC ACID,55.0,,3.8,47.3,84
CPT,84550,HC URICACID RAS,36.0,,3.8,30.96,84
CPT,84560,HC REF URIC AC UR 24,74.0,,4.27,63.64,84
CPT,84560,HC REF URIC ACID RAN UA,74.0,,4.27,63.64,84
CPT,84585,"HC REF VANILLYLMANDELIC ACID, PEDI, URINE",49.0,,13.02,42.14,84
CPT,84585,HC REF VMA RAN URINE,235.0,,13.02,202.1,84
CPT,84586,HC REF VASOACTIVE INTESTINAL POLYPEPTIDE,114.0,,29.68,98.04,84
CPT,84588,HC REF COPEPTIN PROAVP,250.0,,28.51,215.0,84
CPT,84590,HC REF VITAMIN A,74.0,,9.75,63.64,84
CPT,84591,HC REF BIOTIN VITAMIN B 7,133.0,,14.33,114.38,84
CPT,84591,"HC REF VITAMIN B3, NIACIN",341.0,,14.33,293.26,84
CPT,84597,HC REF VITAMIN K,238.0,,11.52,204.68,84
CPT,84630,"HC REF ZINC, SERUM",67.0,,9.57,57.62,84
CPT,84681,HC C PEPTIDE,270.0,,17.48,232.2,84
CPT,84702,HC BETA HCG TUMOR MARKER (BHCG T),192.0,,12.64,165.12,84
CPT,84702,HC BHCG STAT PREGNANCY,193.0,,12.64,165.98,84
CPT,84702,HC REF BETA-HUMAN CHORIONIC GONADOTROPIN QUANTITATIVE CSF,97.0,,12.64,83.42,84
CPT,84999,HC REF MYCOPLASMA IGG IGM CSF,388.0,,108.64,333.68,83
CPT,84999,"HC REF POTASSIUM, BODY FLUID",66.0,,18.48,56.76,83
CPT,85002,HC BLEEDING TIME TEMPLATE,74.0,,4.05,63.64,84
CPT,85004,HC DIFFERENTIAL AUTOMATED,130.0,,5.43,111.8,84
CPT,85007,HC DIFFERENTIAL MANUAL,83.0,,3.19,71.38,84
CPT,85008,HC SMEAR REVIEW,8.0,,2.24,6.88,84
CPT,85014,HC HEMATOCRIT,28.0,,1.99,24.08,84
CPT,85014,HC POC HEMATOCRIT,38.0,,1.99,32.68,84
CPT,85018,HC HEMOGLOBIN,28.0,,1.99,24.08,84
CPT,85018,HC OXIMETRY TOTAL HEMOGLOBIN,55.0,,1.99,47.3,84
CPT,85025,HC CBC AUTOMATED,131.0,,6.53,112.66,84
CPT,85027,HC AUTO CBC W/O DIFF,105.0,,5.43,90.3,84
CPT,85041,HC BAG RBC,29.0,,2.54,24.94,84
CPT,85045,HC RETIC AUTO,105.0,,3.35,90.3,84
CPT,85048,HC AUTO WBC W/O DIFF,104.0,,2.13,89.44,84
CPT,85048,HC BAG WBC,29.0,,2.13,24.94,84
CPT,85049,HC BAG PLATELET,95.0,,3.76,81.7,84
CPT,85049,HC PLATELET COUNT,95.0,,3.76,81.7,84
CPT,85049,HC REF PLATELET COUNT FOR PLT AGGREGATION,17.0,,3.76,14.62,84
CPT,85049,HC REF PLT FUNCTION PLATELET CT,15.0,,3.76,12.9,84
CPT,85049,HC REF RISTOCETIN AG PLATELET CT,35.0,,3.76,30.1,84
CPT,85055,HC IMMATURE PLATLET FRCTION,111.0,,30.02,95.46,84
CPT,85060,"PR CHG BLOOD SMEAR INTERPRETATION, BLOOD SMEAR, PERIPHERAL, DIFFERENTIAL REVIEW",187.0,,6.0,194.04,46
CPT,85060,"PR CHG BLOOD SMEAR INTERPRETATION, PERIPHERAL BLOOD SMEAR INTERPRETATION",187.0,,6.0,194.04,46
CPT,85097,HC BONE MARROW STUDY,567.0,,81.02,946.5995,85
CPT,85097,PR BONE MARROW SMEAR INTERPRETATION,423.0,,16.0,403.53,47
CPT,85210,HC REF FACTOR II ASSAY,157.0,,10.9,135.02,84
CPT,85220,HC REF FACTOR V ASSAY,157.0,,14.83,135.02,84
CPT,85230,HC REF FACTOR VII ASSAY,157.0,,15.04,135.02,84
CPT,85240,HC REF FACTOR VIII ASSAY,157.0,,15.04,135.02,84
CPT,85240,HC REF FACTOR VIII CHROMOGENIC,153.0,,15.04,131.58,84
CPT,85245,HC REF VWF ASSAY-RISTOCETIN COFACTOR,114.0,,19.27,98.04,84
CPT,85246,HC REF VWF ANTIGEN,145.0,,19.27,124.7,84
CPT,85247,HC REF VON WILLEBRAND FACTOR MULTIMER,227.0,,19.27,195.22,84
CPT,85250,HC REF FACTOR IX ASSAY,157.0,,15.99,135.02,84
CPT,85260,HC REF FACT X CHROMOGENIC,153.0,,15.04,131.58,84
CPT,85260,HC REF FACTOR X ASSAY,113.0,,15.04,97.18,84
CPT,85270,HC REF FACTOR XI ASSAY,224.0,,15.04,192.64,84
CPT,85280,HC REF FACTOR XII ASSAY,308.0,,16.25,264.88,84
CPT,85290,HC REF FACTOR 13 FUNCTIONL ASSAY,372.0,,13.73,319.92,84
CPT,85291,HC REF FACTOR 13 1:1 MIX,139.0,,7.65,119.54,84
CPT,85291,HC REF FACTOR 13 QUALITATIVE,219.0,,7.65,188.34,84
CPT,85292,HC REF PREKAL,152.0,,15.9,130.72,84
CPT,85300,HC AT III,277.0,,9.95,238.22,84
CPT,85300,PR CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,162.0,,5.0,168.29,39
CPT,85301,HC REF ANTITHROMBIN ANTIGEN,114.0,,9.08,98.04,84
CPT,85302,HC REF PROTEIN C ANTIGEN,176.0,,10.09,151.36,84
CPT,85303,HC PROTEIN C FUNC,278.0,,11.63,239.08,84
CPT,85303,PR CLOTTING INHIBITORS PROTEIN C ACTIVITY,75.0,,5.0,72.45,39
CPT,85305,HC REF PROTEIN S ANTIGEN TOTAL,393.0,,9.75,337.98,84
CPT,85306,HC REF PROTEIN S AG FREE,114.0,,12.87,98.04,84
CPT,85306,HC REF PROTEIN S FUNCTIONAL,122.0,,12.87,104.92,84
CPT,85307,HC REF ACTIVATED PROTEIN C RESISTANCE,721.0,,12.87,620.06,84
CPT,85307,PR ACTIVATED PROTEIN C APC RESISTANCE ASSAY,75.0,,5.0,72.3,39
CPT,85335,HC REF ADAMTS13 INHIBIT SCREEN,778.0,,10.81,669.08,84
CPT,85335,HC REF ADAMTS13 INHIBITOR TITER,808.0,,10.81,694.88,84
CPT,85335,HC REF F8  INHIBITOR SCREEN,813.0,,10.81,699.18,84
CPT,85335,HC REF FACT 9 INH,141.0,,10.81,121.26,84
CPT,85335,HC REF INHIBITOR BETHESDA,400.0,,10.81,344.0,84
CPT,85335,HC REF INHIBITOR CURVE,971.0,,10.81,835.06,84
CPT,85335,HC REF INHIBITOR SCREEN,971.0,,10.81,835.06,84
CPT,85347,HC POC ACT LOW RANGE,93.0,,3.6,79.98,84
CPT,85347,HC POC ACT PLUS,83.0,,3.6,71.38,84
CPT,85362,HC FIBRIN SPLIT PROD,114.0,,5.79,98.04,84
CPT,85362,HC REF FIBRINOGEN DEGRADATION SPLIT PRODUCTS,99.0,,5.79,85.14,84
CPT,85379,HC D-DIMER QNT,95.0,,8.55,81.7,84
CPT,85384,HC FIBRINOGEN,50.0,,8.16,43.0,84
CPT,85385,HC REF FIBRINOGEN ANTIGEN,205.0,,12.15,176.3,84
CPT,85390,HC REF SPEC COAG INTERPRETATION,91.0,,13.0,78.26,84
CPT,85396,HC TEG 6S GLOBAL HEMOSTASIS,609.0,,32.74,523.74,84
CPT,85396,HC TEG 6S HEMOSTASIS WITH LYSIS,609.0,,32.74,523.74,84
CPT,85396,HC TEG ASSAY,676.0,,32.74,581.36,84
CPT,85396,PR COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY,137.0,,13.617,122.65,46
CPT,85397,HC REF ADAMTS13 ACTIVITY ASSAY,463.0,,25.92,398.18,84
CPT,85397,HC REF VWF ACTIVITY,325.0,,25.92,279.5,84
CPT,85410,HC REF ALPHA 2 ANTIPLASMIN,106.0,,6.48,91.16,84
CPT,85415,HC REF P A I - 1,153.0,,14.44,131.58,84
CPT,85415,HC REF TISSU PLASMINOGN ACTIVATR,177.0,,14.44,152.22,84
CPT,85420,HC REF PLASMINOGEN,62.0,,5.49,53.32,84
CPT,85421,HC REF PLASMINOGN AG (VAR HEMO),106.0,,8.55,91.16,84
CPT,85441,HC REF HEINZ STAIN,89.0,,3.53,76.54,84
CPT,85445,HC REF HEINZ INDUCED AC,89.0,,5.73,76.54,84
CPT,85475,HC REF ACIDHEMOLYSIS,102.0,,7.45,87.72,84
CPT,85520,HC HEPARIN ASSAY,349.0,,11.0,300.14,84
CPT,85520,HC REF ANTI XA APIXABAN,276.0,,11.0,237.36,84
CPT,85520,HC REF ANTI XA RIVAROXABAN,172.0,,11.0,147.92,84
CPT,85520,HC REF HEPARIN ANTI-XA LWMH,151.0,,11.0,129.86,84
CPT,85540,HC REF LEUKOCYT AIK PHOSHAT SCOR,116.0,,7.22,99.76,84
CPT,85549,HC REF LYSOZYME (MURAMIDASE),75.0,,15.75,64.5,84
CPT,85557,HC REF HEM ANEMIA OSMOTIC FRAGILITY,142.0,,11.22,122.12,84
CPT,85557,HC REF RBC OSMOTIC FRAGILITY,126.0,,11.22,108.36,84
CPT,85576,HC P2Y12 PLATELET FUNCTION,549.0,,20.92,472.14,84
CPT,85576,"HC REF PLATELET AGGREGATION,EACH AGENT",57.0,,15.96,49.02,84
CPT,85576,HC REF PLATELET FUNCTION SCREEN,65.0,,18.2,55.9,84
CPT,85576,HC REF PLATELT FUNCTION ANALYSIS,57.0,,15.96,49.02,84
CPT,85576,HC REF RISTOCETIN PLATELET AGG,44.0,,12.32,37.84,84
CPT,85576,HC TEG 6S - PLATELET MAPPING ADP + AA,780.0,,20.92,670.8,84
CPT,85597,HC REF HEXAGONAL PHOSPHOLIPID,126.0,,15.1,108.36,84
CPT,85610,HC PROTHROMBIN TIME,105.0,,3.6,90.3,84
CPT,85610,HC PROTHROMBIN TIME-KATY,105.0,,3.6,90.3,84
CPT,85610,HC REF PT (CIRC) MIXING STUDIES,41.0,,3.6,35.26,84
CPT,85611,HC PROHROMBIN TIME,77.0,,3.31,66.22,84
CPT,85611,HC REF PT(CIRC)MIX STUDY FRACT,12.0,,3.31,10.32,84
CPT,85611,HC THROM TIME 1:1 MIX,49.0,,3.31,42.14,84
CPT,85612,HC RVVT UNDILUTED,73.0,,14.69,62.78,84
CPT,85613,HC DRVVT,198.0,,8.05,170.28,84
CPT,85613,PR RUSSELL VIPER VENOM TIME DILUTED,61.0,,4.0,51.85,39
CPT,85635,HC REF REPTILASE TIME,95.0,,8.27,81.7,84
CPT,85651,HC SEDIMENTATION RATE,63.0,,3.59,54.18,84
CPT,85660,HC DONOR SICKLEDEX,146.0,,4.63,125.56,84
CPT,85660,HC REF HGB S SCREEN (SICKLE SOLUBILITY),93.0,,4.63,79.98,84
CPT,85660,HC SICKLEDEX,146.0,,4.63,125.56,84
CPT,85670,HC THROMBIN TIME,59.0,,4.85,50.74,84
CPT,85705,HC REF TISU THRMBO INHIB VR HEMO,73.0,,8.09,62.78,84
CPT,85730,HC PARTIAL THROMBOPLASTIN TIME (PTT) PLASMA OR WHOLE BLOOD,89.0,,5.05,76.54,84
CPT,85730,HC REF APTT(CIRC)MIXING STUDIES,56.0,,5.05,48.16,84
CPT,85732,"HC PARTIAL THROMBOPLASTIN TIME (PTT) SUBSTITUTION PLASMA FRACT, EACH",89.0,,5.43,76.54,84
CPT,85732,HC REF APTT(CIRC)MIX STUDY FRACT,12.0,,3.36,10.32,84
CPT,85810,HC REF VISCOSITY BODY FLUID,49.0,,9.8,42.14,84
CPT,85810,HC REF VISCOSITY SERUM,110.0,,9.8,94.6,84
CPT,86000,HC REF FEBRILE AGGLUTINA,307.0,,5.86,264.02,84
CPT,86000,HC REF FRANCISELLA TULARENSIS AB,140.0,,5.86,120.4,84
CPT,86000,HC REF WEIL-FELIX DA,29.0,,5.86,24.94,84
CPT,86003,"HC REF ASPERGILLUS FUMIGATUS,IGE",61.0,,4.38,52.46,84
CPT,86003,HC REF MUCOR IGE,41.0,,4.38,35.26,84
CPT,86015,HC REF SMOOTH MUSCLE ANITBODY SCREEN,68.0,,10.12,58.48,84
CPT,86015,HC REF SMOOTH MUSCLE ANTIBODY TITER,71.0,,10.12,61.06,84
CPT,86021,HC REF ANCA-MYELOPEROXIDASE AB,29.0,,8.12,24.94,84
CPT,86021,HC REF ANCA-PROTEINASE 3 AB,29.0,,8.12,24.94,84
CPT,86021,HC REF GRANULOCYTE ANTIBODIES,134.0,,12.64,115.24,84
CPT,86021,HC REF LEUKOCYTE AB IDENTIFICATION,593.0,,12.64,509.98,84
CPT,86021,HC REF NEUTROPHIL AB ID 1 LEUK,69.0,,12.64,59.34,84
CPT,86021,HC REF NEUTROPHIL AB ID 2 LEUK,69.0,,12.64,59.34,84
CPT,86021,HC TRALI HLA ANTIBODY ID,241.0,,12.64,207.26,84
CPT,86022,HC REF DRUG DEPENDENT PLATELET AB 1 DRUG,714.0,,15.43,614.04,84
CPT,86022,HC REF DRUG DEPENDENT PLATELET AB EA ADD DRUG,157.0,,15.43,135.02,84
CPT,86022,HC REF HEPARIN PF4 ANTIBODY (IGG),250.0,,15.43,215.0,84
CPT,86022,HC REF MPR PLATELET AB,15.0,,4.2,22.9625,84
CPT,86022,HC REF PLATELET AB DIRECT&INDIR,245.0,,15.43,210.7,84
CPT,86022,HC REF PLATELET HEPARIN AB,188.0,,15.43,161.68,84
CPT,86022,HC REF PLT ANTIBODY ID BY FLOW,366.0,,15.43,314.76,84
CPT,86023,HC INDIRECT PLATE ANTIBODY,620.0,,10.47,533.2,84
CPT,86023,HC REF ANTIBODY ID PLATELET IMMUNOGL ASSAY XM,1055.0,,10.47,907.3,84
CPT,86023,PR ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY,89.0,,5.0,85.86,39
CPT,86036,HC REF ANCA-INFLAMMATORY,40.0,,10.12,34.4,84
CPT,86039,HC ANTINUCL ANTIBODY,309.0,,9.37,265.74,84
CPT,86039,HC REF ANTINUCLEAR ANTIBODIES HEP-2 SUBSTRATE IGG,79.0,,9.37,67.94,84
CPT,86039,HC REF CENTROM AB TITER,28.0,,7.84,24.08,84
CPT,86041,HC REF ACH RECEPTOR (MUSCLE) BINDING AB,95.0,,15.46,81.7,84
CPT,86041,HC REF MG LES ACHR MUSCLE BINDING ANTIBODY,187.0,,15.46,160.82,84
CPT,86053,HC REF NMO/AQP4 FACS,670.0,,31.69,576.2,84
CPT,86053,HC REF NMO/AQP4 FACS TITER,182.0,,31.69,156.52,84
CPT,86053,"HC REF NMO/AQP4 FACS,CSF",670.0,,31.69,576.2,84
CPT,86053,"HC REF NMO/AQP4 TITER,CSF",182.0,,31.69,156.52,84
CPT,86060,HC REF ANTISTREP-O TITER,144.0,,6.13,123.84,84
CPT,86077,PR BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REP,360.0,,34.4845,306.0,45
CPT,86077,"PR BLOOD BANK PHYSICIAN SERVICES; CROSSMATCH,AHG",360.0,,34.4845,306.0,45
CPT,86077,PR BLOOD BANK PHYSICIAN SERVICES; RBC AB.IDENTIFICATION,377.0,,34.4845,320.45,45
CPT,86078,PR BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT,417.0,,34.4845,354.45,45
CPT,86079,PR BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT,230.0,,34.1955,195.5,45
CPT,86140,HC C REACTIVE PROTEIN,146.0,,4.35,125.56,84
CPT,86140,HC REF C - REACTIVE PROT,39.0,,4.35,33.54,84
CPT,86141,HC REF CARDIO CRP,51.0,,10.88,43.86,84
CPT,86146,HC REF BETA 2 GLYCOPROTEIN IGA,60.0,,16.8,51.6,84
CPT,86146,HC REF BETA 2 GLYCOPROTEIN IGG,88.0,,21.38,75.68,84
CPT,86146,HC REF BETA 2 GLYCOPROTEIN IGM,60.0,,16.8,51.6,84
CPT,86147,HC REF ANTICARDIOLIPIN IGA,30.0,,8.4,31.8125,84
CPT,86147,HC REF ANTICARDIOLIPIN IGG,73.0,,20.44,62.78,84
CPT,86147,HC REF ANTICARDIOLIPIN IGM,30.0,,8.4,31.8125,84
CPT,86148,HC REF ANTI-PHOS SERINE IGA,85.0,,13.5,73.1,84
CPT,86148,HC REF PHOS SERINE PROTHRO IGG/IGM,222.0,,13.5,190.92,84
CPT,86153,PR CELL ENUMERATION IMMUNE SELECTJ & ID PHYS INTERP,298.0,,26.98,268.2,47
CPT,86157,HC COLD AGGLUTIN.TITER,71.0,,6.77,61.06,84
CPT,86157,HC REF COLD AGGLUTININ TITER,98.0,,6.77,84.28,84
CPT,86160,HC REF C1Q COMPLEMENT COMPONENT,379.0,,10.08,325.94,84
CPT,86160,HC REF C2 COMPL ANTIGEN SERUM,165.0,,10.08,141.9,84
CPT,86160,HC REF C3 COMPLEMENT,67.0,,10.08,57.62,84
CPT,86160,HC REF C4 COMPLEMENT,67.0,,10.08,57.62,84
CPT,86160,HC REF C4D COMPLEMENT,416.0,,10.08,357.76,84
CPT,86160,HC REF C5 COMPLEMENT ANTIGEN,527.0,,10.08,453.22,84
CPT,86160,HC REF CBB COMPLEMENT,464.0,,10.08,399.04,84
CPT,86160,HC REF COMPLEMENT ANTIGEN,464.0,,10.08,399.04,84
CPT,86160,HC REF COMPLEMENT C1Q,379.0,,10.08,325.94,84
CPT,86160,HC REF COMPLEMENT C3,9.0,,2.52,15.0,84
CPT,86160,HC REF COMPLEMENT C4,9.0,,2.52,15.0,84
CPT,86160,HC REF COMPLEMENT C5,81.0,,10.08,69.66,84
CPT,86160,HC REF FACTOR B COMPLEMENT ANTIGEN,416.0,,10.08,357.76,84
CPT,86160,HC REF FACTOR H COMPLEMENT ANTIGEN,416.0,,10.08,357.76,84
CPT,86160,HC REF SC5B-9 COMPLEMENT,566.5,,10.08,575.34,168
CPT,86161,HC REF ALT COMPLEMENT FUNCTION ACTIVITY,464.0,,10.08,399.04,84
CPT,86161,HC REF C1 ESTERASE,73.0,,10.08,62.78,84
CPT,86161,"HC REF C1Q COMPLEMENT, FUNCTIONAL",597.0,,10.08,513.42,84
CPT,86161,HC REF C2 COMPLEMENT FUNCTIONAL,437.0,,10.08,375.82,84
CPT,86161,HC REF C3 COMPLEMENT FUNCTIONAL,515.0,,10.08,442.9,84
CPT,86161,HC REF C4 COMPLEMENT FUNCTIONAL,515.0,,10.08,442.9,84
CPT,86161,HC REF C5 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
CPT,86161,HC REF C6 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
CPT,86161,HC REF C7 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
CPT,86161,HC REF C8 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
CPT,86161,HC REF C9 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
CPT,86161,HC REF COMPLEMENT COMPONENT C2,74.0,,10.08,63.64,84
CPT,86161,HC REF ECULIZUMAB COMPLEMENT BLOCKAGE,199.0,,10.08,171.14,84
CPT,86162,HC REF COMPLEMENT TOTAL (CH50),786.0,,17.07,675.96,84
CPT,86162,HC REF TOTAL COMPLEMENT,70.0,,17.07,60.2,84
CPT,86200,HC REF CYCLIC CITRULLINATED PEPTIDE AB,68.0,,10.88,58.48,84
CPT,86215,HC REF ANTI-DNASE B TITER,261.0,,11.13,224.46,84
CPT,86225,HC REF DOUBLE STRANDED DNA AB IGG,67.0,,11.54,57.62,84
CPT,86231,HC REF ENDOMYSIAL IGA AB,91.0,,10.16,78.26,84
CPT,86231,HC REF ENDOMYSIAL IGA AB TITER,300.0,,10.16,258.0,84
CPT,86235,HC REF (SCLERODERMA) SCL 70 AB IGG,75.0,,15.06,64.5,84
CPT,86235,HC REF AENA POLYMOSITS (JO-1)AB,90.0,,15.06,77.4,84
CPT,86235,HC REF AENA S-B/LA ANTIBODY IGG,90.0,,15.06,77.4,84
CPT,86235,HC REF AENA SCL ANTIBODY IGG,90.0,,15.06,77.4,84
CPT,86235,HC REF AENA SMITH ANTIBODY IGG,90.0,,15.06,77.4,84
CPT,86235,HC REF AENA SS-A/RO ANTIBOD IGG,91.0,,15.06,78.26,84
CPT,86235,HC REF ANTI-TIF-1GAMMA ANTIBODY,250.0,,15.06,215.0,84
CPT,86235,HC REF JO 1 ANTIBODIES IGG,75.0,,15.06,64.5,84
CPT,86235,HC REF MYOMARKER NUCLEAR AG AB,59.0,,15.06,50.74,84
CPT,86235,HC REF MYOSITIS ANTI-SS-A 52KD,54.0,,15.06,46.44,84
CPT,86235,HC REF PM - SCL ANTIBODY,32.0,,8.96,27.52,84
CPT,86235,HC REF PM-SCL ANTIBODY,144.0,,15.06,123.84,84
CPT,86235,HC REF RNP ANTIBODIES IGG (U1RNP),75.0,,15.06,64.5,84
CPT,86235,HC REF SMITH ANTIBODIES IGG,74.0,,15.06,63.64,84
CPT,86235,"HC REF SS-A/RO ANTIBODIES, IGG",36.0,,10.08,30.96,84
CPT,86235,"HC REF SS-B/LA ANTIBODIES, IGG",36.0,,10.08,30.96,84
CPT,86235,HC REF U1 SNRNP AB MAID 1,51.0,,14.28,43.86,84
CPT,86255,HC REF AB SCREEN - 1,93.0,,10.12,79.98,84
CPT,86255,HC REF AB SCREEN - 2,93.0,,10.12,79.98,84
CPT,86255,HC REF ACHR MODULATING FLOW CYTOMETRY,174.0,,10.12,149.64,84
CPT,86255,"HC REF ALPHA INTERNEXIN CBA, CSF",1023.0,,10.12,879.78,84
CPT,86255,"HC REF ALPHA INTERNEXIN CBA, SERUM",1023.0,,10.12,879.78,84
CPT,86255,HC REF AMPA-R AB CBA CSF,209.0,,10.12,179.74,84
CPT,86255,"HC REF AMPA-R AB CBA, CSF",869.0,,10.12,747.34,84
CPT,86255,"HC REF AMPA-R AB CBA, SERUM",1023.0,,10.12,879.78,84
CPT,86255,HC REF ANTI BASEMENT MEMBR ZONE,71.0,,10.12,61.06,84
CPT,86255,HC REF ANTI INTERCELLULA SUB IGG,70.0,,10.12,60.2,84
CPT,86255,HC REF CABA-B-R AB CBA CSF,209.0,,10.12,179.74,84
CPT,86255,HC REF CASPR2-IGG CBA CSF,569.0,,10.12,489.34,84
CPT,86255,"HC REF CASPR2-IGG CBA, CSF",591.0,,10.12,508.26,84
CPT,86255,"HC REF CASPR2-IGG CBA, SERUM",511.0,,10.12,439.46,84
CPT,86255,"HC REF DPPX AB CBA, CSF",869.0,,10.12,747.34,84
CPT,86255,"HC REF DPPX AB CBA, SERUM",1023.0,,10.12,879.78,168
CPT,86255,"HC REF DPPX AB IFA, SERUM",443.0,,10.12,380.98,84
CPT,86255,"HC REF ENCEPH AUTOIMM/PARANEO AB SCRN, EA AB, CSF",106.0,,10.12,91.16,84
CPT,86255,"HC REF ENCEPH/PARANEO AB SCRN, EA AB, SERUM",127.0,,10.12,109.22,84
CPT,86255,HC REF GABA BR AB CBA SERUM,1023.0,,10.12,879.78,84
CPT,86255,"HC REF GABA-B-R AB CBA, CSF",869.0,,10.12,747.34,84
CPT,86255,"HC REF GFAP CBA, CSF",1023.0,,10.12,879.78,84
CPT,86255,"HC REF GFAP CBA, SERUM",1023.0,,10.12,879.78,84
CPT,86255,"HC REF IGLON5 CBA, CSF",869.0,,10.12,747.34,84
CPT,86255,"HC REF IGLON5 CBA, SERUM",1023.0,,10.12,879.78,84
CPT,86255,HC REF LEGI1-IGG SERUM,568.0,,10.12,488.48,84
CPT,86255,HC REF LGI1-IGG CBA CSF,569.0,,10.12,489.34,84
CPT,86255,"HC REF LGI1-IGG CBA, CSF",591.0,,10.12,508.26,84
CPT,86255,"HC REF LGI1-IGG CBA, SERUM",511.0,,10.12,439.46,84
CPT,86255,"HC REF LIGHT NIF CHAIN CBA, CSF",1023.0,,10.12,879.78,84
CPT,86255,HC REF LRP4 AUTOANTIBODY,1898.0,,10.12,1632.28,84
CPT,86255,"HC REF MGLUR1 AB CBA, CSF",1023.0,,10.12,879.78,84
CPT,86255,"HC REF MGLUR1 AB CBA, SERUM",1023.0,,10.12,879.78,168
CPT,86255,"HC REF MGLUR1 AB IFA, CSF",443.0,,10.12,380.98,84
CPT,86255,"HC REF MGLUR1 ANTIBODY IFA, SERUM",443.0,,10.12,380.98,84
CPT,86255,HC REF MYELIN IGG ANTIBODY,295.0,,10.12,253.7,84
CPT,86255,"HC REF NEUROCONDRIN CBA, CSF",1023.0,,10.12,879.78,84
CPT,86255,"HC REF NEUROCONDRIN CBA, SERUM",1023.0,,10.12,879.78,84
CPT,86255,HC REF NEURONAL (HU) AB,143.0,,10.12,122.98,84
CPT,86255,"HC REF NIF HEAVY CHAIN CBA, CSF",1023.0,,10.12,879.78,84
CPT,86255,"HC REF NIF HEAVY CHAIN CBA, SERUM",1023.0,,10.12,879.78,84
CPT,86255,"HC REF NIF LIGHT CHAIN CBA, SERUM",1023.0,,10.12,879.78,84
CPT,86255,HC REF NMDA R AB CBA CSF,1135.0,,10.12,976.1,84
CPT,86255,HC REF NMDA R AB CBA SERUM,460.0,,10.12,395.6,84
CPT,86255,HC REF NMDA RECEPTOR AB CBA CSF,869.0,,10.12,747.34,84
CPT,86255,HC REF NMDA-R AB CBA CSF,209.0,,10.12,179.74,84
CPT,86255,"HC REF NMDA-R ANTIBODY CBA, SERUM",1023.0,,10.12,879.78,84
CPT,86255,HC REF PARA NMO-IGG CSF,165.0,,10.12,141.9,84
CPT,86255,HC REF PARANEO ANTI-GLIAL NUCLEAR AB TYPE 1,94.0,,10.12,80.84,84
CPT,86255,HC REF PARANEO ANTI-NEURON NUCLEAR AB TYPE 1,94.0,,10.12,80.84,84
CPT,86255,HC REF PARANEO ANTI-NEURON NUCLEAR AB TYPE 2,94.0,,10.12,80.84,84
CPT,86255,HC REF PARANEO ANTI-NEURON NUCLEAR AB TYPE 3,94.0,,10.12,80.84,84
CPT,86255,HC REF PARANEO CRMP-5-IGG,93.0,,10.12,79.98,84
CPT,86255,HC REF PARANEO PCA-1,94.0,,10.12,80.84,84
CPT,86255,HC REF PARANEO PCA-2,94.0,,10.12,80.84,84
CPT,86255,HC REF PARANEO PCA-TR,94.0,,10.12,80.84,84
CPT,86255,"HC REF PARANEOPLASTIC AB SCREEN EACH AB, CSF",129.0,,10.12,110.94,84
CPT,86255,HC REF PARANEOPLASTIC AMPHIPHYSIN AB,93.0,,10.12,79.98,84
CPT,86255,"HC REF PARANEOPLASTIC AUTOAB EVAL, EA ANTIBODY",141.0,,10.12,121.26,84
CPT,86255,HC REF RETICULIN IGA,74.0,,10.12,63.64,84
CPT,86255,HC REF RETICULIN IGG,74.0,,10.12,63.64,84
CPT,86255,"HC REF SEPTIN-7 CBA, SERUM",1023.0,,10.12,879.78,84
CPT,86255,"HC REF SPEPTIN-7 CBA, CSF",1023.0,,10.12,879.78,84
CPT,86255,HC REF STRIATED MUSCLE ANTIBODY,164.0,,10.12,141.04,84
CPT,86255,HC REF TRIM46 AB CBA,1136.0,,10.12,976.96,84
CPT,86255,"HC REF TRIM46 AB CBA, CSF",1136.0,,10.12,976.96,84
CPT,86256,"HC REF AGNA-1 TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF AGNA-1 TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF AMPA-R AB IF TITER ASSAY, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF AMPA-R AB IF TITER ASSAY, SERUM",216.0,,10.12,185.76,168
CPT,86256,"HC REF AMPHIPHYSIN AB TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF AMPHIPHYSIN AB TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,HC REF AMPHIPHYSIN ANTIBODFY CSF,209.0,,10.12,179.74,84
CPT,86256,"HC REF ANNA-1 TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF ANNA-1 TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF ANNA-2 TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF ANNA-2 TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,HC REF ANNA-3 TITER,216.0,,10.12,185.76,84
CPT,86256,"HC REF ANNA-3 TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,HC REF ANTI NEURON NUC AB TYPE 3 CSF,209.0,,10.12,179.74,84
CPT,86256,HC REF ANTI-GLAIL NUCL AB TYPE 2 CSF,209.0,,10.12,179.74,84
CPT,86256,HC REF ANTIBODY WESTERN TITER,36.0,,10.08,30.96,84
CPT,86256,HC REF ANTINURON NUC AB TYPE 1 CSF,209.0,,10.12,179.74,84
CPT,86256,HC REF ANTINURON NUC AB TYPE 2 CSF,209.0,,10.12,179.74,84
CPT,86256,HC REF CRMP 5 IGG CSF,209.0,,10.12,179.74,84
CPT,86256,"HC REF CRMP-5-IGG TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,HC REF CRMP-5-IGG TITER. CSF,216.0,,10.12,185.76,84
CPT,86256,HC REF DPPX AB IFA TITER,216.0,,10.12,185.76,84
CPT,86256,"HC REF DPPX AB IFA TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF DPPX AB IFA TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,HC REF DSDNA (CRITHIDIA LUCILIAE) AB IGG,84.0,,10.12,72.24,84
CPT,86256,HC REF ENDOMYSIUM AB TIT IGA,68.0,,10.12,58.48,84
CPT,86256,"HC REF GABA-B-R AB IF TITER ASSAY, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF GABA-B-R AB IF TITER ASSAY, SERUM",216.0,,10.12,185.76,168
CPT,86256,"HC REF GFAP IFA TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF GFAP IFA TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF IGLON5 IFA TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF IGLON5 IFA TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF MGLUR1 AB IFA TITER, CSF",224.0,,10.12,192.64,84
CPT,86256,"HC REF MGLUR1 AB IFA TITER, SERUM",224.0,,10.12,192.64,84
CPT,86256,HC REF MGLUR1 ANTIBODY IFA TITER,216.0,,10.12,185.76,84
CPT,86256,HC REF MITOCHONDRL  TITR,20.0,,5.6,17.2,84
CPT,86256,"HC REF NEUROCHONDRIN IFA TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF NEUROCHONDRIN IFA TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF NIF IFA TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF NIF IFA TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF NMDA-R AB IF TITER ASSAY, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF NMDA-R AB IF TITER ASSAY, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF NMDA-R ANTIBODY IF TITER ASSAY, SERUM",216.0,,10.12,185.76,84
CPT,86256,HC REF NMO/AQP4 TITER,171.0,,10.12,147.06,84
CPT,86256,"HC REF PCA-1 TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF PCA-1 TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF PCA-2 TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF PCA-2 TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF PCA-TR TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF PCA-TR TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,"HC REF PDE10A AB IFA TITER, CSF",224.0,,10.12,192.64,84
CPT,86256,"HC REF PDE10A AB IFA TITER, SERUM",224.0,,10.12,192.64,84
CPT,86256,HC REF PUNKINJE CELL AB TYPE 2 CSF,209.0,,10.12,179.74,84
CPT,86256,HC REF PURKINJE AB TITER,17.0,,4.76,15.0625,84
CPT,86256,HC REF PURKINJE CELL AB TYPE 1 CSF,209.0,,10.12,179.74,84
CPT,86256,HC REF PURKINJE CELL AB TYPE TR CSF,209.0,,10.12,179.74,84
CPT,86256,"HC REF SEPTIN-7 IFA TITER, CSF",216.0,,10.12,185.76,84
CPT,86256,"HC REF SEPTIN-7 IFA TITER, SERUM",216.0,,10.12,185.76,84
CPT,86256,HC REF STRIATED AB TITER,28.0,,7.84,24.08,84
CPT,86256,HC REF STRIATED MUSCLE ANTIBODY TITER,148.0,,10.12,127.28,84
CPT,86256,HC REF TRIM46 AB IFA TITER,224.0,,10.12,192.64,84
CPT,86256,"HC REF TRIM46 AB IFA TITER, CSF",224.0,,10.12,192.64,84
CPT,86258,HC REF GLIADIN AB IGA,91.0,,10.12,78.26,84
CPT,86258,HC REF GLIADIN AB IGG,91.0,,10.12,78.26,84
CPT,86258,HC REF GLIADIN DEAMIDATED AB IGA,170.0,,10.12,146.2,84
CPT,86258,HC REF GLIADIN DEAMIDATED AB IGG,352.0,,10.12,302.72,84
CPT,86300,HC CARBOHYD ANTIGEN CA 15-3,310.0,,17.48,266.6,84
CPT,86300,HC REF BREAST CARCINOMA AG CA 27.29,80.0,,17.48,68.8,84
CPT,86300,HC REF CA 15-3,51.0,,14.28,43.86,84
CPT,86301,HC CA19-9,193.0,,17.48,165.98,84
CPT,86301,HC REF CA 199-FLUID,104.0,,17.48,89.44,84
CPT,86301,"HC REF CANCER ANTIGEN GI (CA 19-9), BODY FLUID",71.0,,17.48,61.06,84
CPT,86304,HC CA ANTIGEN 125,295.0,,17.48,253.7,84
CPT,86305,HC REF HE4 HUMAN EPIDIDYMIS PROTEIN 4,318.0,,17.48,273.48,84
CPT,86308,HC REF INFECTIOUS MONO TEST,154.0,,4.35,132.44,84
CPT,86316,HC REF ALPHA FETOPROTEIN CSF,95.0,,17.48,81.7,84
CPT,86316,"HC REF ALPHA-FETOPROTEIN, BODY FLUID",69.0,,17.48,59.34,84
CPT,86316,HC REF CA 72 - 4,90.0,,17.48,77.4,84
CPT,86316,HC REF CHROMOGRANIN A,72.0,,17.48,61.92,84
CPT,86316,HC REF PHI PRO2 PSA,65.0,,17.48,55.9,84
CPT,86316,HC REF SOLUBLE MESOTHELIN RP,131.0,,17.48,112.66,84
CPT,86316,HC REF THYMIDINE KINASE,79.0,,17.48,67.94,84
CPT,86317,HC CHAGAS AB,275.0,,12.59,236.5,84
CPT,86317,HC REF DIPTHERIA TOXOID IGG AB,203.0,,12.59,174.58,84
CPT,86317,HC REF S PNEUMO (1),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 12F(12),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 14(14),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 18C(56),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 19F(19),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 23F(23),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 3(3),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 33F(70),3.0,,0.84,18.7375,84
CPT,86317,HC REF S PNEUMO 4(4),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 6B(26),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 7F(51),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 8(8),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMO 9(9),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMONIAE 10A(34),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMONIAE 11A(43),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMONIAE 15B(54),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMONIAE 17F(17),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMONIAE 19A(57),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMONIAE 2(2),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMONIAE 20(20),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMONIAE 22F(22),4.0,,1.12,18.7375,84
CPT,86317,HC REF S PNEUMONIAE 5(5),4.0,,1.12,18.7375,84
CPT,86317,HC REF STREPT PNEUMONIAE 9V(68),3.0,,0.84,18.7375,84
CPT,86317,HC REF TAU PROTEIN IMMUNOASSAY QT CSF,478.0,,12.59,411.08,84
CPT,86317,HC REF TETANUS TOXOID IGG AB,311.0,,12.59,360.34,168
CPT,86329,HC REF TEICHOIC ACID AB,132.0,,11.8,113.52,84
CPT,86332,"HC REF CIRCULATING IMMUNE COMPLEX, C1Q BINDING",195.0,,20.47,167.7,84
CPT,86334,HC IMMUNOFIXATION SERUM,314.0,,18.77,270.04,84
CPT,86334,HC REF  IMMUNOFIXATION DELTA AND EPSILON,411.0,,18.77,353.46,84
CPT,86334,HC REF IMMUNOFIXATION CROGLOBULIN,341.0,,18.77,293.26,84
CPT,86334,"HC REF IMMUNOFIXATION, SERUM",352.0,,18.77,302.72,84
CPT,86334,HC REF TRANSFERRIN IMMUNOFIXATION,566.0,,18.77,486.76,84
CPT,86334,PR IMMUNOFIXJ ELECTROPHORESIS SERUM,152.0,,15.198,132.21,45
CPT,86335,HC IMMUNOFIXATION URINE,314.0,,24.65,270.04,84
CPT,86335,HC REF BETA-2 TRANSFERRIN,183.0,,24.65,157.38,84
CPT,86335,"HC REF IMMUNOFIXATION (IFE), URINE",285.0,,24.65,245.1,84
CPT,86335,PR IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS,152.0,,15.198,136.8,45
CPT,86336,HC REF INHIBIN A,100.0,,13.1,86.0,84
CPT,86337,HC REF INSULIN AUTOANTIBODIES,94.0,,17.98,80.84,84
CPT,86340,HC REF INTRINSIC FACTOR,84.0,,12.67,72.24,84
CPT,86341,"HC REF ENCEPH AUTOIMM/PARANEO GAD65 AB ASSAY, CSF",197.0,,19.8,169.42,84
CPT,86341,"HC REF ENCEPH/PARANEO GAD65 AB, SERUM",261.0,,19.8,224.46,84
CPT,86341,HC REF GAD65 AB ASSAY CSF,343.0,,19.8,294.98,84
CPT,86341,"HC REF GAD65 AB ASSAY, CSF",531.0,,19.8,456.66,84
CPT,86341,HC REF GAD65 ANTIBODY ASSAY,79.0,,19.8,68.8,168
CPT,86341,HC REF IA-2 AUTOANTIBODIES,139.0,,19.8,119.54,84
CPT,86341,HC REF ZINC TRANSPORTER 8 ANTIBODY,1061.0,,19.8,912.46,84
CPT,86353,"HC REF LYMPHOCYTE PROLIFERATION, MITOGEN",2154.0,,41.19,1852.44,84
CPT,86355,HC B-CELLS TOTAL COUNT,351.0,,31.69,301.86,84
CPT,86356,HC REF LEUK AD DEF MONONUCLEAR CELL AG,63.0,,17.64,54.18,84
CPT,86356,HC REF NAT KILLER CELL MONONUCLEAR CELL AG,142.0,,22.5,122.12,84
CPT,86357,"HC NATURAL KILLER CELLS,TOTAL COUNT",199.0,,31.69,171.14,84
CPT,86357,"HC REF NATURAL KILLER CELLS,TOTAL COUNT",199.0,,31.69,171.14,84
CPT,86359,"HC REF NATURAL KILLER CELLS, T-CELLS TOTAL COUNT",199.0,,31.69,171.14,84
CPT,86359,HC T-CELLS TOTAL COUNT,351.0,,31.69,301.86,84
CPT,86360,HC ABSOLUTE CD4 & CD8 CELLS,706.0,,39.46,607.16,84
CPT,86364,HC REF TISSUE TRANSGLUTAMINASE AB IGA,72.0,,9.69,61.92,84
CPT,86364,"HC REF TISSUE TRANSGLUTAMINASE AB, IGA",44.0,,9.69,37.84,84
CPT,86364,"HC REF TISSUE TRANSGLUTAMINASE AB, IGG",58.5,,9.69,61.92,168
CPT,86366,HC REF MUSK ANTIBODY QUANTITATIV,1535.0,,15.46,1320.1,84
CPT,86367,HC CD34 TOTAL COUNT,316.0,,65.34,271.76,84
CPT,86376,HC REF LIVER CYTOSOL AUTO ABS,180.0,,12.22,154.8,84
CPT,86376,HC REF LIVER/KIDNEY MICROSOME TYPE 1 ANTIBODIES,77.0,,12.22,66.22,84
CPT,86376,HC REF THYROID PERO AB,81.0,,12.22,69.66,84
CPT,86376,HC TPO AB,182.0,,12.22,156.52,84
CPT,86381,HC REF MITOCHANDRIAL AB,66.0,,18.48,56.76,84
CPT,86382,HC REF POLIO NEUTRALIZATION TEST VIRAL,247.0,,14.2,212.42,84
CPT,86386,HC POC NMP22 BLADDER TUMOR,154.0,,18.3,132.44,84
CPT,86403,HC REF CRYPTOCOCCUS ANTIGEN UR,68.0,,9.69,58.48,84
CPT,86403,HC REF CRYPTOCOCCUS LATEX AGG,32.0,,8.96,27.52,84
CPT,86430,HC RHEUMATOID FACTOR,227.0,,5.16,195.22,84
CPT,86430,PR RHEUMATOID FACTOR QUALITATIVE,29.0,,2.0,29.74,39
CPT,86431,HC RHEUMATOID FACTOR (RF),345.0,,4.76,296.7,84
CPT,86480,HC REF QUANTIFERIN-TB GOLD - QUEST DIAGNOSTICS,125.0,,35.0,107.5,84
CPT,86481,HC REF T-SPOT TB,148.0,,41.44,127.28,84
CPT,86580,HC SKIN TEST TB INTRADERMAL,31.0,,8.68,33.9825,85
CPT,86581,"HC REF STREPTO PNEUMONIAE IGG AB'S, 23 SEROTYPES",130.0,,29.68,111.8,83
CPT,86592,HC DONOR RPR QUAL,117.0,,3.59,100.62,84
CPT,86592,HC REF REAGIN TEST THERAPY RESP,99.0,,3.59,85.14,84
CPT,86592,HC REF RPR SCREEN RESPONSE TO THERAPY,90.0,,3.59,77.4,84
CPT,86592,"HC REF SYPHILIS AB, RPR SCREEN",90.0,,3.59,77.4,84
CPT,86592,HC REF VDRL SERUM,67.0,,3.59,57.62,84
CPT,86592,"HC REF VDRL, CSF",63.0,,3.59,54.18,84
CPT,86592,HC SYPHILIS TEST.QUAL,117.0,,3.59,100.62,84
CPT,86592,PR SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL,22.0,,2.0,22.35,39
CPT,86593,"HC REF RFLX VDRL TITER, CSF",80.0,,3.7,68.8,84
CPT,86593,"HC REF RPR TITER, RESPONSE TO THERAPY",72.0,,3.7,61.92,84
CPT,86593,"HC REF SYPHILIS AB, RPR TITER",72.0,,3.7,61.92,84
CPT,86593,"HC REF TREPONEMA PALLIDUM (VDRL) TITER, CSF",80.0,,3.7,68.8,84
CPT,86593,HC REF VDRL TITER SERUM,104.0,,3.7,89.44,84
CPT,86593,PR SYPHILIS TEST QUANTITATIVE,24.0,,3.0,23.1,39
CPT,86596,HC REF MG LES EVAL P/Q-TYPE CA CHAN AB,123.0,,10.12,105.78,84
CPT,86596,HC REF PARANEO P/Q-TYPE CA CH AB,112.0,,10.12,96.32,84
CPT,86602,HC REF THERMOACTINOMYCESCANDIDUS,12.0,,3.36,12.725,84
CPT,86602,HC REF THERMOACTINOMYCESSUCCHARI,12.0,,3.36,12.725,84
CPT,86602,HC REF THERMOACTINOMYCESVULGARIS,12.0,,3.36,12.725,84
CPT,86603,HC REF ADENOVIRUS AB,100.5,,10.81,98.04,168
CPT,86606,HC REF ASPERGILLUS FLAVUS ANTIBODY,25.0,,7.0,21.5,84
CPT,86606,HC REF ASPERGILLUS FUMIGATUS,87.0,,12.64,74.82,84
CPT,86606,HC REF ASPERGILLUS FUMIGATUS ANTIBODY,25.0,,7.0,21.5,84
CPT,86606,HC REF ASPERGILLUS NIGER ANTIBODY,25.0,,7.0,21.5,84
CPT,86609,HC REF BURK PSEUDO IGG,117.0,,10.82,100.62,84
CPT,86609,HC REF BURK PSEUDO IGM,117.0,,10.82,100.62,84
CPT,86609,HC REF LISTERIA ANTIBODY,160.0,,10.82,137.6,84
CPT,86611,HC REF BARTONELLA AB PANEL,263.0,,8.55,226.18,84
CPT,86611,HC REF BARTONELLA HENSELAE IGG,24.0,,6.72,20.64,84
CPT,86611,HC REF BARTONELLA HENSELAE IGM,24.0,,6.72,20.64,84
CPT,86611,HC REF BARTONELLA QUINTANA IGG,24.0,,6.72,20.64,84
CPT,86611,HC REF BARTONELLA QUINTANA IGM,24.0,,6.72,20.64,84
CPT,86612,HC REF BLASTOMYCE AB BY ID,60.0,,10.84,51.6,84
CPT,86612,HC REF BLASTOMYCE ANTIBODY,99.0,,10.84,85.14,84
CPT,86612,HC REF BLASTOMYCES AB BY CF,13.0,,3.64,16.125,84
CPT,86612,HC REF BLASTOMYCES ANTIBODY IMMUNODIFFUSION,499.0,,10.84,429.14,84
CPT,86615,HC REF BORDETELLA PERTUS FHA IGG,65.0,,11.08,55.9,84
CPT,86615,HC REF BORDETELLA PERTUSS PT IGG,65.0,,11.08,55.9,84
CPT,86617,HC REF LYME ANTIBODY CSF,382.0,,13.01,328.52,84
CPT,86617,HC REF LYME DIS AB.WBA IGM,48.0,,13.01,41.28,84
CPT,86617,HC REF LYME IS ANTIB- WBA IGG,41.0,,11.48,35.26,84
CPT,86618,HC REF LYME AB CSF,182.0,,14.31,156.52,84
CPT,86618,HC REF LYME DISEASE AB,70.0,,14.31,60.2,84
CPT,86618,HC REF LYME SEROLOGY CSF,102.0,,14.31,87.72,84
CPT,86622,HC REF BRUCELLA AB TOTAL AGGLUTINATION,44.0,,7.5,37.84,84
CPT,86622,HC REF BRUCELLA ABORTUS AB,59.0,,7.5,50.74,84
CPT,86622,HC REF BRUCELLA ABORTUS AB IGM,46.0,,7.5,39.56,84
CPT,86622,HC REF BRUCELLA AGGLUTINATION,420.0,,7.5,361.2,84
CPT,86625,HC REF CAMPYLO JEJUNI AB,118.0,,11.02,101.48,84
CPT,86628,HC REF CANDIDA ALBICANS AB  IGG,45.0,,10.09,38.7,84
CPT,86628,HC REF CANDIDA ALBICANS AB IGA,45.0,,10.09,38.7,84
CPT,86628,HC REF CANDIDA ALBICANS AB IGM,45.0,,10.09,38.7,84
CPT,86631,HC REF CHLAM PSITT IGG,12.0,,3.36,14.775,84
CPT,86631,HC REF CHLAM TRACH IGG,12.0,,3.36,14.775,84
CPT,86631,HC REF CHLAMYDIA AB,124.0,,9.93,106.64,84
CPT,86631,HC REF CHLAMYDIA ANTIBODY IGG,22.0,,6.16,18.92,84
CPT,86631,HC REF CHLAMYDOPHILA PNEU IGA,5.0,,1.4,14.775,84
CPT,86631,HC REF CHLAMYDOPHILA PSITTA IGA,5.0,,1.4,14.775,84
CPT,86631,HC REF CHLAMYDOPHILA TRACH IGA,4.0,,1.12,14.775,84
CPT,86632,HC REF CHLAM PSITT IGM,12.0,,3.36,15.85,84
CPT,86632,HC REF CHLAM TRACH IGM,12.0,,3.36,15.85,84
CPT,86632,HC REF CHLAMYDIA ANTIBODY IGM,22.0,,6.16,18.92,84
CPT,86635,HC REF COCCI AB IGG CF,32.0,,8.96,27.52,84
CPT,86635,HC REF COCCI AB IGG ID,32.0,,8.96,27.52,84
CPT,86635,HC REF COCCI AB IGM ID,32.0,,8.96,27.52,84
CPT,86635,HC REF COCCIDIODES CF IGG CSF,145.0,,9.63,124.7,84
CPT,86635,HC REF COCCIDIODES ID IGG CSF,145.0,,9.63,124.7,84
CPT,86635,HC REF COCCIDIODES ID IGM CSF,145.0,,9.63,124.7,84
CPT,86635,HC REF COCCIDIOIDES AB,43.0,,9.63,36.98,84
CPT,86635,HC REF COCCIDIOIDES AB BY CF,13.0,,3.64,14.3375,84
CPT,86635,HC REF COCCIDIOIDES AB BY ID,13.0,,3.64,14.3375,84
CPT,86635,HC REF COCCIDIOIDES AB TITER,13.0,,3.64,14.3375,84
CPT,86638,HC REF  COXIELLA AB PANEL,126.0,,10.18,108.36,84
CPT,86638,HC REF Q FEVER AB SCRN,125.0,,10.18,107.5,84
CPT,86638,HC REF Q FEVER AB TITER,31.0,,8.68,26.66,84
CPT,86638,HC REF Q FEVER ANTIBODY IGG,46.0,,10.18,39.56,84
CPT,86638,HC REF Q FEVER ANTIBODY IGM,47.0,,10.18,40.42,84
CPT,86644,HC CMV ANTIBODY,109.0,,12.09,93.74,84
CPT,86644,HC CMV-IGG TITER,138.0,,12.09,118.68,84
CPT,86644,HC DONOR CMV AB,109.0,,12.09,93.74,84
CPT,86644,HC REF CASPR2-IGG CBA SERUM,323.0,,12.09,277.78,84
CPT,86644,HC REF CMV IGG AB CSF,81.0,,12.09,69.66,84
CPT,86644,HC REF CMV IGG AVIDITY,341.0,,12.09,293.26,84
CPT,86644,HC REF CMV IGG SERUM,38.0,,10.64,32.68,84
CPT,86644,PR ANTIBODY CYTOMEGALOVIRUS CMV,73.0,,5.0,75.41,39
CPT,86645,HC CMV IGM TITER,187.0,,14.15,160.82,84
CPT,86645,HC REF CMV IGM AB CSF,81.0,,14.15,69.66,84
CPT,86645,HC REF CMV IGM SERUM,45.0,,12.6,38.7,84
CPT,86651,HC REF ARBOVIRUS PANEL - CALIF (LACROSSE) AB IGM,139.0,,11.08,119.54,84
CPT,86651,HC REF ARBOVIRUS PANEL - CALIF (LACROSSE) IGG AB,139.0,,11.08,119.54,84
CPT,86651,HC REF CALIF ENCEPH AB,168.0,,11.08,144.48,84
CPT,86651,HC REF CALIF VIRUS (LAC) AB CSF,127.0,,11.08,109.22,84
CPT,86652,HC REF ARBOVIRUS PANEL EAST EQUINE ENCEPH AB IGG,139.0,,11.08,119.54,84
CPT,86652,HC REF ARBOVIRUS PANEL EAST EQUINE ENCEPH AB IGM,139.0,,11.08,119.54,84
CPT,86652,HC REF EAST EQUINE ENCEP AB CSF,127.0,,11.08,109.22,84
CPT,86652,HC REF EQUINE ENCEPH AB,168.0,,11.08,144.48,84
CPT,86653,HC REF  ST LOUIS ENC AB,183.0,,11.08,157.38,84
CPT,86653,HC REF  ST LOUIS ENCEP PANEL,168.0,,11.08,144.48,84
CPT,86653,"HC REF ARBOVIRUS PANEL, ST LOUIS ENCEPH AB IGG",139.0,,11.08,119.54,84
CPT,86653,"HC REF ARBOVIRUS PANEL, ST LOUIS ENCEPH AB IGM",139.0,,11.08,119.54,84
CPT,86653,HC REF ST LOUIS ENCEPH AB IGG,44.0,,11.08,37.84,84
CPT,86653,HC REF ST LOUIS ENCEPH AB IGM,45.0,,11.08,38.7,84
CPT,86653,HC REF ST. LOUIS ENCEP AB CSF,127.0,,11.08,109.22,84
CPT,86654,"HC REF ARBOVIRUS PANEL, WEST EQUINE ENCEPH AB IGG",140.0,,11.08,120.4,84
CPT,86654,"HC REF ARBOVIRUS PANEL, WEST EQUINE ENCEPH AB IGM",140.0,,11.08,120.4,84
CPT,86654,HC REF WEST EQUINE ENCEP AB CSF,127.0,,11.08,109.22,84
CPT,86654,HC REF WESTERN EQUINE AB,168.0,,11.08,144.48,84
CPT,86658,HC REF COXSACKIE A AB,124.0,,10.95,106.64,84
CPT,86658,HC REF COXSACKIE B AB,124.0,,10.95,106.64,84
CPT,86658,HC REF ECHOVIRUS AB,123.0,,10.95,105.78,84
CPT,86658,HC REF ENTEROVIRUS PANEL,257.0,,10.95,221.02,84
CPT,86663,HC REF EBV EARLY AG,69.0,,11.02,59.34,84
CPT,86664,HC EBV EBNA TITER,250.0,,12.84,215.0,84
CPT,86664,HC REF EBV EBNA CSF,69.0,,12.84,59.34,84
CPT,86664,"HC REF EBV EBNA IGG, SERUM",28.0,,7.84,24.08,84
CPT,86664,PR ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,99.0,,5.0,84.15,39
CPT,86665,HC EBV VCA IGG TITER,353.0,,15.24,303.58,84
CPT,86665,HC EBV VCA IGM TITER,253.0,,15.24,217.58,84
CPT,86665,HC REF EBV AB PANEL CSF 2,109.0,,15.24,93.74,84
CPT,86665,HC REF EBV CAG IGG,69.0,,15.24,59.34,84
CPT,86665,HC REF EBV CAG IGM,69.0,,15.24,59.34,84
CPT,86665,"HC REF EBV VCA IGG/IGM, SERUM",33.0,,9.24,28.38,84
CPT,86665,PR ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,99.0,,5.0,95.06,39
CPT,86666,HC REF ANAPLASMA PHAGO IGG,120.0,,8.55,103.2,84
CPT,86666,HC REF EHRLICHIA AB PANEL,215.0,,8.55,184.9,84
CPT,86666,HC REF EHRLICHIA CHAFFEENSIS AB IGG,117.0,,8.55,100.62,84
CPT,86666,HC REF ENRILCHIA CHAFFEENSIS ANTIBODY IGG,114.0,,8.55,98.04,84
CPT,86671,HC REF AUREOBASIDIUM PULLULANS,12.0,,3.36,15.3125,84
CPT,86671,HC REF MICROPOLYSPORA FAENI,19.5,,3.36,23.22,168
CPT,86671,HC REF THERMOACTINOMYCS VULGARIS,27.0,,7.56,23.22,84
CPT,86674,HC REF GIARDIA LAMBLIA ANTIBODIES,98.0,,12.36,84.28,84
CPT,86674,HC REF GIARDIA LAMBLIA IGG AB,114.0,,12.36,98.04,84
CPT,86677,HC REF HELICOBACTER PYLORI AB,209.0,,14.15,179.74,84
CPT,86682,HC REF CYSTICERCUS AB IGG,141.0,,10.93,121.26,84
CPT,86682,HC REF CYSTICERCUS AB REF PANEL,157.0,,10.93,135.02,84
CPT,86682,HC REF CYSTICERCUS IGG AB WB,129.0,,10.93,129.0,168
CPT,86682,HC REF CYSTICERUS CSF,136.0,,10.93,116.96,84
CPT,86682,HC REF ECHINO AB IGG WB,371.0,,10.93,319.06,84
CPT,86682,HC REF ECHINOCOCCUS AB,171.0,,10.93,147.06,84
CPT,86682,HC REF ECHINOCOCCUS IGG,198.0,,10.93,170.28,84
CPT,86682,HC REF FASCIOLA ANTIBODY,118.0,,10.93,101.48,84
CPT,86682,HC REF FILARIA IGG4 ANTIBODY,200.0,,10.93,172.0,84
CPT,86682,HC REF SCHISTOSOMA IGG AB,165.0,,10.93,141.9,84
CPT,86682,HC REF STRONGYLOIDES AB IGG,93.0,,10.93,79.98,84
CPT,86682,HC REF TOXOCARA ANTIBODY,149.0,,10.93,128.14,84
CPT,86684,HC REF HAEMOPHILUS INFLUENZA TYPE B IGG,372.0,,13.31,319.92,84
CPT,86689,HC REF HIV-1 AB IF,87.0,,16.25,74.82,84
CPT,86689,HC REF HTLV I/II AB CONFIRMATION,736.0,,16.25,632.96,84
CPT,86689,HC REF HTLV I/II WESTER BLOT,161.0,,16.25,138.46,84
CPT,86692,HC REF HEPATITIS DELTA AB TOTAL,143.0,,14.41,122.98,84
CPT,86692,HC REF HEPATITIS DELTA IGM AB,368.0,,14.41,316.48,84
CPT,86694,HC HERPLEX SIMPLEX  8694,361.0,,12.09,310.46,84
CPT,86694,PR ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,78.0,,5.0,75.41,39
CPT,86695,HC HSV-1 ANTIBODY,642.0,,11.08,552.12,84
CPT,86695,HC REF  HERPES SIMPLEX VIRUS 1 IGM CSF,116.0,,11.08,99.76,84
CPT,86695,HC REF HERPES SIMPLEX 1 IGM TITER,95.0,,11.08,81.7,84
CPT,86695,HC REF HERPES SIMPLEX VIRUS 1 IGG CSF,116.0,,11.08,99.76,84
CPT,86695,HC REF HSV 1 AB IGG,97.0,,11.08,83.42,84
CPT,86695,HC REF HSV 1 AB IGM,97.0,,11.08,83.42,84
CPT,86695,HC REF HSV TYPE 1 IGG,66.0,,11.08,56.76,84
CPT,86695,"HC REF HSV-1 ANTIBODY,SERUM",33.0,,9.24,28.38,84
CPT,86696,HC HSV-2 ANTIBODY,642.0,,16.25,552.12,84
CPT,86696,HC REF  HSV 2 AB IGM,97.0,,16.25,83.42,84
CPT,86696,HC REF HERPES SIMPLEX 2 IGM TITER,95.0,,16.25,81.7,84
CPT,86696,HC REF HERPES SIMPLEX VIRUS 2 IGG CSF,170.0,,16.25,146.2,84
CPT,86696,HC REF HERPES SIMPLEX VIRUS 2 IGM CSF,170.0,,16.25,146.2,84
CPT,86696,HC REF HSV 2 AB IGG,97.0,,16.25,83.42,84
CPT,86696,HC REF HSV TYPE 2 IGG,66.0,,16.25,56.76,84
CPT,86696,"HC REF HSV-2 ANTIBODY, SERUM",49.0,,13.72,42.14,84
CPT,86698,HC REF HISTOPLASM AB SCREEN,14.0,,3.92,17.2375,84
CPT,86698,HC REF HISTOPLASMA AB BY ID,31.0,,8.68,26.66,84
CPT,86698,HC REF HISTOPLASMA AB SCREEN,52.0,,11.58,44.72,84
CPT,86698,HC REF HISTOPLASMA CF CSF,96.0,,11.58,82.56,84
CPT,86698,HC REF MYCELIAL ANTIBODY BY CF,30.0,,8.4,25.8,84
CPT,86698,HC REF YEAST ANTIBODY BY CF,30.0,,8.4,25.8,84
CPT,86701,HC REF HIV-1 AB DIFFERENTIATION,193.0,,7.47,165.98,84
CPT,86702,HC REF HIV-2 AB DIFFERENTIATION,294.0,,11.36,252.84,84
CPT,86703,HC DONOR HIV 1/HIV2 AB,295.0,,11.52,253.7,84
CPT,86703,HC HIV-1/HIV-2 ANTIBDY,295.0,,11.52,253.7,84
CPT,86703,PR ANTIBODY HIV-1&HIV-2 SINGLE RESULT,69.0,,5.0,71.89,39
CPT,86704,HC DONOR HEP B CORE AB,211.0,,10.12,181.46,84
CPT,86704,HC HEPATITIS B CORE AB,211.0,,10.12,181.46,84
CPT,86704,"HC REF HEPATITIS BC AB,IGG & IGM",72.0,,10.12,61.92,84
CPT,86705,HC HEPATITIS B CORE IGM,149.0,,9.89,128.14,84
CPT,86705,HC REF AB TO HEP B COR IGM,46.0,,9.89,39.56,84
CPT,86706,HC HEP B SURFACE AB,174.0,,9.02,149.64,84
CPT,86706,HC REF HEPATITIS B SURFACE AB QT,44.0,,9.02,37.84,84
CPT,86707,HC REF HEPATITIS BE AB,69.0,,9.72,59.34,84
CPT,86708,HC REF AB TO HEP A VIRUS,70.0,,10.41,60.2,84
CPT,86708,"HC REF HEP A VIRUS PANEL, HEPATITIS A ANTIBODY TOTAL",40.0,,10.41,34.4,84
CPT,86709,"HC REF HEP A VIRUS PANEL, HEPATITIS A ANTIBODY IGM",40.0,,9.46,34.4,84
CPT,86709,HC REF HEPATITIS A IGM AB,69.0,,9.46,59.34,84
CPT,86710,HC REF INFLUENZA A AB IGG  86710,21.0,,5.88,18.06,84
CPT,86710,HC REF INFLUENZA A AB IGM  86710,21.0,,5.88,18.06,84
CPT,86710,HC REF INFLUENZA B AB IGG  86710,21.0,,5.88,18.06,84
CPT,86710,HC REF INFLUENZA B AB IGM  86710,21.0,,5.88,18.06,84
CPT,86713,HC REF LEGIONELLA NON-PNEUMO,4.0,,1.12,19.125,84
CPT,86713,HC REF LEGIONELLA PNEUMO 2-6 8,8.0,,2.24,19.125,84
CPT,86713,HC REF LEGIONELLA PNEUMOPHILA 1,4.0,,1.12,19.125,84
CPT,86717,HC REF LEISHMANIASIS (VISCERAL) AB,460.0,,10.29,395.6,84
CPT,86720,HC REF LEPTOSPIRA IGM,255.0,,13.61,219.3,84
CPT,86727,HC REF LYMPH CHORIOMENINGITIS IGG CSF,113.0,,10.81,97.18,84
CPT,86727,HC REF LYMPH CHORIOMENINGITIS IGM CSF,113.0,,10.81,97.18,84
CPT,86727,HC REF LYMPHOCYTIC CHORIONM IGG,78.0,,10.81,67.08,84
CPT,86727,HC REF LYMPHOCYTIC CHORIONM IGM,78.0,,10.81,67.08,84
CPT,86735,HC REF MUMPS AB CSF,151.0,,10.96,129.86,84
CPT,86735,HC REF MUMPS ANTIBODY IGG CSF,121.0,,10.96,104.06,84
CPT,86735,HC REF MUMPS ANTIBODY IGM CSF,121.0,,10.96,104.06,84
CPT,86735,HC REF MUMPS ANTIBODY PANEL IGM,43.0,,10.96,36.98,84
CPT,86735,HC REF MUMPS IGG AB,78.0,,10.96,67.08,84
CPT,86735,HC REF MUMPS VIRUSAB IGG IGM CSF,116.0,,10.96,99.76,84
CPT,86738,HC REF M PNEUMONIAE ANTIBODY,274.0,,11.12,235.64,84
CPT,86738,HC REF MYCOPLASM PNE AB IGM IFA,107.0,,11.12,92.02,84
CPT,86738,HC REF MYCOPLASMA AB,200.0,,11.12,172.0,84
CPT,86747,HC REF PARVOVIRUS B19 AB,123.0,,12.63,105.78,84
CPT,86747,HC REF PARVOVIRUS B19 AB IGG,38.0,,10.64,32.68,84
CPT,86747,HC REF PARVOVIRUS B19 AB IGM,39.0,,10.92,33.54,84
CPT,86753,HC REF CHAGAS RIPA,434.0,,10.41,373.24,84
CPT,86753,HC REF ENTAMOEBA HISTOLYTICA ANTIBODY IGG,416.0,,10.41,357.76,84
CPT,86753,HC REF TRYPANOSOMA CRUIZ AB IGG,78.0,,10.41,67.08,84
CPT,86753,HC REF TRYPANOSOMA CRUIZ AB IGM,132.0,,10.41,113.52,84
CPT,86757,HC REF  R TYPHI IGG,98.0,,16.25,84.28,84
CPT,86757,HC REF  R TYPHI IGM,98.0,,16.25,84.28,84
CPT,86757,HC REF MURINE TYPHUS AB IGG,465.0,,16.25,399.9,84
CPT,86757,HC REF RICKETTSIA AB,142.0,,16.25,122.12,84
CPT,86757,HC REF RMSF IGG,98.0,,16.25,84.28,84
CPT,86757,HC REF RMSF IGM,98.0,,16.25,84.28,84
CPT,86757,HC REF ROCKY MOUNTAIN SPOTTED FEVER,44.0,,12.32,37.84,84
CPT,86757,HC REF SPOTTED FEVER GROUP IGG AND IGM,48.0,,13.44,41.28,84
CPT,86757,HC REF TYPHUS FEVER ANTIBODY,44.0,,12.32,37.84,84
CPT,86759,HC ROTAVIRUS SCREEN,162.0,,15.31,139.32,84
CPT,86762,HC REF RUBELLA IGG AB,68.0,,12.09,58.48,84
CPT,86765,HC REF  RUBEOLA ANTIBODY IGG CSF,113.0,,10.82,97.18,84
CPT,86765,HC REF RUBEOLA AB CSF,150.0,,10.82,129.0,84
CPT,86765,HC REF RUBEOLA AB IGG IGM CSF,109.0,,10.82,93.74,84
CPT,86765,HC REF RUBEOLA ANTIBODY IGM CSF,113.0,,10.82,97.18,84
CPT,86765,HC REF RUBEOLA VIRUS IGM AB,26.0,,7.28,22.36,84
CPT,86765,HC REF RUBEOLLA MEASLES AB IGG,69.0,,10.82,59.34,84
CPT,86768,HC REF SALMONELLA TOTAL AB,44.0,,11.08,37.84,84
CPT,86769,HC REF COVID 19 IGG VIRACOR,114.0,,31.92,98.04,84
CPT,86769,HC REF COVID 19 IGM VIRACOR,114.0,,31.92,98.04,84
CPT,86777,HC REF  TOXO-IGG TITER,115.0,,12.09,98.9,84
CPT,86777,HC REF TOXOPLASMA IGG AB,40.0,,11.2,34.4,84
CPT,86778,HC REF TOXOPLASMA IGM AB,40.0,,11.2,34.4,84
CPT,86780,HC ANTIBODY TREPONEMA PALLIDUM (SYPHILIS),184.0,,11.12,158.24,84
CPT,86780,HC REF SYPHILIS AB BY TP-PA,129.0,,11.12,110.94,84
CPT,86780,"HC REF SYPHILIS AB, TP-PA",125.0,,11.12,107.5,84
CPT,86780,HC REF SYPHILIS IGG,70.0,,11.12,60.2,84
CPT,86780,HC REF TPPA,140.0,,11.12,120.4,84
CPT,86784,HC REF TRICHINELLA AB ELISA,74.0,,10.55,63.64,84
CPT,86787,HC REF VARICELLA IGG,70.0,,10.82,60.2,84
CPT,86787,HC REF VARICELLA IGM AB ONLY,50.0,,10.82,43.0,84
CPT,86787,HC REF VARICELLA IGM AB PANEL,42.0,,10.82,36.12,84
CPT,86787,HC REF VARICELLA ZOSTER,127.0,,10.82,109.22,84
CPT,86787,HC REF VARICELLA ZOSTER AB IGM CSF,113.0,,10.82,97.18,84
CPT,86787,HC REF VARICELLA ZOSTER AB TOTAL CSF,113.0,,10.82,97.18,84
CPT,86788,HC REF WEST NILE AB CSF IGM,83.0,,14.15,71.38,84
CPT,86788,"HC REF WEST NILE IGM, CSF",300.0,,14.15,258.0,84
CPT,86788,HC REF WEST NILE VIRUS AB IGM CSF,106.0,,14.15,127.28,168
CPT,86789,HC REF WEST NILE AB CSF IGG,83.0,,12.09,71.38,84
CPT,86789,"HC REF WEST NILE IGG, CSF",257.0,,12.09,221.02,84
CPT,86789,HC REF WEST NILE VIRUS AB IGG CSF,95.0,,12.09,108.36,168
CPT,86790,HC DONOR HTLV I/II AB,152.0,,10.82,130.72,84
CPT,86790,HC HTLV-1/11 AB,152.0,,10.82,130.72,84
CPT,86790,HC REF DENGUE FEVER VIRUS AB IGG,243.0,,10.82,208.98,84
CPT,86790,HC REF DENGUE FEVER VIRUS AB IGM,243.0,,10.82,208.98,84
CPT,86790,HC REF HEPATITIS E IGG AB,204.0,,10.82,175.44,84
CPT,86790,HC REF HEPATITIS E IGM AB,204.0,,10.82,175.44,84
CPT,86790,HC REF HEPATITIS E IGM AB CONFIRMATION,359.0,,10.82,308.74,84
CPT,86790,HC REF HERPESVIRUS 6 ANTIBODY IGG,227.0,,10.82,195.22,84
CPT,86790,HC REF HERPESVIRUS 7 ANTIBODY,278.0,,10.82,239.08,84
CPT,86790,HC REF HERPESVIRUS 8 IGG ANTIBODY,126.0,,10.82,108.36,84
CPT,86790,HC REF HHV6 IGG AB,126.0,,10.82,108.36,84
CPT,86790,HC REF HHV8 AB IGG,182.0,,10.82,156.52,84
CPT,86790,HC REF HHV8 IGG AB,158.0,,10.82,135.88,84
CPT,86790,HC REF HSV-6 IGG/M AB CSF,215.0,,10.82,184.9,84
CPT,86790,HC REF HSV6 IGM,59.0,,10.82,50.74,84
CPT,86790,HC REF HTLV I/II AB,73.0,,10.82,62.78,84
CPT,86790,HC REF HUMAN HERPVIRUS 7 IGG AB,132.0,,10.82,113.52,84
CPT,86790,HC REF HUMAN HERPVIRUS 7 IGM AB,132.0,,10.82,113.52,84
CPT,86790,PR ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,45.0,,5.0,42.86,39
CPT,86793,HC REF YERSINIA ANTIBODIES BY IMMUNOBLOT,133.0,,11.08,114.38,84
CPT,86800,HC THYROGLOBULIN AB,221.0,,13.36,190.06,84
CPT,86803,HC DONOR HEP C AB,273.0,,11.99,234.78,84
CPT,86803,HC HEPATITIS C ANTIBODY,341.0,,11.99,293.26,84
CPT,86803,"HC REF HCV AB RFLX PCR, SERUM",83.0,,11.99,71.38,84
CPT,86807,HC REF NEU AB SC CY% AB,70.0,,19.6,98.3125,84
CPT,86807,HC TRALI HLA ANTIBODY SCREEN,364.0,,66.07,313.04,84
CPT,86808,HC REF NEUTROPHIL AB QUICK 1,70.0,,19.6,60.2,84
CPT,86808,HC REF NEUTROPHIL AB QUICK 2,70.0,,19.6,60.2,84
CPT,86813,HC REF LAB-HLA MAT-BLOOD PRO,423.0,,48.72,363.78,84
CPT,86828,HC REF AB TO HUMAN LEUKO AG HLA QUAL,593.0,,53.92,509.98,84
CPT,86830,HC HLA CLASS 1 ANTIBODY PANEL,545.0,,80.24,468.7,84
CPT,86831,HC HLA CLASS II ANTIBODY PANEL,485.0,,68.78,417.1,84
CPT,86832,HC HLA C1Q CI AB ID,1275.0,,271.95,1096.5,84
CPT,86832,HC HLA CLASS I ANTIBODY ID,852.0,,238.56,732.72,84
CPT,86832,PR ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL,381.0,,5.0,553.61,40
CPT,86832,PR HLA C1Q  CI AB ID,381.0,,5.0,553.61,40
CPT,86833,HC HLA C1Q CII AB ID,1113.0,,273.67,957.18,84
CPT,86833,HC HLA CLASS II ANTIBODY ID,732.0,,204.96,629.52,84
CPT,86833,PR ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL,346.0,,5.0,557.12,40
CPT,86833,PR HLA C1Q  CII AB ID,346.0,,5.0,557.12,40
CPT,86849,HC CELL SORTING - MAGNETIC ACTIVATED,1029.0,,288.12,884.94,83
CPT,86849,HC CELL SORTING � FLUORESCENCE ACTIVATED,4242.0,,1187.76,3648.12,83
CPT,86849,HC REF NEUTROPHIL AB IMMUNOLOGY,70.0,,19.6,60.2,83
CPT,86850,"HC ANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUE",52.0,,12.2125,61.226,85
CPT,86850,HC REF AB SCRN,37.0,,10.36,61.226,85
CPT,86860,HC ELUTION,148.0,,41.44,200.169,84
CPT,86860,HC REF ELUTION,37.0,,10.36,200.169,84
CPT,86860,PR ANTIBODY ELUTION RBC EACH ELUTION,44.0,,3.0,56.03,39
CPT,86870,HC RBC AB.IDEN,359.0,,100.52,421.1415,84
CPT,86870,HC REF AB ID RBC REF LAB,37.0,,10.36,421.1415,84
CPT,86880,HC COOMBS DIRECT STUDY,89.0,,4.53,76.54,85
CPT,86880,HC DAT IGG C3,85.0,,4.53,73.1,85
CPT,86880,HC REF DAT REF LAB,38.0,,4.53,69.3105,85
CPT,86885,HC DONOR INDIR COOMBS,42.0,,4.8,200.169,85
CPT,86885,HC INDIRECT COOMBS,53.0,,4.8,200.169,85
CPT,86885,PR ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL,32.0,,3.92,29.96,39
CPT,86886,HC IS & RT ANTI-A TITER,74.0,,4.35,200.169,85
CPT,86886,HC IS & RT ANTI-B TITER,74.0,,4.35,200.169,85
CPT,86886,HC REF ISOAGGLUTIN TIT ANTI-B B,106.0,,4.35,200.169,85
CPT,86886,HC REF ISOAGGLUTININ TIER ANTI A,106.0,,4.35,200.169,85
CPT,86890,HC AUTOLOGUS RBC PROCESSING,460.0,,128.8,395.6,85
CPT,86890,HC MARROW-AUTOLGOUS BLD UNIT,2591.0,,200.169,2228.26,85
CPT,86900,HC ABO,109.0,,2.51,156.3195,85
CPT,86900,HC ABO TYPE BLD.PROD,101.0,,2.51,156.3195,85
CPT,86900,HC DONOR ABO,101.0,,2.51,156.3195,85
CPT,86900,HC DONOR ABO RH,98.0,,2.51,156.3195,85
CPT,86900,HC PATIENT ABO PLUS RH,105.0,,2.51,156.3195,85
CPT,86900,HC REF ABO,37.0,,2.51,156.3195,85
CPT,86900,HC REF BLOOD TYPING SEROLOGIC ABO,34.0,,2.51,156.3195,85
CPT,86901,HC BLOOD TYPING SEROLOGIC RH (D),56.0,,2.51,48.16,85
CPT,86901,HC DONOR RH,52.0,,2.51,44.72,85
CPT,86901,HC REF RH (D),37.0,,2.51,43.884,85
CPT,86902,HC ANTIGEN TESTING RBC UNITS,59.0,,5.33,421.1415,85
CPT,86905,HC BLD.TYPE RBC AG,64.0,,3.22,421.1415,85
CPT,86905,HC RBC ANTIGENS EA,56.0,,3.22,421.1415,85
CPT,86905,PR BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,97.0,,3.5275,101.3,39
CPT,86906,HC PT RH PHENO,178.0,,6.51,153.08,85
CPT,86920,"HC CROSSMATCH, IS",106.0,,29.68,200.169,85
CPT,86921,HC LISS XM,101.0,,28.28,200.169,85
CPT,86922,"HC CROSSMATCH,AHG",99.0,,27.72,200.169,85
CPT,86923,HC ELECTRONIC XM,101.0,,28.28,200.169,85
CPT,86927,HC FFP THAW,33.0,,9.24,200.169,85
CPT,86945,"HC IRRAD BLD PROD,EA UNIT",36.0,,10.08,67.46,85
CPT,86960,HC PLASMA REDUCTION,168.0,,47.04,200.169,85
CPT,86965,HC POOLING BLD COMP,39.0,,10.92,259.15,85
CPT,86970,HC DTT,396.0,,37.83,340.56,85
CPT,86971,HC RBC PRETREATMENT ENZYME,396.0,,63.12,340.56,85
CPT,86985,"HC BLOOD, SPLIT UNIT",226.0,,63.28,200.169,85
CPT,86999,HC WASHING OF BLOOD PRODUCTS,361.0,,33.9825,310.46,84
CPT,87015,HC REF CRTOTI GURDUA DFA1,44.0,,5.61,37.84,84
CPT,87015,HC REF CYCLOSPORA CONC EXAM,185.0,,5.61,159.1,84
CPT,87015,"HC REF FILARIA CONC EXAM, BLD",88.0,,5.61,75.68,84
CPT,87015,HC REF ISOSPORA BILL GROUP 1,69.0,,5.61,59.34,84
CPT,87015,HC REF RFLX MTB CONCENTRATE,131.0,,5.61,112.66,84
CPT,87015,"HC REF SCHIST CINC, URINE",32.0,,5.61,27.52,84
CPT,87015,HC VIRAL RESPIRATORY AG,63.0,,5.61,54.18,84
CPT,87040,HC BLOOD CULT DONOR,81.0,,8.67,69.66,84
CPT,87040,"HC CULTURE, BLOOD",165.0,,8.67,141.9,84
CPT,87040,HC QUAN BLD CULTURE,160.0,,8.67,137.6,84
CPT,87040,HC STERILITY CULTURE,193.0,,8.67,165.98,84
CPT,87045,HC STOOL CULTURE,67.0,,7.93,57.62,84
CPT,87046,HC STOOL ADD PATHOGENS,67.0,,7.93,57.62,84
CPT,87046,HC STOOL VRE,67.0,,7.93,57.62,84
CPT,87070,HC BACTERIAL ID SPEC,189.0,,7.24,162.54,84
CPT,87070,HC CULTURE ROUTINE EACH,95.0,,7.24,81.7,84
CPT,87075,"HC CULTURE, ANAEROB",82.0,,7.95,70.52,84
CPT,87076,HC NEG ANAEROBIC,165.0,,6.79,141.9,84
CPT,87076,HC POS ANAEROBIC,165.0,,6.79,141.9,84
CPT,87076,HC REF RFLX ANA IDENTIFICATION,157.0,,6.79,135.02,84
CPT,87076,HC REF RFLX ANA MALDI-TOF,116.0,,6.79,99.76,84
CPT,87076,HC REF RFLX ANA REFER ID,1050.0,,6.79,903.0,84
CPT,87076,HC REF RFLX ANA SEQ ID,343.0,,6.79,294.98,84
CPT,87076,HC VTK MS ANA GRAM NE ORG ID,270.0,,6.79,232.2,84
CPT,87076,HC VTK MS ANA GRAM POS ORG,270.0,,6.79,232.2,84
CPT,87077,HC GRAM NEG ID AEROBIC,149.0,,6.79,128.14,84
CPT,87077,HC GRAM POS ID AEROBIC,149.0,,6.79,128.14,84
CPT,87077,HC REF RFLX AEROBIC MALDI-TOF,139.0,,6.79,119.54,84
CPT,87077,HC REF RFLX ANA ADD REFR1 ID,158.0,,6.79,135.88,84
CPT,87077,HC REF RFLX ANA BAC ID GID,135.0,,6.79,116.1,84
CPT,87077,HC REF RFLX ANA COMM KIT,125.0,,6.79,107.5,84
CPT,87077,HC REF RFLX ANA STAPH ID,84.0,,6.79,72.24,84
CPT,87077,HC REF RFLX ANA STREP ID,84.0,,6.79,72.24,84
CPT,87077,HC STAPH ID,154.0,,6.79,132.44,84
CPT,87077,HC VITEK MS AFB ID,270.0,,6.79,232.2,84
CPT,87077,HC VITEK MS GRAM NEG ORG ID,270.0,,6.79,232.2,84
CPT,87077,HC VITEK MS GRAM POS ORG ID,270.0,,6.79,232.2,84
CPT,87081,HC CLO TEST SCREEN,131.0,,5.57,112.66,84
CPT,87081,HC CULT LEGIONELLA SCREEN,82.0,,5.57,70.52,84
CPT,87081,HC REF BORDETELLA PERTUSS CULTUR,190.0,,5.57,163.4,84
CPT,87081,HC REF LEPTO SPIRA SCREEN,106.0,,5.57,91.16,84
CPT,87086,HC QUANTITATIVE URINE CUL,83.0,,6.78,71.38,84
CPT,87101,HC CULTURE FUNGUS SKIN,118.0,,6.48,101.48,84
CPT,87101,PR CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,39.0,,5.0,40.39,39
CPT,87102,HC CULTURE FUNGUS,83.0,,7.06,71.38,84
CPT,87102,HC IR FUNGUL CULTURE,81.0,,7.06,69.66,84
CPT,87103,HC BLD CULTURE FUNGUS,238.0,,17.19,204.68,84
CPT,87106,HC VITEK MS YEAST ID,270.0,,8.67,232.2,84
CPT,87106,HC YEAST IDENTIF,83.0,,8.67,71.38,84
CPT,87107,HC MOLD IDENTIFIC,83.0,,8.67,71.38,84
CPT,87107,HC REF MOLD ID REF LAB,157.0,,8.67,135.02,84
CPT,87109,HC MYCOPLASMA PNEU,146.0,,12.93,125.56,84
CPT,87109,HC REF MYCOPLASMA CUTLURE COMP,388.0,,12.93,333.68,84
CPT,87110,HC CHLAMYDIA CULTURE,162.0,,16.46,139.32,84
CPT,87116,HC BLD CULTURE AFB,372.0,,9.07,319.92,84
CPT,87118,HC AFB IR,237.0,,12.27,203.82,84
CPT,87118,HC CULTURE ACID,249.0,,12.27,214.14,84
CPT,87147,HC REF E.COLI 0157:H7 TYPING,82.0,,4.35,70.52,84
CPT,87147,HC REF RFLX ANA SER AG MTH4 ID,143.0,,4.35,122.98,84
CPT,87147,HC REF RFLX ANA SER AG SAL1 ID,97.0,,4.35,83.42,84
CPT,87147,HC REF RFLX ANA SER AG SHIG ID,97.0,,4.35,83.42,84
CPT,87147,HC REF RFLX ANA SER AGG EC1 ID,97.0,,4.35,83.42,84
CPT,87147,HC REF SALM/SHIGA TYPING,82.0,,4.35,70.52,84
CPT,87147,HC REF SALMONELLA SEROTYPING,228.0,,4.35,196.08,84
CPT,87147,HC REF SHIGELLA SEROTYPE,126.0,,4.35,108.36,84
CPT,87149,HC ACCELERATE PHENO ID,371.0,,16.84,319.06,84
CPT,87150,HC BCID GRAM NEGATIVE,94.0,,26.32,80.84,84
CPT,87150,HC BCID GRAM POSITIVE,119.0,,29.48,102.34,84
CPT,87150,HC BCID YEAST,189.0,,29.48,162.54,84
CPT,87150,HC REF RFLX AER H PYLORI PCR,1057.0,,29.48,909.02,84
CPT,87150,HC REF RFLX AEROBIC MECA PCR,1508.0,,29.48,1296.88,84
CPT,87150,HC REF RFLX ANA PCR ID,1314.0,,29.48,1130.04,84
CPT,87153,HC AFB SEQUENCING,546.0,,96.9,469.56,84
CPT,87153,HC BACT SEQUENCING,440.0,,96.9,378.4,84
CPT,87153,HC REF MOLD SEQ REF LAB,181.0,,50.68,155.66,84
CPT,87153,HC REF MTB PZA RFLX CONFIRM,813.0,,96.9,699.18,84
CPT,87153,HC REF RFLX ANA AER SEQ ID,408.0,,96.9,350.88,84
CPT,87168,HC REF ARTHROPOD IDENTIF BUG,47.0,,3.59,40.42,84
CPT,87168,HC REF PARASITE ARTHRO PARID,152.0,,3.59,130.72,84
CPT,87169,HC REF PARASITE IDENT WORM PARID,63.0,,3.62,54.18,84
CPT,87177,"HC REF OAP CONCENTRATE, STOOL",29.0,,7.48,24.94,84
CPT,87177,HC REF SCHISTOSOMA EXAM URINE,70.0,,7.48,60.2,84
CPT,87181,HC GRADIENT STRIP MULTI-DRUG PANEL,165.0,,3.99,141.9,84
CPT,87181,HC REF ANAEROBE SUSCEP MIC,227.0,,3.99,195.22,84
CPT,87181,HC REF RFLX AEROBIC SUSCEPT,97.0,,3.99,83.42,84
CPT,87181,HC REF RFLX ANA SUS AGENT,88.0,,3.99,75.68,84
CPT,87181,HC REF SYNERGY 2 DRUG,97.0,,3.99,83.42,84
CPT,87181,HC SINGLE GRADIENT STRIP,73.0,,3.99,62.78,84
CPT,87182,HC STD CARBAPENEMASE ENZYME DETECTION,275.0,,77.0,236.5,83
CPT,87184,"HC KIRBY-BAUER DISK, PER PLATE",178.0,,6.28,153.08,84
CPT,87185,HC CARBAPENEMASE DETECTION PER ENZYME,54.0,,3.99,46.44,84
CPT,87185,HC REF FASTIDIOUS GMR SUSCEP 2,195.0,,3.99,167.7,84
CPT,87185,HC REF RFLX AEROBIC BETA LAC,88.0,,3.99,75.68,84
CPT,87186,HC ANTIBIOT SUSCP-AUTO,149.0,,7.27,128.14,84
CPT,87186,HC FUNGAL SENS,655.0,,7.27,563.3,84
CPT,87186,HC MKANASASII SUSCEPTIBILITY,311.0,,7.27,267.46,84
CPT,87186,HC REF  3 DRUG SUSCEPTIBILTY,251.0,,7.27,215.86,84
CPT,87186,HC REF  4 DRUG SUS PANEL AERO,275.0,,7.27,236.5,84
CPT,87186,HC REF 1 DRUG SUSCEPTIBILTY,165.0,,7.27,141.9,84
CPT,87186,HC REF ACTINO MIC RFLX,363.0,,7.27,312.18,84
CPT,87186,HC REF ACTINO SUSCEPTIBILITY,811.0,,7.27,697.46,84
CPT,87186,HC REF AEROBIC MIC,363.0,,7.27,312.18,84
CPT,87186,HC REF ANAEROBE SUSCEPT PANEL,353.0,,7.27,303.58,84
CPT,87186,HC REF ANAEROBIC SENS 5 DRUGS,221.0,,7.27,190.06,84
CPT,87186,HC REF FASTIDIOUS GMR SUSCEP 1,195.0,,7.27,167.7,84
CPT,87186,HC REF MTB 2L PANEL,628.0,,7.27,540.08,84
CPT,87186,HC REF RAPID GROWER AFB SUS,703.0,,7.27,604.58,84
CPT,87186,HC REF SLOW GROWER SUS,545.0,,7.27,468.7,84
CPT,87186,HC REF SUSCEPTIBILITY 2 DRUGS,241.0,,7.27,207.26,84
CPT,87186,HC REF SUSEPT MTB COMPLX SEC LIN,242.0,,7.27,208.12,84
CPT,87188,HC REF MOLD SUSCEP 5 DRUG,327.0,,5.58,281.22,84
CPT,87188,HC REF MOLD SUSCEPTIBILITY,311.0,,5.58,267.46,84
CPT,87188,HC REF MTB PZA SUSCEPT,291.0,,5.58,250.26,84
CPT,87188,HC REF MTB1LN ETHAMBUTOL,289.0,,5.58,248.54,84
CPT,87188,HC REF MTB1LN ISONIAZID,289.0,,5.58,248.54,84
CPT,87188,HC REF MTB1LN RIFAMPIN,289.0,,5.58,248.54,84
CPT,87205,"HC SMEARS, FUNGUS",59.0,,3.59,50.74,84
CPT,87205,"HC SMEARS, GRAM ST",59.0,,3.59,50.74,84
CPT,87206,HC CALCOFLOUR ST,163.0,,4.53,140.18,84
CPT,87206,HC REF LEPTOSPIRA FM ID,106.0,,4.53,91.16,84
CPT,87206,"HC SMEAR, LEGIONELLA",230.0,,4.53,197.8,84
CPT,87206,"HC SMEARS, ACID FAST",39.0,,4.53,33.54,84
CPT,87207,"HC ACID FAST,CRYPT",146.0,,5.03,125.56,84
CPT,87207,HC REF CRYPTO/ISOPORA,67.0,,5.03,57.62,84
CPT,87207,HC REF CYCLOSPORA SPEC STAIN,165.0,,5.03,141.9,84
CPT,87207,HC REF FILARIA SMEAR,123.0,,5.03,105.78,84
CPT,87207,HC REF MALARIA/BABESIA SMEAR,407.0,,5.03,350.02,84
CPT,87207,HC REF MICROSPORIDIA,120.0,,5.03,103.2,84
CPT,87207,"HC REF RFLX FILARIA ID, BLD",487.0,,5.03,418.82,84
CPT,87209,"HC REF OAP SPEC STAIN, STOOL",59.0,,15.1,50.74,84
CPT,87210,HC INDIA INK SMEAR,35.0,,4.89,30.1,84
CPT,87210,HC KOH PREP,101.0,,4.89,86.86,84
CPT,87210,HC REF  FUNGAL SMEAR KOH,72.0,,4.89,61.92,84
CPT,87210,"HC REF FILARIA WET MOUNT, BLD",76.0,,4.89,65.36,84
CPT,87210,HC REF ISOSPORA BILL GROUP 2,69.0,,4.89,59.34,84
CPT,87210,"HC REF SCHIST SMEAR, URINE",28.0,,4.89,24.08,84
CPT,87210,HC SMEAR WET MOUNT SAL/INK,33.0,,4.89,28.38,168
CPT,87210,PR SMR PRIM SRC WET MOUNT NFCT AGT,24.0,,3.0,22.35,40
CPT,87220,HC REF KOH FUNGAL SMEAR PREPARAT,90.0,,3.59,77.4,84
CPT,87220,HC TISSUE EXAM FOR FUNGI,238.0,,3.59,204.68,84
CPT,87220,PR TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,28.0,,3.927,23.8,40
CPT,87252,HC ENTEROVIRUS ANTIGEN PANEL,105.0,,21.9,90.3,84
CPT,87252,HC GANCICLOVIRID #1,275.0,,21.9,236.5,84
CPT,87252,HC REF PHENOTYPE HSV CPE,415.0,,21.9,356.9,84
CPT,87252,HC REF TIS CULTURE INO OBSER & ID,80.0,,21.9,68.8,84
CPT,87253,HC GANCICLOVIR ID #2,275.0,,16.97,236.5,84
CPT,87253,HC REF ACYCLO SUS 1,415.0,,16.97,356.9,84
CPT,87253,HC REF ACYCLOUIR TIS CULTURE DEFI ID,785.0,,16.97,675.1,84
CPT,87253,HC REF ANTIVIRAL FOSCAR,453.0,,16.97,389.58,84
CPT,87253,HC REF FOSCARNET TIS CULTURE DEFI ID,785.0,,16.97,675.1,168
CPT,87253,PR VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE,91.0,,5.0,88.99,39
CPT,87254,HC ADENOVIRUS AG,105.0,,16.43,90.3,84
CPT,87254,HC CMV AG,105.0,,16.43,90.3,84
CPT,87254,HC HERPES VIRUS AG,105.0,,16.43,90.3,84
CPT,87254,HC INFLUENZA A AG,105.0,,16.43,90.3,84
CPT,87254,HC INFLUENZA B AG,105.0,,16.43,90.3,84
CPT,87254,HC PARA FLU 1 AG,105.0,,16.43,90.3,84
CPT,87254,HC PARA FLU 2 AG,105.0,,16.43,90.3,84
CPT,87254,HC PARA FLU 3 AG,105.0,,16.43,90.3,84
CPT,87254,HC RSV AG,105.0,,16.43,90.3,84
CPT,87254,HC VIRAL PANEL,93.0,,16.43,79.98,84
CPT,87254,HC VZV AG,105.0,,16.43,90.3,84
CPT,87260,HC VIRAL RESP AG ADENOVIRUS,55.0,,12.12,47.3,84
CPT,87265,HC REF  BORDETELLA PERTUSSIS DFA,160.0,,10.06,137.6,84
CPT,87269,HC REF CRYPTO GIRDIA DFA2,44.0,,11.43,37.84,84
CPT,87272,HC REF CRYPTO GIRDIA DFA3,44.0,,10.06,37.84,84
CPT,87274,HC HSV/V2V DFA,165.0,,10.06,141.9,84
CPT,87275,HC VIRAL RESP AG INFLUENZA B,55.0,,10.29,47.3,84
CPT,87276,HC VIRAL RESP AG INFLUENZA A,55.0,,13.5,47.3,84
CPT,87280,HC RSV-DFA,269.0,,11.27,231.34,84
CPT,87280,HC VIRAL RESP AG RSV,55.0,,11.27,47.3,84
CPT,87281,HC PNEUMOCYSTIS DFA,191.0,,10.06,164.26,84
CPT,87299,HC VIRAL RESP AG HUMAN META,55.0,,13.52,47.3,84
CPT,87300,HC VIRAL RESP AG PARA INFLU,55.0,,10.06,47.3,84
CPT,87301,HC REF ADENOVIRUS AG,127.0,,10.06,109.22,84
CPT,87305,HC ASPERG IMMUNOASSAY,455.0,,10.06,391.3,84
CPT,87305,HC REF ASPER GALACTOMANNAN,250.0,,10.06,215.0,84
CPT,87324,HC CLOS DIFF TOX,161.0,,10.06,138.46,84
CPT,87327,HC CRYPTOCOCC ANTIGEN,162.0,,11.27,139.32,84
CPT,87327,HC REF CRYPTOCOCCUS AG,62.0,,11.27,53.32,84
CPT,87327,HC REF CRYPTOCOCCUS AG EIA,14.0,,3.92,16.775,84
CPT,87328,HC REF CRYPTOSPORIDIUM ANTIGEN,120.0,,11.61,103.2,84
CPT,87329,HC REF GIARDIA LAMBLIA ANTIGEN,140.0,,10.06,120.4,84
CPT,87337,HC REF ENTAMOEBA HISTO ANTIGEN,115.0,,10.06,98.9,84
CPT,87337,HC REF ENTAMOEBA HISTORLYTIC ANT,160.0,,10.06,137.6,84
CPT,87338,HC H. PYLORI AG EIA,217.0,,12.08,186.62,84
CPT,87340,HC DONOR HEP B SURF AG,152.0,,8.68,130.72,84
CPT,87340,HC HEPAT B SURF ANTIG,152.0,,8.68,130.72,84
CPT,87340,HC REF HBS ANTIGEN,70.0,,8.68,60.2,84
CPT,87340,HC REF HBSAG CONFIRMATION,41.0,,8.68,35.26,84
CPT,87340,PR IAAD IA HEPATITIS B SURFACE ANTIGEN,52.0,,5.0,54.11,39
CPT,87341,HC HEP B SURFACE AG CONFIRMATION,900.0,,8.68,774.0,84
CPT,87341,HC REF HBS ANTIGEN CONFIRMATION,467.0,,8.68,401.62,84
CPT,87341,HC REF HEPATITS B SURF AG NEUT,65.0,,8.68,55.9,84
CPT,87350,HC REF HEPATITIS BE ANTIGEN,70.0,,9.69,60.2,84
CPT,87380,HC REF HEPATITIS D ANTIGEN,295.0,,15.42,253.7,84
CPT,87385,HC REF  HISTOPLASMA ANTIGEN,176.0,,11.13,151.36,84
CPT,87385,HC REF HISTOPLASMA AG REFLEX,109.0,,11.13,93.74,84
CPT,87385,HC REF HISTOPLASMA ANTIGEN,174.0,,11.13,149.64,84
CPT,87385,"HC REF HISTOPLASMA ANTIGEN, QUANT, URINE",170.0,,11.13,146.2,84
CPT,87389,HC HIV 1/2 AG AND AB 4TH GEN,105.0,,20.23,90.3,84
CPT,87389,HC REF HIV 1/2 AG AND AB 4TH GENERATION SCREEN,114.0,,20.23,98.04,84
CPT,87389,HC REF HIV-1 & HIV-2 ANTIGEN AND ANTIBODY SCREEN,90.0,,20.23,77.4,84
CPT,87390,HC REF HIV1 P24 ANTIGEN DETECT,167.0,,20.21,143.62,84
CPT,87449,HC BACTERIAL AG DETECTION,105.0,,10.06,90.3,84
CPT,87449,HC REF BLASTOMYCES ANTIGEN SERUM,289.0,,10.06,248.54,84
CPT,87449,HC REF BLASTOMYCES ANTIGEN URINE,270.0,,10.06,232.2,84
CPT,87449,HC REF COCCIDIOIDES QUANT ANTIGEN,248.0,,10.06,213.28,84
CPT,87449,HC REF FUNGITELL ASSAY,396.0,,10.06,340.56,84
CPT,87449,HC REF FUNGITELL BETA-D GLUCAN ASSAY,223.0,,10.06,191.78,84
CPT,87449,"HC REF HISTOPLASMA/BLASTOMYCES ANTIGEN,URINE",386.0,,10.06,331.96,84
CPT,87449,HC REF LEGIONELLA AG UR,65.0,,10.06,55.9,84
CPT,87449,HC REF MVISTA COCCIDIODES AGURIN,187.0,,10.06,160.82,84
CPT,87449,HC REF NOROVIRUS AG,133.0,,10.06,114.38,84
CPT,87449,HC REF NORWALK VIRUS AG EIA,194.0,,10.06,166.84,84
CPT,87449,PR IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM,61.0,,5.0,62.85,39
CPT,87467,"HC REF HEPATITIS B SURFACE ANTIGEN,QUANT MONITORING",724.0,,21.27,622.64,84
CPT,87469,HC REF B MICROTI PCR,321.0,,29.48,276.06,84
CPT,87471,HC BARTONELLA QUAL PCR,428.0,,29.48,368.08,84
CPT,87476,HC LYME QUAL DNA CSF,418.0,,29.48,359.48,84
CPT,87476,HC REF LYME DISEASE PCR CSF,155.0,,29.48,133.3,84
CPT,87476,"HC REF LYME DISEASE, B. BURGDORFERI PCR, BLOOD",62.0,,17.36,53.32,84
CPT,87476,"HC REF LYME DISEASE,B. BURGDORFERI PCR,FLUID",63.0,,17.64,54.18,84
CPT,87481,"HC REF C AURIS PCR, SCREEN",1034.0,,29.48,889.24,84
CPT,87483,HC MENING/ENCEPH MULTI-PANEL PCR,1548.0,,433.44,1331.28,84
CPT,87483,HC REF MENINGITIS PCR-MAYO,1079.0,,302.12,927.94,84
CPT,87486,HC CHLAMYDOPHILA DNA,410.0,,29.48,352.6,84
CPT,87486,HC REF CHLAM PNEUM PCR VIRACOR,341.0,,29.48,293.26,84
CPT,87486,HC RESP MULT PCR PN CHL PNEU,74.0,,20.72,63.64,84
CPT,87490,HC REF CHLAMYDIA GENPROBE,157.0,,19.11,135.02,84
CPT,87491,HC REF CHLAMYDIA NAA,49.0,,13.72,43.8625,84
CPT,87493,HC CD TOX PCR,357.0,,31.31,307.02,84
CPT,87496,HC CMV DNA RT PCR REFLEX,482.0,,29.48,414.52,84
CPT,87496,HC CMV PCR,353.0,,29.48,303.58,84
CPT,87497,HC CMV QUANTITATIVE PCR,433.0,,35.99,372.38,84
CPT,87497,HC REF CMV QUANT PCR,505.0,,35.99,434.3,84
CPT,87498,HC ENTEROVIRUS RNA,263.0,,29.48,226.18,84
CPT,87498,HC ENTEROVIRUS RNA PCR,490.0,,29.48,421.4,84
CPT,87498,HC REF ENTEROVIRUS PCR PLASM,132.0,,29.48,113.52,84
CPT,87498,HC REF ENTEROVIRUS QUANT & QUAL RT QPCR & PCR,400.0,,29.48,344.0,84
CPT,87502,HC INFLUENZA A H1N1 PCR,621.0,,80.47,534.06,84
CPT,87507,HC GIID MULT PCR PN,1650.0,,350.1,1419.0,84
CPT,87507,HC REF GI 23 PATHOGEN PANEL VIRACOR,909.0,,254.52,781.74,84
CPT,87517,HC HBV QUANTITATIVE PCR,368.0,,35.99,316.48,84
CPT,87517,HC REF HBV QUANTITATIVE NUCLEIC ACID AMPLIFICATION TEST,250.0,,35.99,215.0,84
CPT,87517,HC REF HEP B VIR DNA QUANT,141.0,,35.99,121.26,84
CPT,87521,HC REF HCV RNA BY PCR,278.0,,29.48,239.08,84
CPT,87522,HC HCV QUANTITATIVE PCR,389.0,,35.99,334.54,84
CPT,87522,HC REF HCV QUANTITATIVE NUCLEIC ACID AMPLIFICATION TEST,250.0,,35.99,215.0,84
CPT,87522,HC REF HCV RNA DETECT/QUANT,224.0,,35.99,192.64,84
CPT,87522,HC REF HCV RNA PCR QNT,224.0,,35.99,192.64,84
CPT,87522,HC REF HEP C-QUANT,315.0,,35.99,270.9,84
CPT,87522,"HC REF RFLX HCV PCR, SERUM",224.0,,35.99,192.64,84
CPT,87526,HC REF HEP G RNA QL RT-PCR,282.0,,32.98,242.52,84
CPT,87529,HC HSV PCR,172.0,,29.48,147.92,84
CPT,87529,HC REF HSV DNA PCR,376.0,,29.48,323.36,84
CPT,87529,HC REF HSV PCR DERMAL,93.0,,26.04,79.98,84
CPT,87530,HC HSV TYPE 1&2 QUANT RT PCR,547.0,,35.99,470.42,84
CPT,87532,HC HHV PCR,501.0,,29.48,430.86,84
CPT,87532,HC HHV6 QUAL REFLEX QUANT,411.0,,29.48,353.46,84
CPT,87533,HC REF HHV6 QUANT PCR,483.0,,35.08,415.38,84
CPT,87535,HC REF HIV-1 RNA QUALITATIVE,461.0,,29.48,396.46,84
CPT,87536,HC REF HIV-1 RNA DETECTION AND QUANTIFICATION,188.0,,52.64,161.68,84
CPT,87538,HC REF HIV-2 RNA QUALITATIVE,461.0,,29.48,396.46,84
CPT,87551,HC REF NON TB DNA DETECT,865.0,,40.52,743.9,84
CPT,87556,HC MTL PCR,324.0,,35.01,278.64,84
CPT,87556,"HC REF MTB PCR, VARIABLE",328.0,,35.01,282.08,84
CPT,87556,HC REF MTBT MAYO,985.0,,35.01,847.1,84
CPT,87556,HC REF TB CMPLX DNA DETECT,573.0,,35.01,492.78,84
CPT,87563,HC MYCOPLASM GENITALIUM PCR,259.0,,29.48,222.74,84
CPT,87581,HC MYCOPLASMA PCR,450.0,,29.48,387.0,84
CPT,87581,HC MYCOPLASMA PNEUM DNA PCR,379.0,,29.48,325.94,84
CPT,87581,HC REF MYCOP PNEUM PCR VIRACOR,341.0,,29.48,293.26,84
CPT,87581,HC RESP MULT PCR PN MYC PNEU,74.0,,20.72,63.64,84
CPT,87590,HC REF GC GENPROBE,157.0,,22.58,135.02,84
CPT,87591,HC REF N GONORRHOEA NAA,49.0,,13.72,43.8625,84
CPT,87624,HC HPV <=4 SEP REPRT HI RISK TYPES,262.0,,29.48,225.32,84
CPT,87624,PR IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT,180.0,,5.0,162.0,40
CPT,87626,HC HPV >=5 SEP REPRT HI RISK TYPES POOL RESULT,263.0,,58.97,226.18,84
CPT,87631,HC INFLUENZA A/B/COVID-19,488.0,,119.81,419.68,84
CPT,87632,HC REF RESP PANEL-VIRACOR,568.0,,159.04,488.48,84
CPT,87633,HC RESP MULT PN VIRUS12 25,1294.0,,350.1,1112.84,84
CPT,87635,HC 2019-NCOV COVID-19,456.0,,43.1,392.16,84
CPT,87635,HC REF COVID19 PCR VIRACOR,739.0,,43.1,635.54,84
CPT,87641,HC MRSA NA DETECTION PCR,281.0,,29.48,241.66,84
CPT,87651,HC STREP A NA DETECTION,302.0,,29.48,259.72,84
CPT,87661,HC REF T VAG  AMPLIFIED PROBE,105.0,,29.4,90.3,84
CPT,87797,HC REF MOLD DNA PROBE REFLAB,241.0,,25.23,207.26,84
CPT,87798,HC ADENOUIRUS DNA RT PCR,487.0,,29.48,418.82,84
CPT,87798,HC ADENOVIRUS PCR QUAL,276.0,,29.48,237.36,84
CPT,87798,HC ADENOVIURS DNA PC REFLEX,477.0,,29.48,410.22,84
CPT,87798,HC BABESIA MICROTI BLOOD,249.0,,29.48,214.14,84
CPT,87798,HC BARTONELLA PCR,267.0,,29.48,229.62,84
CPT,87798,HC BK VIRUS PCR,440.0,,29.48,378.4,84
CPT,87798,HC CHIKUNGUNYA QUAL PCR,563.0,,29.48,484.18,84
CPT,87798,HC DENGUE VIRUS RNA PCR,563.0,,29.48,484.18,84
CPT,87798,HC EBV PCR,290.0,,29.48,249.4,84
CPT,87798,HC EBV QPCR BM QUAL,412.0,,29.48,354.32,84
CPT,87798,HC EBVLMP AMPLIFICATION,357.0,,29.48,307.02,84
CPT,87798,HC EHRLICHIA ANAPLASMA,197.0,,29.48,169.42,84
CPT,87798,HC EHRLICHIA PCR,408.0,,29.48,350.88,84
CPT,87798,HC HHV8 QUAL REFLEX QUANT,408.0,,29.48,350.88,84
CPT,87798,HC JC POLYOMA PCR,450.0,,29.48,387.0,84
CPT,87798,HC JC POLYOMA QUAL PCR CSF,414.0,,29.48,356.04,84
CPT,87798,HC JC QUAL RFLEX-JC QUAN PCR,408.0,,29.48,350.88,84
CPT,87798,HC LEGIONELLA MOL DETEC PCR,197.0,,29.48,169.42,84
CPT,87798,HC METAPNEUMO VIRUS,520.0,,29.48,447.2,84
CPT,87798,HC MYCOPLASMA PCR,222.0,,29.48,190.92,84
CPT,87798,HC PARECHOVIRUS RNA QUAL,263.0,,29.48,226.18,84
CPT,87798,HC REF  BORDETELLA DNA,319.0,,29.48,274.34,84
CPT,87798,HC REF A.VAGINAE AMPLIF PROBE,105.0,,29.4,90.3,84
CPT,87798,"HC REF ADENO QUAL PCR, OCULAR",148.0,,29.48,127.28,84
CPT,87798,HC REF ANPLASM PHAGOCYTPHIL QUAL,292.0,,29.48,251.12,84
CPT,87798,HC REF B DIVERGENS PCR,321.0,,29.48,276.06,84
CPT,87798,HC REF B DUNCANI PCR,321.0,,29.48,276.06,84
CPT,87798,HC REF BVAB2 AMPLIFIED PROBE,105.0,,29.4,90.3,84
CPT,87798,HC REF CHAGAS DISEAS PCR,425.0,,29.48,365.5,84
CPT,87798,HC REF CLAR RESISTANCE-M,97.0,,27.16,83.42,84
CPT,87798,HC REF COCCIDIOIDES PCR,1096.0,,29.48,942.56,84
CPT,87798,HC REF DETECT AGENT NOS DNA AMP,63.0,,17.64,54.18,84
CPT,87798,HC REF EHRLICHIA/ANAPLASMA PCR,45.0,,12.6,43.8625,84
CPT,87798,"HC REF H PYL QUAL PCR, FECES",170.0,,29.48,146.2,84
CPT,87798,HC REF H PYLORI-M,97.0,,27.16,83.42,84
CPT,87798,"HC REF HEPATITIS A VIRUS PCR, QUANT",250.0,,29.48,215.0,84
CPT,87798,HC REF HHV8 PCR,566.0,,29.48,486.76,84
CPT,87798,HC REF HISTO AND BLASTO PCR,563.0,,29.48,484.18,84
CPT,87798,HC REF HTLV I/II DNA PCR,321.0,,29.48,276.06,84
CPT,87798,HC REF HTLV I/II DNAQUAL,267.0,,29.48,229.62,84
CPT,87798,"HC REF LYME DISEASE PCR, BLOOD",62.0,,17.36,53.32,84
CPT,87798,"HC REF LYME DISEASE PCR,FLUID",62.0,,17.36,53.32,84
CPT,87798,HC REF MALARIA PCR,266.0,,29.48,228.76,84
CPT,87798,HC REF MEGASP AMPLIFIED PROBE,105.0,,29.4,90.3,84
CPT,87798,HC REF MICROSPORIDIA PCR,398.0,,29.48,342.28,84
CPT,87798,HC REF MONKEYPOX PCR MAYO,205.0,,29.48,176.3,84
CPT,87798,HC REF NOROVIRUS PCR,426.0,,29.48,366.36,84
CPT,87798,"HC REF POLIOVIRUS PCR, QUANT",250.0,,29.48,215.0,84
CPT,87798,HC REF RICKETTSIA DNA PCR,292.0,,29.48,251.12,84
CPT,87798,HC REF SHIGA TOXIN PCR,151.0,,29.48,129.86,84
CPT,87798,"HC REF TROPHO WHIP PCR, NONBLD",477.0,,29.48,410.22,84
CPT,87798,"HC REF TROPHOWHIP PCR, BLD",477.0,,29.48,410.22,84
CPT,87798,HC REF VZV DNA PCR,273.0,,29.48,234.78,84
CPT,87798,HC REF VZV PCR DERMAL,93.0,,26.04,79.98,84
CPT,87798,"HC REF WNV QUAL PCR, CSF",170.0,,29.48,146.2,84
CPT,87798,HC REF WNV URINE PCR-MAYO,170.0,,29.48,146.2,84
CPT,87798,HC REF WNV WB PCR-MAYO,170.0,,29.48,146.2,84
CPT,87798,HC RESP MULT PCR PN BORDATE,74.0,,20.72,63.64,84
CPT,87798,HC TOXOPLASMA PCR,353.0,,29.48,303.58,84
CPT,87798,HC VZV PCR,262.5,,29.48,303.58,168
CPT,87798,HC WEST NILE VIRUS BY NAT EA,181.0,,29.48,155.66,84
CPT,87799,HC EBV QUANT PCR,427.0,,35.99,367.22,84
CPT,87799,HC EBV VIRAL LOAD QUANTPCR,463.0,,35.99,398.18,84
CPT,87799,HC HHV 8 QUANT PCR,547.0,,35.99,470.42,84
CPT,87799,HC HV 7 DNA QUANT PCR,432.0,,35.99,371.52,84
CPT,87799,HC JC VIRUS CSF PCR,574.0,,35.99,493.64,84
CPT,87799,HC JC VIRUS QUANT PCR,475.0,,35.99,408.5,84
CPT,87799,HC REF ADENOVIRUS QUANT PCR,505.0,,35.99,434.3,84
CPT,87799,HC REF BK QUANT PCR,501.0,,35.99,430.86,84
CPT,87799,HC REF BK QUANT PCR CSF,505.0,,35.99,434.3,84
CPT,87799,HC REF EBV PCR,284.0,,35.99,244.24,84
CPT,87799,HC REF EPSTEIN BARR VIRUS QUANT PCR,339.0,,35.99,291.54,84
CPT,87799,HC REF HEPATITIS E VIRUS BY QUANTITATIVE PCR,665.0,,35.99,571.9,84
CPT,87799,HC REF HHV7 QUANT PCR,282.0,,35.99,242.52,84
CPT,87799,HC REF JC QUANT PCR CSF,505.0,,35.99,434.3,84
CPT,87799,"HC REF JC VIRUS PCR, SERUM",386.0,,35.99,331.96,84
CPT,87799,HC REF JC VIRUS QUANT PLASMA,386.0,,35.99,331.96,84
CPT,87799,HC REF PARVOVIRUS PCR,483.0,,35.99,415.38,84
CPT,87799,HC REF PNEUMOCYSTIS QUANT PCR,511.0,,35.99,439.46,84
CPT,87799,HC REF TOXOPLASMA PCR,505.0,,35.99,434.3,84
CPT,87799,HC REF ZIKA VIRUS QUANTATIVE REAL TIME RT-PCR,271.0,,35.99,233.06,84
CPT,87801,HC BMT NAT HIV-1/HCV/HBV,410.0,,58.97,352.6,84
CPT,87801,HC DHIV-1 BY NAT,253.0,,58.97,217.58,84
CPT,87801,HC DONOR DHIV-1 BY NAT,253.0,,58.97,217.58,84
CPT,87801,HC REF 16S RNA SEQ RFLX,2861.0,,58.97,2460.46,84
CPT,87801,HC REF BACT DNA DETECT,780.0,,58.97,670.8,84
CPT,87801,"HC REF BART QUAL PCR, BLOOD",284.0,,58.97,244.24,84
CPT,87801,"HC REF BART QUAL PCR, NON-BLD",284.0,,58.97,244.24,84
CPT,87801,HC REF CANDIDA AMPLIFIED PROBE,209.0,,58.52,179.74,84
CPT,87801,HC REF ENTEROBAC DNA DET RFLX,916.0,,58.97,787.76,84
CPT,87801,HC REF FUNG DNA DETECT,1273.0,,58.97,1094.78,84
CPT,87801,HC REF FUNG NEX GEN ITS RFLX,2861.0,,58.97,2460.46,84
CPT,87880,"HC STREPTOCOCCUS GROUP A DETECTION, NUCLEIC ACID AMPLIFICATION",275.0,,13.89,236.5,84
CPT,87899,HC BINAXNOW MALARIA,88.0,,13.5,75.68,84
CPT,87899,"HC LEGIONELLA ANTIGEN, URINE",376.0,,13.5,323.36,84
CPT,87899,HC STREP PNEUMO ANTIGEN URINE,296.0,,13.5,254.56,84
CPT,87900,HC REF HBV INFECT AGENT DRUG SUS,27.0,,7.56,162.9375,84
CPT,87900,HC REF HCV DRUG SUSC PHEN PREDIC,280.0,,78.4,240.8,84
CPT,87900,"HC REF HEPATITIS C GENOTYPIC DRUG RESISTANCE, PHENOTYPE",611.0,,109.49,525.46,84
CPT,87900,HC REF HIV DRUG SUSEPTIBILITY,306.0,,85.68,263.16,84
CPT,87902,HC REF HCV GENO REV TRANS&PROTEA,486.0,,136.08,417.96,84
CPT,87902,HC REF HEP C RNA GENO 1 NS3 DRUG RESISTANCE,1432.0,,216.26,1231.52,84
CPT,87902,HC REF HEP C RNA GENO 1 NS5A DRUG RESISTANCE,1418.0,,216.26,1219.48,84
CPT,87902,HC REF HEP C RNA GENO 3 NS5A DRUG RESISTANCE,1418.0,,216.26,1219.48,84
CPT,87902,HC REF HEPATITIS C GENO RESOLUTION REFLEX,205.0,,57.4,321.8125,84
CPT,87902,"HC REF HEPATITIS C GENOTYPIC DRUG RESISTANCE, GENOTYPE",1207.0,,216.26,1038.02,84
CPT,87902,HC REF HEPTITIS C GENOTYPE,328.0,,91.84,321.8125,84
CPT,87905,HC CONFIRM TYPE-INF DIS MRK,1307.0,,10.26,1124.02,84
CPT,87906,HC REF GENOSURE PRIME HIV1,75.0,,21.0,160.9125,84
CPT,87910,HC REF CMV RESISTANCE PANEL,1245.0,,216.26,1070.7,84
CPT,87910,HC REF LETERMOVIR RESISTANCE,2273.0,,216.26,1954.78,84
CPT,87912,HC REF HBV DRUG RESIST INNO-LIPA,388.0,,108.64,333.68,84
CPT,87912,HC REF HEPATIS B VIRUS GENOTYPE,439.0,,122.92,377.54,84
CPT,87999,HC HPV CFDNA GENOTYPING,3488.0,,976.64,2999.68,83
CPT,88104,HC CYTOLOGY-BRUSH,243.0,,43.884,208.98,85
CPT,88104,PR CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ,264.0,,3.15,224.4,55
CPT,88108,HC CYTOP CONC SMEAR INTERP,206.0,,43.884,177.16,85
CPT,88108,HC CYTOP CONC SMEAR INTERP 88108,206.0,,43.884,177.16,85
CPT,88108,PR CYTP CONCENTRATION SMEARS & INTERPRETATION,329.0,,1.5,279.65,55
CPT,88112,HC CYTOPATH CELL ENHANCE TECH NGYN,154.0,,43.12,132.44,85
CPT,88112,PR CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,215.0,,19.6696,223.09,55
CPT,88120,HC FISH UROVYSION,2999.0,,200.169,2579.14,85
CPT,88120,PR CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL,755.0,,41.5564,679.5,55
CPT,88121,HC FISH UROVYSION DNA PROBES,2685.0,,200.169,2309.1,85
CPT,88121,PR CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA,407.0,,34.6748,366.3,55
CPT,88141,PR CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN,118.0,,8.0,103.03,54
CPT,88142,"HC PAP, LIQUID",147.0,,17.02,126.42,84
CPT,88160,PR CYTP SMRS ANY OTH SRC SCR&INTERPJ,180.0,,1.8,153.0,55
CPT,88164,HC CONV PAP DIAGNOSTIC,157.0,,15.28,135.02,84
CPT,88164,"HC SCREEN PAP, CONV",154.0,,15.28,132.44,84
CPT,88172,HC FNA IMMED ASSESS,321.0,,89.88,276.06,85
CPT,88172,HC FNA IMMED ASSESS 88172,321.0,,89.88,276.06,85
CPT,88172,PR CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST,477.0,,12.0,405.45,55
CPT,88173,HC FNA INTERP 88173,202.0,,56.56,284.34,85
CPT,88173,HC S FNA INTERP/REPORT,291.0,,61.226,284.34,85
CPT,88173,PR CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT,536.0,,17.12,455.6,55
CPT,88177,HC FNA ADDITIONAL PASS,126.0,,35.28,108.36,84
CPT,88177,HC FNA ADDL PASS 88177,126.0,,35.28,108.36,84
CPT,88177,PR CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL,162.0,,17.05,145.8,55
CPT,88182,HC REF DNA CON CELL CYCLE ANALY,179.0,,50.12,283.62,85
CPT,88182,HC REF TELOMERE LENGTH ASSAY,910.0,,61.226,782.6,85
CPT,88184,HC FLOW CYTOMETRY FIRST MARKER,358.0,,100.24,421.1415,85
CPT,88184,HC REF FLOW CYTOMETRY RBC,18.0,,5.04,421.1415,85
CPT,88184,HC REF FLOW CYTOMETRY WBC,18.0,,5.04,421.1415,85
CPT,88184,"HC REF HEM ANEMIA BAND 3 FLUORESCENCE STAINING, RBC",804.0,,132.06,691.44,85
CPT,88184,HC REF HEMOGLOBIN F RED CELL DISTRIBUTION,689.0,,132.06,592.54,85
CPT,88184,HC REF NEUTROPHIL OX BURST,134.0,,37.52,421.1415,85
CPT,88184,HC REF PLATELET GLYCO FLOW CYTO TC 1 MKR,541.0,,132.06,465.26,85
CPT,88185,HC FLOW CYTOMETRY ADD'L MARKER,295.0,,39.93,253.7,84
CPT,88185,HC REF FLOW CYTO ADD MK WBC 1,13.0,,3.64,39.93,84
CPT,88185,HC REF FLOW CYTO ADD MK WBC 2,33.0,,9.24,39.93,84
CPT,88185,HC REF FLOW CYTOMETRY ADD MK RBC,12.0,,3.36,39.93,84
CPT,88185,HC REF PLATELET GLYCO FLOW CYTO TC ADD ON,210.0,,39.93,180.6,84
CPT,88187,PR FLOW CYTOMETRY INTERPJ 2-8 MARKERS,539.0,,26.0636,485.1,55
CPT,88188,PR FLOW CYTOMETRY INTERPJ 9-15 MARKERS,1340.0,,44.2612,1206.0,55
CPT,88189,PR FLOW CYTOMETRY INTERPRETATION 16/> MARKERS,2362.0,,60.2508,2125.8,55
CPT,88230,HC REF FANCONI LYMPHOCYTE,482.0,,97.85,414.52,84
CPT,88230,HC REF SKIN/TISSUE CULTURE,628.0,,97.85,598.56,336
CPT,88230,HC REF TISSUE CLUTURE LYMPHOCYTE,170.0,,47.6,146.2,84
CPT,88233,HC REF FIBROBLAST TISSUE CULTURE SKIN BIOPSY,1035.0,,118.21,890.1,84
CPT,88233,HC REF SKIN/SOLID TISSUE BIOPSY,306.0,,85.68,263.16,84
CPT,88233,HC REF TISSUE CULTURE NF1,754.0,,118.21,648.44,84
CPT,88237,"HC CG TISSUE CUL NEOP, BM, BLOOD",985.0,,120.75,847.1,84
CPT,88239,"HC CG TISSUE CUL NEOP, SOLID TUMOR",1037.0,,123.92,891.82,84
CPT,88240,HC REF CELL CRYOPRSERVE STORAGE,79.0,,10.98,67.94,84
CPT,88240,HC REF CRYO BIOCHEM STUDIES,235.0,,10.98,202.1,84
CPT,88240,HC REF FIBROBLAST CELL CRYOPRESERVATION STORAGE,96.0,,10.98,82.56,84
CPT,88249,HC REF FANCONI CLASTOGEN STRESS,482.0,,134.96,414.52,84
CPT,88262,HC REF CHROMOSOME CON METAPHASE 15-19,285.0,,79.8,245.1,84
CPT,88262,HC REF CHROMOSOME CONGE METAPHASE 20+,247.0,,69.16,212.42,84
CPT,88262,HC REF CHROMOSOME CONGE METAPHASE<15,285.0,,79.8,245.1,84
CPT,88264,"HC CHROMOSOME ANALYSIS, 20-25 CELLS",1755.0,,121.47,1509.3,84
CPT,88271,"HC MOL CG DNA PROBE, EA",756.0,,17.99,650.16,84
CPT,88271,HC REF COMPLETE ESTUF PANEL MAYO,707.0,,17.99,608.02,84
CPT,88271,HC REF COMPLETE PDGFB PANEL MAYO,670.0,,17.99,576.2,84
CPT,88271,"HC REF DNA PROBE, EACH ADDITIONAL",471.0,,17.99,405.06,84
CPT,88271,HC REF EXON ARRAY MOL CYTOGENET,41.0,,11.48,35.26,84
CPT,88271,HC REF LAB DNA PROBE,444.0,,17.99,381.84,84
CPT,88271,HC REF MAYO MAMLF,1025.0,,17.99,881.5,84
CPT,88271,HC REF MAYO SGTF,1767.0,,17.99,1519.62,84
CPT,88271,HC REF NR4A3 REARRANGEMENT MAYO,584.0,,17.99,502.24,84
CPT,88271,HC REF USP6 MAYO,472.0,,17.99,405.92,84
CPT,88274,HC FISH ANALYSIS REV 2,407.0,,35.6,350.02,84
CPT,88275,HC FISH ANALYSIS REV CG,228.0,,43.0,196.08,84
CPT,88275,HC REF INTERPHASE SITU HYBRID ANAL 100 - 300 CELLS,111.0,,31.08,95.46,84
CPT,88280,HC REF CHROMOSOME CONGE KARYOTYPES >2,65.0,,18.2,55.9,84
CPT,88285,HC REF CHROMOSOME COUNT CONG.ADDITIONAL,45.0,,12.6,38.7,84
CPT,88291,HC REF EXON ARRAY INT AND REP,408.0,,57.02,350.88,84
CPT,88291,HC REF LAB MOL CYTO INTERP,444.0,,57.02,381.84,84
CPT,88291,HC REF MAYO MAMLF,794.0,,57.02,682.84,84
CPT,88291,HC REF MAYO SGTF,1369.0,,57.02,1177.34,84
CPT,88291,PR CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,271.0,,28.3475,279.9,46
CPT,88300,HC SPECIMEN-GROSS ONLY,104.0,,28.06,89.44,85
CPT,88300,PR LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY,107.0,,2.03,91.02,55
CPT,88302,HC GROSS & MICRO LVL II,166.0,,43.884,142.76,85
CPT,88302,PR LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,146.0,,3.19,151.11,55
CPT,88304,HC GROSS & MICRO LVL III,196.0,,54.88,168.56,85
CPT,88304,PR LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,207.0,,6.09,199.2,55
CPT,88305,HC GROSS & MICRO LVL IV,404.0,,61.226,347.44,85
CPT,88305,HC PROSTATE BIOPSY ANY METHOD,404.0,,61.226,347.44,85
CPT,88305,HC REF LAB GROSS & MICRO LVL 4,191.0,,53.48,164.26,85
CPT,88305,PR LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,396.0,,22.3,336.6,55
CPT,88307,HC GROSS & MICRO LVL V,559.0,,156.52,480.74,84
CPT,88307,HC REF LAB GROSS & MICRO,241.0,,67.48,421.1415,84
CPT,88307,HC REF LAB GROSS & MICRO LVL 5,520.0,,145.6,447.2,84
CPT,88307,PR LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,657.0,,27.13,558.45,55
CPT,88309,HC GROSS & MICRO LVL VI,726.0,,203.28,946.5995,84
CPT,88309,PR LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,879.0,,42.43,747.15,55
CPT,88311,HC DECALCIFICATION,101.0,,28.28,86.86,83
CPT,88311,PR DECALCIFICATION PROCEDURE,131.0,,7.73,111.35,53
CPT,88312,HC REF LAB SPECIAL STAINS - MICROORGANISM,275.0,,61.226,236.5,85
CPT,88312,HC SPECIAL STAIN GROUP I MICRO-ORG_BASE,143.0,,40.04,190.89,85
CPT,88312,HC SPECIAL STAIN GROUP I MICRO-ORG_EXT,507.0,,61.226,436.02,85
CPT,88312,PR SPECIAL STAIN GROUP 1 MICROORGANISMS I&R,177.0,,5.38,150.45,55
CPT,88313,HC REF AMPIP MAYO,398.0,,111.44,342.28,85
CPT,88313,HC REF CONGO RED STAIN,92.0,,25.76,156.3195,85
CPT,88313,HC REF LAB SPECIAL STAINS,90.0,,25.2,156.3195,85
CPT,88313,HC SPECIAL STAIN GROUP II_OTHER _BASE,164.0,,45.92,156.3195,85
CPT,88313,HC SPECIAL STAIN GROUP II_OTHER _EXT,507.0,,140.65,436.02,85
CPT,88313,PR SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT,143.0,,1.93,121.55,55
CPT,88314,HC REF LAB SPECIAL STAINS FROZEN SECTION,220.0,,61.6,189.2,84
CPT,88314,PR SPECIAL STAIN I&R HISTOCHEMICAL W/FROZEN TISSU,177.0,,7.77,178.58,55
CPT,88319,HC REF LAB ENZYME HISTOCHEMISTRY GROUP III,239.0,,66.92,946.5995,85
CPT,88319,HC SPECIAL STAIN ENZYME GRPIII_OTHER _BASE,81.0,,22.68,946.5995,85
CPT,88319,HC SPECIAL STAIN ENZYME GRPIII_OTHER _EXT,183.0,,51.24,946.5995,85
CPT,88319,PR SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS,328.0,,5.94,278.8,55
CPT,88321,HC CONSULTATION & REPORT ON REFERRED SLIDES PREPARED ELSEWHERE,214.0,,43.884,184.04,85
CPT,88321,HC REF PATH CONS OUTSIDE SLIDE,396.0,,43.884,340.56,85
CPT,88321,PR CONSLTJ&REPRT REFERRED SLIDES PREPARED ELSEWHERE,357.0,,26.5,322.83,47
CPT,88323,HC OUTSIDE SLIDE PREP,311.0,,61.226,267.46,85
CPT,88323,HC REF PATH CON W/COMP RV  HIST,364.0,,61.226,313.04,85
CPT,88323,PR CONSLTJ&REPRT REFERRED MATRL REQUIRING PREPJ SLD,409.0,,22.94,353.74,47
CPT,88325,HC REF PATH CONSULT W/SLIDE PREP,396.0,,110.88,340.56,85
CPT,88325,PR CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL,789.0,,76.44,670.65,47
CPT,88329,PR PATHOLOGY CONSULTATION DURING SURGERY,291.0,,24.395,302.22,47
CPT,88331,HC FROZ SECT 1ST SLIDE,161.0,,45.08,200.169,85
CPT,88331,HC INTRAOP PATH CONSULT 1ST,132.0,,36.96,200.169,85
CPT,88331,PR PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC,505.0,,39.82,429.25,55
CPT,88332,HC FROZ SEC AD'L SLIDE,49.0,,13.72,92.5,84
CPT,88332,HC INTRAOP PATH CONSULT ADD,115.0,,32.2,98.9,84
CPT,88332,PR PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION,343.0,,18.33,291.55,55
CPT,88333,HC TOUCH PREPSCREEN/INTERP,296.0,,82.88,946.5995,85
CPT,88333,PR PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE,226.0,,49.2065,233.96,47
CPT,88334,HC TOUCH PREP EXAM ADD SITE,234.0,,65.52,201.24,84
CPT,88334,PR PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE,193.0,,30.0135,183.98,47
CPT,88341,HC BRAF - IHC ADD,487.0,,136.36,418.82,84
CPT,88341,HC ESTROGEN REC 1HC ADD,656.0,,153.55,564.16,84
CPT,88341,HC IHC EA ADDITION ANTIBODY,287.0,,80.36,246.82,84
CPT,88341,HC PROGESTERONE RECEPTOR 1HC ADD,656.0,,153.55,564.16,84
CPT,88341,HC REF LAB ADDITIONAL IHC,316.0,,88.48,271.76,84
CPT,88341,HC TISS/CELL PATH MAKR EAADD,249.0,,69.72,214.14,84
CPT,88341,PR IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX,219.0,,20.1664,197.1,55
CPT,88342,HC BRAF - IHC,487.0,,136.36,418.82,83
CPT,88342,HC ESTROGEN RECEPTOR,656.0,,183.68,564.16,83
CPT,88342,HC IHC 1ST ANTIBODY,287.0,,80.36,246.82,83
CPT,88342,HC IHC FUSARIUM ASSAY,211.0,,59.08,181.46,83
CPT,88342,HC PROGESTERONE RECEPTOR,656.0,,183.68,564.16,83
CPT,88342,HC REF ANTI-RETINAL ANTIB IHC,380.0,,106.4,326.8,83
CPT,88342,HC REF LAB INITIAL IHC,218.0,,61.04,187.48,83
CPT,88342,HC TISS/CELL PATH MKR 1ST AB,249.0,,69.72,214.14,83
CPT,88342,PR IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE,280.0,,12.85,252.41,55
CPT,88344,HC MULTIPLEX IHC,475.0,,133.0,421.1415,85
CPT,88344,PR IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX,283.0,,27.5448,254.7,55
CPT,88344,PR IMMUNOHISTO ANTIBODY SLIDE,399.0,,27.5448,359.1,55
CPT,88346,HC IMMUNOFLUORESCENT 1ST STAIN,737.0,,200.169,633.82,85
CPT,88346,"HC PML STAIN (POD) AUTOMATED,INITIAL",3917.0,,200.169,3368.62,85
CPT,88346,"HC PML STAIN (POD) MANUAL,INITIAL",2783.0,,200.169,2393.38,85
CPT,88346,"HC REF ANTI-ENTEROCYTE, IMMUNOFLUOR ANTB 1ST STAIN",539.0,,150.92,463.54,85
CPT,88346,HC REF LAB IMMUNOFLOURESCENCE INTIAL AB,300.0,,84.0,258.0,85
CPT,88346,HC REF THSIF MAYO,368.0,,103.04,316.48,85
CPT,88346,PR IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN,216.0,,10.36,224.95,55
CPT,88348,HC REF LAB ELECTRON MICRO CARDIAC TISSUE,1530.0,,428.4,1315.8,85
CPT,88348,HC REF LAB UT ELECTRON MICRO NON-CARDIAC TISSUE,1982.0,,554.96,1704.52,85
CPT,88350,"HC PML STAIN (POD) AUTOMATED,SECONDARY",3916.0,,193.17,3367.76,84
CPT,88350,"HC PML STAIN (POD) MANUAL,SECONDARY",2782.0,,193.17,2392.52,84
CPT,88350,"HC REF ANTI-ENTEROCYTE, IMMUNOFLUOR ANTB ADDL STAIN",417.0,,116.76,358.62,84
CPT,88350,HC REF LAB IMMUNOFLOURESCENCE ADDL STAIN,200.0,,56.0,193.17,84
CPT,88350,PR IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN,221.0,,20.654,198.9,55
CPT,88360,HC ESTROGEN RECP IMMUNOHIST,679.0,,190.12,583.94,85
CPT,88360,HC HER2/NEU IMMUNOHISTO,234.0,,65.52,204.02,85
CPT,88360,HC KI67 IMMUNOHIST,234.0,,65.52,204.02,85
CPT,88360,HC PROGEST RECP IMMUNOHISTO,679.0,,190.12,583.94,85
CPT,88360,HC REF DLL3 SP347 IHC MAYO,899.0,,200.169,773.14,85
CPT,88360,HC REF LAB MORPHOMETRIC ANALYSIS,393.0,,110.04,337.98,85
CPT,88360,HC VANTANA FOLR1-2.1 RXDX ASSAY,354.0,,99.12,304.44,85
CPT,88360,PR M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL,388.0,,29.5136,349.2,55
CPT,88361,HC COMPUTER ASST QUANT IHC,313.0,,87.64,421.1415,85
CPT,88361,PR M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST,343.0,,30.7372,322.58,55
CPT,88362,HC REF LAB NERVE TEASING,648.0,,181.44,946.5995,85
CPT,88363,HC EXM/SELECT TISSMOLEC ANLY,249.0,,69.72,214.14,83
CPT,88363,PR EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSI,159.0,,13.3365,143.1,47
CPT,88364,HC EA ADDITION TISS INSITU HYBRIDIZATION,505.0,,141.4,434.3,84
CPT,88364,PR IN SITU HYBRIDIZATION EA ADDL PROBE STAIN,288.0,,24.104,259.2,55
CPT,88365,HC TISS INSITU HYBRIDIZATION,505.0,,141.4,434.3,85
CPT,88365,PR IN SITU HYBRIDIZATION 1ST PROBE STAIN,400.0,,12.11,340.0,55
CPT,88367,PR M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN,286.0,,23.6072,257.4,55
CPT,88368,PR M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL,458.0,,30.2496,412.2,55
CPT,88374,HC FISH HER2NEU AUTO,2022.0,,200.169,1738.92,85
CPT,88374,PR M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB,395.0,,29.7528,355.5,55
CPT,88377,HC FISH HER2NEW SITU HYBRID,1673.0,,200.169,1438.78,85
CPT,88377,PR M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB,568.0,,45.9908,511.2,55
CPT,88380,HC REF AMYL PROT MCRO LASER CAPT,603.0,,168.84,518.58,84
CPT,88381,HC MDX MICRODISSECTION,357.0,,99.96,341.17,84
CPT,88387,HC MACRODISSECTION,202.0,,56.52,173.72,84
CPT,88387,PR MACROSCOPIC XM DSJ&PREPJ TISS NONMCRSCP STD EA,213.0,,19.182,191.7,55
CPT,88399,HC PARATHY CRYOPRES&THAW,3875.0,,61.226,3332.5,84
CPT,88399,HC REF ACGH WHILE GENOME,1597.0,,61.226,1373.42,84
CPT,88749,HC TISSUE OXYGEN MULT DETERM,1537.0,,430.36,1321.82,83
CPT,88749,HC TISSUE OXYGEN SNGL DETERM,1212.0,,339.36,1042.32,83
CPT,89050,HC CSF CELL COUNT,38.0,,3.96,32.68,84
CPT,89050,HC MISC FLUID CELL,38.0,,3.96,32.68,84
CPT,89051,"HC CELL COUNT & DIFF, MISC FLUID",53.0,,4.7,45.58,84
CPT,89051,"HC EOSINOPHL COUNT 7 DIFF, URINE",53.0,,4.7,45.58,84
CPT,89051,PR CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,65.0,,4.0,66.96,39
CPT,89060,"HC CRYSTAL,SYNOVIAL",39.0,,6.16,33.54,84
CPT,89060,PR CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,92.0,,3.0,78.2,45
CPT,90378,PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION [41675],11262.65,,436.75,9685.879,86
CPT,90396,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [171243],6626.3,,197.08,5698.618,172
CPT,90471,HC VAC ADM SGL W/PRFSVC,76.0,,21.28,84.594,85
CPT,90472,HC VAC ADM EA ADDL W/PRFSVC,76.0,,21.28,65.36,84
CPT,90473,HC VACC ADM INTRANAS/ORAL SGL/CMB,75.0,,21.0,84.594,85
CPT,90474,HC VAC ADM INTRNS/ORL SG/CB EAADD,75.0,,19.02,64.5,84
CPT,90480,HC VACC ADMIN SARSCOV2 VACCINE SINGLE DOSE,75.0,,21.0,64.5,84
CPT,90620,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [170203]",760.7,,212.996,654.202,166
CPT,90632,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [127835]",269.65,,72.68,231.899,168
CPT,90632,"HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM INJ CONTAINER [40800000796]",269.65,,72.68,231.899,168
CPT,90633,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE [91033],125.7,,35.196,108.102,166
CPT,90647,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN [10153],97.7,,27.356,84.022,168
CPT,90651,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION [170445]",996.85,,279.118,857.291,166
CPT,90651,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) INTRAMUSCULAR INJ CONTAINER [40800002608]",996.85,,279.118,857.291,332
CPT,90651,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE [170446]",996.85,,279.118,857.291,166
CPT,90656,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [209115],67.75,,18.97,58.265,168
CPT,90662,FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE [209111],259.55,,72.674,223.213,168
CPT,90671,PNEUMOCOCCAL 15-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [195642],721.825,,200.298,626.338,249
CPT,90677,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [195370],920.5,,253.75,803.885,249
CPT,90679,"RESPIRATORY SYNCYTIAL VIRUS VACCINE, ANTIGEN (2 OF 2) 120 MCG IM SUSP [201916]",930.1,,260.428,799.886,83
CPT,90679,"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT [201917]",930.1,,260.428,799.886,83
CPT,90696,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM CONTAINER [40800003311]",197.85,,55.398,170.151,166
CPT,90696,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE [92788]",197.85,,55.398,170.151,166
CPT,90707,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512]",290.7,,81.396,250.002,168
CPT,90713,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [108127],761.1999999999999,,26.208,1228.768,252
CPT,90714,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM CONTAINER [40800000341],141.25,,36.37,121.475,252
CPT,90714,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [128550],141.25,,36.37,121.475,168
CPT,90715,"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE [128616]",155.3,,39.71,133.558,168
CPT,90715,"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP CONTAINER [40800003961]",155.3,,39.71,133.558,336
CPT,90715,"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP [41628]",155.3,,39.71,133.558,168
CPT,90716,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [113088]",581.0,,129.89,499.66,168
CPT,90732,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJ CONTAINER [40800002837],355.5,,99.54,305.73,336
CPT,90732,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037],355.5,,99.54,305.73,168
CPT,90732,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [165560],355.5,,99.54,305.73,168
CPT,90734,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) [101034]",534.25,,149.59,459.455,84
CPT,90734,MENINGOCOCCAL A CONJ VACC (PF) 10 MCG/0.5 ML IM SOLUTION CONTAINER [40800003398],534.25,,149.59,459.455,84
CPT,90734,MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION [170886],534.25,,149.59,459.455,84
CPT,90734,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION [199306]",534.25,,149.59,459.455,168
CPT,90744,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [127776],93.4,,26.152,80.324,84
CPT,90744,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR INJ CONTAINER [40800000351],93.4,,26.152,80.324,168
CPT,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INJ CONTAINER [40800000734],236.45,,66.206,203.347,252
CPT,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP [127780],236.45,,66.206,203.347,84
CPT,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE [127727],236.45,,66.206,203.347,168
CPT,90749,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [19451]",90.45,,25.326,77.787,166
CPT,90749,"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP [128548]",93.1,,26.068,80.066,166
CPT,90749,"DIPH,PERTUS(ACEL),TET PEDI (PF) 25LF UNIT-58 MCG-10 LF/0.5ML INJ CONTAINER [40800000732]",90.45,,25.326,77.787,166
CPT,90785,HC INTERACTIVE COMPLEXITY,600.0,,20.68,516.0,84
CPT,90785,PR PSYCHOTHERAPY COMPLEX INTERACTIVE,75.0,,10.0045,67.5,47
CPT,90785,PR VIDEO PSYCHOTHERAPY COMPLEX INTERACTIVE,63.0,,10.0045,56.7,47
CPT,90791,HC PSYC DX INTRVW  NO MEDSVC,591.0,,165.48,508.26,85
CPT,90791,PR PSYCHIATRIC DIAGNOSTIC EVALUATION,514.0,,108.698,462.6,55
CPT,90791,PR VIDEO PSYCHIATRIC DIAGNOSTIC EVALUATION,518.0,,108.698,466.2,55
CPT,90792,HC PSYC DX INTRVW  W/ MEDSVC,709.0,,198.52,609.74,85
CPT,90792,PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,650.0,,124.4392,585.0,55
CPT,90832,HC PSYCTX 30MIN W/ PT NO E&M,361.0,,101.08,310.46,85
CPT,90832,PR PSYCHOTHERAPY W/PATIENT 30 MINUTES,268.0,,52.3848,241.2,55
CPT,90832,PR VIDEO PSYCHOTHERAPY W/PATIENT 30 MINUTES,259.0,,52.3848,233.1,55
CPT,90833,HC PSYCTX 30MIN W/ PT + E&M,361.0,,101.08,310.46,84
CPT,90833,PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN,268.0,,48.9348,241.2,55
CPT,90833,PR VIDEO PSYCHOTHERAPY W/PATIENT W/E&M 30 MIN,259.0,,48.9348,233.1,55
CPT,90834,HC PSYCTX 45MIN W/ PT NO E&M,524.0,,143.52,450.64,85
CPT,90834,PR PSYCHOTHERAPY W/PATIENT 45 MINUTES,384.0,,69.1012,345.6,55
CPT,90834,PR VIDEO PSYCHOTHERAPY W/PATIENT 45 MINUTES,371.0,,69.1012,333.9,55
CPT,90836,HC PSYCTX 45MIN W/ PT + E&M,524.0,,129.17,450.64,84
CPT,90836,PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN,384.0,,62.2196,345.6,55
CPT,90836,PR VIDEO PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN,371.0,,62.2196,333.9,55
CPT,90837,HC PSYCTX 60MIN W/ PT NO E&M,634.0,,177.52,545.24,85
CPT,90837,PR PSYCHOTHERAPY W/PATIENT 60 MINUTES,524.0,,102.304,471.6,55
CPT,90837,PR VIDEO PSYCHOTHERAPY W/PATIENT 60 MINUTES,505.0,,102.304,454.5,55
CPT,90838,HC PSYCTX 60MIN W/ PT + E&M,634.0,,171.24,545.24,84
CPT,90838,PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN,492.0,,83.122,442.8,55
CPT,90838,PR VIDEO PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN,474.0,,83.122,426.6,55
CPT,90839,HC PSYCTX CRISIS 1ST 60MIN FM,761.0,,205.21,654.46,85
CPT,90839,HC PSYCTX CRISIS 1ST 60MIN PT,761.0,,205.21,654.46,85
CPT,90839,PR PSYCHOTHERAPY FOR CRISIS FAMILY INITIAL 60 MINUTES,553.0,,111.2395,497.7,47
CPT,90839,PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES,553.0,,111.2395,497.7,47
CPT,90839,PR PSYCHOTHERAPY FOR CRISIS PT ONLY INITIAL 60 MINUTES,553.0,,111.2395,497.7,47
CPT,90840,HC PSYCTX CRISIS ADD 30MIN FM,461.0,,103.46,396.46,84
CPT,90840,HC PSYCTX CRISIS ADD 30MIN PT,461.0,,103.46,396.46,84
CPT,90840,PR PSYCHOTHERAPY FOR CRISIS FAMILY EACH ADDL 30 MINUTES,261.0,,53.669,234.9,47
CPT,90840,PR PSYCHOTHERAPY FOR CRISIS PT ONLY EACH ADDL 30 MINUTES,261.0,,53.669,234.9,47
CPT,90845,HC PSYCHOANALYSIS,308.0,,86.24,264.88,85
CPT,90845,PR PSYCHOANALYSIS,325.0,,67.34,310.46,47
CPT,90845,PR VIDEO PSYCHOANALYSIS,313.0,,67.34,310.46,47
CPT,90846,"HC FAMILY PSYCHOTX W/O PAT, 50MIN",457.0,,127.96,393.02,85
CPT,90846,PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS,369.0,,76.43,332.14,46
CPT,90846,PR VIDEO FAMILY PSYCHOTHERAPY W/O PATIENT 50 MINS,356.0,,76.43,332.14,46
CPT,90847,"HC FAMILY PSYCHOTX W/PAT, 50MIN",461.0,,129.08,396.46,85
CPT,90847,PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS,417.0,,77.9608,396.04,55
CPT,90847,PR VIDEO FAMILY PSYCHOTHERAPY W/PATIENT PR ESENT 50 MINS,403.0,,77.9608,396.04,55
CPT,90849,HC MULTIPLE FAMILY GROUP PSYCHOTHERAPY,308.0,,46.53,264.88,85
CPT,90849,PR MULTIPLE FAMILY GROUP PSYCHOTHERAPY,226.0,,25.874,230.09,47
CPT,90853,HC GROUP PSYCHOTHERAPY,302.0,,38.21,259.72,85
CPT,90853,PR GROUP PSYCHOTHERAPY,187.0,,18.446,194.04,55
CPT,90853,PR VIDEO GROUP PSYCHOTHERAPY,187.0,,18.446,194.04,55
CPT,90863,HC PHARMACOLOGIC MGMT+PSYCH,334.0,,37.3,287.24,84
CPT,90863,PR PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY,185.0,,20.0175,166.5,42
CPT,90865,PR NARCOSYNTHESIS PSYC DX&THER PURPOSES,558.0,,99.3225,512.7,47
CPT,90869,HC THREAP(TMS) SUBQ DEL/MGT,410.0,,114.8,352.6,83
CPT,90869,PR REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV & MN,1017.0,,203.72,4267.14,40
CPT,90870,PR ELECTROCONVULSIVE THERAPY,493.0,,75.69,509.99,55
CPT,90875,PR INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,228.0,,35.04,223.84,42
CPT,90876,PR INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,352.0,,55.47,351.26,42
CPT,90880,HC HYPNOTHERAPY,494.0,,138.32,424.84,83
CPT,90880,PR HYPNOTHERAPY,403.0,,68.2465,383.03,47
CPT,90882,PR ENVIRONMENTAL IVNTJ MED MGMT PURPOSES PSYC PT,253.0,,0.67,255.85,40
CPT,90885,PR PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES,286.0,,36.3035,297.07,40
CPT,90887,PR INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM&PX/DATA FAMILY,276.0,,54.7825,272.93,40
CPT,90889,PR PREP REPORT PT PSYCH STATUS AGENCY/PAYER,211.0,,0.67,343.64,40
CPT,90899,"PR UNLISTED PROCEDURE PSYCHIATRIC SERVICE/THERAPY, PSYCHIATRIC SERVICE",338.0,,31.87,287.3,36
CPT,90901,HC BIOFEEDBACK,333.0,,30.29,286.38,84
CPT,90901,PR BIOFEEDBACK TRAINING ANY MODALITY,264.0,,14.0208,269.59,55
CPT,90912,HC BIOFEEDBACK TRAINING W/EMG & MANOMETRY 1ST 15MIN,506.0,,67.08,435.16,84
CPT,90912,PR BFB TRAING W/EMG &/MANOMETRY 1ST 15 MIN CNTCT,426.0,,32.504,383.4,47
CPT,90913,HC BIOFEEDBACK TRAINING W/EMG & MANOMETRY EA ADDL 15MIN,80.0,,22.4,68.8,84
CPT,90913,PR BFB TRAING W/EMG&/MANOMETRY EA ADDL 15 MIN CNTCT,227.0,,17.4616,204.3,55
CPT,90935,HC RENAL DIALYSIS SNG PHY,1782.0,,111.93,1532.52,85
CPT,90935,PR HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION,793.0,,51.6396,824.23,55
CPT,90937,"HC RENAL DIALYSIS, ACUTE",2805.0,,160.97,2412.3,84
CPT,90937,PR HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX,1080.0,,74.7592,1123.01,55
CPT,90945,HC DIALYSIS PERITONEAL OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL,3089.0,,135.07,2656.54,85
CPT,90945,PR DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL,746.0,,63.204,776.15,55
CPT,90947,HC DIALYSIS PERITONEAL OTHER/THAN HEMODIALYSIS REPEAT PHYS/QHP EVAL,3062.0,,193.46,2633.32,84
CPT,90947,PR DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS,1166.0,,89.2676,1212.31,55
CPT,90951,PR ESRD RELATED SVC MONTHLY & <2 YR OLD 4/> VISITS,9448.0,,893.4396,8503.2,51
CPT,90954,PR ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,8178.0,,769.7456,7360.2,51
CPT,90955,PR ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS,4500.0,,402.3068,4050.0,51
CPT,90956,PR ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT,3045.0,,269.0632,2740.5,51
CPT,90957,PR ESRD RELATED SVC MONTHLY 12-19 YR OLD 4/> VISITS,6160.0,,590.548,5544.0,51
CPT,90958,PR ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS,4269.0,,384.744,3842.1,51
CPT,90959,PR ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT,2708.0,,251.2428,2437.2,51
CPT,90960,PR ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS,2551.0,,260.6728,2295.9,55
CPT,90961,PR ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS,2096.0,,216.4116,1886.4,55
CPT,90962,PR ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT,1252.0,,149.5184,1126.8,55
CPT,90963,PR ESRD SVC HOME DIALYSIS FULL MONTH <2YR OLD,5635.0,,465.0508,5071.5,51
CPT,90964,PR ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD,4499.0,,398.6912,4049.1,51
CPT,90965,PR ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD,4448.0,,383.9712,4003.2,51
CPT,90966,PR ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD,1467.0,,216.4116,1320.3,55
CPT,90967,PR ESRD RELATED SVC <FULL MONTH <2 YR OLD,166.0,,13.4228,149.4,51
CPT,90968,PR ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,150.0,,13.1652,135.0,51
CPT,90969,PR ESRD RELATED SVC <FULL MONTH 12-19 YR OLD,151.0,,12.9076,135.9,51
CPT,90970,PR ESRD RELATED SVC <FULL MONTH 20/>YR OLD,72.0,,7.13,64.8,55
CPT,90989,PR DIALYSIS TRAINING PATIENT COMPLETED COURSE,2660.0,,116.45,2766.33,48
CPT,90997,HC HEMOPERFUS DIALYSIS,4493.0,,138.56,3863.98,84
CPT,90997,PR HEMOPERFUSION,944.0,,66.232,968.46,47
CPT,91010,HC ESOPHAGEAL MOTILITY STUDY W/INTERP&REPORT (MANOSCAN HIGH RES),2053.0,,347.16,1765.58,85
CPT,91010,PR ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT,647.0,,33.54,669.68,55
CPT,91013,PR ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION,86.0,,6.6424,77.4,55
CPT,91020,PR GASTRIC MOTILITY MANOMETRIC STUDIES,681.0,,30.63,578.85,55
CPT,91030,PR ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS,337.0,,13.91,343.43,55
CPT,91034,HC GASTROESOPHAGEAL REFLUX TEST W/NASAL CATH PH ELECTROD/DIGITRAPPER,1971.0,,300.71,1695.06,85
CPT,91034,PR GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT,457.0,,35.6592,411.3,55
CPT,91035,HC GASTROESOPHAGEAL REFLUX TEST-BRAVO PILL W/TELEMTRY PH ELECTRODE,1984.0,,555.52,1706.24,85
CPT,91035,PR GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD,819.0,,59.018,737.1,55
CPT,91037,HC GASTROESOPHAG RFLX TEST W/INTRLUML IMPED ELTRD (MANOSCAN HI RES),1215.0,,253.69,1044.9,85
CPT,91037,PR GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD,435.0,,35.4108,391.5,55
CPT,91038,HC ESOPHAGEAL FUNCTION G-ESOP REFLUX IMPENDANCE ELECTRODE PROLNGED,2037.0,,438.426,1751.82,85
CPT,91038,PR ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG,698.0,,40.0844,628.2,55
CPT,91040,HC ESOPHAGEAL BALLOON DISTENTION TEST (ENDO FLIP),1688.0,,438.426,1451.68,85
CPT,91040,PR ESOPHGL BALO DISTENSION DX STD W/PROVOCATION,583.0,,35.4108,524.7,55
CPT,91065,HC BREATH HYDROGEN/METHANE TEST,373.0,,104.44,320.78,85
CPT,91065,PR BREATH HYDROGEN/METHANE TEST,429.0,,3.84,405.25,55
CPT,91110,HC GI TRACT IMG ESOPH-ILEUM W/I&R,3678.0,,732.9,3163.08,85
CPT,91110,PR GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R,2298.0,,81.1532,1953.3,55
CPT,91111,PR GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI&R,426.0,,32.706,383.4,55
CPT,91112,HC GI SMARTPILL TRNS&PR MSMT,13469.0,,937.56,11583.34,84
CPT,91112,PR GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP,1890.0,,76.2312,1701.0,55
CPT,91117,PR COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R,1369.0,,104.0612,1232.1,51
CPT,91124,PR RECTAL SENSATION TONE&COMPLIANCE STUDY,1503.0,,141.3975,1352.7,33
CPT,91125,HC ANORECTAL MANOMETRY,2413.0,,438.426,2075.18,84
CPT,91125,PR ANRCT MANO RCT SENSATION&RCT BALO EXPULSION TEST,1331.0,,122.876,1197.9,33
CPT,91132,PR ELECTROGASTROGRAPHY DX TRANSCUTANEOUS,426.0,,23.834,362.1,47
CPT,91133,PR ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG,326.0,,29.529,277.1,47
CPT,91200,HC LIVER ELASTOGRAPHY W/O IMAG W/I&R (FIBROSCAN),1181.0,,31.93,1015.66,85
CPT,91200,PR LIVER ELASTOGRAPHY W/O IMAG W/I&R,146.0,,7.6268,131.4,55
CPT,91319,COVID VACCINE 2025-2026 (5-11 YRS) (PFIZER) (PF) 10 MCG/0.3 ML IM SUSP [209838],264.45,,74.046,227.427,168
CPT,91320,COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE [209839],515.65,,144.382,443.459,168
CPT,92002,PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE NEW PT,242.0,,32.4445,205.7,51
CPT,92004,PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST,409.0,,66.895,347.65,55
CPT,92012,PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT,226.0,,34.25,192.1,51
CPT,92014,PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST,299.0,,49.94,254.15,55
CPT,92015,PR DETERMINATION REFRACTIVE STATE,157.0,,13.6255,157.08,46
CPT,92018,PR COMPL OPH XM&EVAL GENERAL ANES W/WO MNPJ GLOBE,1126.0,,60.16,957.1,55
CPT,92019,PR LMTD OPH XM&EVAL GENERAL ANES W/WO MNPJ GLOBE,343.0,,50.813,291.55,55
CPT,92020,HC GONIOSCOPY,345.0,,31.62,296.7,85
CPT,92020,PR GONIOSCOPY SEPARATE PROCEDURE,156.0,,14.076,132.6,51
CPT,92025,HC COMPUTERIZD CORNEAL TOPOGRAPHY,326.0,,57.3,280.36,85
CPT,92025,PR COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I&R,166.0,,14.0208,149.4,55
CPT,92060,HC SENSORIMOTOR EXAM,321.0,,69.3105,276.06,85
CPT,92060,PR SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX,267.0,,18.3,226.95,55
CPT,92065,HC ORTHOPTIC PLEOPTIC TRAINING,252.0,,70.56,216.72,166
CPT,92065,PR ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP,153.0,,12.5396,130.05,53
CPT,92071,HC FIT CONTACT LENS OCSF DIS,521.0,,50.17,448.06,84
CPT,92071,PR FIT CONTACT LENS TX OCULAR SURFACE DISEASE,309.0,,22.457,278.1,55
CPT,92072,PR FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST,932.0,,65.484,838.8,55
CPT,92081,HC VISUAL FIELD EXAM LTD,252.0,,52.59,216.72,85
CPT,92081,PR LIMITED VISUAL FIELD XM UNI/BI I&R,137.0,,9.45,116.45,55
CPT,92082,HC VISUAL FIELD EXAM MED,316.0,,69.3105,271.76,85
CPT,92082,PR INTERMEDIATE VISUAL FIELD XM UNI/BI I&R,128.0,,13.1,116.77,55
CPT,92083,HC VISUAL FIELD EXAM EXTEN,365.0,,99.5,313.9,85
CPT,92083,PR EXTENDED VISUAL FIELD XM UNI/BI I&R,201.0,,16.96,170.85,55
CPT,92100,PR SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS,211.0,,22.457,179.35,51
CPT,92132,HC SCN OPH IMG ANTSG UNI/BI,234.0,,49.47,201.24,85
CPT,92132,PR CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI,137.0,,12.71,123.3,55
CPT,92133,HC SCN OPHIMG P UNI/BI OPNRV,234.0,,57.33,201.24,85
CPT,92133,PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV,298.0,,14.0505,268.2,53
CPT,92134,HC SCN OPHIMG P UNI/BIL RTNA,234.0,,63.6,201.24,85
CPT,92134,PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA,298.0,,15.181,268.2,53
CPT,92136,HC OPHTHAL BIOMET W/INTRAOC LENS,189.0,,52.92,162.54,85
CPT,92136,PR OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL,262.0,,21.6384,222.7,55
CPT,92145,PR CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI,53.0,,4.3,47.7,47
CPT,92201,PR OPSCPY EXTND RTA DRAWING & SCL DEPRSN I&R UNI/BI,182.0,,15.8865,163.8,53
CPT,92202,PR OPSCPY EXTND OPTIC NRV/MACULA DRAWING I&R UNI/BI,118.0,,10.081,106.2,53
CPT,92228,PR IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI,146.0,,14.059,131.4,55
CPT,92230,PR FLUORESCEIN ANGIOSCOPY INTERPRETATION & REPORT,249.0,,23.239,242.13,55
CPT,92235,HC FLUORESCEIN ANGIO,885.0,,247.8,761.1,85
CPT,92235,PR FLUORESCEIN ANGRPH W/MULTIFRAME IMG I&R UNI/BI,363.0,,19.3,308.55,55
CPT,92240,PR INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI,526.0,,17.14,447.1,55
CPT,92242,PR FLUORESCEIN&ICG ANGRPH MULTIFRAME IMG I&R UNI/BI,547.0,,40.2776,492.3,55
CPT,92250,HC FUNDUS PHOTO,350.0,,58.37,301.0,85
CPT,92250,PR FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT,183.0,,14.8,155.55,55
CPT,92260,PR OPHTHALMODYNAMOMETRY,230.0,,7.803,233.54,51
CPT,92265,PR NDL OCULOELECTROMYOGRAPHY 1+EO MUSC 1/BOTH EYE,415.0,,16.82,352.75,55
CPT,92270,PR ELECTRO-OCULOGRAPY W/INTERPRETATION & REPORT,183.0,,16.41,187.16,55
CPT,92283,PR COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV,167.0,,2.18,173.43,47
CPT,92284,PR DX DARK ADAPTATION EXAM INTERPRETATION & REPORT,239.0,,11.781,247.26,45
CPT,92285,HC EXT OCU PHOTO MED PROG,303.0,,36.85,260.58,85
CPT,92285,PR XTRNL OCULAR PHOTOG W/I&R DOCMT MED PROGRESS,143.0,,2.2172,121.93,55
CPT,92286,PR ANT SGM IMAGING I&R SPECLR MICROSCOPY&NDTHL ALYS,288.0,,15.4928,244.8,55
CPT,92287,PR ANT SGM IMAGING W/I&R W/FLUORESCEIN ANGRPH,236.0,,14.98,245.56,55
CPT,92499,"PR EYE SERVICE OR PROCEDURE, IN VIVO CONFOCAL MICROSCOPY OF THE CORNEA",199.0,,18.9,169.15,28
CPT,92502,PR OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA,588.0,,70.334,611.31,55
CPT,92504,HC BINOCULAR MICROSCOPY,294.0,,14.35,252.84,84
CPT,92504,PR BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE,151.0,,6.664,128.35,55
CPT,92507,HC TX SPEECH/LANG/VOICE/COMMUN/AU,489.0,,120.45,420.54,84
CPT,92507,PR TX SPEECH LANG VOICE COMMJ&/AUD PROC DO INDIV,259.0,,26.87,220.15,50
CPT,92508,HC TX SPCH/LNG/VOC/CM/AU-MOD-GP2+,442.0,,38.36,380.12,84
CPT,92508,PR TX SPEECH LANG VOICE COMMJ&/AUD PROC DO GROUP,186.0,,14.13,158.1,50
CPT,92511,HC NASOPHRYNGOSCOPE  W/ENDOSCOPE,620.0,,59.95,533.2,85
CPT,92511,PR NASOPHARYNGOSCOPY W/ENDOSCOPE SPX,405.0,,28.0324,355.45,55
CPT,92512,HC NASAL FUNCTION STUDIES,977.0,,43.27,840.22,85
CPT,92512,PR NASAL FUNCTION STUDIES,252.0,,20.4,255.85,47
CPT,92516,PR FACIAL NERVE FUNCTION STUDIES,318.0,,16.286,281.61,55
CPT,92517,HC VESTIBULAR EVOKED MYOGENIC POTENTIAL (VEMP) - CERVICAL,793.0,,222.04,681.98,83
CPT,92518,HC VESTIBULAR EVOKED MYOGENIC POTENTIAL (VEMP) - OCULAR,741.0,,207.48,637.26,83
CPT,92519,HC VESTIBULAR EVOKED MYOGENIC POTENTIAL (VEMP) - CERVICAL & OCULAR,990.0,,277.2,851.4,83
CPT,92520,HC LARYNGEAL STUDIES,817.0,,62.42,702.62,85
CPT,92520,PR LARYNGEAL FUNCTION STUDIES,566.0,,27.8715,551.22,55
CPT,92521,PR EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER),946.0,,89.23,851.4,50
CPT,92522,HC EVAL SPEECH SOUND PRODUC,808.0,,176.24,694.88,84
CPT,92522,PR EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE,812.0,,74.85,730.8,50
CPT,92523,HC EVAL SND PR LNG CMPRH/XPR,861.0,,241.08,740.46,84
CPT,92523,PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION,1620.0,,152.38,1458.0,50
CPT,92524,HC BEHV&QUAL ANLY VOIC/RESON,692.0,,173.64,595.12,84
CPT,92524,PR BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE,812.0,,73.71,730.8,50
CPT,92526,HC TREATMENT DYSPHAGIA,519.0,,133.47,446.34,84
CPT,92526,PR TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING,284.0,,33.02,266.16,50
CPT,92537,HC CALORIC VESTIBULAR TEST  BITHERMAL-4 IRRIG,847.0,,62.64,728.42,85
CPT,92537,PR CALORIC VESTIBULAR TEST W/REC BI BITHERMAL,285.0,,26.01,256.5,55
CPT,92538,HC CALORIC VESTIBULAR TEST  MONOTHERMAL-2 IRRIG,704.0,,35.43,605.44,85
CPT,92538,PR CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL,150.0,,13.2005,135.0,55
CPT,92540,HC BASIC VESTIBULAR EVALUAT,948.0,,167.88,815.28,85
CPT,92540,PR VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRK,681.0,,55.8256,612.9,55
CPT,92541,PR SPONTANEOUS NYSTAGMUS TEST,158.0,,15.2444,163.13,55
CPT,92542,PR POSITIONAL NYSTAGMUS TEST,146.0,,18.1976,145.96,55
CPT,92544,PR OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC,152.0,,10.5708,129.2,55
CPT,92545,HC OSCILLATING TRACK TEST W/REC,433.0,,26.56,372.38,85
CPT,92545,PR OSCILLATING TRACKING TEST W/RECORDING,116.0,,9.8348,98.6,55
CPT,92546,HC SINUSOIDAL VERTI AXIS ROTAT,766.0,,151.179,658.76,85
CPT,92546,PR SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING,167.0,,2.73,141.95,55
CPT,92548,PR CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT,239.0,,28.2965,219.8,47
CPT,92549,PR CDP-SOT 6 CONDITIONS W/I&R W/MCT & ADT,395.0,,36.839,355.5,47
CPT,92550,HC TYMPNOMTRY RFLX THRSH MES,530.0,,34.21,455.8,85
CPT,92550,PR TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS,166.0,,18.581,149.4,42
CPT,92551,HC SCREEN TEST PURE TONE AIR,99.0,,19.97,85.14,84
CPT,92551,PR SCREENING TEST PURE TONE AIR ONLY,71.0,,11.3815,60.35,42
CPT,92552,HC PUR TONE THRESHOLD AIR ONLY,206.0,,57.68,177.16,85
CPT,92553,HC PURE TON AUDIOMTRY AIR&BN,324.0,,71.97,278.64,85
CPT,92553,PR PURE TONE AUDIOMETRY AIR & BONE,139.0,,22.87,118.15,42
CPT,92555,HC SPEECH RECOGNITN THRSHOLD(SRT),140.0,,39.2,120.4,85
CPT,92555,PR SPEECH AUDIOMETRY THRESHOLD,73.0,,13.07,62.14,42
CPT,92556,HC SRT/SPEECH DISCRIMINATION,206.0,,57.68,177.16,85
CPT,92557,HC COMP AUD THR EVL& SPCHRCG,520.0,,49.64,447.2,85
CPT,92557,PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ,212.0,,22.0745,196.46,42
CPT,92563,PR TONE DECAY TEST,92.0,,13.07,78.2,42
CPT,92567,HC TYMPANOMETRY,182.0,,16.96,156.52,85
CPT,92567,PR TYMPANOMETRY,87.0,,7.5225,84.53,42
CPT,92568,PR ACOUSTIC REFLEX THRESHOLD,72.0,,10.9395,61.2,42
CPT,92570,PR ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY,261.0,,20.3575,234.9,42
CPT,92579,HC VISUL REINFRCMT AUDIOMETR,409.0,,57.5,351.74,85
CPT,92579,PR VISUAL REINFORCEMENT AUDIOMETRY,164.0,,24.75,139.4,42
CPT,92582,HC CNDITIONING PLAY AUDIOMTR,482.0,,134.96,414.52,85
CPT,92583,HC SELECT PICTURE AUDIOMETRY,324.0,,69.3105,278.64,85
CPT,92584,HC ELECTROCOCHLEOGRAPHY (ECOG),762.0,,151.179,655.32,85
CPT,92587,HC EVOK OTOACOUST EMISS EOA,641.0,,33.9,551.26,85
CPT,92587,PR DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD,159.0,,13.2756,147.68,55
CPT,92588,HC DX OTOACOUST EMISS COMPRE,741.0,,52.21,637.26,85
CPT,92588,PR DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL,248.0,,20.9024,210.8,55
CPT,92597,HC EVAL OF PATIENT FOR PRESCRIPTI,873.0,,114.4,750.78,84
CPT,92597,PR EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC,542.0,,57.3252,509.99,46
CPT,92601,HC ANALYSIS COCHLEAR IMPLANT ON PATIENT LESS THAN AGE 7 WITH PROGRAMMING,864.0,,151.179,743.04,84
CPT,92602,HC ANALYSIS COCHLEAR IMPLANT ON PATIENT LESS THAN AGE 7 SUBSQ REPROGRAMMING,605.0,,151.179,520.3,84
CPT,92603,HC COCHLEAR IMPLANT ACTIVATION W/ PROGRAMMING-DIAG ANALYSIS AGE 7+,608.0,,151.179,522.88,85
CPT,92604,HC COCHLEAR IMPLANT SUBSEQUENT REPROGRAMMING AGE 7+,523.0,,102.74,449.78,85
CPT,92607,HC EVAL VOICE PROSTHESIS FIT,1058.0,,195.54,909.88,84
CPT,92608,"HC EVAL SPCH GEN DEV, ADDL 30MIN",460.0,,76.74,395.6,84
CPT,92609,HC ADAPT & TRAIN SPCH GEN DEVICES,647.0,,162.89,556.42,84
CPT,92610,HC EVAL ORAL & PHARYN SWALLOW,861.0,,110.78,740.46,84
CPT,92610,PR EVAL ORAL&PHARYNGEAL SWLNG FUNCJ,428.0,,49.4275,444.79,50
CPT,92611,HC MOTION FLUORO EVAL SWALLOW,973.0,,145.75,836.78,84
CPT,92611,PR MOTION FLUOR EVAL SWLNG FUNCJ C/V REC,743.0,,67.6292,668.7,50
CPT,92612,HC FLEX ENDO EVAL SWALLOWING BY CINE OR VIDEO RECORDING,1037.0,,104.42,891.82,84
CPT,92612,PR FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC,602.0,,46.7415,541.8,55
CPT,92616,HC FLEX ENDO EVAL SWALLOW & LARYNGEAL SENSORY TEST BY CINE/VIDEO RECORD,851.0,,156.57,731.86,84
CPT,92616,PR FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V REC,978.0,,68.918,880.2,55
CPT,92618,PR EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN,359.0,,24.106,323.1,40
CPT,92622,HC DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60,735.0,,103.26,632.1,85
CPT,92622,PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60,616.0,,46.0275,554.4,55
CPT,92623,HC DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL,68.0,,19.04,58.48,84
CPT,92623,PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL,163.0,,11.985,146.7,55
CPT,92626,HC COCHLEAR IMPLANT EVALUATION 1ST HOUR,583.0,,116.04,501.38,85
CPT,92627,HC COCHLEAR IMPLANT EVALUATION EA ADD'L 15 MINUTES,148.0,,27.44,127.28,84
CPT,92652,HC THRESHOLD ESTIMATION MULT FREQUENCIES W/ I&R,1283.0,,177.25,1103.38,85
CPT,92653,"HC AUDITORY EVOKED POTENTIAL, NEURODIAGNOSTIC I&R",1095.0,,131.34,941.7,85
CPT,92653,PR AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT,549.0,,23.28,494.1,47
CPT,92920,PR PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,4467.0,,350.591,4020.3,55
CPT,92924,PR PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRANCHES,5327.0,,425.425,4794.3,55
CPT,92928,PR PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,5388.0,,420.0785,4849.2,55
CPT,92933,PR PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,6052.0,,475.1156,5446.8,55
CPT,92937,PR PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,5178.0,,422.9792,4660.2,55
CPT,92941,PR PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,5583.0,,475.6124,5024.7,55
CPT,92943,PR PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,6023.0,,475.6124,5420.7,55
CPT,92950,HC CARDIOPULMONARY RESUSCITATION,1175.0,,253.69,1010.5,85
CPT,92950,PR CARDIOPULMONARY RESUSCITATION,1297.0,,133.538,1102.45,55
CPT,92953,HC TRANSUTANEOUS EXT PACE,686.0,,1.78,776.549,85
CPT,92953,PR TEMPORARY TRANSCUTANEOUS PACING,285.0,,0.9605,295.34,47
CPT,92960,HC EXTERNAL CARDIOVERSION,1609.0,,169.65,1383.74,85
CPT,92960,PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL,873.0,,78.936,884.33,55
CPT,92961,HC INTERNAL CARDIOVERSION,1436.0,,394.99,1234.96,85
CPT,92961,PR CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,1861.0,,176.0788,1935.22,55
CPT,92970,PR CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL,1020.0,,135.9944,982.2,55
CPT,92971,PR CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL,374.0,,72.3028,371.85,55
CPT,92972,PR PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,1461.0,,106.7005,1314.9,47
CPT,92973,PR PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,3350.0,,73.865,3484.09,55
CPT,92974,PR TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX,3766.0,,115.828,3916.82,55
CPT,92977,HC THROMBOLY TX TRANSCATH IV,655.0,,89.26,563.3,84
CPT,92978,HC ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL,5818.0,,768.35,5003.48,84
CPT,92978,PR ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL,1232.0,,68.1168,1497.35,55
CPT,92979,HC ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL,4955.0,,457.5,4261.3,84
CPT,92979,PR ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL,811.0,,54.3444,843.13,55
CPT,92986,PR PRQ BALLOON VALVULOPLASTY AORTIC VALVE,6484.0,,961.308,6674.55,55
CPT,92987,PR PRQ BALLOON VALVULOPLASTY MITRAL VALVE,7132.0,,991.0608,7344.24,55
CPT,92990,PR PRQ BALLOON VALVULOPLASTY PULMONARY VALVE,5339.0,,793.8312,5498.3,55
CPT,92997,PR PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL,6702.0,,456.182,6969.9,55
CPT,92998,PR PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL,3352.0,,229.448,3485.81,55
CPT,93005,HC ELECTROCARDIOGRAM-RESTING,365.0,,10.09,313.9,85
CPT,93010,PR ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY,78.0,,5.9064,73.84,55
CPT,93015,PR CV STRESS TST XERS&/RX CONT ECG W/SI&R,450.0,,62.764,403.69,42
CPT,93016,PR CV STRS TST XERS&/RX CONT ECG SUPVJ ONLY W/O I&R,251.0,,15.2444,261.0,55
CPT,93017,HC EKG-STRESS TEST,812.0,,59.18,698.32,85
CPT,93018,PR CV STRS TST XERS&/RX CONT ECG I&R ONLY,251.0,,10.3316,261.0,55
CPT,93024,PR ERGONOVINE PROVOCATION TST,556.0,,41.8324,578.68,51
CPT,93025,PR MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS,1212.0,,26.8088,1244.93,55
CPT,93042,PR RHYTHM ECG 1-3 LEADS INTERPRETATION & REPRT ON,72.0,,4.922,73.84,55
CPT,93225,HC WEARABLE HOLTER MONITOR RECORDING 12-48 HRS,275.0,,28.81,236.5,85
CPT,93226,HC WEARABLE HOLTER MONITOR SCANNING ANALYSIS W/REPORT 12 - 48 HRS,1491.0,,55.85,1282.26,85
CPT,93227,PR XTRNL ECG REC<48 HRS RVW&INTERPJ PHYS/QHP,222.0,,13.2756,458.48,55
CPT,93228,PR XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,227.0,,20.2,204.3,47
CPT,93242,HC EXT ECG > 48HR TO 21 DAY RCRD W/CONECT INTL RCRD,266.0,,18.93,228.76,85
CPT,93243,HC EXT ECG > 48HR TO 21 DAY SCAN ANALYSIS W/REPORT,1687.0,,156.3195,1450.82,85
CPT,93244,PR EXTERNAL ECG REC>48HR<7D REVIEW & INTERPRETATION,227.0,,16.7256,204.3,55
CPT,93260,HC PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM,248.0,,43.8495,213.28,85
CPT,93260,PR PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM,386.0,,30.0012,347.4,55
CPT,93261,HC INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB (SICD),218.0,,43.8495,187.48,85
CPT,93261,PR INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB,365.0,,25.8244,328.5,55
CPT,93264,PR REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D,318.0,,25.925,286.2,47
CPT,93270,HC ECG RECORDING 24HR 30DAY,335.0,,13.21,288.1,85
CPT,93271,HC WEAR ECG/MNTR TRNSM&ANALY,335.0,,93.8,288.1,85
CPT,93272,PR XTRNL PT ACTIVTD ECG DWNLD W/R&I </30 DAYS,385.0,,17.4616,400.09,55
CPT,93278,HC SIGNAL AVG EKG,428.0,,31.74,368.08,83
CPT,93278,PR SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG,228.0,,9.0988,235.25,55
CPT,93279,HC PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP,101.0,,28.28,105.52,85
CPT,93279,PR PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP,342.0,,24.88,307.8,55
CPT,93280,HC  PROG DV EV IMP DV DL  PM,185.0,,43.8495,159.1,85
CPT,93280,PR PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER,410.0,,29.97,369.0,55
CPT,93281,HC  PROG DV EV IMP DV ML  PM,196.0,,43.8495,168.56,85
CPT,93281,PR PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER,453.0,,33.22,407.7,55
CPT,93282,HC  PROG DV EV IMP DV SL IPCD,213.0,,43.8495,183.18,85
CPT,93282,PR PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB,417.0,,33.22,375.3,55
CPT,93283,HC  PROG DV EV IMP DV DL IPCD,220.0,,43.8495,189.2,85
CPT,93283,PR PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB,593.0,,44.61,533.7,55
CPT,93284,HC  PROG DV EV IMP DV ML IPCD,240.0,,43.8495,206.4,85
CPT,93284,PR PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB,591.0,,48.41,531.9,55
CPT,93285,HC PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON,152.0,,42.56,130.72,85
CPT,93285,PR PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON,236.0,,20.27,212.4,55
CPT,93286,HC PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,419.0,,70.79,360.34,84
CPT,93286,PR PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,179.0,,11.9,161.1,55
CPT,93287,HC PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,477.0,,81.79,410.22,84
CPT,93287,PR PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,231.0,,15.7412,207.9,55
CPT,93288,HC  INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,101.0,,28.28,88.02,85
CPT,93288,PR INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,233.0,,16.47,209.7,55
CPT,93289,HC  INT DV EV S-D-M LPM CD,173.0,,43.8495,148.78,85
CPT,93289,PR INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB,341.0,,29.15,306.9,55
CPT,93290,HC INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON,101.0,,28.28,86.86,85
CPT,93290,PR INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON,184.0,,15.0052,165.6,55
CPT,93291,HC  INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON,101.0,,28.28,86.86,85
CPT,93291,PR INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON,202.0,,14.34,181.8,55
CPT,93292,HC INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR,152.0,,42.56,130.72,85
CPT,93292,PR INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR,195.0,,16.47,175.5,55
CPT,93293,PR TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL,147.0,,11.509,132.3,55
CPT,93294,PR REM INTERROG PM/LDLS PM <90 D PHYS/QHP,335.0,,21.3992,301.5,55
CPT,93295,PR INTERROGATION EVAL REMOTE </90 D 1/2/MLT LD DFB,374.0,,26.312,336.6,55
CPT,93296,HC REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW,250.0,,33.49,215.0,85
CPT,93296,PR REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW,113.0,,14.7568,101.7,50
CPT,93297,HC REM INTERROG DEV EVAL ICPMS,251.0,,43.8495,215.86,85
CPT,93297,PR REM INTERROG ICPMS <30 D PHYS/QHP,236.0,,8.44,212.4,55
CPT,93298,HC REM INTERROG DEV EVAL SCRMS,251.0,,43.8495,215.86,85
CPT,93298,PR REM INTERROG SCRMS <30 D PHYS/QHP,261.0,,5.02,234.9,55
CPT,93303,PR COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,518.0,,44.2612,461.91,55
CPT,93304,PR F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY,341.0,,25.576,289.85,55
CPT,93306,HC ECHO 2D MODE W/M-MODE,2862.0,,308.79,2461.32,85
CPT,93306,PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,722.0,,49.68,649.8,55
CPT,93307,HC ECHO 2D MODE,2079.0,,135.33,1787.94,85
CPT,93307,PR ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,449.0,,31.4824,467.06,55
CPT,93308,HC ECHO TRANS REAL-TIME FOLLUP,1421.0,,97.56,1222.06,85
CPT,93308,PR ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,260.0,,17.9492,235.25,55
CPT,93312,HC TRANSEOPHAGEAL ECHO,2462.0,,232.89,2117.32,85
CPT,93312,PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R,1226.0,,76.728,1042.1,55
CPT,93313,PR ECHO R-T 2D W/PROBE PLACEMENT ONLY,453.0,,9.061,453.36,47
CPT,93314,PR ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I&R ONLY,789.0,,64.4276,670.65,55
CPT,93315,PR ECHO TRANSESOPHAGEAL CONGEN PROBE PLCMT IMGNG I&R,1168.0,,90.5004,992.8,55
CPT,93316,PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY,735.0,,21.369,624.75,47
CPT,93317,PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT,561.0,,63.6916,496.25,55
CPT,93318,HC TEE GUIDANCE,2283.0,,257.31,1963.38,85
CPT,93318,PR ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ,960.0,,73.7748,816.0,55
CPT,93320,HC DOPPLER ECHOCARDIOGRAPHY,1188.0,,79.67,1021.68,84
CPT,93320,PR DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL,468.0,,12.788,397.8,55
CPT,93321,HC DOPPLER ECHO FOLLUP/LIM STUDY,476.0,,39.29,409.36,84
CPT,93321,PR DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD,149.0,,5.1612,154.54,55
CPT,93325,HC COLOR FLOW DOPPLER STUDY,1081.0,,36.44,929.66,84
CPT,93325,PR DOPPLER ECHO COLOR FLOW VELOCITY MAPPING,395.0,,2.2172,335.75,55
CPT,93350,PR ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST,718.0,,39.59,746.96,55
CPT,93351,HC ECHO STRESS W/PHY SUPV,2747.0,,365.01,2362.42,85
CPT,93351,PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG,826.0,,65.94,743.4,47
CPT,93352,PR USE OF ECHO CONTRAST AGENT DURING STRESS ECHO,145.0,,26.74,130.5,51
CPT,93355,PR ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN,2114.0,,167.7305,1902.6,47
CPT,93356,HC MYOCARDIAL STRAIN IMAGING QUAN ASSMT,655.0,,18.24,563.3,84
CPT,93356,PR MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH,127.0,,8.772,114.3,47
CPT,93451,HC RHC O2 SAT CARDIAC OUTPUT,12577.0,,1337.04,10816.22,85
CPT,93451,PR RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT,1572.0,,94.1896,1414.8,55
CPT,93452,HC LHC INCL INTRAP INJ FOR LEFT VENTRICULOGRAPHY & IMG S&I,18577.0,,1400.5,15976.22,85
CPT,93452,PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,2042.0,,169.4364,1837.8,55
CPT,93453,HC R/LHC INCLUDE INTRAP INJ,18369.0,,1788.08,15797.34,85
CPT,93453,PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I,2833.0,,226.4948,2549.7,55
CPT,93454,HC CORONARY ANGIO (ONLY),14802.0,,1412.17,12729.72,85
CPT,93454,PR CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I,2312.0,,171.1568,2080.8,55
CPT,93455,HC CORONARY ANGIO GRAFTS,18614.0,,1574.35,16008.04,85
CPT,93455,PR CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I,2502.0,,199.9344,2251.8,55
CPT,93456,HC RHC CORONARY ANGIO,22882.0,,1758.18,19678.52,85
CPT,93456,PR CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I,3273.0,,223.2932,2945.7,55
CPT,93457,HC RHC CORONARY ANGIO GRAFTS,25440.0,,1916.81,21878.4,85
CPT,93457,PR CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I,3132.0,,251.0864,2818.8,55
CPT,93458,HC LHC WITH CORONARIES LV,22656.0,,1626.23,19484.16,85
CPT,93458,PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I,3241.0,,211.002,2916.9,55
CPT,93459,HC LHC CORONAR CATH GRAFT LV,23616.0,,1750.97,20309.76,85
CPT,93459,PR CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I,3484.0,,239.2828,3135.6,55
CPT,93460,HC R/L CATH CORONARY ANGIO LV,27213.0,,1942.37,23403.18,85
CPT,93460,PR R & L HRT CATH WINJX HRT ART& L VENTR IMG,4245.0,,268.2996,3820.5,55
CPT,93461,HC R/L CAT CORON ANG GRAF LV,27463.0,,2143.24,23618.18,85
CPT,93461,PR R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I,4677.0,,296.332,4209.3,55
CPT,93462,PR LEFT HEART CATH BY TRANSEPTAL PUNCTURE,1693.0,,149.0308,1523.7,55
CPT,93463,HC MEDICATION ADMIN & HEMODYNAMIC MEASURMENT (INOMAX),6678.0,,153.22,5743.08,84
CPT,93463,HC PHARMACOLOGIC ADM HEMOD,2186.0,,153.22,1879.96,84
CPT,93463,PR MEDICATION ADMIN & HEMODYNAMIC MEASURMENT,907.0,,72.267,816.3,47
CPT,93464,HC PHYSIOLOGIC EXERCISE W/HEMODYNAMIC MEAS (BICYCLE STRESS),3013.0,,343.1,2591.18,84
CPT,93464,PR PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU,817.0,,69.86,735.3,47
CPT,93503,HC INSERT SWAN GANZ,4296.0,,138.56,3694.56,85
CPT,93503,PR INSERTION FLOW DIRECTED CATHETER FOR MONITORING,946.0,,63.4432,956.45,55
CPT,93505,HC ENDOMYOCARDIAL BIOPSY,8438.0,,1013.18,7256.68,85
CPT,93505,PR ENDOMYOCARDIAL BIOPSY,1949.0,,105.92,1656.65,55
CPT,93563,PR NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S&I,622.0,,37.1312,559.8,55
CPT,93564,PR NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S&I,633.0,,39.836,569.7,55
CPT,93565,PR NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS&I,481.0,,19.6696,432.9,55
CPT,93566,HC INJ CARD CATH R/VENT ANGI,5460.0,,41.7,4695.6,84
CPT,93566,PR NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS&I,248.0,,18.6944,223.2,55
CPT,93567,HC AORTIC ROOT ANGIOGRAM,3048.0,,60.96,2621.28,84
CPT,93567,PR NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S&I,564.0,,27.048,507.6,55
CPT,93568,HC PULMONARY ANGIOGRAM,5702.0,,75.01,4903.72,84
CPT,93568,PR NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY,539.0,,33.6904,485.1,55
CPT,93569,HC SELECTIVE PULMONARY ARTERIAL ANGIOGRAPHY UNILATERAL,1563.0,,437.64,1344.18,83
CPT,93571,HC INTRA DOPP'R VES/COR INIT,2923.0,,574.32,2513.78,84
CPT,93571,PR IV DOP VEL&/PRESS C/FLO RSRV MEAS 1ST VESSEL,674.0,,83.0365,698.88,55
CPT,93572,HC INTRA DOPP'RVES/COR ADD,2281.0,,428.78,1961.66,84
CPT,93572,PR IV DOP VEL&/PRESS C/FLO RSRV MEAS EA ADDL VSL,563.0,,65.552,585.56,55
CPT,93573,HC SELECTIVE PULMONARY ARTERIAL ANGIOGRAPHY BILATERAL,1768.0,,495.04,1520.48,83
CPT,93573,PR NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI,615.0,,45.0064,553.5,53
CPT,93580,PR PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT,8475.0,,702.1072,7627.5,55
CPT,93581,PR PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT,31120.0,,953.9296,28008.0,55
CPT,93582,PR PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS,6769.0,,476.1,6092.1,55
CPT,93583,PR PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,6486.0,,533.8944,5837.4,55
CPT,93600,HC BUNDLE OF HIS RECORDING,2660.0,,703.15,9163.89,85
CPT,93600,PR BUNDLE OF HIS RECORDING,752.0,,83.122,755.54,55
CPT,93602,HC ATRIAL RECORDING,2660.0,,459.33,9163.89,85
CPT,93602,PR INTRA-ATRIAL RECORDING,507.0,,82.1376,435.11,55
CPT,93603,HC VENTRICULAR RECORDING,2660.0,,416.5,2287.6,85
CPT,93603,PR RIGHT VENTRICULAR RECORDING,529.0,,82.1376,489.39,55
CPT,93609,HC W/INT ATRIAL/VENT MAP 2D,10946.0,,971.04,9413.56,84
CPT,93609,PR INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ,2017.0,,195.2608,1714.45,55
CPT,93610,HC ATRIAL PACING,2660.0,,504.41,9163.89,85
CPT,93610,PR INTRA-ATRIAL PACING,717.0,,115.5796,616.76,55
CPT,93612,HC VENTRICULAR PACING,2660.0,,617.87,9163.89,85
CPT,93612,PR INTRAVENTRICULAR PACING,1013.0,,114.356,861.05,55
CPT,93613,HC W/INT ARTL/VENT MAP 3-D,11526.0,,471.48,9912.36,84
CPT,93613,PR INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING,1600.0,,18.9,1434.56,55
CPT,93615,PR ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS,187.0,,26.0636,181.61,55
CPT,93616,PR ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG,324.0,,50.286,312.52,55
CPT,93618,PR INDUCTION ARRHYTHMIA ELECTRICAL PACING,1874.0,,154.4404,1806.43,55
CPT,93619,HC EP W/O ATTM IND RA/RV/HIS,14488.0,,1854.94,12459.68,85
CPT,93619,PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION,3331.0,,274.942,2943.19,55
CPT,93620,HC EP W/ATTEM IND RA/RV/HIS,14611.0,,2340.48,12565.46,85
CPT,93620,PR COMPRE EP EVAL R ATR VNTRC PACG&REC HIS BNDL REC,4186.0,,442.9064,3750.24,55
CPT,93621,HC W/CS/LA PACE & RECORD,12288.0,,908.34,10567.68,84
CPT,93621,PR COMPRE EP EVAL W/L ATRIAL PACG&REC C SINS/L ATR,3566.0,,58.7788,3709.04,55
CPT,93622,HC W/LV PACE & RECORD,18020.0,,1282.91,15497.2,84
CPT,93622,PR COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC,3566.0,,121.9736,3709.04,55
CPT,93623,HC W/PROGRAM STIMUL/PACE,6605.0,,583.4,5680.3,84
CPT,93623,PR PROGRAMMED STIMJ & PACG AFTER IV DRUG INFUSION,1131.0,,39.3484,968.46,55
CPT,93624,HC EP F/U W PACE&ATTEMP IND,12753.0,,747.1,10967.58,85
CPT,93624,PR ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG&REC W/ARRHYT,2278.0,,171.6536,2362.8,55
CPT,93631,PR INTRAOP EPICAR& ENDOCAR PACG& MAPG,3118.0,,281.8236,3207.64,55
CPT,93640,HC AICD LD EVA IMPLAN W/ODFT,4343.0,,1032.84,3734.98,84
CPT,93640,PR EP EVAL 1/2CHMBR PACG CVDFB LEADS,1917.0,,126.3988,1993.62,55
CPT,93641,HC AICD LD EVA IMPLANT W/DFT,6434.0,,1332.98,5533.24,84
CPT,93641,PR EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN,2445.0,,220.1008,2460.67,55
CPT,93642,HC AICD CHECK POST IMPLANT,2803.0,,530.03,2410.58,85
CPT,93642,PR EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB,2850.0,,180.504,2963.8,55
CPT,93644,PR EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR,1793.0,,113.3,1613.7,55
CPT,93650,PR ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION,4644.0,,419.2992,4627.71,55
CPT,93653,PR COMPRE EP EVAL ABLTJ 3D MAPG TX SVT,6892.0,,601.5236,6202.8,55
CPT,93654,PR COMPRE EP EVAL ABLTJ 3D MAPG TX VT,8562.0,,724.9784,7705.8,55
CPT,93655,PR ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA,2629.0,,220.8368,2366.1,55
CPT,93656,PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION,9782.0,,681.6924,8803.8,55
CPT,93657,PR ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN,2601.0,,221.0852,2340.9,55
CPT,93660,PR CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,894.0,,59.35,767.56,55
CPT,93662,HC INTRACARDIAC ECG(ICE),4852.0,,597.39,4172.72,84
CPT,93662,PR INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I,1970.0,,50.6552,2048.56,55
CPT,93702,HC BIOIMPDNC (BIS)SPCTROSCPY,114.0,,31.92,98.04,83
CPT,93724,PR ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS,1378.0,,170.1816,1384.03,55
CPT,93750,PR INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS,461.0,,29.5136,414.9,55
CPT,93770,PR DETERMINATION OF VENOUS PRESSURE,76.0,,5.658,68.4,48
CPT,93784,PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R,860.0,,33.9388,894.65,50
CPT,93790,PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R,345.0,,13.0364,358.87,55
CPT,93797,PR PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR,142.0,,6.1456,147.68,55
CPT,93798,PR PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING,180.0,,9.8348,187.16,55
CPT,93799,HC ECHO/STESS IMAGING,1415.0,,151.179,1216.9,84
CPT,93799,PR MEMS HEART FAILURE SYSTEM,3375.0,,2025.0,3468.64,28
CPT,93799,PR UNLISTED PROCEDURE HOLTER MONITOR DEVICE-EVOLUTION EXTENDED DAILY ARRHYTHMIA MONITOR,405.0,,243.0,3468.64,28
CPT,93880,HC DUPLX SCAN CAROTID ARTERY BIL,1392.0,,187.79,1197.12,85
CPT,93880,PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY,656.0,,27.5448,557.6,55
CPT,93882,HC DUPLEX SCAN UNILATERAL/LIM STU,630.0,,106.34,541.8,85
CPT,93882,PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY,304.0,,16.9648,315.95,55
CPT,93886,HC TCD INTRACRANIAL ARTERIES COMP,837.0,,234.36,719.82,85
CPT,93886,PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL,467.0,,28.34,485.95,55
CPT,93888,HC TCD INTRACRANIAL ARTERIES LMTD,473.0,,106.34,406.78,85
CPT,93888,PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD,282.0,,25.21,291.91,55
CPT,93893,PR TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX,431.0,,43.0376,387.9,55
CPT,93922,HC UP/LWR EXTRM STDY SGLLVL BILAT,577.0,,129.63,496.22,85
CPT,93922,PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,267.0,,8.6112,278.18,55
CPT,93923,HC UP/LWR EXTRM STDY MLTLVL BILAT,577.0,,129.98,496.22,85
CPT,93923,PR NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS,310.0,,15.4928,322.83,55
CPT,93924,HC LWR EXTRM STDY REST/EXRCS BLAT,577.0,,156.46,496.22,85
CPT,93924,PR N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI,352.0,,17.2132,305.66,55
CPT,93925,HC DUPLEX DOPPLER LWR EXTRM BILAT,1352.0,,236.56,1162.72,85
CPT,93925,PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,560.0,,24.1,476.0,55
CPT,93926,HC DUPLEX DOPLR LWREXT UNILAT/LTD,813.0,,106.34,699.18,85
CPT,93926,PR DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY,298.0,,16.13,253.3,55
CPT,93930,HC DUPLEX DOPPLR UPPR EXTRM BILAT,1352.0,,197.14,1162.72,85
CPT,93930,PR DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,392.0,,27.5448,406.96,55
CPT,93931,HC DUPLEX DOPLR UPREXT UNILAT/LTD,813.0,,106.34,699.18,85
CPT,93931,PR DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY,302.0,,16.7256,256.7,55
CPT,93970,HC DUPLX SCAN EXTRMTY VEINS BILAT,1755.0,,184.78,1509.3,85
CPT,93970,PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY,497.0,,23.6072,422.45,55
CPT,93971,HC DUPLX SCAN EXT VNS UNI OR LTD,933.0,,106.34,802.38,85
CPT,93971,PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY,332.0,,15.2444,282.2,55
CPT,93975,"HC DUPLX DOPP ABD,PEL/RETROPERIT",1315.0,,241.72,1130.9,85
CPT,93975,PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,1100.0,,39.836,935.0,55
CPT,93976,"HC DUPLX DOP ABD,PEL/RETROPER.F/U",597.0,,106.34,513.42,85
CPT,93976,PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,493.0,,27.5448,419.05,55
CPT,93978,HC DUPLX DOP AORT IVC CMPLT,1393.0,,179.76,1197.98,85
CPT,93978,PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,417.0,,28.0324,376.05,55
CPT,93979,HC DPLX DOP AORT IVC LIMITD,717.0,,106.34,616.62,85
CPT,93979,PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,311.0,,16.9648,264.35,55
CPT,93980,HC DUPLX SCN PENIL VESL COMP,746.0,,106.34,641.56,85
CPT,93980,PR DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL,534.0,,43.286,453.9,55
CPT,93981,PR DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD,219.0,,15.4928,221.51,55
CPT,93985,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,1393.0,,280.3355,1197.98,85
CPT,93985,PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,395.0,,27.7932,355.5,55
CPT,93986,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,1046.0,,122.8315,899.56,85
CPT,93986,PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,284.0,,16.7256,255.6,55
CPT,93990,HC DUPLEX HEMODIALYSIS,813.0,,106.34,699.18,85
CPT,93990,PR DUPLEX SCAN HEMODIALYSIS ACCESS,248.0,,15.12,210.8,51
CPT,94002,HC HIGH FREQ VENT INITIAL,3160.0,,144.9,2717.6,85
CPT,94002,HC MECHANICAL VENT INITIAL,3160.0,,144.9,2717.6,85
CPT,94002,PR VENTILATION ASSIST & MGMT INPATIENT 1ST DAY,794.0,,66.8932,735.92,55
CPT,94003,HC HIGH FREQ VENTILATION,2780.0,,101.89,2390.8,85
CPT,94003,HC MECHANICAL VENT SUBSEQ,2780.0,,101.89,2390.8,85
CPT,94003,PR VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DA,354.0,,46.9752,367.96,55
CPT,94010,HC SPIROMERTY W/O DILATORS,553.0,,43.16,475.58,85
CPT,94010,PR SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,155.0,,5.9064,137.37,55
CPT,94011,PR MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT&/2 Y,1069.0,,62.322,962.1,51
CPT,94012,PR MEAS SPIRO FRCD EXP FLO PRE&POST BRONCH INF/2YRS,1657.0,,101.983,1491.3,51
CPT,94013,PR MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS,357.0,,14.2048,321.3,51
CPT,94015,HC PATIENT-INITIATED SPIROMETRIC RECORDING,474.0,,50.13,407.64,85
CPT,94016,PR PATIENT-INITIATED SPIROMETRIC PHYS/QHP R&I ONLY,214.0,,21.301,185.45,47
CPT,94060,HC SPIROMETRY W/DILATORS,771.0,,61.38,663.06,85
CPT,94060,PR BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN,185.0,,7.3784,192.32,55
CPT,94070,HC BRONCHOPROVOCATION,1250.0,,99.46,1075.0,85
CPT,94070,PR BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT,273.0,,19.918,276.47,55
CPT,94150,HC BREATHING EXERCISES,161.0,,39.98,151.179,85
CPT,94200,HC MAXIMUM VOLUNTARY VENTILATION,222.0,,23.85,190.92,85
CPT,94200,PR MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ,76.0,,1.9688,64.6,55
CPT,94375,PR RESPIRATORY FLOW VOLUME LOOP,106.0,,10.3316,90.1,55
CPT,94450,PR BREATHING RESPONSE TO HYPOXIA,135.0,,6.61,114.75,55
CPT,94618,HC PULMONARY STRESS TESTING,728.0,,53.94,626.08,85
CPT,94618,PR PULMONARY STRESS TESTING,247.0,,15.9804,222.3,55
CPT,94621,HC PULMONARY STRESS COMPLEX,991.0,,244.4,852.26,85
CPT,94621,PR CARDIOPULMONARY EXERCISE TESTING,364.0,,49.1832,309.4,55
CPT,94640,HC AIRWAY INHALATION TREAT,300.0,,12.69,258.0,85
CPT,94640,HC BREATHING EX SUBSEQUENT,253.0,,12.69,257.278,85
CPT,94640,HC OSCILLATORY PEP INITIAL,340.0,,12.69,292.4,85
CPT,94640,HC OSCILLATORY PEP SUBSEQUENT,253.0,,12.69,257.278,85
CPT,94640,HC POS. PRESS BREATHING SUB,253.0,,12.69,257.278,85
CPT,94640,HC SPAG AEROSOL SUBSEQUENT,253.0,,12.69,257.278,85
CPT,94640,HC UPDRAFT NEB/SPUTUM IND,251.0,,12.69,257.278,85
CPT,94640,HC UPDRAFT NEBULIZER SUBSEQU,253.0,,12.69,257.278,85
CPT,94640,PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT,88.0,,7.4375,91.02,42
CPT,94642,HC PENTAMIDINE AERSL INHALATION PNEUM/PROPH,457.0,,87.27,393.02,85
CPT,94642,PR PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH,402.0,,34.72,401.8,40
CPT,94660,HC CPAP/BIPAP THERAPY,1218.0,,58.89,1047.48,85
CPT,94660,PR CPAP VENTILATION CPAP INITIATION&MGMT,476.0,,28.3135,494.54,47
CPT,94664,HC POS PRESS BREATHING INITIAL,355.0,,28.5,305.3,85
CPT,94664,HC SPAG AEROSOL INITIAL,355.0,,28.5,305.3,85
CPT,94664,HC UPDRAFT NEBULIZER INITIAL,355.0,,28.5,305.3,85
CPT,94664,PR DEMO&/EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB,122.0,,17.136,108.18,42
CPT,94667,HC PPD TREATMENT INITIAL,338.0,,39.42,290.68,85
CPT,94667,PR MANIPULATION CHEST WALL 1ST DEMONSTRATION&/EVAL,129.0,,19.47,130.51,42
CPT,94668,HC PPD TREATMENT SUBSEQUENT,133.0,,37.24,156.3195,85
CPT,94668,PR MANIPULATION CHEST WALL SUBSEQUENT,104.0,,12.0,104.75,42
CPT,94680,PR O2 UPTK EXP GAS ANALYSIS REST&XERS DIRECT SIMPLE,138.0,,9.0988,137.37,55
CPT,94681,HC INDIRECT CALORIM,757.0,,75.62,651.02,85
CPT,94681,PR O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC,249.0,,6.8816,259.29,55
CPT,94690,PR O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX,52.0,,2.14,53.24,55
CPT,94726,HC PLETHSMOGRAP LUNG VOLUMES,645.0,,88.14,554.7,85
CPT,94726,PR PLETHYSMOGRAPHY LUNG VOLUMES & AIRWAY RESISTANCE,152.0,,8.6112,136.8,55
CPT,94727,HC GAS DILUTION LUNG VOLUMES,622.0,,70.25,534.92,85
CPT,94727,PR GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ&CLSG VOL,124.0,,8.6112,111.6,55
CPT,94728,HC AIRWAY RESISTANCE OSCILL,645.0,,69.73,554.7,85
CPT,94728,PR AIRWAY RESISTANCE BY OSCILLOMETRY,139.0,,8.8504,125.1,55
CPT,94729,HC SINGLE BRTH DIFFUS,652.0,,88.93,560.72,84
CPT,94729,PR DIFFUSING CAPACITY,100.0,,6.394,90.0,55
CPT,94760,HC PULSE OXIMETRY,129.0,,4.37,110.94,84
CPT,94760,PR NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER,58.0,,3.4935,49.3,40
CPT,94761,HC PULSE OXIMETRY MULT DETER,145.0,,6.45,124.7,84
CPT,94761,PR NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER,53.0,,3.774,45.05,40
CPT,94762,HC PULSE OXIMETRY OVERNITE,451.0,,39.73,387.86,85
CPT,94780,PR CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN,266.0,,17.7225,239.4,47
CPT,94781,PR CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN,95.0,,6.0945,85.5,47
CPT,94799,HC 02 THERAPY INITIAL,385.0,,107.8,331.1,84
CPT,94799,HC AEROSOL THERAPY INITIAL,422.0,,118.16,362.92,84
CPT,94799,HC AEROSOL THERAPY SUBSEQ,365.0,,102.2,313.9,84
CPT,94799,HC CONT MEDIC AEROSOL,582.0,,151.179,500.52,84
CPT,94799,HC HIGH FLOW OXYGEN INITIAL,676.0,,151.179,581.36,84
CPT,94799,HC HIGH FLOW OXYGEN SUBSEQUENT,391.0,,109.48,336.26,84
CPT,94799,HC MIXED GASES INIT,622.0,,151.179,534.92,84
CPT,94799,HC MIXED GASES SUBSEQ,502.0,,140.56,431.72,84
CPT,94799,HC O2 THERAPY SUBSEQUENT,224.0,,62.72,192.64,84
CPT,95004,PR PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN,22.0,,3.213,19.13,47
CPT,95012,HC NITRIC OXIDE EXPIRED GAS DETRM,165.0,,46.2,141.9,83
CPT,95012,PR NITRIC OXIDE EXPIRED GAS DETERMINATION,78.0,,16.745,72.37,42
CPT,95017,PR ALL TSTG PERQ & IQ W/VENOMS IMMT RXN W/I&R,42.0,,2.6775,37.8,47
CPT,95018,PR ALL TSTG PERQ & IQ W/DRUG/BIOL IMMT RXN W/I&R,78.0,,5.2445,70.2,47
CPT,95024,PR INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS,26.0,,0.9605,26.36,47
CPT,95027,PR IQ TSTS SEQL&INCRL W/ALLERGENIC XTRCS AIRBORNE,28.0,,4.063,26.36,47
CPT,95028,PR IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING,37.0,,7.35,37.91,42
CPT,95060,PR OPHTHALMIC MUCOUS MEMBRANE TESTS,91.0,,11.24,77.35,42
CPT,95076,PR INGESTION CHALLENGE TEST INITIAL 120 MINUTES,681.0,,54.009,612.9,47
CPT,95079,PR INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES,653.0,,49.623,587.7,47
CPT,95144,PR PREPJ& ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO,43.0,,2.3885,36.55,47
CPT,95145,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT,59.0,,2.3885,55.58,47
CPT,95146,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT,71.0,,2.3885,70.9,47
CPT,95147,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT,112.0,,2.3885,98.46,47
CPT,95148,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT,110.0,,2.3885,96.42,47
CPT,95149,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT,152.0,,2.3885,129.2,47
CPT,95165,PR PREPJ& ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN,37.0,,2.3885,31.45,47
CPT,95170,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE,52.0,,2.3885,44.2,47
CPT,95180,PR RAPID DESENSITIZATION PROCEDURE EACH HOUR,721.0,,63.52,612.85,47
CPT,95249,HC CONTINUE GLUCOSE MONITORING MINIMUM 72 HRS; PATIENT PROVIDE EQUIPMENT,445.0,,69.3105,382.7,85
CPT,95250,HC CONTINUE GLUCOSE MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT MINIMUM 72 HRS,785.0,,156.423,675.1,85
CPT,95251,PR CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R,145.0,,25.3276,143.7,55
CPT,95700,HC EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,3015.0,,253.69,2592.9,85
CPT,95705,HC EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,1506.0,,253.69,1295.16,85
CPT,95706,HC EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR,1506.0,,253.69,1295.16,85
CPT,95707,HC EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR,1506.0,,253.69,1295.16,85
CPT,95708,HC EEG W/O VIDEO BY TECH EA INCR 12-26HR UNMONITORED,3015.0,,438.426,2592.9,85
CPT,95709,HC EEG W/O VIDEO BY TECH EA INCR 12-26 HR INTERMITTENT & MNTR,3015.0,,438.426,2592.9,85
CPT,95710,HC EEG W/O VIDEO TECH EA INCR 12-26 HR CONT R-T MNTR,3015.0,,438.426,2592.9,85
CPT,95711,HC VEEG BY TECH 2-12 HOURS UNMONITORED,1885.0,,253.69,1621.1,85
CPT,95712,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,1885.0,,438.426,1621.1,85
CPT,95713,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,1885.0,,438.426,1621.1,85
CPT,95714,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,3766.0,,438.426,3238.76,85
CPT,95715,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT & MNTR,4142.0,,438.426,3562.12,85
CPT,95716,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,4142.0,,1008.941,3562.12,85
CPT,95717,PR EEG PHYS/QHP 2-12 HR WITHOUT VIDEO,1139.0,,77.7124,1025.1,55
CPT,95718,PR EEG PHYS/QHP 2-12 HR WITH VEEG,1134.0,,97.376,1020.6,55
CPT,95719,PR EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR WO VID,1419.0,,116.7985,1277.1,55
CPT,95720,PR EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR W/VEEG,1751.0,,149.77,1575.9,55
CPT,95721,PR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO,1826.0,,149.5184,1643.4,55
CPT,95722,PR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG,2218.0,,181.9852,1996.2,55
CPT,95723,PR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO,2247.0,,183.7056,2022.3,55
CPT,95724,PR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/VEEG,2838.0,,230.92,2554.2,55
CPT,95725,PR EEG COMPLETE STD PHYS/QHP>84 HR W/O VID,2778.0,,210.5052,2500.2,55
CPT,95726,PR EEG COMPLETE STD PHYS/QHP>84 HR W/VEEG,3585.0,,293.3788,3226.5,55
CPT,95782,PR POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND,1951.0,,93.2144,1755.9,51
CPT,95783,PR POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,1533.0,,101.476,1379.7,51
CPT,95800,HC SLEEP STUDY UNATTENDED W/HRT RATE/O2 SAT/RESP/SLEEP TIME,562.0,,157.36,483.32,85
CPT,95800,PR SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,608.0,,33.49,547.2,47
CPT,95805,HC MULTIPLE SLEEP LATENCY TEST,3792.0,,677.95,3261.12,85
CPT,95805,PR MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG,620.0,,37.16,642.21,55
CPT,95806,HC SLEEP STUDY UNATT&RESP,889.0,,248.92,764.54,83
CPT,95806,PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,668.0,,38.5985,904.93,47
CPT,95807,PR SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN,873.0,,44.6752,908.37,51
CPT,95808,PR POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND,952.0,,57.24,987.36,55
CPT,95810,HC POLYSOMNOGRAPHY 4 OR MORE,5120.0,,979.88,4403.2,85
CPT,95810,PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,1134.0,,81.46,1059.48,55
CPT,95811,HC POLYSOMNOGRAPHY W/CPAP,5536.0,,1008.941,4760.96,85
CPT,95811,PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,1179.0,,86.06,1124.73,55
CPT,95812,HC EEG EXT MONIT 41-60MIN,2287.0,,253.69,1966.82,85
CPT,95812,PR ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,475.0,,14.43,403.75,55
CPT,95813,HC EEG EXTENDED MONITORING; 61-119 MIN,2409.0,,253.69,2071.74,85
CPT,95813,PR EEG EXTENDED MONITORING 61-119 MINUTES,827.0,,23.04,702.95,55
CPT,95816,HC EEG AWAKE AND DROWSY,1308.0,,253.69,1124.88,85
CPT,95816,PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,478.0,,12.84,406.3,55
CPT,95819,HC EEG AWAKE AND ASLEEP,1477.0,,253.69,1270.22,85
CPT,95819,PR ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,532.0,,9.42,452.2,55
CPT,95822,HC EEG COMA OR SLEEP ONLY,1481.0,,253.69,1273.66,85
CPT,95822,PR ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY,630.0,,16.66,535.5,55
CPT,95824,HC EEG CEREBRAL DEATH EVAL,1371.0,,198.15,1179.06,85
CPT,95824,PR ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY,331.0,,22.18,281.35,55
CPT,95829,HC ELECTROCORTICOGRAM,2142.0,,599.76,2773.8,84
CPT,95829,PR ELECTROCORTICOGRAM SURGERY SPX,3116.0,,40.41,2648.6,55
CPT,95830,PR INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP,703.0,,66.504,597.55,55
CPT,95851,HC MOTION MEASUR&RPRT TRUNK,154.0,,12.26,132.44,84
CPT,95851,PR ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPI,113.0,,5.658,116.77,55
CPT,95852,HC MOTION MEASUR&RPRT HAND,154.0,,8.59,132.44,84
CPT,95852,PR ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID,135.0,,4.1768,116.77,55
CPT,95857,HC TENS TEST MYASTHN GRAVIS,298.0,,44.82,256.28,85
CPT,95857,PR CHOLINESTERASE INHIBITOR CHALLENGE TEST,536.0,,20.654,455.6,55
CPT,95860,HC EMG 1 EXTREM,734.0,,156.3195,631.24,85
CPT,95860,PR NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS,484.0,,29.8,411.4,55
CPT,95861,HC EMG 2 EXTREM,823.0,,156.3195,707.78,85
CPT,95861,PR NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS,829.0,,56.93,704.65,55
CPT,95863,HC EMG 3 EXTREM,1046.0,,151.179,899.56,85
CPT,95863,PR NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS,1090.0,,60.63,926.5,55
CPT,95864,HC EMG 4 EXTREM,1049.0,,151.179,902.14,85
CPT,95864,PR NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS,1000.0,,75.7436,850.0,55
CPT,95865,HC EMG LARYNX,382.0,,106.96,328.52,85
CPT,95865,PR NEEDLE ELECTROMYOGRAPHY LARYNX,1042.0,,59.2664,885.7,55
CPT,95866,HC NEEDLE EMG HEMIDIAPHRAGM,303.0,,84.84,260.58,85
CPT,95866,PR NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM,688.0,,47.4628,619.2,55
CPT,95867,HC EMG CRANL NERV SUP MUSCL,879.0,,167.38,755.94,85
CPT,95867,PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI,425.0,,25.0,398.37,55
CPT,95868,HC EMG CRAN NERV SUP MUS BI,968.0,,217.73,832.48,85
CPT,95868,PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI,813.0,,44.5096,695.45,55
CPT,95869,HC EMG THORACIC PARASPIN MUS,353.0,,98.84,303.58,85
CPT,95869,PR NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12,331.0,,5.93,295.34,55
CPT,95870,HC EMG LIMITED,400.0,,112.0,344.0,85
CPT,95870,PR NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI,364.0,,7.41,309.4,55
CPT,95872,PR NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER,654.0,,70.31,680.0,55
CPT,95873,HC ELECTRIC GUIDANCE W/CHEMODENER,161.0,,45.08,138.46,84
CPT,95873,PR ELECTRICAL STIMULATION GUID W/CHEMODENERVATION,165.0,,14.0208,140.25,55
CPT,95874,HC NEEDLE ELECT GUIDE W/CHEMODENE,162.0,,45.36,139.32,84
CPT,95874,PR NEEDLE EMG GUID W/CHEMODENERVATION,211.0,,14.0208,179.35,55
CPT,95875,PR ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB,235.0,,31.19,214.09,55
CPT,95885,HC EMG EA EXTRM W/NERV LIMIT,382.0,,96.61,328.52,84
CPT,95885,PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED,512.0,,13.2756,460.8,55
CPT,95886,HC EMG EA EXTRM W/NERV 5/3/4,712.0,,150.88,612.32,84
CPT,95886,PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE,525.0,,32.706,472.5,55
CPT,95887,HC EMG NONEXTRM W/NERV LIMIT,868.0,,129.99,746.48,84
CPT,95887,PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION,806.0,,26.8088,725.4,55
CPT,95905,HC MOTOR NERVE COND SENSY,171.0,,47.88,524.86,85
CPT,95907,HC 1-2 NERVE CONDCT STUDIES,487.0,,136.36,418.82,85
CPT,95907,PR NERVE CONDUCTION STUDIES 1-2 STUDIES,564.0,,38.1156,507.6,55
CPT,95908,HC 3-4 NERVE CONDCT STUDIES,908.0,,176.17,780.88,85
CPT,95908,PR NERVE CONDUCTION STUDIES 3-4 STUDIES,847.0,,47.4628,762.3,55
CPT,95909,HC 5-6 NERVE CONDCT STUDIES,1501.0,,211.36,1290.86,85
CPT,95909,PR NERVE CONDUCTION STUDIES 5-6 STUDIES,1091.0,,57.0492,981.9,55
CPT,95910,HC 7-8 NERVE CONDCT STUDIES,1998.0,,276.03,1718.28,85
CPT,95910,PR NERVE CONDUCTION STUDIES 7-8 STUDIES,1029.0,,75.992,926.1,55
CPT,95911,HC 9-10 NERVE CONDCT STUDIES,2271.0,,332.89,1953.06,85
CPT,95911,PR NERVE CONDUCTION STUDIES 9-10 STUDIES,1294.0,,94.9256,1164.6,55
CPT,95912,HC 11-12 NERVE CONDCT STUDIES,2998.0,,389.44,2578.28,85
CPT,95912,PR NERVE CONDUCTION STUDIES 11-12 STUDIES,1477.0,,113.6108,1329.3,55
CPT,95913,HC 13+ NERVE CONDCT STUDIES,3388.0,,438.426,2913.68,85
CPT,95913,PR NERVE CONDUCTION STUDIES 13/> STUDIES,1996.0,,134.7616,1796.4,55
CPT,95921,HC R-R INTERVAL TESTING,324.0,,90.72,278.64,85
CPT,95921,PR TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,319.0,,24.92,331.41,55
CPT,95922,HC TESTING ANS FUNCTION VASOMOTOR ADRENERGIC INNERVAJ,679.0,,149.27,583.94,85
CPT,95922,PR TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ,352.0,,26.33,364.03,55
CPT,95923,HC SYMPATHETIC SKIN RESPONSE,187.0,,52.36,191.88,85
CPT,95923,PR TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION,367.0,,17.44,340.0,55
CPT,95924,HC TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT,629.0,,176.12,540.94,85
CPT,95924,PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT,783.0,,62.2196,704.7,55
CPT,95925,HC SOMATOSENS RESP UP EXTR,1167.0,,253.69,1003.62,85
CPT,95925,PR SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS,646.0,,13.69,623.33,55
CPT,95926,HC SOMATOSENS RESP LOW EXTR,1060.0,,247.31,911.6,85
CPT,95926,PR SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS,630.0,,13.69,623.33,55
CPT,95927,HC SOMATOSENS EVOK TNK/HEAD,911.0,,253.69,783.46,85
CPT,95927,PR SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD,599.0,,10.27,623.33,55
CPT,95928,HC CNTRL MOTR EVK POT UPRLMB,330.0,,92.4,1008.941,85
CPT,95928,PR CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS,891.0,,68.1955,801.9,55
CPT,95929,HC CNTRL MOTR EVK POT LWRLMB,354.0,,99.12,438.426,85
CPT,95929,PR CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS,782.0,,56.3132,703.8,55
CPT,95930,HC VISUAL EVOKED POTENTIAL (VEP) EXCEPT GLAUCOMA WITH I & R,1231.0,,105.66,1058.66,85
CPT,95930,PR VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R,416.0,,9.62,432.72,55
CPT,95933,HC BLINK REFLEX,423.0,,69.3105,363.78,85
CPT,95933,PR ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST,280.0,,24.35,250.71,55
CPT,95937,HC NEUROMUSCULAR JUNCTION,458.0,,128.24,393.88,85
CPT,95937,PR NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH,456.0,,16.18,387.6,55
CPT,95938,HC SHRTLATENCY STUDY U&LLIMB,1919.0,,537.32,1650.34,85
CPT,95938,PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB,690.0,,32.706,621.0,55
CPT,95939,HC CENTRL MOTOR STUDYU&LLIMB,1957.0,,547.96,1683.02,85
CPT,95939,PR CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LI,1479.0,,85.5784,1331.1,55
CPT,95940,HC ITROP NEUMNTR 1:1OR/15MIN,245.0,,50.58,210.7,84
CPT,95940,PR IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES,385.0,,23.137,346.5,55
CPT,95941,HC ITROP NEUMNTR RMT/>1PT/HR,933.0,,261.24,802.38,84
CPT,95954,PR RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE,584.0,,47.02,496.4,55
CPT,95955,HC EEG NONINTRACRANIAL SURG,790.0,,221.2,679.4,84
CPT,95955,PR EEG NONINTRACRANIAL SURGERY,738.0,,40.13,630.19,55
CPT,95957,"HC DIGIT ANLY OF EEG,SPIKE ANLY",237.0,,66.36,461.24,84
CPT,95957,PR DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,758.0,,47.73,745.23,51
CPT,95958,PR WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG,2751.0,,90.17,2338.35,55
CPT,95961,HC SUB/CORTICAL MAP 1ST HR,785.0,,219.8,1008.941,85
CPT,95961,PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR,1010.0,,89.68,884.33,47
CPT,95962,HC SUB/CORTICAL MAP ADD HR,832.0,,232.96,715.52,84
CPT,95962,PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR,686.0,,111.82,660.15,47
CPT,95970,HC ANALY NEUROSTIM WO REPROG,1401.0,,28.91,1204.86,85
CPT,95970,PR ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING,231.0,,13.524,238.68,55
CPT,95971,HC ANLY IMPL NEUROSTM W/PRG,1851.0,,61.72,1591.86,85
CPT,95971,PR ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG,364.0,,28.2808,358.87,55
CPT,95972,HC ANLY NEUR CMPLX SPINLCRD/PERIPH+PROG,1851.0,,64.02,1591.86,85
CPT,95972,PR ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,687.0,,29.0168,714.34,55
CPT,95980,PR ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG,403.0,,32.9544,419.48,55
CPT,95981,PR ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG,151.0,,13.0364,156.99,55
CPT,95982,PR ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG,350.0,,27.048,340.97,55
CPT,95990,HC REFILL/MAINT IMP PUMP SPINE/BRAIN,616.0,,141.97,529.76,85
CPT,95990,PR REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN,554.0,,64.1884,498.6,50
CPT,95991,HC REFILLL/MAINT IMP PMP BRAIN/SPINE REQ MD,622.0,,63.69,534.92,85
CPT,95991,PR RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP,347.0,,28.7684,294.95,55
CPT,95992,PR CANALITH REPOSITIONING PROCEDURE,424.0,,25.619,381.6,55
CPT,96020,HC FUNCTIONAL BRAIN MAPPING BY PHYS/QHP,864.0,,241.92,743.04,84
CPT,96020,PR TEST SELECT & ADMN FUNCTL BRAIN MAP PHYS/QHP,679.0,,131.0445,599.74,47
CPT,96041,PR MED GENETICS&GENETIC COUNSELING SVCS EACH 30 MIN,144.0,,44.21,129.6,40
CPT,96105,HC AST APHASIA W/I&R PER HR,742.0,,152.23,638.12,84
CPT,96105,PR ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR,487.0,,61.58,431.01,55
CPT,96110,HC DVLOPMNTL TST LNG MTR LTD,602.0,,168.56,517.72,83
CPT,96110,PR DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM,314.0,,9.0344,278.18,46
CPT,96112,HC DEVELOPMENTAL TEST ADMIN PHYS/QHP 1ST HR,439.0,,122.92,377.54,85
CPT,96113,HC DEVELOPMENTAL TEST ADMIN PHYS/QHP EA ADDL 30MIN,219.0,,61.32,188.34,84
CPT,96116,"HC NEUROBEHAVIORAL STATUS EXAM PHYS W/PT, INTERPJ & PREPJ 1ST HR",695.0,,125.98,597.7,85
CPT,96116,PR NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR,423.0,,58.0336,359.55,55
CPT,96121,"HC NEUROBEHAVIORAL STATUS EXAM PHYS W/PT, INTERPJ & PREPJ EA ADD'L HR",695.0,,104.25,597.7,84
CPT,96121,PR NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR,420.0,,52.7085,378.0,55
CPT,96125,HC STND COGNITIV TESTING/HR,489.0,,136.92,420.54,84
CPT,96125,PR STANDARDIZED COGNITIVE PERFORMANCE TESTING,912.0,,87.9835,890.46,42
CPT,96127,HC BRIEF EMOTION/BEHAV ASSMT,215.0,,7.49,184.9,85
CPT,96127,PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT,67.0,,4.3,60.3,42
CPT,96132,HC NEUROPSYCHOLOGIST ROOM 1ST HR,594.0,,166.32,510.84,85
CPT,96132,PR NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR,1210.0,,85.017,1089.0,55
CPT,96133,HC NEUROPSYCHOLOGIST ROOM EACH ADD HR,594.0,,119.69,510.84,84
CPT,96133,PR NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR,924.0,,60.537,831.6,55
CPT,96136,PR PSYL/NRPSYCL TST PHYS/QHP 2+ TST 1ST 30 MIN,250.0,,18.496,225.0,55
CPT,96137,PR PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN,209.0,,13.0364,188.1,55
CPT,96138,HC PSYCL/NRPSYCL TECH ROOM 1ST 30 MIN,299.0,,53.77,524.86,85
CPT,96139,HC PSYCL/NRPSYCL TECH ROOM EACH ADD 30 MIN,299.0,,55.33,257.14,84
CPT,96146,HC PSYCL/NEUROPSYCL TEST ELEC PLATFORM AUTO RESULT,537.0,,3.85,461.82,85
CPT,96156,HC HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,537.0,,119.3585,461.82,85
CPT,96156,PR HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,953.0,,69.2024,857.7,51
CPT,96158,HC HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,269.0,,75.32,231.34,85
CPT,96158,PR HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,658.0,,44.1508,592.2,51
CPT,96159,HC HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,136.0,,31.19,116.96,84
CPT,96159,PR HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,227.0,,15.2352,204.3,51
CPT,96160,HC PATIENT-FOCUSED HEALTH RISK ASSESSMENT INSTRUMENT,140.0,,4.68,120.4,85
CPT,96161,HC CAREGIVER-FOCUSED HEALTH RISK ASSESSMENT INSTRUMENT,140.0,,4.68,120.4,85
CPT,96164,HC HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN,147.0,,14.9,126.42,85
CPT,96164,PR HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN,109.0,,6.4584,98.1,51
CPT,96165,HC HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN,74.0,,6.3,63.64,84
CPT,96165,PR HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN,53.0,,2.8428,47.7,51
CPT,96167,HC HEALTH BEHAVIOR IVNTJ FAMILY W/PT F2F 1ST 30 MIN,269.0,,44.022,231.34,85
CPT,96167,PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN,735.0,,50.3516,661.5,51
CPT,96168,HC HEALTH BEHAVIOR IVNTJ FAMILY W/PT F2F EA ADD 15 MIN,136.0,,34.86,116.96,84
CPT,96168,PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN,273.0,,18.078,245.7,51
CPT,96170,HC HEALTH BEHAVIOR IVNTJ FAMILY W/O PT F2F 1ST 30 MIN,259.0,,72.52,222.74,83
CPT,96170,PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN,710.0,,55.3605,639.0,46
CPT,96171,HC HEALTH BEHAVIOR IVNTJ FAMILY W/O PT F2F EA ADDL 15,129.0,,36.12,110.94,83
CPT,96171,PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15,256.0,,20.009,230.4,46
CPT,96360,HC IV INF HYDRA INIT 1 HR,759.0,,50.75,652.74,85
CPT,96361,HC IV HYDRA EA ADD HR,119.0,,19.5,102.34,85
CPT,96365,HC IV INF THER INIT 1 HR,792.0,,98.72,681.12,85
CPT,96366,HC IV THER EA ADD HR,119.0,,32.03,102.34,85
CPT,96367,HC IV THER ADD SEQ INF 1HR,417.0,,44.52,358.62,85
CPT,96368,HC IV THER CONCURR INF,704.0,,30.99,605.44,84
CPT,96370,HC SUBCU INF EACH ADDITIONAL HOUR,234.0,,25.27,201.24,85
CPT,96372,HC THER INJ SUBCU/IM,262.0,,22.67,225.32,85
CPT,96373,HC THER INJ INTRA-ARTER,262.0,,29.43,249.9065,85
CPT,96374,HC THER INJ IVP INIT DRUG,373.0,,57.72,320.78,85
CPT,96375,HC THER INJ EA ADD SQ IVP,345.0,,24.19,296.7,85
CPT,96376,HC THER IVP SAME DRUG EA,332.0,,34.2,285.52,84
CPT,96377,HC APPLICATON ON-BODY INJECTOR (NEULASTA),304.0,,28.91,261.44,85
CPT,96401,HC CHEMADM SUBCU/IM NONHORM,502.0,,84.594,431.72,85
CPT,96401,HC VELCADE INJ SUBCU/IM,502.0,,84.594,431.72,85
CPT,96402,HC CHEM ADM SUBCU HORM,482.0,,55.65,414.52,85
CPT,96405,HC CHEM-INTRALES-UP TO 7 LESIONS,530.0,,45.13,455.8,85
CPT,96405,PR CHEMOTHERAPY ADMINISTRATION INTRALESIONAL </7,262.0,,20.5615,230.09,55
CPT,96406,HC CHEM-INTRALES > 7 LESIONS,557.0,,70.36,479.02,85
CPT,96406,PR CHEMOTHERAPY ADMINISTRATION INTRALESIONAL >7,372.0,,32.4576,355.45,55
CPT,96409,HC CHEM ADM IVP-INIT,537.0,,150.36,461.82,85
CPT,96411,HC CHEM ADM-IVP-EA ADD,537.0,,84.594,461.82,85
CPT,96413,HC CHEM ADM-IV-1HR-INIT,1212.0,,203.39,1042.32,85
CPT,96413,HC CHEMO IV INF REQ POST MONITORING,1982.0,,203.39,1704.52,85
CPT,96415,HC CHEM ADM-IV EA ADD HR,120.0,,33.6,103.2,85
CPT,96416,HC CHEM ADM IV PUMP >8HRS,923.0,,200.23,793.78,85
CPT,96417,HC CHEMADM IV EA ADD SQ 1HR,396.0,,84.594,340.56,85
CPT,96420,HC CHEMO INTRA-ART-PUSH,530.0,,148.4,455.8,85
CPT,96420,PR CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ,203.0,,41.33,421.69,50
CPT,96422,HC INTRART CHEMOADM INFTO1HR,999.0,,245.34,859.14,85
CPT,96440,HC CHEMO INTRACAV-THORACENTESIS,1433.0,,212.67,1232.38,85
CPT,96446,HC CHEMO ADMIN VIAPORT/CATH,781.0,,33.82,671.66,85
CPT,96450,HC CHEMO INTO CNS W/SPIN PUNC,1505.0,,121.34,1294.3,85
CPT,96450,PR CHEMOTX ADMN CNS REQ SPINAL PUNCTURE,1015.0,,56.3132,862.75,53
CPT,96521,HC REFILL MAINT PORT PUMP - NONCHEMO,550.0,,154.0,473.0,85
CPT,96521,HC REFILL MAINT PORT PUMP-CHEMO,570.0,,159.6,490.2,85
CPT,96522,HC REFILL MAINT IMPLT PUMP - NONCHEMO,796.0,,185.15,684.56,85
CPT,96522,HC REFILL MAINT IMPLT PUMP-CHEMO,826.0,,185.15,710.36,85
CPT,96523,HC IRRIGATION OF IMPLANT VAD - NONCHEMO,197.0,,39.23,169.42,85
CPT,96542,HC CHEMO INJ VIA SUBCU RESV,1433.0,,66.69,1232.38,85
CPT,96542,PR CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT,633.0,,30.2496,582.11,55
CPT,96547,PR INTRAOPERATIVE HIPEC PX FIRST 60 MINUTES,5853.0,,146.74,5267.7,47
CPT,96548,PR INTRAOPERATIVE HIPEC PX EACH ADDL 30 MINUTES,2927.0,,136.7735,2634.3,47
CPT,96549,"HC UNLISTED CHEMO PX, CONCURRENT ADMIN",1212.0,,0.68,1042.32,85
CPT,96549,"PR CHEMOTHERAPY, UNSPECIFIED PROCEDURE, HIPEC - HYPOTHERMIC INTRAPERITONEAL CHEMOTHERAPY",5853.0,,0.31,6027.19,32
CPT,96567,HC PDT TX/ EXPOSURE SESSION,682.0,,190.96,586.52,85
CPT,96567,PR PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY,865.0,,97.1428,735.25,50
CPT,96570,"HC PDT THER,LIGHT 1ST 30MIN",1428.0,,80.0,1228.08,84
CPT,96570,PR PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN,662.0,,39.5968,562.7,55
CPT,96571,"HC PDT THER,LIGHT ADDL 15MIN",1354.0,,39.63,1164.44,84
CPT,96571,PR PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN,334.0,,18.1976,283.9,55
CPT,96573,PR PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP,486.0,,161.8188,485.78,55
CPT,96574,PR DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT,621.0,,198.95,593.06,55
CPT,96900,HC ACTINOTHERAPY UV,247.0,,39.21,212.42,85
CPT,96900,PR ACTINOTHERAPY ULTRAVIOLET LIGHT,100.0,,13.25,85.0,50
CPT,96902,HC TRICHOGRAM,107.0,,29.96,92.02,84
CPT,96904,HC WHOLE BODY INTEG PHOTO,442.0,,107.33,380.12,84
CPT,96910,HC PHOTO/CHEMO THERAPY UV-B,115.0,,32.2,185.53,85
CPT,96910,PR PHOTOCHEMOTX TAR&UVB/PETROLATUM/UVB,319.0,,19.03,271.15,50
CPT,96912,HC PHOTCHEMOTHERAPY UV-A,321.0,,69.3105,276.06,85
CPT,96912,PR PHOTOCHEMOTX PSORALENS&ULTRAVIOLET A PUVA,276.0,,21.98,238.65,50
CPT,96913,HC PHOTOCHEMO UV-A OR B,734.0,,205.52,631.24,85
CPT,96913,PR PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION,367.0,,44.91,374.34,50
CPT,96999,HC PHOTO 1-3 VIEWS,63.0,,17.64,235.727,84
CPT,96999,HC PHOTO 10-12 VIEW,134.0,,37.52,235.727,84
CPT,96999,HC PHOTO 13-15 VIEW,160.0,,44.8,235.727,84
CPT,96999,HC PHOTO 4-6 VIEWS,78.0,,21.84,235.727,84
CPT,96999,HC PHOTO 7-9 VIEW,107.0,,29.96,235.727,84
CPT,96999,HC PHOTO OVER 15 VIEW,220.0,,61.6,235.727,84
CPT,96999,HC WHOLE BODY PHOTO,353.0,,98.84,303.58,84
CPT,97007,HC SCALP COOLING 1ST MEASUREMENT & CAP CALIBRATION,5195.0,,1454.6,4467.7,84
CPT,97008,HC MECHANICAL SCALP COOLING PREP PLMT,305.0,,85.4,262.3,83
CPT,97009,HC MECHANICAL SCALP COOLING AFTER CHEMO,146.0,,40.88,125.56,83
CPT,97012,HC MECHANICAL TRACTION,65.0,,18.2,55.9,84
CPT,97018,HC PARAFFIN BATH,73.0,,9.08,62.78,84
CPT,97032,HC ELEC STIM(MANUAL) 15MIN,100.0,,22.71,86.0,168
CPT,97034,HC CONTRAST BATH 15MIN,75.0,,21.0,64.5,84
CPT,97110,HC THER EXER 15MIN,136.0,,38.08,116.96,168
CPT,97112,HC NEUROMS REEDUC EX 15MIN,136.0,,38.08,116.96,168
CPT,97116,HC GAIT TRAINING 15MIN,136.0,,38.08,116.96,84
CPT,97124,HC THERAPEU MASSAGE 15MIN,138.0,,38.64,118.68,84
CPT,97129,HC TX INTV COGNITIVE FUNCTION/STRATEGY DIRECT INITIAL 15 MIN - OT,142.0,,34.81,122.12,84
CPT,97129,HC TX INTV COGNITIVE FUNCTION/STRATEGY DIRECT INITIAL 15 MIN - SPEECH,163.0,,34.81,140.18,84
CPT,97130,HC TX INTV COGNITIVE FUNCTION/STRATEGY DIRECT EA ADDL 15 MIN - OT,163.0,,33.24,140.18,84
CPT,97130,HC TX INTV COGNITIVE FUNCTION/STRATEGY DIRECT EA ADDL 15 MIN - SPEECH,163.0,,33.24,140.18,84
CPT,97140,HC MANUAL THERAPY 15MIN,197.0,,42.57,169.42,252
CPT,97150,HC GROUP THERAPY,88.0,,24.64,75.68,168
CPT,97161,HC PT EVAL LOW COMPLEX 20 MIN,339.0,,94.92,291.54,84
CPT,97162,HC PT EVAL MOD COMPLEX 30 MIN,461.0,,129.08,396.46,84
CPT,97163,HC PT EVAL HIGH COMPLEX 45 MIN,651.0,,158.23,559.86,84
CPT,97164,HC PT RE-EVAL EST PLAN CARE,201.0,,56.28,172.86,84
CPT,97165,HC OT EVAL LOW COMPLEX 30 MIN,353.0,,98.84,303.58,84
CPT,97166,HC OT EVAL MOD COMPLEX 45 MIN,461.0,,129.08,396.46,84
CPT,97167,HC OT EVAL HIGH COMPLEX 60 MIN,587.0,,159.79,504.82,84
CPT,97168,HC OT RE-EVAL EST PLAN CARE,201.0,,56.28,172.86,84
CPT,97530,HC THERAP ACTIVITIES 15MIN,153.0,,42.84,131.58,168
CPT,97530,PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,131.0,,19.07,111.35,50
CPT,97533,HC SENSORY INTEG 15MIN,144.0,,40.32,123.84,166
CPT,97533,PR SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,136.0,,47.55,137.37,42
CPT,97535,HC SELF CARE HOME TRN 15 MIN,153.0,,42.84,131.58,168
CPT,97535,PR SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,111.0,,19.36,108.68,50
CPT,97537,HC COMM/WK REINTEGR 15MIN,94.5,,21.0,98.04,166
CPT,97537,PR COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN,101.0,,19.36,98.55,50
CPT,97542,HC W/C MGT/PROP TRAIN 15MIN,114.0,,31.92,98.04,168
CPT,97545,PR WORK HARDENING/CONDITIONING 1ST 2 HR,358.0,,58.45,364.03,40
CPT,97546,PR WORK HARDENING/CONDITIONING EACH HOUR,144.0,,17.92,153.86,40
CPT,97550,"HC CAREGIVER TRAING W/O PATIENT, FACE TO FACE 1ST 30 MIN",120.0,,33.6,103.2,84
CPT,97551,"HC CAREGIVER TRAING W/O PATIENT, FACE TO FACE EA ADD'L 15 MIN",60.0,,16.8,51.6,84
CPT,97597,HC DEBRIDEMENT <20 SQ CM,249.0,,56.3,235.727,85
CPT,97597,PR DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM/<,282.0,,25.8244,253.8,55
CPT,97598,HC DEBRIDEMENT EA 20 SQ CM,294.0,,39.5,252.84,84
CPT,97598,PR DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF,227.0,,19.1845,205.43,47
CPT,97602,HC WOUND CARE NON-SELECT,240.0,,67.2,235.727,84
CPT,97602,PR RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS,148.0,,37.71,184.7,40
CPT,97605,HC WOUND VAC < 50 SQ CM,295.0,,37.96,253.7,85
CPT,97605,PR NEGATIVE PRESSURE WOUND THERAPY DME <= 50 SQ CM,263.0,,18.0965,236.7,47
CPT,97606,HC WOUND VAC >50 SQ CM,436.0,,41.63,477.618,85
CPT,97606,PR NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM,374.0,,19.4304,336.6,55
CPT,97607,HC NEG PRESSURE WOUND TX DISPOSABLE (NO-DME) ASSESSMT/INSTRUCT <=50SQCM,618.0,,173.04,531.48,84
CPT,97608,HC NEG PRESSURE WOUND TX DISPOSABLE (NO-DME) ASSESSMT/INSTRUCT >50SQCM,743.0,,208.04,638.98,84
CPT,97610,HC WOUND US MIST THERPY,613.0,,28.0,527.18,85
CPT,97750,HC PHYSICAL PERF TEST 15MIN,134.0,,37.52,115.24,168
CPT,97750,PR PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN,132.0,,22.0,137.37,50
CPT,97760,HC ORTH MGMT & TRAIN INITIAL ENCTR 15 MIN,126.0,,35.28,108.36,168
CPT,97760,PR ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS,249.0,,31.8412,224.1,46
CPT,97761,HC PROST TRAINING INITIAL ENCTR 15 MIN,161.0,,45.08,138.46,168
CPT,97761,PR PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,249.0,,31.05,224.1,46
CPT,97763,HC ORTH/PROST MGMT & TRAIN SBSQ ENCTR 15 MIN,125.0,,35.0,107.5,168
CPT,97799,PR ENDOLUMINAL WOUND VAC,415.0,,32.936,3468.64,36
CPT,97802,HC INITIAL MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15MIN,131.0,,36.68,112.66,83
CPT,97803,HC MEDICAL NUTRITION RE-ASSMT&IVNTJ INDIV EA 15MIN,131.0,,36.68,112.66,83
CPT,97804,HC MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI,131.0,,36.68,112.66,83
CPT,97810,HC ACUPUNCTURE,276.0,,77.28,237.36,166
CPT,97810,PR ACUPUNCTURE 1/> NDLS W/O ESTIM 1ST 15 MIN,273.0,,23.8085,245.7,47
CPT,97813,HC ACUPUNCTURE WITH ESTIM,354.0,,99.12,304.44,166
CPT,97813,PR ACUPUNCTURE 1/> NDLS W/ESTIM 1ST 15 MIN,295.0,,29.053,265.5,47
CPT,98000,PR AUDIO-VIDEO VISIT CONSULT LEVEL 2,336.0,,34.8755,302.4,42
CPT,98000,PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN,223.0,,34.8755,200.7,42
CPT,98001,PR AUDIO-VIDEO VISIT CONSULT LEVEL 3,444.0,,59.177,399.6,42
CPT,98001,PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN,327.0,,59.177,294.3,42
CPT,98002,PR AUDIO-VIDEO VISIT CONSULT LEVEL 4,752.0,,96.7215,676.8,42
CPT,98002,PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN,474.0,,96.7215,426.6,42
CPT,98003,PR AUDIO-VIDEO VISIT CONSULT LEVEL 5,809.0,,130.0755,728.1,42
CPT,98003,PR SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN,597.0,,130.0755,537.3,42
CPT,98004,PR SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN,130.0,,26.1035,117.0,42
CPT,98005,PR SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN,182.0,,48.1185,163.8,42
CPT,98006,PR SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN,283.0,,71.4765,254.7,42
CPT,98007,PR SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN,595.0,,96.7215,535.5,42
CPT,98008,PR AUDIO ONLY VISIT CONSULT LEVEL 2,336.0,,33.745,302.4,42
CPT,98008,PR SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN,223.0,,33.745,200.7,42
CPT,98009,PR AUDIO ONLY VISIT CONSULT LEVEL 3,444.0,,57.4515,399.6,42
CPT,98009,PR SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN,327.0,,57.4515,294.3,42
CPT,98010,PR AUDIO ONLY VISIT CONSULT LEVEL 4,752.0,,90.0575,676.8,42
CPT,98010,PR SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN,474.0,,90.0575,426.6,42
CPT,98011,PR AUDIO ONLY VISIT CONSULT LEVEL 5,809.0,,119.119,728.1,42
CPT,98011,PR SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN,597.0,,119.119,537.3,42
CPT,98012,PR SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN,130.0,,24.106,117.0,42
CPT,98013,PR SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN,182.0,,44.693,163.8,42
CPT,98014,PR SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN,283.0,,65.093,254.7,42
CPT,98015,PR SYNCHRONOUS AUDIO-ONLY VISIT EST HIGH MDM 40 MIN,595.0,,96.7215,535.5,42
CPT,98925,PR OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS,127.0,,16.7256,127.07,55
CPT,98926,PR OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS,163.0,,25.823,168.29,47
CPT,98927,PR OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS,191.0,,33.6904,197.47,55
CPT,98928,PR OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS,209.0,,42.5408,216.36,55
CPT,98929,PR OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS,231.0,,48.31,224.95,55
CPT,98960,HC EDU SELF-MGT EA 30 MIN,138.0,,38.64,118.68,83
CPT,98966,PR TELEPHONE ASSMT&MGMT SVC NQHP EST PT 5-10 MIN,40.0,,8.9505,36.0,45
CPT,98967,PR TELEPHONE ASSMT&MGMT SVC NQHP EST PT 11-20 MIN,79.0,,17.3485,71.1,47
CPT,98968,PR TELEPHONE ASSMT&MGMT SVC NQHP EST PT 21-30 MIN,133.0,,25.0665,119.7,45
CPT,99000,PR HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,124.0,,4.91,128.79,39
CPT,99001,PR HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,187.0,,10.0,194.04,40
CPT,99070,PR SUPPLIES&MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP,72.0,,9.53,61.2,40
CPT,99091,HC PHARMACOKINETIC BUSULFAN,972.0,,86.03,835.92,84
CPT,99091,PR COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D,187.0,,39.5,192.78,55
CPT,99140,PR ANES COMP BY EMERGENCY CONDITIONS SPECIFY,395.0,,63.19,335.75,40
CPT,99151,"HC MOD SEDATION SAME PHYS/QHP <5 YRS, INITIAL 15MIN",525.0,,147.0,451.5,83
CPT,99151,PR MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,266.0,,18.3005,239.4,51
CPT,99152,"HC MOD SEDATION SAME PHYS/QHP 5/>YRS, INITIAL 15MIN",525.0,,19.49,451.5,84
CPT,99152,PR MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,134.0,,8.8504,120.6,55
CPT,99153,HC MOD SEDATION SAME PHYS/QHP EA ADD'L 15MIN,312.0,,18.62,268.32,84
CPT,99155,HC MOD SEDATION OTHER  PHYS/QHP < 5YRS; INITIAL 15MIN,525.0,,147.0,451.5,83
CPT,99155,PR MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,961.0,,63.526,864.9,51
CPT,99156,HC MOD SEDATION OTHER  PHYS/QHP 5/>YRS; INITIAL 15MIN,525.0,,119.96,451.5,84
CPT,99156,PR MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,781.0,,54.1052,702.9,55
CPT,99157,HC MOD SEDATION OTHER  PHYS/QHP EA ADD'L 15 MIN,312.0,,87.36,268.32,84
CPT,99157,PR MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,568.0,,42.0532,511.2,55
CPT,99184,PR INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE,2450.0,,160.4715,2205.0,47
CPT,99188,PR APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP,101.0,,7.242,90.9,42
CPT,99195,HC THERAPEUT PHLEB,191.0,,53.48,164.26,85
CPT,99195,PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,309.0,,14.51,262.65,50
CPT,99199,HC PREP & HANDLING TIL THERAPY,364.0,,101.92,313.04,83
CPT,99199,HC TXPREP MANIP HANDLG,1689.0,,472.92,1452.54,83
CPT,99199,HC TXPREP MANIP HANDLG - OTHER CELLULAR THERAPY,1689.0,,472.92,1452.54,83
CPT,99202,HC CLINIC VISIT NEW LEVEL 2,198.0,,55.44,170.28,32
CPT,99202,PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES,233.0,,22.678,198.05,55
CPT,99203,HC CLINIC VISIT NEW LEVEL 3,297.0,,83.16,255.42,32
CPT,99203,PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES,341.0,,30.6452,289.85,55
CPT,99204,HC CLINIC VISIT NEW LEVEL 4,396.0,,110.88,340.56,32
CPT,99204,PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES,495.0,,44.8408,423.15,55
CPT,99205,HC CLINIC VISIT NEW LEVEL 5,493.0,,138.04,423.98,32
CPT,99205,PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES,623.0,,55.752,554.21,55
CPT,99211,HC CLINIC VISIT ESTAB LVL 1,142.0,,13.83,122.12,32
CPT,99211,PR OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP,71.0,,6.664,73.84,53
CPT,99212,HC CLINIC VISIT ESTAB LVL 2,198.0,,55.44,170.28,32
CPT,99212,HC MARROW-DONOR INFO SESSION,2500.0,,56.26,2150.0,84
CPT,99212,HC PBSC-DONOR INFO SESSION,2398.0,,56.26,2062.28,84
CPT,99212,PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN,136.0,,12.466,132.21,55
CPT,99213,HC CLINIC VISIT ESTAB LVL 3,297.0,,83.16,255.42,32
CPT,99213,PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN,190.0,,18.7404,194.04,55
CPT,99214,HC CLINIC VISIT ESTAB LVL 4,396.0,,110.88,340.56,32
CPT,99214,PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN,296.0,,26.3212,257.57,55
CPT,99215,HC CLINIC VISIT ESTAB LVL 5,493.0,,138.04,423.98,32
CPT,99215,HC MARROW-DONOR PHYSICAL EXM,8068.0,,229.3,6938.48,84
CPT,99215,HC MNC APHERESIS MONONUCLEAR CELLS DONOR PHYSICAL EXAM,7000.0,,229.3,6020.0,84
CPT,99215,HC PBSC-DONOR PHYSICAL EXAM,8091.0,,229.3,6958.26,84
CPT,99215,PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN,621.0,,40.5168,643.93,55
CPT,99221,PR 1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES,349.0,,55.1264,343.43,55
CPT,99221,PR VIDEO INIT HOSP IP/OBS CARE LOW MDM 40 MIN,349.0,,55.1264,343.43,55
CPT,99222,PR 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES,469.0,,87.446,461.91,53
CPT,99222,PR VIDEO INIT HOSP IP/OBS CARE MODERATE MDM 55 MIN,469.0,,87.446,461.91,53
CPT,99223,PR 1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES,668.0,,110.5288,666.11,55
CPT,99223,PR VIDEO INIT HOSP IP/OBS CARE HIGH MDM 75 MIN,668.0,,110.5288,666.11,55
CPT,99231,PR SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES,186.0,,29.1456,182.02,55
CPT,99231,PR VIDEO SUBSQT HOSP CARE E&M 15 MIN,186.0,,29.1456,182.02,55
CPT,99232,PR SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES,252.0,,41.8416,247.26,53
CPT,99232,PR VIDEO SUBSQT HOSP CARE E&M 25 MIN,252.0,,41.8416,247.26,53
CPT,99233,PR SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES,318.0,,56.2764,643.93,55
CPT,99233,PR VIDEO SUBSQT HOSP CARE E&M 35 MIN,318.0,,56.2764,643.93,55
CPT,99234,PR HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN,483.0,,77.2395,481.28,53
CPT,99235,PR HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN,635.0,,124.763,634.01,55
CPT,99236,PR HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN,792.0,,158.7184,789.6,53
CPT,99238,PR HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<,254.0,,50.2136,251.63,53
CPT,99239,PR HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN,365.0,,66.378,363.56,55
CPT,99242,HC CLINIC VISIT CONS LVL 2,198.0,,55.44,170.28,31
CPT,99242,PR OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES,351.0,,48.025,298.35,38
CPT,99243,HC CLINIC VISIT CONS LVL 3,297.0,,83.16,255.42,31
CPT,99243,PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES,463.0,,75.3204,393.55,38
CPT,99244,HC CLINIC VISIT CONS LVL 4,396.0,,110.88,340.56,31
CPT,99244,PR OFFICE/OP CONSLT NEW/EST PT MOD MDM,784.0,,105.616,666.4,40
CPT,99244,PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES,784.0,,105.616,666.4,40
CPT,99245,HC CLINIC VISIT CONS LVL 5,493.0,,138.04,423.98,31
CPT,99245,PR OFFICE/OP CONSLT NEW/EST PT HIGH MDM,844.0,,140.2448,717.4,40
CPT,99245,PR OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES,844.0,,140.2448,717.4,40
CPT,99252,PR IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES,339.0,,59.7356,333.12,38
CPT,99252,PR VIDEO INPATIENT/OBS CONSULT 35 MIN,339.0,,59.7356,333.12,38
CPT,99253,PR IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES,446.0,,77.05,418.46,38
CPT,99253,PR VIDEO INPATIENT/OBS CONSULT 45 MIN,446.0,,77.05,418.46,38
CPT,99254,PR IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES,603.0,,106.49,601.13,40
CPT,99254,PR VIDEO INPATIENT/OBS CONSULT 60 MIN,603.0,,106.49,601.13,40
CPT,99255,PR IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES,752.0,,139.6744,750.26,40
CPT,99255,PR VIDEO INPATIENT/OBS CONSULT 80 MIN,752.0,,139.6744,750.26,40
CPT,99281,PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP,263.0,,9.7325,223.55,55
CPT,99282,PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM,411.0,,29.31,349.35,55
CPT,99283,PR EMERGENCY DEPARTMENT VISIT LOW MDM,520.0,,51.0784,442.0,55
CPT,99284,PR EMERGENCY DEPARTMENT VISIT MODERATE MDM,825.0,,74.7408,701.25,55
CPT,99285,PR EMERGENCY DEPARTMENT VISIT HIGH MDM,1236.0,,92.92,1050.6,55
CPT,99291,HC CRITICAL CARE 1ST 30-74 MIN,2023.0,,339.51,1739.78,85
CPT,99291,PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN,1128.0,,166.53,958.8,55
CPT,99292,HC CRITICAL CARE-1/2HR,765.0,,171.48,657.9,84
CPT,99292,PR CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN,520.0,,79.93,451.61,55
CPT,99358,PR PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR,450.0,,53.27,461.91,46
CPT,99359,PR PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES,228.0,,26.79,230.09,46
CPT,99360,PR PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES,318.0,,44.693,314.24,42
CPT,99366,PR TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN,590.0,,30.4895,613.27,40
CPT,99367,PR TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN,590.0,,39.1092,613.27,44
CPT,99368,PR TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN,590.0,,26.6815,613.27,40
CPT,99374,PR SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES,264.0,,40.987,241.85,44
CPT,99377,PR SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN,253.0,,40.987,241.85,44
CPT,99379,PR SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN,251.0,,40.987,240.45,44
CPT,99381,PR INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR,287.0,,44.64,274.64,42
CPT,99382,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS,300.0,,55.69,300.39,42
CPT,99383,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS,308.0,,55.69,295.28,42
CPT,99384,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR,339.0,,66.75,325.49,42
CPT,99385,HC NEW PT PREVENT 18-39 YR,206.0,,57.68,177.16,31
CPT,99385,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,404.0,,62.22,343.4,50
CPT,99385,"PR PREVENTIVE BREAST EXAM, NEW, 18-39",404.0,,62.22,343.4,50
CPT,99386,HC NEW PT PREVENT 40-64 YR,206.0,,57.68,177.16,31
CPT,99386,PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,480.0,,83.24,408.0,46
CPT,99386,"PR PREVENTIVE BREAST EXAM, NEW, 40-64",480.0,,83.24,408.0,46
CPT,99387,HC NEW PT PREVENT 65+ YR,206.0,,57.68,177.16,31
CPT,99387,PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>,522.0,,93.0155,443.7,46
CPT,99387,"PR PREVENTIVE BREAST EXAM, NEW, 65 & OVER",522.0,,93.0155,443.7,46
CPT,99391,PR PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y,249.0,,33.9,214.82,42
CPT,99392,PR PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS,263.0,,44.64,244.01,42
CPT,99393,PR PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS,263.0,,44.64,241.97,42
CPT,99394,PR PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS,289.0,,55.69,270.78,42
CPT,99395,HC ESTAB PT PREVEN 18-39 YR,206.0,,57.68,177.16,31
CPT,99395,PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS,339.0,,52.11,288.15,50
CPT,99395,"PR PREVENTIVE BREAST EXAM, EST, 18-39",339.0,,52.11,288.15,50
CPT,99396,HC ESTAB PT PREVEN 40-64 YR,206.0,,57.68,177.16,31
CPT,99396,PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS,375.0,,62.22,318.75,46
CPT,99396,"PR PREVENTIVE BREAST EXAM, EST, 40-64",375.0,,62.22,318.75,46
CPT,99397,HC ESTAB PT PREVEN 65+ YR,206.0,,57.68,177.16,31
CPT,99397,PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER,415.0,,72.94,352.75,46
CPT,99397,"PR PREVENTIVE BREAST EXAM, EST, 65 & OVER",415.0,,72.94,352.75,46
CPT,99401,HC PREVEN MED COUNS INDIV 15 MIN,141.0,,39.48,121.26,31
CPT,99401,PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 15 MIN,130.0,,18.0115,110.5,42
CPT,99402,HC PREVEN MED COUNS INDIV 30 MIN,227.0,,63.56,195.22,31
CPT,99402,PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 30 MIN,243.0,,36.5925,206.55,42
CPT,99403,HC PREVEN MED COUNS INDIV 45 MIN,298.0,,83.44,256.28,31
CPT,99403,PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 45 MIN,275.0,,53.9325,274.75,42
CPT,99404,HC PREVEN MED COUNS INDIV 60 MIN,488.0,,136.64,419.68,31
CPT,99404,PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 60 MIN,450.0,,72.335,382.5,42
CPT,99406,HC SMK/TOB CNS ASYMPT>3-10MN,64.0,,17.92,55.04,83
CPT,99406,PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,67.0,,1.84,60.3,55
CPT,99407,HC SMK/TOB CNS ASYMPT >10MIN,74.0,,20.72,63.64,83
CPT,99407,PR TOBACCO USE CESSATION INTENSIVE >10 MINUTES,82.0,,1.84,73.8,55
CPT,99411,HC PREVEN MED COUNS GROUP 30 MIN,216.0,,60.48,185.76,31
CPT,99411,PR PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 30 M,164.0,,5.5335,139.4,42
CPT,99412,HC PREVEN MED COUNS GROUP 60 MIN,451.0,,126.28,387.86,31
CPT,99412,PR PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 60 M,251.0,,9.622,261.0,42
CPT,99417,PR PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES,120.0,,13.3952,108.0,50
CPT,99418,PR PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN,145.0,,28.5292,130.5,50
CPT,99453,HC REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP,838.0,,31.62,720.68,85
CPT,99454,HC REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 DAYS,127.0,,35.56,109.22,85
CPT,99457,PR RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN,138.0,,22.967,124.2,47
CPT,99458,PR RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20,118.0,,22.967,106.2,47
CPT,99471,PR INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS,3368.0,,586.483,3031.2,51
CPT,99472,PR SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO,1686.0,,306.5695,1517.4,51
CPT,99475,PR INITIAL PED CRITICAL CARE 2 THRU 5 YEARS,2373.0,,412.233,2135.7,51
CPT,99476,PR SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS,1426.0,,246.6152,1283.4,51
CPT,99483,HC COGNITION AND FUNCTIONAL ASSESSMENT,204.0,,57.12,306.13,33
CPT,99483,PR ASSMT & CARE PLANNING PT W/COGNITIVE IMPAIRMENT,710.0,,147.7895,639.0,45
CPT,99485,PR SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN,305.0,,55.3605,274.5,40
CPT,99486,PR SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN,264.0,,48.1185,237.6,40
CPT,99487,HC CMPLX CHRON CARE MGMT W/O PT VST 1ST HR PER MO,204.0,,57.12,208.541,33
CPT,99487,PR COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO,260.0,,69.003,259.69,47
CPT,99489,HC CMPLX CHRON CARE MGMT EA ADDL 30 MIN PER MONTH,204.0,,57.12,175.44,32
CPT,99489,PR CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO,137.0,,38.1225,137.45,47
CPT,99490,HC CHRON CARE MANAGEMENT SRVC 20 MIN PER MONTH,204.0,,57.12,175.44,31
CPT,99490,PR CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO,158.0,,38.1225,142.2,47
CPT,99495,PR TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE,438.0,,106.4285,400.44,45
CPT,99496,PR TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE,618.0,,144.619,556.2,47
CPT,99497,PR ADVANCE CARE PLANNING FIRST 30 MINS,282.0,,57.154,253.8,47
CPT,99498,PR ADVANCE CARE PLANNING EA ADDL 30 MINS,209.0,,55.1395,188.1,47
CPT,99499,PR UNLISTED PROCEDURE INTERNATIONAL CENTER SECOND OPINION REVIEW,1000.0,,322.83,850.0,28
HCPCS,A4209,HC SYRINGE 60CC SLIP TIP,41.0,,11.48,35.26,83
HCPCS,A4211,HC CANNULA NEEDLELESS PLASTIC,46.0,,12.88,39.56,83
HCPCS,A4211,HC CONNECTOR GROSHONG RPR 7.0FR,68.0,,19.04,58.48,83
HCPCS,A4211,HC CONNECTOR W/INT INJ CAP 5.5FR,38.0,,10.64,32.68,83
HCPCS,A4211,HC NDL BD ECLIPSE 23GX1IN BX100,48.0,,13.44,41.28,83
HCPCS,A4211,HC NDL BD ECLIPSE 30GX0.5IN BX100,49.0,,13.72,42.14,83
HCPCS,A4211,HC NDL BD/SFTY VAR SZ BX100,48.0,,13.44,41.28,83
HCPCS,A4211,HC SYR SFTY INS VAR SZ BX100,78.0,,21.84,67.08,83
HCPCS,A4212,HC STYLET DILATIN COAX 8FR A4212,124.0,,34.72,106.64,83
HCPCS,A4212,HC TUBE STYLET  PEDI,24.0,,6.72,20.64,83
HCPCS,A4212,HC VISITEC TREPHINE LACRIMALA4212,138.0,,38.64,118.68,83
HCPCS,A4213,HC SYRINGE 60CC BLUE TIP L/L,40.0,,11.2,34.4,83
HCPCS,A4215,HC 18 GA CORE NEEDLE,84.0,,23.52,72.24,83
HCPCS,A4215,HC ASPIRAT NEEDLE (EBUS)21G,270.0,,75.6,232.2,83
HCPCS,A4215,HC ASPIRAT NEEDLE (EBUS)22G,178.0,,49.84,153.08,83
HCPCS,A4215,HC ASPIRATION NEEDLE,213.0,,59.64,183.18,83
HCPCS,A4215,HC ASPIRATION NEEDLE 22 GA,195.0,,54.6,167.7,83
HCPCS,A4215,HC CELIAC FNA NEEDLE A4215,391.0,,109.48,336.26,83
HCPCS,A4215,HC CHIBA ECHO TIP BIOPSY NEEDLE,138.0,,38.64,118.68,83
HCPCS,A4215,HC CORE CO-AXIAL NEEDLE,116.0,,32.48,99.76,83
HCPCS,A4215,HC ECHO FNA NEEDLE A4215,495.0,,138.6,425.7,83
HCPCS,A4215,HC ENDOSCOPIC ASPIRATION/BIOPSY (EUS/SL) NEEDLE,653.0,,182.84,561.58,83
HCPCS,A4215,HC ESD NEEDLE KNIFE OLYMPUS,338.0,,94.64,290.68,83
HCPCS,A4215,HC FNA NEEDLE A,338.0,,94.64,290.68,83
HCPCS,A4215,HC IDENTIFIER BIOPSY SITE,158.0,,44.24,135.88,83
HCPCS,A4215,HC IMRI BONE BIOPSY SET,280.0,,78.4,240.8,83
HCPCS,A4215,HC IMRI PUNCTURE NEEDLE A,64.0,,17.92,55.04,83
HCPCS,A4215,HC IMRI PUNCTURE NEEDLE B,135.0,,37.8,116.1,83
HCPCS,A4215,HC IMRI-BIOPSY KIT A,214.0,,59.92,184.04,83
HCPCS,A4215,HC IMRI-SEMI AUTO BIOPSY NDL,203.0,,56.84,174.58,83
HCPCS,A4215,HC INJECTOR NEEDLE - OLYMPUSA4215,65.0,,18.2,55.9,83
HCPCS,A4215,HC INSULIN PEN NEEDLE STERIL,75.0,,21.0,64.5,83
HCPCS,A4215,HC INTERJECT SCLEROTHER NEEDL BSC,138.0,,38.64,118.68,83
HCPCS,A4215,HC MISSION BIOPSY NEEDLE 16-20GX10CM,94.0,,26.32,80.84,83
HCPCS,A4215,HC MONOPTY BIOPSY NEEDLE,91.0,,25.48,78.26,83
HCPCS,A4215,HC NDL BX B/MARR13GA X 3 1/2,54.0,,15.12,46.44,83
HCPCS,A4215,HC NDL BX BONE MARR 11GAX4,54.0,,15.12,46.44,83
HCPCS,A4215,HC NDLE BX BONE MARROW 11G A4215,77.0,,21.56,66.22,83
HCPCS,A4215,HC NDLE BX BONE MARROW 13G A4215,79.0,,22.12,67.94,83
HCPCS,A4215,HC NEEDLE B,48.0,,13.44,41.28,83
HCPCS,A4215,HC NEEDLE BIOPSY ACHIEVE 14-18GX11,80.0,,22.4,68.8,83
HCPCS,A4215,HC NEEDLE BIOPSY COAX TRUGUIDE,49.0,,13.72,42.14,83
HCPCS,A4215,HC NEEDLE BIOPSY COAXIAL,113.0,,31.64,97.18,83
HCPCS,A4215,HC NEEDLE BIOPSY MAX CORE,168.0,,47.04,144.48,83
HCPCS,A4215,HC NEEDLE BIOPSY ULTRASOUND MRI 14GAX10CM,114.0,,31.92,98.04,83
HCPCS,A4215,HC NEEDLE BIOPSY ULTRASOUND MRI 16GAX10CM,108.0,,30.24,92.88,83
HCPCS,A4215,HC NEEDLE C,98.0,,27.44,84.28,83
HCPCS,A4215,HC NEEDLE D,171.0,,47.88,147.06,83
HCPCS,A4215,HC NEEDLE E,563.0,,157.64,484.18,83
HCPCS,A4215,HC NEEDLE F,374.0,,104.72,321.64,83
HCPCS,A4215,HC NEEDLE G,661.0,,185.08,568.46,83
HCPCS,A4215,HC NEEDLE H,950.0,,266.0,817.0,83
HCPCS,A4215,HC PROCORE FNA NEEDLE A4215,777.0,,217.56,668.22,83
HCPCS,A4215,HC QUICK CORE BIOPSY NEEDLE (SOFT TISSUE),104.0,,29.12,89.44,83
HCPCS,A4215,HC RF ABLATION - NEEDLE,106.0,,29.68,91.16,83
HCPCS,A4215,HC TEMNO BIOPSY NEEDLE,81.0,,22.68,69.66,83
HCPCS,A4215,HC TEMNO BIOPSY NEEDLE 14-16GX11CM,138.0,,38.64,118.68,83
HCPCS,A4215,HC TRUGUIDE CORE BIOPSY NEEDLE KIT,134.0,,37.52,115.24,83
HCPCS,A4215,HC UROPLASTY ENDOSCOP NEEDLE,83.0,,23.24,71.38,83
HCPCS,A4215,HC VIZISHOT 19G NEEDLE,563.0,,157.64,484.18,83
HCPCS,A4216,WATER FOR INJECT BACT PARABENS INJECTION SOLUTION [123993],8.25,,2.31,7.095,83
HCPCS,A4220,HC KIT REFILL MEDPAC MEDTRONIIC,83.0,,23.24,71.38,83
HCPCS,A4222,HC SUPPLIES FOR EXT DRUG INFUSION PUMP/CASS,65.0,,18.2,55.9,83
HCPCS,A4248,CHLORHEXIDINE GLUCONATE ALCOHOL FREE 0.12 % MOUTHWASH [40800002333],34.95,,9.786,30.057,83
HCPCS,A4253,HC GLUCOSE STRIP (SURESTEP),104.0,,29.12,89.44,83
HCPCS,A4253,HC STRIP GLUCOSE UL,178.0,,49.84,153.08,83
HCPCS,A4253,HC STRIP TST GLUC FREESTYLE,138.0,,38.64,118.68,83
HCPCS,A4253,HC STRIP TST GLUC FRSTLLT/50,138.0,,38.64,118.68,83
HCPCS,A4258,HC LANCET DEVICE (SOFTCLIX),99.0,,27.72,85.14,83
HCPCS,A4258,HC LANCET DEVICE PENLET PLUS,69.0,,19.32,59.34,83
HCPCS,A4259,HC LANCETS (SOFTCLIX),40.0,,11.2,34.4,83
HCPCS,A4263,HC GP TEAR DUCT TUBE 3-4MMA4263,124.0,,34.72,106.64,83
HCPCS,A4270,HC EUS BALLOON SHEATH,319.0,,89.32,274.34,83
HCPCS,A4301,HC KIT CATHETER PUMP ISOMED,270.0,,75.6,232.2,83
HCPCS,A4301,HC TRAY REMVL PORT,105.0,,29.4,90.3,83
HCPCS,A4311,HC TRAY CATH FOLEY 14FR W/URINE METER,50.0,,14.0,43.0,83
HCPCS,A4311,HC TRAY COUDE 14-18FR W/ 350ML URINE METER (MULT SIZES),65.0,,18.2,55.9,83
HCPCS,A4311,HC TRAY INSERT QUINTON 16CM,235.0,,65.8,202.1,83
HCPCS,A4314,HC TRAY CATH FOL16F WURINMTR,75.0,,21.0,64.5,83
HCPCS,A4314,HC TRAY CATH FOLEY 14FR TEMP-SENSING W/URINE METER,80.0,,22.4,68.8,83
HCPCS,A4314,HC TRAY CATH FOLEY SURESTEP BARDEX IC COMPLETE CARE W/ URIN MTR & STABL DVC,69.0,,19.32,59.34,83
HCPCS,A4314,HC TRAY CATH FOLY 16F 947616,38.0,,10.64,32.68,83
HCPCS,A4314,HC TRAY CATH STLK WDRNBAG (MULT SIZES),38.0,,10.64,32.68,83
HCPCS,A4314,HC TRAY CATH W/URIN METER A4314,42.0,,11.76,36.12,83
HCPCS,A4314,HC TRAY CATH W/URINE METER 16FR,42.0,,11.76,36.12,83
HCPCS,A4314,HC TRAY CATH W/URINE METER 18FR,42.0,,11.76,36.12,83
HCPCS,A4315,HC TRAY CATH ART 3FR X 5CM,138.0,,38.64,118.68,83
HCPCS,A4315,HC TRAY CATH CV 2LMN,327.0,,91.56,281.22,83
HCPCS,A4315,HC TRAY CATH PEDI TEMP SENS URMTR 10F 3ML,87.0,,24.36,74.82,83
HCPCS,A4315,HC TRAY CATH PEDI TEMP SENS URMTR 12F 10ML,54.0,,15.12,46.44,83
HCPCS,A4315,HC TRAY CATH PEDI TEMP SENS URMTR 6F 1.5ML,59.0,,16.52,50.74,83
HCPCS,A4315,HC TRAY CATH PEDI TEMP SENS URMTR 8F 3ML,87.0,,24.36,74.82,83
HCPCS,A4315,HC TRAY CATH PEDI URMTR ADD-A-CATH,49.0,,13.72,42.14,83
HCPCS,A4315,HC TRAY DIAL 2LMN 13.5FX19CM,235.0,,65.8,202.1,83
HCPCS,A4315,HC TRAY INSERTION TBE CHEST,48.0,,13.44,41.28,83
HCPCS,A4330,HC BOWEL BAG COLLECTR 3000ML,43.0,,12.04,36.98,83
HCPCS,A4330,HC INSTAFLO BOWEL CATH SYSTM,525.0,,147.0,451.5,83
HCPCS,A4335,HC SYSTEM STOOL MANAGEMENT DIGNISHIELD,338.0,,94.64,290.68,83
HCPCS,A4335,HC URETHRAL MEATAL DILATOR,65.0,,18.2,55.9,83
HCPCS,A4338,HC CATH HEMATURIA 2-WAY 24FR,88.0,,24.64,75.68,83
HCPCS,A4338,HC CATH HEMATURIA 3-WAY 18FR,65.0,,18.2,55.9,83
HCPCS,A4338,HC FOLEY 2-WAY SIMPLISI 24CH,65.0,,18.2,55.9,83
HCPCS,A4340,HC 6 X 20 STENT,256.0,,71.68,220.16,83
HCPCS,A4340,HC CATH BROVIAC 2.7F SGL LUMC1751,270.0,,75.6,232.2,83
HCPCS,A4340,HC CATH CHOLANG 4.5FRA4340,87.0,,24.36,74.82,83
HCPCS,A4340,HC CATH CHOLANG 5.5FR(GREEN)A4340,80.0,,22.4,68.8,83
HCPCS,A4340,HC CATH CHOLANG 7.5FR (BLUE)A4340,117.0,,32.76,100.62,83
HCPCS,A4340,HC CATH CHOLANGIOGRAM 6.5F A4340,140.0,,39.2,120.4,83
HCPCS,A4340,HC CATH CNCIL-TIP 16-20F 5CCA4340,40.0,,11.2,34.4,83
HCPCS,A4340,HC CATH COUDE W/BALLOON 12FR,38.0,,10.64,32.68,83
HCPCS,A4340,HC CATH COUDE W/BALLOON 14FR,38.0,,10.64,32.68,83
HCPCS,A4340,HC CATH COUDE W/BALLOON 16FR,38.0,,10.64,32.68,83
HCPCS,A4340,HC CATH COUDE W/BALLOON 18 FR,38.0,,10.64,32.68,83
HCPCS,A4340,HC CATH COUDE W/BALLOON 20FR,38.0,,10.64,32.68,83
HCPCS,A4340,HC CATH COUDE W/BALLOON 22FR,38.0,,10.64,32.68,83
HCPCS,A4340,HC CATH COUDE W/BALLOON 24FR,38.0,,10.64,32.68,83
HCPCS,A4340,HC CATH COUNCILL MODEL16-24F,51.0,,14.28,43.86,83
HCPCS,A4340,HC CATH FOLEY COUDE 30 TIP A4340,38.0,,10.64,32.68,83
HCPCS,A4340,HC CATH FOLEY COUDE 5 TIP A4340,38.0,,10.64,32.68,83
HCPCS,A4340,HC CATH FOLEY HEM 3W22CH 30CC,828.0,,231.84,712.08,83
HCPCS,A4340,HC CATH FOLEY MALECOT 14FR A4340,65.0,,18.2,55.9,83
HCPCS,A4340,HC CATH FOLY HEM 2W24CH 30CCA4340,70.0,,19.6,60.2,83
HCPCS,A4340,HC CATH FOLY HEM 3W22CH 30CCA4340,44.0,,12.32,37.84,83
HCPCS,A4340,HC CATH FOLY HEM 3W24CH 30CCA4340,44.0,,12.32,37.84,83
HCPCS,A4340,HC CATH FOLY TEMP PROBE 16FRA4340,80.0,,22.4,68.8,83
HCPCS,A4340,HC CATH HICKMAN 7FR DUAL LUMC1751,973.0,,272.44,836.78,83
HCPCS,A4340,HC CATH HICKMAN ROUND DUAL C1751,729.0,,204.12,626.94,83
HCPCS,A4340,HC CATH HOH 5FR C1751,338.0,,94.64,290.68,83
HCPCS,A4340,HC CATH LONG TERM EPID DUPN A4340,1944.0,,544.32,1671.84,83
HCPCS,A4340,HC CATH MALECOT ALL TYPESA4340,65.0,,18.2,55.9,83
HCPCS,A4340,HC CATH NATURL LTX 6 EYES22FA4340,64.0,,17.92,55.04,83
HCPCS,A4340,HC CATH PERITONEAL TENCKHOFFA4340,138.0,,38.64,118.68,83
HCPCS,A4340,HC CATH QUINTON 10F X 12CM C1751,131.0,,36.68,112.66,83
HCPCS,A4340,HC CATH TIEMAN COUD TP14-24F,42.0,,11.76,36.12,83
HCPCS,A4340,HC CATH VENOUS 16 FR,338.0,,94.64,290.68,83
HCPCS,A4340,HC CATHETER LUMBAR ACCESSORYA4340,343.0,,96.04,294.98,83
HCPCS,A4340,HC DIALATOR SET,369.0,,103.32,317.34,83
HCPCS,A4340,HC DRAIN MALECOT 16FR A4340,65.0,,18.2,55.9,83
HCPCS,A4340,HC DRAIN MALECOT 24FR A4340,64.0,,17.92,55.04,83
HCPCS,A4340,HC DRAIN MALECOT 26FR A4340,64.0,,17.92,55.04,83
HCPCS,A4340,HC DRAIN MALECOT 28FR A4340,248.0,,69.44,213.28,83
HCPCS,A4340,HC DRAIN MALECOT 32FR A4340,60.0,,16.8,51.6,83
HCPCS,A4340,HC FILIFORM ALL TYPESA4340,153.0,,42.84,131.58,83
HCPCS,A4340,HC QUINTON CATH 10FRX15CM C1751,177.0,,49.56,152.22,83
HCPCS,A4340,HC QUINTON CATH 11.5FRX16CM C1751,168.0,,47.04,144.48,83
HCPCS,A4340,HC QUINTON CATH 11.5FRX24CM C1751,184.0,,51.52,158.24,83
HCPCS,A4340,HC QUINTON CATH 11.5FX13.5CMC1751,165.0,,46.2,141.9,83
HCPCS,A4340,HC QUINTON CATH 11.5FX19.5CMC1751,178.0,,49.84,153.08,83
HCPCS,A4340,HC QUINTON CATH 8FRX9CM C1751,153.0,,42.84,131.58,83
HCPCS,A4340,HC SET CATH URETER ILLUMINATC2617,338.0,,94.64,290.68,83
HCPCS,A4340,HC STENT SET,336.0,,94.08,288.96,83
HCPCS,A4344,HC CATH CNCIL-TIP 22FR 5CC A4344,42.0,,11.76,36.12,83
HCPCS,A4344,HC CATH COUNCIL 16FR (OR),40.0,,11.2,34.4,83
HCPCS,A4344,HC CATH COUNCIL 18FR (OR),40.0,,11.2,34.4,83
HCPCS,A4344,HC CATH COUNCIL 20FR (OR),40.0,,11.2,34.4,83
HCPCS,A4344,HC CATH EDELMAN FOLEY 16-18FA4344,115.0,,32.2,98.9,83
HCPCS,A4344,HC CATH FOLEY 2W 22F 5CC A4344,42.0,,11.76,36.12,83
HCPCS,A4344,HC CATH FOLEY 2W 26F 5CC A4344,13.0,,3.64,11.18,83
HCPCS,A4344,HC CATH FOLEY 2W 6F 1.5CC SIA4344,39.0,,10.92,33.54,83
HCPCS,A4344,HC CATH FOLEY 2WAY 28FR 30CCA4344,15.0,,4.2,12.9,83
HCPCS,A4344,HC CATH FOLEY TEMP H/L 8F A4344,43.0,,12.04,36.98,83
HCPCS,A4344,HC CATH FOLEY TEMP PROB 10FRA4344,56.0,,15.68,48.16,83
HCPCS,A4344,HC CATH FOLEY TEMP PROB 12FRA4344,56.0,,15.68,48.16,83
HCPCS,A4344,HC CATH FOLEY TEMP PROB 16FRA4344,35.0,,9.8,30.1,83
HCPCS,A4344,HC CATH S-SIMP 2W 22F*30ML A4344,65.0,,18.2,55.9,83
HCPCS,A4344,HC CATH SMPLC 2W 30CC 20F A4344,65.0,,18.2,55.9,83
HCPCS,A4344,HC CATH SMPLC 3W 30CC 20F A4344,57.0,,15.96,49.02,83
HCPCS,A4346,HC CATH FOLEY 3 WAY HEMA A4346,65.0,,18.2,55.9,83
HCPCS,A4346,HC CATH FOLEY 3W 16F 5CC A4346,18.0,,5.04,15.48,83
HCPCS,A4346,HC CATH FOLEY 3W 20F 5CC A4346,38.0,,10.64,32.68,83
HCPCS,A4346,HC CATH FOLEY 3W 22F 5CC A4346,38.0,,10.64,32.68,83
HCPCS,A4346,HC CATH FOLEY 3W 24F 5CC A4346,38.0,,10.64,32.68,83
HCPCS,A4346,HC CATH FOLEY3W 18F 5CC A4346,38.0,,10.64,32.68,83
HCPCS,A4346,HC CATH FOLEY3W 26F 30CC A4346,34.0,,9.52,29.24,83
HCPCS,A4346,HC CATH FOLY3WY SIL 16FX30MLA4346,222.0,,62.16,190.92,83
HCPCS,A4346,HC CATH HEMATURIA 3-WAY 20FR,64.0,,17.92,55.04,83
HCPCS,A4346,HC CATH HEMATURIA 3-WAY 22FR,54.0,,15.12,46.44,83
HCPCS,A4346,HC CATH HEMATURIA 3-WAY 24FR,54.0,,15.12,46.44,83
HCPCS,A4346,HC FOLY CATH 3WY16-30F CNTIR,46.0,,12.88,39.56,83
HCPCS,A4353,HC CAP GEL INSERT SYS 16FR,136.0,,38.08,116.96,83
HCPCS,A4355,HC FLLW-PHILP TREAD 8-24FRA4355,228.0,,63.84,196.08,83
HCPCS,A4356,HC CLAMP INCONT CUNNINGHAM,68.0,,19.04,58.48,83
HCPCS,A4356,HC CLAMP INCONT CUNNINGHM LG,77.0,,21.56,66.22,83
HCPCS,A4357,HC BAG LUMBAR DRAINAGE REPLACEMT,108.0,,30.24,92.88,83
HCPCS,A4357,HC BAG VENTRICULAR DRAIN REPLACE,90.0,,25.2,77.4,83
HCPCS,A4357,HC CHEST DRAIN SYS,119.0,,33.32,102.34,83
HCPCS,A4357,HC SET VENTRICULAR DRAINAGE,400.0,,112.0,344.0,83
HCPCS,A4357,HC SYSTEM CHEST WATRSEAL DRN,72.0,,20.16,61.92,83
HCPCS,A4358,HC UROLOGY DISCHARGE KIT,97.0,,27.16,83.42,83
HCPCS,A4364,HC DERMABOND ADVANCED TOPICAL ADHESIVE,60.0,,16.8,51.6,83
HCPCS,A4388,HC DRAINABLE POUCH,45.0,,12.6,38.7,83
HCPCS,A4393,HC POUCH OST 1PC SENSURA XPRO LT,65.0,,18.2,55.9,83
HCPCS,A4407,HC OST CONVEXETTE FLANGE 1 1/8IN,63.0,,17.64,54.18,83
HCPCS,A4407,HC OST CONVEXETTE FLANGE 1IN,63.0,,17.64,54.18,83
HCPCS,A4409,HC OST DURAH FLEX WAFER 1 3/4,41.0,,11.48,35.26,83
HCPCS,A4409,HC OST WAFER DURAHESIVE 2-1/4IN,41.0,,11.48,35.26,83
HCPCS,A4414,HC OST NATURA WAFER 1 3/4,38.0,,10.64,32.68,83
HCPCS,A4414,HC OST WAFER STOMAHESIVE 2-1/4IN,38.0,,10.64,32.68,83
HCPCS,A4415,HC OST WAFER STOMAHESIVE 8IN*8IN,43.0,,12.04,36.98,83
HCPCS,A4421,HC OST BILIARY DRAIN UNIT,51.0,,14.28,43.86,83
HCPCS,A4421,HC OST TAPE PERMATYPE,28.0,,7.84,24.08,83
HCPCS,A4425,"HC NATURA DRANBL POUCH 1 3/4""",53.0,,14.84,45.58,83
HCPCS,A4425,"HC NATURA DRANBL POUCH 2 1/4""",53.0,,14.84,45.58,83
HCPCS,A4425,"HC NATURA DRANBL POUCH2 3/4""",53.0,,14.84,45.58,83
HCPCS,A4450,HC DISCS TAPE ADH HVY DUTY,53.0,,14.84,45.58,83
HCPCS,A4450,HC TAPE ADH DIS STD,38.0,,10.64,32.68,83
HCPCS,A4450,HC TAPE ADH DISC LRG,41.0,,11.48,35.26,83
HCPCS,A4463,HC BINDER ABD LGA4463,38.0,,10.64,32.68,83
HCPCS,A4463,HC BINDER ABD LRG,38.0,,10.64,32.68,83
HCPCS,A4463,HC BINDER ABD MED A4463,32.0,,8.96,27.52,83
HCPCS,A4463,HC BINDER ABD XL A4463,65.0,,18.2,55.9,83
HCPCS,A4463,HC BINDER ABD XLRG,65.0,,18.2,55.9,83
HCPCS,A4463,HC JOBST GIRDL MID-THIGH 1XLA4463,141.0,,39.48,121.26,83
HCPCS,A4463,HC JOBST GIRDL MID-THIGH 2XLA4463,141.0,,39.48,121.26,83
HCPCS,A4463,HC JOBST GIRDL MIDTHIGH L-XLA4463,140.0,,39.2,120.4,83
HCPCS,A4463,HC SUPPORT ABD CROW S-L A4463,58.0,,16.24,49.88,83
HCPCS,A4481,HC FILTER LARYNGOFOAM FLHSTD,131.0,,36.68,112.66,83
HCPCS,A4495,HC STOCKING THIGH HI LT SZ-7,107.0,,29.96,92.02,83
HCPCS,A4495,HC STOCKING THIGH HI RT SZ-1,107.0,,29.96,92.02,83
HCPCS,A4495,HC STOCKING THIGH HI RT SZ-7,107.0,,29.96,92.02,83
HCPCS,A4550,HC 395 MYELOGRAM TRAY,38.0,,10.64,32.68,83
HCPCS,A4550,HC BONE MARROW BIOPSY TRAY,73.0,,20.44,62.78,83
HCPCS,A4550,HC CT BIOPSY TRAY,61.0,,17.08,52.46,83
HCPCS,A4550,HC INTUBATION TRAY-NO OR NO ANES,300.0,,84.0,258.0,83
HCPCS,A4550,HC KIT PARACENTESIS,87.0,,24.36,74.82,83
HCPCS,A4550,HC PUREGRAFT 250/PURE SYS A4550,979.0,,274.12,841.94,83
HCPCS,A4550,HC SET PNEUMO 18GX9FR NEEDL A4550,338.0,,94.64,290.68,83
HCPCS,A4550,HC SUTURE SET EC,53.0,,14.84,45.58,83
HCPCS,A4550,HC THERMOCHEM PROC KIT A4550,4425.0,,1239.0,3805.5,83
HCPCS,A4550,HC TRAY BIOPSY BIPLATE BACH,31.0,,8.68,26.66,83
HCPCS,A4550,HC TRAY BONE MAR JAMSHIDI,68.0,,19.04,58.48,83
HCPCS,A4550,HC TRAY BONE MARROW BLAT ASP,135.0,,37.8,116.1,83
HCPCS,A4550,HC TRAY BONE MARROW BX T LOK,103.0,,28.84,88.58,83
HCPCS,A4550,HC TRAY LEVEL EXTRA AVAMAX A4550,657.0,,183.96,565.02,83
HCPCS,A4550,HC TRAY LP ADLT SAF-T 20GX3.5IN,47.0,,13.16,40.42,83
HCPCS,A4550,HC TRAY LP PEDI SAF-T 22GX1.5IN,41.0,,11.48,35.26,83
HCPCS,A4562,HC PESSARY NON RUBER ANY TYPE,138.0,,38.64,118.68,83
HCPCS,A4562,HC PESSARY NON-RUBBER SILCN,97.0,,27.16,83.42,83
HCPCS,A4565,HC SLING HARRIS HEMI ARM LEFT,47.0,,13.16,40.42,83
HCPCS,A4565,HC SLING HARRIS HEMI ARM RIGHT,47.0,,13.16,40.42,83
HCPCS,A4565,HC SLING HEMI,60.0,,16.8,51.6,83
HCPCS,A4565,HC SLING POUCH ORTHOPEDIC LARGE,40.0,,11.2,34.4,166
HCPCS,A4565,HC SLING POUCH ORTHOPEDIC MEDIUM,40.0,,11.2,34.4,83
HCPCS,A4565,HC SLING POUCH ORTHOPEDIC SMALL,40.0,,11.2,34.4,83
HCPCS,A4570,HC DENVER SPLINT A4570,110.0,,30.8,94.6,83
HCPCS,A4570,HC SPLINT  TIBIA FIBULA S-L A4570,65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLINT FEMORAL LEG PAD LGA4570,79.0,,22.12,67.94,83
HCPCS,A4570,HC SPLINT FEMORAL LEG PAD MDA4570,71.0,,19.88,61.06,83
HCPCS,A4570,HC SPLINT FOREARM WRIST LEFT LARGE LONG (ALIMED),65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLINT FOREARM WRIST MML,65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLINT FOREARM WRIST MMR,65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLINT FOREARM WRIST RIGHT SMALL LONG (ALIMED),65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLINT PLATFORM M/L,97.0,,27.16,83.42,83
HCPCS,A4570,HC SPLINT PLATFORM S/R,97.0,,27.16,83.42,83
HCPCS,A4570,HC SPLINT PLTFRM LT LRG,65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLINT POSTERIOR LEAF LEFT LRG,65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLINT POSTERIOR LEAF LEFT MED,69.0,,19.32,59.34,83
HCPCS,A4570,HC SPLINT POSTERIOR LEAF LEFT SML,65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLINT POSTERIOR LEAF LEFT XLG,69.0,,19.32,59.34,83
HCPCS,A4570,HC SPLINT POSTERIOR LEAF RT MED,65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLINT TRACTION MED (ZIMMER),131.0,,36.68,112.66,83
HCPCS,A4570,HC SPLINT WRIST ELAS RT RT LG LNG,65.0,,18.2,55.9,83
HCPCS,A4570,HC SPLNT WRIST ELAS LTSM LNG,60.0,,16.8,51.6,83
HCPCS,A4637,HC WALKER GLIDE CAPS,38.0,,10.64,32.68,83
HCPCS,A4648,HC 18GA 1X3MM TISS CARBN MRK,187.0,,52.36,160.82,83
HCPCS,A4648,HC 18GA0.9X3MM TISS GLD3 MRK,120.0,,33.6,103.2,83
HCPCS,A4648,HC BIONARC ENH FIDUCIAL MARKER,55.0,,15.4,47.3,83
HCPCS,A4648,HC BIOPSY SITE IDENTIFIER,169.0,,47.32,145.34,83
HCPCS,A4648,HC BIOZORB TISSUE MARKER A,1900.0,,532.0,1634.0,83
HCPCS,A4648,HC BIOZORB TISSUE MARKER B,2400.0,,672.0,2064.0,83
HCPCS,A4648,HC EUS FNF PRELOADED NEEDLE W FIDUCIAL 19G,660.0,,184.8,567.6,83
HCPCS,A4648,HC EUS FNF PRELOADED NEEDLE W FIDUCIAL 22G,1125.0,,315.0,967.5,83
HCPCS,A4648,HC FIDUCIAL MARKER A,500.0,,140.0,430.0,83
HCPCS,A4648,HC FIDUCIAL MARKER KV BIOMARC,141.0,,39.48,121.26,83
HCPCS,A4648,HC HD MRI LINE MARKER,673.0,,188.44,578.78,83
HCPCS,A4648,HC HOMER BREAST WIRE,77.0,,21.56,66.22,83
HCPCS,A4648,HC KOPANS NEEDLE BREAST,65.0,,18.2,55.9,83
HCPCS,A4648,HC MAGNETIC SEED MULT SIZES,979.0,,274.12,841.94,83
HCPCS,A4648,HC MARKER TISSUE ATEC TRIMARK,70.0,,19.6,60.2,83
HCPCS,A4648,HC NOVA 10 FIDUCIAL IMPLANTABLE TISSUE MARKER (AMB),727.0,,203.56,625.22,83
HCPCS,A4648,HC RADIOACTIVE SEED,225.0,,63.0,193.5,83
HCPCS,A4648,HC SCOUT 5-10CM DELIVERY NEEDLE AND REFLECTOR,1004.0,,281.12,863.44,83
HCPCS,A4648,HC SCOUT DELIVERY NEEDLE/REFLECTOR MARKER-BREAST BIOPSY (MULT SIZES),1004.0,,281.12,863.44,83
HCPCS,A4648,HC SIRIUS MRI MARKER,138.0,,38.64,118.68,83
HCPCS,A4648,HC TISSUE MARKER,138.0,,38.64,118.68,83
HCPCS,A4648,HC TISSUE MARKER IMPLANTABL,59.0,,16.52,50.74,83
HCPCS,A4648,HC TISSUE MARKER ULTRACLIP BREAST,138.0,,38.64,118.68,83
HCPCS,A4648,HC VISIC GOLD TISS MRK0.75MM,424.0,,118.72,364.64,83
HCPCS,A4649,HC  5FR MERIT PIGTAIL 30CM PERICARDIOCENTESIS,39.0,,10.92,33.54,83
HCPCS,A4649,HC 1-STEP CONICAL REAMER,1370.0,,383.6,1178.2,83
HCPCS,A4649,HC 10/12 100MM BLN TROCARSYSA4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC 11 IVAS VERTEPORT,158.0,,44.24,135.88,83
HCPCS,A4649,HC 11G 15MM IVAS SYSTEM KIT,4698.0,,1315.44,4040.28,83
HCPCS,A4649,"HC 11G 5"" IVAS BN BIOPSY KIT",181.0,,50.68,155.66,83
HCPCS,A4649,HC 11G HAND DRILL,225.0,,63.0,193.5,83
HCPCS,A4649,HC 11G IVAS VERTEPORT,158.0,,44.24,135.88,83
HCPCS,A4649,HC 16FR SERIAL DILATOR A4649,214.0,,59.92,184.04,83
HCPCS,A4649,HC 23G DIRECT LASER PROBE A4649,379.0,,106.12,325.94,83
HCPCS,A4649,HC 3-WIRE STONE BSKT/EXTR .6A4649,688.0,,192.64,591.68,83
HCPCS,A4649,HC 4CHANNEL 18MM PROTECT PINA,427.0,,119.56,367.22,83
HCPCS,A4649,HC 5.5F BIOP FORC50-104,438.0,,122.64,376.68,83
HCPCS,A4649,HC 5FR JACKY 110CM CATH OPTITORQUE,124.0,,34.72,106.64,83
HCPCS,A4649,HC 6-WIRE STONE BSKT/EXTR .6A4649,752.0,,210.56,646.72,83
HCPCS,A4649,HC ABLATION DEVICE A,500.0,,140.0,430.0,83
HCPCS,A4649,HC ABLATION DEVICE B,976.0,,273.28,839.36,83
HCPCS,A4649,HC ABLATION DEVICE D,4067.0,,1138.76,3497.62,83
HCPCS,A4649,HC ABLATION DEVICE F,3818.0,,1069.04,3283.48,83
HCPCS,A4649,HC ABLATION DEVICE G,4062.0,,1137.36,3493.32,83
HCPCS,A4649,HC ABLATION ELECTRODE,867.0,,242.76,745.62,83
HCPCS,A4649,HC ACMI PLASMA-V VD ELEC A4649,1125.0,,315.0,967.5,83
HCPCS,A4649,HC ACMI SUPERLOOP ELEC A4649,1125.0,,315.0,967.5,83
HCPCS,A4649,HC ACMI SUPERSECT ELEC A4649,815.0,,228.2,700.9,83
HCPCS,A4649,HC ACUITY BREAKAWAY LEAD SYS,875.0,,245.0,752.5,83
HCPCS,A4649,HC ADAPTER C,36.0,,10.08,30.96,83
HCPCS,A4649,HC ADAPTER DEVICE A,800.0,,224.0,688.0,83
HCPCS,A4649,HC AIRWAY EXCHANGE 19FR A4649,119.0,,33.32,102.34,83
HCPCS,A4649,HC ALEXIS RETRACTOR SM/LG,69.0,,19.32,59.34,83
HCPCS,A4649,HC ANCHOR SET A,89.0,,24.92,76.54,83
HCPCS,A4649,HC ANCHOR SET B,242.0,,67.76,208.12,83
HCPCS,A4649,HC AO DRILL BIT 3.5MM,469.0,,131.32,403.34,83
HCPCS,A4649,HC AO DRILL BIT 4.2*130MM,454.0,,127.12,390.44,83
HCPCS,A4649,HC AO DRILL BIT 4.2*180MM,478.0,,133.84,411.08,83
HCPCS,A4649,HC AQUAMANTYS3 2.3,1012.0,,283.36,870.32,83
HCPCS,A4649,HC AQUANMANTYS B-SEALER 6.3 A4649,1012.0,,283.36,870.32,83
HCPCS,A4649,HC ARMSLEEV 20-30 SZ 2,110.0,,30.8,94.6,83
HCPCS,A4649,HC ARMSLEEVE 20-30 SZ 3,97.0,,27.16,83.42,83
HCPCS,A4649,HC ARMSLEEVE 20-30 SZ 4,97.0,,27.16,83.42,83
HCPCS,A4649,HC ARMSLEEVE 20-30 SZ 5,97.0,,27.16,83.42,83
HCPCS,A4649,HC ARMSLEEVE 20-30 SZ 7,97.0,,27.16,83.42,83
HCPCS,A4649,HC ARMSLEEVE 20-30� SZ 8,97.0,,27.16,83.42,83
HCPCS,A4649,HC AVA TEX BONE CEMENT A4649,299.0,,83.72,257.14,83
HCPCS,A4649,HC AVA TEX BONE CEMENT11-13GA4649,464.0,,129.92,399.04,83
HCPCS,A4649,HC AVA TEX KIT11GX12-15CM A4649,203.0,,56.84,174.58,83
HCPCS,A4649,HC AVA TEX RADIOPAC W/5G BARA4649,191.0,,53.48,164.26,83
HCPCS,A4649,HC AXIEM CRAN TRACE PNTR PCKA4649,803.0,,224.84,690.58,83
HCPCS,A4649,HC AXIEM CRAN TUMOR RESEC NIA4649,900.0,,252.0,774.0,83
HCPCS,A4649,HC AXIEM CRANSHUNT PLCMNT NIA4649,1452.0,,406.56,1248.72,83
HCPCS,A4649,HC BALLON MAJ-1351 A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC BALLOON TMP PACMKR CTH KT,338.0,,94.64,290.68,83
HCPCS,A4649,HC BARRX CHANNEL RFA CATH,2318.0,,649.04,1993.48,83
HCPCS,A4649,HC BASKET V SYSTEM WIRE GUIDED,474.0,,132.72,407.64,83
HCPCS,A4649,HC BEAMPATH ENT-L FIBER A4649,1275.0,,357.0,1096.5,83
HCPCS,A4649,HC BEVEL TIP STYLET W/O NEEDLE 11-13G STRYKER,138.0,,38.64,118.68,83
HCPCS,A4649,HC BIOPSY BRUSH DEFLEC URETERAL 3FR,178.0,,49.84,153.08,83
HCPCS,A4649,HC BIOPSY DEV CORE18GX21CM A4649,116.0,,32.48,99.76,83
HCPCS,A4649,HC BIOPSY FORCEP URETEROSCOPA4649,1125.0,,315.0,967.5,83
HCPCS,A4649,HC BIOPSY FORCEPCUP3FX11.5CMA4649,687.0,,192.36,590.82,83
HCPCS,A4649,HC BIOPSY KIT,695.0,,194.6,597.7,83
HCPCS,A4649,HC BIOVAC Y-PORT A4649,225.0,,63.0,193.5,83
HCPCS,A4649,HC BIOVER MV VEIN CLMP S-M A4649,97.0,,27.16,83.42,83
HCPCS,A4649,HC BIT DRILL CN TWT 6.5MM A4649,1125.0,,315.0,967.5,83
HCPCS,A4649,HC BIT LGD ACORN 9X6 A4649,241.0,,67.48,207.26,83
HCPCS,A4649,HC BIT LGD BALL DMD 14X3-6 A4649,370.0,,103.6,318.2,83
HCPCS,A4649,HC BIT LGD BALL DMD 7X15-6 A4649,247.0,,69.16,212.42,83
HCPCS,A4649,HC BIT LGD BALL DMD EC14X4-6A4649,380.0,,106.4,326.8,83
HCPCS,A4649,HC BIT LGD BALL DMD LG 7X1-3A4649,250.0,,70.0,215.0,83
HCPCS,A4649,HC BIT LGD BALL FINE 7X5 A4649,238.0,,66.64,204.68,83
HCPCS,A4649,HC BIT LGD BALL FLUTED 9X5-6A4649,252.0,,70.56,216.72,83
HCPCS,A4649,HC BIT LGD BALL FLUTED14X46A4649,363.0,,101.64,312.18,83
HCPCS,A4649,HC BIT LGD BALL FULTED 14X3A4649,356.0,,99.68,306.16,83
HCPCS,A4649,HC BIT LGD BALL LONG 7X1-3 A4649,233.0,,65.24,200.38,83
HCPCS,A4649,HC BIT LGD MATCH 9X3 A4649,247.0,,69.16,212.42,83
HCPCS,A4649,HC BIT LGD TAPERED 8X22.3 A4649,509.0,,142.52,437.74,83
HCPCS,A4649,HC BIT WIRE 1.1 STRYKER A4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC BIT WIRE 1.3 STRYKER A4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC BIT WIRE 1.5 STRYKER A4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC BLINKEZE EXTERNAL LID WEIGHT,153.0,,42.84,131.58,83
HCPCS,A4649,HC BLOCK NEVER CONTI TOUHY A4649,79.0,,22.12,67.94,83
HCPCS,A4649,HC BLOCKER ENDOBRONCH 7-9FR (ARNDT/FUJI),338.0,,94.64,290.68,83
HCPCS,A4649,HC BLUNT OBTURATOR A4649,282.0,,78.96,242.52,83
HCPCS,A4649,HC BONE ACCESS SYSTEM A,1275.0,,357.0,1096.5,83
HCPCS,A4649,HC BONE CEMENT A,418.0,,117.04,359.48,83
HCPCS,A4649,HC BONE CEMENT B,270.0,,75.6,232.2,83
HCPCS,A4649,HC BONE CEMENT INJECTOR,900.0,,252.0,774.0,83
HCPCS,A4649,HC BONE FILLER DEVICE,248.0,,69.44,213.28,83
HCPCS,A4649,HC BONE INFLATION ACESRY SET,225.0,,63.0,193.5,83
HCPCS,A4649,HC BONE TAMP A,1649.0,,461.72,1418.14,83
HCPCS,A4649,HC BONE TAMP B,1731.0,,484.68,1488.66,83
HCPCS,A4649,HC BRUSH BIPOLAR 18G W/CORD,39.0,,10.92,33.54,83
HCPCS,A4649,HC BRUSH CLNG BRISTLE 4MM A4649,338.0,,94.64,290.68,83
HCPCS,A4649,HC BRUSH CYTOLOGY 160CM A4649,38.0,,10.64,32.68,83
HCPCS,A4649,HC BUCKLING SCLERAL COMP A4649,443.0,,124.04,380.98,83
HCPCS,A4649,HC C-A DRILL CNTRSINK 3-4MM A4649,450.0,,126.0,387.0,83
HCPCS,A4649,HC C-A GUIDE DRILL 3MM&4MM A4649,350.0,,98.0,301.0,83
HCPCS,A4649,HC CABLE EPG SURGICAL DISPOSABLE,149.0,,41.72,128.14,83
HCPCS,A4649,HC CAPSULORHEXIS CYSTITOME 25G,53.0,,14.84,45.58,83
HCPCS,A4649,HC CAROTID ARTERY SHNT SET A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC CASSETTE IRIG DISP CORE A4649,128.0,,35.84,110.08,83
HCPCS,A4649,HC CATH CONNECTOR C-RPLC INTRSPIN,375.0,,105.0,322.5,83
HCPCS,A4649,HC CATH CONTURA CVTY MAIN A4649,318.0,,89.04,273.48,83
HCPCS,A4649,HC CATH FOGARTY A4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC CATH FOGARTY IRRIG A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC CATH INTRSPINL 8703W LMBRC1755,875.0,,245.0,752.5,83
HCPCS,A4649,HC CATH PASS W/ORBITOR A4649,207.0,,57.96,178.02,83
HCPCS,A4649,HC CATH PERICARDIOCENTESIS 6F 60C,225.0,,63.0,193.5,83
HCPCS,A4649,HC CATH SUBCUTANEOUS PASSER A4649,361.0,,101.08,310.46,83
HCPCS,A4649,HC CATH TROCAR 16FR,48.0,,13.44,41.28,83
HCPCS,A4649,HC CATH TROCAR 20FR,46.0,,12.88,39.56,83
HCPCS,A4649,HC CATH TROCAR 28FR,46.0,,12.88,39.56,83
HCPCS,A4649,HC CATH TROCAR 32 FR,46.0,,12.88,39.56,83
HCPCS,A4649,HC CATH WHISTLE TIP ALL C1758,161.0,,45.08,138.46,83
HCPCS,A4649,HC CATHETER - ANGIO A,65.0,,18.2,55.9,83
HCPCS,A4649,HC CATHETER - ANGIO B,98.0,,27.44,84.28,83
HCPCS,A4649,HC CATHETER - ANGIO C,80.0,,22.4,68.8,83
HCPCS,A4649,HC CATHETER - ANGIO D,290.0,,81.2,249.4,83
HCPCS,A4649,HC CATHETER - ANGIO E,367.0,,102.76,315.62,83
HCPCS,A4649,HC CATHETER - ANGIO F,410.0,,114.8,352.6,83
HCPCS,A4649,HC CATHETER - ANGIO G,737.0,,206.36,633.82,83
HCPCS,A4649,HC CATHETER - ANGIO H,1130.0,,316.4,971.8,83
HCPCS,A4649,HC CATHETER - ANGIO J,1378.0,,385.84,1185.08,83
HCPCS,A4649,HC CATHETER - INFUSION A,326.0,,91.28,280.36,83
HCPCS,A4649,HC CHRONC DL CATH SYS23A-28AC1750,522.0,,146.16,448.92,83
HCPCS,A4649,HC CLAMPS VESSEL MED A4649,121.0,,33.88,104.06,83
HCPCS,A4649,HC CLEARPOINT SKULL PIN TIPSA4649,74.0,,20.72,63.64,83
HCPCS,A4649,HC CLEARPOINT SMARTFRAME XG KT,8514.0,,2383.92,7322.04,83
HCPCS,A4649,HC CLIP ENDO 5MM,574.0,,160.72,493.64,83
HCPCS,A4649,HC CNTL DRILL BIT 3.2MM,318.0,,89.04,273.48,83
HCPCS,A4649,HC COIL DETACH CONTROL,387.0,,108.36,332.82,83
HCPCS,A4649,HC CONFIDENCE DT-INTRO NDL,248.0,,69.44,213.28,83
HCPCS,A4649,HC CONT EVAC EMPTY 1000CC,38.0,,10.64,32.68,83
HCPCS,A4649,HC CONTURA ACCESSORY KIT,69.0,,19.32,59.34,83
HCPCS,A4649,HC CORD DISP ACTIVE A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC CORNEAL SHIELD COLLAGN72HA4649,98.0,,27.44,84.28,83
HCPCS,A4649,HC COUPLER FLOW3.5GEM2755-FCA4649,1900.0,,532.0,1634.0,83
HCPCS,A4649,HC COUPLER FLOW4.0GEM2756-FCA4649,1900.0,,532.0,1634.0,83
HCPCS,A4649,HC COUPLER M-VASC A-DVC1-4MMA4649,674.0,,188.72,579.64,83
HCPCS,A4649,HC CPS STAND PACK STJUDE,1116.0,,312.48,959.76,83
HCPCS,A4649,HC CRANI 1.5MM SPRNG CLPA4649,252.0,,70.56,216.72,83
HCPCS,A4649,HC CRV SINUS BUR RAD/CRV A4649,347.0,,97.16,298.42,83
HCPCS,A4649,HC CSF VENTR RESERV 12MM A4649,590.0,,165.2,507.4,83
HCPCS,A4649,HC CSLP DRILL BIT 3*14MM A4649,473.0,,132.44,406.78,83
HCPCS,A4649,HC CSLP TMPLTE SERIES 350.1 A4649,95.0,,26.6,81.7,83
HCPCS,A4649,HC CSLP TMPLTE SERIES 350.2 A4649,95.0,,26.6,81.7,83
HCPCS,A4649,HC CSLP TMPLTE SERIES 350.3 A4649,110.0,,30.8,94.6,83
HCPCS,A4649,HC CSLP TMPLTE SERIES 350.4 A4649,127.0,,35.56,109.22,83
HCPCS,A4649,HC CSLP VA-TMPLTE 14-100MM A4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC CUT LOOP ELEC 24-28 A4649,311.0,,87.08,267.46,83
HCPCS,A4649,HC CUTTER 55 LINEAR VASCULAR DLU,138.0,,38.64,118.68,83
HCPCS,A4649,HC CVC STAINLESS TUNNELER BARD,138.0,,38.64,118.68,83
HCPCS,A4649,HC CYBERWAND PROBE A4649,1506.0,,421.68,1295.16,83
HCPCS,A4649,HC CYTOLOGY BRUSH,283.0,,79.24,243.38,83
HCPCS,A4649,HC CYTOLOGY BRUSH COLONIC,43.0,,12.04,36.98,83
HCPCS,A4649,HC D-STAT FLOWABLE HEMOSTAT,313.0,,87.64,269.18,83
HCPCS,A4649,HC DBL BILIARY CYTOLOGY BRUSH,203.0,,56.84,174.58,83
HCPCS,A4649,HC DEVICE OMNIPORT HAND ASSIT SUR,770.0,,215.6,662.2,83
HCPCS,A4649,HC DEXTRUS RETRACT FL S-L A4649,112.0,,31.36,96.32,83
HCPCS,A4649,HC DEXTRUS SEAL CAP ASSEM A4649,1134.0,,317.52,975.24,83
HCPCS,A4649,HC DILATOR B,35.0,,9.8,30.1,83
HCPCS,A4649,HC DILATOR PUNCT 22FR TRACHEOSTO,152.0,,42.56,130.72,83
HCPCS,A4649,HC DILATOR VAG LRG,38.0,,10.64,32.68,83
HCPCS,A4649,HC DILATOR/CANNULA 12MM VERSASTEP,245.0,,68.6,210.7,83
HCPCS,A4649,HC DILATOR/CANNULA 5MM VERSASTEP,217.0,,60.76,186.62,83
HCPCS,A4649,HC DISCMONITOR A4649,340.0,,95.2,292.4,83
HCPCS,A4649,HC DRAIN BLAKE FLAT 10MM A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC DRAIN BLAKE FLAT 7MM A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC DRAIN BLAKE RND 10F A4649,58.0,,16.24,49.88,83
HCPCS,A4649,HC DRAIN BLAKE RND 19F A4649,58.0,,16.24,49.88,83
HCPCS,A4649,HC DRAIN BLAKE ROUND 15F A4649,58.0,,16.24,49.88,83
HCPCS,A4649,HC DRAIN JP RND 19F T/R KIT A4649,69.0,,19.32,59.34,83
HCPCS,A4649,HC DRAIN JP RND15F T/R KIT A4649,61.0,,17.08,52.46,83
HCPCS,A4649,HC DRILL BIT  3.1*204MM,338.0,,94.64,290.68,83
HCPCS,A4649,HC DRILL BIT A,280.0,,78.4,240.8,83
HCPCS,A4649,HC DRILL BIT B,1549.0,,433.72,1332.14,83
HCPCS,A4649,HC DRVR PRB NB ADVANCED,4500.0,,1260.0,3870.0,83
HCPCS,A4649,HC DRVR PRB NB ROBOTIC,4500.0,,1260.0,3870.0,83
HCPCS,A4649,HC DUPLOCATH 35 MIS A4649,135.0,,37.8,116.1,83
HCPCS,A4649,HC ECHO HD22-C ECHOTIP ULTRAA4649,604.0,,169.12,519.44,83
HCPCS,A4649,HC ECHO-25 ECHOTIP ULTRA A4649,484.0,,135.52,416.24,83
HCPCS,A4649,HC EHL PROBE NORTECH,350.0,,98.0,301.0,83
HCPCS,A4649,HC ELEC BUGBEE 5F*58CM A4649,169.0,,47.32,145.34,83
HCPCS,A4649,HC ELEC COAG RLR BX 2.7MM A4649,636.0,,178.08,546.96,83
HCPCS,A4649,HC ELEC DISP LIGASURE AXS,402.0,,112.56,345.72,83
HCPCS,A4649,HC ELEC FLUTED VAPORTRODE,296.0,,82.88,254.56,83
HCPCS,A4649,HC ELEC NDL LEVEEN 17G A4649,1680.0,,470.4,1444.8,83
HCPCS,A4649,HC ELEC NDL LEVEEN 1G A4649,2241.0,,627.48,1927.26,83
HCPCS,A4649,HC ELECTRODE FULG 3FR 10 A4649,206.0,,57.68,177.16,83
HCPCS,A4649,HC ELECTRODE PROBE ACT,2516.0,,704.48,2163.76,83
HCPCS,A4649,HC ELECTRODES SUBDERMAL PAIRED,401.0,,112.28,344.86,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS A,100.0,,28.0,86.0,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS B,155.0,,43.4,133.3,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS C,358.0,,100.24,307.88,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS D,584.0,,163.52,502.24,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS E,670.0,,187.6,576.2,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS F,1000.0,,280.0,860.0,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS G,1500.0,,420.0,1290.0,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS H,2900.0,,812.0,2494.0,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS I,2300.0,,644.0,1978.0,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS J,4600.0,,1288.0,3956.0,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS K,4500.0,,1260.0,3870.0,83
HCPCS,A4649,HC EMBOLIZATION - AGENTS L,8880.0,,2486.4,7636.8,83
HCPCS,A4649,HC EMBOLIZATION - COILS A,42.0,,11.76,36.12,83
HCPCS,A4649,HC EMBOLIZATION - COILS B,80.0,,22.4,68.8,83
HCPCS,A4649,HC EMBOLIZATION - COILS C,235.0,,65.8,202.1,83
HCPCS,A4649,HC EMBOLIZATION - COILS D,938.0,,262.64,806.68,83
HCPCS,A4649,HC EMBOLIZATION - COILS E,800.0,,224.0,688.0,83
HCPCS,A4649,HC EMBOLIZATION - COILS F,1125.0,,315.0,967.5,83
HCPCS,A4649,HC EMBOLIZATION - COILS G,1600.0,,448.0,1376.0,83
HCPCS,A4649,HC EMBOLIZATION - COILS H,1403.0,,392.84,1206.58,83
HCPCS,A4649,HC EMBOLIZATION - COILS I,1502.0,,420.56,1291.72,83
HCPCS,A4649,HC EMBOLIZATION - COILS J,1584.0,,443.52,1362.24,83
HCPCS,A4649,HC EMBOLIZATION - COILS K,170.0,,47.6,146.2,83
HCPCS,A4649,HC EMBOLIZATION - COILS L,1800.0,,504.0,1548.0,83
HCPCS,A4649,HC EMBOLIZATION DEVICE,656.0,,183.68,564.16,83
HCPCS,A4649,HC EMERGENCY CARE - MOBILE UNIT,1005.0,,281.4,864.3,83
HCPCS,A4649,HC ENCORE 26 INFLAT DVE 20MLA4649,83.0,,23.24,71.38,83
HCPCS,A4649,HC ENDO AVITENE COLLAGEN 5MMA4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC ENDO INSUFF TUBING HIGH A4649,81.0,,22.68,69.66,83
HCPCS,A4649,HC ENDO RFA ELEC 2*25CM A4649,1838.0,,514.64,1580.68,83
HCPCS,A4649,HC ENDO SCRUB 2 TUBING SET A4649,75.0,,21.0,64.5,83
HCPCS,A4649,HC ENDO SCRUB 2.7-4MM0-70DEGA4649,104.0,,29.12,89.44,83
HCPCS,A4649,HC ENDO UNVRSAL ROTCUL30-2.5A4649,800.0,,224.0,688.0,83
HCPCS,A4649,HC ENDOPATH RIGHT  ANGLE 5MM,83.0,,23.24,71.38,83
HCPCS,A4649,HC EPSTEIN FACIOPLAST ALL SZ,73.0,,20.44,62.78,83
HCPCS,A4649,HC ERASER WF-HEMOSTAT BX 23GA4649,92.0,,25.76,79.12,83
HCPCS,A4649,HC EXTRACTOR 4WIRE 3.2FR*115A4649,367.0,,102.76,315.62,83
HCPCS,A4649,HC FABRIC HEMA KNITTED DBLE VELOU,181.0,,50.68,155.66,83
HCPCS,A4649,HC FACIOPLASTY SUPPORT LRG,65.0,,18.2,55.9,83
HCPCS,A4649,HC FACIOPLASTY SUPPORT MED,104.0,,29.12,89.44,83
HCPCS,A4649,HC FEEDING KANGAROO TUBE W/ DOBHOFF TIP,38.0,,10.64,32.68,83
HCPCS,A4649,HC FEM BONE CMNT PREP KIT,312.0,,87.36,268.32,83
HCPCS,A4649,HC FIAPC PROBE - ERBE,450.0,,126.0,387.0,83
HCPCS,A4649,HC FIBER BEAMPATH MARK I C02A4649,875.0,,245.0,752.5,83
HCPCS,A4649,HC FIBER ELEV ELITE ENT A4649,2250.0,,630.0,1935.0,83
HCPCS,A4649,HC FIBER HOLMBK1000W/FLATTIPA4649,1200.0,,336.0,1032.0,83
HCPCS,A4649,HC FIBER HOLMBK200W/FLAT TIPA4649,875.0,,245.0,752.5,83
HCPCS,A4649,HC FIBER LASER HOLM 365 A4649,875.0,,245.0,752.5,83
HCPCS,A4649,HC FIBER TEST 550 A4649,875.0,,245.0,752.5,83
HCPCS,A4649,HC FIBRIN SEALANT 5/10ML (HUMAN) (VISTASEAL/EVICEL),1086.0,,304.08,933.96,83
HCPCS,A4649,HC FLOSEAL LAP APP 42CM A4649,186.0,,52.08,159.96,83
HCPCS,A4649,HC FLOW COUPLE2.0-3.0MMPROBEA4649,1900.0,,532.0,1634.0,83
HCPCS,A4649,HC FOAM DISC ADH LRG (PK-30EA),87.0,,24.36,74.82,83
HCPCS,A4649,HC FORCEPS BIOPSY 2.8MM A4649,83.0,,23.24,71.38,83
HCPCS,A4649,HC FRAGATOME ACCESS PCK A4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC GAUNTLET CC2 SZ5,73.0,,20.44,62.78,83
HCPCS,A4649,HC GELPORT BLN TROCAR 130MM A4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC GLOVE CC1 V - SZ 5,180.0,,50.4,154.8,83
HCPCS,A4649,HC GLOVE CC1 VI SZ6,180.0,,50.4,154.8,83
HCPCS,A4649,HC GOLD PROBE CATH BSCI,476.0,,133.28,409.36,83
HCPCS,A4649,HC GRAFT FILTER,2260.0,,632.8,1943.6,83
HCPCS,A4649,HC GUIDE ROD 2.8MM BALL TIP A4649,833.0,,233.24,716.38,83
HCPCS,A4649,HC GUIDE THE GHAJAR A4649,176.0,,49.28,151.36,83
HCPCS,A4649,HC GUIDE TRAJ NAVIGUSA4649,1493.0,,418.04,1283.98,83
HCPCS,A4649,HC HALO DISTL ATTCHM IMPLANTA4649,90.0,,25.2,77.4,83
HCPCS,A4649,HC HALTER PRO HEAD,62.0,,17.36,53.32,83
HCPCS,A4649,HC HAND GELPORT 120MM A4649,1300.0,,364.0,1118.0,83
HCPCS,A4649,HC HANDCONTROL GRIP PROBE IIA4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC HANDPIECE MULTI W/FIBER A4649,975.0,,273.0,838.5,83
HCPCS,A4649,HC HELICAL EXTRACT 3FR115CM A4649,380.0,,106.4,326.8,83
HCPCS,A4649,HC HEMOSTATIC VALVE,48.0,,13.44,41.28,83
HCPCS,A4649,HC HMERAL TEFLON TUBE A4649,646.0,,180.88,555.56,83
HCPCS,A4649,HC IAB CATH 34-40CCLIEN7.5FR,1275.0,,357.0,1096.5,83
HCPCS,A4649,HC IAB CATHETER 8FR 50CC,1415.0,,396.2,1216.9,83
HCPCS,A4649,HC IMP VASCULAR PORT DUAL C1788,804.0,,225.12,691.44,83
HCPCS,A4649,HC IMRI DRILL BIT,280.0,,78.4,240.8,83
HCPCS,A4649,HC IMRI SCAPEL,84.0,,23.52,72.24,83
HCPCS,A4649,HC IMRI SENSOR A,290.0,,81.2,249.4,83
HCPCS,A4649,HC INFINITY SAMPLE DEVICE,1125.0,,315.0,967.5,83
HCPCS,A4649,HC INFLATION DEVICE OLYMPUS,97.0,,27.16,83.42,83
HCPCS,A4649,HC INFLATION SYRINGE,257.0,,71.96,221.02,83
HCPCS,A4649,HC INFLATION SYRINGE ALLIANCE,119.0,,33.32,102.34,83
HCPCS,A4649,HC INFLATOR ACCESSORY SET A,1350.0,,378.0,1161.0,83
HCPCS,A4649,HC INTRODUCER CHOLANGI A4649,159.0,,44.52,136.74,83
HCPCS,A4649,HC INTRODUCER MINIPORT 2MM A4649,181.0,,50.68,155.66,83
HCPCS,A4649,HC INTRODUCER TOOL KIT,1631.0,,456.68,1402.66,83
HCPCS,A4649,HC JP C-DRAIN 10MM W/TROCARA4649,44.0,,12.32,37.84,83
HCPCS,A4649,HC JP C-DRAIN 7MM W/TROCARA4649,41.0,,11.48,35.26,83
HCPCS,A4649,HC JP DRAIN WND RND S 10-19FA4649,44.0,,12.32,37.84,83
HCPCS,A4649,HC KIT LUMBAR ACCESSORY (CORDIS),343.0,,96.04,294.98,83
HCPCS,A4649,HC KIT MEASURING THYROPLASTY,214.0,,59.92,184.04,83
HCPCS,A4649,HC KIT ORAL IRRIG,138.0,,38.64,118.68,83
HCPCS,A4649,HC KIT PFG (PERCUTAN FLORO GTUBE),157.0,,43.96,135.02,83
HCPCS,A4649,HC KIT WOUND DEBRIDEMENT PULSAVAC,144.0,,40.32,123.84,83
HCPCS,A4649,HC KT INTRODUCR 5F PEELAPARTC1892,138.0,,38.64,118.68,83
HCPCS,A4649,HC KUGLEN PP ANG HOOK A4649,57.0,,15.96,49.02,83
HCPCS,A4649,HC KYPHON 1S OSTEO INTRO T/DA4649,1533.0,,429.24,1318.38,83
HCPCS,A4649,HC KYPHON BONE FILL DVE DIR A4649,233.0,,65.24,200.38,83
HCPCS,A4649,HC KYPHON BONE FILLER DEVICE,223.0,,62.44,191.78,83
HCPCS,A4649,HC KYPHON EX OSTEOINTR DTROCA4649,630.0,,176.4,541.8,83
HCPCS,A4649,HC KYPHON EXP BONE FILLR DVEA4649,223.0,,62.44,191.78,83
HCPCS,A4649,HC KYPHON EXP DBONE FILT DEVEA,233.0,,65.24,200.38,83
HCPCS,A4649,HC KYPHON EXP OSTEOINTRO B/DA4649,1465.0,,410.2,1259.9,83
HCPCS,A4649,HC KYPHON EXPANDER II INFLATABLE BONE TAMP SZ3,2430.0,,680.4,2089.8,83
HCPCS,A4649,HC KYPHON EXPANDER INFLATABLE BONE TAMP SZ3,1953.0,,546.84,1679.58,83
HCPCS,A4649,HC KYPHON EXPRESS INFLATABLE BONE TAMP SZ2,1484.0,,415.52,1276.24,83
HCPCS,A4649,HC KYPHON INTO OIS 1STEP A4649,1620.0,,453.6,1393.2,83
HCPCS,A4649,HC KYPHON SYR KIS INFLA HPA4649,365.0,,102.2,313.9,83
HCPCS,A4649,HC KYPHON XPAND INFL NDLEA4649,231.0,,64.68,198.66,83
HCPCS,A4649,HC LASER ENDOSTAT 0.6MM12FT A4649,499.0,,139.72,429.14,83
HCPCS,A4649,HC LASER HOLMF-FIBERTIP550 A4649,875.0,,245.0,752.5,83
HCPCS,A4649,HC LENS VITRECT DISP FLAT SIA4649,88.0,,24.64,75.68,83
HCPCS,A4649,HC LIGASURE 5MM SEAL/DIV14.6A4649,821.0,,229.88,706.06,83
HCPCS,A4649,HC LIGASURE ELECTRODE LNG A4649,403.0,,112.84,346.58,83
HCPCS,A4649,HC LIGASURE PRECIS SEAL7.9INA4649,531.0,,148.68,456.66,83
HCPCS,A4649,HC LONG TEMP PROBEL - CRYO C2618,282.0,,78.96,242.52,83
HCPCS,A4649,HC LOOP ELCTRDE CUT YEL 24FRA4649,148.0,,41.44,127.28,83
HCPCS,A4649,HC LOOP POLY LIGDVC2.8MMCH-AA4649,169.0,,47.32,145.34,83
HCPCS,A4649,HC M-R 2.3MM TAPERED BALL,159.0,,44.52,136.74,83
HCPCS,A4649,HC M-R 6.0MM RND FLUTED BALL,187.0,,52.36,160.82,83
HCPCS,A4649,HC M-R6.0MM RND FLUTED BALL,191.0,,53.48,164.26,83
HCPCS,A4649,HC MALONEY BOUGIE MFLEX 30 SLFINF,338.0,,94.64,290.68,83
HCPCS,A4649,HC MALONEY BOUGIE MFLEX 40 SLFINF,419.0,,117.32,360.34,83
HCPCS,A4649,HC MALONEY BOUGIE MFLEX 46 SLFINF,492.0,,137.76,423.12,83
HCPCS,A4649,HC MARQUEE BIOPSY INSTRUMENT,138.0,,38.64,118.68,83
HCPCS,A4649,HC MARQUEE BIOPSY KIT,180.0,,50.4,154.8,83
HCPCS,A4649,HC MDA BM TRAY 15G ASPR A4649,66.0,,18.48,56.76,83
HCPCS,A4649,HC MDF HALL MOD SHAFT,1046.0,,292.88,899.56,83
HCPCS,A4649,HC MESH CUT SCISS LNG NOSE A4649,1124.0,,314.72,966.64,83
HCPCS,A4649,HC METAL T-PUSH 7FR*45CM A4649,43.0,,12.04,36.98,83
HCPCS,A4649,HC MICROCLIP GEM TI HEMOSTATA4649,38.0,,10.64,32.68,83
HCPCS,A4649,HC MICROMYST APPL 15CM A4649,829.0,,232.12,712.94,83
HCPCS,A4649,HC MICROSNARE KIT 7MM 175-200CM 2.3-3F105-175CM,878.0,,245.84,755.08,83
HCPCS,A4649,HC MINI PLTE HOLDER LNG A4649,475.0,,133.0,408.5,83
HCPCS,A4649,HC MINI-BOLT NEUROBLTE 2.2-3.3,1350.0,,378.0,1161.0,83
HCPCS,A4649,HC MYRIAD HANDPIECE ST-RSC 11-13G,4230.0,,1184.4,3637.8,83
HCPCS,A4649,HC NDL B-GUIDE NAVIGUS 2MMA4649,1250.0,,350.0,1075.0,83
HCPCS,A4649,HC NDLE ASPIR 22G F/EZA4649,331.0,,92.68,284.66,83
HCPCS,A4649,HC NEEDLE BIOPSY TRUCUT 14G*6IN,45.0,,12.6,38.7,83
HCPCS,A4649,HC NEEDLE DISP BX NASHOLD,482.0,,134.96,414.52,83
HCPCS,A4649,HC NEEDLE INSUFFLATION/ACCESS 14G,88.0,,24.64,75.68,166
HCPCS,A4649,HC NEURO PROC DREPE TAPER,632.0,,176.96,543.52,83
HCPCS,A4649,HC NEUROVIEW BIPOLAR ELECTRODE,457.0,,127.96,393.02,83
HCPCS,A4649,HC NEUROVIEW SHEATH 18FR,88.0,,24.64,75.68,83
HCPCS,A4649,HC NGAGE NITINOL STONE EXTRACTOR 1.7-2.2,464.0,,129.92,399.04,83
HCPCS,A4649,HC NITINOL EXTRACT 1.7F115CM,391.0,,109.48,336.26,83
HCPCS,A4649,HC NITINOL EXTRACT 2.4F115CM,389.0,,108.92,334.54,83
HCPCS,A4649,HC NITINOL STONE RETRV BASKT,497.0,,139.16,427.42,83
HCPCS,A4649,HC NPAS 100 RH NT,130.0,,36.4,111.8,83
HCPCS,A4649,"HC NUKNIT 6*9"" A4649",281.0,,78.68,241.66,83
HCPCS,A4649,HC OBTURATOR NON-BLADED 5MM,495.0,,138.6,425.7,83
HCPCS,A4649,HC OCUTOME IRRIG EYE PROBE A4649,320.0,,89.6,275.2,83
HCPCS,A4649,HC OLCOTT TORQUE DEVICE,39.0,,10.92,33.54,83
HCPCS,A4649,HC OMNI TIP SWITCHABLE A4649,315.0,,88.2,270.9,83
HCPCS,A4649,HC OMNI TIP SWT TIP 30DG A4649,77.0,,21.56,66.22,83
HCPCS,A4649,HC OMNIGDE BPATH ROBO FIBER,1942.0,,543.76,1670.12,83
HCPCS,A4649,HC OPTICAL COHER TOMO CATH,1800.0,,504.0,1548.0,83
HCPCS,A4649,HC OSTEO INTRODUCER KIT,5391.0,,1509.48,4636.26,83
HCPCS,A4649,HC PACEMAKER KIT,172.0,,48.16,147.92,83
HCPCS,A4649,HC PACEMAKER MONITOR MEDTRON,900.0,,252.0,774.0,83
HCPCS,A4649,HC PACEMAKER MONITOR ST JUDE,1588.0,,444.64,1365.68,83
HCPCS,A4649,HC PASSIVE CATH INTRODUCER A4649,858.0,,240.24,737.88,83
HCPCS,A4649,HC PEAK PLASMABLADE 3.0S,585.0,,163.8,503.1,83
HCPCS,A4649,HC PERCUT LMBR DISCETMY PROBA4649,2775.0,,777.0,2386.5,83
HCPCS,A4649,HC PERFLUORON LIQ OCTANE 7MLA4649,1035.0,,289.8,890.1,83
HCPCS,A4649,HC PERITONEAL INTRO 61-70CM A4649,392.0,,109.76,337.12,83
HCPCS,A4649,HC PERMAFIX FIXATION SYS 15FA4649,417.0,,116.76,358.62,83
HCPCS,A4649,HC PIRANHA3F URETEROSCOPIC,799.0,,223.72,687.14,83
HCPCS,A4649,HC PK FRONT LOADING ELEC SUPA4649,1125.0,,315.0,967.5,83
HCPCS,A4649,HC PK PLASMABTN ELEC BUTT A4649,1125.0,,315.0,967.5,83
HCPCS,A4649,HC PLASMA EXCHANGE SET,338.0,,94.64,290.68,83
HCPCS,A4649,HC PMT CONN MINI 1*8 A4649,867.0,,242.76,745.62,83
HCPCS,A4649,HC PMT CORTICAL GRID 6*6 A4649,1193.0,,334.04,1025.98,83
HCPCS,A4649,HC PMT SUBDURAL GRID A4649,1114.0,,311.92,958.04,83
HCPCS,A4649,HC POLY TIP VFI CANN 23GA7MMA4649,59.0,,16.52,50.74,83
HCPCS,A4649,HC POLYMETHYMETHACRYLATE,3218.0,,901.04,2767.48,83
HCPCS,A4649,HC PORT CLOSURE CT II 10/14 A4649,617.0,,172.76,530.62,83
HCPCS,A4649,HC PRASS S-MONO STIM PROBE A4649,346.0,,96.88,297.56,83
HCPCS,A4649,HC PRB NB FULLFIRE DT-LASER 000-5,13425.0,,3759.0,11545.5,83
HCPCS,A4649,HC PRB NB FULLFIRE SD-TIP 000-5,13425.0,,3759.0,11545.5,83
HCPCS,A4649,HC PRB NB SIDEFIRE D-LASER 000-5,13425.0,,3759.0,11545.5,83
HCPCS,A4649,HC PRB NB SIDEFIRE DT-LASER 000-5,13425.0,,3759.0,11545.5,83
HCPCS,A4649,HC PRESSURIZER SPONGE,110.0,,30.8,94.6,83
HCPCS,A4649,HC PRHL DRILL BIT 2.7MM,338.0,,94.64,290.68,83
HCPCS,A4649,HC PROBE FIA PC SIDE VIEW ERBE,495.0,,138.6,425.7,83
HCPCS,A4649,HC PROBE INCRM STD PRASS TIPA4649,449.0,,125.72,386.14,83
HCPCS,A4649,HC PROBE LITOTRIPTER MECHANICAL,711.0,,199.08,611.46,83
HCPCS,A4649,HC PROBE STIM BP PRASSA4649,261.0,,73.08,224.46,83
HCPCS,A4649,HC PROBE STIM PRASS STD MONOA4649,376.0,,105.28,323.36,83
HCPCS,A4649,HC PUMP SET,438.0,,122.64,376.68,83
HCPCS,A4649,HC PUNCH AORTIC VIEW 6.0 A4649,87.0,,24.36,74.82,83
HCPCS,A4649,HC QC-DRILBIT1.5*110MMW/OSA4649,147.0,,41.16,126.42,83
HCPCS,A4649,HC REPLACMNT MANO ADAPT KIT,142.0,,39.76,122.12,83
HCPCS,A4649,HC RESECTION ELEC LOOP 24F A4649,222.0,,62.16,190.92,83
HCPCS,A4649,HC RESORB 1.5MM BURR-HOL CVRA4649,482.0,,134.96,414.52,83
HCPCS,A4649,HC RESTRICTOR CEM 25MM A4649,264.0,,73.92,227.04,83
HCPCS,A4649,HC RETRACT SYS DEEP SCROTAL A4649,948.0,,265.44,815.28,83
HCPCS,A4649,HC REVOLVE FAT PROC SYS A4649,1168.0,,327.04,1004.48,83
HCPCS,A4649,HC RIA BT-REAMING ROD 950MM,518.0,,145.04,445.48,83
HCPCS,A4649,HC RIA DRIVER SHAFT SEAL,69.0,,19.32,59.34,83
HCPCS,A4649,HC RIA LOCKING CLIP,184.0,,51.52,158.24,83
HCPCS,A4649,HC RIA REAMER HEAD 13MM,714.0,,199.92,614.04,83
HCPCS,A4649,HC RIA TUBING ASMBLY,1093.0,,306.04,939.98,83
HCPCS,A4649,HC RPVD VAGINAL DILATOR1,124.0,,34.72,106.64,83
HCPCS,A4649,HC RPVD VAGINAL DILATOR2,132.0,,36.96,113.52,83
HCPCS,A4649,HC RPVD VAGINAL DILATOR3,138.0,,38.64,118.68,83
HCPCS,A4649,HC RUMI KOH PL 3-4 CM A4649,273.0,,76.44,234.78,83
HCPCS,A4649,HC RUMI KOH-EFF SS 3-4CM A4649,203.0,,56.84,174.58,83
HCPCS,A4649,HC RUMI TIPS 6.7MM*6-12CM A4649,121.0,,33.88,104.06,83
HCPCS,A4649,HC S&N BPT-GDE PIN 3.2*343MMA4649,359.0,,100.52,308.74,83
HCPCS,A4649,HC S&N BT-GDE ROD 3*1000MM A4649,503.0,,140.84,432.58,83
HCPCS,A4649,HC S&N CLB D-GDE PIN3.2*300MA4649,173.0,,48.44,148.78,83
HCPCS,A4649,HC S&N CLB GDE PIN 3.2*230MMA4649,156.0,,43.68,134.16,83
HCPCS,A4649,HC S&N LNG AO P-DRILL 4MM A4649,702.0,,196.56,603.72,83
HCPCS,A4649,HC S&N PERI-LOC D-BIT 3.5MM A4649,357.0,,99.96,307.02,83
HCPCS,A4649,HC S&N PERI-LOC D-BIT 4.5MM A4649,357.0,,99.96,307.02,83
HCPCS,A4649,HC S&N PERI-LOC K-WIRE2*28MMA4649,80.0,,22.4,68.8,83
HCPCS,A4649,HC S&N PRT DRILL GDE PROBE A4649,849.0,,237.72,730.14,83
HCPCS,A4649,HC S&N SC-TWST D-BIT 3.5MM A4649,175.0,,49.0,150.5,83
HCPCS,A4649,HC S&N SRSHT AO D-BIT 4MM A4649,556.0,,155.68,478.16,83
HCPCS,A4649,HC S&N TRIGEN6.4MM STEPDRILLA4649,683.0,,191.24,587.38,83
HCPCS,A4649,HC SAVI FLX CATH PROTCTR SET,394.0,,110.32,338.84,83
HCPCS,A4649,HC SAVI PREP CATH A4649,342.0,,95.76,294.12,83
HCPCS,A4649,HC SAVI SPACER,342.0,,95.76,294.12,83
HCPCS,A4649,HC SAVI SPACER A4649,342.0,,95.76,294.12,83
HCPCS,A4649,HC SCOPE DISTAL TIP ATTACH (MULT SIZES),65.0,,18.2,55.9,83
HCPCS,A4649,HC SCREW DRVR BLDE HEX A4649,695.0,,194.6,597.7,83
HCPCS,A4649,HC SCREWS DISP HEAD RING S/M/L,306.0,,85.68,263.16,83
HCPCS,A4649,HC SEALANT FLOSEAL MATRIX,491.0,,137.48,422.26,83
HCPCS,A4649,HC SEALER DURASEAL EXACT 5.0ML,1344.0,,376.32,1155.84,83
HCPCS,A4649,HC SEAMGRD MF GIA 60/PROX 55A4649,501.0,,140.28,430.86,83
HCPCS,A4649,HC SEAMGRD MF GIA 80/PROX 75A4649,508.0,,142.24,436.88,83
HCPCS,A4649,HC SEAMGUARD BIOAB 45 A4649,432.0,,120.96,371.52,83
HCPCS,A4649,HC SEAMGUARD BIOAB 60 A4649,473.0,,132.44,406.78,83
HCPCS,A4649,HC SEAMGUARD ECHELON 45 A4649,432.0,,120.96,371.52,83
HCPCS,A4649,HC SEAMGUARD ECHELON 60 A4649,462.0,,129.36,397.32,83
HCPCS,A4649,HC SEAMGUARD ENDO II GIA 45 A4649,462.0,,129.36,397.32,83
HCPCS,A4649,HC SET BIOPSY BONE 13GAX19CMA4649,383.0,,107.24,329.38,83
HCPCS,A4649,HC SET INTRO 8FR DAIG PEEL,105.0,,29.4,90.3,83
HCPCS,A4649,HC SET PLEURAL DRNG LINE,127.0,,35.56,109.22,83
HCPCS,A4649,HC SET PRESS BAG IRRIGATION TUBE,44.0,,12.32,37.84,83
HCPCS,A4649,HC SHEATH BALLOON A4649,469.0,,131.32,403.34,83
HCPCS,A4649,HC SHEATH URETERAL ACCESS (FORTE) (MULT SIZES),203.0,,56.84,174.58,83
HCPCS,A4649,HC SIMPULSE WND CARE KIT A4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC SLEEVE SMIT 40*6MM A4649,162.0,,45.36,139.32,83
HCPCS,A4649,HC SLVE ULTRA INFUSION,77.0,,21.56,66.22,83
HCPCS,A4649,HC SMARTFRAME UNI-LAT KIT A4649,7157.0,,2003.96,6155.02,83
HCPCS,A4649,HC SMIT SLEEVE 20MM X 6MM A4649,190.0,,53.2,163.4,83
HCPCS,A4649,HC SPATULA ULTRA DUKE 45*27GA4649,132.0,,36.96,113.52,83
HCPCS,A4649,HC SPHERE MARKER 11.5MM A4649,48.0,,13.44,41.28,83
HCPCS,A4649,HC SPHERES REFLECTIVE MARKERA4649,76.0,,21.28,65.36,83
HCPCS,A4649,HC SPINE WAND 8-11 GA A4649,3600.0,,1008.0,3096.0,83
HCPCS,A4649,HC SPY ELITE SNG VIAL PACK A4649,1587.0,,444.36,1364.82,83
HCPCS,A4649,HC SPY IMAGING PAQS A4649,692.0,,193.76,595.12,83
HCPCS,A4649,HC SPYBITE ENDOSCOPIC BIOPSY FORCEPS,1167.0,,326.76,1003.62,83
HCPCS,A4649,HC STAYS ELAS 12MM FBEA4649,38.0,,10.64,32.68,83
HCPCS,A4649,HC STENT DBL SOFT J C2617,603.0,,168.84,518.58,83
HCPCS,A4649,HC STENT HYDRO URET 6FR*30CMC2617,324.0,,90.72,278.64,83
HCPCS,A4649,HC STENT POLL URET O-E 5-6F C1758,282.0,,78.96,242.52,83
HCPCS,A4649,HC STENT VAGINAL ALL C1874,875.0,,245.0,752.5,83
HCPCS,A4649,HC STERILE BIOPSY GRID,70.0,,19.6,60.2,83
HCPCS,A4649,HC STNT URINRY DIV SI7F*90CMC2617,391.0,,109.48,336.26,83
HCPCS,A4649,HC STNT URINRY DIV SI8F*90CMC2617,338.0,,94.64,290.68,83
HCPCS,A4649,HC STR SINUS BLDE TRICUT A4649,263.0,,73.64,226.18,83
HCPCS,A4649,HC STRIP ELECT PLAT SUB WYLER A46,898.0,,251.44,772.28,83
HCPCS,A4649,HC STRYKR AUTOPLX SYKT11/13GA4649,1275.0,,357.0,1096.5,83
HCPCS,A4649,HC STRYKR VRTPRT CANN CMNT A4649,158.0,,44.24,135.88,83
HCPCS,A4649,HC STYLET LEAD PACEMAKER TIP  6094-6082,99.0,,27.72,85.14,83
HCPCS,A4649,HC SUBCUT CATH PASS 38CMA4649,339.0,,94.92,291.54,83
HCPCS,A4649,HC SUPER FINE MICROCLIP A4649,38.0,,10.64,32.68,83
HCPCS,A4649,HC SURG RETRACT RING PLAS A4649,121.0,,33.88,104.06,83
HCPCS,A4649,HC SURGIFLO ENDO APPL A4649,124.0,,34.72,106.64,83
HCPCS,A4649,HC SURGIFLO HEM MTRX A4649,291.0,,81.48,250.26,83
HCPCS,A4649,HC SURGIFLO HEMO MATRIX A4649,219.0,,61.32,188.34,83
HCPCS,A4649,HC SYN JL-DRILBIT1.5*10-22MMA4649,292.0,,81.76,251.12,83
HCPCS,A4649,HC SYN JR-DRILBIT1.8*10-22MM,292.0,,81.76,251.12,83
HCPCS,A4649,HC SYNT HC-DRILBIT1.3*3*52MMA4649,229.0,,64.12,196.94,83
HCPCS,A4649,HC SYNT JL-DRILBIT1.3*3*45MMA4649,229.0,,64.12,196.94,83
HCPCS,A4649,HC SYNTH 3.2MMD-BITW/FX SHFTA4649,875.0,,245.0,752.5,83
HCPCS,A4649,HC SYNTH CT ROD TMPLTE5*150MA4649,338.0,,94.64,290.68,83
HCPCS,A4649,HC SYNTH JL-DRILBIT1.8*125MMA4649,260.0,,72.8,223.6,83
HCPCS,A4649,HC SYNTH JL-DRILBIT2.4*125MMA4649,260.0,,72.8,223.6,83
HCPCS,A4649,HC SYNTH K-WIRE 2.0MM W/TROCAR,38.0,,10.64,32.68,83
HCPCS,A4649,HC SYNTH LT WDG-TMPLT50-60MMA4649,270.0,,75.6,232.2,83
HCPCS,A4649,HC SYNTH OCCMED-TMPLT50-60MMA4649,270.0,,75.6,232.2,83
HCPCS,A4649,HC SYNTH QC DRILBIT3.2*245MMA4649,686.0,,192.08,589.96,83
HCPCS,A4649,HC SYNTH QC-DRILBIT1.5*110MMA4649,195.0,,54.6,167.7,83
HCPCS,A4649,HC SYNTH QC-DRILLBIT3.2*65MMA4649,412.0,,115.36,354.32,83
HCPCS,A4649,HC SYNTH QC-DRILLBIT3.8*20MMA4649,597.0,,167.16,513.42,83
HCPCS,A4649,HC SYNTH ROD TMPLTE3.5*240MMA4649,266.0,,74.48,228.76,83
HCPCS,A4649,HC SYNTH UNV JNT SCRWDVR T15A4649,2735.0,,765.8,2352.1,83
HCPCS,A4649,HC SYNTHES 3F D-BIT 2.5MM A4649,290.0,,81.2,249.4,83
HCPCS,A4649,HC SYNTHES ADJ DRILL GDE A4649,4266.0,,1194.48,3668.76,83
HCPCS,A4649,HC SYNTHES AML-TMPLAT12H 2MMA4649,124.0,,34.72,106.64,83
HCPCS,A4649,HC SYNTHES CNC BN TAP 4.5MM A4649,446.0,,124.88,383.56,83
HCPCS,A4649,HC SYNTHES CNC BNE TAP 3.5MMA4649,366.0,,102.48,314.76,83
HCPCS,A4649,HC SYNTHES CNTRTORQUE HNDLE A4649,2655.0,,743.4,2283.3,83
HCPCS,A4649,HC SYNTHES CR-TEMPLT 6*150MMA4649,325.0,,91.0,279.5,83
HCPCS,A4649,HC SYNTHES CR-TEMPLT 6*500MMA4649,673.0,,188.44,578.78,83
HCPCS,A4649,HC SYNTHES CRV PED PRBE2.4MMA4649,1491.0,,417.48,1282.26,83
HCPCS,A4649,HC SYNTHES CTX SCW TAP 3.5MMA4649,366.0,,102.48,314.76,83
HCPCS,A4649,HC SYNTHES DC-SCREW TAP 8MM A4649,735.0,,205.8,632.1,83
HCPCS,A4649,HC SYNTHES DEPTH GAUGE A4649,2156.0,,603.68,1854.16,83
HCPCS,A4649,HC SYNTHES DIST PIN 14MM A4649,320.0,,89.6,275.2,83
HCPCS,A4649,HC SYNTHES DIST PIN 16MM A4649,320.0,,89.6,275.2,83
HCPCS,A4649,HC SYNTHES DRILL GDE W/GRAD A4649,2483.0,,695.24,2135.38,83
HCPCS,A4649,HC SYNTHES DRL/SCRW GDE A4649,3744.0,,1048.32,3219.84,83
HCPCS,A4649,HC SYNTHES FLEX D-BIT 5MM A4649,646.0,,180.88,555.56,83
HCPCS,A4649,HC SYNTHES HEXDBIT 1.1*4-6MMA4649,239.0,,66.92,205.54,83
HCPCS,A4649,HC SYNTHES J-L DBIT1.1*4-6MMA4649,239.0,,66.92,205.54,83
HCPCS,A4649,HC SYNTHES K-WIRE 2.4MM A4649,366.0,,102.48,314.76,83
HCPCS,A4649,HC SYNTHES LLL-TMPLT6*21H2MMA4649,123.0,,34.44,105.78,83
HCPCS,A4649,HC SYNTHES LLS-TEMPLT 6H 2MMA4649,124.0,,34.72,106.64,83
HCPCS,A4649,HC SYNTHES LS-TMPLT 3*3H 2MMA4649,107.0,,29.96,92.02,83
HCPCS,A4649,HC SYNTHES MML-TEMPLT 6H 2MMA4649,108.0,,30.24,92.88,83
HCPCS,A4649,HC SYNTHES OC-SCREW TAP4.5MMA4649,824.0,,230.72,708.64,83
HCPCS,A4649,HC SYNTHES OCC ROD TMPLTE A4649,340.0,,95.2,292.4,83
HCPCS,A4649,HC SYNTHES PED PROBE 2.4MM A4649,1491.0,,417.48,1282.26,83
HCPCS,A4649,HC SYNTHES PLTE BENDER A4649,4643.0,,1300.04,3992.98,83
HCPCS,A4649,HC SYNTHES POSITIONING TOOL A4649,1776.0,,497.28,1527.36,83
HCPCS,A4649,HC SYNTHES QC D-BIT 1.5*8MM A4649,230.0,,64.4,197.8,83
HCPCS,A4649,HC SYNTHES QC-D-BIT3.3*248MMA4649,333.0,,93.24,286.38,83
HCPCS,A4649,HC SYNTHES QC-DRILL BIT 2.4*65MM,471.0,,131.88,405.06,83
HCPCS,A4649,HC SYNTHES S-DRILLBIT 2*65MMA4649,384.0,,107.52,330.24,83
HCPCS,A4649,HC SYNTHES S-TAP 3.2-3.5MM A4649,384.0,,107.52,330.24,83
HCPCS,A4649,HC SYNTHES S/T T-FIX PINA4649,948.0,,265.44,815.28,83
HCPCS,A4649,HC SYNTHES S/T TD-FIX PINA4649,310.0,,86.8,266.6,83
HCPCS,A4649,HC SYNTHES SO-SCREW TAP9.0MMA4649,875.0,,245.0,752.5,83
HCPCS,A4649,HC SYNTHES SV D-BIT3*12-20MMA4649,465.0,,130.2,399.9,83
HCPCS,A4649,HC SYNTHES TEMP FIX PIN A4649,357.0,,99.96,307.02,83
HCPCS,A4649,HC SYNTHES UNIV JNT TAP4.5MMA4649,1961.0,,549.08,1686.46,83
HCPCS,A4649,HC SYNTHES VT-FIX PIN A4649,306.0,,85.68,263.16,83
HCPCS,A4649,HC SYNTHES XL-TEMPLT 5*22*5HA4649,132.0,,36.96,113.52,83
HCPCS,A4649,HC SYNTHES XLR-TEMPLTE 2MMA4649,128.0,,35.84,110.08,83
HCPCS,A4649,HC SYNTHS CSLP DBIT3*12-16MMA4649,492.0,,137.76,423.12,83
HCPCS,A4649,HC SYNTHS CSLP TAPS 4-4.35MMA4649,492.0,,137.76,423.12,83
HCPCS,A4649,HC SYNTHS DRILL BIT1.5*125MMA4649,213.0,,59.64,183.18,83
HCPCS,A4649,HC SYNTHS HEX DBIT1.5*4-12MMA4649,239.0,,66.92,205.54,83
HCPCS,A4649,HC SYNTHS J-LDBT1.5*44.5-125MMA46,239.0,,66.92,205.54,83
HCPCS,A4649,HC SYNTHS LL-TMPLT4*20*4H2MMA4649,132.0,,36.96,113.52,83
HCPCS,A4649,HC SYNTHS LL-TMPLT6*24*6H2MMA4649,132.0,,36.96,113.52,83
HCPCS,A4649,HC SYNTHS MQCDBT1.5*44.5-125MMA46,239.0,,66.92,205.54,83
HCPCS,A4649,HC SYNTHS QCDBIT 1.5*75MM A4649,239.0,,66.92,205.54,83
HCPCS,A4649,HC SYNTHS SV DBIT2.5*12-20MMA4649,484.0,,135.52,416.24,83
HCPCS,A4649,HC SYNTHS U/H DBT1.5*85-110MMA464,239.0,,66.92,205.54,83
HCPCS,A4649,HC SYRINGE 10ML OIL SIL 5000A4649,699.0,,195.72,601.14,83
HCPCS,A4649,HC SYS LEAD DELIVERY ACUITY PRO,700.0,,196.0,602.0,83
HCPCS,A4649,HC SYS TRAC MSTR STONE RETR A4649,413.0,,115.64,355.18,83
HCPCS,A4649,HC SYSTEM IMPLT WILSON A4649,174.0,,48.72,149.64,83
HCPCS,A4649,HC SYSTEM VESSEL HARVEST,1191.0,,333.48,1024.26,83
HCPCS,A4649,HC T2 RGD REAMER 10MM,1407.0,,393.96,1210.02,83
HCPCS,A4649,HC TANO MEM SCRAPER 20G A4649,236.0,,66.08,202.96,83
HCPCS,A4649,HC TEMP PACEMKR CATH,338.0,,94.64,290.68,83
HCPCS,A4649,HC TEMPORARY PACING CABLES,60.0,,16.8,51.6,83
HCPCS,A4649,HC TEX PREP KIT BONE CEMENT A4649,207.0,,57.96,178.02,83
HCPCS,A4649,HC THERMODILUTION SWAN 7FR,145.0,,40.6,124.7,83
HCPCS,A4649,HC THERMODILUTION SWAN CATHETER (MULT SIZES),108.0,,30.24,92.88,83
HCPCS,A4649,HC TIP SNP SPETLER 25MZ ANG A4649,1540.0,,431.2,1324.4,83
HCPCS,A4649,HC TIP SNPT SPETZLER25MHZ MIA4649,1311.0,,367.08,1127.46,83
HCPCS,A4649,HC TIP SNPT SPETZLER25MZ BARA4649,1155.0,,323.4,993.3,83
HCPCS,A4649,HC TISSINK DISSEC SEALER 3.5A4649,1828.0,,511.84,1572.08,83
HCPCS,A4649,HC TORQUE VISE A4649,38.0,,10.64,32.68,83
HCPCS,A4649,HC TRACH ADH SKIN 2 OZ,119.0,,33.32,102.34,83
HCPCS,A4649,HC TRACH FOAM DISC STD (PK-30EA),76.0,,21.28,65.36,83
HCPCS,A4649,HC TRACKING PAD A,425.0,,119.0,365.5,83
HCPCS,A4649,HC TRAY GYN PELVIC SPEC COLL,115.0,,32.2,98.9,83
HCPCS,A4649,HC TRAY VEIN HARVEST FLEX,836.0,,234.08,718.96,83
HCPCS,A4649,HC TRAY VESSEL HARVEST,562.0,,157.36,483.32,83
HCPCS,A4649,HC TRIGGER DISP W/CORD 4MM A4649,51.0,,14.28,43.86,83
HCPCS,A4649,HC TROCAR 12*100MM EXCEL A4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC TROCAR BLADELESS 10/12MM,564.0,,157.92,485.04,83
HCPCS,A4649,HC TRUSOFT LIQUID 4OZ A4649,49.0,,13.72,42.14,83
HCPCS,A4649,HC TRUSOFT POWDER 3OZ A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC TUBE POP VENT 1.14MM A4649,41.0,,11.48,35.26,83
HCPCS,A4649,HC TUBING DOLPHIN TRANSDUCERA4649,197.0,,55.16,169.42,83
HCPCS,A4649,HC TUBING LAP SMOKE EVAC A4649,71.0,,19.88,61.06,83
HCPCS,A4649,HC TUBING SYS SMOKE EVAC,65.0,,18.2,55.9,83
HCPCS,A4649,HC TUBING&BX CORD IRRG MALISA4649,138.0,,38.64,118.68,83
HCPCS,A4649,HC TUNNELER B,59.0,,16.52,50.74,83
HCPCS,A4649,"HC TUNNLER ON Q 8-12"" A4649",110.0,,30.8,94.6,83
HCPCS,A4649,HC UD DISK DRILL 7-11MM,1142.0,,319.76,982.12,83
HCPCS,A4649,HC UD HELIX TIP 9.5MM,1142.0,,319.76,982.12,83
HCPCS,A4649,HC UD HOSE DRPE ASMBLY,436.0,,122.08,374.96,83
HCPCS,A4649,HC UD S-K OSTEOTOME 9.5MM,1142.0,,319.76,982.12,83
HCPCS,A4649,HC UD TIP EXTEN 120MM,1142.0,,319.76,982.12,83
HCPCS,A4649,HC ULTRASND BALLOON CUFF 3A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC URETERAL BRUSH/ DEFLECTABLE BRUSH BIOPSY SET,175.0,,49.0,150.5,83
HCPCS,A4649,HC UROSEAL MULTICLK ADPTER A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC US CONNECTOR PORT,203.0,,56.84,174.58,83
HCPCS,A4649,HC VAGINAL DILATOR 1 1/8X4 1/2IN,117.0,,32.76,100.62,83
HCPCS,A4649,HC VAGINAL DILATOR 1 X 4 IN,77.0,,21.56,66.22,83
HCPCS,A4649,HC VAGINAL DILATOR 3/4 X3IN,69.0,,19.32,59.34,83
HCPCS,A4649,HC VAGINAL DILATOR 7/8 X 3 1/2 IN,78.0,,21.84,67.08,83
HCPCS,A4649,HC VARI-STIM III NERV LOCATRA4649,109.0,,30.52,93.74,83
HCPCS,A4649,HC VASC GELFOAM SPNGE LG A4649,63.0,,17.64,54.18,83
HCPCS,A4649,HC VASC SURGICEL 2*3 A4649,88.0,,24.64,75.68,83
HCPCS,A4649,HC VASC SURGICEL 4*8 A4649,138.0,,38.64,118.68,83
HCPCS,A4649,"HC VASC SURIGICEL FIB 4*4"" A4649",250.0,,70.0,215.0,83
HCPCS,A4649,HC VENOUS - BIOPTOME,465.0,,130.2,399.9,83
HCPCS,A4649,HC VENOUS - TIPS SET,87.0,,24.36,74.82,83
HCPCS,A4649,HC VENOUS LIVER SET A,500.0,,140.0,430.0,83
HCPCS,A4649,HC VENOUS LIVER SET B,612.0,,171.36,526.32,83
HCPCS,A4649,HC VENOUS LIVER SET C,1125.0,,315.0,967.5,83
HCPCS,A4649,HC VENOUS LIVER SET D,900.0,,252.0,774.0,83
HCPCS,A4649,HC VENOUS LIVER SET E,1050.0,,294.0,903.0,83
HCPCS,A4649,HC VISCERAL CATH 5F40CM A4649,65.0,,18.2,55.9,83
HCPCS,A4649,HC WHT BLOOD CELL KIT OR REMOVER,355.0,,99.4,305.3,83
HCPCS,A4649,HC WIRE STONE EXTRACTOR,338.0,,94.64,290.68,83
HCPCS,A4649,HC WRENCH KIT,112.0,,31.36,96.32,83
HCPCS,A4649,HC WRENCH SCR NEURO ST ACSRYA4649,124.0,,34.72,106.64,83
HCPCS,A4649,HC XT125 125 KIT LO HEMATOCRITS,2921.0,,817.88,2512.06,83
HCPCS,A4773,HC HEMASTIX-CHEMSTRIP OB DIP,91.0,,25.48,78.26,83
HCPCS,A4913,HC HEMOPERFUSION CARTRIDGE,875.0,,245.0,752.5,83
HCPCS,A5062,HC OST POUCH ACTIVE LIFE 1IN 25MM,41.0,,11.48,35.26,83
HCPCS,A5062,HC OST POUCH DRAIN 1 1/2IN 38MM,41.0,,11.48,35.26,83
HCPCS,A5062,HC OST POUCH DRAIN 1-1/4IN 32MM,41.0,,11.48,35.26,83
HCPCS,A5071,HC OST UROSTOMY PACK MICROSKIN,138.0,,38.64,118.68,83
HCPCS,A5120,HC OST SKIN BARRIER NO STING,38.0,,10.64,32.68,83
HCPCS,A5120,HC SKIN TAC WIPES/ BOX,59.0,,16.52,50.74,83
HCPCS,A5126,HC PAD TOPIFOAM ADH7*11.5*.5A5126,38.0,,10.64,32.68,83
HCPCS,A6021,HC DRESSING PROMOGRAN PRISMA 19.1SQ IN,67.0,,18.76,57.62,83
HCPCS,A6021,HC ENDOFORM DERMAL TEMPLATE 2X2CM,38.0,,10.64,32.68,83
HCPCS,A6022,HC DRESSING PROMOGRAN 19.1SQ IN,65.0,,18.2,55.9,83
HCPCS,A6022,HC ENDOFORM DERMAL TEMPLATE 4X5CM,105.0,,29.4,90.3,83
HCPCS,A6022,"HC PURACOL PLUS 4.25""X4.5""",53.0,,14.84,45.58,83
HCPCS,A6025,HC DRSG MEPIFORM 2X3,120.0,,33.6,103.2,83
HCPCS,A6025,HC DRSG MEPIFORM 4X7,61.0,,17.08,52.46,83
HCPCS,A6025,HC EMBRAC ADVC SCAR TX/SHEET,56.0,,15.68,48.16,83
HCPCS,A6154,HC FISTULA WOUND MGT SYS MAX,65.0,,18.2,55.9,83
HCPCS,A6154,HC FISTULA WOUND MGT SYS MID,55.0,,15.4,47.3,83
HCPCS,A6154,HC FISTULA WOUND MGT SYS MIN,38.0,,10.64,32.68,83
HCPCS,A6196,HC DRESSING HYALOFIL 10X10CM,384.0,,107.52,330.24,83
HCPCS,A6196,HC DRESSING HYALOFILL 5X5CM,183.0,,51.24,157.38,83
HCPCS,A6197,HC DRESSING ACTICOAT 3 5X5,139.0,,38.92,119.54,83
HCPCS,A6197,HC DRESSING SLVER 6X6,63.0,,17.64,54.18,83
HCPCS,A6197,HC MEDIHONY CALCM ALGNAT DRE,38.0,,10.64,32.68,83
HCPCS,A6205,"HC MEPILEX TRANS 8X20"" A6205",51.0,,14.28,43.86,83
HCPCS,A6206,HC DRSG MEPITEL 3 X 4,138.0,,38.64,118.68,83
HCPCS,A6207,HC MEPITEL DRESSING 4X7.2,137.0,,38.36,117.82,83
HCPCS,A6208,HC DRSG MEPITAL 8 X 12,65.0,,18.2,55.9,83
HCPCS,A6208,HC DRSNG MEPITL ONE6.8INX10I,61.0,,17.08,52.46,83
HCPCS,A6208,HC MEPITEL DRESSING 8X12,192.0,,53.76,165.12,83
HCPCS,A6209,HC DRESS LG VERS-FOAM10X15CMA6209,46.0,,12.88,39.56,83
HCPCS,A6210,HC DRESNG MEPILEX AG 8INX8IN,67.0,,18.76,57.62,83
HCPCS,A6210,HC DRESSING HYDROFERA BLUE CLASSIC 6X6IN,46.0,,12.88,39.56,83
HCPCS,A6210,HC DRESSING POLYMEM PLAIN 4X12.5IN,59.0,,16.52,50.74,83
HCPCS,A6211,HC DRESSING HYDROFERA BLUE 8X8IN,46.0,,12.88,39.56,83
HCPCS,A6211,HC DRESSING POLYMEM MAX 8X8IN,42.0,,11.76,36.12,83
HCPCS,A6211,HC DRESSING POLYMEM MAX SILVER 8X8,50.0,,14.0,43.0,83
HCPCS,A6211,HC DRSNG TRANSFR SILCN 8X20,51.0,,14.28,43.86,83
HCPCS,A6211,HC MEPILEX LITE 8 X 20,55.0,,15.4,47.3,83
HCPCS,A6212,HC OST DRESSING SOFTFOAM SM,38.0,,10.64,32.68,83
HCPCS,A6212,HC OST KIT DRESSING PU SMALL,100.0,,28.0,86.0,83
HCPCS,A6212,HC WOUND VAC TRAC PAD,138.0,,38.64,118.68,83
HCPCS,A6214,HC DRESSING MEPILEX 9.9X9.9/KERRAFOAM BORDER SACRUM 9X10,38.0,,10.64,32.68,83
HCPCS,A6215,HC DRESSING POLYMEM SILVER WOUND ROPE 0.4X14IN WIC,39.0,,10.92,33.54,83
HCPCS,A6215,HC DRESSING POLYMEM WIC 3X12IN,45.0,,12.6,38.7,83
HCPCS,A6215,HC DRESSING POLYMEM WIC SILVER 3X3IN,47.0,,13.16,40.42,83
HCPCS,A6229,HC DRSNG MPM COOLMG 8/12IN10,45.0,,12.6,38.7,83
HCPCS,A6237,HC DRS/DUODERM CGF 6*7 A6237,38.0,,10.64,32.68,83
HCPCS,A6244,HC VIGILON WOUND DRESS13*24 A6244,103.0,,28.84,88.58,83
HCPCS,A6250,HC CLOTH INTERDRY AG TEXTILE 10IN,132.0,,36.96,113.52,83
HCPCS,A6250,HC MOISTURIZR ORLMOUTHKOT8OZ,53.0,,14.84,45.58,83
HCPCS,A6250,HC OINTMENT AQUAPHOR,38.0,,10.64,32.68,83
HCPCS,A6250,HC POWDER CLOTTING SEAL,47.0,,13.16,40.42,83
HCPCS,A6250,HC POWDER CLOTTING TOPCL SM,38.0,,10.64,32.68,83
HCPCS,A6250,HC TISSEEL 10 ML,1453.0,,406.84,1249.58,83
HCPCS,A6250,HC TISSEEL 4 ML,666.0,,186.48,572.76,83
HCPCS,A6252,HC ABTHERA WND VAC DRS A6252,828.0,,231.84,712.08,83
HCPCS,A6252,HC OST KIT DRESSING PU LG,138.0,,38.64,118.68,83
HCPCS,A6252,HC OST KIT DRESSING PU MED,126.0,,35.28,108.36,83
HCPCS,A6253,HC DRESSING EXU DRY LEG,61.0,,17.08,52.46,83
HCPCS,A6253,HC DRESSING EXU DRY TORSO,131.0,,36.68,112.66,83
HCPCS,A6260,HC DRESSING GEL SIL 1.5OZ,49.0,,13.72,42.14,83
HCPCS,A6402,HC DRESSING GAUZE 6IN,38.0,,10.64,32.68,83
HCPCS,A6407,HC NASAL MEROPACK W/COLL A6407,144.0,,40.32,123.84,83
HCPCS,A6407,HC PCK EPISTXIS NASL DL 5.5CA6407,110.0,,30.8,94.6,83
HCPCS,A6533,HC STKNG THIGH SIL TOPOPNSZ1,138.0,,38.64,118.68,83
HCPCS,A6533,HC STKNG THIGH SIL TOPOPNSZ2,138.0,,38.64,118.68,83
HCPCS,A6533,HC STKNG THIGH SIL TOPOPNSZ3,138.0,,38.64,118.68,83
HCPCS,A6533,HC STKNG THIGH SIL TOPOPNSZ4,138.0,,38.64,118.68,83
HCPCS,A6533,HC STKNG THIGH SIL TOPOPNSZ5,138.0,,38.64,118.68,83
HCPCS,A6533,HC STKNG THIGH SIL TOPOPNSZ6,138.0,,38.64,118.68,83
HCPCS,A6533,HC STKNG THIGH SIL TOPOPNSZ7,138.0,,38.64,118.68,83
HCPCS,A6535,HC STOCKING THIGH HI LT SZ-7,107.0,,29.96,92.02,83
HCPCS,A6535,HC STOCKING THIGH HI RT SZ-1,107.0,,29.96,92.02,83
HCPCS,A6535,HC STOCKING THIGH HI RT SZ-7,107.0,,29.96,92.02,83
HCPCS,A6549,HC ARMSLEEV CMBO LONG SZ3CL1,108.0,,30.24,92.88,83
HCPCS,A6549,HC ARMSLEEV CMBO LONG SZ4CL1,120.0,,33.6,103.2,83
HCPCS,A6549,HC ARMSLEEV CMBO LONG SZ5CL1,102.0,,28.56,87.72,83
HCPCS,A6549,HC ARMSLEEV CMBO LONG SZ6CL1,102.0,,28.56,87.72,83
HCPCS,A6549,HC ARMSLEEV CMBO LONG SZ7CL1,108.0,,30.24,92.88,83
HCPCS,A6549,HC ARMSLEEV CMBO SHRT SZ2CL1,108.0,,30.24,92.88,83
HCPCS,A6549,HC ARMSLEEV CMBO SHRT SZ3CL1,108.0,,30.24,92.88,83
HCPCS,A6549,HC ARMSLEEV CMBO SHRT SZ5CL1,102.0,,28.56,87.72,83
HCPCS,A6549,HC ARMSLEEV CMBO SHRT SZ6CL1,106.0,,29.68,91.16,83
HCPCS,A6549,HC ARMSLEEV CMBO SHRT SZ7CL1,94.0,,26.32,80.84,83
HCPCS,A6549,HC ARMSLEEV SHORT SZ3 CLASS1,80.0,,22.4,68.8,83
HCPCS,A6549,HC ARMSLEEV SHORT SZ4 CLASS1,75.0,,21.0,64.5,83
HCPCS,A6549,HC ARMSLEEV SHORT SZ5 CLASS1,75.0,,21.0,64.5,83
HCPCS,A6549,HC ARMSLEEV SHORT SZ6 CLASS1,80.0,,22.4,68.8,83
HCPCS,A6549,HC ARMSLEEV SHORT SZ7 CLASS1,78.0,,21.84,67.08,83
HCPCS,A6549,HC ARMSLEEVE 20-30 W/TB VI - SZ 6,97.0,,27.16,83.42,83
HCPCS,A6549,HC ARMSLEEVE 30-40 W/TB II - SZ 2,97.0,,27.16,83.42,83
HCPCS,A6549,HC ARMSLEEVE 30-40 W/TB III -SZ 3,97.0,,27.16,83.42,83
HCPCS,A6549,HC ARMSLEEVE 30-40 W/TB IV - SZ 4,97.0,,27.16,83.42,83
HCPCS,A6549,HC ARMSLEEVE 30-40 W/TB V - SZ 5,97.0,,27.16,83.42,83
HCPCS,A6549,HC ARMSLEEVE 30-40 W/TB VI - SZ 6,97.0,,27.16,83.42,83
HCPCS,A6549,HC ARMSLEEVE 30-40 W/TB VII -SZ 7,97.0,,27.16,83.42,83
HCPCS,A6549,HC ARMSLEEVE 30-40 W/TB VIII -SZ8,97.0,,27.16,83.42,83
HCPCS,A6549,HC ARMSLEEVE LNG COMBO SZ-2,102.0,,28.56,87.72,166
HCPCS,A6549,HC ARMSLEEVE LNG SZ-7,75.0,,21.0,64.5,83
HCPCS,A6549,HC ARMSLEEVE LONG SZ 2 CL 1,75.0,,21.0,64.5,83
HCPCS,A6549,HC ARMSLEEVE LONG SZ 3 CL 1,75.0,,21.0,64.5,83
HCPCS,A6549,HC ARMSLEEVE LONG SZ 4 CL 1,80.0,,22.4,68.8,83
HCPCS,A6549,HC ARMSLEEVE LONG SZ 5 CL 1,75.0,,21.0,64.5,83
HCPCS,A6549,HC ARMSLEEVE LONG SZ 6 CL 1,79.0,,22.12,67.94,83
HCPCS,A6549,HC ARMSLEEVE SHRT SZ-2,80.0,,22.4,68.8,83
HCPCS,A6549,HC ARMSLEEVE SHRT SZ-4,75.0,,21.0,64.5,83
HCPCS,A6549,HC CMBO ARMSLEEV SHRT SZ4CL1,102.0,,28.56,87.72,83
HCPCS,A6549,HC GAUNTLET CC1 II - SZ 2,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC1 III - SZ 3,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC1 IV - SZ 4,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC1 V - SZ 5,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC1 VI - SZ 6,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC1 VII - SZ 7,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC2 II - SZ 2,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC2 III - SZ 3,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC2 IV -SZ 4,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC2 VI - SZ 6,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET CC2 VII - SZ 7,73.0,,20.44,62.78,83
HCPCS,A6549,HC GAUNTLET SIZE 6 CLASS 1,62.0,,17.36,53.32,83
HCPCS,A6549,HC GLOVE CC1 II - SZ 2,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE CC1 III - SZ 3,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE CC1 IV - SZ 4,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE CC1 VII - SZ 7,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE CC2 II - SZ 2,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE CC2 III - SZ 3,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE CC2 IV - SZ 4,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE CC2 V - SZ 5,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE CC2 VI - SZ 6,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE CC2 VII - SZ 7,180.0,,50.4,154.8,83
HCPCS,A6549,HC GLOVE COMPR SZ-1,140.0,,39.2,120.4,83
HCPCS,A6549,HC GLOVE COMPR SZ-2,142.0,,39.76,122.12,83
HCPCS,A6549,HC GLOVE COMPR SZ-3,169.0,,47.32,145.34,83
HCPCS,A6549,HC GLOVE COMPR SZ-4,169.0,,47.32,145.34,83
HCPCS,A6549,HC GLOVE COMPR SZ-5,142.0,,39.76,122.12,83
HCPCS,A6549,HC GLOVE COMPR SZ-6,142.0,,39.76,122.12,83
HCPCS,A6549,HC GLOVE COMPR SZ-7,148.0,,41.44,127.28,83
HCPCS,A6549,HC STKNG TH HI W/ATT LSZ2CL3,112.0,,31.36,96.32,83
HCPCS,A6549,HC STKNG TH HI W/ATT LSZ3CL3,112.0,,31.36,96.32,83
HCPCS,A6549,HC STKNG TH HI W/ATT LSZ4CL3,112.0,,31.36,96.32,83
HCPCS,A6549,HC STKNG TH HI W/ATT LSZ5CL3,112.0,,31.36,96.32,83
HCPCS,A6549,HC STKNG TH HI W/ATT LSZ6CL3,112.0,,31.36,96.32,83
HCPCS,A6549,HC STKNG TH HI W/ATT RSZ2CL3,107.0,,29.96,92.02,83
HCPCS,A6549,HC STKNG TH HI W/ATT RSZ3CL3,107.0,,29.96,92.02,83
HCPCS,A6549,HC STKNG TH HI W/ATT RSZ4CL3,107.0,,29.96,92.02,83
HCPCS,A6549,HC STKNG TH HI W/ATT RSZ5CL3,112.0,,31.36,96.32,83
HCPCS,A6549,HC STKNG TH HI W/ATT RSZ6CL3,112.0,,31.36,96.32,83
HCPCS,A6549,HC STKNG THIGH HI LT SZ2 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STKNG THIGH HI LT SZ3 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STKNG THIGH HI LT SZ4 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STKNG THIGH HI LT SZ5 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STKNG THIGH HI LT SZ6 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STKNG THIGH HI LT SZ7 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STKNG THIGH HI RT SZ2 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STKNG THIGH HI RT SZ3 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STKNG THIGH HI RT SZ4 CL2,92.0,,25.76,79.12,166
HCPCS,A6549,HC STKNG THIGH HI RT SZ5 CL2,93.0,,26.04,79.98,83
HCPCS,A6549,HC STKNG THIGH HI RT SZ6 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STKNG THIGH HI RT SZ7 CL2,92.0,,25.76,79.12,83
HCPCS,A6549,HC STOCKING CALF SZ1 CLASS2,87.0,,24.36,74.82,83
HCPCS,A6549,HC STOCKING CALF SZ2 CLASS2,87.0,,24.36,74.82,83
HCPCS,A6549,HC STOCKING CALF SZ3 CLASS2,87.0,,24.36,74.82,83
HCPCS,A6549,HC STOCKING CALF SZ4 CLASS2,93.0,,26.04,79.98,83
HCPCS,A6549,HC STOCKING CALF SZ5 CLASS2,91.0,,25.48,78.26,83
HCPCS,A6549,HC STOCKING CALF SZ6 CLASS2,87.0,,24.36,74.82,83
HCPCS,A6549,HC STOCKING CALF SZ7 CLASS2,87.0,,24.36,74.82,83
HCPCS,A6550,HC LARGE SENSATRAC DRESSING,138.0,,38.64,118.68,83
HCPCS,A6550,HC MED VAC SPONGE SILVER,162.0,,45.36,139.32,83
HCPCS,A6550,HC MEDIUM SENSATRAC DRESSING,126.0,,35.28,108.36,83
HCPCS,A6550,HC SENSATRAC PAD ASSY,64.0,,17.92,55.04,83
HCPCS,A6550,HC SENSATRAC X-LG DRESSING,257.0,,71.96,221.02,83
HCPCS,A6550,HC SMALL SENSATRAC DRESSING,100.0,,28.0,86.0,83
HCPCS,A7000,HC 500ML INFOVAC CAN W/GEL,107.0,,29.96,92.02,83
HCPCS,A7001,HC OST KIT CANISTER W/ISOLYZE,107.0,,29.96,92.02,83
HCPCS,A7040,HC DRAIN CHEST W/RSVR 30ML,86.0,,24.08,73.96,83
HCPCS,A7040,HC VALVE CHEST DRAIN (HEIMLICH/SIMPLE),372.0,,104.16,319.92,83
HCPCS,A7040,HC VALVE CHEST DRAIN 1 WAY HEIMLICH 14FR TUBE 30CM,212.0,,59.36,182.32,83
HCPCS,A7041,HC DRAIN CHST XPRS MOBL500ML,138.0,,38.64,118.68,83
HCPCS,A7048,HC CHEST DRAIN WET SUCTION WATER SEAL,71.0,,19.88,61.06,83
HCPCS,A7048,HC PLEURL DRNAG K1000ML10BTL,861.0,,241.08,740.46,83
HCPCS,A7048,HC PLEURX 1000ML EA VACUUM DRAINAGE BOTTLE KIT,156.0,,43.68,134.16,83
HCPCS,A7048,HC PLEURX DRAINAG1000ML 4/KT,784.0,,219.52,674.24,83
HCPCS,A7502,HC PROVOX SPCH VLV MEMBR  LG,162.0,,45.36,139.32,83
HCPCS,A7502,HC PROVOX SPCH VLV MEMBR  MD,178.0,,49.84,153.08,83
HCPCS,A7503,HC HOLDER HUMID FILTER,132.0,,36.96,113.52,83
HCPCS,A7503,HC PROVOX HME CAP W/TITANIUM,138.0,,38.64,118.68,83
HCPCS,A7503,HC TRACH VALVE CAP & FILTERS HUMI,124.0,,34.72,106.64,83
HCPCS,A7504,HC FILTER FOAM REPLACEMENT,83.0,,23.24,71.38,83
HCPCS,A7504,HC FILTER REPLACE FOAM 30/PK,115.0,,32.2,98.9,83
HCPCS,A7504,HC FLTR TRACH LNG10MMX12.5MM,158.0,,44.24,135.88,83
HCPCS,A7505,HC TRACH VALVE HOUSING LARGE,49.0,,13.72,42.14,83
HCPCS,A7505,HC TRACH VALVE HOUSING STNRD,49.0,,13.72,42.14,83
HCPCS,A7506,HC ADHESIVE FLEXIDERM OVAL,261.0,,73.08,224.46,83
HCPCS,A7506,HC PROVOX ADHESIVE FLEXIDERM OVAL,40.0,,11.2,34.4,83
HCPCS,A7507,HC CASS HME PROVOX H/FLOW,320.0,,89.6,275.2,83
HCPCS,A7507,HC CASS HME PROVOX NRML,320.0,,89.6,275.2,83
HCPCS,A7507,HC HME CARTRIDGE/PK,203.0,,56.84,174.58,83
HCPCS,A7507,HC XTR MOIST HME CASSETTFLTR,225.0,,63.0,193.5,83
HCPCS,A7507,HC XTRA FLOW HME CASSET FLTR,225.0,,63.0,193.5,83
HCPCS,A7508,HC ADHESIVE PROVOX LIFE NIGHT FOR TRACHEOSTOMA,42.0,,11.76,36.12,83
HCPCS,A7508,HC PERISTOMAL ATTACHMENT OVL,270.0,,75.6,232.2,83
HCPCS,A7508,HC PERISTOMAL ATTACHMNT RND,270.0,,75.6,232.2,83
HCPCS,A7508,HC PERISTOMAL ATTACHMNT STD,270.0,,75.6,232.2,83
HCPCS,A7520,HC L-TUBE PRO 8F*36MM A7520,315.0,,88.2,270.9,83
HCPCS,A7520,HC PRO VOX LARY TUBE UNFINESTR W,216.0,,60.48,185.76,83
HCPCS,A7520,HC SHILEY TSTCL-TUBE 5-8MMA7520,138.0,,38.64,118.68,83
HCPCS,A7520,HC SHILY TTUB UC/ML2.5-5.5MMA7520,99.0,,27.72,85.14,83
HCPCS,A7520,HC SHLY XLT TB PX XT5.0UNCUF,138.0,,38.64,118.68,83
HCPCS,A7520,HC SHLY XLT TB PX XT6.0UNCUF,138.0,,38.64,118.68,83
HCPCS,A7520,HC SHLY XLT TB PX XT7.0UNCUF,138.0,,38.64,118.68,83
HCPCS,A7520,HC SHLY XLT TB PX XT8.0UNCUF,138.0,,38.64,118.68,83
HCPCS,A7520,HC TRACH NYLON #4,216.0,,60.48,185.76,83
HCPCS,A7520,HC TRACH NYLON #6,178.0,,49.84,153.08,83
HCPCS,A7520,HC TRACH SHILEY#6,87.0,,24.36,74.82,83
HCPCS,A7520,HC TRACH TB SHLY UCSZ4-6PEDIA7520,87.0,,24.36,74.82,83
HCPCS,A7520,HC TRACH TBE SHLY UCSZ5 PEDIA7520,88.0,,24.64,75.68,83
HCPCS,A7520,HC TRACH TUBE BIVONA SZ: 6-7,230.0,,64.4,197.8,83
HCPCS,A7520,HC TRACH TUBE BIVONA SZ: 7-8,230.0,,64.4,197.8,83
HCPCS,A7520,HC TRACH TUBE SHILEY UCPSZ4 A7520,84.0,,23.52,72.24,83
HCPCS,A7520,HC TRACH TUBE XLT5-7MM CFLSSA7520,144.0,,40.32,123.84,83
HCPCS,A7520,HC TUB TRACH BIVON ADJ NK8MM,427.0,,119.56,367.22,83
HCPCS,A7520,HC TUBE ET NYLON SZ-7,163.0,,45.64,140.18,83
HCPCS,A7520,HC TUBE ET NYLON SZ-8,225.0,,63.0,193.5,83
HCPCS,A7520,HC TUBE ET PEDI SZ-3.5,75.0,,21.0,64.5,83
HCPCS,A7520,HC TUBE LARYNGEC FEN 8FX36MM,322.0,,90.16,276.92,83
HCPCS,A7520,HC TUBE LARYNGEC STD 8FX27MM,223.0,,62.44,191.78,83
HCPCS,A7520,HC TUBE LARYNGEC STD 8FX36MM,291.0,,81.48,250.26,83
HCPCS,A7520,HC TUBE LARYNGEC STD 8FX55MM,291.0,,81.48,250.26,83
HCPCS,A7520,HC TUBE LARYNGEC STD 9FX27MM,223.0,,62.44,191.78,83
HCPCS,A7520,HC TUBE LARYNGEC STD 9FX36MM,411.0,,115.08,353.46,83
HCPCS,A7520,HC TUBE LARYNGEC STD 9FX55MM,414.0,,115.92,356.04,83
HCPCS,A7520,HC TUBE LARYNGEC STD10FX36MM,291.0,,81.48,250.26,83
HCPCS,A7520,HC TUBE LARYNGEC STD10FX55MM,291.0,,81.48,250.26,83
HCPCS,A7520,HC TUBE LARYNGEC STD12FX27MM,223.0,,62.44,191.78,83
HCPCS,A7520,HC TUBE LARYNGEC STD12FX36MM,223.0,,62.44,191.78,83
HCPCS,A7520,HC TUBE LARYNGEC STD12FX55MM,291.0,,81.48,250.26,83
HCPCS,A7520,HC TUBE LARYNGEC WRNG8FX36MM,365.0,,102.2,313.9,83
HCPCS,A7520,HC TUBE LARYNGECTOMY PROVOX LIFE,313.0,,87.64,269.18,83
HCPCS,A7520,HC TUBE LARYNGECTOMY SZ:10,102.0,,28.56,87.72,83
HCPCS,A7520,HC TUBE LARYNGECTOMY SZ:6,102.0,,28.56,87.72,83
HCPCS,A7520,HC TUBE TRACH BIVONA ADJ 6MM,427.0,,119.56,367.22,83
HCPCS,A7520,HC TUBE TRACH CUFFLESS SZ-8,87.0,,24.36,74.82,83
HCPCS,A7520,HC TUBE TRACH FEN DISP SZ-10,105.0,,29.4,90.3,83
HCPCS,A7520,HC TUBE TRACH HYPERFLX 7.0MMA7520,427.0,,119.56,367.22,83
HCPCS,A7520,HC TUBE TRACH HYPERFLX 8.0MMA7520,427.0,,119.56,367.22,83
HCPCS,A7520,HC TUBE TRACH HYPERFLX6.0MMA7520,427.0,,119.56,367.22,83
HCPCS,A7520,HC TUBE TRACH JACKSON SZ-4,1049.0,,293.72,902.14,83
HCPCS,A7520,HC TUBE TRACH JACKSON SZ-5,1125.0,,315.0,967.5,83
HCPCS,A7520,HC TUBE TRACH JACKSON SZ-6,1108.0,,310.24,952.88,83
HCPCS,A7520,HC TUBE TRACH JACKSON SZ-7,671.0,,187.88,577.06,83
HCPCS,A7520,HC TUBE TRACH MARTIN SZ-7,233.0,,65.24,200.38,83
HCPCS,A7520,HC TUBE TRACH PEDI 4.5MM,75.0,,21.0,64.5,83
HCPCS,A7520,HC TUBE TRACH PEDI 5.5MM,75.0,,21.0,64.5,83
HCPCS,A7520,HC TUBE TRACH PEDI 5MM,75.0,,21.0,64.5,83
HCPCS,A7520,HC TUBE TRACH UCP 3MM A7520,84.0,,23.52,72.24,83
HCPCS,A7520,HC TUBE TRACHEOSTOMY PEDI3MM,75.0,,21.0,64.5,83
HCPCS,A7520,HC TUBE TRACHEOSTOMY PEDI4MM,75.0,,21.0,64.5,83
HCPCS,A7520,HC TUBELARYNGEC STD10FX27MM,291.0,,81.48,250.26,83
HCPCS,A7521,HC SHILEY CPT-TUBE SZ4-5A7521,92.0,,25.76,79.12,83
HCPCS,A7521,HC SHILEY PLCT-TUBEA7521,113.0,,31.64,97.18,83
HCPCS,A7521,HC SHILEY SCCT-TUBE SZ8A7521,66.0,,18.48,56.76,83
HCPCS,A7521,HC SHLY XLT TB PRX EXT5.0CUF,140.0,,39.2,120.4,83
HCPCS,A7521,HC SHLY XLT TB PRX EXT6.0CUF,140.0,,39.2,120.4,83
HCPCS,A7521,HC SHLY XLT TB PRX EXT7.0CUF,138.0,,38.64,118.68,83
HCPCS,A7521,HC SHLY XLT TB PRX EXT8.0CUF,138.0,,38.64,118.68,83
HCPCS,A7521,HC TRACH TUB PRXXLTCUFF5-8MMA7521,138.0,,38.64,118.68,83
HCPCS,A7521,HC TRACH TUBE CUFF LP SZ: 4,110.0,,30.8,94.6,83
HCPCS,A7521,HC TRACH TUBE CUFF LP SZ: 6,110.0,,30.8,94.6,83
HCPCS,A7521,HC TRACH TUBE CUFF LP SZ: 8,110.0,,30.8,94.6,83
HCPCS,A7521,HC TRACH TUBE FLEX W/ REUS INNER CANNULA (MULT SIZE),156.0,,43.68,134.16,83
HCPCS,A7521,HC TRACH TUBE PEDI 4.0MM A7521,449.0,,125.72,386.14,83
HCPCS,A7521,HC TRACH TUBE PRX XTL6MMCUFFA7521,138.0,,38.64,118.68,83
HCPCS,A7521,HC TRACH TUBE SHIL LPC SZ10 A7521,130.0,,36.4,111.8,83
HCPCS,A7521,HC TRACH TUBE SHIL LPCSZ6-8 A7521,135.0,,37.8,116.1,83
HCPCS,A7521,HC TRACH TUBE SHILEY LPCSZ4 A7521,110.0,,30.8,94.6,83
HCPCS,A7521,HC TRACH TUBE XLT5-7MM CFFEDA7521,144.0,,40.32,123.84,83
HCPCS,A7521,HC TUBE TRACH CUFFED SZ6-8 A7521,87.0,,24.36,74.82,83
HCPCS,A7521,HC TUBE TRACH PEDI CUFF 5.5FA7521,113.0,,31.64,97.18,83
HCPCS,A7522,HC TUBE CABRIEL TUCKER 5,338.0,,94.64,290.68,83
HCPCS,A7522,HC TUBE LARYNGEC SZ-10FR,233.0,,65.24,200.38,83
HCPCS,A7523,HC GUARD SHOWER BLOM-SINGER,97.0,,27.16,83.42,83
HCPCS,A7523,HC GUARD SHOWER PROVOX LIFE,116.0,,32.48,99.76,83
HCPCS,A7524,HC BUTT0N BARTON 10 SHRT,312.0,,87.36,268.32,83
HCPCS,A7524,HC BUTTON BARTON 12 LNG,238.0,,66.64,204.68,83
HCPCS,A7524,HC BUTTON BARTON 14 SHRT,312.0,,87.36,268.32,83
HCPCS,A7524,HC BUTTON BARTON 9 SHRT,315.0,,88.2,270.9,83
HCPCS,A7524,HC BUTTON TRACH 10 SHORT A7524,315.0,,88.2,270.9,83
HCPCS,A7524,HC BUTTON TRACH BART 12SHRT,315.0,,88.2,270.9,83
HCPCS,A7524,HC BUTTON TRACH BART10 REG A7524,315.0,,88.2,270.9,83
HCPCS,A7524,HC BUTTON TRACH BART12 SHRT A7524,315.0,,88.2,270.9,83
HCPCS,A7524,HC LARY BUTTON 12/18,232.0,,64.96,199.52,83
HCPCS,A7524,HC LARY BUTTON 12/8,302.0,,84.56,259.72,83
HCPCS,A7524,HC LARY BUTTON 14/18,232.0,,64.96,199.52,83
HCPCS,A7524,HC LARY BUTTON 14/8,302.0,,84.56,259.72,83
HCPCS,A7524,HC LARY BUTTON 16/18,232.0,,64.96,199.52,83
HCPCS,A7524,HC LARY BUTTON 16/8,420.0,,117.6,361.2,83
HCPCS,A7524,HC LARY BUTTON 18/18,232.0,,64.96,199.52,83
HCPCS,A7524,HC LARY BUTTON 18/8,302.0,,84.56,259.72,83
HCPCS,A7524,HC LARY CLIPS,431.0,,120.68,370.66,83
HCPCS,A7524,HC LARYBUTTON PROVOX LIFE,316.0,,88.48,271.76,83
HCPCS,A7524,HC STUD STOM12MMX14.5X16.5MM,97.0,,27.16,83.42,83
HCPCS,A7524,HC STUD STOM14MMX15.5X16.5MM,97.0,,27.16,83.42,83
HCPCS,A7524,HC STUD STOMA 10X12.5X16.5MM,97.0,,27.16,83.42,83
HCPCS,A7524,HC STUD STOMA 8X10.5X16.5MM,97.0,,27.16,83.42,83
HCPCS,A7524,HC TRACH BUTTON BART  10 REG,315.0,,88.2,270.9,83
HCPCS,A7524,HC TRACH BUTTON BART  12 REG,315.0,,88.2,270.9,83
HCPCS,A7524,HC TRACH BUTTON BART  14 LONG,315.0,,88.2,270.9,83
HCPCS,A7524,HC TRACH BUTTON BART  14 REG,315.0,,88.2,270.9,83
HCPCS,A7527,HC PLUG PROVOX VEGA,175.0,,49.0,150.5,83
HCPCS,A7527,HC PLUG PROVOX W/BRUSH REUS,138.0,,38.64,118.68,83
HCPCS,A7527,HC STOPPER DECANNULATION NO-4,130.0,,36.4,111.8,83
HCPCS,A7527,HC STOPPER DECANNULATION NO-6,137.0,,38.36,117.82,83
HCPCS,A7527,HC STOPPER DECANNULATON NO-2,39.0,,10.92,33.54,83
HCPCS,A7527,HC STOPPER DECANULATION NO-7,65.0,,18.2,55.9,83
HCPCS,A9272,HC PREVENA INCISION MANAGEMENT PEEL&PLACE KIT (MULT SIZES),1125.0,,315.0,967.5,83
HCPCS,A9300,HC EMST 150,88.0,,24.64,75.68,83
HCPCS,A9500,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION [130092],78.0,,21.84,67.08,83
HCPCS,A9502,KIT FOR THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION [170807],100.0,,28.0,86.0,83
HCPCS,A9503,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM 20 MG IV SOLUTION [129715],81.0,,22.68,69.66,83
HCPCS,A9508,IODINE-131 METAIODOBENZYLGUANIDINE INJECTION [40800003014],1675.85,,469.238,1441.231,85
HCPCS,A9509,SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE [98462],530.0,,148.4,455.8,83
HCPCS,A9512,SODIUM PERTECHNETATE INJECTION [40800003021],7.0,,1.96,6.02,83
HCPCS,A9513,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION [184424],646.125,,105.63,786.9,170
HCPCS,A9516,SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE [98463],289.0,,80.92,248.54,83
HCPCS,A9517,IODINE-131 SODIUM IODIDE CAPSULE (TREATMENT) [40800003303],175.0,,24.07,150.5,85
HCPCS,A9520,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION [186650],2178.0,,609.84,1873.08,83
HCPCS,A9521,KIT FOR PREPARATION OF TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS KIT [98453],292.0,,81.76,1066.8665,84
HCPCS,A9528,IODINE-131 SODIUM IODIDE CAPSULE (DIAGNOSTIC) [40800002884],175.0,,49.0,150.5,83
HCPCS,A9529,IODINE-131 SODIUM IODIDE SOLUTION (DIAGNOSTIC) [40800003015],151.0,,42.28,129.86,83
HCPCS,A9530,IODINE-131 SODIUM IODIDE SOLUTION (TREATMENT) [40800003100],151.0,,20.77,129.86,85
HCPCS,A9537,KIT FOR THE PREPARATION OF TC-99M-MEBROFENIN 45 MG IV SOLUTION [129722],89.0,,24.92,76.54,83
HCPCS,A9538,KIT PREPARATION OF TC-99M-SODIUM PYROPHOSPHATE 12 MG IV SOLUTION [129729],225.0,,63.0,193.5,83
HCPCS,A9539,KIT FOR PREPARATION OF TC 99M-PENTETIC ACID 20 MG IV SOLUTION [109481],299.0,,83.72,257.14,83
HCPCS,A9540,KIT FOR PREPARATION OF TC 99M-ALBUMIN 2.5 MG INTRAVENOUS SOLUTION [130605],356.0,,99.68,306.16,83
HCPCS,A9541,KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLUTION (FILTERED) [40800002889],310.0,,86.8,266.6,83
HCPCS,A9541,KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLUTION [130088],310.0,,86.8,266.6,83
HCPCS,A9548,PENTETATE INDIUM DISODIUM IN-111 1.5 MCI/1.5 ML INTRATHECAL SOLUTION [113146],6923.0,,745.62,5953.78,85
HCPCS,A9552,FLUDEOXYGLUCOSE F-18 20 MCI TO 300 MCI/ML INTRAVENOUS SOLUTION [132453],994.0,,278.32,854.84,83
HCPCS,A9560,TECHNETIUM TC 99M-RED BLOOD CELLS INJECTION [40800003030],561.0,,157.08,482.46,83
HCPCS,A9561,KIT FOR PREPARATION OF TC-99M-SODIUM OXIDRONATE 3.15 MG IV SOLUTION [189121],71.0,,19.88,61.06,83
HCPCS,A9562,TECHNETIUM TC 99M-MERTIATIDE INJECTION [40800003028],986.0,,276.08,847.96,83
HCPCS,A9567,TECHNETIUM TC99M PENTETIC ACID (DTPA) AEROSOL [40800003310],357.0,,99.96,307.02,83
HCPCS,A9569,TECHNETIUM TC 99M-EXAMETAZIME-WHITE BLOOD CELLS INJECTION [40800003102],5370.0,,934.13,4618.2,85
HCPCS,A9570,INDIUM 111-WBC INJECTION [40800002892],6951.0,,1103.19,5977.86,85
HCPCS,A9571,INDIUM 111-PLATELETS INJECTION [40800002873],6920.0,,1937.6,5951.2,83
HCPCS,A9573,GADOPICLENOL (ELUCIREM) 0.5 MMOL/ML INTRAVENOUS SOLUTION [40800012902],299.275,,3.41,1441.274,672
HCPCS,A9573,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION [199444],297.125,,3.41,874.362,336
HCPCS,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION [41137],185.0,,1.74,222.267,252
HCPCS,A9579,GADODIAMIDE 10 MMOL/20 ML (287 MG/ML) INTRAVENOUS SOLUTION [128722],312.55,,1.47,268.793,84
HCPCS,A9579,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN [128691],504.0,,1.47,433.44,84
HCPCS,A9580,"SODIUM FLUORIDE F-18 10-200 MCI/ML (370-7,400 MBQ/ML) INTRAVENOUS SOLN [192065]",341.0,,95.48,293.26,83
HCPCS,A9581,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [93574],600.325,,14.7,661.899,252
HCPCS,A9582,IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLN [98451],13456.0,,2317.5,11572.16,85
HCPCS,A9584,IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION [108781],6689.0,,1387.74,5752.54,85
HCPCS,A9585,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [130370],263.95,,0.26,226.997,168
HCPCS,A9585,GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [164056],59.2,,0.26,50.912,168
HCPCS,A9585,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [130369],198.0,,0.26,170.28,168
HCPCS,A9587,KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN [179648],159.0,,44.52,136.74,85
HCPCS,A9588,FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION [183062],1499.0,,322.27,1289.14,85
HCPCS,A9589,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION [106120],4422.6,,1238.328,3803.436,84
HCPCS,A9591,"FLUOROESTRADIOL F-18 148 MBQ/ML TO 3,700 MBQ/ML INTRAVENOUS SOLUTION [193254]",2292.0,,460.42,1971.12,85
HCPCS,A9592,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION [192622],2764.0,,594.28,2377.04,85
HCPCS,A9595,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION [194941]",11635.0,,346.49,10006.1,85
HCPCS,A9603,PAFOLACIANINE 3.2 MG/1.6 ML INTRAVENOUS SOLUTION [198537],13923.0,,3898.44,11973.78,83
HCPCS,A9606,"RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN [122091]",484.0,,135.52,416.24,85
HCPCS,A9607,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN [197176]",698.0,,195.44,600.28,85
HCPCS,A9608,"FLOTUFOLASTAT F 18 GALLIUM 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION [201364]",14992.0,,671.22,12893.12,170
HCPCS,A9612,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],229.0,,44.52,770.259,498
HCPCS,A9615,PEGULICIANINE 10 MG/ML IV INJECTION [40800004215],4520.9,,37.51,3887.974,170
HCPCS,A9615,PEGULICIANINE 39 MG INTRAVENOUS SOLUTION [204621],4520.9,,37.51,3887.974,170
HCPCS,A9800,KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION [196853],11248.0,,362.5,9673.28,85
HCPCS,A9900,HC SLING DRAIN U,129.0,,36.12,110.94,83
HCPCS,B4081,HC CMPAT NG TUBE 12F B4081,75.0,,21.0,64.5,83
HCPCS,B4081,HC COMPAT NG TUBE 10F B4081,73.0,,20.44,62.78,83
HCPCS,B4081,HC COMPAT NG TUBE 8F B4081,65.0,,18.2,55.9,83
HCPCS,B4082,HC TUBE SALEM SUMP 18FR SIL,52.0,,14.56,44.72,83
HCPCS,B4087,HC ABBVIE PERCU GASTROSTOMY TUBE (PEG) KIT,194.0,,54.32,166.84,83
HCPCS,B4087,HC CATH FOLEY BAKER JEJUN 16B4087,618.0,,173.04,531.48,83
HCPCS,B4087,HC G KIT FLEXIFLOW 18 F B4087,338.0,,94.64,290.68,83
HCPCS,B4087,HC GASTRO TUBE MIC 28FR B4087,80.0,,22.4,68.8,83
HCPCS,B4087,HC MIC G-12 LAP INTRO KIT B4087,501.0,,140.28,430.86,83
HCPCS,B4087,HC MIC G-14 LAP INTRO KIT B4087,501.0,,140.28,430.86,83
HCPCS,B4087,HC MIC GASTRO FEEDING TUBE 12-30F,80.0,,22.4,68.8,83
HCPCS,B4087,HC MIC GASTRO FEEDING TUBE W CONNECTORS (MULT SIZES),87.0,,24.36,74.82,83
HCPCS,B4087,HC MIC JEJ 14FR FEEDING TUBEB4087,277.0,,77.56,238.22,83
HCPCS,B4087,HC MIC JEJ FEEDING TUBE W CONNECTOR,302.0,,84.56,259.72,83
HCPCS,B4087,HC MIC SAFETY PERCU ENDO GASTRO PEG KIT W CONNECTORS,209.0,,58.52,179.74,83
HCPCS,B4087,HC MIC TRANSGASTRIC JEJ 18F B4087,536.0,,150.08,460.96,83
HCPCS,B4087,HC PEG KIT STANDARD ENDOVIVE W/ CONNECTOR,419.0,,117.32,360.34,83
HCPCS,B4087,HC PEG TUBE KIT W/STYLET,365.0,,102.2,313.9,83
HCPCS,B4087,HC SAFETY PEG KIT ENDOVIVE W/ CONNECTOR,581.0,,162.68,499.66,83
HCPCS,B4087,HC TUBE FEEDING JEJUNAL 12-24FR,255.0,,71.4,219.3,83
HCPCS,B4087,HC TUBE MIC GASTRO 26F B4087,76.0,,21.28,65.36,83
HCPCS,B4087,HC TUBE MIC GASTRO 30F B4087,80.0,,22.4,68.8,83
HCPCS,B4087,HC TUBE MIC GASTROENT20-22FB4087,338.0,,94.64,290.68,83
HCPCS,B4087,HC TUBE MIC TRNSGSTR JJNL22FB4087,359.0,,100.52,308.74,83
HCPCS,B4087,HC TUBE SALEM SUMP SILI 18FR,52.0,,14.56,44.72,83
HCPCS,B4088,HC BUTTON REPLAC 18FRX1.2CM B4088,378.0,,105.84,325.08,83
HCPCS,B4088,HC GF-TUBE 14-16F 1.0-2.5 B4088,200.0,,56.0,172.0,83
HCPCS,B4088,HC J-TUBE TTP BSCI,340.0,,95.2,292.4,83
HCPCS,B4088,HC JEJUNAL FEEDING TUBE (MULT SIZES),384.0,,107.52,330.24,83
HCPCS,B4088,HC MIC LP GASTRO KIT18F3.0CMB4088,200.0,,56.0,172.0,83
HCPCS,B4088,HC MIC LP T-G JEJUNAL FTUBEB4088,566.0,,158.48,486.76,83
HCPCS,B4088,HC MIC-KEY GASTROSTOMY TUBE (MULTIPLE SIZES),200.0,,56.0,172.0,83
HCPCS,B4088,HC MK LP TG-JEJ 18F 2.5CM B4088,646.0,,180.88,555.56,83
HCPCS,B4088,HC MK LP TG-JEJ 22F 3.0CM B4088,646.0,,180.88,555.56,83
HCPCS,B4088,HC MK LP TG-JEJ 22F 3.5CM B4088,646.0,,180.88,555.56,83
HCPCS,B4088,HC NASO-JJNL FDNGTB-KNDLTYCO,207.0,,57.96,178.02,83
HCPCS,B4088,HC TG/F-TUBE 16F*2*22CM B4088,566.0,,158.48,486.76,83
HCPCS,B4088,HC TG/F-TUBE 16F*2*30CM B4088,566.0,,158.48,486.76,83
HCPCS,B4088,HC TG/F-TUBE 16F*2.5*30CM B4088,566.0,,158.48,486.76,83
HCPCS,B4088,HC TRANSGASTRIC JEJUNAL TUBE,418.0,,117.04,359.48,83
HCPCS,B4088,HC TRNSGST-JEJN FDTUB-KMCLRK,504.0,,141.12,433.44,83
HCPCS,B4088,HC TUB SKNLVL GSTRSTMY16F2.5,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUB SKNLVL GSTRSTMY16F3.0,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTRO LP 18-24F B4088,200.0,,56.0,172.0,83
HCPCS,B4088,HC TUBE GASTROSTOMY 16F 4.0,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 18F 3.0,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 18F 3.5,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 18F 4.5,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 20F 3.0,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 20F 3.5,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 20F 4.0,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 20F 4.5,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 24F 3.0,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 24F 3.5,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE GASTROSTOMY 24F 4.0,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE MICKY FEEDNGKT12X2.5,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE SKN LVL GASTR 14F1.5,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE SKN LVL GASTR 14F2.0,194.0,,54.32,166.84,83
HCPCS,B4088,HC TUBE SKN LVL GASTR 14F3.0,194.0,,54.32,166.84,83
HCPCS,B9998,HC FEEDING TUBE EXTN HALYARD,96.0,,26.88,82.56,83
HCPCS,C1052,HC HEMOSPRAY ENDOSCOPIC HEMOSTAT,5000.0,,1400.0,4300.0,83
HCPCS,C1062,HC SPINEJACK SYSTEM,7497.0,,2099.16,6447.42,83
HCPCS,C1713,HC 1.0/1.5MMCMSHPLT100*100MMC1713,2564.0,,717.92,2205.04,83
HCPCS,C1713,HC 1.3MM BURHOLECVR6H12-24MMC1713,332.0,,92.96,285.52,83
HCPCS,C1713,HC 1.3MM C-MESH MAL/RG L-ARCC1713,1700.0,,476.0,1462.0,83
HCPCS,C1713,HC 1.3MM CMESH MAL/RG38*45MMC1713,1895.0,,530.6,1629.7,83
HCPCS,C1713,HC 1.3MM CMESH MAL/RIG S-ARCC1713,1088.0,,304.64,935.68,83
HCPCS,C1713,HC 1.3MM CMESH MALRG RND30MMC1713,1088.0,,304.64,935.68,83
HCPCS,C1713,HC 1.3MM CMESH MALRG RND70MMC1713,2259.0,,632.52,1942.74,83
HCPCS,C1713,HC 1.3MM CMESH MALRGRND100MMC1713,2823.0,,790.44,2427.78,83
HCPCS,C1713,HC 1.3MM STRUT PLT 5*43MM18HC1713,629.0,,176.12,540.94,83
HCPCS,C1713,HC 1.3MMCMESH MLRIG100*100MMC1713,2960.0,,828.8,2545.6,83
HCPCS,C1713,HC 1.5MM BURHOLECVR6H12-24MMC1713,332.0,,92.96,285.52,83
HCPCS,C1713,HC 1.5MM CMESH MAL/RIG L-ARCC1713,1598.0,,447.44,1374.28,83
HCPCS,C1713,HC 1.5MM CMESH MALRGRND100MMC1713,3212.0,,899.36,2762.32,83
HCPCS,C1713,HC 1.5MM CMESH MALRIG38*45MMC1713,1782.0,,498.96,1532.52,83
HCPCS,C1713,HC 1.5MM CMESH MALRIGRND30MMC1713,1026.0,,287.28,882.36,83
HCPCS,C1713,HC 1.5MM CMESH MALRIGRND70MMC1713,2126.0,,595.28,1828.36,83
HCPCS,C1713,HC 1.5MM CMESHMALRG100*100MMC1713,3370.0,,943.6,2898.2,83
HCPCS,C1713,HC 1.5MM OBL L-PLTE 2*3H L/RC1713,318.0,,89.04,273.48,83
HCPCS,C1713,HC 1.5MM OBL L-PLTE 3*4H L/RC1713,336.0,,94.08,288.96,83
HCPCS,C1713,HC 2.0MM TI MATRIXMANDIBLE SCREW SELF-TAPPING (MULT SIZES),138.0,,38.64,118.68,83
HCPCS,C1713,HC AES SACR SCREW4.5*13-17MMC1713,740.0,,207.2,636.4,83
HCPCS,C1713,HC AESC SACB SCREW 10-28MM C1713,576.0,,161.28,495.36,83
HCPCS,C1713,HC AESC SACU SCREW 10-18MM C1713,740.0,,207.2,636.4,83
HCPCS,C1713,HC ALLOSYNC 10CC DBM GEL,2400.0,,672.0,2064.0,83
HCPCS,C1713,HC ALLOSYNC 10CC DBM PUTTY,2590.0,,725.2,2227.4,83
HCPCS,C1713,HC ALLOSYNC 5CC DBM GEL,1600.0,,448.0,1376.0,83
HCPCS,C1713,HC ALLOSYNC 5CC DBM PUTTY,1640.0,,459.2,1410.4,83
HCPCS,C1713,HC ASIF 3.5MM 6H TIB PL/LTC1713,2430.0,,680.4,2089.8,83
HCPCS,C1713,HC AXN3.5X5MMT HROD120X170MMC1713,1907.0,,533.96,1640.02,83
HCPCS,C1713,HC AXN3.5X5MMT HROD240X250MMC1713,2425.0,,679.0,2085.5,83
HCPCS,C1713,HC AXON CANC TSCRW 4X8-26MMC1713,1973.0,,552.44,1696.78,83
HCPCS,C1713,HC AXON CANC TSCRW3.5X8-26MMC1713,1973.0,,552.44,1696.78,83
HCPCS,C1713,HC AXON CRT TSCRW3.5X28-50MMC1713,1973.0,,552.44,1696.78,83
HCPCS,C1713,HC AXON T-HOOK LT/RT SHRT LGC1713,1856.0,,519.68,1596.16,83
HCPCS,C1713,HC AXON T-ROD 3.5X240MMC1713,666.0,,186.48,572.76,83
HCPCS,C1713,HC AXON T-TRNSVRS BAR 3.5MMC1713,699.0,,195.72,601.14,83
HCPCS,C1713,HC BIOM MALLORY/HEAD T-BOLT C1713,1068.0,,299.04,918.48,83
HCPCS,C1713,HC BIOM T-C SCREW4.5*24-30MMC1713,366.0,,102.48,314.76,83
HCPCS,C1713,HC BIOM TRANVERSE PIN28-36MM,714.0,,199.92,614.04,83
HCPCS,C1713,HC BIOMET ANCHOR HRPN SZ2,818.0,,229.04,703.48,83
HCPCS,C1713,HC BIOMET ANCHOR PLUG10-16MM,1460.0,,408.8,1255.6,83
HCPCS,C1713,HC BIOMET KNEE OSS L-SCREW C1713,476.0,,133.28,409.36,83
HCPCS,C1713,HC BIOMET OSS LOCKING PIN,483.0,,135.24,415.38,83
HCPCS,C1713,HC BONE SUBSTITUTE YGAMMA-BSM MOLDABLE PUTTY,4640.0,,1299.2,3990.4,83
HCPCS,C1713,HC C-A CVR SCRW W/INT HXAGN C1713,333.0,,93.24,286.38,83
HCPCS,C1713,HC CANCELLOUS BONE SCREW 6.5 DIAMETER 6.5MM X 60-80MM,669.0,,187.32,575.34,83
HCPCS,C1713,HC CANCELLOUS BONE SCREW 6.5MM X 15-55MM,669.0,,187.32,575.34,83
HCPCS,C1713,HC CANN XT-SCREW 6X45MM,5339.0,,1494.92,4591.54,83
HCPCS,C1713,HC CEMENT BONE,217.0,,60.76,186.62,83
HCPCS,C1713,HC CERVFX THRD35X6X120X170MMC1713,1907.0,,533.96,1640.02,83
HCPCS,C1713,HC CHIPS CANC 30CC,1125.0,,315.0,967.5,83
HCPCS,C1713,HC CHIPS CORT/CAN 30CC,1125.0,,315.0,967.5,83
HCPCS,C1713,HC CNTR R-MESH 0.4*100MM,3678.0,,1029.84,3163.08,83
HCPCS,C1713,HC CNTR R-MESH 0.6*100MM,3540.0,,991.2,3044.4,83
HCPCS,C1713,HC CR MESH 0.4*100*100MM,3506.0,,981.68,3015.16,83
HCPCS,C1713,HC CR-MESH 0.6*100*100MM,3768.0,,1055.04,3240.48,83
HCPCS,C1713,HC CRANI 1.3MM ADAPT PLT 24HC1713,747.0,,209.16,642.42,83
HCPCS,C1713,HC CRANI 1.3MM H-PLTE 11H C1713,314.0,,87.92,270.04,83
HCPCS,C1713,HC CRANI 1.3MM ORB RIM PL 9HC1713,297.0,,83.16,255.42,83
HCPCS,C1713,HC CRANI 1.3MM STR PLTE 2H C1713,53.0,,14.84,45.58,83
HCPCS,C1713,HC CRANI 1.3MM STR PLTE 4H C1713,72.0,,20.16,61.92,83
HCPCS,C1713,HC CRANI 1.3MM T-PLTE 7H C1713,297.0,,83.16,255.42,83
HCPCS,C1713,HC CRANI 1.3MM X-PLTE 4H C1713,275.0,,77.0,236.5,83
HCPCS,C1713,HC CRANI 1.3MM Y-PLTE 5H C1713,275.0,,77.0,236.5,83
HCPCS,C1713,HC CRANI 1.3MMMESHPLT38*53MMC1713,1833.0,,513.24,1576.38,83
HCPCS,C1713,HC CRANI 1.3MMRGMSH200*200MMC1713,11805.0,,3305.4,10152.3,83
HCPCS,C1713,HC CRANI 1.5MM BOX PLTE 4H C1713,321.0,,89.88,276.06,83
HCPCS,C1713,HC CRANI 1.5MM MALMESH S-ARCC1713,1026.0,,287.28,882.36,83
HCPCS,C1713,HC CRANI 1.5MM ORB RIM PL10HC1713,372.0,,104.16,319.92,83
HCPCS,C1713,HC CRANI 1.5MM ORB RIM PL12HC1713,401.0,,112.28,344.86,83
HCPCS,C1713,HC CRANI 1.5MM PL ADPT 20HLPC1713,426.0,,119.28,366.36,83
HCPCS,C1713,HC CRANI 1.5MM PL UNV ORBFLRC1713,1427.0,,399.56,1227.22,83
HCPCS,C1713,HC CRANI 1.5MM STR PL 2HC1713,54.0,,15.12,46.44,83
HCPCS,C1713,HC CRANI 1.5MM STR PL 4HC1713,74.0,,20.72,63.64,83
HCPCS,C1713,HC CRANI 1.5MM T-PLT MAL4*7HC1713,321.0,,89.88,276.06,83
HCPCS,C1713,HC CRANI 1.5MM X PL 4HC1713,321.0,,89.88,276.06,83
HCPCS,C1713,HC CRANI 1.5MM Y PL 5HC1713,321.0,,89.88,276.06,83
HCPCS,C1713,HC CRANI 1.5MMHOLE SPGCLIPLTC1713,327.0,,91.56,281.22,83
HCPCS,C1713,HC CRANI 1.5MMRGMSH200*200MMC1713,11123.0,,3114.44,9565.78,83
HCPCS,C1713,HC CRANI 2MM CMP PL 4HMN DYNC1713,344.0,,96.32,295.84,83
HCPCS,C1713,HC CRANI 2MM CMP PL 5HMN DYNC1713,380.0,,106.4,326.8,83
HCPCS,C1713,HC CRANI 2MM CMP PL 6HMN DYNC1713,416.0,,116.48,357.76,83
HCPCS,C1713,HC CRANI 2MM CMP PL 7HMN DYNC1713,449.0,,125.72,386.14,83
HCPCS,C1713,HC CRANI 2MM CMP PL 8HMN DYNC1713,485.0,,135.8,417.1,83
HCPCS,C1713,HC CRANI 2MM H-PL 8-9HC1713,324.0,,90.72,278.64,83
HCPCS,C1713,HC CRANI 2MM LPL OBL3HX4H LRC1713,320.0,,89.6,275.2,83
HCPCS,C1713,HC CRANI 2MM ORB RIM PL 10HC1713,305.0,,85.4,262.3,83
HCPCS,C1713,HC CRANI 2MM ORB RIM PL 12HC1713,321.0,,89.88,276.06,83
HCPCS,C1713,HC CRANI 2MM ORB RIM PL 8HC1713,288.0,,80.64,247.68,83
HCPCS,C1713,HC CRANI 2MM PL ZYDPT 13HC1713,441.0,,123.48,379.26,83
HCPCS,C1713,HC CRANI 2MM X PL 4HC1713,288.0,,80.64,247.68,83
HCPCS,C1713,HC CRANI 2MM Y PL 5HC1713,309.0,,86.52,265.74,83
HCPCS,C1713,HC CRANI 2MMLPL OB2HX3LR100DC1713,305.0,,85.4,262.3,83
HCPCS,C1713,HC CRANI 2MMLPL OB4HX3LR100DC1713,297.0,,83.16,255.42,83
HCPCS,C1713,HC CRANI 2MMLPL OB4HX6LR100DC1713,351.0,,98.28,301.86,83
HCPCS,C1713,HC CRANI 2MMLPL2X2X17-23LR90C1713,285.0,,79.8,245.1,83
HCPCS,C1713,HC CRANI 2MMLPL3X2X20MMLR90DC1713,303.0,,84.84,260.58,83
HCPCS,C1713,HC CRANI 2MMPL STR4HX34-30MMC1713,339.0,,94.92,291.54,83
HCPCS,C1713,HC CRANI 2MMPL ZYGOMA4HX22MMC1713,303.0,,84.84,260.58,83
HCPCS,C1713,HC CRANI 2MMPL ZYGOMA5HX27MMC1713,317.0,,88.76,272.62,83
HCPCS,C1713,HC CRANI 2MMPL ZYGOMA6HX32MMC1713,339.0,,94.92,291.54,83
HCPCS,C1713,HC CRANI BX PLTE 4H 16*16MM C1713,403.0,,112.84,346.58,83
HCPCS,C1713,HC CRANI CORTX SCRW1.3*4-5MMC1713,108.0,,30.24,92.88,83
HCPCS,C1713,HC CRANI CRTX SCRW 3X4-24MMC1713,84.0,,23.52,72.24,83
HCPCS,C1713,HC CRANI CRTX SCRW1.3X3-18MMC1713,125.0,,35.0,107.5,83
HCPCS,C1713,HC CRANI CRTX SCRW1.5*4-12MMC1713,74.0,,20.72,63.64,83
HCPCS,C1713,HC CRANI CRTXSCRW TI2X4-24MMC1713,81.0,,22.68,69.66,83
HCPCS,C1713,HC CRANI CTMSH CIR100MM MRLPC1713,2843.0,,796.04,2444.98,83
HCPCS,C1713,HC CRANI CTMSH CIR30MM MLRLPC1713,1100.0,,308.0,946.0,83
HCPCS,C1713,HC CRANI CTMSH CIR70MM MLRLPC1713,2279.0,,638.12,1959.94,83
HCPCS,C1713,HC CRANI CTMSH CVLG MLRGD LPC1713,1715.0,,480.2,1474.9,83
HCPCS,C1713,HC CRANI CTMSH CVSM MLRGD LPC1713,1100.0,,308.0,946.0,83
HCPCS,C1713,HC CRANI CTMSH100X100MM MLLPC1713,2979.0,,834.12,2561.94,83
HCPCS,C1713,HC CRANI CTMSH200X200MM RGLPC1713,13850.0,,3878.0,11911.0,83
HCPCS,C1713,HC CRANI CTMSH38X45MM MLRGLPC1713,1914.0,,535.92,1646.04,83
HCPCS,C1713,HC CRANI CTR MESH MAS MAL LPC1713,1332.0,,372.96,1145.52,83
HCPCS,C1713,HC CRANI DB Y-PLT 6H*18-21MMC1713,321.0,,89.88,276.06,83
HCPCS,C1713,HC CRANI EMRG SCRW 1.7X3-8MMC1713,109.0,,30.52,93.74,83
HCPCS,C1713,HC CRANI EMRG SCRW 2X4-12MMC1713,79.0,,22.12,67.94,83
HCPCS,C1713,HC CRANI EMRG SCRW2.4X5-18MMC1713,85.0,,23.8,73.1,83
HCPCS,C1713,HC CRANI1.3MMBXPLT4H10*5-10MC1713,267.0,,74.76,229.62,83
HCPCS,C1713,HC CRANI1.3MMDBYPLT6H*15-18MC1713,294.0,,82.32,252.84,83
HCPCS,C1713,HC CRANI1.3MMMHSCRN100*100MMC1713,1490.0,,417.2,1281.4,83
HCPCS,C1713,HC CRANI1.3MMMSHPLT100*100MMC1713,2847.0,,797.16,2448.42,83
HCPCS,C1713,HC CRANIOS BH 12-24MM LP,428.0,,119.84,368.08,83
HCPCS,C1713,HC CRANIOS BOX PLTE 4H 14*14MM,411.0,,115.08,353.46,83
HCPCS,C1713,HC CRANIOS BX PLTE 4H 10*16MM,376.0,,105.28,323.36,83
HCPCS,C1713,HC CRANIOS LP ADAPT PLTE 7H,461.0,,129.08,396.46,83
HCPCS,C1713,HC CRANIOS LP DB Y-PLTE 6H,392.0,,109.76,337.12,83
HCPCS,C1713,HC CRANIOS LP STR PLTE 2H,97.0,,27.16,83.42,83
HCPCS,C1713,HC CRANIOS LP STR PLTE 4H,121.0,,33.88,104.06,83
HCPCS,C1713,HC CRANIOS LP STRUT PLTE 6H,683.0,,191.24,587.38,83
HCPCS,C1713,HC CRANIOS LP STRUT PLTE 8H,973.0,,272.44,836.78,83
HCPCS,C1713,HC CRANIOS LP X-PLTE 4H,377.0,,105.56,324.22,83
HCPCS,C1713,HC CRANIOS LP Y-PLTE 4H,392.0,,109.76,337.12,83
HCPCS,C1713,HC CRANIOS REINFD PUTTY 5CC,2747.0,,769.16,2362.42,83
HCPCS,C1713,HC CRV STRUT PLT 2*3H,776.0,,217.28,667.36,83
HCPCS,C1713,HC CRV STRUT PLT 2*4H C1713,1105.0,,309.4,950.3,83
HCPCS,C1713,HC CX PD SCRW 6.2-8X30-65MMC1713,1201.0,,336.28,1032.86,83
HCPCS,C1713,HC CX PDSCRWDCPA4.-9X25-100MC1713,2346.0,,656.88,2017.56,83
HCPCS,C1713,HC CX PDSCRWDCR4.2-9X25-100MC1713,1261.0,,353.08,1084.46,83
HCPCS,C1713,HC DBX MIX 10CC,2857.0,,799.96,2457.02,83
HCPCS,C1713,HC DBX MIX 20CC,5622.0,,1574.16,4834.92,83
HCPCS,C1713,HC DBX PUTTY 5CC,1505.0,,421.4,1294.3,83
HCPCS,C1713,HC EC PLY SCREW 8*65-90MM,3144.0,,880.32,2703.84,83
HCPCS,C1713,HC EXP PLY SCREW 7*40-55MM,3144.0,,880.32,2703.84,83
HCPCS,C1713,HC EXP SET SCREW 6.35MM,568.0,,159.04,488.48,83
HCPCS,C1713,HC FIBERGRAFT BG MATRIX BIOACTIVE LARGE,4300.0,,1204.0,3698.0,83
HCPCS,C1713,HC FIBERGRAFT BG MATRIX BIOACTIVE MED,2520.0,,705.6,2167.2,83
HCPCS,C1713,HC FX LCK SCREW 4.75*15-30MM,358.0,,100.24,307.88,83
HCPCS,C1713,HC GRAN C/C 30CC,1125.0,,315.0,967.5,83
HCPCS,C1713,HC HUM NAIL 8*260MM,4174.0,,1168.72,3589.64,83
HCPCS,C1713,HC IMP PRODENSE 10CC  C1713,4800.0,,1344.0,4128.0,83
HCPCS,C1713,HC IMP PRODENSE 20CC  C1713,4800.0,,1344.0,4128.0,83
HCPCS,C1713,HC IMP PRODENSE 4CC  C1713,2590.0,,725.2,2227.4,83
HCPCS,C1713,HC K-WIRE 3*285MM,358.0,,100.24,307.88,83
HCPCS,C1713,HC K-WIRE 3.*285MM,358.0,,100.24,307.88,83
HCPCS,C1713,HC K-WIRE 3.2X450MM,372.0,,104.16,319.92,166
HCPCS,C1713,HC KYPHON HVR BONE CEMENT XPEDE,203.0,,56.84,174.58,83
HCPCS,C1713,HC KYPHON XPEDE BONE CEMENT AND MIXER,679.0,,190.12,583.94,83
HCPCS,C1713,HC LAG SCREW 10.5*90-110MM,1578.0,,441.84,1357.08,166
HCPCS,C1713,HC LCP PLATE 10 HOLES C1713,898.0,,251.44,772.28,83
HCPCS,C1713,HC LCP PLATE 12 HOLES C1713,894.0,,250.32,768.84,83
HCPCS,C1713,HC LCP PLATE 5 HOLES,648.0,,181.44,557.28,83
HCPCS,C1713,HC LCP PLATE 6 HOLES,764.0,,213.92,657.04,83
HCPCS,C1713,HC LCP PLATE 8 HOLES C1713,838.0,,234.64,720.68,83
HCPCS,C1713,HC LG FR CANC SCR6.5*35-75MMC1713,93.0,,26.04,79.98,83
HCPCS,C1713,HC LG FR CANCSCR6.5*90-110MMC1713,91.0,,25.48,78.26,83
HCPCS,C1713,HC LG FR COR-SCREW4.5*16-66MM,58.0,,16.24,49.88,83
HCPCS,C1713,HC LG FR DCP N-PLT 4.5MM 10HC1713,454.0,,127.12,390.44,83
HCPCS,C1713,HC LG FR TI CANCSCRW6.5*30MMC1713,87.0,,24.36,74.82,83
HCPCS,C1713,HC LG FRAG DCP 6H STAINLSS C1713,950.0,,266.0,817.0,83
HCPCS,C1713,HC LG FRAG LS 4X50-54MM C1713,308.0,,86.24,264.88,83
HCPCS,C1713,HC LG FRAG LS 5X14-50MM C1713,352.0,,98.56,302.72,83
HCPCS,C1713,HC LG FRAG SS LOCK PLATE 6H C1713,1492.0,,417.76,1283.12,83
HCPCS,C1713,HC LG FRAGCRTSCSS4.5X28-38MMC1713,40.0,,11.2,34.4,83
HCPCS,C1713,HC LG FRAGCRTSCSS4.5X36-38MMC1713,46.0,,12.88,39.56,83
HCPCS,C1713,HC LNG NAIL LFT 11*380MM,6698.0,,1875.44,5760.28,83
HCPCS,C1713,HC LNG NAIL LFT 13*420MM,5992.0,,1677.76,5153.12,83
HCPCS,C1713,HC LP CRANI ADAPT PLTE 20H,893.0,,250.04,767.98,83
HCPCS,C1713,HC LP CRANI ADAPT PLTE 5H,369.0,,103.32,317.34,83
HCPCS,C1713,HC LP T-NEURO SCREW SD 3-6MMC1713,108.0,,30.24,92.88,83
HCPCS,C1713,HC LP TN-EMERG SCREW 4-6MM C1713,108.0,,30.24,92.88,83
HCPCS,C1713,HC LPP CAN CON SCRW5X50-85MMC1713,378.0,,105.84,325.08,83
HCPCS,C1713,HC LPP CANN SCRW 5X25-85MM C1713,430.0,,120.4,369.8,83
HCPCS,C1713,HC LPP CANN SCRW 7.3X70-85MMC1713,636.0,,178.08,546.96,83
HCPCS,C1713,HC LPP CND PL 6H 4.5X170MMRTC1713,3312.0,,927.36,2848.32,83
HCPCS,C1713,HC LPP COND PL 8H 4.5X206 RTC1713,3376.0,,945.28,2903.36,83
HCPCS,C1713,HC LPP PRX TIBPL4H 4.5X82MMRC1713,3060.0,,856.8,2631.6,83
HCPCS,C1713,HC LPP PRX TIBPL6H4.5X118MMLC1713,3098.0,,867.44,2664.28,83
HCPCS,C1713,HC LPP PRX TIBPL8H4.5X154MMRC1713,3132.0,,876.96,2693.52,83
HCPCS,C1713,HC LPP SCRW 4X38-46MM C1713,308.0,,86.24,264.88,83
HCPCS,C1713,HC MESH MAL STRUTMTRXNEUROTIC1713,870.0,,243.6,748.2,83
HCPCS,C1713,HC MESH MALTMPMTRXNEURO MDTI,1392.0,,389.76,1197.12,83
HCPCS,C1713,HC MESH MAS MALMTRXNEUROLGTIC1713,1394.0,,390.32,1198.84,83
HCPCS,C1713,HC MESH MAS MALMTRXNEUROMDTIC1713,1265.0,,354.2,1087.9,83
HCPCS,C1713,HC MESH MAS MALMTRXNEUROSMTIC1713,1118.0,,313.04,961.48,83
HCPCS,C1713,HC MIS SNG INR SET SCREW,684.0,,191.52,588.24,83
HCPCS,C1713,HC MITEK 0 MINI QCK ANCHOR,800.0,,224.0,688.0,83
HCPCS,C1713,HC MITEK 2-0 MINI QCK ANCHOR,800.0,,224.0,688.0,83
HCPCS,C1713,HC MITEK 3-0MICRO QCK ANCHORC1713,768.0,,215.04,660.48,83
HCPCS,C1713,HC MNDB 2 LP 4HX4H ANGL LG C1713,1272.0,,356.16,1093.92,83
HCPCS,C1713,HC MNDB 2 LP 6H STR LG C1713,1028.0,,287.84,884.08,83
HCPCS,C1713,HC MNDB 2 LP INTERM 12H C1713,846.0,,236.88,727.56,83
HCPCS,C1713,HC MNDB 2 LP INTERM 6H C1713,747.0,,209.16,642.42,83
HCPCS,C1713,HC MNDB 2 MNI LOC ADPTPL 12HC1713,948.0,,265.44,815.28,83
HCPCS,C1713,HC MNDB 2 TI MINI LP 20H ADPC1713,866.0,,242.48,744.76,83
HCPCS,C1713,HC MNDB 2 TI MINI LP BROAD4HC1713,566.0,,158.48,486.76,83
HCPCS,C1713,HC MNDB 2 TI MNI LP TENBND4HC1713,552.0,,154.56,474.72,83
HCPCS,C1713,HC MNDB 2.4 COMP TNBND PL 4HC1713,470.0,,131.6,404.2,83
HCPCS,C1713,HC MNDB 2.4 COMP TNBND PL 6HC1713,506.0,,141.68,435.16,83
HCPCS,C1713,HC MNDB 2.4 FRACPL ANGL3HX3HC1713,1223.0,,342.44,1051.78,83
HCPCS,C1713,HC MNDB 2.4 FRACPL ANGL4HX4HC1713,1320.0,,369.6,1135.2,83
HCPCS,C1713,HC MNDB 2.4 LC-DCP PL 4H C1713,665.0,,186.2,571.9,83
HCPCS,C1713,HC MNDB 2.4 LC-DCP PL 5H C1713,734.0,,205.52,631.24,83
HCPCS,C1713,HC MNDB 2.4 LC-DCP PL 6H C1713,797.0,,223.16,685.42,83
HCPCS,C1713,HC MNDB 2.4 MICRO PL 16H STRC1713,1356.0,,379.68,1166.16,83
HCPCS,C1713,HC MNDB 2.4 MICRO PL 18H STRC1713,1542.0,,431.76,1326.12,83
HCPCS,C1713,HC MNDB 2.4 MICRO PLT 14HSTRC1713,1471.0,,411.88,1265.06,83
HCPCS,C1713,HC MNDB 2.4 MICRPL5HX22DBANGC1713,4613.0,,1291.64,3967.18,83
HCPCS,C1713,HC MNDB 2.4 MICRPL6HX18LRANGC1713,2366.0,,662.48,2034.76,83
HCPCS,C1713,HC MNDB 2.4MCRPL4HX20X4DBANGC1713,4430.0,,1240.4,3809.8,83
HCPCS,C1713,HC MNDB 2.4MCRPL6HX24X6DBANGC1713,5531.0,,1548.68,4756.66,83
HCPCS,C1713,HC MNDB 2.4MICR PL 20-24HSTRC1713,1727.0,,483.56,1485.22,83
HCPCS,C1713,HC MNDB 2.4MICR PL4HX16LRANGC1713,1964.0,,549.92,1689.04,83
HCPCS,C1713,HC MNDB 2.4MICR PL4HX8 LRANGC1713,1727.0,,483.56,1485.22,83
HCPCS,C1713,HC MNDB 2.4MICR PL5HX17LRANGC1713,2150.0,,602.0,1849.0,83
HCPCS,C1713,HC MNDB 2.4MICR PL6HX21LRANGC1713,2586.0,,724.08,2223.96,83
HCPCS,C1713,HC MNDB 2.4X3 PL 3X3 CRES C1713,1448.0,,405.44,1245.28,83
HCPCS,C1713,HC MNDB 2.4X3 PL 4X20X4DBANGC1713,2916.0,,816.48,2507.76,83
HCPCS,C1713,HC MNDB 2.4X3MM PL 4X4 C1713,1562.0,,437.36,1343.32,83
HCPCS,C1713,HC MNDB 2.4X3MM PL 5X8ANGL/RC1713,1701.0,,476.28,1462.86,83
HCPCS,C1713,HC MNDB 2.4X3MM PL6X23ANGL/RC1713,3031.0,,848.68,2606.66,83
HCPCS,C1713,HC MNDB 2.4X3MMBNDINSRT SCRWC1713,59.0,,16.52,50.74,83
HCPCS,C1713,HC MNDB 2.4X3MMPL12H STR95MMC1713,1208.0,,338.24,1038.88,83
HCPCS,C1713,HC MNDB 2.4X3MMPL20HSTR159MMC1713,2013.0,,563.64,1731.18,83
HCPCS,C1713,HC MNDB 2.4X3MMPL4X18CNDHDLRC1713,5384.0,,1507.52,4630.24,83
HCPCS,C1713,HC MNDB 2.4X3MMPL5X20CNDHDLRC1713,5664.0,,1585.92,4871.04,83
HCPCS,C1713,HC MNDB 2.4X3MMPL5X22X5DBANGC1713,3078.0,,861.84,2647.08,83
HCPCS,C1713,HC MNDB 2.4X3MMPL6X24X6DBANGC1713,3249.0,,909.72,2794.14,83
HCPCS,C1713,HC MNDB 2.4X3MMPLX16 CNDHDLTC1713,5100.0,,1428.0,4386.0,83
HCPCS,C1713,HC MNDB 2LP 3HX3HANG/CRES LGC1713,1175.0,,329.0,1010.5,83
HCPCS,C1713,HC MNDB 2LP 6HX21LT/RTANGLLGC1713,2680.0,,750.4,2304.8,83
HCPCS,C1713,HC MNDB 2TI MINILP 4HNRW MALC1713,441.0,,123.48,379.26,83
HCPCS,C1713,HC MNDB 2TI MINILP 6HNRW MALC1713,580.0,,162.4,498.8,83
HCPCS,C1713,HC MNDB 2TI MNILP BROAD CV4HC1713,644.0,,180.32,553.84,83
HCPCS,C1713,HC MNDB CORT SCRW 2X5-8MM C1713,87.0,,24.36,74.82,83
HCPCS,C1713,HC MNDB CRTSCRSLFT2X5-18MMSDC1713,81.0,,22.68,69.66,83
HCPCS,C1713,HC MNDB CRTSCRSS2X6-18MMCRHDC1713,43.0,,12.04,36.98,83
HCPCS,C1713,HC MNDB CRTXSCRSFT2.4X8-40MMC1713,125.0,,35.0,107.5,83
HCPCS,C1713,HC MNDB EMRG SCRW 2.4X8-18MMC1713,136.0,,38.08,116.96,83
HCPCS,C1713,HC MNDB EMRG SCRW 2X6-18MM C1713,85.0,,23.8,73.1,83
HCPCS,C1713,HC MNDB LCKNG SCRW 2X5-18MM C1713,162.0,,45.36,139.32,83
HCPCS,C1713,HC MNDB LCKNG SCRW2.4X8-24MMC1713,201.0,,56.28,172.86,83
HCPCS,C1713,HC MNDB LCKNSCRWSFTP3X8-24MMC1713,234.0,,65.52,201.24,83
HCPCS,C1713,HC PIN FIXATION OS 40X1.3,1442.0,,403.76,1240.12,83
HCPCS,C1713,HC PL ARTHLCPATANK6HX100MMSTC1713,2164.0,,605.92,1861.04,83
HCPCS,C1713,HC PL ARTHLCPATANKL7HX116MSTC1713,2224.0,,622.72,1912.64,83
HCPCS,C1713,HC PL COND 4.5CVD12HX278MMLRC1713,3610.0,,1010.8,3104.6,83
HCPCS,C1713,HC PL COND 4.5CVD20HX422MMLTC1713,3910.0,,1094.8,3362.6,83
HCPCS,C1713,HC PL COND 4.5CVD20HX422MMRTC1713,3464.0,,969.92,2979.04,83
HCPCS,C1713,HC PL COND 4.5CVD22H/458MMRTC1713,3532.0,,988.96,3037.52,83
HCPCS,C1713,HC PL COND 4.5CVD22HX458MMLTC1713,3798.0,,1063.44,3266.28,83
HCPCS,C1713,HC PL COND4.5CV10HX242MMLTSTC1713,3614.0,,1011.92,3108.04,83
HCPCS,C1713,HC PL COND4.5CV12HX278MMLRSTC1713,3688.0,,1032.64,3171.68,83
HCPCS,C1713,HC PL COND4.5CV18HX386MMLRSTC1713,3912.0,,1095.36,3364.32,83
HCPCS,C1713,HC PL COND4.5CV20HX422MMLRSTC1713,3988.0,,1116.64,3429.68,83
HCPCS,C1713,HC PL COND4.5CV22HX458MMRLSTC1713,4066.0,,1138.48,3496.76,83
HCPCS,C1713,HC PL COND4.5CVD10HX242MML/RC1713,3536.0,,990.08,3040.96,83
HCPCS,C1713,HC PL COND4.5CVD14HX314MLRSTC1713,3762.0,,1053.36,3235.32,83
HCPCS,C1713,HC PL COND4.5CVD14HX314MML/RC1713,3684.0,,1031.52,3168.24,83
HCPCS,C1713,HC PL COND4.5CVD16HX350MML/RC1713,3756.0,,1051.68,3230.16,83
HCPCS,C1713,HC PL COND4.5CVD16HX350MMRSTC1713,3834.0,,1073.52,3297.24,83
HCPCS,C1713,HC PL CONXD4.5CVD18HX386MMLRC1713,3834.0,,1073.52,3297.24,83
HCPCS,C1713,HC PL MESH1.5MMCTRRGSMARCGLDC1713,1026.0,,287.28,882.36,83
HCPCS,C1713,HC PL NEURO ORB RIM 12HLOPROC1713,402.0,,112.56,345.72,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM 3HC1713,1098.0,,307.44,944.28,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM 4HC1713,1150.0,,322.0,989.0,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM 5HC1713,1202.0,,336.56,1033.72,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM 6HC1713,1252.0,,350.56,1076.72,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM 7HC1713,1302.0,,364.56,1119.72,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM 8HC1713,1354.0,,379.12,1164.44,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM 9HC1713,1404.0,,393.12,1207.44,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM10HC1713,1454.0,,407.12,1250.44,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM11HC1713,1506.0,,421.68,1295.16,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM12HC1713,1554.0,,435.12,1336.44,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM13HC1713,1606.0,,449.68,1381.16,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM14HC1713,1658.0,,464.24,1425.88,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM15HC1713,1710.0,,478.8,1470.6,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM16HC1713,1760.0,,492.8,1513.6,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM18HC1713,1808.0,,506.24,1554.88,83
HCPCS,C1713,HC PL RECON LCKG LP 3.5MM20HC1713,1862.0,,521.36,1601.32,83
HCPCS,C1713,HC PL RECON WANGL LP 3.5MM3HC1713,674.0,,188.72,579.64,83
HCPCS,C1713,HC PL RECON WANGL LP 3.5MM4HC1713,706.0,,197.68,607.16,83
HCPCS,C1713,HC PL RECON WANGL LP 3.5MM5HC1713,738.0,,206.64,634.68,83
HCPCS,C1713,HC PL RECON WANGL LP 3.5MM6HC1713,770.0,,215.6,662.2,83
HCPCS,C1713,HC PL RECON WANGL LP 3.5MM7HC1713,802.0,,224.56,689.72,83
HCPCS,C1713,HC PL RECON WANGL LP 3.5MM8HC1713,834.0,,233.52,717.24,83
HCPCS,C1713,HC PL RECON WANGL LP 3.5MM9HC1713,868.0,,243.04,746.48,83
HCPCS,C1713,HC PL RECON WANGL LP3.5MM10HC1713,900.0,,252.0,774.0,83
HCPCS,C1713,HC PL RECON WANGL LP3.5MM11HC1713,948.0,,265.44,815.28,83
HCPCS,C1713,HC PL RECON WANGL LP3.5MM12HC1713,1002.0,,280.56,861.72,83
HCPCS,C1713,HC PL RECON WANGL LP3.5MM13HC1713,1054.0,,295.12,906.44,83
HCPCS,C1713,HC PL RECON WANGL LP3.5MM14HC1713,1100.0,,308.0,946.0,83
HCPCS,C1713,HC PL RECON WANGL LP3.5MM15HC1713,1152.0,,322.56,990.72,83
HCPCS,C1713,HC PL RECON WANGL LP3.5MM16HC1713,1204.0,,337.12,1035.44,83
HCPCS,C1713,HC PL RECON WANGL LP3.5MM18HC1713,1256.0,,351.68,1080.16,83
HCPCS,C1713,HC PL RECON WANGL LP3.5MM20HC1713,1304.0,,365.12,1121.44,83
HCPCS,C1713,"HC PLATE, MATRIX, NEURO ULP, TI, STRAIGHT,12MM",134.0,,37.52,115.24,83
HCPCS,C1713,"HC PLATE, MATRIX, NEURO ULP, TI, STRAIGHT,24MM",153.0,,42.84,131.58,83
HCPCS,C1713,"HC PLATE, MATRIX, NEURO, ULP, BOX, 10MMX16MM",468.0,,131.04,402.48,83
HCPCS,C1713,"HC PLATE, MATRIX, NEURO, ULP, STRUT, TI, 2X3 HOLE",851.0,,238.28,731.86,83
HCPCS,C1713,HC PLC 2ANG LG 4X20X4H 2MMTIC1713,3105.0,,869.4,2670.3,83
HCPCS,C1713,HC PLC 2ANG LG 5X22X5H 2MMTIC1713,3279.0,,918.12,2819.94,83
HCPCS,C1713,HC PLC 2ANG LG 6X24X6H 2MMTIC1713,2874.0,,804.72,2471.64,83
HCPCS,C1713,HC PLC STR 12H 2MM TI 1.5 C1713,2874.0,,804.72,2471.64,83
HCPCS,C1713,HC PLC STR 20H 2MM TI 1.5 C1713,1623.0,,454.44,1395.78,83
HCPCS,C1713,HC PLC STR 3X3H 2MM TI 1.5C1713,854.0,,239.12,734.44,83
HCPCS,C1713,HC PLT LCK CUB2.4MM/2.7MML/RC1713,1702.0,,476.56,1463.72,83
HCPCS,C1713,HC PLT NAVI LCK 2.4MM/2.7MM C1713,1748.0,,489.44,1503.28,83
HCPCS,C1713,HC PLT SYM PUBIC 3.5MM4H2DCPC1713,1810.0,,506.8,1556.6,83
HCPCS,C1713,HC PLT SYM PUBIC 3.5MM6H2DCPC1713,1988.0,,556.64,1709.68,83
HCPCS,C1713,HC PLT SYMPHYSIS PUBC3.5MM4HC1713,1650.0,,462.0,1419.0,83
HCPCS,C1713,HC PLT SYMPHYSIS PUBC3.5MM6HC1713,1806.0,,505.68,1553.16,83
HCPCS,C1713,HC PLT TALUS LCK 2.4MM/2.7MMC1713,1680.0,,470.4,1444.8,83
HCPCS,C1713,HC PLTE LP STR NEURO 9MM 2H C1713,65.0,,18.2,55.9,83
HCPCS,C1713,HC PLTE SPRING 1H 3.5MM C1713,472.0,,132.16,405.92,83
HCPCS,C1713,HC PLTE SPRING 1H STRL 3.5MMC1713,550.0,,154.0,473.0,83
HCPCS,C1713,HC PLTE SPRING 2 H 3.5MM C1713,512.0,,143.36,440.32,83
HCPCS,C1713,HC PLTE SPRING 2H STRL 3.5MMC1713,590.0,,165.2,507.4,83
HCPCS,C1713,HC PLTE SPRING 3H 3.5MM C1713,562.0,,157.36,483.32,83
HCPCS,C1713,HC PLTE SPRING 3H STRL 3.5MMC1713,640.0,,179.2,550.4,83
HCPCS,C1713,HC PLVC 3.5MM PL CVD 8HX94MMC1713,972.0,,272.16,835.92,83
HCPCS,C1713,HC PLVC 3.5MM PL STR 5HX58MMC1713,718.0,,201.04,617.48,83
HCPCS,C1713,HC PLVC 3.5MMPL STR14HX166MMC1713,1110.0,,310.8,954.6,83
HCPCS,C1713,HC PLVC 4.5 PL 14HX221MM C1713,1320.0,,369.6,1135.2,83
HCPCS,C1713,HC PLVC 6.5CANCSCRW FT50-60MC1713,93.0,,26.04,79.98,83
HCPCS,C1713,HC RESORB 1.5MM ADAPT PLTE C1713,334.0,,93.52,287.24,83
HCPCS,C1713,HC RESORB 1.5MM C-MSH50*.5MMC1713,2514.0,,703.92,2162.04,83
HCPCS,C1713,HC RESORB 1.5MM DB Y-PLTE C1713,524.0,,146.72,450.64,83
HCPCS,C1713,HC RESORB 1.5MM OBL L-PLT LTC1713,524.0,,146.72,450.64,83
HCPCS,C1713,HC RESORB 1.5MM ORB RIM PLT C1713,524.0,,146.72,450.64,83
HCPCS,C1713,HC RESORB 1.5MM STR PLTE 2H C1713,232.0,,64.96,199.52,83
HCPCS,C1713,HC RESORB 1.5MM STR PLTE 4H C1713,307.0,,85.96,264.02,83
HCPCS,C1713,HC RESORB 1.5MM X-PLTE C1713,430.0,,120.4,369.8,83
HCPCS,C1713,HC RESORB 1.5MM Y-PLTE C1713,465.0,,130.2,399.9,83
HCPCS,C1713,HC RESORB 1.5MMMSH50*50*.5MMC1713,2040.0,,571.2,1754.4,83
HCPCS,C1713,HC RESORB 1.5MMMSH50*50*.8MMC1713,2123.0,,594.44,1825.78,83
HCPCS,C1713,HC RESORB 1.5MMMSH60*80*.5MMC1713,3494.0,,978.32,3004.84,83
HCPCS,C1713,HC RESORB 1.5MMMSH75*75*.8MMC1713,4176.0,,1169.28,3591.36,83
HCPCS,C1713,HC RESORB 1.5MMSTRUTPLT2*10HC1713,918.0,,257.04,789.48,83
HCPCS,C1713,HC RESORB 1.5MMSTRUTPLT2*18HC1713,1136.0,,318.08,976.96,83
HCPCS,C1713,HC RESORB 1.5MSH100*100*.5MMC1713,4926.0,,1379.28,4236.36,83
HCPCS,C1713,HC RESORB 1.5MSH100*100*.8MMC1713,5460.0,,1528.8,4695.6,83
HCPCS,C1713,HC RESORB 1.5MSH125*125*.8MMC1713,6286.0,,1760.08,5405.96,83
HCPCS,C1713,HC RESORB 1.5ORB FLR PLT.5MMC1713,1420.0,,397.6,1221.2,83
HCPCS,C1713,HC RESORB 1.5SHEET50*50*.5MMC1713,1690.0,,473.2,1453.4,83
HCPCS,C1713,HC RESORB 1.5SHEET75*75*.5MMC1713,2826.0,,791.28,2430.36,83
HCPCS,C1713,HC RESORB 1.5SHEET75*75*.8MMC1713,2984.0,,835.52,2566.24,83
HCPCS,C1713,HC RESORB 2.0MM ADAPTN PLT8HC1713,402.0,,112.56,345.72,83
HCPCS,C1713,HC RESORB 2.0MM ORB RIM PLT C1713,524.0,,146.72,450.64,83
HCPCS,C1713,HC RESORB 2.0MM STR PLTE 2H C1713,210.0,,58.8,180.6,83
HCPCS,C1713,HC RESORB 2.0MM STR PLTE 4H C1713,360.0,,100.8,309.6,83
HCPCS,C1713,HC RESORB 2.0MM Y-PLTE C1713,524.0,,146.72,450.64,83
HCPCS,C1713,HC RESORB 2.0MMOBL L-PLT L/RC1713,452.0,,126.56,388.72,83
HCPCS,C1713,HC RESORB 2.0MMSTRUTPLT2*10HC1713,830.0,,232.4,713.8,83
HCPCS,C1713,"HC RS-STEINMANN PIN 9""",286.0,,80.08,245.96,83
HCPCS,C1713,HC S&N CB-SCREW 4.5*34-40MM C1713,74.0,,20.72,63.64,83
HCPCS,C1713,HC S&N CHS CMP SCREWS 19MM C1713,174.0,,48.72,149.64,83
HCPCS,C1713,HC S&N CL-SCREW 5.7*25-75MM C1713,764.0,,213.92,657.04,83
HCPCS,C1713,HC S&N CLS PLTE 3SLT 130DG C1713,1558.0,,436.24,1339.88,83
HCPCS,C1713,HC S&N CRB-SCREW 6.4*80-110MM,966.0,,270.48,830.76,83
HCPCS,C1713,HC S&N LAG SCREW 90MM C1713,986.0,,276.08,847.96,83
HCPCS,C1713,HC S&N LP SCREW 5*50-67.5MM,6524.0,,1826.72,5610.64,83
HCPCS,C1713,HC S&N RCIH-SCREW 5*45-65MM C1713,411.0,,115.08,353.46,83
HCPCS,C1713,HC S&N RCR SCREW 6.4*80-95MMC1713,698.0,,195.44,600.28,83
HCPCS,C1713,HC S&N RCR-SCREW 5*25-40MM C1713,411.0,,115.08,353.46,83
HCPCS,C1713,HC S&N SHC-SCREW 6.5*25MM C1713,370.0,,103.6,318.2,83
HCPCS,C1713,HC S&N TA-NAIL 13MM*42CM C1713,5280.0,,1478.4,4540.8,83
HCPCS,C1713,HC S&N TA-NAIL11.5MM*36CM LTC1713,5280.0,,1478.4,4540.8,83
HCPCS,C1713,HC S&N TBH-STEM 8/7-10/8.5MMC1713,3390.0,,949.2,2915.4,83
HCPCS,C1713,HC S&N TGK-NAIL 10MM*28-36CMC1713,3389.0,,948.92,2914.54,83
HCPCS,C1713,HC S&N THL-SCREW 4*22-26MM C1713,344.0,,96.32,295.84,83
HCPCS,C1713,HC S&N THL-SCREW 5*28-54MM C1713,416.0,,116.48,357.76,83
HCPCS,C1713,HC S&N TTGK-NAIL 8.5MM*32CM C1713,3389.0,,948.92,2914.54,83
HCPCS,C1713,HC S&NPRXFMRL-PLT6H4.5*180MMC1713,4460.0,,1248.8,3835.6,83
HCPCS,C1713,HC S&NT25CTXSCREW4.5*26-28MMC1713,72.0,,20.16,61.92,83
HCPCS,C1713,HC SCREW 2.0 TI LOCK MANDIBLE SELF TAPPING (MULT SIZES),210.0,,58.8,180.6,83
HCPCS,C1713,HC SCREW CANNULATED SS ANSIS III 6.5-8MM DIA 85-150MML,440.0,,123.2,378.4,83
HCPCS,C1713,HC SCREW CANNULATED TITANIUM ANSIS III 5.0,304.0,,85.12,261.44,83
HCPCS,C1713,HC SCREW CANNULATED TITANIUM ANSIS III 6.5-8MM DIA 85-150MML,440.0,,123.2,378.4,83
HCPCS,C1713,HC SCREW FIXOS HEADLESS COMPRESSION SCREW,612.0,,171.36,526.32,83
HCPCS,C1713,HC SCREW MAXDRIVE DRILL FREE,138.0,,38.64,118.68,83
HCPCS,C1713,HC SCREW TI MATRIX MIDFACE (MULT SIZES),157.0,,43.96,135.02,83
HCPCS,C1713,"HC SCREW, CORTEX, TI, SELF TAPPING, 2.4MMX20MM",157.0,,43.96,135.02,83
HCPCS,C1713,HC SF TI 1/3 TUB-PLT WCOL10HC1713,186.0,,52.08,159.96,83
HCPCS,C1713,HC SF-CAN SCREW SS 4*10-50MM,50.0,,14.0,43.0,83
HCPCS,C1713,HC SF-CAN SCREW SS FT4*10-60MM,50.0,,14.0,43.0,83
HCPCS,C1713,HC SF-CAN SCREW TI 4*10-50MMC1713,46.0,,12.88,39.56,83
HCPCS,C1713,HC SF-CAN SCRWSS PT4*10-50MMC1713,42.0,,11.76,36.12,83
HCPCS,C1713,HC SF-CAN SCRWTI FT4*10-60MMC1713,46.0,,12.88,39.56,83
HCPCS,C1713,HC SF-COR SCREW SS3.5*10-60MM,59.0,,16.52,50.74,83
HCPCS,C1713,HC SF-COR SCRW SS2.7*10-55MMC1713,53.0,,14.84,45.58,83
HCPCS,C1713,HC SF-COR SCRW TI3.5*10-55MMC1713,59.0,,16.52,50.74,83
HCPCS,C1713,HC SF-LCK SCREW ST3.5*10-60MM,268.0,,75.04,230.48,83
HCPCS,C1713,HC SF-SHFT SCRWSS3.5*16-38MMC1713,49.0,,13.72,42.14,83
HCPCS,C1713,HC SF-SHFT SCRWTI3.5*16-38MMC1713,52.0,,14.56,44.72,83
HCPCS,C1713,HC SHRT EXP SET SCREW,384.0,,107.52,330.24,83
HCPCS,C1713,HC SIMUBLAST CB PUTTTY,2590.0,,725.2,2227.4,83
HCPCS,C1713,HC SM F T-PLT S-OBL 3H/3HEADC1713,466.0,,130.48,400.76,83
HCPCS,C1713,HC SM FR 1/3 TUBULAR PLTE 2HC1713,120.0,,33.6,103.2,83
HCPCS,C1713,HC SM FR 1/3 TUBULAR PLTE 3HC1713,124.0,,34.72,106.64,83
HCPCS,C1713,HC SM FR 1/3 TUBULAR PLTE 4HC1713,144.0,,40.32,123.84,83
HCPCS,C1713,HC SM FR 1/3 TUBULAR PLTE 5HC1713,144.0,,40.32,123.84,83
HCPCS,C1713,HC SM FR 3.5MM DCP SS PLT 6HC1713,322.0,,90.16,276.92,83
HCPCS,C1713,HC SM FR 3.5MM DCP SS PLT 7HC1713,334.0,,93.52,287.24,83
HCPCS,C1713,HC SM FR 3.5MM DCP SS PLT 8HC1713,350.0,,98.0,301.0,83
HCPCS,C1713,HC SM FR 3.5MM DCP SS PLT10HC1713,374.0,,104.72,321.64,83
HCPCS,C1713,HC SM FR 3.5MMLCP T-PLT 3HRAC1713,688.0,,192.64,591.68,83
HCPCS,C1713,HC SM FR 3.5MMLCP T-PLT 4HRAC1713,716.0,,200.48,615.76,83
HCPCS,C1713,HC SM FR 3.5MMLCP T-PLT 5HRAC1713,786.0,,220.08,675.96,83
HCPCS,C1713,HC SM FR 3.5MMLCP T-PLT 6HRAC1713,918.0,,257.04,789.48,83
HCPCS,C1713,HC SM FR 3.5MMLCP T-PLT 7HRAC1713,1150.0,,322.0,989.0,83
HCPCS,C1713,HC SM FR 4.0MM DCP TI PLT 6HC1713,358.0,,100.24,307.88,83
HCPCS,C1713,HC SM FR 4.0MM DCP TI PLT 8HC1713,384.0,,107.52,330.24,83
HCPCS,C1713,HC SM FR 4.0MM DCP TI PLT 9HC1713,400.0,,112.0,344.0,83
HCPCS,C1713,HC SM FR 4.0MM DCP TI PLT10HC1713,428.0,,119.84,368.08,83
HCPCS,C1713,HC SM FR CLOVERLEAF SS PLT3HC1713,652.0,,182.56,560.72,83
HCPCS,C1713,HC SM FR CLOVERLEAF SS PLT4HC1713,698.0,,195.44,600.28,83
HCPCS,C1713,HC SM FR CLOVERLEAF TI PLT3HC1713,732.0,,204.96,629.52,83
HCPCS,C1713,HC SM FR CLOVERLEAF TI PLT4HC1713,770.0,,215.6,662.2,83
HCPCS,C1713,HC SM FR LCP LCK REC PLT 10HC1713,1250.0,,350.0,1075.0,83
HCPCS,C1713,HC SM FR LCP LCK REC PLT 12HC1713,1358.0,,380.24,1167.88,83
HCPCS,C1713,HC SM FR LCP LCK REC PLTE 5HC1713,954.0,,267.12,820.44,83
HCPCS,C1713,HC SM FR LCP LCK REC PLTE 6HC1713,1104.0,,309.12,949.44,83
HCPCS,C1713,HC SM FR LCP LCK REC PLTE 7HC1713,1160.0,,324.8,997.6,83
HCPCS,C1713,HC SM FR LCP LCK REC PLTE 8HC1713,1210.0,,338.8,1040.6,83
HCPCS,C1713,HC SM FR LCP T-PLTE L/R 3H C1713,782.0,,218.96,672.52,83
HCPCS,C1713,HC SM FR LCP T-PLTE L/R 4H C1713,820.0,,229.6,705.2,83
HCPCS,C1713,HC SM FR LCP T-PLTE L/R 5H C1713,854.0,,239.12,734.44,83
HCPCS,C1713,HC SM FR LCP T-PLTE L/R 7H C1713,928.0,,259.84,798.08,83
HCPCS,C1713,HC SM FR SS 1/3TUB LCP PLT6HC1713,372.0,,104.16,319.92,83
HCPCS,C1713,HC SM FR SS 1/3TUB LCP PLT7HC1713,380.0,,106.4,326.8,83
HCPCS,C1713,HC SM FR SS 1/3TUB LCP PLT8HC1713,398.0,,111.44,342.28,83
HCPCS,C1713,HC SM FR SS 1/3TUB LCPPLT10HC1713,398.0,,111.44,342.28,83
HCPCS,C1713,HC SM FR SS 1/3TUB LCPPLT12HC1713,414.0,,115.92,356.04,83
HCPCS,C1713,HC SM FR SS1/3 TUB LCP PLT5HC1713,372.0,,104.16,319.92,83
HCPCS,C1713,HC SM FR T-PLT SM 3H/3H HEADC1713,268.0,,75.04,230.48,83
HCPCS,C1713,HC SM FR TI 1/3 TUBULR PLT2HC1713,136.0,,38.08,116.96,83
HCPCS,C1713,HC SM FR TI 1/3 TUBULR PLT4HC1713,173.0,,48.44,148.78,83
HCPCS,C1713,HC SM FR TI 1/3 TUBULR PLT5HC1713,173.0,,48.44,148.78,83
HCPCS,C1713,HC SM FR TI 1/3 TUBULR PLT6HC171,180.0,,50.4,154.8,83
HCPCS,C1713,HC SM FR TI T-PLT SM 3H OBL C1713,522.0,,146.16,448.92,83
HCPCS,C1713,HC SM FR TI T-PLT SM 4H OBL C1713,550.0,,154.0,473.0,83
HCPCS,C1713,HC SM FR TI T-PLT SM 5H OBL C1713,576.0,,161.28,495.36,83
HCPCS,C1713,HC SM FR TI T-PLT SM 5HC1713,348.0,,97.44,299.28,83
HCPCS,C1713,HC SM FR TI T-PLTE SM 3H C1713,304.0,,85.12,261.44,83
HCPCS,C1713,HC SM FR TI TPLT SOBL5H3H HDC1713,508.0,,142.24,436.88,83
HCPCS,C1713,HC SM FRAG SS WASHER,56.0,,15.68,48.16,83
HCPCS,C1713,HC SM FRAG TIT WASHER C1713,61.0,,17.08,52.46,83
HCPCS,C1713,HC STIMULAN RAPID CURE 10CC,3000.0,,840.0,2580.0,83
HCPCS,C1713,HC STR K-TIBIAL BASEPLAT S-LC1713,7202.0,,2016.56,6193.72,83
HCPCS,C1713,HC STR KF-STEM W/OBODY9-13MMC1713,6650.0,,1862.0,5719.0,83
HCPCS,C1713,HC STRYACETAB SHELL54MMHMSPHC1713,2750.0,,770.0,2365.0,83
HCPCS,C1713,HC STRYK TIBIAL NAIL10*330MMC1713,4024.0,,1126.72,3460.64,83
HCPCS,C1713,HC STRYKER AUTOPELX W/ VERTAPLEX HV BONE CEMENT,2082.0,,582.96,1790.52,83
HCPCS,C1713,HC STRYKER BONE CEMT W/TOBRAMY,455.0,,127.4,391.3,83
HCPCS,C1713,HC STRYKER CN SCREW6.5*40-120MM,640.0,,179.2,550.4,83
HCPCS,C1713,HC STRYKER DH-AXLE PIN C1713,1035.0,,289.8,890.1,83
HCPCS,C1713,HC STRYKER FEM COMP PROX STD,10915.0,,3056.2,9386.9,83
HCPCS,C1713,HC STRYKER FTL-SCREW 4*22-60MM,488.0,,136.64,419.68,83
HCPCS,C1713,HC STRYKER HC-SCREW 16-60MM,294.0,,82.32,252.84,83
HCPCS,C1713,HC STRYKER HGP-SCREW 20-60MMC1713,305.0,,85.4,262.3,83
HCPCS,C1713,HC STRYKER HL-NAIL 9*250-280MM,4016.0,,1124.48,3453.76,83
HCPCS,C1713,HC STRYKER HL-SCREW5*35-65MM,502.0,,140.56,431.72,83
HCPCS,C1713,HC STRYKER KF-STEM 9-15MM,9179.0,,2570.12,7893.94,83
HCPCS,C1713,HC STRYKER RL-SCREW 6.5*85MMC1713,642.0,,179.76,552.12,83
HCPCS,C1713,HC STRYKER RR-NAIL 9*360MM C1713,5258.0,,1472.24,4521.88,83
HCPCS,C1713,HC STYKER HUMERAL IA-SCREW C1713,983.0,,275.24,845.38,83
HCPCS,C1713,HC SUMMIT MFAB-SCREW 4*18MM C1713,2040.0,,571.2,1754.4,83
HCPCS,C1713,HC SYN CE-SCREW 4.35*12-14MMC1713,444.0,,124.32,381.84,83
HCPCS,C1713,HC SYNPOR TPLT FNFXTN H1.5MM,2250.0,,630.0,1935.0,83
HCPCS,C1713,HC SYNTHES CE-SCREW4*12-16MMC1713,321.0,,89.88,276.06,83
HCPCS,C1713,HC SYNTHES PC ROD 5.5*80MM C1713,1512.0,,423.36,1300.32,83
HCPCS,C1713,HC SYNTHES SO T-CONN 33-38MM,3050.0,,854.0,2623.0,83
HCPCS,C1713,HC SYNTHES SO T-CONN 38-47MM,3050.0,,854.0,2623.0,83
HCPCS,C1713,HC SYNTHES SO T-CONN 47-62MM,3050.0,,854.0,2623.0,83
HCPCS,C1713,HC SYNTHES SSCRW 7X35MM C1713,512.0,,143.36,440.32,83
HCPCS,C1713,HC SYNTHES TI CSL-SCREW1.8MMC1713,65.0,,18.2,55.9,83
HCPCS,C1713,HC SYNTHES TI H-ROD5.5*200MM,750.0,,210.0,645.0,83
HCPCS,C1713,HC SYNTHES TI H-ROD5.5*300MM,507.0,,141.96,436.02,83
HCPCS,C1713,HC SYNTHES TI H-ROD5.5*400MM,450.0,,126.0,387.0,83
HCPCS,C1713,HC SYNTHES TI MB-SCREW 5*30MM,1500.0,,420.0,1290.0,83
HCPCS,C1713,HC SYNTHES TI MB-SCREW 5*35MM,1500.0,,420.0,1290.0,83
HCPCS,C1713,HC SYNTHES TI MB-SCREW 5*40MM,1500.0,,420.0,1290.0,83
HCPCS,C1713,HC SYNTHES TI MB-SCREW 5*45MM,1500.0,,420.0,1290.0,83
HCPCS,C1713,HC SYNTHES TI MB-SCREW 6*40MM,1500.0,,420.0,1290.0,83
HCPCS,C1713,HC SYNTHES TI MB-SCREW 6*45MM,1500.0,,420.0,1290.0,83
HCPCS,C1713,HC SYNTHES TI MB-SCREW 6*50MM,1500.0,,420.0,1290.0,83
HCPCS,C1713,HC SYNTHES TI MB-SCREW 7*50MM,1500.0,,420.0,1290.0,83
HCPCS,C1713,HC SYNTHES TI MTRX LOCK CAP,450.0,,126.0,387.0,83
HCPCS,C1713,HC SYNTHES TI MTRX PLY HEAD,1700.0,,476.0,1462.0,83
HCPCS,C1713,HC T2 REC K-WIRE 3.2*400MM,397.5,,103.88,364.64,166
HCPCS,C1713,HC TI BLU SD LCK SCRW2*5-8MMC1713,173.0,,48.44,148.78,83
HCPCS,C1713,HC TI BLU ST LCKSCRW2*5-18MMC1713,161.0,,45.08,138.46,83
HCPCS,C1713,HC TI CRANI SCRW SD1.5*4-6MMC1713,89.0,,24.92,76.54,83
HCPCS,C1713,HC TI GLD ST CRTXSCR2*4-24MMC1713,84.0,,23.52,72.24,83
HCPCS,C1713,HC TI MTXNEURO EMG SCREW 3-5MM,138.0,,38.64,118.68,83
HCPCS,C1713,HC TI MTXNEURO SD SCREW 3-5MM,138.0,,38.64,118.68,83
HCPCS,C1713,HC TI SLV SD CRTXSCRW2*4-8MMC1713,91.0,,25.48,78.26,83
HCPCS,C1713,HC TI TEAL EMG SCW2.4*5-18MMC1713,90.0,,25.2,77.4,83
HCPCS,C1713,HC VERTAPLEX BONE CEMENT PRECISION SYSTEM KIT W/ HV CEMENT,1013.0,,283.64,871.18,83
HCPCS,C1713,HC VERTECEM II BONE CEMENT KIT,1080.0,,302.4,928.8,83
HCPCS,C1713,HC WM OSTEOS RESOB BEAD 25CCC1713,2510.0,,702.8,2158.6,83
HCPCS,C1714,HC ATHERECTOMY CAT EVSTH/LSM,5250.0,,1470.0,4515.0,83
HCPCS,C1715,HC BRACHY PROSTATE NEEDLE,52.0,,14.56,44.72,83
HCPCS,C1717,HC IR-192 SEED NOSTR HI DSRT,725.0,,203.0,623.5,84
HCPCS,C1719,HC IR-192 SEED NOSTR NONHDRT,100.0,,28.0,1045.005,84
HCPCS,C1721,HC CARDIO DEFIB D/CHAMB VIRT,40000.0,,11200.0,34400.0,83
HCPCS,C1721,HC DEFIB D/CHAMB ELLIPSTJUDEC1721,38145.0,,10680.6,32804.7,83
HCPCS,C1721,HC DEFIB D/CHAMB FORTASSURDR,38145.0,,10680.6,32804.7,83
HCPCS,C1721,HC DEFIB D/CHAMB MEDTEVERAXT,42052.0,,11774.56,36164.72,83
HCPCS,C1721,HC EVERA MRI XT DR SURESCAN,47716.0,,13360.48,41035.76,83
HCPCS,C1722,HC AICD SINGLE CHAMBER GALLANT VR_ICD_UMRI_US,40406.0,,11313.68,34749.16,83
HCPCS,C1722,HC CARDIO DEFIB S/CHAMB DVMB,41380.0,,11586.4,35586.8,83
HCPCS,C1722,HC CARDIO DEFIB S/CHAMB PROT,37359.0,,10460.52,32128.74,83
HCPCS,C1722,HC CARDIO DEFIB S/CHAMB TELI,32000.0,,8960.0,27520.0,83
HCPCS,C1722,HC CARDIO DEFIB S/CHAMB VIRT,38140.0,,10679.2,32800.4,83
HCPCS,C1722,HC CARDIO DEFIB S/CHAMBSTJUD,36529.0,,10228.12,31414.94,83
HCPCS,C1722,HC CARDIO DEFIB SINGLE CHAMB COBALT DVPB3D4,43866.0,,12282.48,37724.76,83
HCPCS,C1722,HC CARDIO-DEFIBRILL SINGLE CHAMBER CD1357-4Q ST JUDE,40186.0,,11252.08,34559.96,83
HCPCS,C1722,HC DEFIB S/CH ICD MRI EVERA XT VR DVMB1D4,41380.0,,11586.4,35586.8,83
HCPCS,C1722,HC ICD DEFIB ELLIPSE VR-36 DF4 CD1411-36Q,35444.0,,9924.32,30481.84,83
HCPCS,C1722,HC ICD-VR DVBB1D4 EVERA XT,35878.0,,10045.84,30855.08,83
HCPCS,C1722,HC ICD-VR DVFB1D4 VISIA MRI AF US DF4,44086.0,,12344.08,37913.96,83
HCPCS,C1725,"HC BALLOON CATHETER, CORONARY VENOGRAM",180.0,,50.4,154.8,83
HCPCS,C1725,HC BLN 8-9X20X135POWFLEX P3,338.0,,94.64,290.68,83
HCPCS,C1725,HC CATH BALLOON DILAT PTCA MONORAIL,310.0,,86.8,266.6,83
HCPCS,C1725,HC CATH BALLOON DILAT PTCA MONORAIL NC,340.0,,95.2,292.4,83
HCPCS,C1725,HC CATH PTA STERLING (MULT SIZES),822.0,,230.16,706.92,83
HCPCS,C1725,HC CATHETER - BALLOON A,70.0,,19.6,60.2,83
HCPCS,C1725,HC CATHETER - BALLOON B,216.0,,60.48,185.76,83
HCPCS,C1725,HC CATHETER - BALLOON C,246.0,,68.88,211.56,83
HCPCS,C1725,HC CATHETER - BALLOON D,675.0,,189.0,580.5,83
HCPCS,C1725,HC CATHETER - BALLOON E,529.0,,148.12,454.94,83
HCPCS,C1725,HC CATHETER - BALLOON F,850.0,,238.0,731.0,83
HCPCS,C1725,HC CATHETER - BALLOON G,1050.0,,294.0,903.0,83
HCPCS,C1725,HC CATHETER - BALLOON H,1250.0,,350.0,1075.0,83
HCPCS,C1725,HC CATHETER - BALLOON I,645.0,,180.6,554.7,83
HCPCS,C1725,HC CATHETER - BALLOON J,822.0,,230.16,706.92,83
HCPCS,C1725,HC CATHETER - BALLOON K,1732.0,,484.96,1489.52,83
HCPCS,C1725,HC CATHETER - BALLOON L,727.0,,203.56,625.22,83
HCPCS,C1725,HC CATHETER - BALLOON NV,563.0,,157.64,484.18,83
HCPCS,C1725,HC CATHETER ANGIOPLASTY BALLOON DILATATION PTA OTW STERLING,378.0,,105.84,325.08,83
HCPCS,C1725,HC CATHETER BALLOON PTANGIO PACIFIC PLUS,744.0,,208.32,639.84,83
HCPCS,C1725,HC EVERCROS BALLOON5-9X40X80,333.0,,93.24,286.38,83
HCPCS,C1725,HC GATEWAY PTANGIO NEURO BALLOON CATH,2500.0,,700.0,2150.0,83
HCPCS,C1725,HC MEDTRON NC SPRINT BALLON,400.0,,112.0,344.0,83
HCPCS,C1725,HC NANO2.5X40BALLOON150-210M,875.0,,245.0,752.5,83
HCPCS,C1725,HC NANOC2.5X40BALLOON20-100M,674.0,,188.72,579.64,83
HCPCS,C1725,"HC TD CATHETER 5FR, 4 LUMEN, HEP COATED",78.0,,21.84,67.08,83
HCPCS,C1726,HC AMPLATZ RENAL DILATOR SET,362.0,,101.36,311.32,83
HCPCS,C1726,HC BALLOON DILAT CATH W/COAT,875.0,,245.0,752.5,83
HCPCS,C1726,HC BALLOON DILATOR MAXPASS BILIARY (MULT SIZES),679.0,,190.12,583.94,83
HCPCS,C1726,HC BALN(DBL)ENTRSCOP FUJINONC1726,453.0,,126.84,389.58,83
HCPCS,C1726,HC BARRX HALO 60 ABLATN CATH,2790.0,,781.2,2399.4,83
HCPCS,C1726,HC CATH HALO BALLN ABLATN 90,2790.0,,781.2,2399.4,83
HCPCS,C1726,HC CATH HALO BALLN ABLATN360,3930.0,,1100.4,3379.8,83
HCPCS,C1726,HC CATH HALO SIZING BALLOON,1050.0,,294.0,903.0,83
HCPCS,C1726,HC CATH SOEHENDRA C1726,118.0,,33.04,101.48,83
HCPCS,C1726,HC CONQUEST BALLOON 8MM,713.0,,199.64,613.18,83
HCPCS,C1726,HC CRE FIXED WIRE BALLOON DILATOR 8CM-180,457.0,,127.96,393.02,83
HCPCS,C1726,HC CRE PULMONARY BALLOON,703.0,,196.84,604.58,83
HCPCS,C1726,HC CRE WB-DILATOR 12-15MM,524.0,,146.72,450.64,83
HCPCS,C1726,HC CRE WB-DILATOR 15-18MM,524.0,,146.72,450.64,83
HCPCS,C1726,HC CRE WB-DILATOR 6-8MM,368.0,,103.04,316.48,83
HCPCS,C1726,HC CRE WIREGUIDED BALLOON DILATION CATH (MULT SIZES),597.0,,167.16,513.42,83
HCPCS,C1726,HC DEPLOYMENT CATHETER & LOADER HUD (FOR IBV SPIRATION VALVE SYSTEM),2000.0,,560.0,1720.0,83
HCPCS,C1726,HC DIL BLN CRE 6FR*10-12CM,408.0,,114.24,350.88,83
HCPCS,C1726,HC DILATOR ACHALASIA BALLOON,574.0,,160.72,493.64,83
HCPCS,C1726,HC DILATOR AMPLATZ RENAL STC1726,432.0,,120.96,371.52,83
HCPCS,C1726,HC DILATOR BLN CRE6F*18-20CMC1726,608.0,,170.24,522.88,83
HCPCS,C1726,HC DILATOR CRE FIXED BALLOON,524.0,,146.72,450.64,83
HCPCS,C1726,HC DOUBLE LUMEN EXTRACTION BALLOON,227.0,,63.56,195.22,83
HCPCS,C1726,HC EUS BALLOON,56.0,,15.68,48.16,83
HCPCS,C1726,HC EXTRACTOR PRO RX BALLOON,379.0,,106.12,325.94,83
HCPCS,C1726,HC EXTRACTOR PRO XL BALLOON,295.0,,82.6,253.7,83
HCPCS,C1726,HC FUSION BILIARY DILATOR,420.0,,117.6,361.2,83
HCPCS,C1726,HC NEPHROMAX BALLOON CATH,853.0,,238.84,733.58,83
HCPCS,C1726,HC QUANTUM TTC BILIARY BALLOON DILATOR,549.0,,153.72,472.14,83
HCPCS,C1726,HC URMAX ULTR CATH12-15FX6CM,675.0,,189.0,580.5,83
HCPCS,C1726,HC UROMAX BALLOON KT W/ INFLATOR (MULT SIZES),916.0,,256.48,787.76,83
HCPCS,C1726,HC UROMAX ULTRA BALLOON KIT 15-24F,1031.0,,288.68,886.66,83
HCPCS,C1728,HC CATH BRACHY SEED ADM,4125.0,,1155.0,3547.5,83
HCPCS,C1728,HC CATH BRACHY SEED ADM HDR,88.0,,24.64,75.68,83
HCPCS,C1728,HC CATH BRACHY SEED ADM LDR,25.0,,7.0,21.5,83
HCPCS,C1728,HC CATH BRACHY SEED HDR HAM 12-CHANNEL 28CM NUCLETRON,1984.0,,555.52,1706.24,83
HCPCS,C1728,HC CATH BRACHY SEED HDR HAM 4-CHANNEL 28CM NUCLETRON,1060.0,,296.8,911.6,83
HCPCS,C1728,HC CATH BRACHY SEED HDR HAM 5-CHANNEL 28CM NUCLETRON,1125.0,,315.0,967.5,83
HCPCS,C1728,HC CATH BRACHY SEED HDR HAM 9-CHANNEL 28CM NUCLETRON,1592.0,,445.76,1369.12,83
HCPCS,C1728,HC CONTURA MLB W/TRI-CON TIP4.5-6,5500.0,,1540.0,4730.0,83
HCPCS,C1728,HC CONTURA MLB WTRICONCTP4-5,5500.0,,1540.0,4730.0,83
HCPCS,C1728,HC CONTURABRACH CATH 4-6CM C1728,5400.0,,1512.0,4644.0,83
HCPCS,C1728,HC MAMMOSIT MLT SPER4-5CMAPP,4800.0,,1344.0,4128.0,83
HCPCS,C1728,HC MAMMOSIT RTS TRY VAR4-5CM,4800.0,,1344.0,4128.0,83
HCPCS,C1728,HC MAMMOSIT RTS TRY VAR4-6CM,4800.0,,1344.0,4128.0,83
HCPCS,C1728,HC MAMMOSIT RTS TRY VAR5-6CM,5200.0,,1456.0,4472.0,83
HCPCS,C1728,HC SAVI APP TRAY 6-10 C1728,5500.0,,1540.0,4730.0,83
HCPCS,C1728,HC SAVI APPLICATOR TRAY 10-1,4400.0,,1232.0,3784.0,83
HCPCS,C1728,HC SAVI APPLICATOR TRAY 6-1,4400.0,,1232.0,3784.0,83
HCPCS,C1728,HC SAVI APPLICATOR TRAY 8-1,4400.0,,1232.0,3784.0,83
HCPCS,C1728,HC SAVI APPLICATR TRAY6-1MNI,4400.0,,1232.0,3784.0,83
HCPCS,C1728,HC SAVI PREP CATHETER,342.0,,95.76,294.12,83
HCPCS,C1729,HC 1-STEP CENTESIS CATH SGL 5FX10CM,65.0,,18.2,55.9,83
HCPCS,C1729,HC CATH DRAIN CAV PERCUT KITC1729,242.0,,67.76,208.12,83
HCPCS,C1729,HC CATH DRAINAGE MULTI 8.5FR,165.0,,46.2,141.9,83
HCPCS,C1729,HC CATH DRN VENTRC ANTIMICRO,639.0,,178.92,549.54,83
HCPCS,C1729,HC CATH KIT DRAIN CAVITY PERC1729,241.0,,67.48,207.26,83
HCPCS,C1729,HC CATH MULTIPURPOSE DRAIN,165.0,,46.2,141.9,83
HCPCS,C1729,HC CATH STRT THORACIC 40FR,38.0,,10.64,32.68,83
HCPCS,C1729,HC CATH THORACIC PLEURAL PVC,50.0,,14.0,43.0,83
HCPCS,C1729,HC CATHETER - DRAINAGE B,100.0,,28.0,86.0,83
HCPCS,C1729,HC CATHETER - DRAINAGE C,190.0,,53.2,163.4,83
HCPCS,C1729,HC CATHETER - DRAINAGE D,403.0,,112.84,346.58,83
HCPCS,C1729,HC CATHETER - DRAINAGE E,574.0,,160.72,493.64,83
HCPCS,C1729,HC CATHETER - DRAINAGE F,65.0,,18.2,55.9,83
HCPCS,C1729,HC CATHETER CODMAN BACTISEAL ANTIB IMPRENATED KIT,1732.0,,484.96,1489.52,83
HCPCS,C1729,HC CATHETER VENTRICULAR DRAINAGE VENTRICLEAR II,619.0,,173.32,532.34,83
HCPCS,C1729,HC CATHETERS DRN SEROMA 2,101.0,,28.28,86.86,83
HCPCS,C1729,HC COOK COPE 12FR .038 25CM C1729,185.0,,51.8,159.1,83
HCPCS,C1729,HC COPE NEPHROSTOMY SET,338.0,,94.64,290.68,83
HCPCS,C1729,HC DRAIN PNEUMOPERICARDIAL 8.5FR,317.0,,88.76,272.62,83
HCPCS,C1729,HC DRAIN SI PEZZER 14F C1729,84.0,,23.52,72.24,83
HCPCS,C1729,HC KIT CATH PRC DRN 14FX23CM,401.0,,112.28,344.86,83
HCPCS,C1729,HC LOOP NEPHROSTOMY COPE C1729,338.0,,94.64,290.68,83
HCPCS,C1729,HC NASAL BILIARY DRAIN CATH C1729,220.0,,61.6,189.2,83
HCPCS,C1729,HC PERICARDIOCENTESIS KIT 6F 60CM,200.0,,56.0,172.0,83
HCPCS,C1729,HC PNEUMOTHORAX SET WAYNE,949.0,,265.72,816.14,83
HCPCS,C1729,HC SET LOOP NEPHROSTOMY C1729,357.0,,99.96,307.02,83
HCPCS,C1729,HC SET THORA & PARA 1 STEP 5FRX10CM VLVD FIXD,119.0,,33.32,102.34,83
HCPCS,C1729,HC SIL PEZZER DRN 14FR C1729,90.0,,25.2,77.4,83
HCPCS,C1729,HC SIL PEZZER DRN 18-24FR C1729,102.0,,28.56,87.72,83
HCPCS,C1729,HC SPYSCOPE DIGITAL ACCESS DELIVERY CATHETER,5900.0,,1652.0,5074.0,83
HCPCS,C1729,HC TRAY TRORCNTS SFTY,139.0,,38.92,119.54,83
HCPCS,C1729,HC VALVE CODMAN CERTAS PROG W/SIPONGUARD CSF,10792.0,,3021.76,9281.12,83
HCPCS,C1729,HC VALVE CODMAN CERTAS PROGRAMMABLE CSF,8898.0,,2491.44,7652.28,83
HCPCS,C1730,HC 5FIBI DEFLECT CATH ST.JUD,600.0,,168.0,516.0,83
HCPCS,C1730,HC CATH BIPOLR 5FR SVC INSRT,502.0,,140.56,431.72,83
HCPCS,C1730,HC CATH BIPOLR PACING 5FSWAN,502.0,,140.56,431.72,83
HCPCS,C1730,HC CATHETER ELECTROPHYS DECA DX,875.0,,245.0,752.5,83
HCPCS,C1730,HC CATHETER ELECTROPHYS VIKING QUAD FIXED CURVE 5F,338.0,,94.64,290.68,83
HCPCS,C1748,HC EXALT DUODENOSCOPE SINGLE USE,4395.0,,1230.6,3779.7,83
HCPCS,C1750,HC CATH DBL LUM11.5F*15-20CMC1750,212.0,,59.36,182.32,83
HCPCS,C1750,HC CATH HEMO 2LMM 8F*18CM C1750,570.0,,159.6,490.2,83
HCPCS,C1750,HC CATH HEMO 2LMN8FR*12CM C1750,308.0,,86.24,264.88,83
HCPCS,C1750,HC HEMO DIALYSIS CATH 40-55CM,660.0,,184.8,567.6,83
HCPCS,C1750,"HC MAHURKAR CATH 13.5F*14.2""C1750",338.0,,94.64,290.68,83
HCPCS,C1751,HC  CATH CVC 12F  TRIPLE LUMEN HICKMAN INFUSION TRAY (MULT SIZES),1554.0,,435.12,1336.44,83
HCPCS,C1751,HC ANGIO INF CATH CRAGG-MCNAMARA,313.0,,87.64,269.18,83
HCPCS,C1751,HC ARROW BLUE+ 2-LUMEN CVC,155.0,,43.4,133.3,83
HCPCS,C1751,HC BROVIAC 6.6. S-LMM CVC C1751,338.0,,94.64,290.68,83
HCPCS,C1751,HC CATH 2LMN 4FRX15CM,444.0,,124.32,381.84,83
HCPCS,C1751,HC CATH 2LMN 5FRX12CM,321.0,,89.88,276.06,83
HCPCS,C1751,HC CATH 3LMN 5FRX12CM CVC TR,387.5,,90.72,387.86,166
HCPCS,C1751,HC CATH 3LMN 5FRX15CM,372.0,,104.16,319.92,83
HCPCS,C1751,HC CATH 3LMN ANTIMICR 7F25CM,280.0,,78.4,240.8,83
HCPCS,C1751,HC CATH ANTIMICRO3LMN7FX25CMC1751,280.0,,78.4,240.8,83
HCPCS,C1751,HC CATH ANTMCROB 3LMN 7F20C,246.0,,68.88,211.56,83
HCPCS,C1751,HC CATH CV 3 LMN TRAY 7FR,416.0,,116.48,357.76,83
HCPCS,C1751,HC CATH CVC 2LMN 5F*12CM C1751,333.0,,93.24,286.38,83
HCPCS,C1751,"HC CATH CVC IC 2LMN5F*3 1/8""C1751",171.0,,47.88,147.06,83
HCPCS,C1751,HC CATH CVC IC 2LMN5FX51/8IN,91.0,,25.48,78.26,83
HCPCS,C1751,HC CATH CVC PLYTRAY3L7FX50CMC1751,229.0,,64.12,196.94,83
HCPCS,C1751,HC CATH CVC POWERLINE 5F DL MICROINTRODUCER TRAY (MULT SIZES),653.0,,182.84,561.58,83
HCPCS,C1751,HC CATH CVC POWERLINE 5F SL EZ MICROINTRODUCER TRAY,1061.0,,297.08,912.46,83
HCPCS,C1751,HC CATH CVC POWERLINE 6F TL EZ MICROINTRODUCER TRAY,1197.0,,335.16,1029.42,83
HCPCS,C1751,HC CATH CVC POWERLINE 6F TL INTERMEDIATE TRAY (MULT SIZES),1152.0,,322.56,990.72,83
HCPCS,C1751,HC CATH CVC POWERLINE DL INTERMEDIATE TRAY,1152.0,,322.56,990.72,83
HCPCS,C1751,HC CATH CVC SLCN 1LM 5FX20CMC1751,338.0,,94.64,290.68,83
HCPCS,C1751,HC CATH CVC TRAY SPECTRUM DL 4F STD,388.0,,108.64,333.68,83
HCPCS,C1751,HC CATH CVC2L8FX16CMARWGRDBLC1751,156.0,,43.68,134.16,83
HCPCS,C1751,HC CATH DL7.5FR 20CM ANTIMIC,251.0,,70.28,215.86,83
HCPCS,C1751,HC CATH FEMORAL ARTERIAL 16F,44.0,,12.32,37.84,83
HCPCS,C1751,HC CATH FEMORAL ARTERIAL 18F,40.0,,11.2,34.4,83
HCPCS,C1751,HC CATH HICKMAN 1LMN 9.6FR CUT DOWN,921.0,,257.88,792.06,83
HCPCS,C1751,HC CATH HOHN 5FR,338.0,,94.64,290.68,83
HCPCS,C1751,HC CATH HOHN POWR TRAY 5F SL,415.0,,116.2,356.9,83
HCPCS,C1751,HC CATH HOHN POWR TRAY 6F DL,477.0,,133.56,410.22,83
HCPCS,C1751,HC CATH KIT HEMODIA 2LMNPEDIC1751,164.0,,45.92,141.04,83
HCPCS,C1751,HC CATH KIT HOHN D L 7F*40CM,490.0,,137.2,421.4,83
HCPCS,C1751,HC CATH KIT MULTI-LUM ARROW C1751,167.0,,46.76,143.62,83
HCPCS,C1751,HC CATH PICC ANTIBIOT 1LM 4F,402.0,,112.56,345.72,83
HCPCS,C1751,HC CATH PICC ANTIBIOT 1LM 5F,450.0,,126.0,387.0,83
HCPCS,C1751,HC CATH PICC POWERPICC DOUBLE LUMEN TRAY 5F,506.0,,141.68,435.16,83
HCPCS,C1751,HC CATH PICC POWERPICC TRIPLE LUMEN TRAY 5F,402.0,,112.56,345.72,83
HCPCS,C1751,HC CATH PICC POWR TRAY 5F DL,234.0,,65.52,201.24,83
HCPCS,C1751,HC CATH PICLINE 4FR PEDI,383.0,,107.24,329.38,83
HCPCS,C1751,HC CATH POWER PICC TRPL LUMN,675.0,,189.0,580.5,83
HCPCS,C1751,HC CATH POWERPICC PROVENA TRAY SL/DL 4FR 3CG,417.0,,116.76,358.62,83
HCPCS,C1751,HC CATH POWERPICC PROVENA TRAY TL 5F 3CG,506.0,,141.68,435.16,83
HCPCS,C1751,HC CATH QUINTON 10FRX15CM,176.0,,49.28,151.36,83
HCPCS,C1751,HC CATH QUINTON 8FRX12CM,178.0,,49.84,153.08,83
HCPCS,C1751,HC CATH QUINTON 8FRX9CM,153.0,,42.84,131.58,83
HCPCS,C1751,HC CATH RADIAL ARTERY SET QUICKFLASH,38.0,,10.64,32.68,83
HCPCS,C1751,HC CATH SIL 1LM5FX25 W/CLAMP,306.0,,85.68,263.16,83
HCPCS,C1751,HC CATH SIL 1LMN5FX25 W/CLMPC1751,306.0,,85.68,263.16,83
HCPCS,C1751,HC CATH SWAN GANZ CEDV,1099.0,,307.72,945.14,83
HCPCS,C1751,HC CATHETER - ANGIO I,950.0,,266.0,817.0,83
HCPCS,C1751,HC CATHETER ANGIO K,5400.0,,1512.0,4644.0,83
HCPCS,C1751,HC CATHETER KIT ARTERIAL CHLORAPREP 20GX5CM,138.0,,38.64,118.68,83
HCPCS,C1751,HC CENTRAL VENOUS CATH TRAY SPECTRUM COOK,624.0,,174.72,536.64,83
HCPCS,C1751,HC CTH SIL 2LM 7FX25CM CLAMP,480.0,,134.4,412.8,83
HCPCS,C1751,HC CTH SIL 3LM 8FX25CM CLAMP,480.0,,134.4,412.8,83
HCPCS,C1751,HC CVC 5FR 12CM DOUBLE LUMENC1751,302.0,,84.56,259.72,83
HCPCS,C1751,HC CVC 5FR 8CM TRIPLE LUMENC1751,337.0,,94.36,289.82,83
HCPCS,C1751,HC CVC 7 FR 15CM TRIPLE LUMNC1751,337.0,,94.36,289.82,83
HCPCS,C1751,HC CVC 7 FR 25CM TRIPLE LUMNC1751,337.0,,94.36,289.82,83
HCPCS,C1751,HC CVC 7F 25CM DBL LMN SILCNC1751,374.0,,104.72,321.64,83
HCPCS,C1751,HC CVC 7FR 25CM DOUBLE LUMENC1751,480.0,,134.4,412.8,83
HCPCS,C1751,HC CVC 8FR 25CM TRIPLE LUMENC1751,506.0,,141.68,435.16,83
HCPCS,C1751,HC CVC 9FR 25CM DOUBL LUMEN C1751,258.0,,72.24,221.88,83
HCPCS,C1751,HC CVC BROVIA S-LMM 4.2FR C1751,704.0,,197.12,605.44,83
HCPCS,C1751,HC CVC CATH CRV 10FR 5LUMEN,574.0,,160.72,493.64,83
HCPCS,C1751,HC CVC KIT - DBL LUMEN 4-5FR-ARROW,172.0,,48.16,147.92,83
HCPCS,C1751,HC CVC KIT - DBL LUMEN 4FR C1751-ARROW,95.0,,26.6,81.7,83
HCPCS,C1751,HC CVC KIT - DBL LUMEN 8FR C1751-ARROW,157.0,,43.96,135.02,83
HCPCS,C1751,HC CVC KIT - SGL LUMEN 16G C1751-ARROW,65.0,,18.2,55.9,83
HCPCS,C1751,HC CVC KIT - TPL LUMEN 12FR C1751-ARROW,148.0,,41.44,127.28,83
HCPCS,C1751,HC CVC/PSI KIT - DBL LUMEN 14FR C1751-ARROW,259.0,,72.52,222.74,83
HCPCS,C1751,HC HICKMAN 10FR TRIPLE LUMEN CATHETER,530.0,,148.4,455.8,83
HCPCS,C1751,HC KIT CATH CURVD DRNG 14FRX,378.0,,105.84,325.08,83
HCPCS,C1751,HC KIT CATH DBL LUMEN 7FR*8IN,88.0,,24.64,75.68,83
HCPCS,C1751,HC KIT CATH MLTLUMN 7FR*12IN,165.0,,46.2,141.9,83
HCPCS,C1751,HC KIT CVC PEDI 5.5F 3L 30CM,144.0,,40.32,123.84,83
HCPCS,C1751,HC KIT PSI 6FR-ARROW,84.0,,23.52,72.24,83
HCPCS,C1751,HC KIT PSI 8.5FR-ARROW,94.0,,26.32,80.84,83
HCPCS,C1751,HC KIT PSI/DBL LUMEN 14FR-ARROW,259.0,,72.52,222.74,83
HCPCS,C1751,HC KIT SLDNGR CHEST DRNG 20G,223.0,,62.44,191.78,83
HCPCS,C1751,HC PEDI 2L CVC 5F*8CM C1751,144.0,,40.32,123.84,83
HCPCS,C1751,HC PEDI 3L CVC 5F*13CM C1751,105.0,,29.4,90.3,83
HCPCS,C1751,HC PEDI MULTI CVC 5F3LMN13CMC1751,171.0,,47.88,147.06,83
HCPCS,C1751,HC PICC DL 7FRX50CM SILICONE,338.0,,94.64,290.68,83
HCPCS,C1751,HC PICC SET TURBO-JECT POWER-INJECTABLE SPECTRUM 2LMN 4-5F,545.0,,152.6,468.7,83
HCPCS,C1751,HC PICC SET TURBO-JECT POWER-INJECTABLE SPECTRUM 3LMN 6F,674.0,,188.72,579.64,83
HCPCS,C1751,HC POWERPICC CATH 4F SL KIT 18G W/ GW 70CM,216.0,,60.48,185.76,83
HCPCS,C1751,HC POWERPICC CATH PROVENA 5F 3LM IR TRAY W/ NITINOL GW,304.0,,85.12,261.44,83
HCPCS,C1751,HC POWERPICC CATH PROVENA FULL TRAY 5FR 3L W/ 3CG TLS,924.0,,258.72,794.64,83
HCPCS,C1751,HC POWERPICC SV CATH W/ SHERLOCK TIP LOCATION SYSEM,907.0,,253.96,780.02,83
HCPCS,C1751,HC PROBE EDM,338.0,,94.64,290.68,83
HCPCS,C1751,HC SET PNEUMOTHORAX,338.0,,94.64,290.68,83
HCPCS,C1751,HC SET PNEUMOTHORAX 8.5FR,332.0,,92.96,285.52,83
HCPCS,C1751,HC SHERLOCK CATH 3FR DBL LM,365.0,,102.2,313.9,83
HCPCS,C1751,HC SHERLOCK CATH 4F SNGL LMN,352.0,,98.56,302.72,83
HCPCS,C1751,HC SHERLOCK CATH 4FR DBL LM,388.0,,108.64,333.68,83
HCPCS,C1751,HC SHERLOCK CATH 5FR DBL LMN,342.0,,95.76,294.12,83
HCPCS,C1751,HC TRAY 4FR SINGLE LUMEN PICC CATH 3CG,398.0,,111.44,342.28,83
HCPCS,C1751,HC TRAY 5-6FR TRPL LMN PICC CATH 3CG,420.0,,117.6,361.2,83
HCPCS,C1751,HC TRAY 5FR DUAL LUMEN PICC CATH 3CG,348.0,,97.44,299.28,83
HCPCS,C1751,HC TRAY ART CATH 2.5FRX2.5CM,138.0,,38.64,118.68,83
HCPCS,C1751,HC TRAY INSERT QUINTON 19.5CM,232.0,,64.96,199.52,83
HCPCS,C1751,HC TRUFREEZE PASSIVE VENTING CATHETER,3990.0,,1117.2,3431.4,83
HCPCS,C1752,HC CATH DAIL 2LMN 14FRX20CM,213.0,,59.64,183.18,83
HCPCS,C1752,HC CATH DIAL 2LM 13.5FX24CM,168.0,,47.04,144.48,83
HCPCS,C1752,HC CATH KIT 2LMN 14FRX15CM,219.0,,61.32,188.34,83
HCPCS,C1752,HC DIALYSIS CATHETER A,370.0,,103.6,318.2,83
HCPCS,C1752,HC DIALYSIS CATHETER B,793.0,,222.04,681.98,83
HCPCS,C1752,HC KIT BREVIA CATH STR 11FR 2LMN 15CM,147.0,,41.16,126.42,83
HCPCS,C1752,HC KIT BREVIA CATH STR 11FR 2LMN 20CM,168.0,,47.04,144.48,83
HCPCS,C1752,HC KIT BREVIA CATH STR 11FR 2LMN 24CM,147.0,,41.16,126.42,83
HCPCS,C1752,HC NIAGARA SLIM CATH 15CM,180.0,,50.4,154.8,83
HCPCS,C1752,HC NIAGARA SLIM CATH 20CM,180.0,,50.4,154.8,83
HCPCS,C1752,HC NIAGARA SLIM CATH 24CM,189.0,,52.92,162.54,83
HCPCS,C1752,HC TRAY DIAL 2LMN 13.5FX16CM,233.0,,65.24,200.38,83
HCPCS,C1752,HC TRAY DIAL 3LMN 12FRX16CM,338.0,,94.64,290.68,83
HCPCS,C1752,HC TRAY DIAL 3LMN 12FRX20CM,294.0,,82.32,252.84,83
HCPCS,C1752,HC TRAY DIAL 3LMN 12FRX24CM,263.0,,73.64,226.18,83
HCPCS,C1752,HC TRAY DIAL TRIALYSIS 3LMN (MULT SIZES),520.0,,145.6,447.2,83
HCPCS,C1753,HC EAGLE EYE PLATINUM ST,1450.0,,406.0,1247.0,83
HCPCS,C1754,HC CATHETER INTRAD SPINECATHC1754,1793.0,,502.04,1541.98,83
HCPCS,C1755,HC CATH 2 PC W/SUTURE C1755,1344.0,,376.32,1155.84,83
HCPCS,C1755,HC CATH EPIDURAL FLEXTIP19GAC1755,41.0,,11.48,35.26,83
HCPCS,C1757,HC AXS VECTA ASPIRATION CATH,4425.0,,1239.0,3805.5,83
HCPCS,C1757,HC CATH EXPORT AP 6F,1300.0,,364.0,1118.0,83
HCPCS,C1757,HC CATH FGRTYARTEMB/IRRG3-4FC1757,168.0,,47.04,144.48,83
HCPCS,C1757,HC CATH FGRTYARTTHRMBCT8/10FC1757,138.0,,38.64,118.68,83
HCPCS,C1757,HC FOGARTY ARTERI EMBOL 2FR C1757,153.0,,42.84,131.58,83
HCPCS,C1757,HC FOGARTY ARTERI EMBOL 3FR C1757,132.0,,36.96,113.52,83
HCPCS,C1757,HC FOGARTY ARTERI EMBOL 4FR C1757,132.0,,36.96,113.52,83
HCPCS,C1757,HC FOGARTY ARTERI EMBOL 5FR C1757,99.0,,27.72,85.14,83
HCPCS,C1757,HC FOGARTY ARTERI EMBOL 6FR C1757,134.0,,37.52,115.24,83
HCPCS,C1757,HC FOGARTY ARTERI EMBOL 7FR C1757,118.0,,33.04,101.48,83
HCPCS,C1757,HC MEDTRON EXPORT ASPIR CATH,1150.0,,322.0,989.0,83
HCPCS,C1757,HC PROBE FOG BLN BIL 6F*23CMC1757,110.0,,30.8,94.6,83
HCPCS,C1757,HC THROMBOLYSIS CATH A,216.0,,60.48,185.76,83
HCPCS,C1757,HC THROMBOLYSIS CATH B,1958.0,,548.24,1683.88,83
HCPCS,C1757,HC THROMBOLYSIS CATH C,3307.0,,925.96,2844.02,83
HCPCS,C1757,HC THROMBOLYSIS CATH D,3966.0,,1110.48,3410.76,83
HCPCS,C1757,HC THROMBOLYSIS CATH E,6193.0,,1734.04,5325.98,83
HCPCS,C1757,HC THROMBOLYSIS CATH INDIGO CAT6,4790.0,,1341.2,4119.4,83
HCPCS,C1757,HC THROMBOLYSIS CATH INDIGO CATD,5500.0,,1540.0,4730.0,83
HCPCS,C1758,HC BEAC TIP ROYAL HI-FLW CAT,80.0,,22.4,68.8,83
HCPCS,C1758,HC CATH FOLY W-TIP 18-24F5CCC1758,61.0,,17.08,52.46,83
HCPCS,C1758,HC CATH FOLY W-TIP22-26F30CCC1758,65.0,,18.2,55.9,83
HCPCS,C1758,HC CATH URET SIX EYE 24FR C1758,64.0,,17.92,55.04,83
HCPCS,C1758,HC CNTP URETCATH4.8-12FX70CMC1758,43.0,,12.04,36.98,83
HCPCS,C1758,HC DUAL LUM URET CATHC1758,97.0,,27.16,83.42,83
HCPCS,C1758,HC DUAL LUMEN URET ACC CATH,101.0,,28.28,86.86,83
HCPCS,C1758,HC FLEXITIP LUM CATH10FR50CMC1758,101.0,,28.28,86.86,83
HCPCS,C1758,HC OPEN END URET CATH 3F C1758,38.0,,10.64,32.68,83
HCPCS,C1758,HC OPEN-END FLEXI-TIP CATHC1758,41.0,,11.48,35.26,83
HCPCS,C1758,HC SPRLTP URETRACCCATH6F70CMC1758,43.0,,12.04,36.98,83
HCPCS,C1758,HC STENT U-SPIRAL TP 4F*70CMC1758,48.0,,13.44,41.28,83
HCPCS,C1758,HC STENT U-WHISTL TIP8F*70CMC1758,38.0,,10.64,32.68,83
HCPCS,C1758,HC STNT URET SPRL TP 5FX70CMC1758,43.0,,12.04,36.98,83
HCPCS,C1758,HC URETERAL CATH CONE TIP,26.0,,7.28,22.36,83
HCPCS,C1758,HC URETERAL CATH WHISTLE TIP,36.0,,10.08,30.96,83
HCPCS,C1758,HC URETERAL CATHETER,28.0,,7.84,24.08,83
HCPCS,C1759,HC ACUNAV ULTRASOUND CATH,6364.0,,1781.92,5473.04,83
HCPCS,C1760,HC ANGIOSEAL VASCULAR CLOSE,540.0,,151.2,464.4,83
HCPCS,C1760,HC CLIP-TRICLIP WILSON COOK,230.0,,64.4,197.8,83
HCPCS,C1760,HC CLOSURE DEVICE A,367.0,,102.76,315.62,83
HCPCS,C1760,HC CLOSURE DEVICE B,489.0,,136.92,420.54,83
HCPCS,C1760,HC CLOSURE DEVICE C,560.0,,156.8,481.6,83
HCPCS,C1760,HC CLOSURE DEVICE D,1970.0,,551.6,1694.2,83
HCPCS,C1760,HC DURACLIP HEMOSTASIS CLIP FOR COLONOSCOPE/GASTROSCOPE,230.0,,64.4,197.8,83
HCPCS,C1760,HC FEMOSTOP CLOSURE DEVICE,216.0,,60.48,185.76,83
HCPCS,C1760,HC OVESCO OTSC SET 12/6GC,1078.0,,301.84,927.08,83
HCPCS,C1760,HC OVESCO OTSC STENTFIX SYSTEM SET,1198.0,,335.44,1030.28,83
HCPCS,C1760,HC OVESCO OTSC SYSTEM SET 11/3A 11/6A 11/3T,798.0,,223.44,686.28,83
HCPCS,C1760,HC OVESCO OTSC SYSTEM SET 12/6A 12/6T  12/3T,998.0,,279.44,858.28,83
HCPCS,C1760,HC OVESCO OTSC SYSTEM SET 14/3A 14/6A 14/3T 14/6T,1220.0,,341.6,1049.2,83
HCPCS,C1760,HC OVESCO OTSC SYSTEM SET MINI 10/3A 10/3T,986.0,,276.08,847.96,83
HCPCS,C1760,HC PRECLOSE PROG VASCU CLOSE,403.0,,112.84,346.58,83
HCPCS,C1760,HC QUICK CLIP CLOS DVC VASC C1760,178.0,,49.84,153.08,83
HCPCS,C1760,HC RESOLUTION CLIP CLOSDV VASC,537.0,,150.36,461.82,83
HCPCS,C1760,HC TR BAND  CLOSURE DEVICE,138.0,,38.64,118.68,83
HCPCS,C1760,HC VASCULAR CLOSURE DEVICE EZ CLIP,127.0,,35.56,109.22,83
HCPCS,C1762,HC ACHILLES TENDON TISSUE,4211.0,,1179.08,3621.46,83
HCPCS,C1762,HC TUTOPLAST PERICARDIUM 2X12CM,2668.0,,747.04,2294.48,83
HCPCS,C1762,HC TUTOPLAST PERICARDIUM 2X7CM,2292.0,,641.76,1971.12,83
HCPCS,C1762,HC TUTOPLAST PERICARDIUM 4X7CM,4690.0,,1313.2,4033.4,83
HCPCS,C1762,HC TUTOPLAST PERICARDIUM 6X6CM,5546.0,,1552.88,4769.56,83
HCPCS,C1762,HC TUTOPLAST-SUSPEND FASCIA LATA 2X24,5802.0,,1624.56,4989.72,83
HCPCS,C1762,HC TUTOPLAST-SUSPEND FASCIA LATA 6X8CM,6302.0,,1764.56,5419.72,83
HCPCS,C1763,HC ARTIA RECONSTRUCTIVE TISSUE MATRIX PERFORATED 16CM X 20CM,19758.0,,5532.24,16991.88,83
HCPCS,C1763,HC AXOGUARD NERVE CONNECTOR 2-4MM X 15MM,3458.0,,968.24,2973.88,83
HCPCS,C1763,HC AXOGUARD NERVE PROTECTOR 7MM X 40MM,5476.0,,1533.28,4709.36,83
HCPCS,C1763,HC CORTOSS B-A CART 10CC C1763,3000.0,,840.0,2580.0,83
HCPCS,C1763,HC CORTOSS B-A CART 5CC C1763,1600.0,,448.0,1376.0,83
HCPCS,C1763,HC FISTULA PLUG,6800.0,,1904.0,5848.0,83
HCPCS,C1763,HC FISTULA PLUG 7MM,6800.0,,1904.0,5848.0,83
HCPCS,C1763,HC IMP VITOSS BAF-BONE 10CC C1763,3574.0,,1000.72,3073.64,83
HCPCS,C1763,HC IMP VITOSS BAF-BONE 5CC C1763,1936.0,,542.08,1664.96,83
HCPCS,C1763,HC PERI-GUARD 8X14CM,1601.0,,448.28,1376.86,83
HCPCS,C1763,HC PERI-GUARD PATCH 12X25CM,2354.0,,659.12,2024.44,83
HCPCS,C1763,HC VIT SF-GRFT20CC25*100*4MMC1763,6320.0,,1769.6,5435.2,83
HCPCS,C1764,HC CONFIRM RX INSERT CARDIAC MONITOR DM3500,9450.0,,2646.0,8127.0,83
HCPCS,C1764,HC REVEAL LINQ MEDTRONIC,10590.0,,2965.2,9107.4,83
HCPCS,C1765,HC SEPRAME FILM,671.0,,187.88,577.06,83
HCPCS,C1766,HC CATH MICROINTRODUCR KIT5F,101.0,,28.28,86.86,83
HCPCS,C1766,HC PINNACLE SHEATH 5-7FR C1766,83.0,,23.24,71.38,83
HCPCS,C1767,HC MEDTRONIC NEUROSTM NORCHG,23360.0,,6540.8,20089.6,83
HCPCS,C1768,HC AAA EXTENDER A,4065.0,,1138.2,3495.9,83
HCPCS,C1768,HC CRYOVEIN - FEMORAL VEIN V060,9030.0,,2528.4,7765.8,83
HCPCS,C1768,HC CV PTCH 10*15CM*.6MM,2462.0,,689.36,2117.32,83
HCPCS,C1768,HC ENDOPROTHESIS A,12555.0,,3515.4,10797.3,83
HCPCS,C1768,HC ENDOPROTHESIS C,3975.0,,1113.0,3418.5,83
HCPCS,C1768,HC ENDOPROTHESIS D,4725.0,,1323.0,4063.5,83
HCPCS,C1768,HC ENDOPROTHESIS E,5400.0,,1512.0,4644.0,83
HCPCS,C1768,HC ENDOPROTHESIS F,6975.0,,1953.0,5998.5,83
HCPCS,C1768,HC ENDOPROTHESIS G,8800.0,,2464.0,7568.0,83
HCPCS,C1768,HC ENDOPROTHESIS H,10463.0,,2929.64,8998.18,83
HCPCS,C1768,HC ENDOPROTHESIS I,14963.0,,4189.64,12868.18,83
HCPCS,C1768,HC ENDOPROTHESIS J,22463.0,,6289.64,19318.18,83
HCPCS,C1768,HC ENDOPROTHESIS K,26963.0,,7549.64,23188.18,83
HCPCS,C1768,HC FEMORAL POPLITEAL ARTERY,13000.0,,3640.0,11180.0,83
HCPCS,C1768,HC GELSFT PS-VSC GRFT 8-10MM,951.0,,266.28,817.86,83
HCPCS,C1768,HC GELSOFT AB-ERS GFT 8-10MMC1768,3130.0,,876.4,2691.8,83
HCPCS,C1768,HC GELWEAVE STR 20-24MM,913.0,,255.64,785.18,83
HCPCS,C1768,HC GELWEAVE STR 26-28MM,983.0,,275.24,845.38,83
HCPCS,C1768,HC GLSFT PB-VASC GRFT14-24MMC1768,1334.0,,373.52,1147.24,83
HCPCS,C1768,HC GRAF VAS D-VEL12*7MM*40CMC1768,1664.0,,465.92,1431.04,83
HCPCS,C1768,HC GRAFT VASC ACUSEAL 6MMX50CM,3158.0,,884.24,2715.88,83
HCPCS,C1768,HC GRAFT VASC D-VEL 14-24MM C1768,884.0,,247.52,760.24,83
HCPCS,C1768,HC GRAFT VASC D-VEL 20-22MM C768,1164.0,,325.92,1001.04,83
HCPCS,C1768,HC GRAFT VASC PROPATEN STD WALL 6MMX40CM,2114.0,,591.92,1818.04,83
HCPCS,C1768,HC GRAFT VASC PROPATEN THIN WALL W/RMV RINGS (MULT SIZES),5884.0,,1647.52,5060.24,83
HCPCS,C1768,HC GRFT BIFU 14*7MM*50CM C1768,1212.0,,339.36,1042.32,83
HCPCS,C1768,HC GRFT BIFU 16*8MM*50CM C1768,1212.0,,339.36,1042.32,83
HCPCS,C1768,HC GRFT BIFU 18*9MM*50CM C1768,1212.0,,339.36,1042.32,83
HCPCS,C1768,HC GRFT BIFU 20*10MM*50CM C1768,1212.0,,339.36,1042.32,83
HCPCS,C1768,HC GRFT BIFU 24*12MM*50CM C1768,1212.0,,339.36,1042.32,83
HCPCS,C1768,HC GRFT VASC RNG TW 8MM*80CMC1768,2822.0,,790.16,2426.92,83
HCPCS,C1768,HC GRFT VASC ST WALL6MM*60CMC1768,1282.0,,358.96,1102.52,83
HCPCS,C1768,HC GRFT VASC ST WR6-8MM*40CMC1768,1440.0,,403.2,1238.4,83
HCPCS,C1768,HC GRFT VASC STD WR 6MM*45CMC1768,1400.0,,392.0,1204.0,83
HCPCS,C1768,HC GRFT VASC STD WR12MM*50CMC1768,2910.0,,814.8,2502.6,83
HCPCS,C1768,HC IMP GORE VAS R-GRFT 12MM C1768,2028.0,,567.84,1744.08,83
HCPCS,C1768,HC IMP GORE VAS R-GRFT 6MM C1768,1362.0,,381.36,1171.32,83
HCPCS,C1768,HC IMP GRAFT VASCULAR SWR16*20*20,1502.0,,420.56,1291.72,83
HCPCS,C1768,HC IMP GRAFT VASCULAR SWR16*30*30,2042.0,,571.76,1756.12,83
HCPCS,C1768,HC IMP GRFT D-VELOUR 24*15MMC1768,884.0,,247.52,760.24,83
HCPCS,C1768,HC IMP GRFT S-VASC12MM*40CMC1768,1712.0,,479.36,1472.32,83
HCPCS,C1768,HC IMP GRFT S-VASC24MM*40CM C1768,1712.0,,479.36,1472.32,83
HCPCS,C1768,HC IMP GRFT VAS SW4-7MM*45CMC1768,1232.0,,344.96,1059.52,83
HCPCS,C1768,HC IMP GRFT VASC SW 6MM*40CMC1768,848.0,,237.44,729.28,83
HCPCS,C1768,HC IMP GRFT VASC SW 6MM*80CMC1768,1580.0,,442.4,1358.8,83
HCPCS,C1768,HC IMP GRFT VASC SW 8MM*40CMC1768,848.0,,237.44,729.28,83
HCPCS,C1768,HC IMP GRFT VASC SWR 6*20*70C1768,1998.0,,559.44,1718.28,83
HCPCS,C1768,HC IMP GRFT VASC SWR 6*50*70C1768,2364.0,,661.92,2033.04,83
HCPCS,C1768,HC IMP GRFT VASC SWR 8*20*30C1768,1362.0,,381.36,1171.32,83
HCPCS,C1768,HC IMP GRFT VASC SWR10*20*20C1768,1472.0,,412.16,1265.92,83
HCPCS,C1768,HC IMP GRFT VASC SWR12*20*20C1768,1502.0,,420.56,1291.72,83
HCPCS,C1768,HC IMP GRFT VASC SWR14*20*20C1768,1502.0,,420.56,1291.72,83
HCPCS,C1768,HC IMP GRFT VASC SWR14*30*30C1768,2148.0,,601.44,1847.28,83
HCPCS,C1768,HC IMP GRFT VASC SWR20*30*30C1768,2148.0,,601.44,1847.28,83
HCPCS,C1768,HC IMP GRFT VASCTW 7MM*80CMC1768,1832.0,,512.96,1575.52,83
HCPCS,C1768,HC IMP VASC HS/DV 16*8*40,1664.0,,465.92,1431.04,83
HCPCS,C1768,HC INTERNG VASC TW GRFT6-8MMC1768,3066.0,,858.48,2636.76,83
HCPCS,C1768,HC PROPATEN 6MM*20CM C1768,1342.0,,375.76,1154.12,83
HCPCS,C1768,HC PROPATEN 6MM*40CM C1768,2844.0,,796.32,2445.84,83
HCPCS,C1768,HC PROPATEN 8MM*40CM C1768,3004.0,,841.12,2583.44,83
HCPCS,C1768,HC PROPATEN 8MM*80CM C1768,5474.0,,1532.72,4707.64,83
HCPCS,C1768,HC VASC RR/TW GRFT10MM*30CM C1768,1326.0,,371.28,1140.36,83
HCPCS,C1768,HC VASCU-GUARD .8X8CM,340.0,,95.2,292.4,83
HCPCS,C1768,HC VENOUS - WALLGRAFT,3505.0,,981.4,3014.3,83
HCPCS,C1769,HC AMPLATZ EXTRA STIFF GUIDEWIRE .035X80CM,61.0,,17.08,52.46,83
HCPCS,C1769,HC AMPLATZ STRAIGHT TIP GWIRE,122.0,,34.16,104.92,83
HCPCS,C1769,HC ARGON 18/45 MANDREL GWIRE,67.0,,18.76,57.62,83
HCPCS,C1769,HC ARGON SM DIAM CORE .018? X 80 CM NITINOL GUIDEWIRE,128.0,,35.84,110.08,83
HCPCS,C1769,HC ARGON SM DIAM CORE .018? X 80 CM STAINLESS STEEL GUIDEWIRE,91.0,,25.48,78.26,83
HCPCS,C1769,HC B-GUIDE WIRE 038*145CM C1769,46.0,,12.88,39.56,83
HCPCS,C1769,HC BALL NOSE GDE WIRE 2MM,606.0,,169.68,521.16,83
HCPCS,C1769,HC BENDING CANNULA OLYMPUS,84.0,,23.52,72.24,83
HCPCS,C1769,HC BENTSON WIRE GUIDE,66.0,,18.48,56.76,83
HCPCS,C1769,HC BLUE RHINI G2 TRAY,854.0,,239.12,734.44,83
HCPCS,C1769,HC CARDIOMEMS GUIDEWIRE,750.0,,210.0,645.0,83
HCPCS,C1769,HC COLON DECOMPRSN W/GUIDEWIRE,269.0,,75.32,231.34,83
HCPCS,C1769,HC COOK DILATOR SET,138.0,,38.64,118.68,83
HCPCS,C1769,HC COONS WIRE GUIDE,90.0,,25.2,77.4,83
HCPCS,C1769,HC COUGAR XT.014X190CM GWIRE,147.0,,41.16,126.42,83
HCPCS,C1769,HC FIXED CORE GUIDEWIRE HVY DTY DOUBLE FLEXIBLE TIP,70.0,,19.6,60.2,83
HCPCS,C1769,HC FIXED CORE WIRE GUIDE STRAIGHT TIP,38.0,,10.64,32.68,83
HCPCS,C1769,HC FIXED-CORE WIRE GUIDE T-J TIP,40.0,,11.2,34.4,83
HCPCS,C1769,HC FLOPPY/PT GWIRE 182/300CM,164.0,,45.92,141.04,83
HCPCS,C1769,HC FRACT FLOW RESRV GWIRE,975.0,,273.0,838.5,83
HCPCS,C1769,HC FRACTFLOW RESRVGWIRESTJUD,1050.0,,294.0,903.0,83
HCPCS,C1769,"HC G-WIRE DBF-TIPS.032""X60CMC1769",65.0,,18.2,55.9,83
HCPCS,C1769,"HC G-WIRE HD F-TIP.025""X60CMC1769",106.0,,29.68,91.16,83
HCPCS,C1769,HC G-WIRE ROADRUN HYPROPH PC,108.0,,30.24,92.88,83
HCPCS,C1769,HC GDE WIRE BT 3*1000MM,570.0,,159.6,490.2,83
HCPCS,C1769,HC GDE WIRE ST 2.2*800MM,570.0,,159.6,490.2,83
HCPCS,C1769,HC GDWIRE BST 2.2*800MM,469.0,,131.32,403.34,83
HCPCS,C1769,HC GDWIRE BT 3*1000MM,499.0,,139.72,429.14,83
HCPCS,C1769,HC GDWIRE MANDREL 018X60,62.0,,17.36,53.32,83
HCPCS,C1769,HC GLIDE GUIDEWIRE ADVANTAGE,360.0,,100.8,309.6,83
HCPCS,C1769,HC GLIDE GUIDEWIRE NAVIPRO,373.0,,104.44,320.78,83
HCPCS,C1769,HC GLIDE WIRE ANG 35-38*150 C1769,127.0,,35.56,109.22,83
HCPCS,C1769,HC GLIDE WIRE STR 35-38*150 C1769,127.0,,35.56,109.22,83
HCPCS,C1769,"HC GLIDEWIRE .018""*180CM ANGC1769",136.0,,38.08,116.96,83
HCPCS,C1769,"HC GLIDEWIRE .035""-.038"" C1769",138.0,,38.64,118.68,83
HCPCS,C1769,HC GLIDEWIRE .035*150 ANG C1769,86.0,,24.08,73.96,83
HCPCS,C1769,HC GLIDEWIRE .035*180 ANG C1769,129.0,,36.12,110.94,83
HCPCS,C1769,HC GLIDEWIRE .35 *145CM STC1769,85.0,,23.8,73.1,83
HCPCS,C1769,"HC GLIDEWIRE 0.25""*180CM ANGC1769",141.0,,39.48,121.26,83
HCPCS,C1769,HC GLIDEWIRE STIFF SHAFT STRAIGHT TIP .035DM 150-260CM LONG 3CM FLEX TIP,138.0,,38.64,118.68,83
HCPCS,C1769,HC GLIDEWIRE UGW.035-.038ANGC1769,102.0,,28.56,87.72,83
HCPCS,C1769,HC GLIDEWIRE UGW.035-.038STRC1769,102.0,,28.56,87.72,83
HCPCS,C1769,HC GUIDE WIRE 035*145CM C1769,38.0,,10.64,32.68,83
HCPCS,C1769,HC GUIDE WIRE 038*145CM C1769,38.0,,10.64,32.68,83
HCPCS,C1769,"HC GUIDE WIRE SENSOR PTFE DF ANGL .035"" 3CM",172.0,,48.16,147.92,83
HCPCS,C1769,"HC GUIDE WIRE SENSOR PTFE DF STR .035"" 3CM",172.0,,48.16,147.92,83
HCPCS,C1769,HC GUIDE WIRE SYSTEM 20FR C1769,384.0,,107.52,330.24,83
HCPCS,C1769,HC GUIDEWIR SAVRY SML BWL200C1769,249.0,,69.72,214.14,83
HCPCS,C1769,HC GUIDEWIRE,225.0,,63.0,193.5,83
HCPCS,C1769,HC GUIDEWIRE .035X1 150CM J FIX CORE,30.0,,8.4,25.8,83
HCPCS,C1769,HC GUIDEWIRE 0.18X150CM,121.0,,33.88,104.06,83
HCPCS,C1769,HC GUIDEWIRE A,50.0,,14.0,43.0,83
HCPCS,C1769,HC GUIDEWIRE AMPLATZ STRAIGHT/STIFF (MULT SIZES),124.0,,34.72,106.64,83
HCPCS,C1769,HC GUIDEWIRE ANGLE TIP 3CM,132.0,,36.96,113.52,83
HCPCS,C1769,HC GUIDEWIRE B,81.0,,22.68,69.66,83
HCPCS,C1769,HC GUIDEWIRE C,175.0,,49.0,150.5,83
HCPCS,C1769,HC GUIDEWIRE CHOICE PT EXTRA SUP .014X182CM,196.0,,54.88,168.56,83
HCPCS,C1769,HC GUIDEWIRE CPS SOFT/FIRM,192.0,,53.76,165.12,83
HCPCS,C1769,HC GUIDEWIRE CRVD 38X145CMC1769,38.0,,10.64,32.68,83
HCPCS,C1769,HC GUIDEWIRE D,221.0,,61.88,190.06,83
HCPCS,C1769,HC GUIDEWIRE E,367.0,,102.76,315.62,83
HCPCS,C1769,HC GUIDEWIRE F,448.0,,125.44,385.28,83
HCPCS,C1769,HC GUIDEWIRE G,921.0,,257.88,792.06,83
HCPCS,C1769,HC GUIDEWIRE H,570.0,,159.6,490.2,83
HCPCS,C1769,HC GUIDEWIRE HI-TORQUE WHIPSER .014X190CM,230.0,,64.4,197.8,83
HCPCS,C1769,HC GUIDEWIRE HITORQUE COMMAND,304.0,,85.12,261.44,83
HCPCS,C1769,HC GUIDEWIRE I,200.0,,56.0,172.0,83
HCPCS,C1769,HC GUIDEWIRE J,765.0,,214.2,657.9,83
HCPCS,C1769,HC GUIDEWIRE J-TIP .02MMX60CM,50.0,,14.0,43.0,83
HCPCS,C1769,HC GUIDEWIRE MAXXWIRE SUPER STIFF,200.0,,56.0,172.0,83
HCPCS,C1769,HC GUIDEWIRE NEUROVASC ASAHI CHIKAI,1474.0,,412.72,1267.64,83
HCPCS,C1769,HC GUIDEWIRE ORTHOPEDIC ANSIS III NONTHREADED,338.0,,94.64,290.68,83
HCPCS,C1769,HC GUIDEWIRE ORTHOPEDIC ANSIS III THREADED,87.0,,24.36,74.82,83
HCPCS,C1769,HC GUIDEWIRE ORTHOPEDIC ANSIS III W CALIBRATIONS & QUICK RELEASE,592.0,,165.76,509.12,83
HCPCS,C1769,HC GUIDEWIRE SAVRY ESOPHAG200,264.0,,73.92,227.04,83
HCPCS,C1769,HC GUIDEWIRE SPARTACORE 5CM 014X190,196.0,,54.88,168.56,83
HCPCS,C1769,HC GUIDEWIRE VIPER 2 BLUNT (MULT SIZES) A,507.0,,141.96,436.02,83
HCPCS,C1769,HC GUIDEWIRE VIPER 2 BLUNT (MULT SIZES) B,610.0,,170.8,524.6,83
HCPCS,C1769,HC GUIDEWIRE W/HYDRO TIP,129.0,,36.12,110.94,83
HCPCS,C1769,HC GUIDWIR DREAMWIRE ST/ANGL BSCI,485.0,,135.8,417.1,83
HCPCS,C1769,HC GWIRE .021X150CM FC 3MM,39.0,,10.92,33.54,83
HCPCS,C1769,HC GWIRE .025X150CM FC 3MM,32.0,,8.96,27.52,83
HCPCS,C1769,HC GWIRE .035X150CM FC 3MM,32.0,,8.96,27.52,83
HCPCS,C1769,HC GWIRE 0.035X180-300 STORG,132.0,,36.96,113.52,83
HCPCS,C1769,HC GWIRE ANGLED .018X150CM C1769,138.0,,38.64,118.68,83
HCPCS,C1769,HC GWIRE BALL TIP 2.5*800MM C1769,394.0,,110.32,338.84,83
HCPCS,C1769,HC GWIRE EDS CS-J/ST BOSTON,315.0,,88.2,270.9,83
HCPCS,C1769,HC GWIRE MOV TAPER.035X145CM,46.0,,12.88,39.56,83
HCPCS,C1769,HC GWIRE PERICARDICO 6FR,235.0,,65.8,202.1,83
HCPCS,C1769,HC GWIRE PERICARDICO 8FR,273.0,,76.44,234.78,83
HCPCS,C1769,HC GWIRE STR.018X150CMGR1802C1769,138.0,,38.64,118.68,83
HCPCS,C1769,HC GWIRE STR.018X180CMGR1803C1769,138.0,,38.64,118.68,83
HCPCS,C1769,HC GWIRE STR.025X150CMGR2501C1769,138.0,,38.64,118.68,83
HCPCS,C1769,HC GWIRE STR.025X180CMGR2502C1769,141.0,,39.48,121.26,83
HCPCS,C1769,HC GWIRE STR.025X260CMGR2503C1769,193.0,,54.04,165.98,83
HCPCS,C1769,HC GWIRE TERUMO.035X180-260CM,123.0,,34.44,105.78,83
HCPCS,C1769,HC GWIRE.025-.35X150-260FC,23.0,,6.44,19.78,83
HCPCS,C1769,HC GWIRE.035X180CM TIGERWIRE,209.0,,58.52,179.74,83
HCPCS,C1769,HC GWIRE.035X260CM TIGERWIRE,221.0,,61.88,190.06,83
HCPCS,C1769,HC HALO GUIDE WIRE,336.0,,94.08,288.96,83
HCPCS,C1769,HC JAGWIRE/JAG HINI BILIARY GUIDEWIRE,349.0,,97.72,300.14,83
HCPCS,C1769,HC LINEAR GUIDE V GUIDEWIRE C1769,217.0,,60.76,186.62,83
HCPCS,C1769,HC NITINOL W/RADIO .18X145CM,55.0,,15.4,47.3,83
HCPCS,C1769,HC NITINOL W/RADIO .18X70CM,77.0,,21.56,66.22,83
HCPCS,C1769,HC NITREX.018-.025 80-300CM,138.0,,38.64,118.68,83
HCPCS,C1769,HC PLEURX PLEURAL CATH KIT,758.0,,212.24,651.88,83
HCPCS,C1769,HC RADIFOCUS GLIDWRE STRGHT,127.0,,35.56,109.22,83
HCPCS,C1769,HC SPHINCTERTOME TRPLLMN.035,363.0,,101.64,312.18,83
HCPCS,C1769,HC STRGHT TIP GWIRE.035X80CM,65.0,,18.2,55.9,83
HCPCS,C1769,HC STRYK T-GUIDE WIRE3*300MMC1769,138.0,,38.64,118.68,83
HCPCS,C1769,HC SYNCHRO GUIDEWIRE ACCESS LENGTH,1250.0,,350.0,1075.0,83
HCPCS,C1769,HC SYNCHRO GUIDEWIRE EXCHANGE LENGTH,1088.0,,304.64,935.68,83
HCPCS,C1769,HC TERUMO GLIDEWIRE 450 ANGLED/STRAIGHT 0.035,404.0,,113.12,347.44,83
HCPCS,C1769,HC TIP GWIRE .035-80CM-3MM,38.0,,10.64,32.68,83
HCPCS,C1769,HC TRACER METRO DIRECT GUIDEWIRE,529.0,,148.12,454.94,83
HCPCS,C1769,HC TRANSEND GUIDEWIRE .014,875.0,,245.0,752.5,83
HCPCS,C1769,HC TRANSEND GUIDEWIRE 300,975.0,,273.0,838.5,83
HCPCS,C1769,HC VERRATA FFR PRESSURE GUIDEWIRE,1300.0,,364.0,1118.0,83
HCPCS,C1769,HC VISIGLIDE GUIDEWIRE,338.0,,94.64,290.68,83
HCPCS,C1769,HC WHOLEY WIRE INT J GUIDEWIRE,144.0,,40.32,123.84,83
HCPCS,C1769,"HC WIRE GUID .038""*145CMA-USC1769",63.0,,17.64,54.18,83
HCPCS,C1769,HC WIRE GUIDE .038X60CM C1769,48.0,,13.44,41.28,83
HCPCS,C1769,HC WIRE GUIDE DB FLX TIP C1769,84.0,,23.52,72.24,83
HCPCS,C1769,HC WIRE GUIDE S-G STD 360CMC1769,338.0,,94.64,290.68,83
HCPCS,C1769,HC X-PRESS CANNULA OLYMPUS,135.0,,37.8,116.1,83
HCPCS,C1769,HC ZIPWIRE HYDROPHILIC GWIRE,120.0,,33.6,103.2,83
HCPCS,C1770,HC BPX30 IMAG COIL MR INSRT,387.0,,108.36,332.82,83
HCPCS,C1770,"HC IMAGING COIL,MR(INSERTABLE)",248.0,,69.44,213.28,83
HCPCS,C1771,HC GYNECARE TVT OBTUR SYSC1781,1990.0,,557.2,1711.4,83
HCPCS,C1771,HC MONARC HAMMOCK SUBFAS,2698.0,,755.44,2320.28,83
HCPCS,C1771,HC SLING MALE ADVANCE XP (MULT SIZES),13700.0,,3836.0,11782.0,83
HCPCS,C1771,HC TVT TENSION FV-TAPE C1771,1890.0,,529.2,1625.4,83
HCPCS,C1773,HC AMPLATZ GOOSENECK SNARE,680.0,,190.4,584.8,83
HCPCS,C1773,HC AMPLATZ MICROSNARE,1247.0,,349.16,1072.42,83
HCPCS,C1773,HC COAG GRASPER,574.0,,160.72,493.64,83
HCPCS,C1773,HC COLD SNARE CAPTIVATOR,65.0,,18.2,55.9,83
HCPCS,C1773,HC EN SNARE ENDOVASCULAR,681.0,,190.68,585.66,83
HCPCS,C1773,HC ENDO FORCEPS RTH3FX11.5CMC1773,599.0,,167.72,515.14,83
HCPCS,C1773,HC EXTRA SM - MED OVAL SNARE,70.0,,19.6,60.2,83
HCPCS,C1773,HC FORCEP GRPING SHEATH COAXC1773,338.0,,94.64,290.68,83
HCPCS,C1773,HC GRASPER REMOVE FB OVESCO,279.0,,78.12,239.94,83
HCPCS,C1773,HC HISTOGUIDE WIRE GUIDED BILIARY FORCEPS,450.0,,126.0,387.0,83
HCPCS,C1773,HC ISNARE RETRVL DVC-US ENDOC1773,210.0,,58.8,180.6,83
HCPCS,C1773,HC NITINOL RETRIEVAL BASKET ZERO TIP (MULT SIZES),624.0,,174.72,536.64,83
HCPCS,C1773,HC RAPTOR - RETRIEVAL DEVICE,240.0,,67.2,206.4,83
HCPCS,C1773,HC RETRIEVAL SET A,394.0,,110.32,338.84,83
HCPCS,C1773,HC RETRIEVAL SET B,893.0,,250.04,767.98,83
HCPCS,C1773,HC RETRIEVAL SET C,660.0,,184.8,567.6,83
HCPCS,C1773,HC RETRIEVAL SET D,1340.0,,375.2,1152.4,83
HCPCS,C1773,HC ROTH NET RTRVL DVC-USENDO,200.0,,56.0,172.0,83
HCPCS,C1773,HC ROTH NET-MAXI RETRIVL DVI,260.0,,72.8,223.6,83
HCPCS,C1773,HC SNARE - CAPTIVATOR,66.0,,18.48,56.76,83
HCPCS,C1773,HC SNARE MASTER SOFT 10-25MM,19.0,,5.32,16.34,83
HCPCS,C1773,HC SNARE-DUCKBILL RETRIEVLDV,64.0,,17.92,55.04,83
HCPCS,C1773,HC SPYGLASS RETRIEVAL BASKET,1167.0,,326.76,1003.62,83
HCPCS,C1773,HC TALON RETRIVL DVC-US ENDOC1773,260.0,,72.8,223.6,83
HCPCS,C1773,HC WIRE GRASPER,984.0,,275.52,846.24,83
HCPCS,C1776,HC  ALL POLY TIBIA 11MM SM,3615.0,,1012.2,3108.9,83
HCPCS,C1776,HC  M-RGX AUGMENT SM-LG,7696.0,,2154.88,6618.56,83
HCPCS,C1776,HC  MOD STEM 8X100MM,7666.0,,2146.48,6592.76,83
HCPCS,C1776,HC  X3 POLY INSERT 36MM 10DG,2750.0,,770.0,2365.0,83
HCPCS,C1776,HC BIOM HFD-CENTRALIZER 11MM,252.0,,70.56,216.72,83
HCPCS,C1776,HC BIOM HFD-CENTRALIZER 9MM,354.0,,99.12,304.44,83
HCPCS,C1776,HC BIOM HFI-CENTRALIZER 11MMC1776,5480.0,,1534.4,4712.8,83
HCPCS,C1776,HC BIOM HFI-CENTRALIZER 9MM C1776,5158.0,,1444.24,4435.88,83
HCPCS,C1776,HC BIOM HIP ACETAB SHELL 5MMC1776,3626.0,,1015.28,3118.36,83
HCPCS,C1776,HC BIOM HIP ACETAB SHELL52MMC1776,3412.0,,955.36,2934.32,83
HCPCS,C1776,HC BIOM HIP ACETAB SHELL54MMC1776,3412.0,,955.36,2934.32,83
HCPCS,C1776,HC BIOM HL-CLAW CONN 55-65MMC1776,938.0,,262.64,806.68,83
HCPCS,C1776,HC BIOM R-ULNA W/BEAR4*115MMC1776,7204.0,,2017.12,6195.44,83
HCPCS,C1776,HC BIOM TIBIAL BEARING 14CMM,1784.0,,499.52,1534.24,83
HCPCS,C1776,HC BIOMET 1B-STEM 11*150MM,16192.0,,4533.76,13925.12,83
HCPCS,C1776,HC BIOMET BAH-HEAD 44*19MM C1776,2624.0,,734.72,2256.64,83
HCPCS,C1776,HC BIOMET BIPOLAR CUP SZ 43 C1776,2616.0,,732.48,2249.76,83
HCPCS,C1776,HC BIOMET BIPOLAR CUP SZ 45,2616.0,,732.48,2249.76,83
HCPCS,C1776,HC BIOMET BIPOLAR CUP SZ 46 C1776,2616.0,,732.48,2249.76,83
HCPCS,C1776,HC BIOMET BIPOLAR CUP SZ 47,2462.0,,689.36,2117.32,83
HCPCS,C1776,HC BIOMET BIPOLAR CUP SZ 48,2616.0,,732.48,2249.76,83
HCPCS,C1776,HC BIOMET BIPOLAR CUP SZ 49 C1776,2462.0,,689.36,2117.32,83
HCPCS,C1776,HC BIOMET BIPOLAR CUP SZ 51,2462.0,,689.36,2117.32,83
HCPCS,C1776,HC BIOMET BIPOLAR CUP SZ 52,2616.0,,732.48,2249.76,83
HCPCS,C1776,HC BIOMET BIPOLAR CUP SZ 53,1600.0,,448.0,1376.0,83
HCPCS,C1776,HC BIOMET D-SEGMENT 3-9CM,11902.0,,3332.56,10235.72,83
HCPCS,C1776,HC BIOMET FIB-STEM 11*150MM,4062.0,,1137.36,3493.32,83
HCPCS,C1776,HC BIOMET FIB-STEM 11*225MM C1776,3034.0,,849.52,2609.24,83
HCPCS,C1776,HC BIOMET FIB-STEM 12*150MM C1776,4062.0,,1137.36,3493.32,83
HCPCS,C1776,HC BIOMET FIB-STEM 13*150MM C1776,2846.0,,796.88,2447.56,83
HCPCS,C1776,HC BIOMET FIB-STEM 14*150MM C1776,2846.0,,796.88,2447.56,83
HCPCS,C1776,HC BIOMET FIS-STEM 13-22MM,2152.0,,602.56,1850.72,83
HCPCS,C1776,HC BIOMET HIP ACETAB CUP28MM,2616.0,,732.48,2249.76,83
HCPCS,C1776,HC BIOMET HIP M-HEAD 28MM,1200.0,,336.0,1032.0,83
HCPCS,C1776,HC BIOMET HIP MOD HEAD 32MM C1776,1428.0,,399.84,1228.08,83
HCPCS,C1776,HC BIOMET IC-COLLAR 4CM,1308.0,,366.24,1124.88,83
HCPCS,C1776,HC BIOMET KA-PATELL 31MM C1776,1510.0,,422.8,1298.6,83
HCPCS,C1776,HC BIOMET KA-PATELL 34MM C1776,1604.0,,449.12,1379.44,83
HCPCS,C1776,HC BIOMET KA-PATELL 37MM C1776,1604.0,,449.12,1379.44,83
HCPCS,C1776,HC BIOMET KD-COUPLER 10CM C1776,11902.0,,3332.56,10235.72,83
HCPCS,C1776,HC BIOMET KD-SEGMENT 15CM C1776,11902.0,,3332.56,10235.72,83
HCPCS,C1776,HC BIOMET KF-BUSHING,814.0,,227.92,700.04,83
HCPCS,C1776,HC BIOMET KNEE COMP NUT,516.0,,144.48,443.76,83
HCPCS,C1776,HC BIOMET KNEE OSS AXLE,880.0,,246.4,756.8,83
HCPCS,C1776,HC BIOMET KT-BUSHING,583.0,,163.24,501.38,83
HCPCS,C1776,HC BIOMET LF-STEM 11*220MM C1776,13836.0,,3874.08,11898.96,83
HCPCS,C1776,HC BIOMET LMHCF STEM 9*220MMC1776,16876.0,,4725.28,14513.36,83
HCPCS,C1776,HC BIOMET LRS-FEMORAL 3CM C1776,10836.0,,3034.08,9318.96,83
HCPCS,C1776,HC BIOMET PROX FERMORAL L/R C1776,7620.0,,2133.6,6553.2,83
HCPCS,C1776,HC BIOMET RESTRICTOR 22MM,352.0,,98.56,302.72,83
HCPCS,C1776,HC BIOMET RF-STEM 9*220MM C1776,11402.0,,3192.56,9805.72,83
HCPCS,C1776,HC BIOMET RF-STEM 9*300MM C1776,15412.0,,4315.36,13254.32,83
HCPCS,C1776,HC BIOMET RHCF-STEM 9*220MM C1776,16876.0,,4725.28,14513.36,83
HCPCS,C1776,HC BIOMET RKF-SEG 7CM,15014.0,,4203.92,12912.04,83
HCPCS,C1776,HC BIOMET RL-LINER SZ 24 C1776,2076.0,,581.28,1785.36,83
HCPCS,C1776,HC BIOMET S-TIBIAL BASE 71MMC1776,4524.0,,1266.72,3890.64,83
HCPCS,C1776,HC BIOMET SPACER 14016MM,584.0,,163.52,502.24,83
HCPCS,C1776,HC BIOMET SR-SPINDLE 12MM C1776,6066.0,,1698.48,5216.76,83
HCPCS,C1776,HC BIOMET TIB BASE PLATE63MMC1776,5480.0,,1534.4,4712.8,83
HCPCS,C1776,HC BIOMET TIBIAL BASE 75MM,4644.0,,1300.32,3993.84,83
HCPCS,C1776,HC BIOMET TIBIAL BASE 79MM C1776,4644.0,,1300.32,3993.84,83
HCPCS,C1776,HC BIOMET TIBIAL BEARING12MM,2189.0,,612.92,1882.54,83
HCPCS,C1776,HC E1 44-41 RTNV +3 HMRL BRG,3392.0,,949.76,2917.12,83
HCPCS,C1776,HC ELEOS DISTAL FEMUR AXIAL PIN ONE SIZE,5124.0,,1434.72,4406.64,83
HCPCS,C1776,"HC ELEOS DISTAL FEMUR RIGHT/LEFT, SEGMENTAL 65MM",15758.0,,4412.24,13551.88,83
HCPCS,C1776,HC ELEOS MALE-FEMALE MIDSECTION 40-140MM,8127.0,,2275.56,6989.22,83
HCPCS,C1776,HC ELEOS MALE-MALE MIDSECTION 40-140MM,11715.0,,3280.2,10074.9,83
HCPCS,C1776,HC ELEOS MODULAR TIBIAL BASE STEM CA ONE SIZE,497.0,,139.16,427.42,83
HCPCS,C1776,HC ELEOS PROXIMAL FEMUR 98MM RESECTION,14273.0,,3996.44,12274.78,83
HCPCS,C1776,HC ELEOS PROXIMAL TIBIA W/PLASMA 87MM RESECTION,14232.0,,3984.96,12239.52,83
HCPCS,C1776,HC ELEOS RESURFACING FEMUR AXIAL PIN  SIZE 2-4,6409.0,,1794.52,5511.74,83
HCPCS,C1776,"HC ELEOS RESURFACING FEMUR SIZE 2-4, LEFT 60-70MM M/L",14793.0,,4142.04,12721.98,83
HCPCS,C1776,"HC ELEOS RESURFACING FEMUR SIZE 2-4, RIGHT 60-70MM M/L",14347.0,,4017.16,12338.42,83
HCPCS,C1776,"HC ELEOS RESURFACING PATELLA 29-35MM ALL-POLY, TRI-PEG",2127.0,,595.56,1829.22,83
HCPCS,C1776,"HC ELEOS RESURFACING PATELLA 38-41MM ALL-POLY, TRI-PEG",2065.0,,578.2,1775.9,83
HCPCS,C1776,"HC ELEOS SEGMENTAL STEM, 2/3 PLASMA,  32MM COLLAR  12-16MM X 152MM",9488.0,,2656.64,8159.68,83
HCPCS,C1776,"HC ELEOS SEGMENTAL STEM, 2/3 PLASMA, 25MM COLLAR 12-18MM X 152MM",9488.0,,2656.64,8159.68,83
HCPCS,C1776,"HC ELEOS SEGMENTAL STEM, 2/3 PLASMA, 32MM COLLAR 12-22MM X 152MM",9818.0,,2749.04,8443.48,83
HCPCS,C1776,"HC ELEOS SEGMENTAL STEM, 25-32MM COLLAR  14-18MM X 120MM",8993.0,,2518.04,7733.98,83
HCPCS,C1776,"HC ELEOS SEGMENTAL STEM, 25-32MM COLLAR 11-17MM X 152MM",8127.0,,2275.56,6989.22,83
HCPCS,C1776,"HC ELEOS SEGMENTAL STEM, 25MM COLLAR 9-13MM X 120MM",7689.0,,2152.92,6612.54,83
HCPCS,C1776,"HC ELEOS SEGMENTAL STEM, FULL PLASMA, 25-32MM COLLAR 12-22MM X 120MM",8993.0,,2518.04,7733.98,83
HCPCS,C1776,"HC ELEOS STEM EXTENSION10-15X65-100MM STRAIGHT, FLUTED 10-18X65-100MM",3193.0,,894.04,2745.98,83
HCPCS,C1776,"HC ELEOS STEM EXTENSION11-23X100-140MM STRAIGHT, SPLINED, SLOTTED",3193.0,,894.04,2745.98,83
HCPCS,C1776,"HC ELEOS STEM EXTENSION15X30MM STRAIGHT, BULLET-TIP 15X30MM",3193.0,,894.04,2745.98,83
HCPCS,C1776,HC ELEOS TIBIAL BASEPLATE SIZE 1-5 60-80MM M/L,11757.0,,3291.96,10111.02,83
HCPCS,C1776,HC ELEOS TIBIAL HINGE COMPONENT W/ OR W/O ROTATIONAL STOP ONE SIZE,6765.0,,1894.2,5817.9,83
HCPCS,C1776,HC ELEOS TIBIAL POLY SPACER 8-120MM,4975.0,,1393.0,4278.5,83
HCPCS,C1776,"HC FEMORAL HEAD, 22.25-32MM   TAPER, -3.5 - +7MM 22.25-32MM, -3.5 - +7MM",3967.0,,1110.76,3411.62,83
HCPCS,C1776,"HC FEMORAL HEAD, SUPER FINISH36MM TAPER, -3.5 -+7MM 36MM, -3.5 - +7MM",4508.0,,1262.24,3876.88,83
HCPCS,C1776,HC GLADIATOR BIPOLAR 36-59MM OD X 22-36MM ID,6557.0,,1835.96,5639.02,83
HCPCS,C1776,HC GLENOSPHERE 41MM,3408.0,,954.24,2930.88,83
HCPCS,C1776,HC GLNSPH MINI B-PLTE 25MM,4222.0,,1182.16,3630.92,83
HCPCS,C1776,HC HIP C-TAPER HEAD 26MM/+5 C1776,1751.0,,490.28,1505.86,83
HCPCS,C1776,HC HIP C-TAPER HEAD 28-32MM,1430.0,,400.4,1229.8,83
HCPCS,C1776,HC HMRL TRAY CO 44MM,3757.0,,1051.96,3231.02,83
HCPCS,C1776,HC HRHK FEM BUSHING,713.0,,199.64,613.18,83
HCPCS,C1776,HC HRHK TIB INSERT 16MM,2722.0,,762.16,2340.92,83
HCPCS,C1776,HC IC SEGMENT 60MM,14430.0,,4040.4,12409.8,83
HCPCS,C1776,HC OSS REINF YOKE,2380.0,,666.4,2046.8,83
HCPCS,C1776,HC PATELLA STD 31X8MM,2036.0,,570.08,1750.96,83
HCPCS,C1776,HC PORP INTERPOS DORNHOFFER,654.0,,183.12,562.44,83
HCPCS,C1776,HC PROSTH JNT INC ABAUM S-LC1776,698.0,,195.44,600.28,83
HCPCS,C1776,HC SGMT ART SURFACE SZ C 12MM,3972.0,,1112.16,3415.92,83
HCPCS,C1776,HC SGMT FEM/TIB M/F 45MM,7149.0,,2001.72,6148.14,83
HCPCS,C1776,HC SGMT HIP FLT/CRV WASHER 4MM,3948.0,,1105.44,3395.28,83
HCPCS,C1776,HC SGMT PRX FEM BODY 38MM,12824.0,,3590.72,11028.64,83
HCPCS,C1776,HC SGMT PRX TIB WASHER KT,6154.0,,1723.12,5292.44,83
HCPCS,C1776,HC SGMT STR FL- STEM 10-12*130MM,7944.0,,2224.32,6831.84,83
HCPCS,C1776,HC SGMT TM COLLAR 30MM,4965.0,,1390.2,4269.9,83
HCPCS,C1776,HC STR K-TIBAL INSERT10-13MM,2722.0,,762.16,2340.92,83
HCPCS,C1776,HC STR KT-INSERT M/L 10-16MMC1776,2749.0,,769.72,2364.14,83
HCPCS,C1776,HC STRK SLD-FEMORAL COM 65MMC1776,17171.0,,4807.88,14767.06,83
HCPCS,C1776,HC STRUT INCUS KARTSH2.7-5MM,670.0,,187.6,576.2,83
HCPCS,C1776,HC STRY KS-TIBIAL COM10-13MMC1776,2722.0,,762.16,2340.92,83
HCPCS,C1776,HC STRYK H-ACETAB SHELL 54MMC1776,4003.0,,1120.84,3442.58,83
HCPCS,C1776,HC STRYK HSS-ACET SHELL 54MMC1776,4376.0,,1225.28,3763.36,83
HCPCS,C1776,HC STRYK K-TIBIAL COMP XS/XLC1776,6990.0,,1957.2,6011.4,83
HCPCS,C1776,HC STRYK KF-STEM EXT 10-11MMC1776,2697.0,,755.16,2319.42,83
HCPCS,C1776,HC STRYKER ACETAB SHELL 54MMC1776,4003.0,,1120.84,3442.58,83
HCPCS,C1776,HC STRYKER CHFL-STEM 11-13MM,12001.0,,3360.28,10320.86,83
HCPCS,C1776,HC STRYKER CHFL-STEM11*203MMC1776,9335.0,,2613.8,8028.1,83
HCPCS,C1776,HC STRYKER CL HIP STEM #4 C1776,3850.0,,1078.0,3311.0,83
HCPCS,C1776,HC STRYKER CLH-STEM #5-#7,3850.0,,1078.0,3311.0,83
HCPCS,C1776,HC STRYKER DSK-AXLE,2445.0,,684.6,2102.7,83
HCPCS,C1776,HC STRYKER EON H-STEM #5-#6 C1776,7010.0,,1962.8,6028.6,83
HCPCS,C1776,HC STRYKER EXTEN PIECE40-100MM,7092.0,,1985.76,6099.12,83
HCPCS,C1776,HC STRYKER HGRA-SHELL48-56MMC1776,6041.0,,1691.48,5195.26,83
HCPCS,C1776,HC STRYKER HIP C-TAPER HEAD C1776,2142.0,,599.76,1842.12,83
HCPCS,C1776,HC STRYKER HIP F-HEAD28MMS-L,1430.0,,400.4,1229.8,83
HCPCS,C1776,HC STRYKER HIP U-HEAD42-58MM,1650.0,,462.0,1419.0,83
HCPCS,C1776,HC STRYKER HOHS-SHOULDER SYSC1776,3315.0,,928.2,2850.9,83
HCPCS,C1776,HC STRYKER HUD-SPACER 9-15MM,315.0,,88.2,270.9,83
HCPCS,C1776,HC STRYKER HUM S-SEC 7-9MM C1776,8608.0,,2410.24,7402.88,83
HCPCS,C1776,HC STRYKER HUM STEM 11*115MMC1776,8608.0,,2410.24,7402.88,83
HCPCS,C1776,HC STRYKER HUMERAL HEAD40-44MM,8421.0,,2357.88,7242.06,83
HCPCS,C1776,HC STRYKER IH-STEM 50*100MM C1776,5709.0,,1598.52,4909.74,83
HCPCS,C1776,HC STRYKER K-BMPR STD 10MM C1776,1478.0,,413.84,1271.08,83
HCPCS,C1776,HC STRYKER K-FEMORAL COMP C1776,11861.0,,3321.08,10200.46,83
HCPCS,C1776,HC STRYKER K-PROX TIBIA 80MMC1776,17473.0,,4892.44,15026.78,83
HCPCS,C1776,HC STRYKER K-TIBIAL COM XS-M,3615.0,,1012.2,3108.9,83
HCPCS,C1776,HC STRYKER KA-PATELLA 11MM C1776,1594.0,,446.32,1370.84,83
HCPCS,C1776,HC STRYKER KCL-PIECE 80-90MMC1776,10361.0,,2901.08,8910.46,83
HCPCS,C1776,HC STRYKER KF-STEM EXT 15MM C1776,2448.0,,685.44,2105.28,83
HCPCS,C1776,HC STRYKER KNEE BUMPER,1466.0,,410.48,1260.76,83
HCPCS,C1776,HC STRYKER KNEE TIBIAL BEARING,6990.0,,1957.2,6011.4,83
HCPCS,C1776,HC STRYKER KS-PATELLA 27*8MMC1776,1594.0,,446.32,1370.84,83
HCPCS,C1776,HC STRYKER KSR-FEMOR COMP 65MM,17171.0,,4807.88,14767.06,83
HCPCS,C1776,HC STRYKER LG H-STEM #5-#7 C1776,10267.0,,2874.76,8829.62,83
HCPCS,C1776,HC STRYKER LHGA-SHELL 52MM C1776,7248.0,,2029.44,6233.28,83
HCPCS,C1776,HC STRYKER LK-TIBIAL BEARINGC1776,6336.0,,1774.08,5448.96,83
HCPCS,C1776,HC STRYKER LSD-FEMOR COMP 65MM,17018.0,,4765.04,14635.48,83
HCPCS,C1776,HC STRYKER M-HUM STM 9*115MM,8421.0,,2357.88,7242.06,83
HCPCS,C1776,HC STRYKER M/F H-BODY 40-140MM,6538.0,,1830.64,5622.68,83
HCPCS,C1776,HC STRYKER SH-HEAD 45*18MM C1776,2932.0,,820.96,2521.52,83
HCPCS,C1776,HC STRYKER SL-ULNA/ELBOW COMC1776,5651.0,,1582.28,4859.86,83
HCPCS,C1776,HC STRYKER SM FEMORAL BUSHNG,738.0,,206.64,634.68,83
HCPCS,C1776,HC STRYKR K-PS F-EXT 11-12MMC1776,1981.0,,554.68,1703.66,83
HCPCS,C1776,HC STRYKR KRS-FMORL COMP65MMC1776,17018.0,,4765.04,14635.48,83
HCPCS,C1776,HC STYK HUMER I-STEM 25*75MMC1776,5709.0,,1598.52,4909.74,83
HCPCS,C1776,HC STYKER K-TIBIAL ROT COMP C1776,7046.0,,1972.88,6059.56,83
HCPCS,C1776,HC TIB B-PLTE SHRT 67MM,7526.0,,2107.28,6472.36,83
HCPCS,C1776,"HC TIBIAL AUGMENT, NONPOROUS, SIZE 1-5 X 5-15MM",3215.0,,900.2,2764.9,83
HCPCS,C1776,HC TORP GOLDENBERGC1776,791.0,,221.48,680.26,83
HCPCS,C1776,HC TRANSITION ROD 3/4/3MMC1776,1070.0,,299.6,920.2,83
HCPCS,C1776,HC TRIDENT CLSTR SHELL 60MM,2750.0,,770.0,2365.0,83
HCPCS,C1777,HC  LEAD ICD SINGLE COIL FIX4 RELIANCE,7800.0,,2184.0,6708.0,83
HCPCS,C1777,HC DURATA TACHY MRI LEAD,8019.0,,2245.32,6896.34,83
HCPCS,C1777,HC LEAD ICD SPRINT QUATTRO 62CM,9719.0,,2721.32,8358.34,83
HCPCS,C1777,HC LEAD ICD SPRINT QUATTRO SECURE SNGL-COIL 6935M-55,9660.0,,2704.8,8307.6,83
HCPCS,C1777,HC LEAD RELIANCE 4SITE BOST,1000.0,,280.0,860.0,83
HCPCS,C1777,HC RELIANCE ACTIVE SINGLE COIL LEAD 59CM,7800.0,,2184.0,6708.0,83
HCPCS,C1778,HC INFINION LEAD KIT 50-70CMC1778,7812.0,,2187.36,6718.32,83
HCPCS,C1778,HC LD KIT 16CNT30CM 5-6-5SURC1778,11900.0,,3332.0,10234.0,83
HCPCS,C1778,HC LD KIT8CON 30-45CMSPEC2X4C1778,6860.0,,1920.8,5899.6,83
HCPCS,C1778,HC LEAD NEUROSTIMULA TENDRIL,1806.0,,505.68,1553.16,83
HCPCS,C1778,HC LINARSTLEAD E-STYL30-70CM,4878.0,,1365.84,4195.08,83
HCPCS,C1778,HC LINEAR 3-4 LEAD 50-70CM,4878.0,,1365.84,4195.08,83
HCPCS,C1778,HC MEDTRONIC SNS LEAD 28CMC1778,7110.0,,1990.8,6114.6,83
HCPCS,C1778,HC PIS-QUAD SOMLD KIT33-45CMC1778,2724.0,,762.72,2342.64,83
HCPCS,C1778,"HC ST LIN LD 0.014""S 50-70CM",2000.0,,560.0,1720.0,83
HCPCS,C1778,HC STIMULATOR NERVE SPRINT ENDURA PNS SINGLE LEAD AMB,9800.0,,2744.0,8428.0,83
HCPCS,C1778,HC STIMULATOR NERVE SPRINT EXTENSA PNS DUAL LEAD SYSTEM AMB,15600.0,,4368.0,13416.0,83
HCPCS,C1778,HC SUBCOM1X8PER LDKIT46-60CMC1778,4864.0,,1361.92,4183.04,83
HCPCS,C1780,HC ALCON ACF MP F-LEN10.30.0,315.0,,88.2,270.9,83
HCPCS,C1780,HC ALCON IOL IMPA10.0D-30.5D,278.0,,77.84,239.08,83
HCPCS,C1780,HC ALCON IOL IMPB10.0D-30.0DC1780,315.0,,88.2,270.9,83
HCPCS,C1780,HC ALCON PMMA O-LEN 5.0-30.0C1780,170.0,,47.6,146.2,83
HCPCS,C1780,HC ALCON WF ACRYSOF6.0-30.0 C1780,318.0,,89.04,273.48,83
HCPCS,C1781,"HC ""MESH MALIS TIT. 6*6""""C1781""",1431.0,,400.68,1230.66,83
HCPCS,C1781,HC 3D MAX MESH LRG LT/RT,468.0,,131.04,402.48,83
HCPCS,C1781,HC 3DMAX MESH XL LT/RT C1781,515.0,,144.2,442.9,83
HCPCS,C1781,HC AIGIS RX ANTI ENV ICD/PPM,2390.0,,669.2,2055.4,83
HCPCS,C1781,HC BARD SOFT MESH 12X12,443.0,,124.04,380.98,83
HCPCS,C1781,HC GYNEMESH PROLENPS/NA10*15,740.0,,207.2,636.4,83
HCPCS,C1781,HC IMP GOR S-TISS 20*30*1,4008.0,,1122.24,3446.88,83
HCPCS,C1781,HC IMP MESH VICRYL 12X12,1442.0,,403.76,1240.12,83
HCPCS,C1781,HC MATRIX OVITEX PRS REINF SOFT TISSUE 2 LYR 20.5X20IN,15960.0,,4468.8,13725.6,83
HCPCS,C1781,HC MATRIX OVITEX PRS REINF SOFT TISSUE 2 LYR 20X16.5IN,12760.0,,3572.8,10973.6,83
HCPCS,C1781,HC MERSILENE 2.5*4.5 VAUTH,330.0,,92.4,283.8,83
HCPCS,C1781,HC MESH DUAL PL 10*15CM*2MM,2194.0,,614.32,1886.84,83
HCPCS,C1781,HC MESH GORE DUAL MESH BIOMATERIAL 24X26,6912.0,,1935.36,5944.32,83
HCPCS,C1781,HC MESH GORE DUAL MESH BIOMATERIAL 30X20,5302.0,,1484.56,4559.72,83
HCPCS,C1781,HC MESH GORE-TEX VASCULAR GRAFT THIN-WALLED REMOVABLE RINGED,2358.0,,660.24,2027.88,83
HCPCS,C1781,HC MESH HERNIA OVITEX 20X16IN 1S PERM GRID,10368.0,,2903.04,8916.48,83
HCPCS,C1781,HC MESH HERNIA OVITEX 20X16IN 2S PERM GRID,13056.0,,3655.68,11228.16,83
HCPCS,C1781,HC MESH HERNIA OVITEX 20X20IN 1S PERM GRID,12960.0,,3628.8,11145.6,83
HCPCS,C1781,HC MESH HERNIA OVITEX 20X20IN 2S PERM GRID,16320.0,,4569.6,14035.2,83
HCPCS,C1781,HC MESH HERNIA OVITEX 25X30IN 1S PERM GRID,21000.0,,5880.0,18060.0,83
HCPCS,C1781,HC MESH HERNIA OVITEX 30X25IN 2S PERM GRID,26000.0,,7280.0,22360.0,83
HCPCS,C1781,HC MESH HERNIA OVITEX 40X25IN 1S PERM GRID,27000.0,,7560.0,23220.0,83
HCPCS,C1781,HC MESH HERNIA OVITEX 40X25IN 2S PERM GRID,35000.0,,9800.0,30100.0,83
HCPCS,C1781,HC MESH MARLEX 10*14,454.0,,127.12,390.44,83
HCPCS,C1781,HC MESH OVITEX CORE TISSUE MATRIX PERM POLYMER 25X30CM,13000.0,,3640.0,11180.0,83
HCPCS,C1781,HC MESH OVITEX CORE TISSUE MATRIX PERM POLYMER 25X40CM,17000.0,,4760.0,14620.0,83
HCPCS,C1781,HC MESH OVITEX LPR REINFORCED TISSUE MATRIX PERM POLYMER 12X12CM,4072.0,,1140.16,3501.92,83
HCPCS,C1781,HC MESH OVITEX LPR REINFORCED TISSUE MATRIX PERM POLYMER 12X18CM,6108.0,,1710.24,5252.88,83
HCPCS,C1781,HC MESH OVITEX LPR REINFORCED TISSUE MATRIX PERM POLYMER 18X23CM,6362.0,,1781.36,5471.32,83
HCPCS,C1781,HC MESH OVITEX LPR REINFORCED TISSUE MATRIX PERM POLYMER 9X9CM,2290.0,,641.2,1969.4,83
HCPCS,C1781,HC MESH OVITEX PRS-RESTELLA REINF SOFT TISSUE 20X20CM,15960.0,,4468.8,13725.6,83
HCPCS,C1781,HC MESH OVITEX PRS-RESTELLA REINF SOFT TISSUE 22X11CM,9148.0,,2561.44,7867.28,83
HCPCS,C1781,HC MESH OVITEX REINF RESORBABLE POLYMER GRID 20X20IN 1S,12960.0,,3628.8,11145.6,83
HCPCS,C1781,HC MESH PROLENE HERNIA MD C1781,1034.0,,289.52,889.24,83
HCPCS,C1781,HC MESH VENTRALIGHT ST 8X10,4408.0,,1234.24,3790.88,83
HCPCS,C1781,HC MESH VENTRALIGHT ST ELLIPSE 10X13/12X14,5863.0,,1641.64,5042.18,83
HCPCS,C1781,HC PROLENE HERNIA MESH 4,1260.0,,352.8,1083.6,83
HCPCS,C1781,"HC SEPRAMESH RECTAN 6*8""",1706.0,,477.68,1467.16,83
HCPCS,C1781,HC SERI SURG SCAFFOLD10*25CM,5900.0,,1652.0,5074.0,83
HCPCS,C1785,HC ACCOLADE DR IS-1,8500.0,,2380.0,7310.0,83
HCPCS,C1785,HC ALTRUA 60 DDDR IS-1,7900.0,,2212.0,6794.0,83
HCPCS,C1785,HC ASSURITY MRI DUAL CHAMBER PACEMAKER PM2272,15707.0,,4397.96,13508.02,83
HCPCS,C1785,HC AZURE XT DR MIR SURESCAN DUAL PMKR W1DR01,12680.0,,3550.4,10904.8,83
HCPCS,C1785,HC PACEMAKER ASSURITY DR RF PM2240,13907.0,,3893.96,11960.02,83
HCPCS,C1785,HC PACEMKR DUAL CHAMB ADAPDR,10365.0,,2902.2,8913.9,83
HCPCS,C1785,HC PACEMKR DUAL CHAMB ADVISA,14814.0,,4147.92,12740.04,83
HCPCS,C1785,HC PACEMKR DUAL CHAMB ADVMRI,11450.0,,3206.0,9847.0,83
HCPCS,C1785,HC PACEMKR DUAL CHAMB ENRHYT,10193.0,,2854.04,8765.98,83
HCPCS,C1785,HC PACEMKR DUAL CHAMB RVDR01,11608.0,,3250.24,9982.88,83
HCPCS,C1785,HC PACEMKR DUAL CHAMB VERSA,9307.0,,2605.96,8004.02,83
HCPCS,C1785,HC PACEMKR ESSENT DRIS1BOST,8500.0,,2380.0,7310.0,83
HCPCS,C1785,HC PACMKR D/CHAMB ENTOVDR-T,14000.0,,3920.0,12040.0,83
HCPCS,C1785,HC PACMKR DUAL CHAMB ACCNTDR,12768.0,,3575.04,10980.48,83
HCPCS,C1785,HC PMK DUAL CHAM SENSIA DR,8921.0,,2497.88,7672.06,83
HCPCS,C1786,HC ACCENT SRPACEKER ST JUDE,10574.0,,2960.72,9093.64,83
HCPCS,C1786,HC ASSURITY MRI PACEMAKER SR-RF,13772.0,,3856.16,11843.92,83
HCPCS,C1786,HC IPG W1SRO1 AZURE XT SR MRI,10309.0,,2886.52,8865.74,83
HCPCS,C1786,HC MICRA TRANSCATHETER PACING SYSTEM,21500.0,,6020.0,18490.0,83
HCPCS,C1786,HC PACEMAKER ASSURITY SR RF PM1240,11972.0,,3352.16,10295.92,83
HCPCS,C1786,HC PACEMAKER SNGL CHMBR,2739.0,,766.92,2355.54,83
HCPCS,C1786,HC PACEMKR IPGA3SROI ADVISA MEDTR,8834.0,,2473.52,7597.24,83
HCPCS,C1786,HC PACEMKR SNGL CHAMB ADASR1,7905.0,,2213.4,6798.3,83
HCPCS,C1786,HC PACEMKR SNGL CHAMB SENSIA,7380.0,,2066.4,6346.8,83
HCPCS,C1786,HC PACEMKR SNGL CHAMB ZEPHYRC1786,9016.0,,2524.48,7753.76,83
HCPCS,C1786,HC PACMKR S/CHAMB ENTOVSR-T,12500.0,,3500.0,10750.0,83
HCPCS,C1787,HC MEDTRONIC PT PROGMER C1787,1785.0,,499.8,1535.1,83
HCPCS,C1787,HC PATIENT PROGRAMMER KIT C1787,1877.0,,525.56,1614.22,83
HCPCS,C1787,HC RESTORE PT PROGRMERC1787,1697.0,,475.16,1459.42,83
HCPCS,C1788,HC BARD POWER PORT MRI 8F,1030.0,,288.4,885.8,83
HCPCS,C1788,HC BARD POWER PORT STE MRI 8F,1008.0,,282.24,866.88,83
HCPCS,C1788,HC DGNTY POWERPORT LP5.0-8.0,797.0,,223.16,685.42,83
HCPCS,C1788,HC IMP MRI PLAS PORT 6FC1788,527.0,,147.56,453.22,83
HCPCS,C1788,HC IMP PORT-A-CATH 5.8F C1788,913.0,,255.64,785.18,83
HCPCS,C1788,HC IMP PORT-A-CATH 6F C1788,557.0,,155.96,479.02,83
HCPCS,C1788,HC IMP POWER PORT 8F C1788,1030.0,,288.4,885.8,83
HCPCS,C1788,HC IMP POWER PORT ISP 6F,709.0,,198.52,609.74,83
HCPCS,C1788,HC IMP POWER PORT ISP MCF 8FC1788,984.0,,275.52,846.24,83
HCPCS,C1788,HC IMP TV PORT-A-CATH 7F C1788,750.0,,210.0,645.0,83
HCPCS,C1788,HC PORT 1L W/A-CATH 9.6F C1788,750.0,,210.0,645.0,83
HCPCS,C1788,HC PORT IMPLANTABLE A,470.0,,131.6,404.2,83
HCPCS,C1788,HC PORT LOW PROFILE TITANIUM DIGNITY 6.6F,750.0,,210.0,645.0,83
HCPCS,C1788,HC PORT PERITONEAL TITANIUM W/ 2 SURECUFF TISSUE INGROWTH CUFFS,364.0,,101.92,313.04,83
HCPCS,C1788,HC PORT PERITONEAL TITANIUM W/O SURECUFF,410.0,,114.8,352.6,83
HCPCS,C1788,HC PORT POWER SLIM6F WH-CATH,850.0,,238.0,731.0,83
HCPCS,C1788,HC PORT VORTEX CV CATH,850.0,,238.0,731.0,83
HCPCS,C1788,HC POWERFLOW IMPL APHERESIS IV PORT (MULT SIZES),1250.0,,350.0,1075.0,83
HCPCS,C1788,HC POWERPORT CLEARVUE ISP 6-8F & SLIM 6-8F (MULT SIZES),844.0,,236.32,725.84,83
HCPCS,C1788,HC VASCLAR ACC PORT 9.6F C1788,750.0,,210.0,645.0,83
HCPCS,C1789,HC ALG SBRST IMP68HP*160-800C1789,950.0,,266.0,817.0,83
HCPCS,C1789,HC ALG SBRST IMP68LP*125-680C1789,800.0,,224.0,688.0,83
HCPCS,C1789,HC ALGN SXT-EXP TAB250-800CCC1789,3100.0,,868.0,2666.0,83
HCPCS,C1789,HC ALLER410FF B-IMP185-740CC,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLER410FM B-IMP205-670CCC1789,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLER410MF B-IMP140-640CC,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLER410MM B-IMP160-450CCC1789,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN 410FL BIMP 320CC,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN 410FXBIM185-495CC,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN 410ML BIMP 285CCC1789,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN 410MXBIM165-445CC,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN INSPIRA BREAST IMPLANT SCLP/SCM/SCF/SCX CHV,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN INSPIRA BREAST IMPLANT SRLP/SRM/SRX,1830.0,,512.4,1573.8,83
HCPCS,C1789,HC ALLERGAN SMOOTH ROUND GEL BREAST IMPLANT (MULT SIZES),2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN410LFBIM175-595CCC1789,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN410LLBIM240-300CCC1789,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN410LMBIM190-320CCC1789,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGAN410LXBIM195-405CCC1789,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC ALLERGY BRST IMP 20*120-800,1650.0,,462.0,1419.0,83
HCPCS,C1789,HC ALLERGY MV T-EXP/TAB250-700C,2900.0,,812.0,2494.0,83
HCPCS,C1789,HC ALLERGY MX T-EXP 300-850CC,2600.0,,728.0,2236.0,83
HCPCS,C1789,HC ALLERGY MX T-EXP/TAB300-850CC,2900.0,,812.0,2494.0,83
HCPCS,C1789,HC ALLERGY SBRST IMP 10*120-800,1650.0,,462.0,1419.0,83
HCPCS,C1789,HC ALLERGY SBRST IMP68*120-800,950.0,,266.0,817.0,83
HCPCS,C1789,HC ALLG BRST IMPL 40*80-560 C1789,1700.0,,476.0,1462.0,83
HCPCS,C1789,HC ALLG SBRST IMP120*500-650C1789,1700.0,,476.0,1462.0,83
HCPCS,C1789,HC ALLG SBRST IMP363*170-620C1789,1520.0,,425.6,1307.2,83
HCPCS,C1789,HC ALLG SBRST IMP45*120-800 C1789,1650.0,,462.0,1419.0,83
HCPCS,C1789,HC ALLG SX T-EXP 250-800CC C1789,2600.0,,728.0,2236.0,83
HCPCS,C1789,HC ALLG TISS ESP SRV 650CC C1789,1050.0,,294.0,903.0,83
HCPCS,C1789,HC ALLG TISS EXP LCVD 775CC C1789,990.0,,277.2,851.4,83
HCPCS,C1789,HC ALLG TISS EXP RZV 125CC C1789,1050.0,,294.0,903.0,83
HCPCS,C1789,HC ALLG TISS EXP SRS 680CC C1789,990.0,,277.2,851.4,83
HCPCS,C1789,HC ALLGSV T-EXP/TAB200-550CCC1789,2900.0,,812.0,2494.0,83
HCPCS,C1789,HC ALLR15SI BRS IMP213-752CCC1789,1700.0,,476.0,1462.0,83
HCPCS,C1789,HC ART TISS EXP HP225-850CC,3600.0,,1008.0,3096.0,83
HCPCS,C1789,"HC BREAST EXPANDER, CPX MED HIGH (MULT SIZES)",3390.0,,949.2,2915.4,83
HCPCS,C1789,"HC BREAST EXPANDER, TEXT ULTRA HIGH (MULT SIZES)",3750.0,,1050.0,3225.0,83
HCPCS,C1789,HC BREAST TISSUE EXPANDER LH/TH CPX4 W/SUTURE TABS (MULT SIZES),3390.0,,949.2,2915.4,83
HCPCS,C1789,HC BREAST TISSUE EXPANDER NATRELLE 133S (MULT SIZES),3190.0,,893.2,2743.4,83
HCPCS,C1789,HC BRST TISS EXP 133FV 11-16C1789,2600.0,,728.0,2236.0,83
HCPCS,C1789,HC BRST TISS EXP 133LV 11-16C1789,2600.0,,728.0,2236.0,83
HCPCS,C1789,HC BRST TISS EXP 133MV 11-16,2600.0,,728.0,2236.0,83
HCPCS,C1789,HC MENT 2000 B-IMP 175-800CC,900.0,,252.0,774.0,83
HCPCS,C1789,HC MENT 9100 T-EXP 250-750CCC1789,2900.0,,812.0,2494.0,83
HCPCS,C1789,HC MENT 9200 T-EXP 275-800CC,2900.0,,812.0,2494.0,83
HCPCS,C1789,HC MENT 9300 T-EXP 250-850CCC1789,2900.0,,812.0,2494.0,83
HCPCS,C1789,HC MENT CRS TISS EXP50-500CCC1789,1120.0,,313.6,963.2,83
HCPCS,C1789,HC MENT ELLP TISSEXP25-250CCC1789,1120.0,,313.6,963.2,83
HCPCS,C1789,HC MENT MGEL SX IMP100-800CC,1600.0,,448.0,1376.0,83
HCPCS,C1789,HC MENT MOD B-IMP120-775CC,2552.0,,714.56,2194.72,83
HCPCS,C1789,HC MENT MOD CLS IMP130-800CC,1600.0,,448.0,1376.0,83
HCPCS,C1789,HC MENT MOD PLUSIMP100-800CC,1600.0,,448.0,1376.0,83
HCPCS,C1789,HC MENT RCT TISS EXP50-700CCC1789,1120.0,,313.6,963.2,83
HCPCS,C1789,HC MENT RNDTISSEXP400-1000CCC1789,1120.0,,313.6,963.2,83
HCPCS,C1789,HC MENT ULTHI IMP 135-800CC,1600.0,,448.0,1376.0,83
HCPCS,C1789,HC MENTOR 7100T-EX 250-750CCC1789,3000.0,,840.0,2580.0,83
HCPCS,C1789,HC MENTOR 7200T-EXP275-800CCC1789,3000.0,,840.0,2580.0,83
HCPCS,C1789,HC MENTOR 7300T-EXP250-850CCC1789,3000.0,,840.0,2580.0,83
HCPCS,C1789,HC MENTOR ARTOURA TISS EXP HP 300-850CC,3750.0,,1050.0,3225.0,83
HCPCS,C1789,HC MENTOR ARTOURA TISS EXP UHP 455-850CC,3600.0,,1008.0,3096.0,83
HCPCS,C1789,HC MENTOR LM+IMP 125-690CC C1789,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC MENTOR MEMORYGEL XTRA SM/HP BREAST IMP 150-790CC,1920.0,,537.6,1651.2,83
HCPCS,C1789,HC MENTOR MEMORYGEL XTRA SM/MP BREAST IMP 115-755C,1920.0,,537.6,1651.2,83
HCPCS,C1789,HC MENTOR MEMORYSHAPE TH/HP BREAST IMP 180-680CC,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC MENTOR MH B-IMP165-685CC,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC MENTOR MM+IMP 140-650CC,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC MENTOR SILTEX SALINE ROUND/CONTURA BREAST IMPLANT,1700.0,,476.0,1462.0,83
HCPCS,C1789,HC MENTOR TM+BIMP 145-680CC C1789,2190.0,,613.2,1883.4,83
HCPCS,C1789,HC MTR SAL RHP B-IMP 350C1789,900.0,,252.0,774.0,83
HCPCS,C1789,HC MTR SAL RMP B-IMP 350C1789,900.0,,252.0,774.0,83
HCPCS,C1789,HC MTR SAL SLX RMP B-IMP 354C1789,1350.0,,378.0,1161.0,83
HCPCS,C1789,HC MTR SIL RHP B-IMP 350,1600.0,,448.0,1376.0,83
HCPCS,C1789,HC MTR SIL RMP B-IMP 350C1789,1575.0,,441.0,1354.5,83
HCPCS,C1789,HC MTR SIL SLX RHP B-IMP 354C1789,1755.0,,491.4,1509.3,83
HCPCS,C1789,HC MTR SIL SLX RMP B-IMP 354C1789,1665.0,,466.2,1431.9,83
HCPCS,C1789,HC MTR TE SLX LHCP B-IMP 354C1789,2475.0,,693.0,2128.5,83
HCPCS,C1789,HC MTR TE SLX MHCP B-IMP 354C1789,2475.0,,693.0,2128.5,83
HCPCS,C1789,HC MTR TE SLX THCP B-IMP 354C1789,2475.0,,693.0,2128.5,83
HCPCS,C1789,HC MTR TE SRB B-IMP 354C1789,4000.0,,1120.0,3440.0,83
HCPCS,C1789,HC SIEN CRS EXPSM VL12-700CCC1789,1050.0,,294.0,903.0,83
HCPCS,C1789,HC SIEN CRS EXPSMMG150-700CCC1789,1790.0,,501.2,1539.4,83
HCPCS,C1789,HC SIEN CRSEXPTXTMG150-700CCC1789,1990.0,,557.2,1711.4,83
HCPCS,C1789,HC SIEN EXP DD CHMB310-780CCC1789,2790.0,,781.2,2399.4,83
HCPCS,C1789,HC SIEN EXP FULLHGT300-800CCC1789,2390.0,,669.2,2055.4,83
HCPCS,C1789,HC SIEN EXP LOWHGT 320-840CCC1789,2390.0,,669.2,2055.4,83
HCPCS,C1789,HC SIEN EXP MODHGT180-830CC C1789,2390.0,,669.2,2055.4,83
HCPCS,C1789,HC SIEN GEL IMP TXT180-450CCC1789,1990.0,,557.2,1711.4,83
HCPCS,C1789,HC SIEN GELIMPTXTHI180-550CCC1789,1990.0,,557.2,1711.4,83
HCPCS,C1789,HC SIEN GELIMPTXTLO170-500CCC1789,1990.0,,557.2,1711.4,83
HCPCS,C1789,HC SIEN GELIMPTXTMD180-700CCC1789,1990.0,,557.2,1711.4,83
HCPCS,C1789,HC SIEN GELIMPTXTRD200-485CCC1789,1990.0,,557.2,1711.4,83
HCPCS,C1789,HC SIEN RCT EXPSM3V30-1000CCC1789,1050.0,,294.0,903.0,83
HCPCS,C1789,HC SIEN RCTEXPSMMG160-1000CCC1789,1100.0,,308.0,946.0,83
HCPCS,C1813,HC AMS PENILE PROSTH RESERVOIR 65ML/100ML INHIBIZONE,1905.0,,533.4,1638.3,83
HCPCS,C1813,HC CYLINDER/PUMP PENOSCROTAL PC CX IZ12CM-21C,11355.0,,3179.4,9765.3,83
HCPCS,C1813,HC TITAN TOUCH ZERO DEGREE CYLINDERS/PUMP SET SCROTAL,16694.0,,4674.32,14356.84,83
HCPCS,C1813,HC UROLUME E-PROSTH1.5-2.5CMC1813,9440.0,,2643.2,8118.4,83
HCPCS,C1815,HC AMS UNINARY SPHINCTER BLNFGS61-70CM,4300.0,,1204.0,3698.0,83
HCPCS,C1815,HC AMS UR SPH BLTCUFFGS5.5CMC1815,8000.0,,2240.0,6880.0,83
HCPCS,C1815,HC BELT CUFF FGS 6.0 CM IZ C1815,9200.0,,2576.0,7912.0,83
HCPCS,C1815,HC BELT CUFF FGS3.5-5.5CM IZ,7078.0,,1981.84,6087.08,83
HCPCS,C1815,HC CONTROL PUMP FGS IZ C1815,20600.0,,5768.0,17716.0,83
HCPCS,C1820,HC RESTORE NEUROSTIMC1820,31850.0,,8918.0,27391.0,83
HCPCS,C1821,HC VERTIPLEX SPACER SPINAL SUPERION INDIR DECOMPRS SYST,19000.0,,5320.0,16340.0,83
HCPCS,C1830,HC BIOPSY SYS COMP 102/152MM,293.0,,82.04,251.98,83
HCPCS,C1830,HC TRAY BIOSPY SYS 102 MM ONCONTROL COMPREHENSIVE KIT,439.0,,122.92,377.54,83
HCPCS,C1874,HC AERO FULLY COVERED STENT (10-20) X (20-80),4000.0,,1120.0,3440.0,83
HCPCS,C1874,HC AEROMINI (8-14)  X (15-20),4800.0,,1344.0,4128.0,83
HCPCS,C1874,HC AXIOS STENT 10-20X10,10790.0,,3021.2,9279.4,83
HCPCS,C1874,HC BILIARY ENDOPROSTHESIS (VIABIL),5600.0,,1568.0,4816.0,83
HCPCS,C1874,HC BONASTENT TRACHEOBRONCH COATED 18/20MM,4990.0,,1397.2,4291.4,83
HCPCS,C1874,HC COVERED STENT A,16916.0,,4736.48,14547.76,83
HCPCS,C1874,HC COVERED STENT B,3429.0,,960.12,2948.94,83
HCPCS,C1874,HC COVERED STENT C,7790.0,,2181.2,6699.4,83
HCPCS,C1874,HC COVERED STENT D,7797.0,,2183.16,6705.42,83
HCPCS,C1874,HC COVERED STENT E,9866.0,,2762.48,8484.76,83
HCPCS,C1874,HC COVERED STENT F,16916.0,,4736.48,14547.76,83
HCPCS,C1874,HC COVERED STENT G,18141.0,,5079.48,15601.26,83
HCPCS,C1874,HC COVERED STENT H,5100.0,,1428.0,4386.0,83
HCPCS,C1874,HC ENDOPROSTHESIS B,5798.0,,1623.44,4986.28,83
HCPCS,C1874,HC ESOPHAGEAL STENT FC TAEWOONG NITI-S TTS,5470.0,,1531.6,4704.2,83
HCPCS,C1874,HC HANAROSTENT ESOPHAGAEL STENT (FULLY COVERED),2880.0,,806.4,2476.8,83
HCPCS,C1874,HC ICAST COVERED STENT,4779.0,,1338.12,4109.94,83
HCPCS,C1874,HC IMP A-E ESO STENT 18-20F,4000.0,,1120.0,3440.0,83
HCPCS,C1874,HC MINI MONOKA FAYET STENT C1874,110.0,,30.8,94.6,83
HCPCS,C1874,HC PF ESOPH STENT 90-120MM,4316.0,,1208.48,3711.76,83
HCPCS,C1874,HC POLYFLEX AIRWAY STENT C1874,3710.0,,1038.8,3190.6,83
HCPCS,C1874,HC SILICONE STENT (9-20) X (20-80),700.0,,196.0,602.0,83
HCPCS,C1874,HC STENT TRACHEOBRONCHL AERO COVERED,4000.0,,1120.0,3440.0,83
HCPCS,C1874,HC STENT TRACHEOBRONCHL ULTRAFLEX COVERED,6344.0,,1776.32,5455.84,83
HCPCS,C1874,HC T-BRO STENT CVR8-10MM*4CMC1874,3780.0,,1058.4,3250.8,83
HCPCS,C1874,HC TRACBRNCH STNTCV12-20X4-8C1874,3780.0,,1058.4,3250.8,83
HCPCS,C1874,HC ULTRAFLEX PARTIALLY COVERED STENT (12-20) X (20-80),6250.0,,1750.0,5375.0,83
HCPCS,C1874,HC VIABAHN VBX ENDOPROSTHESIS STENT EXPANDABLE (MULT SIZES),5890.0,,1649.2,5065.4,83
HCPCS,C1874,HC VIABAHN VBX ENDOPROSTHESIS STENT EXPANDABLE B (MULT SIZES),6102.0,,1708.56,5247.72,83
HCPCS,C1874,HC WALLFLEX BILIARY COVERED,5906.0,,1653.68,5079.16,83
HCPCS,C1874,HC WALLFLEX BILIARY PARTIALLY COVERED,5688.0,,1592.64,4891.68,83
HCPCS,C1874,HC WALLFLEX ESOPHAGEAL FULLY COVERED,5643.0,,1580.04,4852.98,83
HCPCS,C1874,HC WALLFLEX ESOPHAGEAL PARTIALLY COVERED,5296.0,,1482.88,4554.56,83
HCPCS,C1874,HC Y-SILICONE STENT (14-10-10 - 18-14-14) X (110-50-50),1700.0,,476.0,1462.0,83
HCPCS,C1874,HC ZENITH ALPHA THORACIC ENDOVASCULAR GRAFT,31930.0,,8940.4,27459.8,83
HCPCS,C1874,HC ZENITH FLEX AAA ENDOVASCULAR GRAFT,17424.0,,4878.72,14984.64,83
HCPCS,C1874,HC ZENITH SPIRAL-Z AAA ILIAC LEG GRAFT,6356.0,,1779.68,5466.16,83
HCPCS,C1874,HC ZILVER PTX DRUG-ELUTING PERIPHERAL STENT,359.0,,100.52,308.74,83
HCPCS,C1875,HC STENT TRACHOBRNCHL NONCOV,1350.0,,378.0,1161.0,83
HCPCS,C1876,HC BILIARY STENT UNCV WDELIVC1876,2900.0,,812.0,2494.0,83
HCPCS,C1876,HC EPIC BILIARY METAL STENT (MULT SIZES),4790.0,,1341.2,4119.4,83
HCPCS,C1876,HC EVOLUTION BILIARY CONTROLLED RELEASE STENT-UNCOVERED,3036.0,,850.08,2610.96,83
HCPCS,C1876,HC HANARO COLONIC STENT,4230.0,,1184.4,3637.8,83
HCPCS,C1876,HC HANAROSTENT BIL UNCOVERED (MULT SIZES),1920.0,,537.6,1651.2,83
HCPCS,C1876,HC INTRACRANIAL VASCULAR STENT SYSTEM (NF ATLAS/FG WINGSPAN) (MULT SIZES),15200.0,,4256.0,13072.0,83
HCPCS,C1876,HC MEDTRON INTEGRITY STENT,1300.0,,364.0,1118.0,83
HCPCS,C1876,HC STENT BILIARY EXPRESS SD 5X19X90CM,2435.0,,681.8,2094.1,83
HCPCS,C1876,HC STENT BILIARY PROTEGE GPS 10X80MMX080CM,1911.0,,535.08,1643.46,83
HCPCS,C1876,HC STENT BILRY UCNI TAEWOONG,1980.0,,554.4,1702.8,83
HCPCS,C1876,HC STENT CORONARY REBEL MONO,1740.0,,487.2,1496.4,83
HCPCS,C1876,HC STENT ESOPH UCNI TAEWOONGC1876,3060.0,,856.8,2631.6,83
HCPCS,C1876,HC STNT ENDOMAXX ESOPHAGL FCC1876,4800.0,,1344.0,4128.0,83
HCPCS,C1876,HC SURPASS FLOW DIVERTER INTRACRANIAL STENT DELIVERY SYSTEM A,29700.0,,8316.0,25542.0,83
HCPCS,C1876,HC SURPASS FLOW DIVERTER INTRACRANIAL STENT DELIVERY SYSTEM B,32300.0,,9044.0,27778.0,83
HCPCS,C1876,HC T-BRO STENT N-CVR14MM*3CMC1876,3500.0,,980.0,3010.0,83
HCPCS,C1876,HC TRACBRNCH STNTNC8-20X2-80C1876,3500.0,,980.0,3010.0,83
HCPCS,C1876,HC ULTRAFLEX ESOPH UNCVD C1876,3990.0,,1117.2,3431.4,83
HCPCS,C1876,HC VENOUS - WALLSTENT A,1000.0,,280.0,860.0,83
HCPCS,C1876,HC VENOUS - WALLSTENT C,3345.0,,936.6,2876.7,83
HCPCS,C1876,HC VENOUS - WALLSTENT D (VICI),4600.0,,1288.0,3956.0,83
HCPCS,C1876,HC WALLFLEX  DUODENAL,5290.0,,1481.2,4549.4,83
HCPCS,C1876,HC WALLFLEX BILIARY UNCOVD,5688.0,,1592.64,4891.68,83
HCPCS,C1876,HC WALLFLEX COLONIC,5290.0,,1481.2,4549.4,83
HCPCS,C1876,HC WALLSTENT A,2614.0,,731.92,2248.04,83
HCPCS,C1876,HC WALLSTENT B,2500.0,,700.0,2150.0,83
HCPCS,C1876,HC WALLSTENT C,3345.0,,936.6,2876.7,83
HCPCS,C1876,HC WALLSTENT D,5175.0,,1449.0,4450.5,83
HCPCS,C1876,HC WALLSTENT E,1450.0,,406.0,1247.0,83
HCPCS,C1876,HC WALLSTENT F,2768.0,,775.04,2380.48,83
HCPCS,C1876,HC WALLSTENT G,4225.0,,1183.0,3633.5,83
HCPCS,C1876,HC WALLSTENT H,3800.0,,1064.0,3268.0,83
HCPCS,C1877,HC STENT GRAFT ENDOVASCULAR,11000.0,,3080.0,9460.0,83
HCPCS,C1878,HC JUVEDERM FILLER- FOR VOCAL CORD MEDIALIZATION,833.0,,233.24,716.38,83
HCPCS,C1878,HC PROLARYN/RADIESSE GEL - FOR VOCAL CORD MEDIALIZATION,1430.0,,400.4,1229.8,83
HCPCS,C1880,HC CELECT VENA CAVA FEM/JUG C1880,2300.0,,644.0,1978.0,83
HCPCS,C1880,HC VENOUS FILTER A,2029.0,,568.12,1744.94,83
HCPCS,C1880,HC VENOUS FILTER B,895.0,,250.6,769.7,83
HCPCS,C1880,HC VENOUS FILTER C,1875.0,,525.0,1612.5,83
HCPCS,C1880,HC VENOUS FILTER D,1613.0,,451.64,1387.18,83
HCPCS,C1880,HC VENOUS FILTER E,2543.0,,712.04,2186.98,83
HCPCS,C1881,HC CHRN HEMCATH15.5F*24-28CM,670.0,,187.6,576.2,83
HCPCS,C1881,HC DURAFLOW HEMO CATH32-36CM,743.0,,208.04,638.98,83
HCPCS,C1881,HC HEMODIA CATH 5F*7.6CM C1881,175.0,,49.0,150.5,83
HCPCS,C1882,HC CARDIO DEFIB S/D CONCERTO,49080.0,,13742.4,42208.8,83
HCPCS,C1882,HC CARDIO DEFIBRILLATOR SINGLE/DUAL VIVA XT DTB1D1,46636.0,,13058.08,40106.96,83
HCPCS,C1882,HC CARIO DEFIB INCEPTA BOST,47000.0,,13160.0,40420.0,83
HCPCS,C1882,HC CARIO DEFIB OTH S/D CHAM,48280.0,,13518.4,41520.8,83
HCPCS,C1882,HC CARIO DEFIB OTHS/D VIVAXT,48312.0,,13527.36,41548.32,83
HCPCS,C1882,HC CRT-D COBALT HF MRI SURESCAN,57338.0,,16054.64,49310.68,83
HCPCS,C1882,HC CRTD SURESCAN CLARIA MRI GENERATOR,56468.0,,15811.04,48562.48,83
HCPCS,C1882,HC DEFIB S/D CH ICD QUADRA ASSURA CD3365-40Q,49990.0,,13997.2,42991.4,83
HCPCS,C1882,HC DEFIB S/D CH ICD UNIFY QUADRA CRT-D SYSTEM,48455.0,,13567.4,41671.3,83
HCPCS,C1882,HC ENERGEN CRT-D/DF4 BOSTON,42000.0,,11760.0,36120.0,83
HCPCS,C1882,HC HV GENERATOR ASSURA STJUD,60000.0,,16800.0,51600.0,83
HCPCS,C1882,HC HV GENERATOR QUADRA STJUD,65146.0,,18240.88,56025.56,83
HCPCS,C1882,HC ICD DEFIB AMPLIA MRI QUAD CRT-D,55727.0,,15603.56,47925.22,83
HCPCS,C1882,HC ICD DEFIB CLARIA CRT-D,56468.0,,15811.04,48562.48,83
HCPCS,C1882,HC ICD DEFIB CLARIA MRI QUAD DTMA1QQ,57627.0,,16135.56,49559.22,83
HCPCS,C1882,HC ICD DEFIB DYNAGEN X4 CRT-D,41000.0,,11480.0,35260.0,83
HCPCS,C1882,HC ICD DEFIB VIVA XT CRT-D DTBA1D1,46636.0,,13058.08,40106.96,83
HCPCS,C1882,HC INOGENX4 CRTDIS-1/DF4BOST,41000.0,,11480.0,35260.0,83
HCPCS,C1882,HC QUADRA ASSURA MP CD3369-4Q,53590.0,,15005.2,46087.4,83
HCPCS,C1883,HC 2X8 INFINION SPLITTER KITC1883,3366.0,,942.48,2894.76,83
HCPCS,C1883,HC BI2X4STRET-COIL EX20-40CMC1883,3116.0,,872.48,2679.76,83
HCPCS,C1883,HC KIT EXTENSIONC1883,1362.0,,381.36,1171.32,83
HCPCS,C1883,HC LEAD ADAPTOR BIPOLAR 40CM,860.0,,240.8,739.6,83
HCPCS,C1883,HC LOW PROF QUADEXT10-40-51CC1883,1362.0,,381.36,1171.32,83
HCPCS,C1883,HC MEDTRONIC EXTEN KIT 20CMC1883,1320.0,,369.6,1135.2,83
HCPCS,C1883,HC MEDTRONIC EXTEN KIT 40CM C1883,1362.0,,381.36,1171.32,83
HCPCS,C1883,HC PHASE III LEAD EXTEN 35CMC1883,4878.0,,1365.84,4195.08,83
HCPCS,C1883,HC SIN1X4STRET-COILEX20-40CMC1883,1558.0,,436.24,1339.88,83
HCPCS,C1883,HC SLEEVE CONNECTOR LEAD IS-4 DF-4,225.0,,63.0,193.5,83
HCPCS,C1883,HC SYNERGY 8 CONT EXT 20-40 C1883,1362.0,,381.36,1171.32,83
HCPCS,C1884,HC EMBOLIZATION PROTECTIVE SYSTEM (NAV6),2950.0,,826.0,2537.0,83
HCPCS,C1886,HC BARRX 360 EXPRESS RFA BALLOON CATH,4940.0,,1383.2,4248.4,83
HCPCS,C1887,HC ANG REV BALL CAT7FR110CM,138.0,,38.64,118.68,83
HCPCS,C1887,HC ANGIO BALLOON CAT7FR110CM,132.0,,36.96,113.52,83
HCPCS,C1887,HC ARTERIAL LINE KIT W/SHARPS-ARROW,110.0,,30.8,94.6,83
HCPCS,C1887,HC ATTAIN SELECT II  CATHETER 6248V,457.0,,127.96,393.02,83
HCPCS,C1887,HC ATTAIN VENOGRAM BALLOON,200.0,,56.0,172.0,83
HCPCS,C1887,HC AXS CATALYST 5 DISTAL ACCESS CATH,3300.0,,924.0,2838.0,83
HCPCS,C1887,HC AXS CATALYST 6 DISTAL ACCESS CATH,4315.0,,1208.2,3710.9,83
HCPCS,C1887,HC AXS CATALYST 7 DISTAL ACCESS CATH,4700.0,,1316.0,4042.0,83
HCPCS,C1887,HC BALLN WED CAT4-6FR.110 CM,110.0,,30.8,94.6,83
HCPCS,C1887,HC BERENSTEIN ANGIO CATH 5FR 65CM,52.0,,14.56,44.72,83
HCPCS,C1887,HC CATH 4F 3-6 100-125CM,38.0,,10.64,32.68,83
HCPCS,C1887,HC CATH 4F ANGIOGRAPHIC SET,89.0,,24.92,76.54,83
HCPCS,C1887,HC CATH 6F 3.5-4 GUIDE 100CM,121.0,,33.88,104.06,83
HCPCS,C1887,HC CATH 6F EXPO 100CM,45.0,,12.6,38.7,83
HCPCS,C1887,HC CATH 6F EXPO MULTIPAK,47.0,,13.16,40.42,83
HCPCS,C1887,HC CATH 6F3DRC/JL7 100-125CM,34.0,,9.52,29.24,83
HCPCS,C1887,HC CATH ACUITY BREAK-AWAY,975.0,,273.0,838.5,83
HCPCS,C1887,HC CATH ANGIO GUIDE RSC RESS MACH 1 7 FR X 55 CM,212.0,,59.36,182.32,83
HCPCS,C1887,HC CATH C315HIS02 RIGHTSITE CATHETER,499.0,,139.72,429.14,83
HCPCS,C1887,HC CATH CPS AIM SL STJUDE,650.0,,182.0,559.0,83
HCPCS,C1887,HC CATH GUID ATTAIN COMMAND 6250V,597.0,,167.16,513.42,83
HCPCS,C1887,HC CATH GUIDE ACUITY LEAD,800.0,,224.0,688.0,83
HCPCS,C1887,HC CATH GUIDE SLITTER ADJ,61.0,,17.08,52.46,83
HCPCS,C1887,HC CATH GUIDING ENVOY MPD 6F X 100CM,1125.0,,315.0,967.5,83
HCPCS,C1887,HC CATHETER,315.0,,88.2,270.9,83
HCPCS,C1887,HC CATHETER 5FR JACKY TERUMO,132.0,,36.96,113.52,83
HCPCS,C1887,HC CATHETER ATTAIN COMMAND,1263.0,,353.64,1086.18,83
HCPCS,C1887,HC CATHETER ATTAIN SELECTIII,478.0,,133.84,411.08,83
HCPCS,C1887,HC CATHETER BENCHMARK GUIDING INTRACRANIAL ACCESS,1970.0,,551.6,1694.2,83
HCPCS,C1887,HC CATHETER GUIDE TELESCOPING 7FR,327.0,,91.56,281.22,83
HCPCS,C1887,HC CATHETER GUIDING ENVOY,1083.0,,303.24,931.38,83
HCPCS,C1887,HC CATHETER GUIDING INTUITIVE (15X/50X),80.0,,22.4,68.8,83
HCPCS,C1887,HC CATHETER KIT CURVED,1134.0,,317.52,975.24,83
HCPCS,C1887,HC CATHETER SET RA ARROW INT 20G-ARROW,23.0,,6.44,19.78,83
HCPCS,C1887,HC CROSSCATH SUPPORT CATHETER,377.0,,105.56,324.22,83
HCPCS,C1887,HC DISTAL ACCESS CATHETER DAC,2600.0,,728.0,2236.0,83
HCPCS,C1887,HC DOUBLE LUMEN BALL WED CAT,119.0,,33.32,102.34,83
HCPCS,C1887,HC DUAL LUMEN PIGTAIL CATH,291.0,,81.48,250.26,83
HCPCS,C1887,HC FUSION BILIARY CATH COOK,230.0,,64.4,197.8,83
HCPCS,C1887,HC GLIDECATH HYDROPHIL COATED,138.0,,38.64,118.68,83
HCPCS,C1887,HC GUIDELINER CATH 5.5F VASC,839.0,,234.92,721.54,83
HCPCS,C1887,HC LANTERN DELIVERY MICROCATHETER,1035.0,,289.8,890.1,83
HCPCS,C1887,HC MICROCATHETER DELIVERY VELOCITY,2150.0,,602.0,1849.0,83
HCPCS,C1887,HC MICROCATHETER EMBOLIZATION GUIDING A,1069.0,,299.32,919.34,83
HCPCS,C1887,HC MICROCATHETER EMBOLIZATION GUIDING B,1350.0,,378.0,1161.0,83
HCPCS,C1887,HC MICROCATHETER EMBOLIZATION GUIDING C,1125.0,,315.0,967.5,83
HCPCS,C1887,HC MICROCATHETER EMBOLIZATION GUIDING D (MARATHON),1858.0,,520.24,1597.88,83
HCPCS,C1887,HC MICROCATHETER GUIDING ECHELON 10/14,1690.0,,473.2,1453.4,83
HCPCS,C1887,HC MICROCATHETER GUIDING ECHELON 45 DEG,1638.0,,458.64,1408.68,83
HCPCS,C1887,HC MICROCATHETER GUIDING REBAR 18,824.0,,230.72,708.64,83
HCPCS,C1887,HC MICROCATHETER PROWLER PLUS,2260.0,,632.8,1943.6,83
HCPCS,C1887,HC PINNACLE DESTINATION GUIDE SHEATH 7-9FFX45-90CM W DIL,180.0,,50.4,154.8,83
HCPCS,C1887,HC PINNACLE SHEATH 5FR X 45CM,186.0,,52.08,159.96,83
HCPCS,C1887,HC PROGREAT ALPHA 2FR PERIPHERAL MICROCATHETER,1450.0,,406.0,1247.0,83
HCPCS,C1887,HC STENT PRECISE PRO RX NITINOL STENT SYSTEM,3000.0,,840.0,2580.0,83
HCPCS,C1887,HC SUPRDIMN LOCATABL GD CATH,1493.0,,418.04,1283.98,83
HCPCS,C1887,HC SV-OMNI FLSH CATH 5F*65CMC1887,28.0,,7.84,24.08,83
HCPCS,C1887,HC TREVO PRO MICROCATHETER (MULT SIZES),1238.0,,346.64,1064.68,83
HCPCS,C1887,HC VASCULAR MINNIE CATH,238.0,,66.64,204.68,83
HCPCS,C1887,HC VASCULAR TWIN PASS CATH,650.0,,182.0,559.0,83
HCPCS,C1887,HC VISION CATHETER ION INTUITIVE (5X),2000.0,,560.0,1720.0,83
HCPCS,C1887,HC VISION CATHETER ION INTUITIVE (8X),1950.0,,546.0,1677.0,83
HCPCS,C1888,HC CRYO SPRAY CATHETER,3990.0,,1117.2,3431.4,83
HCPCS,C1888,HC SPRAY CATHETER - OLYMPUS,338.0,,94.64,290.68,83
HCPCS,C1888,HC TRUFREEZE CATH,3590.0,,1005.2,3087.4,83
HCPCS,C1889,HC BARRIGEL SPACER,6700.0,,1876.0,5762.0,83
HCPCS,C1889,HC SPACEOAR,8858.0,,2480.24,7617.88,83
HCPCS,C1889,HC TRI-EX TRIPLE LMN EXTRACTION BALLOON (MULT SIZES),370.0,,103.6,318.2,83
HCPCS,C1892,HC BLUNT NERV BLOCK20GX114MMC1892,38.0,,10.64,32.68,83
HCPCS,C1892,HC BLUNT NERV BLOCK20GX152MMC1892,38.0,,10.64,32.68,83
HCPCS,C1892,HC BLUNT NERV BLOCK20GX203MMC1892,38.0,,10.64,32.68,83
HCPCS,C1892,HC BLUNT NERV COUDE20GX114MMC1892,49.0,,13.72,42.14,83
HCPCS,C1892,HC BLUNT NERV COUDE20GX152MMC1892,44.0,,12.32,37.84,83
HCPCS,C1892,HC BLUNT NERV COUDE20GX203MMC1892,49.0,,13.72,42.14,83
HCPCS,C1892,HC DILATOR AMPLATZ 26FRC1892,75.0,,21.0,64.5,83
HCPCS,C1892,HC INTRO SAFESHEATH ULTR SU,160.0,,44.8,137.6,83
HCPCS,C1892,HC INTRO/SHEATH (OPTISEAL/PRELUDE),138.0,,38.64,118.68,83
HCPCS,C1892,HC INTRODUC W/O WIRE GUIDE C1892,235.0,,65.8,202.1,83
HCPCS,C1892,HC SAFESHEATH II FR 23CM,126.0,,35.28,108.36,83
HCPCS,C1893,HC CATHETER SET,42.0,,11.76,36.12,83
HCPCS,C1893,HC INTRO/SHEATH CPS DIR (MULT SIZES),1530.0,,428.4,1315.8,83
HCPCS,C1893,HC OUTERCATHETER 5 FR,863.0,,241.64,742.18,83
HCPCS,C1894,HC 5 FR RADIAL ARTERY SHEATH 13CM,73.0,,20.44,62.78,83
HCPCS,C1894,HC 5 FR X 11CM ARROW-FLEX SHEATH,630.0,,176.4,541.8,83
HCPCS,C1894,HC 6/7FX11CM ARRW SHTH INTRO,62.0,,17.36,53.32,83
HCPCS,C1894,HC 7-9FR SAFESHEATH,160.0,,44.8,137.6,83
HCPCS,C1894,HC BRAD MICRO INTRODUCER 4F C1894,97.0,,27.16,83.42,83
HCPCS,C1894,HC CAPSL DLVRSYSADVNC-USENDOC1894,317.0,,88.76,272.62,83
HCPCS,C1894,HC CATH KIT MAC 9FRX10CM,249.0,,69.72,214.14,83
HCPCS,C1894,HC CATHETER - DRAINAGE MULTI MAC-LOC,273.0,,76.44,234.78,83
HCPCS,C1894,HC CHECK FLO INTRODUCER XL,718.0,,201.04,617.48,83
HCPCS,C1894,HC CONTURA INTRO SPLSHEATHTP,150.0,,42.0,129.0,83
HCPCS,C1894,HC COOK ACCESS PLUS LUER-LOCK HIGH-VOL INFUS INTRODUCER SET,201.0,,56.28,172.86,83
HCPCS,C1894,HC DENVER SHUNT 12FR INTRO C1894,180.0,,50.4,154.8,83
HCPCS,C1894,HC DENVER SHUNT 16FR INTRO C1894,179.0,,50.12,153.94,83
HCPCS,C1894,HC ENDOSCOPIC GUIDE SHEATH KIT,273.0,,76.44,234.78,83
HCPCS,C1894,HC ENDOVASCULAR SHEATH A,191.0,,53.48,164.26,83
HCPCS,C1894,HC ENDOVASCULAR SHEATH B,660.0,,184.8,567.6,83
HCPCS,C1894,HC ENDOVASCULAR SHEATH C,413.0,,115.64,355.18,83
HCPCS,C1894,HC ENDOVASCULAR SHEATH H,22.0,,6.16,18.92,83
HCPCS,C1894,HC ENDOVASCULAR SHEATH JCDS-EDS,360.0,,100.8,309.6,83
HCPCS,C1894,HC ESOPHAGEAL OVERTUBE,1190.0,,333.2,1023.4,83
HCPCS,C1894,HC FLEXOR ANSEL GUIDING SHEATH,117.0,,32.76,100.62,83
HCPCS,C1894,HC FLEXOR RAABE GUIDING SHEATH,111.0,,31.08,95.46,83
HCPCS,C1894,HC FLEXOR SHUTTLE GUIDING SHEATH,226.0,,63.28,194.36,83
HCPCS,C1894,HC FORTE HD ACCESS SHEATH,203.0,,56.84,174.58,83
HCPCS,C1894,HC GASTRIC OVERTUBE,1350.0,,378.0,1161.0,83
HCPCS,C1894,HC GLIDESHEATH SLENDER FLEX 5-6F 10-21,138.0,,38.64,118.68,83
HCPCS,C1894,HC HI FLEXOR ANSEL GUIDING SHEATH,138.0,,38.64,118.68,83
HCPCS,C1894,HC INTRO MINOP DISP 10-19FR C1894,562.0,,157.36,483.32,83
HCPCS,C1894,HC INTRO/SHEATH 7-9FR,138.0,,38.64,118.68,83
HCPCS,C1894,HC INTRO/SHEATH MRI,264.0,,73.92,227.04,83
HCPCS,C1894,HC INTROD GUARD 8-10FRX15CM C1894,313.0,,87.64,269.18,83
HCPCS,C1894,HC INTRODUC KIT PERCUTAN 8FRC1894,138.0,,38.64,118.68,83
HCPCS,C1894,HC INTRODUCER KIT PERCU 12FRC1894,135.0,,37.8,116.1,83
HCPCS,C1894,HC INTRODUCER MICROPUNCTURE NITINOL SET,90.0,,25.2,77.4,83
HCPCS,C1894,HC INTRODUCER PICC W/SFTY 5F,96.0,,26.88,82.56,83
HCPCS,C1894,HC INTRODUCER SHEATH PERITONEAL,117.0,,32.76,100.62,83
HCPCS,C1894,HC INTRODUCER STYLET 15FR W/COUDE-CARE FUSIONS,49.0,,13.72,42.14,83
HCPCS,C1894,HC INTRODUCER/SAFESHEATH ULTRA (MULT SIZES),142.0,,39.76,122.12,83
HCPCS,C1894,HC KIT INTRO PERC 6FR C1894,87.0,,24.36,74.82,83
HCPCS,C1894,HC KIT INTRO PERC 8.5FR C1894,72.0,,20.16,61.92,83
HCPCS,C1894,HC KIT PERCUTANEOUS INTRO 9FR,94.0,,26.32,80.84,83
HCPCS,C1894,HC KIT PERCUTANEOUS INTRODUCE 6FR,87.0,,24.36,74.82,83
HCPCS,C1894,HC MEDTRON FF 11 CM SHEATH,117.0,,32.76,100.62,83
HCPCS,C1894,HC MEDTRON STERILE SLEEVES,43.0,,12.04,36.98,83
HCPCS,C1894,HC MICROINTRODUCER KIT (GREBSET),219.0,,61.32,188.34,83
HCPCS,C1894,HC MICROPUNCTURE SET A,51.0,,14.28,43.86,83
HCPCS,C1894,HC MICROPUNCTURE SET B,81.0,,22.68,69.66,83
HCPCS,C1894,HC MICROPUNCTURE SET C,138.0,,38.64,118.68,83
HCPCS,C1894,HC MIROPUNC INTRO SET C1894,77.0,,21.56,66.22,83
HCPCS,C1894,HC OVERTUBE ESOPH/COLN-SPRUSC1894,990.0,,277.2,851.4,83
HCPCS,C1894,HC OVERTUBE ESOPHAGL-FUJINONC1894,453.0,,126.84,389.58,83
HCPCS,C1894,HC PERFORMER INTRODUCER,224.0,,62.72,192.64,83
HCPCS,C1894,HC RADIOPAQUE MARKER INTRODUCER SHEATHS 7-9FX10-25CM,180.0,,50.4,154.8,83
HCPCS,C1894,HC SCOPE INTRODUCER C1894,49.0,,13.72,42.14,83
HCPCS,C1894,HC SHEATH 12FX12CM FAST CATH,46.0,,12.88,39.56,83
HCPCS,C1894,HC SHEATH 25CM TERUMO,65.0,,18.2,55.9,83
HCPCS,C1894,HC SHEATH 4-9FX10 PINNACLE,20.0,,5.6,17.2,83
HCPCS,C1894,HC SHEATH 5-8FX63-85 MULLINS,138.0,,38.64,118.68,83
HCPCS,C1894,HC SHEATH 5FR MICRO COOK,77.0,,21.56,66.22,83
HCPCS,C1894,HC SHEATH 5FR MICRO TERUMO,105.0,,29.4,90.3,83
HCPCS,C1894,HC SHEATH 5FSTIC-MICRO-ARGON,108.0,,30.24,92.88,83
HCPCS,C1894,HC SHEATH 5FSTIF-MICRO-NAVIL,72.0,,20.16,61.92,83
HCPCS,C1894,HC SHEATH 5FSTIFF-MICRO-COOK,132.0,,36.96,113.52,83
HCPCS,C1894,HC SHEATH 6-7FR 45CM TERUMO,209.0,,58.52,179.74,83
HCPCS,C1894,HC SHEATH 6F RADIAL,130.0,,36.4,111.8,83
HCPCS,C1894,HC SHEATH B,65.0,,18.2,55.9,83
HCPCS,C1894,HC SHEATH C,95.0,,26.6,81.7,83
HCPCS,C1894,HC SHEATH D,139.0,,38.92,119.54,83
HCPCS,C1894,HC SHEATH E,300.0,,84.0,258.0,83
HCPCS,C1894,HC SHEATH F,400.0,,112.0,344.0,83
HCPCS,C1894,HC SHEATH G,562.0,,157.36,483.32,83
HCPCS,C1894,HC SHEATH H,875.0,,245.0,752.5,83
HCPCS,C1894,HC SHEATH I,1248.0,,349.44,1073.28,83
HCPCS,C1894,HC SHEATH NEURON MAX,1103.0,,308.84,948.58,83
HCPCS,C1894,HC STENT INSERT KIT-OLYMPUS (MULT SIZES),144.0,,40.32,123.84,83
HCPCS,C1894,HC STENT INTRODUCR SYS-OASIS,134.0,,37.52,115.24,83
HCPCS,C1895,HC HV LEAD DURATA SVC STJUD,8420.0,,2357.6,7241.2,83
HCPCS,C1895,HC LEAD CAR-DEF EDC QUATTRO,10528.0,,2947.84,9054.08,83
HCPCS,C1895,HC LEAD CAR-DEF END DUA METR,9660.0,,2704.8,8307.6,83
HCPCS,C1895,HC LEAD ICD RELIANCE 59CM,7800.0,,2184.0,6708.0,83
HCPCS,C1897,HC COMP 1X8 TRL LD KIT 45C C1897,2724.0,,762.72,2342.64,83
HCPCS,C1897,HC IMPL LEAD NEUROS TEST KIT,840.0,,235.2,722.4,83
HCPCS,C1897,HC MEDTRONIC LEAD INTRO KITC1897,560.0,,156.8,481.6,83
HCPCS,C1897,HC NEUROMOD TEST STIMULATION LEAD KIT MODEL 306001,138.0,,38.64,118.68,83
HCPCS,C1897,HC NEUROMOD TEST STIMULATION LEAD KIT MODEL 309201,225.0,,63.0,193.5,83
HCPCS,C1897,HC SD 1X8 TRIAL LEAD KIT 45 C1897,2724.0,,762.72,2342.64,83
HCPCS,C1897,HC SUBCOMP 1X8 TRL LD KI 45CC1897,2724.0,,762.72,2342.64,83
HCPCS,C1898,HC DEXTRUS IS-1 RA/RV BOSTON,2000.0,,560.0,1720.0,83
HCPCS,C1898,HC HV LEAD PRUS/TENDR STJUD,1387.0,,388.36,1192.82,83
HCPCS,C1898,HC LEAD CAPSUREFIX NOVUS 5076-65,1249.0,,349.72,1074.14,83
HCPCS,C1898,HC LEAD INGEVITY MRI ACTIV,1100.0,,308.0,946.0,83
HCPCS,C1898,HC LEAD PACEMAKER POLYROX 4076-58CM,1248.0,,349.44,1073.28,83
HCPCS,C1898,HC LEAD PCMK VDD S/PASS,1253.0,,350.84,1077.58,83
HCPCS,C1898,HC LEAD PMKR VDD DEXTR BOST,1450.0,,406.0,1247.0,83
HCPCS,C1898,HC LEAD PMKR VDD S/CAPSUREFX,923.0,,258.44,793.78,83
HCPCS,C1898,HC LEAD PMKR VDD S/CAPSURFXN,1242.0,,347.76,1068.12,83
HCPCS,C1898,HC LEAD PMKR VDD S/MRI 52-58,1465.0,,410.2,1259.9,83
HCPCS,C1898,HC LEAD PMKR VDD S/SETRO S53,1200.0,,336.0,1032.0,83
HCPCS,C1898,HC LEAD PMKR VDD S/TENDRST JD,1572.0,,440.16,1351.92,83
HCPCS,C1898,HC MR CONDITIONAL LEAD 4076-58 CM LEAD-BIPOLAR,1242.0,,347.76,1068.12,83
HCPCS,C1898,HC TENDRIL MRI LEAD 46 CM,1387.0,,388.36,1192.82,83
HCPCS,C1900,HC ACUITY/EASYTRACK BOSTON,10000.0,,2800.0,8600.0,83
HCPCS,C1900,HC HV LEAD QUARET US STJUD,7964.0,,2229.92,6849.04,83
HCPCS,C1900,HC LEAD ATTAIN PERFORMA MRI,9347.0,,2617.16,8038.42,83
HCPCS,C1900,HC LEAD CORN EASTRAK2LVAIS-1,6600.0,,1848.0,5676.0,83
HCPCS,C1900,HC LEAD LFT VCS ATTAIN STRT,4364.0,,1221.92,3753.04,83
HCPCS,C1900,HC LEAD LFT VCS QUARLEADST JD,9030.0,,2528.4,7765.8,83
HCPCS,C1900,HC LEAD LFT VCVS ATTAIN PERFORMA MEDTRONIC,9347.0,,2617.16,8038.42,83
HCPCS,C1900,HC LEAD LFT VENT CORON  SYS,5796.0,,1622.88,4984.56,83
HCPCS,C1900,HC LEAD PACING ATTAIN MRI,10347.0,,2897.16,8898.42,83
HCPCS,C1900,HC MR CONDITIONAL LEAD 4196-78,4391.0,,1229.48,3776.26,83
HCPCS,C1982,HC TRINAV INFUSION SYSTEM CATH,15500.0,,4340.0,13330.0,83
HCPCS,C2615,HC PROGEL PLEURAL AIR LEAK SEALANT KIT - 4ML,2331.0,,652.68,2004.66,83
HCPCS,C2616,"HC BRACHYTHERAPY SEED, YTTRIUM-90",33000.0,,9240.0,28380.0,84
HCPCS,C2616,YTTRIUM-90 SIR-SPHERES INJECTION [40800002872],51594.0,,14446.32,44370.84,84
HCPCS,C2616,YTTRIUM-90 THERASPHERE INJECTION [40800002871],55501.0,,15540.28,47730.86,84
HCPCS,C2617,HC BILIARY STENT COTTON-LEUNG CURVED (MULT SIZES),110.0,,30.8,94.6,83
HCPCS,C2617,HC BILIARY STENT DOUBLE PIGTAIL,162.0,,45.36,139.32,83
HCPCS,C2617,HC BILIARY STENT TAEWOONG NITI-S D ENDO,3150.0,,882.0,2709.0,83
HCPCS,C2617,HC CATH URL DIL 5.8F*75CM C2617,534.0,,149.52,459.24,83
HCPCS,C2617,HC COKSTENT F-URET6F*20-24CMC2617,251.0,,70.28,215.86,83
HCPCS,C2617,HC COOK STENT DB J 7F*22CM C2617,251.0,,70.28,215.86,83
HCPCS,C2617,HC COOK STENT URET 6F-8F C2617,251.0,,70.28,215.86,83
HCPCS,C2617,HC COOK STENTF-URET 6F*26CM C2617,251.0,,70.28,215.86,83
HCPCS,C2617,HC DUMON HOURGLASS TRACHEAL STENT,1350.0,,378.0,1161.0,83
HCPCS,C2617,HC PERCUFLEX U-STENT 6F 80CMC2617,415.0,,116.2,356.9,83
HCPCS,C2617,HC STENT F-URT MAR7F*24-28CMC2617,446.0,,124.88,383.56,83
HCPCS,C2617,HC STENT F-URT MAR8F*22-28CMC2617,313.0,,87.64,269.18,83
HCPCS,C2617,HC STENT PANCREATIC,110.0,,30.8,94.6,83
HCPCS,C2617,HC STENT S-URET 6FX22-28CM C2617,603.0,,168.84,518.58,83
HCPCS,C2617,HC STENT S-URET 7FX20-28CM C2617,603.0,,168.84,518.58,83
HCPCS,C2617,HC STENT S-URET 8FX20-28CM C2617,467.0,,130.76,401.62,83
HCPCS,C2617,HC STENT U-WHISTL TP 7F*70CMC2617,138.0,,38.64,118.68,83
HCPCS,C2617,HC STNT URET DB6-8FRX20-28CMC2617,338.0,,94.64,290.68,83
HCPCS,C2617,HC STNT URET DBLJ FRM7FX30CMC2617,324.0,,90.72,278.64,83
HCPCS,C2617,HC STNT URET WHISTLTP6FX70CMC2617,37.0,,10.36,31.82,83
HCPCS,C2617,HC SURGITK STENT URET DJ6-7FC2617,338.0,,94.64,290.68,83
HCPCS,C2617,HC SURGTK STNT URETDJ7F*90CMC2617,550.0,,154.0,473.0,83
HCPCS,C2617,HC URETERAL STENT SET,193.0,,54.04,165.98,83
HCPCS,C2617,HC URETERL PIGTAIL STENT SET,223.0,,62.44,191.78,83
HCPCS,C2617,HC XTRAFLO URETERAL STENT,270.0,,75.6,232.2,83
HCPCS,C2618,HC ABLATION DEVICE C (CRYOPROBE),2000.0,,560.0,1720.0,83
HCPCS,C2618,HC CRYO PROBE 3MM*18MM,2000.0,,560.0,1720.0,83
HCPCS,C2618,HC CRYO PROBE 5-8MM C2618,2000.0,,560.0,1720.0,83
HCPCS,C2618,HC CRYOPROBE FLEX 2 ERBE A,664.0,,185.92,571.04,83
HCPCS,C2618,HC CRYOPROBE FLEX 2 ERBE B,889.0,,248.92,764.54,83
HCPCS,C2618,HC CRYOPROBE V-PROBE 1-3MM,2400.0,,672.0,2064.0,83
HCPCS,C2618,HC IMRI CRYO PROBE D,2400.0,,672.0,2064.0,83
HCPCS,C2618,HC NEEDLE CRYOABLATION ICE,2000.0,,560.0,1720.0,83
HCPCS,C2618,HC P1M PROSTATE CRYO KIT C2618,8250.0,,2310.0,7095.0,83
HCPCS,C2618,HC P1M PROSTATE CRYO PROBE C2618,578.0,,161.84,497.08,83
HCPCS,C2618,HC P1M RENAL CRYO KIT C2618,8250.0,,2310.0,7095.0,83
HCPCS,C2618,HC P1M RENAL CRYO PROBE 2618,3000.0,,840.0,2580.0,83
HCPCS,C2618,HC SET CROPROBE DIRECT 1MM C2618,875.0,,245.0,752.5,83
HCPCS,C2619,HC PACEMAKER DUAL CHMBR,2615.0,,732.2,2248.9,83
HCPCS,C2621,HC PACEMKR S/D CHAMB CONSULT,16012.0,,4483.36,13770.32,83
HCPCS,C2621,HC PACMKR S/D CHAM QUADRA ALLURE PM3242,22962.0,,6429.36,19747.32,83
HCPCS,C2621,HC PACMKR S/DCHAMB INVIVBOST,17800.0,,4984.0,15308.0,83
HCPCS,C2621,HC PACMKR S/DCHAMB STJUDARF,16488.0,,4616.64,14179.68,83
HCPCS,C2621,HC PACMKR S/DCHAMB/ALLRQST JD,21952.0,,6146.56,18878.72,83
HCPCS,C2621,HC PERCEPTA CRT-P MRI SURESCAN,19427.0,,5439.56,16707.22,83
HCPCS,C2621,HC PERCEPTA QUAD CRT-P MRI SURESCAN PACEMAKER GENERATOR,23900.0,,6692.0,20554.0,83
HCPCS,C2621,HC QUADRA ALLURE MP BI-V GENERATOR,22962.0,,6429.36,19747.32,83
HCPCS,C2621,HC SOLARA QUAD CRT-P MRI SURESCAN PACEMAKER GENERATOR W4TR03,18627.0,,5215.56,16019.22,83
HCPCS,C2623,HC CATHETER DRUG COATED PTA BALLOON  - LUTONIX AV,5998.0,,1679.44,5158.28,83
HCPCS,C2623,HC CATHETER DRUG COATED PTA BALLOON - LUTONIX,3300.0,,924.0,2838.0,83
HCPCS,C2624,HC CARDIOMEMS PA SENSOR DELIVERY SYSTEM,36000.0,,10080.0,30960.0,83
HCPCS,C2625,HC RESONANCE URETERAL STENT W/DELIVERY,1791.0,,501.48,1540.26,83
HCPCS,C2625,HC RX BILIARY CB PRELOADED C2625,508.0,,142.24,436.88,83
HCPCS,C2625,HC STENT BILIARY DOUBLE PIGTAIL W INTRODUCER 10X5-9CM,230.0,,64.4,197.8,83
HCPCS,C2625,HC STENT CB PRELOADEDC2625,270.0,,75.6,232.2,83
HCPCS,C2625,HC URETERAL STENT,280.0,,78.4,240.8,83
HCPCS,C2625,HC XTRAFLURET STENT6F10-30CM,338.0,,94.64,290.68,83
HCPCS,C2627,HC CATH SUPRPBC ST10-14FPRCUC2627,119.0,,33.32,102.34,83
HCPCS,C2627,HC SUPRAPUB CATH,72.0,,20.16,61.92,83
HCPCS,C2627,HC URET DILATR H-CATH12F60CMC2627,72.0,,20.16,61.92,83
HCPCS,C2627,HC URETHRAL DILATOR SET COOK,365.0,,102.2,313.9,83
HCPCS,C2628,HC BALLOON GUIDE CATHETER (FLWGT/MERCI) (MULT SIZES),2435.0,,681.8,2094.1,83
HCPCS,C2628,HC CATH FOGARTY OCCLU C2628,147.0,,41.16,126.42,83
HCPCS,C2628,HC OCCLUSION CATHETER A,878.0,,245.84,755.08,83
HCPCS,C2628,HC OCCLUSION CATHETER B,762.0,,213.36,655.32,83
HCPCS,C2628,HC OCCLUSION CATHETER C (TRANSFORM/SCEPTER),3400.0,,952.0,2924.0,83
HCPCS,C2628,HC OCCLUSION CATHETER D,2000.0,,560.0,1720.0,83
HCPCS,C2628,HC OCCLUSION CATHETER E,2400.0,,672.0,2064.0,83
HCPCS,C2634,HC XRT-I125 1.09=>1.55MCI OCULAR SEED NS,248.0,,69.44,213.28,84
HCPCS,C2634,HC XRT-I125 3.0=>4.0MCI OCULAR SEED NSTR,282.0,,78.96,242.52,84
HCPCS,C2634,HC XRT-I125 LOACT OCULAR SEED<1000MCI,225.0,,63.0,200.169,84
HCPCS,C2634,HC XRT-I125<3.0MCI OCULAR SEED NSTR,270.0,,75.6,232.2,84
HCPCS,C2634,HC XRT-I125>4.0 MCI OCULAR SEED NST,304.0,,85.12,261.44,84
HCPCS,C2638,HC XRT-I125 PROSTAT SEED-STR,176.0,,40.549,151.36,84
HCPCS,C2639,HC XRT-I125 PROSTA SEED-NSTR,142.0,,39.76,122.12,84
HCPCS,C2640,HC XRT-PD103 PROSTAT SEED-STR,270.0,,75.6,232.2,84
HCPCS,C2641,HC XRT-P103 PROSTA SEED-NSTR,243.0,,68.04,208.98,84
HCPCS,C2642,HC CS-131 PROSTAT SEED-STR,349.0,,97.72,300.14,84
HCPCS,C2643,HC CS-131 PROSTAT SEED-NSTR,158.0,,44.24,135.88,84
HCPCS,C2698,HC IR-192 SEEDS STRANDED,716.0,,40.549,615.76,84
HCPCS,C2699,HC RU-106 RUTHENIUM BRACHYTHERAPY SOURCE NON-STRANDED,7028.0,,42.136,6044.08,84
HCPCS,C7568,HC CORONARY ANGIOGRAPHY W/FLOW RESRV MEASURMNT,5752.0,,1610.56,4946.72,83
HCPCS,C7568,PR COR ANGIO W/FLOW RESRV,2819.0,,1691.4,2537.1,28
HCPCS,C8001,HC 3D ANAT SEG IMAGING PREOP,4086.0,,151.179,3513.96,84
HCPCS,C8005,HC BRONCHOSCOPY NON-THERML TRANSBRONCH ABLATN OF LESION(S) BY PULSE ELCT FIELD,4396.0,,1230.88,20125.575,84
HCPCS,C8900,HC MRA ABDOMEN WITH CONTRAST,2734.0,,409.8945,3403.0,84
HCPCS,C8901,HC MRA ABDOMEN W/O CONTRAST,2514.0,,280.3355,3403.0,84
HCPCS,C8902,HC MRA ABDOMEN W&W/O CONTRAST,3359.0,,409.8945,3403.0,84
HCPCS,C8903,"HC MRI BREAST W/CONTRAST, UNILATERAL",3949.0,,206.08,3403.0,84
HCPCS,C8905,"HC MRI BREAST W/WO CONTRAST, UNILATERAL",4151.0,,409.8945,3569.86,84
HCPCS,C8906,"HC MRI BREAST W/CONTRAST, BILATERAL",4993.0,,409.8945,4293.98,84
HCPCS,C8908,"HC MRI BREAST W/WO CONTRAST, BILATERAL",4993.0,,409.8945,4293.98,84
HCPCS,C8909,HC MRA CHEST WITH CONTRAST,3339.0,,409.8945,3403.0,84
HCPCS,C8910,HC MRA CHEST W/O CONTRAST,2920.0,,280.3355,3403.0,84
HCPCS,C8911,HC MRA CHEST W&W/O CONTRAST,3569.0,,409.8945,3403.0,84
HCPCS,C8918,HC MRA PELVIS WITH CONTRAST,3973.0,,409.8945,3416.78,84
HCPCS,C8919,HC MRA PELVIS W/O CONTRAST,3455.0,,280.3355,3403.0,84
HCPCS,C8920,HC MRA PELVIS W&WO CONTRAST,4658.0,,409.8945,4005.88,84
HCPCS,C8923,"HC 2D TTE W/CONTRAST, COMPLETE",2141.0,,599.48,1841.26,84
HCPCS,C8924,"HC 2D TTE W/CONTRAST, LIMITED",1421.0,,397.88,1222.06,84
HCPCS,C8929,"HC TTE  W/CONTRAST, DOPPLER",2925.0,,819.0,2515.5,84
HCPCS,C8930,"HC TTE STRESS W/CONTRAST, WITH ECG",2829.0,,792.12,2432.94,84
HCPCS,C8936,HC MRA UP EXT W/WO,3228.0,,409.8945,3403.0,84
HCPCS,C8937,HC CAD BREAST MRI W/PHY REVIEW & INTERPRETATION,76.0,,21.28,3403.0,83
HCPCS,C8957,HC IV INF THERAPY INIT PUMP,801.0,,224.28,688.86,84
HCPCS,C9046,COCAINE 4 % NASAL SOLUTION [185335],931.6500000000001,,225.092,911.084,166
HCPCS,C9092,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION [198539],5405.4,,1513.512,4648.644,166
HCPCS,C9143,COCAINE 4 % NASAL SOLUTION [185335],1177.35,,329.658,1012.521,83
HCPCS,C9254,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],226.0,,38.794,287.541,664
HCPCS,C9254,LACOSAMIDE IVPB 200 MG/20 ML (MAX CONC) (PEDI < 20.5 KG) [40800000502],334.35,,93.618,287.541,83
HCPCS,C9254,LACOSAMIDE IVPB 200 MG/20 ML (MAX CONC) (PEDI) [40840002440],334.35,,93.618,287.541,83
HCPCS,C9254,LACOSAMIDE IVPB 200 MG/20 ML (MAX CONC) [40800002430],334.35,,93.618,287.541,83
HCPCS,C9257,BEVACIZUMAB INTRAVITREAL INJECTION 10 MG/0.4 ML [40800002404],406.8,,1.86,349.848,85
HCPCS,C9293,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION [116024]",141631.35,,515.99465,121802.961,84
HCPCS,C9293,GLUCARPIDASE INTRATHECAL INJECTION [40800000246],141631.35,,515.99465,121802.961,84
HCPCS,C9307,LINVOSELTAMAB-GCPT 2 MG/ML INTRAVENOUS SOLUTION [209547],1539.75,,111.343,1324.185,168
HCPCS,C9307,LINVOSELTAMAB-GCPT 20 MG/ML INTRAVENOUS SOLUTION [209545],61588.8,,111.343,52966.368,168
HCPCS,C9358,"HC SURGIMEND 16X20CM, 1.0 RECTANGLE/0.5 SQ CM",17.0,,4.76,14.62,83
HCPCS,C9358,HC SURGIMEND PRS 10X15CM SEMI-OVAL/0.5 SQ CM,24.0,,6.72,20.64,83
HCPCS,C9358,HC SURGIMEND PRS 10X20CM MESHED/0.5 SQ CM,34.0,,9.52,29.24,83
HCPCS,C9358,HC SURGIMEND PRS 7X17CM FEN RECTANGLE/0.5 SQ CM,24.0,,6.72,20.64,83
HCPCS,C9360,"HC SURGIMEND 10X15CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
HCPCS,C9360,"HC SURGIMEND 13X25CM, 2.0 RECTANGLE/0.5 SQ CM",18.0,,5.04,15.48,83
HCPCS,C9360,"HC SURGIMEND 13X25CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
HCPCS,C9360,"HC SURGIMEND 13X25CM, 4.0 RECTANGLE/0.5 SQ CM",21.0,,5.88,18.06,83
HCPCS,C9360,"HC SURGIMEND 16X20CM, 3.0 RECTANGLE/0.5 SQ CM",21.0,,5.88,18.06,83
HCPCS,C9360,"HC SURGIMEND 20X25CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
HCPCS,C9360,"HC SURGIMEND 20X30CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
HCPCS,C9360,"HC SURGIMEND 20X30CM, 4.0 RECTANGLE/0.5 SQ CM",21.0,,5.88,18.06,83
HCPCS,C9360,"HC SURGIMEND 25X40CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
HCPCS,C9360,"HC SURGIMEND 25X40CM, 4.0 RECTANGLE/0.5 SQ CM",21.0,,5.88,18.06,83
HCPCS,C9360,"HC SURGIMEND MP RECTANGLE 10X15CM, 2.0MM /0.5SQCM",18.0,,5.04,15.48,83
HCPCS,C9360,"HC SURGIMEND RECTANGLE 10X15CM, 1.0MM /0.5SQCM",17.0,,4.76,14.62,83
HCPCS,C9360,"HC SURGIMEND RECTANGLE 10X15CM, 4.0MM /0.5SQCM",21.0,,5.88,18.06,83
HCPCS,C9360,"HC SURGIMEND RECTANGLE 13X25CM, 1.0MM /0.5SQCM",17.0,,4.76,14.62,83
HCPCS,C9399,"AMIVANTAMAB 1,600 MG-HYALURONIDASE-LPUJ 20,000 UNIT/10 ML SUBCUT SOLN [211082]",40565.6,,11358.368,34886.416,83
HCPCS,C9399,"AMIVANTAMAB 2,240 MG-HYALURONIDASE-LPUJ 28,000 UNIT/14 ML SUBCUT SOLN [211083]",56791.8,,15901.704,48840.948,83
HCPCS,C9399,"AMIVANTAMAB 2,400 MG-HYALURONIDASE-LPUJ 30,000 UNIT/15 ML SUBCUT SOLN [211444]",60848.35,,17037.538,52329.581,83
HCPCS,C9399,"AMIVANTAMAB 3,520 MG-HYALURONIDASE-LPUJ 44,000 UNIT/22 ML SUBCUT SOLN [40800004043]",89244.25,,24988.39,76750.055,83
HCPCS,C9399,BELANTAMAB MAFODOTIN-BLMF 50 MG/ML INJ [40800002690],78624.0,,22014.72,67616.64,83
HCPCS,C9399,DURLOBACTAM 200 MG/ML INJECTION SOLUTION [40800003890],573.3,,160.524,493.038,83
HCPCS,C9399,ERLOTINIB 25 MG TABLET [40089],297.1,,83.188,255.506,83
HCPCS,C9399,LIFILEUCEL 7.5 X 10EXP9 TO 72 X 10EXP9 CELL INTRAVENOUS SUSPENSION [203845],1837740.0,,612580.0,1837740.0,28
HCPCS,C9399,NARSOPLIMAB-WUUG 370 MG/2 ML (185 MG/ML) INTRAVENOUS SOLUTION [211232],120573.2,,33760.496,103692.952,83
HCPCS,C9399,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE [112458],3380.35,,946.498,2907.101,166
HCPCS,C9399,"RILPIVIRINE ER 900 MG/3 ML (300 MG/ML) IM SUSPENSION, EXTENDED RELEASE [197093]",11683.8,,3271.464,10048.068,83
HCPCS,C9399,SORAFENIB ORAL SUSPENSION 6.7 MG/ML (IP-CMPD) [40800001994],366.35,,102.578,315.061,83
HCPCS,C9399,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION [202245],573.3,,160.524,493.038,83
HCPCS,C9399,SULBACTAM 200 MG/ML INJECTION SOLUTION [40800003889],573.3,,160.524,493.038,83
HCPCS,C9399,VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE [211193],736.75,,206.29,633.605,166
HCPCS,C9399,VORINOSTAT ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800000958],7596.95,,2127.146,6533.377,83
HCPCS,C9460,CANGRELOR 10 MG/ML INTRAVENOUS SOLUTION [40800003833],3440.65,,20.02,2958.959,85
HCPCS,C9460,CANGRELOR 50 MG INTRAVENOUS SOLUTION [173891],3440.65,,20.02,2958.959,170
HCPCS,C9728,HC PLACEMENT INTERSTITIAL DEVICE RADX THERAPY/SURGERY,4022.0,,1126.16,3458.92,84
HCPCS,C9779,HC ESD ENDOSCOPY OR COLONOSCOPY,7309.0,,2046.52,6285.74,84
HCPCS,C9793,HC PRE 3D MDL W/CCTA AND/OR MRI,4086.0,,1008.941,3513.96,84
HCPCS,C9797,HC VASCULAR EMBOLIZATION/OCCLUSION WITH PRESSURE CATHETER,6864.0,,1921.92,21537.9935,84
HCPCS,C9804,ELASTOMERIC PUMP RESERVOIR 10 INCH 400 ML [40800001709],1044.1,,292.348,897.926,83
HCPCS,C9804,ELASTOMERIC PUMP RESERVOIR 2.5 INCH 400 ML [40800001707],805.35,,225.498,692.601,83
HCPCS,C9804,ELASTOMERIC PUMP RESERVOIR 5 INCH 270 ML [40800001706],454.55,,127.274,390.913,83
HCPCS,C9804,ELASTOMERIC PUMP RESERVOIR 5 INCH 400 ML [40800001708],749.4,,209.832,644.484,83
HCPCS,D4268,HC SURG REVSN PROC PER TOOTH,2085.0,,583.8,1793.1,85
HCPCS,D6211,HC IMPLANT CLIX F,65.0,,18.2,1297.41,84
HCPCS,D7140,HC DENT EXT/PRE-RAD MED,370.0,,103.6,759.5635,85
HCPCS,E0100,HC CANE UNI-POISE GUARDIAN,38.0,,10.64,32.68,83
HCPCS,E0100,HC CANE UNI-POISE YOUTH (GUARDIA,66.0,,18.48,56.76,83
HCPCS,E0105,HC CANE QUAD NARROW (GUARDIAN),68.0,,19.04,58.48,83
HCPCS,E0105,HC CRUTCH QUAD GAITER AID TALL AD,216.0,,60.48,185.76,83
HCPCS,E0116,HC CRUTCH FOREARM ADULT,110.0,,30.8,94.6,83
HCPCS,E0116,HC CRUTCH RED DOT ADULT,51.0,,14.28,43.86,83
HCPCS,E0116,HC CRUTCH RED DOT ADULT TALL,51.0,,14.28,43.86,83
HCPCS,E0116,HC CRUTCH RED DOT YOUTH,51.0,,14.28,43.86,83
HCPCS,E0135,HC CANE WALKER SIDESTEPPER,65.0,,18.2,55.9,83
HCPCS,E0135,HC WALKER ATTACHMENT PLATFORM,340.0,,95.2,292.4,83
HCPCS,E0143,HC WALKER RED DOT ADULT,138.0,,38.64,118.68,83
HCPCS,E0143,HC WALKER RED DOT YOUTH,138.0,,38.64,118.68,83
HCPCS,E0143,HC WALKER X-WIDE,152.0,,42.56,130.72,83
HCPCS,E0159,HC WALKR WHEELS ONLY FXD5IN(PAIR),62.0,,17.36,53.32,83
HCPCS,E0191,HC BOOT PREVALON W/STABILIZR,138.0,,38.64,118.68,83
HCPCS,E0191,HC PROTEC HEEL PREVALON PTIT,138.0,,38.64,118.68,83
HCPCS,E0191,HC PROTECTR HEEL XL PRVALNWW,338.0,,94.64,290.68,83
HCPCS,E0199,HC PAD CONVOLUTED 36IN*74IN (ZIMF,38.0,,10.64,32.68,83
HCPCS,E0370,HC HEEL ELEVATOR UNIV SIZE,66.0,,18.48,56.76,83
HCPCS,E0621,HC PT LIFT SLING FULLBODY LG,123.0,,34.44,105.78,83
HCPCS,E0621,HC PT LIFT SLING FULLBODY MD,118.0,,33.04,101.48,83
HCPCS,E0621,HC PT LIFT SLING FULLBODY SM,115.0,,32.2,98.9,83
HCPCS,E0621,HC PT LIFT SLING FULLBODY XL,128.0,,35.84,110.08,83
HCPCS,E0621,HC PT LIFT SLING SIT/STND LG,102.0,,28.56,87.72,83
HCPCS,E0621,HC PT LIFT SLING SIT/STND MD,98.0,,27.44,84.28,83
HCPCS,E0621,HC PT LIFT SLING SIT/STND SME,82.0,,22.96,70.52,83
HCPCS,E0621,HC PT LIFT SLING SIT/STND XL,106.0,,29.68,91.16,83
HCPCS,E0621,HC PT LIFT SLNG FULBODY XXXL,297.0,,83.16,255.42,83
HCPCS,E0621,HC PT LIFT SLNG FULLBODY XXL,138.0,,38.64,118.68,83
HCPCS,E0710,HC RESTRAINT LIMB SML 10IN E0710,32.0,,8.96,27.52,83
HCPCS,E0785,HC CATH INDURA 1P INTRATHECLC1755,1084.0,,303.52,932.24,83
HCPCS,E0785,HC CATH INTRATHECL 2PC 41IN C1755,4386.0,,1228.08,3771.96,83
HCPCS,E1399,HC CATH ACCESS KIT VENTRIC,538.0,,150.64,462.68,83
HCPCS,E1399,HC CATH CSF VENTRIC STD TR E1399,278.0,,77.84,239.08,83
HCPCS,E1399,HC CRUNCH GRAFTON 5CC E1399,1490.0,,417.2,1281.4,83
HCPCS,E1399,HC GORE-TEX DUAL20CM*30CM2MM,7596.0,,2126.88,6532.56,83
HCPCS,E1399,HC LUQUE WIRE E1399,158.0,,44.24,135.88,83
HCPCS,E1399,HC MATRIX DURAL GRAFT 3*3 E1399,1008.0,,282.24,866.88,83
HCPCS,E1399,HC MATRIX DURAL GRAFT 4*5 E1399,1994.0,,558.32,1714.84,83
HCPCS,E1399,HC PAC VASC DUAL LOPRO 6.8FRC1788,900.0,,252.0,774.0,83
HCPCS,E1399,HC PAC VASC DUAL LOPRP 6.8FRC1788,900.0,,252.0,774.0,83
HCPCS,E1399,HC PAC VASCSINGLETRIVTX9.5FRC1788,750.0,,210.0,645.0,83
HCPCS,E1399,HC PORT BARD TIT IMPLANT C1788,526.0,,147.28,452.36,83
HCPCS,E1399,HC SHEETING SILCON REINF.004E1399,420.0,,117.6,361.2,83
HCPCS,E1399,HC SHEETING SILCON REINF.007E1399,380.0,,106.4,326.8,83
HCPCS,E1399,HC SHT DURAL NR 8*6*.005-.20,350.0,,98.0,301.0,83
HCPCS,E1399,HC WISCONSIN WIRE E1399,57.0,,15.96,49.02,83
HCPCS,E1700,HC SYSTEM JAW REHAB THERABITE ADULT,916.0,,256.48,787.76,83
HCPCS,E2603,HC CUSHION SEGMENTED 4X16X18IN,258.0,,72.24,221.88,83
HCPCS,G0008,HC INFLUENZA VACCINE-ADMIN,75.0,,21.0,64.5,85
HCPCS,G0009,HC PNEUMOCOCAL VACCINE-ADMIN,75.0,,21.0,64.5,85
HCPCS,G0010,HC HEPATITIS B VACCINE ADMIN,75.0,,21.0,64.5,85
HCPCS,G0023,HC PRINCIPAL ILLNESS NAVIGATION SVCS 60 MIN PER CAL MO,358.0,,100.24,307.88,83
HCPCS,G0024,HC PRINCIPAL ILLNESS NAVIGATION SVCS ADDL 30 MIN PER CAL MO,180.0,,50.4,154.8,83
HCPCS,G0101,HC PELVIC BREAST SCREENING,273.0,,46.59,234.78,85
HCPCS,G0101,PR CA SCREEN;PELVIC/BREAST EXAM,225.0,,20.07,202.5,47
HCPCS,G0102,HC PROST SCREEN DIGIT EXAM,72.0,,14.53,61.92,84
HCPCS,G0102,PR PROSTATE CA SCREENING; DRE,82.0,,6.36,73.8,55
HCPCS,G0103,HC PROSTATE CANCER SCREENING (PSA),234.0,,24.1375,201.24,84
HCPCS,G0104,HC CANCER SCREEN SIGMOID,1243.0,,95.43,1092.615,85
HCPCS,G0104,PR CA SCREEN;FLEXI SIGMOIDSCOPE,573.0,,40.5812,515.7,51
HCPCS,G0105,HC COLONOS SCRN HIGH RISK,3307.0,,308.82,2844.02,85
HCPCS,G0105,PR COLORECTAL SCRN; HI RISK IND,1861.0,,133.2896,1674.9,55
HCPCS,G0108,HC DIABETES MANAGE TRN PER INDIV PER 30 MIN,229.0,,64.12,196.94,84
HCPCS,G0109,HC DIABETES MANAGE TRN IND/GROUP PER 30 MIN,229.0,,26.03,196.94,84
HCPCS,G0121,HC COLONOS SCRN NOT H RISK,3056.0,,309.59,2628.16,85
HCPCS,G0121,PR COLON CA SCRN NOT HI RSK IND,1807.0,,133.538,1626.3,51
HCPCS,G0124,PR SCREEN C/V THIN LAYER BY MD,123.0,,16.65,110.7,47
HCPCS,G0127,PR TRIM NAIL(S),91.0,,5.39,81.9,42
HCPCS,G0128,PR CORF SKILLED NURSING SERVICE,31.0,,6.61,27.9,42
HCPCS,G0130,PR SINGLE ENERGY X-RAY STUDY,117.0,,7.83,105.3,55
HCPCS,G0141,"PR SCR C/V CYTO,AUTOSYS AND MD",126.0,,16.65,113.4,47
HCPCS,G0166,"PR EXTRNL COUNTERPULSE, PER TX",540.0,,11.69,560.59,42
HCPCS,G0168,PR WOUND CLOSURE BY ADHESIVE,259.0,,10.77,233.1,47
HCPCS,G0179,PR MD RECERTIFICATION HHA PT,192.0,,30.11,189.9,47
HCPCS,G0180,PR MD CERTIFICATION HHA PATIENT,250.0,,37.94,249.45,47
HCPCS,G0181,PR HOME HEALTH CARE SUPERVISION,413.0,,75.4,428.55,47
HCPCS,G0182,PR HOSPICE CARE SUPERVISION,522.0,,75.89,469.8,47
HCPCS,G0219,HC MELANOMA NON COVEREDPET WB,9213.0,,2579.64,7923.18,83
HCPCS,G0219,PR PET IMG WHOLBOD MELANO NONCO,698.0,,59.35,628.2,40
HCPCS,G0235,HC PET NOT OTHERWISE SPECIFD,8836.0,,469.6945,7598.96,84
HCPCS,G0235,PR PET NOT OTHERWISE SPECIFIED,430.0,,125.0,387.0,34
HCPCS,G0257,HC RENAL DIALYSIS-UNSCHEDULED,2802.0,,784.56,2409.72,84
HCPCS,G0260,HC INJ-SI JT ARTH &/ANS/STD,2463.0,,395.16,2118.18,85
HCPCS,G0269,HC PLACMNT CLOSE VEIN/ARTERY,1481.0,,414.68,1273.66,83
HCPCS,G0269,PR OCCLUSIVE DEVICE IN VEIN ART,450.0,,47.86,649.89,40
HCPCS,G0278,HC L HRT CATH W/ILIAC ARTER,5787.0,,23.32,4976.82,84
HCPCS,G0278,"PR ILIAC ART ANGIO,CARDIAC CATH",119.0,,9.79,107.1,47
HCPCS,G0279,HC DIAGNST BREAST TOMOSYNTHS,182.0,,47.45,156.52,83
HCPCS,G0279,"PR TOMOSYNTHESIS, MAMMO",306.0,,16.78,275.4,55
HCPCS,G0283,HC ELEC STIMULATION(UNATT'D),100.0,,19.44,86.0,84
HCPCS,G0296,HC COUNSELING TO DISCUSS LOW DOSE CT SCAN ELIGIBILITY,141.0,,39.48,121.26,83
HCPCS,G0296,PR VISIT TO DETERM LDCT ELIG,109.0,,14.82,98.1,47
HCPCS,G0316,PR PROLONG INPT EVAL ADD15 M,163.0,,17.23,146.7,45
HCPCS,G0380,"HC LEVEL 1 VISIT, EC TYPE B",521.0,,87.331,448.06,84
HCPCS,G0381,"HC LEVEL 2 VISIT, EC TYPE B",692.0,,109.135,595.12,84
HCPCS,G0382,"HC LEVEL 3 VISIT, EC TYPE B",925.0,,201.9515,795.5,84
HCPCS,G0383,"HC LEVEL 4 VISIT, EC TYPE B",1232.0,,310.5345,1059.52,84
HCPCS,G0384,"HC LEVEL 5 VISIT, EC TYPE B",1643.0,,460.04,1412.98,84
HCPCS,G0397,HC ALCOHOL SUBSTANCE ASSESS,139.0,,38.92,119.54,83
HCPCS,G0406,PR INPT/TELE FOLLOW UP 15,157.0,,21.81,141.3,47
HCPCS,G0407,PR INPT/TELE FOLLOW UP 25,314.0,,40.18,282.6,47
HCPCS,G0408,PR INPT/TELE FOLLOW UP 35,468.0,,57.74,421.2,47
HCPCS,G0416,"PR PROSTATE BIOPSY, ANY MTHD",2081.0,,100.51,1872.9,47
HCPCS,G0425,PR INPT/ED TELECONSULT30,394.0,,56.59,354.6,47
HCPCS,G0426,PR INPT/ED TELECONSULT50,533.0,,76.19,479.7,47
HCPCS,G0427,PR INPT/ED TELECONSULT70,752.0,,111.73,676.8,47
HCPCS,G0429,HC JUVEDERM ULTRA PLUS XC HYALURONIC FACIAL FILLER/1CC SYRINGE,698.0,,195.44,600.28,83
HCPCS,G0429,PR DERMAL FILLER INJECTION(S),365.0,,38.58,328.5,47
HCPCS,G0447,HC BEHAVR COUNSL OBESTY/15MN,121.0,,33.88,104.06,83
HCPCS,G0447,PR BEHAVIOR COUNSEL OBESITY 15M,118.0,,13.25,106.2,47
HCPCS,G0452,PR ABL SEQUENCING  INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR ABL T315I QUANT INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR ABL1 KINASE INTERPREPATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR AKT1 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR ALL CGH INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR AML CGH INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR BCR ABL ALT BKP QUAL INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR BRAF V600E DDPCR LEUKEMIA INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CALR FOLLOWUP INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CALR INITIAL INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CD33 GENOTYPING FOR GEMTUZUMAB (GO) INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CEBPA INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CFDNA HPV  INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CIMP METHYL INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CKIT-MCD INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CKIT-SARC INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CLL CGH INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CML CGH INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CSF3R PYRO INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CSF3R SANGER  INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CTNNB1 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CXCR4 FOLLOWUP INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR CXCR4 INITIAL INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR DNMT3A INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR DNMT3AHRM INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR EGFR INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR EGFR RESIST  INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR EGFR SENSITIZING MUTATIONS DDPCR INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR EZH2 MYELOID INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR FFPE MICROARRAY- CNV/LOH INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR FIP1L1 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR FLT3 ITD/D835 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR GIST INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR GNA11 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR GNAQ INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR GNAS INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA CLASS I SINGLE LOCUS TYPING, HIGH RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA CLASS I SINGLE LOCUS TYPING, LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA CLASS II SINGE LOCUS TYPING, HIGH RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA CLASS II SINGLE LOCUS TYPING, LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,PR HLA KIR TYPING LOW RESOLUTION INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA-A,B,C CLASS I TYPING, LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA-A,B,C TYPING, HIGH RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA-A,B,C,DRB1 TYPING, HIGH RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA-A,B,C,DRB1/3/4/5, LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA-A,B,DRB1/3/4/5 , LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,"PR HLA-DRB1/3/4/5,DQ TYPING LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,PR HMLH1 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR HRAS INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR IDH1 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR IDH1HRM INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR IDH2 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR IDH2HRM INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR IGH INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR IGH SOMATIC HYPERMUT NGS INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR IGH SOMATIC HYPERMUTATION INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR JAK2 CODON 617 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR JAK2 DDPCR INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR JAK2 EXON 12 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR KIT MCD D816V DDPCR INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR KITA INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR KITAHRM INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR KRAS CODON 146  INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,"PR KRAS CODONS 12,13 DDPCR INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,"PR KRAS CODONS 12,13,61  INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,PR KRAS CODONS 61 DDPCR INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR LB BRAF V600 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR LB EGFR RESIST MUTATION INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR LB RET COM VARIANTS INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR LIQUID BX PANEL INTERP � PRE-ARRIVAL PATIENT,456.0,,26.0,410.4,47
HCPCS,G0452,PR LOH18Q INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MAP2K1 HOTSPOT INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MGMT PROMOTER METHYLATION INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MOLECULAR PATH PANEL INTERPR,565.0,,26.0,508.5,47
HCPCS,G0452,PR MPL INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MSI INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MST INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MST POST INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MST PRE & DONOR STUDY INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MST W/ M CELL SORT INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MST W/ NK CELL SORT INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MST W/ T CELL SORT INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR MYD88 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR NPM1 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR NPM1 MRD INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,"PR NRAS CODONS 12,13,61 DDPCR INTERPRETATION",205.0,,26.0,184.5,47
HCPCS,G0452,PR NRAS INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR PDGFRA INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR PIK3CA INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR RAS INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR RET INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR RT CBFB/MYH11 INV16 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR RT CCND1(BCL1)/IGH MTC INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR RT IGH@/BCL2 MBR &/OR MCR INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR RT JAK2 V617 QUANT INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR RT PML/RARALPHA (T(15/17)) INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR RT821 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR RTBCRABL INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR SOLID TUMOR GENOMIC ASSAY V1 INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR TCRB INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR TCRG INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR TGFB INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR TP53  INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0452,PR TP53 NGS FULL GENE INTERPRETATION,205.0,,26.0,184.5,47
HCPCS,G0453,PR CONT INTRAOP NEURO MONITOR,380.0,,18.52,342.0,47
HCPCS,G0455,HC PREPARATION W/INSTILLATION FECAL MICROBIOTA W/ASSESS DONOR SPEC,3468.0,,971.04,2982.48,84
HCPCS,G0455,PR FECAL MICROBIOTA PREP INSTIL,776.0,,40.32,698.4,47
HCPCS,G0498,HC CHEMO EXTEND IV INFUS W/PUMP,1223.0,,342.44,1051.78,85
HCPCS,G0498,HC CHEMO EXTEND IV INFUS W/PUMP NO F/U,1223.0,,342.44,1051.78,85
HCPCS,G0499,HC HEPATITIS B ANTIBODY SCREEN HIGH RISK,152.0,,23.75,130.72,84
HCPCS,G0500,"HC MOD SED GI ENDO SAME PHYS 5/>YRS, INITIAL 15MIN",525.0,,10.01,451.5,84
HCPCS,G0500,PR MOD SEDAT ENDO SERVICE >5YRS,84.0,,3.09,75.6,47
HCPCS,G0506,HC COMPREHENSIVE ASSESSMENT & CARE PLANNING/CHRON CARE MGMT SRVC,204.0,,57.12,175.44,31
HCPCS,G0506,PR COMP ASSES CARE PLAN CCM SVC,181.0,,25.53,162.9,47
HCPCS,G0545,PR INHERENT VISIT TO INPT,248.0,,24.34,223.2,47
HCPCS,G2010,PR REMOT IMAGE SUBMIT BY PT,86.0,,5.27,77.4,47
HCPCS,G2066,HC REM INTERROG ICPMS/SCRMS <30 D TECH REVIEW,250.0,,70.0,215.0,83
HCPCS,G2211,PR COMPLEX E/M VISIT ADD ON,62.0,,0.01,55.8,47
HCPCS,G2212,PR PROLONG OUTPT/OFFICE VIS,120.0,,18.13,108.0,45
HCPCS,J0122,ERAVACYCLINE 10 MG/ML INJECTION [40800002023],250.25,,1.29,215.215,258
HCPCS,J0122,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION [186262],250.25,,1.29,215.215,258
HCPCS,J0129,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [70287],5255.55,,44.49,4519.773,86
HCPCS,J0129,ABATACEPT 25 MG/ML INJ [40800003115],5255.55,,44.49,4519.773,86
HCPCS,J0131,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",67.32499999999999,,0.05,99.072,504
HCPCS,J0131,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",67.32499999999999,,0.05,99.072,672
HCPCS,J0131,ACETAMINOPHEN IVPB 10 MG/ML (IV PREP; DOSES NOT 1000 MG) [40800000120],162.45,,0.05,139.707,84
HCPCS,J0131,ACETAMINOPHEN IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001422],162.45,,0.05,139.707,84
HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],159.0,,0.37,287.24,756
HCPCS,J0133,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],65.625,,0.03,103.329,924
HCPCS,J0134,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",64.9,,0.06,55.814,168
HCPCS,J0134,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",64.9,,0.06,55.814,168
HCPCS,J0134,ACETAMINOPHEN IVPB 10 MG/ML (IV PREP; DOSES NOT 1000 MG) [40800000120],36.95,,0.06,31.777,168
HCPCS,J0134,ACETAMINOPHEN IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001422],36.95,,0.06,31.777,168
HCPCS,J0136,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",63.3,,0.05,54.438,168
HCPCS,J0136,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",63.3,,0.05,54.438,168
HCPCS,J0137,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",68.1,,0.05,58.566,168
HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],387.55,,0.46,511.786,252
HCPCS,J0153,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],32.675,,0.46,33.583,504
HCPCS,J0165,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [100491]",689.65,,0.72,794.554,252
HCPCS,J0165,EPINEPHRINE 1 MG/ML (1:1000) INJ CONTAINER [40800000426],297.55,,0.72,255.893,84
HCPCS,J0165,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [121505],607.2,,0.72,587.466,336
HCPCS,J0166,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],46.25,,2.28,41.28,336
HCPCS,J0166,EPINEPHRINE 1 MG/ML INJECTION SOLUTION [121505],273.25,,2.28,234.995,84
HCPCS,J0166,EPINEPHRINE 1 MG/ML NASAL SOLUTION [19604],820.9,,2.28,705.974,84
HCPCS,J0166,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION [127556],39.25,,2.28,33.755,168
HCPCS,J0168,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],53.85,,2.18,46.311,84
HCPCS,J0169,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],35.95,,2.26,30.917,168
HCPCS,J0169,EPINEPHRINE 1 MG/ML (1:1000) INJ CONTAINER [40800000426],35.95,,2.26,30.917,84
HCPCS,J0178,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SYRINGE [190086],6073.85,,731.89,5223.511,86
HCPCS,J0184,AMISULPRIDE 2.5 MG/ML INJ CONTAINER [40800000371],220.67499999999998,,9.56,249.099,340
HCPCS,J0206,ALLOPURINOL 500 MG INTRAVENOUS SOLUTION [25408],12776.4,,3.81,11233.019,344
HCPCS,J0206,ALLOPURINOL 500 MG/25 ML INJ [40840000088],12776.4,,3.81,11233.019,344
HCPCS,J0209,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRALESIONAL INJECTION SOLUTION [40800003812],302.7,,0.88,260.322,85
HCPCS,J0209,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [7364],280.5,,0.88,241.23,85
HCPCS,J0248,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION [191358],2321.5,,6.73,1996.49,86
HCPCS,J0248,REMDESIVIR 100 MG/20 ML (5 MG/ML) INTRAVENOUS POWDER [40800003542],2321.5,,6.73,1996.49,86
HCPCS,J0256,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION [184239]",2031.15,,0.52,1746.789,172
HCPCS,J0256,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 5,000 MG INTRAVENOUS SOLUTION [203274]",6.9,,0.52,6.1778,86
HCPCS,J0256,ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 700 MG-1300 MG INTRAVENOUS SOLUTION [36577],6.9,,0.52,6.1778,172
HCPCS,J0256,ALPHA-1-PROTEINASE INHIBITOR (ZEMAIRA) IVPB [40800003870],6.9,,0.52,6.1778,430
HCPCS,J0278,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",55.1,,0.62,72.369,672
HCPCS,J0278,AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],47.25,,0.62,72.369,756
HCPCS,J0278,AMIKACIN 3 MG/ML INTRA-CATHETER LOCK SOLUTION (IP-CMPD) [40800002033],29.05,,0.62,24.983,84
HCPCS,J0278,AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],40.224999999999994,,0.62,40.635,672
HCPCS,J0278,AMIKACIN INTRAVITREAL INJECTION 1600 MCG/0.4 ML [40800002401],7.75,,0.62,6.665,84
HCPCS,J0278,AMIKACIN ORAL SOLUTION 100 MG/ML (IP-CMPD) [40800003593],374.1,,0.62,321.726,84
HCPCS,J0280,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION [407],75.5,,8.3,64.93,84
HCPCS,J0280,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [125808],54.55,,8.3,46.913,168
HCPCS,J0281,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],39.55,,1.5,35.948,420
HCPCS,J0282,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],20.9,,0.51,29.498,1092
HCPCS,J0282,AMIODARONE INFUSION 360 MG IN 200 ML D5W (IP-CMPD) [40800001051],113.65,,0.51,97.739,84
HCPCS,J0283,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [110257]",98.3,,2.61,84.538,84
HCPCS,J0283,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [110258]",113.65,,2.61,97.739,84
HCPCS,J0285,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],164.75,,34.12,141.685,84
HCPCS,J0285,AMPHOTERICIN B 8.33 MG/ML SOLUTION FOR INJECTION [40800001039],164.75,,34.12,141.685,84
HCPCS,J0285,AMPHOTERICIN B DEOXYCHOLATE (FUNGIZONE) FOR INHALATION 10 MG/10 ML (IP-CMPD) [40800001033],36.05,,10.094,34.12,84
HCPCS,J0285,AMPHOTERICIN B DEOXYCHOLATE (FUNGIZONE) FOR INHALATION 20 MG/10 ML (IP-CMPD) [40800001034],36.05,,10.094,34.12,84
HCPCS,J0285,AMPHOTERICIN B DEOXYCHOLATE (FUNGIZONE) FOR INHALATION 5 MG/10 ML (IP-CMPD) [40800001032],36.05,,10.094,34.12,84
HCPCS,J0285,AMPHOTERICIN B INJ 5 MG/ML [40840000089],164.75,,34.12,141.685,84
HCPCS,J0285,AMPHOTERICIN B INTRAVITREAL INJECTION 20 MCG/0.4 ML [40800002402],7.25,,2.03,34.12,84
HCPCS,J0285,AMPHOTERICIN B INTRAVITREAL INJECTION 40 MCG/0.4 ML [40800002403],7.25,,2.03,34.12,84
HCPCS,J0289,AMPHOTERICIN B LIPOSOMAL (AMBISOME) FOR INHALATION 50 MG/12.5 ML (IP-CMPD) [40800002314],1042.8,,22.62,896.808,86
HCPCS,J0289,AMPHOTERICIN B LIPOSOMAL 4 MG/ML INJ [40800000040],1074.1,,22.62,923.726,86
HCPCS,J0289,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [21900],1074.1,,22.62,923.726,86
HCPCS,J0290,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003337],22.75,,0.49,22.618,672
HCPCS,J0290,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],22.75,,0.49,22.618,672
HCPCS,J0290,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],36.05,,0.49,41.409,924
HCPCS,J0290,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],36.05,,0.49,41.409,924
HCPCS,J0290,AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],31.075000000000003,,0.49,36.464,1008
HCPCS,J0290,AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (1 GRAM VIAL) [40800002996],22.75,,0.49,20.855,252
HCPCS,J0290,AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (2 GRAM VIAL) [40800002995],32.85,,0.49,41.409,504
HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002644],30.7,,1.49,29.068,420
HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],24.1,,1.49,29.068,504
HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],27.4,,1.49,73.874,1260
HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],27.4,,1.49,73.874,1428
HCPCS,J0295,AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],31.425,,1.49,49.708,1428
HCPCS,J0330,SUCCINYLCHOLINE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE CONTAINER [40800000342],96.55,,27.034,83.033,83
HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],37.575,,7.966,57.19,996
HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE [129871],96.55,,27.034,83.033,83
HCPCS,J0348,ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION [88093],625.4,,0.48,537.844,84
HCPCS,J0348,ANIDULAFUNGIN 3.33 MG/ML INJ CONTAINER [40840000082],457.6,,0.48,537.844,168
HCPCS,J0348,ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION [76344],289.8,,0.48,249.228,84
HCPCS,J0349,REZAFUNGIN 20 MG/ML INTRAVENOUS SOLUTION [40800003887],6982.6,,10.62,6005.036,86
HCPCS,J0360,HYDRALAZINE 1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003931],189.05,,5.19,162.583,84
HCPCS,J0360,HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],49.9,,4.298,46.612,840
HCPCS,J0401,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE [170572]",9082.45,,7.24,7810.907,86
HCPCS,J0456,AZITHROMYCIN 100 MG/ML INJ [40800000019],23.0,,2.61,30.315,1092
HCPCS,J0456,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],23.7,,2.61,30.315,1260
HCPCS,J0457,AZTREONAM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003342],94.55,,2.67,98.685,336
HCPCS,J0457,AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],94.55,,2.67,98.685,420
HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003343],185.5,,2.67,183.137,672
HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],185.5,,2.67,183.137,672
HCPCS,J0457,AZTREONAM 243 MG/ML INJECTION [40800003409],186.475,,2.67,168.861,336
HCPCS,J0457,AZTREONAM 251 MG/ML INJECTION [40800003408],123.85,,2.67,106.511,84
HCPCS,J0458,AZTREONAM-AVIBACTAM 169.3 MG/ML INJ [40800003644],1042.45,,1.68,896.507,170
HCPCS,J0458,AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800004122],1042.45,,1.68,896.507,170
HCPCS,J0458,AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION [208766],1042.45,,1.68,896.507,170
HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE (CARD OSM) [40800000831],58.7,,0.07,50.482,84
HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE (IR OSM) [40800000829],58.7,,0.07,50.482,84
HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],37.15,,0.07,50.482,756
HCPCS,J0461,ATROPINE 0.4 MG/ML INJ CONTAINER [40800000729],72.825,,0.07,96.019,252
HCPCS,J0461,ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],111.65,,0.07,96.019,168
HCPCS,J0461,ATROPINE 0.8 MG/2 ML (0.4 MG/ML) INTRAVENOUS SYRINGE [131571],34.0,,0.07,29.24,84
HCPCS,J0462,ATROPINE 0.4 MG/ML INJ CONTAINER [40800000729],41.425,,11.214,36.808,332
HCPCS,J0462,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [193546],41.35,,11.214,36.808,498
HCPCS,J0475,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [108156]",774.1,,175.82,665.726,344
HCPCS,J0480,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION [23082],15539.25,,4350.99,13363.755,86
HCPCS,J0490,BELIMUMAB 120 MG INTRAVENOUS SOLUTION [108842],2163.5,,56.01,1860.61,86
HCPCS,J0490,BELIMUMAB 400 MG INTRAVENOUS SOLUTION [108843],7211.05,,56.01,6201.503,86
HCPCS,J0490,BELIMUMAB 80 MG/ML INTRAVENOUS SOLUTION [40800003851],7211.05,,56.01,6201.503,86
HCPCS,J0491,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION [195592],18090.9,,18.1,15558.174,86
HCPCS,J0515,BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],174.9,,17.27,164.088,336
HCPCS,J0561,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [108049]",1232.45,,29.3,1059.907,172
HCPCS,J0572,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET [34713],6.625,,1.582,6.536,166
HCPCS,J0574,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET [34714],18.775,,2.142,21.543,415
HCPCS,J0583,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],257.4,,0.17,281.736,672
HCPCS,J0583,BIVALIRUDIN 50 MG/ML INJ [40800000001],294.85,,0.17,408.543,336
HCPCS,J0585,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [32700],1976.45,,6.5,1699.747,86
HCPCS,J0586,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION [106761],1604.55,,8.9,1379.913,86
HCPCS,J0586,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION [99465],2673.2,,8.9,2298.952,86
HCPCS,J0592,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [126977],56.725,,4.13,51.342,336
HCPCS,J0594,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],393.125,,0.68,1408.68,774
HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],84.9,,0.04,159.401,1596
HCPCS,J0613,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [187428]",78.45,,0.08,67.467,168
HCPCS,J0616,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],7.9,,0.13,10.75,1344
HCPCS,J0618,CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER (CRRT INFUSION) [40800003814],45.0,,8.988,55.298,581
HCPCS,J0618,CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],49.7,,8.988,55.298,747
HCPCS,J0618,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [124281],63.05,,17.304,55.298,332
HCPCS,J0618,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],37.45,,8.988,46.784,664
HCPCS,J0618,"CALCIUM CHLORIDE IVPB 1,000 MG IN 50 ML NS (IP-CMPD) [40800000986]",135.55,,37.954,116.573,83
HCPCS,J0618,CALCIUM CHLORIDE IVPB 1.36 MEQ/ML (MAX CONC) (PEDI < 20.5 KG) [40840001362],48.6,,11.326,50.482,249
HCPCS,J0618,CALCIUM CHLORIDE IVPB 1.36 MEQ/ML (PEDI) [40800003063],49.7,,10.486,55.298,332
HCPCS,J0618,"CALCIUM CHLORIDE IVPB 2,000 MG IN 250 ML NS (IP-CMPD) [40800000985]",204.95,,57.386,176.257,83
HCPCS,J0618,"CALCIUM CHLORIDE IVPB 3,000 MG IN 250 ML NS (IP-CMPD) [40800000984]",274.35,,76.818,235.941,83
HCPCS,J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],3036.0,,680.064,3916.44,332
HCPCS,J0636,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION [9348],35.5,,9.94,30.53,166
HCPCS,J0637,CASPOFUNGIN 5 MG/ML INJ [40800000012],276.175,,2.27,949.483,672
HCPCS,J0637,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003344],276.175,,2.27,949.483,672
HCPCS,J0637,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],276.175,,2.27,949.483,672
HCPCS,J0637,CASPOFUNGIN 7 MG/ML INJ [40800000013],324.35,,2.27,986.076,336
HCPCS,J0637,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],324.35,,2.27,986.076,420
HCPCS,J0640,LEUCOVORIN CALCIUM 20 MG/ML INJECTION [40800000309],77.15,,3.95,206.615,504
HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],77.15,,3.95,206.615,588
HCPCS,J0650,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [113060],299.65,,7.7,314.287,420
HCPCS,J0650,LEVOTHYROXINE 100 MCG/ML INJ [40800000047],1602.75,,7.7,1378.365,84
HCPCS,J0650,LEVOTHYROXINE 20 MCG/ML INJ [40800000046],365.45,,7.7,314.287,84
HCPCS,J0650,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION [113058],1523.425,,7.7,1378.365,168
HCPCS,J0654,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION [10442],1385.75,,39.29,1191.745,85
HCPCS,J0665,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],11.9,,0.01,30.917,1932
HCPCS,J0665,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) [40800003333],12.45,,0.01,29.799,420
HCPCS,J0665,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],11.75,,0.01,29.799,924
HCPCS,J0665,BUPIVACAINE (PF) 0.5 % (5 MG/ML) PRIMING INJECTION [40840001576],11.575,,0.01,10.105,168
HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],15.0,,0.01,12.9,84
HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],16.975,,0.01,25.628,756
HCPCS,J0665,BUPIVACAINE (PF) 0.75% INJ CONTAINER [40800000743],16.975,,0.01,22.446,420
HCPCS,J0665,BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],19.675,,0.01,38.7,1932
HCPCS,J0665,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],35.0,,0.01,38.7,924
HCPCS,J0665,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],26.75,,0.01,43.043,504
HCPCS,J0666,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION (2019-0237) [40800004201],1270.95,,1.41,1093.017,172
HCPCS,J0666,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [112781],1270.95,,1.41,1093.017,172
HCPCS,J0670,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [105637],39.75,,3.82,34.185,168
HCPCS,J0670,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [105638],50.2,,3.82,43.172,168
HCPCS,J0670,MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE [178455],6.4,,1.792,5.504,168
HCPCS,J0675,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],425.05,,15.56,365.543,170
HCPCS,J0690,CEFAZOLIN 1 G RECONSTITUTED IN 10 ML STERILE WATER (RN OSM) [40800000825],6.5,,0.84,5.676,252
HCPCS,J0690,CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002645],6.6,,0.84,6.579,588
HCPCS,J0690,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],6.925,,0.84,6.579,840
HCPCS,J0690,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],44.425,,0.84,39.775,336
HCPCS,J0690,CEFAZOLIN 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800003915],25.65,,0.84,22.059,168
HCPCS,J0690,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION [197046],25.65,,0.84,22.059,168
HCPCS,J0690,CEFAZOLIN 200 MG/ML INJ [40800001190],44.425,,0.84,39.775,252
HCPCS,J0690,CEFAZOLIN 330 MG/ML INJ [40800000016],7.7,,0.84,23.865,588
HCPCS,J0690,CEFAZOLIN IN STERILE WATER 0.01 MG/ML DESENSITIZATION STOCK VIAL (IP-CMPD) [40800003559],73.05,,0.84,62.823,84
HCPCS,J0690,CEFAZOLIN IN STERILE WATER 1 MG/ML DESENSITIZATION STOCK BAG (IP-CMPD) [40800003560],73.05,,0.84,62.823,84
HCPCS,J0690,CEFAZOLIN INTRAVITREAL INJECTION 9 MG/0.4 ML [40800002405],6.9,,0.84,5.934,84
HCPCS,J0690,CEFAZOLIN IVPB 1 MG/ML (DESENSITIZATION #5) [40800003561],73.05,,0.84,62.823,84
HCPCS,J0692,CEFEPIME 0.1 MG/ML IN D5W INJ (DESENSITIZATION) [40800000334],6.9,,1.23,5.934,84
HCPCS,J0692,CEFEPIME 0.1 MG/ML IN NS INJ (DESENSITIZATION) [40800000322],6.9,,1.23,5.934,84
HCPCS,J0692,CEFEPIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002651],25.65,,1.23,22.962,504
HCPCS,J0692,CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],23.575,,1.23,22.962,672
HCPCS,J0692,CEFEPIME 100 MG/ML INJ [40800000049],27.05,,1.23,24.467,252
HCPCS,J0692,CEFEPIME 160 MG/ML INJ FOR CONTINUOUS/HOME-USE INFUSIONS [40800000350],38.55,,1.23,46.827,336
HCPCS,J0692,CEFEPIME 160 MG/ML INJ [40800000050],40.175,,1.23,46.827,504
HCPCS,J0692,CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],35.3,,1.23,43.344,924
HCPCS,J0692,CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],35.3,,1.23,43.344,924
HCPCS,J0692,CEFEPIME 40 MG/ML IN NS STOCK BAG (IP-CMPD) [40800001038],104.7,,1.23,90.042,84
HCPCS,J0692,CEFEPIME INJ CONTAINER (ONE-STEP) [40800000472],26.3,,1.23,30.831,588
HCPCS,J0692,"CEFEPIME IVPB 2,000 MG IN 50 ML NS (IP-CMPD) [40800001980]",112.4,,1.23,96.664,84
HCPCS,J0694,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003353],28.475,,3.948,30.53,336
HCPCS,J0694,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],28.475,,3.948,30.53,336
HCPCS,J0694,CEFOXITIN 180 MG/ML INJ [40800000024],53.8,,5.13,58.91,336
HCPCS,J0694,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003354],42.724999999999994,,5.13,54.567,420
HCPCS,J0694,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],49.8,,5.13,54.567,504
HCPCS,J0694,CEFOXITIN 95 MG/ML INJ [40800000023],28.45,,4.27,28.509,252
HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003361],581.8,,8.84,500.348,86
HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION [170494],581.8,,8.84,500.348,86
HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 131.6 MG/ML INJ [40800000251],627.8,,8.84,539.908,86
HCPCS,J0696,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002647],8.625,,0.48,13.201,672
HCPCS,J0696,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],8.625,,0.48,13.201,840
HCPCS,J0696,CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],14.0,,0.48,27.305,1008
HCPCS,J0696,CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],19.525,,0.48,25.241,840
HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],19.525,,0.48,25.241,840
HCPCS,J0697,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003366],25.65,,2.29,22.059,168
HCPCS,J0697,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [124518],25.65,,2.29,22.059,168
HCPCS,J0697,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003367],13.45,,2.29,11.567,84
HCPCS,J0697,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],13.149999999999999,,2.29,11.567,252
HCPCS,J0697,CEFUROXIME SODIUM 90 MG/ML INJ CONTAINER [40800000306],27.75,,2.29,23.865,168
HCPCS,J0699,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION [190557],808.55,,2.4,695.353,172
HCPCS,J0699,CEFIDEROCOL 89.3 MG/ML INJECTION [40800003412],808.55,,2.4,695.353,172
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [109034],37.45,,9.982,33.755,332
HCPCS,J0712,CEFTAROLINE 2.4 MG/ML IN NS 250 ML STOCK BAG INJ (IP-CMPD) (DESENSITIZATION) [40800003901],763.8,,4.24,656.868,86
HCPCS,J0712,CEFTAROLINE 30 MG/ML INJ [40800000026],885.65,,4.24,761.659,172
HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003355],820.75,,4.24,705.845,172
HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [107671],820.75,,4.24,705.845,172
HCPCS,J0713,CEFTAZIDIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002652],19.225,,1.64,19.608,336
HCPCS,J0713,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],19.225,,1.64,19.608,336
HCPCS,J0713,CEFTAZIDIME 100 MG/ML INJ [40800000332],20.8,,1.64,21.199,336
HCPCS,J0713,CEFTAZIDIME 170 MG/ML INJ [40800000302],28.5,,1.64,24.51,84
HCPCS,J0713,CEFTAZIDIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002653],35.65,,1.64,33.755,252
HCPCS,J0713,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],34.849999999999994,,1.64,33.755,336
HCPCS,J0713,CEFTAZIDIME INTRAVITREAL INJECTION 9 MG/0.4 ML [40800002406],6.9,,1.64,5.934,84
HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003360],1324.15,,104.75,1138.769,172
HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [170854],1324.15,,104.75,1138.769,172
HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 209 MG/ML INJ [40800000250],1428.8,,104.75,1228.768,172
HCPCS,J0725,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",1166.15,,17.51,1002.889,84
HCPCS,J0735,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",107.6,,17.67,123.969,252
HCPCS,J0736,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],19.7,,1.67,22.274,840
HCPCS,J0736,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],66.35,,1.67,58.437,504
HCPCS,J0736,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],70.475,,1.67,61.447,336
HCPCS,J0736,CLINDAMYCIN INTRAVITREAL INJECTION 4 MG/0.4 ML [40800002407],6.9,,1.67,5.934,84
HCPCS,J0737,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],66.35,,1.72,57.061,84
HCPCS,J0739,"CABOTEGRAVIR ER 400 MG/2 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE [197092]",7218.6,,7.03,6207.996,85
HCPCS,J0739,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE [196559]",12769.025,,7.03,11914.655,255
HCPCS,J0740,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],2831.65,,529.38,2785.583,172
HCPCS,J0741,"CABOTEGRAVIR ER 400 MG/2 ML-RILPIVIRINE ER 600 MG/2ML IM SUSPENSION,ER [193641]",14437.15,,23.63,12415.949,86
HCPCS,J0741,"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER [194463]",23367.6,,23.63,20096.136,86
HCPCS,J0742,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION [190338],988.65,,2.61,850.239,168
HCPCS,J0742,IMIPENEM-CILASTATIN-RELEBACTAM IVPB 12.5 MG/ML IN NS (IP-CMPD)  [40800003535],942.5,,2.61,810.55,84
HCPCS,J0743,IMIPENEM-CILASTATIN 0.05 MG/ML INJ (DESENSITIZATION) [40800000324],15.5,,4.34,13.33,84
HCPCS,J0743,IMIPENEM-CILASTATIN 50 MG/ML INJ [40800000048],103.0,,6.97,96.406,252
HCPCS,J0743,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003371],91.175,,6.97,89.311,420
HCPCS,J0743,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],91.175,,6.97,89.311,504
HCPCS,J0744,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],63.3,,2.32,54.438,588
HCPCS,J0744,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],63.3,,2.32,54.438,588
HCPCS,J0744,CIPROFLOXACIN INTRA-CATHETER LOCK SOLUTION 2 MG/ML [40800002658],63.3,,2.32,54.438,420
HCPCS,J0744,CIPROFLOXACIN IVPB IN D5W 2 MG/ML (MAX CONC) [40840002473],63.3,,2.32,54.438,336
HCPCS,J0770,COLISTIMETHATE 75 MG/ML INJ [40800000041],96.1,,11.39,82.646,84
HCPCS,J0770,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],96.1,,11.39,82.646,252
HCPCS,J0775,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.58 MG/0.25 ML INJECTION [40800004000],24194.05,,73.16,20806.883,86
HCPCS,J0775,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION [101010],24194.05,,73.16,20806.883,86
HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],24.55,,2.52,50.611,2184
HCPCS,J0834,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],75.65,,19.278,300.312,336
HCPCS,J0834,COSYNTROPIN 1 MCG/ML INJ (IP-CMPD) [40800000030],415.35,,28.02,357.201,84
HCPCS,J0834,COSYNTROPIN 125 MCG/ML INJ (HIGH-DOSE) [40800000028],349.2,,28.02,300.312,84
HCPCS,J0834,COSYNTROPIN 250 MCG/ML INJ (LOW-DOSE) [40800000373],349.2,,28.02,300.312,84
HCPCS,J0850,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],5841.75,,1611.512,5098.166,344
HCPCS,J0870,IMETELSTAT 188 MG INTRAVENOUS SOLUTION [205019],34869.1,,57.02,29987.426,86
HCPCS,J0870,IMETELSTAT 31.4 MG/ML INJ CONTAINER [40800003981],21793.199999999997,,57.02,29987.426,172
HCPCS,J0870,IMETELSTAT 47 MG INTRAVENOUS SOLUTION [205017],8717.3,,57.02,7496.878,86
HCPCS,J0875,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [163010],5828.25,,15.0,5012.467,172
HCPCS,J0875,DALBAVANCIN INJ 20 MG/ML [40800000470],5828.25,,15.0,5012.467,172
HCPCS,J0878,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],111.575,,0.03,1154.593,1092
HCPCS,J0878,DAPTOMYCIN INJ 50 MG/ML [40800000042],103.0,,0.03,1154.593,840
HCPCS,J0881,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION [76965],2535.65,,3.0,2180.659,172
HCPCS,J0881,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [108047],4699.75,,3.0,4041.785,86
HCPCS,J0881,DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION [76966],5071.25,,3.0,4361.275,86
HCPCS,J0881,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE [108048],7049.6,,3.0,6062.656,86
HCPCS,J0881,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [108042],939.95,,3.0,808.357,86
HCPCS,J0881,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [76963],1014.25,,3.0,872.255,172
HCPCS,J0881,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE [76334],11749.35,,3.0,10104.441,86
HCPCS,J0881,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [108043],1409.95,,3.0,1212.557,86
HCPCS,J0882,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [108044],2349.9,,3.0,2020.914,172
HCPCS,J0883,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],974.125,,0.70035,1436.888,430
HCPCS,J0885,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION [9938]",875.525,,7.31,752.973,258
HCPCS,J0894,DECITABINE 5 MG/ML INJ [40800000413],1228.5,,1.59,2645.833,756
HCPCS,J0894,DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],1261.275,,1.59,2645.833,924
HCPCS,J0894,DECITABINE SUBCUTANEOUS CHEMO INJECTION 10 MG/ML [40800000414],1572.5,,1.59,1352.35,84
HCPCS,J0895,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],139.8,,9.02,121.604,504
HCPCS,J0895,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],56.9,,9.02,102.512,420
HCPCS,J0895,DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],119.2,,9.02,121.604,840
HCPCS,J0896,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION [189889],13744.15,,41.96,11819.969,86
HCPCS,J0896,LUSPATERCEPT-AAMT 50 MG/ML SUBCUTANEOUS INJECTION [40800003411],27488.225000000002,,41.96,35459.778,172
HCPCS,J0896,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [189890],41232.3,,41.96,35459.778,86
HCPCS,J0897,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [106804],10787.65,,29.24,9277.379,172
HCPCS,J0897,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [105502],5864.65,,29.24,5043.599,172
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],34.375,,0.12,34.873,504
HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INJ CONTAINER [40800000726],199.375,,37.968,212.549,498
HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],135.6,,24.024,180.557,664
HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE [125399],222.6,,48.972,196.94,249
HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],64.9,,0.03,148.651,840
HCPCS,J1100,DEXAMETHASONE 0.25 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003942],73.05,,0.12,62.823,84
HCPCS,J1100,DEXAMETHASONE IV 4 MG/ML INJECTION (PHARMACY USE ONLY) [40800000352],21.475,,0.12,126.936,420
HCPCS,J1100,DEXAMETHASONE IVPB 20 MG IN 50 ML NS (IP-CMPD) [40800000974],88.65,,0.12,76.239,84
HCPCS,J1100,DEXAMETHASONE IVPB 4 MG/ML (MAX CONC) (PEDI < 20.5  KG) [40800000073],23.225,,0.12,136.955,420
HCPCS,J1100,DEXAMETHASONE SOD PHOS (BULK) 100 % POWDER [2336],1742.9499999999998,,0.12,1563.093,168
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],20.6,,0.12,30.573,672
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],21.475,,0.12,126.936,1848
HCPCS,J1120,ACETAZOLAMIDE 100 MG/ML INJ [4080000011],129.525,,17.23,129.774,168
HCPCS,J1120,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],126.25,,17.23,120.228,420
HCPCS,J1160,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [124192],25.15,,4.0,22.532,504
HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432],16294.85,,4562.558,14013.571,255
HCPCS,J1162,DIGOXIN IMMUNE FAB IVPB 10 MG/ML (MAX CONC) [40800000311],16294.85,,4562.558,14013.571,255
HCPCS,J1163,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],16.05,,0.04,27.907,1344
HCPCS,J1165,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],8.75,,0.66,18.791,756
HCPCS,J1170,HYDROMORPHONE 1 MG/ML IN NS PCA SYRINGE (PREMIX) (PEDI) [4080000230],124.80000000000001,,32.354,115.283,166
HCPCS,J1171,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [180765],18.35,,0.09,18.017,420
HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/5 ML (0.2 MG/ML) IN 0.9 % NACL IV SYRINGE [184198],19.75,,0.09,16.985,84
HCPCS,J1171,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],58.5,,0.09,695.224,756
HCPCS,J1171,HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [127829],15.5,,0.09,18.705,420
HCPCS,J1171,HYDROMORPHONE 0.1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003937],74.2,,0.09,63.812,84
HCPCS,J1171,HYDROMORPHONE 0.5 MG/0.5 ML INJ CONTAINER [40800000340],19.65,,0.09,50.783,588
HCPCS,J1171,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [132141],38.325,,0.09,50.783,336
HCPCS,J1171,HYDROMORPHONE 1 MG/ML IN 0.9 % SODIUM CHLORIDE PCA SYRINGE CONTAINER [40800002878],124.80000000000001,,0.09,115.283,252
HCPCS,J1171,HYDROMORPHONE 1 MG/ML IN NS PCA SYRINGE (PREMIX) (PALLIATIVE) [40800002305],124.80000000000001,,0.09,115.283,252
HCPCS,J1171,HYDROMORPHONE 1 MG/ML INFUSION SYRINGE (PREMIX) (USE ORDER SET) [40800000034],124.80000000000001,,0.09,115.283,168
HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [116806],43.65,,0.09,37.539,84
HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],70.6,,0.09,60.716,168
HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [116807],62.9,,0.09,54.094,84
HCPCS,J1171,HYDROMORPHONE 50 MG/50 ML (1 MG/ML) INFUSION SYRINGE (PREMIX) [40800002874],115.55,,0.09,99.373,84
HCPCS,J1171,HYDROMORPHONE INFUSION 100 MG IN 100 ML NS (IP-CMPD) (USE ORDER SET) [40800003925],151.5,,0.09,130.29,84
HCPCS,J1171,HYDROMORPHONE PF 1 MG/5 ML SYRINGE (ANES OSM) [40800000785],19.75,,0.09,16.985,84
HCPCS,J1190,DEXRAZOXANE (PFIZER/HIKMA/BRECKENRIDGE/GLAND/FOSUN/ALMAJECT) 10 MG/ML INJ CONTAINER [40800000044],898.5,,32.09,1291.806,602
HCPCS,J1190,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION [15156],826.475,,32.09,772.71,172
HCPCS,J1190,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],982.8,,32.09,1291.806,430
HCPCS,J1200,DIPHENHYDRAMINE 4 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003936],80.45,,0.9,69.187,84
HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],9.55,,0.9,11.352,924
HCPCS,J1205,CHLOROTHIAZIDE SODIUM 28 MG/ML INJ [40800000310],425.57500000000005,,40.38,838.758,420
HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],326.95,,30.45,838.758,420
HCPCS,J1212,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION [128815],2390.7,,669.396,2056.002,86
HCPCS,J1230,METHADONE 1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003941],386.0,,22.91,331.96,84
HCPCS,J1230,METHADONE 10 MG/ML INJECTION SOLUTION [10546],1401.75,,10.85,1324.744,252
HCPCS,J1250,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],37.625,,7.98,33.927,168
HCPCS,J1250,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [18315]",104.85,,7.98,90.644,252
HCPCS,J1265,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [128922],37.05,,0.66,31.863,84
HCPCS,J1265,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN (MELANOMA) (USE ORDER SET) [40800000095]",80.45,,0.66,70.864,168
HCPCS,J1265,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14846]",80.45,,0.66,70.864,252
HCPCS,J1271,DOXYCYCLINE HYCLATE 10 MG/ML SCLEROSIS INJ [40800000345],90.4,,0.12,77.744,84
HCPCS,J1271,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],60.025,,0.12,72.025,1092
HCPCS,J1271,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],60.025,,0.12,72.025,1176
HCPCS,J1271,DOXYCYCLINE HYCLATE 100 MG/10 ML INJ [40800001602],56.55,,0.12,77.744,420
HCPCS,J1271,DOXYCYCLINE INTRAPLEURAL/CHEST TUBE INJECTION IN 50 ML [40800000262],90.4,,0.12,77.744,84
HCPCS,J1299,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [81696],21369.35,,44.7,18377.641,86
HCPCS,J1302,SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION [196868],6574.05,,18.11,5742.693,172
HCPCS,J1303,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [192897],51179.524999999994,,223.68,69165.457,172
HCPCS,J1308,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,756
HCPCS,J1308,FAMOTIDINE (PF) 20 MG/50 ML IN 0.9 % NACL (ISO) INTRAVENOUS PIGGYBACK [12735],63.3,,0.01,54.438,84
HCPCS,J1308,FAMOTIDINE 10 MG/ML INJ CONTAINER [40800000064],7.85,,0.01,27.606,672
HCPCS,J1308,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],19.825,,0.01,27.606,420
HCPCS,J1323,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION [202348],38426.3,,185.31,41859.038,344
HCPCS,J1326,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION [206083],5294.05,,33.56,4552.883,86
HCPCS,J1326,ZOLBETUXIMAB-CLZB 20 MG/ML INTRAVENOUS SOLUTION  [40800004011],10588.05,,33.56,13658.563,172
HCPCS,J1327,EPTIFIBATIDE 0.75 MG/ML INFUSION [40800000316],218.64999999999998,,3.26,216.677,340
HCPCS,J1327,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],218.64999999999998,,3.26,216.677,425
HCPCS,J1327,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION [23124],143.1,,3.26,123.066,85
HCPCS,J1335,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],190.8,,9.02,362.404,1008
HCPCS,J1335,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],190.8,,9.02,362.404,1008
HCPCS,J1335,ERTAPENEM 100 MG/ML INJ [40800000062],205.95000000000002,,9.02,391.085,924
HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 50 MG/ML INJ [40800000061],647.15,,75.05,563.472,336
HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],647.15,,75.05,563.472,420
HCPCS,J1410,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION [9972],1268.05,,355.054,1090.523,86
HCPCS,J1410,CONJUGATED ESTROGENS INJECTION 5 MG/ML [40800000037],1268.05,,355.054,1090.523,86
HCPCS,J1438,ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION [24276],2886.75,,808.29,2482.605,166
HCPCS,J1438,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [108125],3250.65,,910.182,2795.559,166
HCPCS,J1438,ETANERCEPT 25 MG/0.5 ML SUBCUTANEOUS SOLUTION [192085],3250.65,,910.182,2795.559,166
HCPCS,J1440,"FECAL MICROBIOTA, LIVE-JSLM 150 ML RECTAL SUSPENSION ENEMA [199654]",30830.85,,64.03,26514.531,172
HCPCS,J1442,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE [108075],1013.15,,0.99,871.309,258
HCPCS,J1442,FILGRASTIM 300 MCG/ML INJECTION SOLUTION [10036],955.85,,0.99,822.031,172
HCPCS,J1442,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE [108076],1613.45,,0.99,1387.567,258
HCPCS,J1442,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [108074],1522.05,,0.99,1308.963,172
HCPCS,J1442,FILGRASTIM INJ CONTAINER [40840001467],1238.95,,0.99,1308.963,344
HCPCS,J1442,FILGRASTIM SUBCUTANEOUS CONTAINER [40800000114],1238.95,,0.99,1308.963,344
HCPCS,J1448,TRILACICLIB 15 MG/ML INJ [40800003068],5284.3,,5.39,4544.498,86
HCPCS,J1448,TRILACICLIB 300 MG INTRAVENOUS SOLUTION [193868],5284.3,,5.39,4544.498,86
HCPCS,J1450,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],64.1,,2.26,66.22,252
HCPCS,J1450,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],70.8,,2.26,68.714,420
HCPCS,J1450,FLUCONAZOLE IVPB 2 MG/ML IN NS (MAX CONC) (PEDI < 20.5 KG) [40840001436],77.0,,2.26,66.22,84
HCPCS,J1450,FLUCONAZOLE IVPB 200 MG/100 ML IN NS (IV PREP; DOSES < 200 MG) [40840000141],77.0,,2.26,66.22,84
HCPCS,J1450,FLUCONAZOLE IVPB 400 MG/200 ML IN NS (IV PREP; DOSES 201-399 MG) [40840000145],71.6,,2.26,68.714,168
HCPCS,J1450,FLUCONAZOLE IVPB 400 MG/200 ML IN NS (IV PREP; DOSES > 400 MG) [40840000139],71.6,,2.26,68.714,168
HCPCS,J1453,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],223.1,,0.11,942.775,1092
HCPCS,J1453,FOSAPREPITANT 30 MG/ML INJ [40800000315],183.625,,0.11,942.775,672
HCPCS,J1453,FOSAPREPITANT IVPB 150 MG IN 150 ML (IP-CMPD) [40800001207],289.25,,0.11,248.755,84
HCPCS,J1455,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1471.15,,15.58,1351.748,672
HCPCS,J1459,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [173701]",9710.9,,49.53,22270.302,688
HCPCS,J1459,IMMUNE GLOBULIN (HUMAN (IGG) 10% (INJ FOR PO USE) [40800000260],6473.95,,49.53,11135.151,516
HCPCS,J1561,IMMUNE GLOB G (GAMUNEX-C) (10%)-GLY-IGA AVE 46 MCG/ML INJ CONTAINER [40800002997],7528.275000000001,,48.03,17264.801,516
HCPCS,J1561,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [107753],5018.85,,48.03,4316.211,172
HCPCS,J1561,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [107754],10037.7,,48.03,8632.422,172
HCPCS,J1561,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [166342],20075.35,,48.03,17264.801,172
HCPCS,J1561,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [130140],2509.45,,48.03,2158.127,172
HCPCS,J1566,GAMMAGARD S/D 5% INTRAVENOUS CONTAINER [40800004225],5676.425,,80.4,6508.953,344
HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [173710]",7568.55,,80.4,6508.953,172
HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [173709]",3784.3,,80.4,3254.498,172
HCPCS,J1569,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [173700]",5720.2,,47.8,9838.701,516
HCPCS,J1570,GANCICLOVIR INJ 50 MG/ML [40800000429],247.15,,39.62,274.082,336
HCPCS,J1570,GANCICLOVIR INTRAVITREAL INJECTION 16 MG/0.4 ML [40800002410],18.45,,5.166,39.62,84
HCPCS,J1570,GANCICLOVIR INTRAVITREAL INJECTION 8 MG/0.4 ML [40800002409],18.45,,5.166,39.62,84
HCPCS,J1570,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],240.95,,39.62,274.082,588
HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],16.975,,1.932,112.101,1092
HCPCS,J1580,GENTAMICIN BUFFERED INTRATYMPANIC INJECTION 26.7 MG/ML (IP-CMPD) [40800002039],35.5,,2.62,30.53,84
HCPCS,J1580,GENTAMICIN INTRAVITREAL INJECTION 0.4 MG/0.4 ML [40800002411],6.9,,1.932,5.934,84
HCPCS,J1580,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [128272],33.35,,2.62,28.681,84
HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],11.95,,0.43,39.861,1008
HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],21.6,,0.43,120.357,2268
HCPCS,J1610,GLUCAGON 1 MG SOLUTION FOR INJECTION [41569],850.1,,146.33,731.086,258
HCPCS,J1610,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003921],850.1,,146.33,731.086,258
HCPCS,J1611,GLUCAGON 1 MG SOLUTION FOR INJECTION [41569],850.1,,135.0,731.086,172
HCPCS,J1611,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003921],850.1,,135.0,731.086,172
HCPCS,J1626,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [128500],49.625,,0.23,54.696,168
HCPCS,J1626,GRANISETRON 0.1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003935],7437.15,,0.23,6395.949,84
HCPCS,J1626,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [12552],32.1,,0.23,27.606,168
HCPCS,J1626,GRANISETRON HCL 1 MG/ML INJ CONTAINER [40800002817],33.875,,0.23,30.659,252
HCPCS,J1630,HALOPERIDOL LACTATE 0.2 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003948],112.3,,0.84,96.578,84
HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],7.05,,0.84,22.575,504
HCPCS,J1631,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION [10162],135.35,,4.68,123.969,168
HCPCS,J1640,HEMIN IVPB 7 MG/ML [40800000366],37435.4,,34.17,32194.444,172
HCPCS,J1642,HEPARIN 600 UNITS/6 ML VORTEX PORT FLUSH [40800002028],6.4,,0.02,5.504,252
HCPCS,J1642,"HEPARIN, PORCINE (PF) 10 UNIT/ML INJ CONTAINER [40800000214]",6.4,,0.02,5.504,168
HCPCS,J1642,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [105460]",6.4,,0.02,5.504,336
HCPCS,J1642,"HEPARIN, PORCINE (PF) 100 UNIT/ML (1 ML) INTRAVENOUS SOLUTION [127225]",12.35,,0.02,10.621,84
HCPCS,J1642,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (EXTRACORPOREAL USE) [40800000833]",6.4,,0.02,5.504,168
HCPCS,J1642,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,756
HCPCS,J1642,"HEPARIN, PORCINE (PF) 100 UNIT/ML TOPICAL SOAK [40800004029]",6.4,,0.02,5.504,672
HCPCS,J1643,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL (USE ORDER SET) [40800002030]",63.3,,3.01,54.438,84
HCPCS,J1643,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (USE ORDER SET) [40800003923]",63.3,,3.01,54.438,84
HCPCS,J1643,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL SOLN [40800003546]",63.3,,3.01,54.438,84
HCPCS,J1643,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,3.01,54.438,84
HCPCS,J1643,HEPARIN (PORCINE) (PF) 2 UNITS/ML IN 0.9% SODIUM CHLORIDE IRRIGATION CONTAINER (IR OSM) [40800003580],63.3,,3.01,54.438,84
HCPCS,J1643,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.8,,3.01,12.728,252
HCPCS,J1643,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL INFUSION [40800003544]",63.8,,3.01,54.868,168
HCPCS,J1643,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL TITRATABLE INFUSION [40840003392]",63.8,,3.01,54.868,168
HCPCS,J1643,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15848]",63.8,,3.01,54.868,168
HCPCS,J1643,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [127226]",42.7,,3.01,36.722,168
HCPCS,J1644,"HEPARIN (PF) 1,000 UNIT/ML INJ (EXTRACORPOREAL USE) [40800000758]",42.075,,0.22,40.463,168
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL (USE ORDER SET) [40800002030]",63.3,,0.22,54.438,168
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (USE ORDER SET) [40800003923]",63.3,,0.22,54.438,168
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL SOLN [40800003546]",63.3,,0.22,54.438,252
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,0.22,54.438,588
HCPCS,J1644,HEPARIN (PORCINE) (PF) 2 UNITS/ML IN 0.9% SODIUM CHLORIDE IRRIGATION CONTAINER (IR OSM) [40800003580],64.375,,0.22,56.287,504
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE FLUSH IRRIGATION (IR OSM) [40800000832]",63.3,,0.22,54.438,84
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL (USE ORDER SET) [40800003545]",63.3,,0.22,54.438,84
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (USE ORDER SET) [40800003924]",63.3,,0.22,54.438,84
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [128751]",64.375,,0.22,56.287,336
HCPCS,J1644,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",16.875,,0.22,27.391,924
HCPCS,J1644,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",60.925,,0.22,75.809,588
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN 0.45% NACL INTRA-ARTERIAL INFUSION (MELANOMA) [40800002860]",73.2,,0.22,62.952,168
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL INFUSION [40800003544]",63.3,,0.22,54.438,84
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL TITRATABLE INFUSION [40840003392]",63.3,,0.22,54.438,84
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15848]",68.25,,0.22,62.952,168
HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",12.125,,0.22,51.342,1680
HCPCS,J1644,"HEPARIN 1,000 UNIT/ML INJ (EXTRACORPOREAL USE) [40800000270]",23.825000000000003,,0.22,27.391,168
HCPCS,J1644,HEPARIN 5000 UNITS/5 ML VORTEX PORT FLUSH [40800002029],37.1,,0.22,31.906,84
HCPCS,J1644,"HEPARIN INFUSION 10,000 UNITS IN 1,000 ML NS (IR USE ONLY) (IP-CMPD) [40800000791]",109.1,,0.22,93.826,84
HCPCS,J1644,"HEPARIN INFUSION 10,000 UNITS IN 500 ML NS (APHERESIS USE ONLY) (IP-CMPD) (USE ORDER SET) [40800000978]",101.7,,0.22,87.462,84
HCPCS,J1644,"HEPARIN INFUSION 2,500 UNITS IN 250 ML NS (IP-CMPD) (USE ORDER SET) [40800000700]",74.8,,0.22,64.328,84
HCPCS,J1644,"HEPARIN INFUSION 5,000 UNITS IN 1,000 ML NS (IR USE ONLY) (IP-CMPD) [40800000977]",89.4,,0.22,76.884,84
HCPCS,J1644,"HEPARIN TITRATABLE 25,000 UNIT/500 ML IN 0.45% NACL (PREMIX) (USE ORDER SET) [40800002861]",73.2,,0.22,62.952,168
HCPCS,J1644,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [127226]",37.1,,0.22,40.463,420
HCPCS,J1645,"DALTEPARIN (PORCINE) 10,000 ANTI-XA UNIT/ML SUBCUTANEOUS SYRINGE [108030]",958.6,,18.04,824.396,168
HCPCS,J1645,"DALTEPARIN (PORCINE) 12,500 ANTI-XA UNIT/0.5 ML SUBCUTANEOUS SYRINGE [108034]",1198.35,,18.04,1030.581,168
HCPCS,J1645,"DALTEPARIN (PORCINE) 15,000 ANTI-XA UNIT/0.6 ML SUBCUTANEOUS SYRINGE [108035]",1437.95,,18.04,1236.637,168
HCPCS,J1645,"DALTEPARIN (PORCINE) 18,000 ANTI-XA UNIT/0.72 ML SUBCUTANEOUS SYRINGE [108036]",1725.55,,18.04,1483.973,168
HCPCS,J1645,"DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108031]",295.45,,18.04,254.087,168
HCPCS,J1645,"DALTEPARIN (PORCINE) 25,000 ANTI-XA UNIT/ML SUBCUTANEOUS SOLUTION [108149]",8891.0,,18.04,7646.26,84
HCPCS,J1645,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108032]",479.3,,18.04,412.198,168
HCPCS,J1645,"DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE [108033]",719.05,,18.04,618.383,168
HCPCS,J1650,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],58.375,,0.57,67.94,1428
HCPCS,J1650,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],67.575,,0.57,81.571,1092
HCPCS,J1650,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],71.55,,0.57,101.953,1008
HCPCS,J1650,ENOXAPARIN 20 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003944],219.6,,0.57,188.856,84
HCPCS,J1650,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],12.15,,0.57,28.036,1092
HCPCS,J1650,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],152.9,,0.57,203.562,420
HCPCS,J1650,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],32.625,,0.57,90.472,1008
HCPCS,J1650,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],31.625,,0.57,90.472,1260
HCPCS,J1650,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],39.325,,0.57,135.88,1008
HCPCS,J1650,ENOXAPARIN 7.5 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003951],53.35,,0.57,45.881,84
HCPCS,J1650,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],48.599999999999994,,0.57,54.352,1512
HCPCS,J1652,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [108029],186.05,,0.72,248.239,336
HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],76.35,,0.72,110.467,756
HCPCS,J1652,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [108027],175.9,,0.72,160.003,420
HCPCS,J1652,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],185.25,,0.72,248.239,588
HCPCS,J1670,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [128645],1990.6,,557.368,1711.916,86
HCPCS,J1720,HYDROCORTISONE (PF) 4 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003929],192.7,,21.2,165.722,84
HCPCS,J1720,HYDROCORTISONE (PF) 50 MG/ML INJ [40800001987],64.775,,16.94,59.383,168
HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [129753],79.65,,21.2,69.144,168
HCPCS,J1720,HYDROCORTISONE SODIUM SUCCINATE (PF) 50 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003702],72.17500000000001,,17.906,69.144,168
HCPCS,J1720,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION [124284],59.975,,15.68,54.997,168
HCPCS,J1740,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [110306],751.425,,30.8,652.74,168
HCPCS,J1742,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [100740],1405.65,,219.22,1577.283,170
HCPCS,J1745,INFLIXIMAB 10 MG/ML INJ [40800000074],2690.95,,31.04,3290.188,172
HCPCS,J1745,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796],2690.95,,31.04,3290.188,172
HCPCS,J1756,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],155.45,,0.22,177.633,756
HCPCS,J1756,IRON SUCROSE 20 MG/ML INJ CONTAINER [40840000529],167.775,,0.22,191.737,588
HCPCS,J1786,IMIGLUCERASE 40 UNITS/ML INTRAVENOUS SOLUTION [40800002677],5317.5,,42.83,4573.05,86
HCPCS,J1786,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION [26431],5317.5,,42.83,4573.05,86
HCPCS,J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],37.9,,5.36,32.594,84
HCPCS,J1800,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],35.05,,9.814,30.143,83
HCPCS,J1805,ESMOLOL 10 MG/ML INJ CONTAINER [40800000725],30.7,,0.28,49.149,336
HCPCS,J1805,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],37.025,,0.28,49.149,504
HCPCS,J1805,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",723.35,,0.28,622.081,84
HCPCS,J1805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",248.325,,0.28,414.735,420
HCPCS,J1805,"ESMOLOL TITRATABLE INFUSION 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [40800000375]",723.35,,0.28,622.081,84
HCPCS,J1805,"ESMOLOL TITRATABLE INFUSION 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [40800000374]",271.9,,0.28,414.735,252
HCPCS,J1807,ETHACRYNATE SODIUM 1 MG/ML INJ [40800000063],4750.2,,14.8143,5352.984,255
HCPCS,J1807,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],4750.2,,14.8143,5352.984,255
HCPCS,J1807,ETHACRYNIC ACID IVPB 1 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800002434],3276.0,,14.8143,2817.36,85
HCPCS,J1807,ETHACRYNIC ACID IVPB 1 MG/ML (MAX CONC) [40800002428],3276.0,,14.8143,2817.36,85
HCPCS,J1808,FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],185.10000000000002,,0.06,215.043,168
HCPCS,J1811,INSULIN PUMP ASPART (NIACINAMIDE) INFUSION 100 UNITS/ML [40800003966],230.05,,7.76,197.843,84
HCPCS,J1813,INSULIN PUMP LISPRO-AABC INFUSION 100 UNITS/ML [40800003967],262.1,,15.27,225.406,84
HCPCS,J1815,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION [124347],230.05,,64.414,197.843,83
HCPCS,J1815,INSULIN GLARGINE (SYRINGE) 100 UNIT/ML SUBCUTANEOUS SOLUTION [40800003400],204.35,,57.218,175.741,83
HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [28282],204.35,,57.218,175.741,83
HCPCS,J1815,INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [195850],200.25,,56.07,172.215,83
HCPCS,J1815,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP [10286],147.60000000000002,,39.732,131.838,166
HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [17405],145.35,,22.26,181.632,166
HCPCS,J1815,INSULIN LISPRO 10 UNITS / 0.1 ML SUBCUTANEOUS INJECTION SYRINGE (IP-CMPD) [40800003603],6.9,,1.932,5.934,83
HCPCS,J1815,INSULIN LISPRO 100 UNIT/ML INJECTION SOLUTION (ATC ONLY) [40800002506],255.375,,63.812,243.251,166
HCPCS,J1815,INSULIN NPH ISOPHANE (ATC ONLY) 100 UNIT/ML SUBCUTANEOUS SUSPENSION [40800003402],141.9,,39.732,122.034,83
HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION [10284],81.525,,5.922,122.034,166
HCPCS,J1815,INSULIN NPH-REGULAR 70-30 MIX (ATC ONLY) 100 UNIT/ML SUBCUTANEOUS SUSP [40800003403],100.5,,13.356,131.838,166
HCPCS,J1815,INSULIN PUMP ASPART INFUSION 100 UNITS/ML [40800002825],230.05,,64.414,197.843,83
HCPCS,J1815,INSULIN PUMP GLULISINE INFUSION 100 UNITS/ML [40800002827],258.65,,72.422,222.439,83
HCPCS,J1815,INSULIN PUMP LISPRO INFUSION 100 UNITS/ML [40800002824],236.65,,59.136,225.406,166
HCPCS,J1815,INSULIN PUMP REGULAR CONCENTRATE INFUSION 500 UNITS/ML [40800002826],4514.55,,1264.074,3882.513,83
HCPCS,J1815,INSULIN REGULAR 0.2 UNITS/ML IN NS INJECTION SYRINGE (PEDI) (IP-CMPD) [40800000390],80.25,,22.47,69.015,83
HCPCS,J1815,INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (ATC ONLY) [40800002505],153.1,,42.868,131.666,83
HCPCS,J1815,INSULIN REGULAR HUMAN U-500(CONCENTRATE) 500 UNIT/ML SUBCUTANEOUS SOLN [19180],4514.55,,1264.074,3882.513,83
HCPCS,J1815,INSULIN REGULAR INFUSION 100 UNITS IN 100 ML NS (IP-CMPD) (USE ORDER SET) [40800000488],119.3,,33.404,102.598,83
HCPCS,J1815,INSULIN REGULAR INFUSION 20 UNITS IN 100 ML NS (PEDI) (IP-CMPD) (USE ORDER SET) [40800003810],80.25,,22.47,69.015,83
HCPCS,J1815,INSULIN REGULAR IV PUSH INJECTION [40800002866],141.9,,39.732,122.034,83
HCPCS,J1815,INSULIN REGULAR IVPB 0.2 UNITS/ML IN NS (PEDI) (IP-CMPD) [40800003808],80.25,,22.47,69.015,83
HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [10289],141.9,,39.732,122.034,83
HCPCS,J1833,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION [170899],1330.75,,1.01,1144.445,85
HCPCS,J1833,ISAVUCONAZONIUM SULFATE 74.4 MG/ML INTRAVEOUS SOLUTION [40800002322],1330.75,,1.01,1144.445,85
HCPCS,J1836,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],63.3,,0.03,54.438,420
HCPCS,J1836,METRONIDAZOLE IVPB 5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001396],63.3,,0.03,54.438,84
HCPCS,J1836,METRONIDAZOLE IVPB 5 MG/ML [40800000425],63.3,,0.03,54.438,168
HCPCS,J1837,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [162662],1081.1,,0.35,1494.465,595
HCPCS,J1885,KETOROLAC 2 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003945],130.35,,0.34,112.101,86
HCPCS,J1885,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],8.025,,0.34,21.5,1204
HCPCS,J1885,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349],35.95,,0.34,30.917,86
HCPCS,J1920,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [130813],20.35,,0.39,49.063,336
HCPCS,J1920,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],18.5,,0.39,30.143,672
HCPCS,J1921,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],18.5,,1.38,15.91,168
HCPCS,J1930,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],30190.0,,35.72,25963.4,86
HCPCS,J1930,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE [88570],19224.0,,35.72,16532.64,86
HCPCS,J1930,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE [87860],25599.6,,35.72,22015.656,86
HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.525,,0.02,38.141,3528
HCPCS,J1938,FUROSEMIDE INFUSION 10 MG/ML [40800000767],11.65,,0.02,41.194,1848
HCPCS,J1938,FUROSEMIDE IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000248],11.65,,0.02,13.072,336
HCPCS,J1938,FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],11.65,,0.02,41.194,1680
HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],13.15,,0.61,18.275,1680
HCPCS,J1950,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT [111340],21263.2,,1737.1,18286.352,86
HCPCS,J1950,LEUPROLIDE 11.25 MG INTRAMUSCULAR KIT [10390],7087.7,,1737.1,6095.422,86
HCPCS,J1950,LEUPROLIDE 15 MG INTRAMUSCULAR KIT [10391],13811.35,,1737.1,11877.761,86
HCPCS,J1950,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [13691],3245.25,,908.67,2790.915,86
HCPCS,J1950,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21044],9735.8,,1737.1,8372.788,86
HCPCS,J1953,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],16.35,,0.05,206.615,1344
HCPCS,J1955,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],127.94999999999999,,24.29,114.767,420
HCPCS,J1956,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,924
HCPCS,J1956,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,756
HCPCS,J1956,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],66.8,,1.96,60.157,924
HCPCS,J1956,LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],65.05,,1.96,57.448,1596
HCPCS,J1956,LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],65.05,,1.96,57.448,1596
HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [14868],63.824999999999996,,17.724,55.341,166
HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE IVPB SOLUTION (MUST USE ORDER SET) [40840004154],63.824999999999996,,17.724,55.341,166
HCPCS,J2003,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],14.2,,2.1,36.206,747
HCPCS,J2003,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],9.325,,1.792,36.206,2241
HCPCS,J2003,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],33.25,,8.918,30.229,332
HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INJ CONTAINER [40800000736],12.85,,1.792,27.262,415
HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],12.425,,1.792,27.262,913
HCPCS,J2003,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [4455],21.2,,5.936,18.232,166
HCPCS,J2003,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [106363],51.7,,14.476,44.462,166
HCPCS,J2003,LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],13.3,,1.974,24.037,1079
HCPCS,J2003,LIDOCAINE 20 MG/ML (2 %) INJ FOR INTRANASAL USE [40800000268],16.8,,1.792,14.964,249
HCPCS,J2003,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],13.3,,1.918,22.618,2075
HCPCS,J2003,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],17.1,,1.792,15.265,498
HCPCS,J2004,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",35.45,,4.858,47.128,1162
HCPCS,J2004,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE [128677]",6.4,,1.792,5.504,166
HCPCS,J2004,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",24.9,,6.972,21.414,498
HCPCS,J2004,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [10428]",39.4,,10.164,47.128,498
HCPCS,J2004,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION [10429]",38.95,,7.994,48.762,415
HCPCS,J2004,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",48.9,,6.972,64.285,498
HCPCS,J2004,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [10426]",26.424999999999997,,5.684,27.993,332
HCPCS,J2020,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],85.45,,3.47,123.883,1596
HCPCS,J2020,LINEZOLID IVPB 2 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001393],96.1,,3.47,82.646,168
HCPCS,J2020,LINEZOLID IVPB 2 MG/ML (MAX CONC) [40840000625],96.1,,3.47,82.646,168
HCPCS,J2060,LORAZEPAM 0.2 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003930],98.1,,1.32,84.366,84
HCPCS,J2060,LORAZEPAM 2 MG/ML INFUSION [40840000025],31.724999999999998,,1.32,43.688,336
HCPCS,J2060,LORAZEPAM 2 MG/ML INJ CONTAINER [40800000737],31.724999999999998,,1.32,43.688,336
HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],10.65,,1.32,43.688,1176
HCPCS,J2060,LORAZEPAM IV PUSH INJECTION 2 MG/ML [40840002308],12.65,,1.32,10.879,168
HCPCS,J2151,MANNITOL 20 % INTRAVENOUS SOLUTION [4749],121.925,,17.066,172.086,415
HCPCS,J2151,MANNITOL 20% INTRAVENOUS SOLUTION (IV PREP) [40800000210],215.95,,60.466,185.717,83
HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [4903],13.3,,3.724,15.69,168
HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],13.8,,3.864,15.69,168
HCPCS,J2175,MEPERIDINE IV PUSH INJECTION 25 MG/ML [40840003269],13.3,,3.724,15.69,168
HCPCS,J2175,MEPERIDINE IV PUSH INJECTION 50 MG/ML [40840003939],13.8,,3.864,15.69,168
HCPCS,J2182,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION [175906],12038.95,,31.33,10353.497,86
HCPCS,J2182,MEPOLIZUMAB SUBCUTANEOUS INJECTION 100 MG/ML [40800002618],12038.95,,31.33,10353.497,86
HCPCS,J2185,MEROPENEM 0.02 MG/ML INJ (DESENSITIZATION) [40800000325],6.9,,0.44,5.934,84
HCPCS,J2185,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],32.775,,0.44,71.681,1260
HCPCS,J2185,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],32.775,,0.44,71.681,1428
HCPCS,J2185,MEROPENEM 1 MG/ML INJ (DESENSITIZATION) [40800000326],6.9,,0.44,5.934,84
HCPCS,J2185,MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],28.45,,0.44,77.357,1764
HCPCS,J2185,MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],19.725,,0.44,22.618,924
HCPCS,J2185,MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],19.725,,0.44,22.618,924
HCPCS,J2186,MEROPENEM-VABORBACTAM 0.1 G/ML INTRAVENOUS SOLUTION [40800002668],750.8,,2.17,645.688,170
HCPCS,J2186,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION [183355],750.8,,2.17,645.688,170
HCPCS,J2210,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],81.925,,17.598,86.86,252
HCPCS,J2212,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION [91651],611.8,,171.304,526.148,83
HCPCS,J2212,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE [130964],611.8,,171.304,526.148,83
HCPCS,J2248,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],612.65,,0.31,526.879,252
HCPCS,J2248,MICAFUNGIN 100 MG/5 ML INTRAVENOUS SOLUTION [40800001704],612.65,,0.31,526.879,252
HCPCS,J2248,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [41144],306.35,,0.31,263.461,84
HCPCS,J2249,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION [193256],150.4,,42.112,129.344,166
HCPCS,J2250,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [131642],8.05,,0.16,6.923,504
HCPCS,J2250,MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE [128221],16.15,,0.16,15.136,504
HCPCS,J2250,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [131641],8.05,,0.16,6.923,84
HCPCS,J2250,MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],16.15,,0.16,15.136,1008
HCPCS,J2250,MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,1008
HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],29.25,,0.16,31.734,1008
HCPCS,J2250,MIDAZOLAM INFUSION 100 MG IN 100 ML NS (IP-CMPD) (USE ORDER SET) [40800000478],158.7,,0.16,136.482,84
HCPCS,J2250,MIDAZOLAM INFUSION 5 MG/ML [40800000768],136.05,,0.16,204.766,252
HCPCS,J2260,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [122190],39.575,,1.4,88.709,504
HCPCS,J2260,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [122186],73.45,,1.4,83.42,672
HCPCS,J2265,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003377],808.4,,2.66,695.224,170
HCPCS,J2265,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],808.4,,2.66,695.224,170
HCPCS,J2265,MINOCYCLINE 20 MG/ML INJECTION [40800000055],872.3,,2.66,750.178,170
HCPCS,J2270,MORPHINE (BULK) 100 % POWDER [5184],122.3,,4.55,105.178,84
HCPCS,J2270,MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS SOLUTION [131114],35.15,,4.55,30.229,168
HCPCS,J2270,MORPHINE (PF) 50 MG/50 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE [178762],34.7,,4.55,29.842,84
HCPCS,J2270,MORPHINE 0.25 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003932],81.25,,4.55,69.875,84
HCPCS,J2270,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390],13.35,,3.738,11.481,168
HCPCS,J2270,MORPHINE 2 MG/ML INJ CONTAINER [40800002810],20.9,,3.304,34.228,504
HCPCS,J2270,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [163947],13.5,,3.304,24.338,420
HCPCS,J2270,MORPHINE 50 MG/50 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE [128950],34.7,,4.55,32.766,168
HCPCS,J2270,MORPHINE 50 MG/50 ML PCA SYRINGE (PREMIX) (PALLIATIVE) [40800002309],34.7,,4.55,32.766,168
HCPCS,J2270,MORPHINE 50 MG/50 ML PCA SYRINGE (PREMIX) (PEDI) [40800002315],34.7,,4.55,32.766,168
HCPCS,J2270,MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [124318],114.65,,4.55,98.599,84
HCPCS,J2270,MORPHINE INJECTION 10 MG/ML (PHARMACY USE ONLY) [40800000354],13.35,,3.738,11.481,168
HCPCS,J2270,MORPHINE INJECTION 2 MG/ML (PHARMACY USE ONLY) [40800000368],25.799999999999997,,3.304,34.228,168
HCPCS,J2272,MORPHINE 2 MG/ML INJ CONTAINER [40800002810],18.25,,5.11,15.695,84
HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],100.65,,10.79,86.559,168
HCPCS,J2274,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION [27392],1265.2,,10.79,1088.072,84
HCPCS,J2274,MORPHINE INJECTION 1 MG/ML (PHARMACY USE ONLY) [40800000367],100.65,,10.79,86.559,168
HCPCS,J2277,MOTIXAFORTIDE 62 MG SUBCUTANEOUS SOLUTION [202660],20294.85,,25.22,17453.571,172
HCPCS,J2277,MOTIXAFORTIDE SUBCUTANEOUS INJ 36.5 MG/ML [40800003975],20294.85,,25.22,17453.571,86
HCPCS,J2278,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION [40574],11817.9,,10.13,16788.791,170
HCPCS,J2278,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION [40573],19521.85,,10.13,16788.791,85
HCPCS,J2278,ZICONOTIDE INJECTION 1 MCG/ML STOCK SYRINGE (IP-CMPD) [40800002815],168.2,,10.13,1399.134,340
HCPCS,J2278,ZICONOTIDE INJECTION 5 MCG/ML STOCK SYRINGE (IP-CMPD) [40800002013],4013.6,,10.13,3451.696,255
HCPCS,J2280,MOXIFLOXACIN 400 MG/250 ML INTRAVENOUS PIGGYBACK CONTAINER [40800003114],115.525,,8.71,103.286,168
HCPCS,J2280,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [31906],115.525,,8.71,103.286,168
HCPCS,J2280,MOXIFLOXACIN IVPB 1.6 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001627],115.525,,8.71,103.286,168
HCPCS,J2280,MOXIFLOXACIN IVPB 1.6 MG/ML IN NS (IV PREP) [40800000201],115.525,,8.71,103.286,168
HCPCS,J2281,MOXIFLOXACIN 400 MG/250 ML INTRAVENOUS PIGGYBACK CONTAINER [40800003114],113.45,,7.76,97.567,84
HCPCS,J2281,"MOXIFLOXACIN 400 MG/250 ML-SODIUM ACET,SUL-WATER INTRAVENOUS PIGGYBACK [174062]",113.45,,7.76,97.567,84
HCPCS,J2290,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003378],41.7,,0.06,35.862,84
HCPCS,J2290,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION [5333],41.7,,0.06,35.862,84
HCPCS,J2290,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION [5334],463.75,,0.06,398.825,84
HCPCS,J2290,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],40.275,,0.06,79.034,756
HCPCS,J2290,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],40.275,,0.06,79.034,840
HCPCS,J2290,NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],46.625,,0.06,85.312,756
HCPCS,J2290,NAFCILLLIN 1 MG/ML IN NS 250 ML STOCK BAG INJ (IP-CMPD) (DESENSITIZATION) [40800003590],83.55,,0.06,71.853,84
HCPCS,J2300,NALBUPHINE 1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003943],109.85,,3.51,113.864,168
HCPCS,J2300,NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],27.1,,3.51,23.349,504
HCPCS,J2305,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS [15858],79.35,,1.42,68.241,84
HCPCS,J2305,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE BOLUS (IR OSM) [40800000830],79.35,,1.42,68.241,84
HCPCS,J2305,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [5599],58.2,,1.42,50.052,84
HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],82.1,,1.42,70.606,84
HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION (PULM OSM) [40800001973],35.65,,0.07,30.659,168
HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],30.975,,0.07,35.26,1176
HCPCS,J2312,NALOXONE INJECTION FOR PO USE 0.4 MG/ML [40800002012],38.55,,0.07,33.153,84
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE (PHARMACY TO PREPARE) [40800004407]",10697.15,,188.35,9199.549,172
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170196]",9969.75,,188.35,9199.549,258
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE (PHARMACY TO PREPARE) [40800004408]",14015.1,,188.35,12052.986,172
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170194]",13062.075,,188.35,12052.986,516
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE (PHARMACY TO PREPARE) [40800004409]",20986.55,,188.35,18048.433,172
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170195]",19559.475,,188.35,18048.433,344
HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE [130360],29.4,,0.61,25.284,168
HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],21.375,,0.61,30.487,672
HCPCS,J2354,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [91280],259.0,,0.61,259.505,168
HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML (1 ML) INJECTION SYRINGE [130358],17.15,,0.61,14.749,168
HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],16.25,,0.61,16.985,588
HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],106.65,,0.61,135.923,924
HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],86.675,,0.61,135.923,924
HCPCS,J2357,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE [186875],5090.15,,40.56,4377.529,172
HCPCS,J2357,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [203665],10180.3,,40.56,8755.058,86
HCPCS,J2357,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE [186873],2545.1,,40.56,2188.786,86
HCPCS,J2371,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [129869],21.6,,5.838,19.221,166
HCPCS,J2371,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],38.35,,1.932,65.188,2407
HCPCS,J2371,PHENYLEPHRINE 100 MCG/ML INJ CONTAINER [40800002634],21.6,,5.838,19.221,166
HCPCS,J2371,PHENYLEPHRINE 50 MG/250 ML (200 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (MELANOMA)(USE ORDER SET) [40800003973],128.725,,35.728,111.671,166
HCPCS,J2371,PHENYLEPHRINE 50 MG/250 ML (200 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [175484],128.725,,35.728,111.671,166
HCPCS,J2401,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [1634],77.925,,0.04,75.723,252
HCPCS,J2404,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],71.025,,0.09,90.773,924
HCPCS,J2404,NICARDIPINE INJECTION 5 MG IN 10 ML NS SYRINGE (IP-CMPD) [40800000490],21.0,,0.09,18.06,84
HCPCS,J2405,ONDANSETRON (PF) IVPB 4 MG/2 ML (PEDI < 20.5 KG) (> 4 MG) [40800000078],7.8500000000000005,,0.09,7.568,420
HCPCS,J2405,ONDANSETRON 2 MG/ML INJ CONTAINER (HOME-USE) [40800003392],21.9,,0.09,26.832,504
HCPCS,J2405,ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],15.024999999999999,,0.09,26.832,756
HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,1680
HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [127627],7.275,,0.09,7.009,168
HCPCS,J2405,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],31.5,,0.09,30.659,672
HCPCS,J2405,ONDANSETRON INFUSION 24 MG IN 250 ML NS (IP-CMPD) [40800000485],80.4,,0.09,69.144,84
HCPCS,J2405,ONDANSETRON IVPB 16 MG IN 50 ML NS (IP-CMPD) [40800000484],75.65,,0.09,65.059,84
HCPCS,J2407,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION [165408],3916.9,,28.52,3368.534,172
HCPCS,J2407,ORITAVANCIN INJ 10 MG/ML [40800000471],3916.9,,28.52,3368.534,172
HCPCS,J2425,PALIFERMIN INJ 5 MG/ML [40800000431],11709.224999999999,,35.91,10804.223,258
HCPCS,J2430,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],74.175,,11.16,79.722,168
HCPCS,J2430,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],217.575,,11.16,263.59,168
HCPCS,J2440,PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],123.6,,28.938,113.262,581
HCPCS,J2469,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003382],71.55,,0.45,95.718,504
HCPCS,J2469,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],64.4,,0.45,136.74,1092
HCPCS,J2470,PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],23.7,,2.52,33.153,581
HCPCS,J2470,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],21.65,,2.324,30.659,996
HCPCS,J2470,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],18.7,,2.086,30.659,1494
HCPCS,J2470,PANTOPRAZOLE INFUSION 80 MG IN 100 ML NS (IP-CMPD) [40800002001],104.7,,29.316,90.042,83
HCPCS,J2471,PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],16.6,,4.648,14.276,166
HCPCS,J2471,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],15.35,,4.298,13.201,166
HCPCS,J2471,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],13.825,,3.444,13.201,332
HCPCS,J2501,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION [31688],26.55,,0.67,22.833,84
HCPCS,J2501,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [22960],58.4,,0.67,50.224,84
HCPCS,J2502,PASIREOTIDE PAMOATE 10 MG IM SUSPENSION [186119],52239.1,,563.79,44925.626,86
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR [170607],19485.05,,58.4,16757.143,86
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [32267],19485.05,,58.4,16757.143,86
HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION [6097],2785.85,,36.84,2395.831,85
HCPCS,J2516,PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],396.75,,82.558,470.205,664
HCPCS,J2516,PENTAMIDINE INJ 100 MG/ML [40800000433],396.75,,82.558,470.205,664
HCPCS,J2540,"PENICILLIN G POTASSIUM 1,000,000 UNITS/ML INJECTION [40800000207]",48.95,,0.88,42.914,420
HCPCS,J2540,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],48.15,,0.88,42.914,840
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 1 MG/ML INJ (DESENSITIZATION) [40800000327],6.9,,1.11,5.934,84
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],14.925,,1.11,26.402,1008
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],14.925,,1.11,26.402,1008
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],25.25,,1.11,51.342,2940
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],22.55,,1.11,42.527,1680
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],23.325000000000003,,1.11,47.558,1848
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],31.475,,1.11,42.742,1260
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],32.85,,1.11,44.462,1344
HCPCS,J2545,PENTAMIDINE 300 MG SOLUTION FOR INHALATION [28235],510.075,,82.37,470.205,168
HCPCS,J2545,PENTAMIDINE NEBULIZER SOLN 50 MG/ML [40800000432],546.75,,82.37,470.205,84
HCPCS,J2547,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [170179],1037.4,,1.68,892.164,340
HCPCS,J2550,PROMETHAZINE 25 MG/ML INJECTION SOLUTION  [40800000089],9.15,,2.324,13.76,672
HCPCS,J2550,PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],8.8,,1.932,13.76,1260
HCPCS,J2550,PROMETHAZINE IVPB 12.5 MG IN 50 ML NS (IP-CMPD) [40800002834],73.05,,2.87,62.823,84
HCPCS,J2550,PROMETHAZINE IVPB 25 MG IN 50 ML NS (IP-CMPD) [40800002835],73.05,,2.87,62.823,84
HCPCS,J2550,PROMETHAZINE IVPB 25 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002518],12.4,,2.464,13.76,336
HCPCS,J2550,PROMETHAZINE IVPB 25 MG/ML (MAX CONC) [40800002433],9.5,,2.464,13.76,504
HCPCS,J2550,PROMETHAZINE IVPB 6.25 MG IN 50 ML NS (IP-CMPD) [40800002833],73.05,,2.87,62.823,84
HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],169.10000000000002,,27.36,201.67,420
HCPCS,J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],72.475,,17.654,78.346,672
HCPCS,J2562,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],3592.15,,32.74,28083.644,688
HCPCS,J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],185.35,,51.898,159.401,83
HCPCS,J2597,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],975.2,,3.57,1554.063,1092
HCPCS,J2598,VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],87.525,,1.26,445.308,1176
HCPCS,J2598,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],78.95,,1.26,445.308,1344
HCPCS,J2599,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],171.6,,0.48,147.576,168
HCPCS,J2690,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],301.4,,84.392,396.2095,86
HCPCS,J2700,OXACILLIN 10 GRAM SOLUTION FOR INJECTION [5925],373.15,,0.82,329.079,168
HCPCS,J2700,OXACILLIN 100 MG/ML INJ CONTAINER [40800000203],220.625,,0.82,329.079,336
HCPCS,J2700,OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],65.5,,0.82,63.898,756
HCPCS,J2700,OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],65.5,,0.82,63.898,756
HCPCS,J2704,PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],68.1,,0.09,79.206,1092
HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],47.199999999999996,,0.09,79.206,1428
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [122267],32.1,,2.702,76.583,664
HCPCS,J2720,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],56.15,,1.64,164.948,420
HCPCS,J2760,PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1274.55,,257.45,1279.293,516
HCPCS,J2765,METOCLOPRAMIDE 0.5 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003933],167.7,,1.0,144.222,84
HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],10.45,,1.0,13.674,840
HCPCS,J2765,METOCLOPRAMIDE IVPB 5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001451],15.9,,1.0,13.674,168
HCPCS,J2765,METOCLOPRAMIDE IVPB 5 MG/ML (MAX CONC) [40840001452],15.9,,1.0,13.674,168
HCPCS,J2777,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION [196725],7880.65,,32.87,6777.359,86
HCPCS,J2783,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [33591],3662.8,,376.48,3150.008,258
HCPCS,J2783,RASBURICASE 1.5 MG/ML INJ [40800000403],3662.8,,376.48,3150.008,258
HCPCS,J2785,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],87.45,,2.89,673.036,336
HCPCS,J2795,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],72.2,,0.06,62.092,168
HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) CONTINUOUS ONLY NERVE BLOCK INFUSION [40800000384],119.8,,0.06,111.241,672
HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],93.825,,0.06,111.241,756
HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],64.95,,0.06,111.241,1428
HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) NERVE BLOCK INFUSION [40800000382],123.0,,0.06,111.241,504
HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003809],35.05,,0.06,61.748,588
HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],35.05,,0.06,61.748,1008
HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) PRIMING INJECTION [40840001577],63.974999999999994,,0.06,61.748,336
HCPCS,J2795,ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],122.85,,0.06,111.241,756
HCPCS,J2800,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],41.0,,4.79,76.583,1596
HCPCS,J2802,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [189922],4735.0,,11.0,4072.1,172
HCPCS,J2802,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION [93566],9469.85,,11.0,8144.071,86
HCPCS,J2802,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION [93567],18939.65,,11.0,16288.099,86
HCPCS,J2802,ROMIPLOSTIM SUBCUTANEOUS 125 MCG/ML INJ CONTAINER (CMPD) [40800003805],4509.55,,11.0,3878.213,86
HCPCS,J2802,ROMIPLOSTIM SUBCUTANEOUS 500 MCG/ML INJ CONTAINER [40800002830],9469.85,,11.0,16288.099,344
HCPCS,J2804,RIFAMPIN 60 MG/ML INJ [40800000405],585.0,,0.16,503.1,84
HCPCS,J2804,RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],504.85,,0.16,503.1,252
HCPCS,J2820,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],1030.75,,56.09,886.445,172
HCPCS,J2820,SARGRAMOSTIM 250 MCG/ML INJECTION [40800000115],1030.75,,56.09,886.445,172
HCPCS,J2860,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION [162875],5379.95,,161.96,4626.757,86
HCPCS,J2860,SILTUXIMAB 20 MG/ML INJ CONTAINER [40800000752],13449.825,,161.96,18506.942,172
HCPCS,J2860,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION [162876],21519.7,,161.96,18506.942,86
HCPCS,J2865,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],48.35,,0.05,111.069,1008
HCPCS,J2916,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],71.65,,2.18,93.869,588
HCPCS,J2919,METHYLPREDNISOLONE 1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003940],102.0,,0.26,87.72,84
HCPCS,J2919,METHYLPREDNISOLONE 62.5 MG/ML INJ CONTAINER [40800000428],79.44999999999999,,0.26,129.817,420
HCPCS,J2919,METHYLPREDNISOLONE IVPB 62.5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002513],83.35,,0.26,129.817,336
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [129572],33.825,,0.26,31.949,336
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [129571],25.950000000000003,,0.26,24.381,336
HCPCS,J2919,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003375]",133.25,,0.26,120.314,252
HCPCS,J2919,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",121.05,,0.26,120.314,336
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003376],73.55,,0.26,66.435,252
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],73.55,,0.26,66.435,252
HCPCS,J2997,ALTEPLASE (CATHFLO) INJ 1 MG/ML (2 MG) (CMPD) [40800003427],642.8,,94.15,552.808,86
HCPCS,J2997,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [31310],590.3,,94.15,507.658,86
HCPCS,J2997,ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003],14415.0,,94.15,12396.9,172
HCPCS,J2997,ALTEPLASE INJ 1 MG/ML [40800000000],14415.0,,94.15,12396.9,172
HCPCS,J2997,ALTEPLASE IVPB 1 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000088],14415.0,,94.15,12396.9,172
HCPCS,J2997,ALTEPLASE IVPB 1 MG/ML [40840001471],14415.0,,94.15,12396.9,172
HCPCS,J3000,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION [7508],257.4,,31.35,221.364,84
HCPCS,J3000,STREPTOMYCIN SULFATE 250 MG/ML INJECTION [40800003406],257.4,,31.35,221.364,84
HCPCS,J3010,"FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) INTRAVENOUS PCA SYRINGE [130567]",62.35,,0.96,53.621,84
HCPCS,J3010,"FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) PCA SYRINGE (PREMIX) (PALLIATIVE) [40800003530]",62.35,,0.96,53.621,84
HCPCS,J3010,"FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) PCA SYRINGE (PREMIX) (PEDI)  [40800003531]",62.35,,0.96,53.621,84
HCPCS,J3010,"FENTANYL (PF) 2,500 MCG/50 ML INFUSION (PEDI) (USE ORDER SET) [40800003532]",62.35,,0.96,53.621,84
HCPCS,J3010,FENTANYL (PF) 25 MCG/ML IN 0.9 % SODIUM CHLORIDE INJECTION [127039],28.6,,0.96,24.596,84
HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],16.475,,0.96,138.976,1008
HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],16.475,,0.96,138.976,1260
HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE [193778],13.05,,0.96,12.341,336
HCPCS,J3010,FENTANYL 10 MCG/ML INJECTION (IP-CMPD) (PEDI) [40800003938],95.85,,0.96,82.431,84
HCPCS,J3010,FENTANYL FOR INHALATION 25 MCG/3 ML (PF) (IP-CMPD) [40800002313],8.05,,0.96,6.923,84
HCPCS,J3010,"FENTANYL INFUSION 2,000 MCG IN 100 ML NS (IP-CMPD) (USE ORDER SET) [40800000495]",122.25,,0.96,105.135,84
HCPCS,J3010,FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],16.475,,0.96,138.976,1344
HCPCS,J3030,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],42.8,,10.99,134.031,415
HCPCS,J3032,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [190795],6565.4,,19.85,5646.244,86
HCPCS,J3055,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION [202320],2943.65,,72.4,2531.539,86
HCPCS,J3055,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION [202319],39248.1,,72.4,33753.366,86
HCPCS,J3095,TELAVANCIN 15 MG/ML INJ CONTAINER [40800000450],2205.1,,7.03,1896.386,172
HCPCS,J3095,TELAVANCIN 750 MG INTRAVENOUS SOLUTION [99997],2205.1,,7.03,1896.386,172
HCPCS,J3101,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [184741],25568.375,,171.94,22313.775,258
HCPCS,J3101,TENECTEPLASE INJECTION 5 MG/ML [40800003968],25568.375,,171.94,22313.775,258
HCPCS,J3105,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],40.1,,2.74,53.879,336
HCPCS,J3111,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE [188044],4190.3,,12.0,3603.658,172
HCPCS,J3111,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE CONTAINER [40800002948],4190.275,,12.0,3603.658,344
HCPCS,J3111,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE [188039],4190.25,,12.0,3603.615,172
HCPCS,J3230,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],99.17500000000001,,23.996,97.739,1176
HCPCS,J3230,CHLORPROMAZINE IVPB 25 MG IN 50 ML NS (IP-CMPD) [40800002836],152.2,,27.07,130.892,84
HCPCS,J3240,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION [194449],6757.0,,1891.96,5811.02,172
HCPCS,J3243,TIGECYCLINE 10 MG/ML INJ [40800000059],327.6,,0.51,439.546,924
HCPCS,J3243,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],303.6,,0.51,407.339,1008
HCPCS,J3243,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],303.6,,0.51,407.339,1008
HCPCS,J3260,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],264.3,,2.46,236.156,336
HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],12.675,,2.46,13.846,504
HCPCS,J3260,TOBRAMYCIN INJECTION 40 MG/ML (PF) [40800000261],266.0,,2.46,236.156,168
HCPCS,J3262,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE [132553],3848.7,,5.53,3309.882,86
HCPCS,J3262,TOCILIZUMAB 20 MG/ML INJ CONTAINER [40800002484],4350.25,,5.53,7482.43,258
HCPCS,J3262,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION [108062],4350.25,,5.53,3741.215,86
HCPCS,J3262,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [108063],8700.5,,5.53,7482.43,86
HCPCS,J3262,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108061],1740.1,,5.53,1496.486,86
HCPCS,J3263,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION [203182],31964.8,,39.5,27489.728,86
HCPCS,J3290,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",26.1,,4.648,62.006,1660
HCPCS,J3290,TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],33.2,,5.446,62.006,913
HCPCS,J3290,TRANEXAMIC ACID INTRALESIONAL INJECTION 50 MG/ML (IP-CMPD) [40800004237],79.2,,22.176,68.112,83
HCPCS,J3290,TRANEXAMIC ACID NEBULIZER SOLUTION 100 MG/ML [40800003395],23.95,,5.446,24.467,249
HCPCS,J3300,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION [89128],2732.2,,18.78,2659.593,258
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION [11584],41.525000000000006,,0.86,37.066,168
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION (KALEIDOSCOPE USE ONLY) [40800003393],85.65,,0.86,129.946,420
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],83.0,,0.86,129.946,1428
HCPCS,J3315,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION [28558],3143.15,,469.38,2703.109,86
HCPCS,J3357,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SOLUTION [99447],50137.65,,14038.542,43118.379,83
HCPCS,J3357,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE [129587],50137.65,,14038.542,43118.379,83
HCPCS,J3357,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE [108054],100275.2,,28077.056,86236.672,83
HCPCS,J3358,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION [179765],7291.25,,11.62,6270.475,86
HCPCS,J3360,DIAZEPAM 0.2 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003939],151.9,,6.17,130.634,84
HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],85.725,,6.17,119.153,1008
HCPCS,J3373,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",24.525,,0.03,49.923,756
HCPCS,J3373,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",26.25,,0.03,49.923,1008
HCPCS,J3373,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129843],75.475,,0.03,75.379,168
HCPCS,J3373,VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129844],77.275,,0.03,78.475,168
HCPCS,J3373,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],399.45,,0.03,612.019,336
HCPCS,J3373,VANCOMYCIN 10 MG/ML IN NS STOCK BAG (IP-CMPD) [40800001037],127.95,,0.03,110.037,84
HCPCS,J3373,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],282.1,,0.03,254.302,336
HCPCS,J3373,VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],33.2,,0.03,53.965,1092
HCPCS,J3373,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],21.925,,0.03,30.745,756
HCPCS,J3373,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],21.925,,0.03,30.745,840
HCPCS,J3373,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003390],33.9,,0.03,30.186,336
HCPCS,J3373,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],33.9,,0.03,30.186,336
HCPCS,J3373,VANCOMYCIN INTRAVITREAL INJECTION 4 MG/0.4 ML [40800002415],6.9,,0.03,5.934,84
HCPCS,J3373,"VANCOMYCIN IVPB 1,000 MG IN 250 ML NS (IP-CMPD) [40800002474]",81.8,,0.03,70.348,84
HCPCS,J3373,"VANCOMYCIN IVPB 2,000 MG IN 250 ML NS (IP-CMPD) [40800003596]",212.05,,0.03,182.363,84
HCPCS,J3374,VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],37.35,,0.12,32.121,168
HCPCS,J3374,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003390],34.55,,0.12,29.713,168
HCPCS,J3374,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],34.55,,0.12,29.713,168
HCPCS,J3376,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",13.15,,3.682,11.309,166
HCPCS,J3376,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",13.15,,3.682,11.309,166
HCPCS,J3376,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],188.8,,52.864,162.368,83
HCPCS,J3376,VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],14.25,,3.99,12.255,166
HCPCS,J3379,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,,3.276,28.552,747
HCPCS,J3380,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [164372],33116.15,,20.98,28479.889,86
HCPCS,J3380,VEDOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION [40800002823],33116.15,,20.98,28479.889,86
HCPCS,J3402,REMESTEMCEL-L-RKND 6.68 X 10EXP6 CELL/ML INTRAVENOUS SUSPENSION [207932],635544.025,,194000.0,635544.05,104
HCPCS,J3411,THIAMINE 5 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003947],44.35,,1.79,38.141,84
HCPCS,J3411,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],29.25,,1.79,30.53,1092
HCPCS,J3411,THIAMINE IVPB 100 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000473],35.625,,1.79,32.981,168
HCPCS,J3415,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION [6744],85.05,,12.8,73.143,168
HCPCS,J3420,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",10.825,,0.95,26.359,1176
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION [124032],21.55,,2.84,18.533,252
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],136.05,,2.84,133.945,840
HCPCS,J3465,VORICONAZOLE 10 MG/ML INJ [40800000401],142.8,,0.78,216.204,420
HCPCS,J3465,VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],206.45,,0.78,343.957,672
HCPCS,J3465,VORICONAZOLE INTRAVITREAL INJECTION 400 MCG/0.4 ML [40800002700],6.9,,0.78,5.934,84
HCPCS,J3473,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",177.45,,0.36,152.607,252
HCPCS,J3475,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],68.9,,0.5,63.382,1176
HCPCS,J3475,MAGNESIUM SULFATE 2 GRAM/50 ML PREMIX (ANES OSM) [40800000826],71.475,,0.5,63.382,252
HCPCS,J3475,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.775,,0.5,55.255,1092
HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],15.25,,0.5,68.757,1344
HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) ORAL SOLUTION [40800000126],80.95,,0.5,312.739,504
HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],18.65,,0.17,62.006,1008
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11077],74.375,,0.17,73.487,420
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK (2 PREMIX BAGS) [40800002455],63.3,,0.17,54.438,168
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK (3 PREMIX BAGS) [40800002456],63.3,,0.17,54.438,168
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [11081],69.65,,0.17,59.899,420
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [9795],69.65,,0.17,59.899,252
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV [9800],32.7,,0.17,28.122,84
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9801],69.65,,0.17,59.899,252
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/100 ML INTRAVENOUS PIGGYBACK (2 PREMIX BAGS) [40800002457],63.3,,0.17,54.438,84
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11079],63.3,,0.17,54.438,252
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [11082],69.65,,0.17,59.899,84
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9807],69.65,,0.17,59.899,168
HCPCS,J3480,POTASSIUM CHLORIDE IVPB 20 MEQ IN 250 ML NS (IP-CMPD) [40800003418],81.6,,0.17,70.176,84
HCPCS,J3480,POTASSIUM CHLORIDE IVPB 40 MEQ IN 500 ML NS (IP-CMPD) [40800003420],81.6,,0.17,70.176,84
HCPCS,J3486,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],221.15,,3.14,190.189,84
HCPCS,J3489,ZOLEDRONIC ACID (RECLAST) IVPB 0.05 MG/ML IN MANNITOL 5 % IN SYRINGE (PEDI) [40800001205],769.9,,5.2,662.114,84
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003391],152.55,,5.2,507.142,420
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],153.3,,5.2,507.142,756
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK (BOTTLE) [40800003599],365.15,,5.2,314.029,84
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],200.0,,5.2,445.781,252
HCPCS,J3490,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION (DOSES NOT EQUAL TO 30 GRAMS) [40800003826],133.6,,37.408,114.896,166
HCPCS,J3490,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION [9123],133.6,,37.408,114.896,83
HCPCS,J3490,BUPIVACAINE 0.075%-FENTANYL 5 MCG/ML EPIDURAL INFUSION (PREMIX) [40800000704],13246.525,,31.304,22687.875,166
HCPCS,J3490,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION [176559],4062.25,,1137.43,3493.535,166
HCPCS,J3490,DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION [2607],169.25,,47.39,145.555,83
HCPCS,J3490,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR [191974],6365.05,,1782.214,5473.943,166
HCPCS,J3490,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [181337],6365.05,,1782.214,5473.943,166
HCPCS,J3490,ENALAPRILAT 0.05 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003934],107.0,,29.96,92.02,83
HCPCS,J3490,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],28.549999999999997,,6.524,29.068,664
HCPCS,J3490,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION (PULM OSM) [40800001974],46.35,,9.114,213.065,249
HCPCS,J3490,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],32.55,,7.98,213.065,664
HCPCS,J3490,KETAMINE 10 MG/ML INJECTION SOLUTION [4236],69.15,,18.9,72.67,498
HCPCS,J3490,KETAMINE LOW DOSE IV BOLUS INJECTION 2 MG/ML (IP-CMPD) (PEDI) [40800003970],89.05,,24.934,76.583,83
HCPCS,J3490,KETAMINE LOW-DOSE IV INFUSION 10 MG/ML (PEDI) (MUST USE ORDER SET) [40800003086],200.0,,56.0,172.0,83
HCPCS,J3490,LETERMOVIR 20 MG/ML INJ CONTAINER [40800002865],1273.75,,356.65,1095.425,166
HCPCS,J3490,LETERMOVIR 480 MG/24 ML INTRAVENOUS SOLUTION [183896],1273.75,,356.65,1095.425,166
HCPCS,J3490,LIDOCAINE 1% BUFFERED INJ SYRINGE 3 ML (IP-CMPD) [40800000769],33.25,,9.31,28.595,83
HCPCS,J3490,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE [129406],32.5,,9.1,27.95,166
HCPCS,J3490,SODIUM THIOSULFATE SUBCUTANEOUS INJECTION 40 MG/ML (4%) (IP-CMPD) [40800000365],15.0,,4.2,12.9,83
HCPCS,J3490,TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [199211],3430.0,,960.4,2949.8,83
HCPCS,J3490,TERLIPRESSIN INJECTION 0.17 MG/ML (USE ORDER SET) [40800003882],3430.0,,960.4,2949.8,83
HCPCS,J3490,VILOBELIMAB 10 MG/ML INTRAVENOUS SOLUTION (EUA) [200934],5200.65,,1456.182,4472.559,83
HCPCS,J3590,ANAKINRA 100 MG/0.67 ML IV INJECTION [40800003815],684.45,,191.646,588.627,166
HCPCS,J3590,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],684.45,,191.646,588.627,166
HCPCS,J3590,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [175515],7900.35,,2212.098,6794.301,83
HCPCS,J7030,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],69.65,,2.28,59.899,336
HCPCS,J7030,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],69.65,,2.28,59.899,252
HCPCS,J7030,SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],69.65,,2.28,59.899,504
HCPCS,J7030,SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],69.65,,2.28,59.899,504
HCPCS,J7030,SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],69.65,,2.28,59.899,420
HCPCS,J7030,SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,756
HCPCS,J7030,SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,840
HCPCS,J7030,SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],69.65,,2.28,59.899,588
HCPCS,J7030,SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],69.65,,2.28,59.899,588
HCPCS,J7030,SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],69.65,,2.28,59.899,420
HCPCS,J7030,"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",69.65,,2.28,59.899,420
HCPCS,J7030,SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],69.65,,2.28,59.899,168
HCPCS,J7030,SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],69.65,,2.28,59.899,420
HCPCS,J7030,SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],69.65,,2.28,59.899,420
HCPCS,J7030,SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],69.65,,2.28,59.899,420
HCPCS,J7030,SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],69.65,,2.28,59.899,252
HCPCS,J7030,SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],69.65,,2.28,59.899,420
HCPCS,J7040,SODIUM CHLORIDE 0.9 % IMPLANT INJECTION SOLUTION (RN OSM) [40800001211],66.15,,1.38,56.889,84
HCPCS,J7040,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,1.38,56.889,252
HCPCS,J7040,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,1.38,56.889,252
HCPCS,J7040,SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,1.38,56.889,504
HCPCS,J7040,SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,1.38,56.889,504
HCPCS,J7040,SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,1.38,56.889,168
HCPCS,J7040,SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,1.38,56.889,336
HCPCS,J7040,SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,1.38,56.889,504
HCPCS,J7040,SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,1.38,56.889,252
HCPCS,J7040,SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,1.38,56.889,336
HCPCS,J7040,SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,1.38,56.889,420
HCPCS,J7040,"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,1.38,56.889,504
HCPCS,J7040,SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,1.38,56.889,168
HCPCS,J7040,SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,1.38,56.889,420
HCPCS,J7040,SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,1.38,56.889,504
HCPCS,J7040,SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,1.38,56.889,504
HCPCS,J7040,SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,1.38,56.889,252
HCPCS,J7040,SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,1.38,56.889,420
HCPCS,J7042,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],69.65,,1.36,59.899,504
HCPCS,J7042,DEXTROSE 5%-SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS INFUSION [40800000007],69.65,,1.36,59.899,168
HCPCS,J7050,BLINATUMOMAB IV STABILIZER IN 270 ML SODIUM CHLORIDE 0.9% NS (NON-PVC) (IP-CMPD) [40800002488],120.1,,0.71,103.286,84
HCPCS,J7050,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,0.71,56.889,504
HCPCS,J7050,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,0.71,56.889,252
HCPCS,J7050,SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,0.71,56.889,420
HCPCS,J7050,SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,0.71,56.889,504
HCPCS,J7050,SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,0.71,56.889,504
HCPCS,J7050,SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,0.71,56.889,672
HCPCS,J7050,SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,1008
HCPCS,J7050,SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,756
HCPCS,J7050,SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,756
HCPCS,J7050,SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,0.71,56.889,336
HCPCS,J7050,"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,0.71,56.889,336
HCPCS,J7050,SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,0.71,56.889,168
HCPCS,J7050,SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,0.71,56.889,336
HCPCS,J7050,SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,0.71,56.889,336
HCPCS,J7050,SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,0.71,56.889,336
HCPCS,J7050,SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,0.71,56.889,420
HCPCS,J7050,SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,0.71,56.889,504
HCPCS,J7060,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,2.03,56.889,252
HCPCS,J7060,DEXTROSE 5 % IV BOLUS [40800000219],66.15,,2.03,56.889,420
HCPCS,J7060,DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,756
HCPCS,J7060,DEXTROSE 5% INJECTION [40800003082],66.15,,2.03,56.889,420
HCPCS,J7060,DEXTROSE 5% IV FLUSH [40800000220],66.15,,2.03,56.889,252
HCPCS,J7070,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],69.65,,3.04,59.899,84
HCPCS,J7070,DEXTROSE 5 % IV BOLUS [40800000219],69.65,,3.04,59.899,420
HCPCS,J7070,DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],69.65,,3.04,59.899,420
HCPCS,J7070,DEXTROSE 5% INJECTION [40800003082],69.65,,3.04,59.899,336
HCPCS,J7070,DEXTROSE 5% IV FLUSH (2017-0855) [40890014285],66.15,,3.04,56.889,84
HCPCS,J7070,DEXTROSE 5% IV FLUSH [40800000220],67.9,,3.04,59.899,672
HCPCS,J7100,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [2350],278.6,,78.008,239.596,83
HCPCS,J7120,LACTATED RINGERS (NON-PVC) INTRAVENOUS SOLUTION [40800000053],69.65,,2.46,59.899,336
HCPCS,J7120,LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,1260
HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,1176
HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,1344
HCPCS,J7120,LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,1260
HCPCS,J7120,LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,1260
HCPCS,J7121,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],69.65,,19.502,59.899,166
HCPCS,J7131,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],69.65,,19.502,59.899,415
HCPCS,J7131,SODIUM CHLORIDE 3% IV BOLUS (USE ORDER SET) [40800002862],69.65,,19.502,59.899,166
HCPCS,J7131,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],59.8,,9.422,93.998,581
HCPCS,J7131,SODIUM CHLORIDE 4 MEQ/ML IV PUSH INJECTION [40800002491],71.475,,9.422,93.998,249
HCPCS,J7168,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [162970]",4881.25,,2.05,4197.875,170
HCPCS,J7168,PROTHROMBIN COMPLEX CONCENTRATE - DOSE GREATER THAN 2500 UNITS [40800000239],4881.25,,2.05,4197.875,85
HCPCS,J7187,ANTIHEMOPHILIC FACTOR VIII/VWF (HUMATE-P) INJ CONTAINER [40800000051],7.525,,1.49,7.009,258
HCPCS,J7187,ANTIHEMOPHILIC FACTOR VIII/VWF (HUMATE-P) IVPB IN EMPTY BAG [40800004040],7.525,,1.49,7.009,258
HCPCS,J7187,"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION [70406]",8.15,,1.49,7.009,86
HCPCS,J7187,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION [70405]",6.9,,1.49,5.934,86
HCPCS,J7189,COAGULATION FACTOR VIIA 1 MG/ML INJ CONTAINER [40800000404],28992.6,,2.64,41556.06,172
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]",9664.2,,2.64,8311.212,172
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]",48321.0,,2.64,41556.06,172
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [24926]",6421.0,,1.54,5522.06,172
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,500 (+/-) UNIT INTRAVENOUS SOLUTION [106293]",9631.45,,1.54,8283.047,86
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR (RECOMB) 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [106294]",12841.95,,1.54,11044.077,86
HCPCS,J7192,ANTIHEMOPHILIC FACTOR (RECOMB) 500 (+/-) UNIT INTRAVENOUS SOLUTION [24925],3210.5,,1.54,2761.03,172
HCPCS,J7195,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [132227]",5831.3,,1.84,5014.918,86
HCPCS,J7195,"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION [132228]",11662.6,,1.84,10029.836,172
HCPCS,J7195,"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION [132229]",17493.85,,1.84,15044.711,86
HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],7518.45,,4.09,6465.867,172
HCPCS,J7298,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE [29280],3863.15,,1081.682,3322.309,83
HCPCS,J7300,COPPER 380 SQUARE MM INTRAUTERINE DEVICE [122184],3888.65,,1088.822,3344.239,83
HCPCS,J7301,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE [119672],3216.75,,900.69,2766.405,83
HCPCS,J7308,AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION [29588],1288.2,,360.696,1107.852,172
HCPCS,J7312,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT [99461],4250.4,,203.79,3655.344,86
HCPCS,J7325,HYLAN G-F 20  48 MG/6 ML INTRA-ARTICULAR SYRINGE [129036],4158.2,,6.96,3576.052,86
HCPCS,J7325,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE [17381],1386.1,,6.96,1192.046,86
HCPCS,J7500,AZATHIOPRINE 50 MG TABLET [9183],2.45,,0.462,2.795,252
HCPCS,J7500,AZATHIOPRINE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000927],49.1,,2.14,42.226,84
HCPCS,J7502,CYCLOSPORINE 100 MG CAPSULE [9706],63.85,,2.07,55.083,420
HCPCS,J7502,CYCLOSPORINE 100 MG/ML ORAL SOLUTION [9708],2737.1,,2.07,2353.906,84
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENGRAF) [40800002443],46.3,,2.07,39.861,168
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPSULE (NEORAL) [28843],36.6,,2.07,39.861,672
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION (NEORAL) [28844],1457.1,,2.07,1841.862,168
HCPCS,J7504,LYMPHOCYTE IMMUNE GLOBULIN (EQUINE) INJ 1 MG/ML BAG #0 (DESENSITIZATION) [40800000744],4152.65,,1162.742,6104.1195,86
HCPCS,J7504,LYMPHOCYTE IMMUNE GLOBULIN SKIN TEST 1:1000 [40840000955],17409.9,,4874.772,14972.514,172
HCPCS,J7504,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]",17409.9,,4874.772,14972.514,172
HCPCS,J7507,TACROLIMUS 0.5 MG CAPSULE FOR SUBLINGUAL USE [40800002960],7.325,,0.15,15.566,420
HCPCS,J7507,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",5.25,,0.15,15.566,672
HCPCS,J7507,TACROLIMUS 1 MG CAPSULE FOR SUBLINGUAL USE [40800002961],4.925,,0.15,31.089,672
HCPCS,J7507,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",5.5,,0.15,31.089,756
HCPCS,J7507,TACROLIMUS 5 MG CAPSULE FOR SUBLINGUAL USE [40800002962],34.7,,0.15,112.488,252
HCPCS,J7507,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",28.025000000000002,,0.15,112.488,336
HCPCS,J7507,TACROLIMUS ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800002017],173.95,,0.15,223.514,252
HCPCS,J7509,METHYLPREDNISOLONE 16 MG TABLET [4992],11.5,,0.23,11.567,336
HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLET [4993],5.45,,0.23,6.837,252
HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],178.3,,0.27,153.338,84
HCPCS,J7511,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION [24585],3759.1,,996.39,3232.826,86
HCPCS,J7511,ANTI-THYMOCYTE GLOBULIN (RABBIT) 5 MG/ML INJECTION [40800000009],3759.1,,996.39,3232.826,86
HCPCS,J7512,PREDNISONE 1 MG TABLET [6493],1.65,,0.462,1.419,581
HCPCS,J7512,PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,830
HCPCS,J7512,PREDNISONE 2.5 MG TABLET [6495],1.65,,0.462,1.419,249
HCPCS,J7512,PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,747
HCPCS,J7512,PREDNISONE 5 MG TABLET [6497],1.65,,0.462,1.419,498
HCPCS,J7512,PREDNISONE 5 MG/5 ML ORAL SOLUTION [6492],645.1,,76.888,873.416,166
HCPCS,J7512,PREDNISONE 50 MG TABLET [6498],1.9,,0.462,1.849,581
HCPCS,J7515,CYCLOSPORINE 25 MG CAPSULE [9707],22.4,,0.77,19.565,336
HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPSULE (GENGRAF) [40800002445],14.325,,0.77,12.384,168
HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPSULE (NEORAL) [28842],8.95,,0.77,12.384,504
HCPCS,J7516,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],249.15,,37.59,214.312,336
HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],2.4000000000000004,,0.16,29.842,1008
HCPCS,J7517,MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],4.2,,0.16,4.515,1008
HCPCS,J7519,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],180.875,,0.41,281.951,840
HCPCS,J7519,MYCOPHENOLATE INJ 33.33 MG/ML [40800003850],248.85,,0.41,304.225,504
HCPCS,J7519,MYCOPHENOLATE INJ 35.7 MG/ML [40800000430],248.85,,0.41,304.225,672
HCPCS,J7520,SIROLIMUS 0.5 MG TABLET [104764],23.275,,0.96,22.532,336
HCPCS,J7520,SIROLIMUS 1 MG TABLET [28958],34.95,,0.96,101.48,756
HCPCS,J7520,SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],3448.35,,0.96,5534.014,504
HCPCS,J7521,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET [187723],24.65,,1.25,21.199,84
HCPCS,J7521,TACROLIMUS 1 MG ORAL GRANULES IN PACKET [187725],36.8,,1.25,31.648,84
HCPCS,J7525,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION [12935],839.775,,229.32,740.073,258
HCPCS,J7525,TACROLIMUS INFUSION 1 MG IN 250 ML NS (IP-CMPD) [40800001997],185.1,,51.828,301.81635,86
HCPCS,J7525,TACROLIMUS INJ 1 MG/ML (CMPD) [40800000451],851.4000000000001,,158.928,976.272,172
HCPCS,J7527,EVEROLIMUS (ANTINEOPLASTIC) 10 MG TABLET [97390],2306.0,,1.99,1983.16,84
HCPCS,J7527,EVEROLIMUS (ANTINEOPLASTIC) 2.5 MG TABLET [105827],2204.65,,1.99,1895.999,84
HCPCS,J7527,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET [97389],2306.0,,1.99,1983.16,84
HCPCS,J7527,EVEROLIMUS (ANTINEOPLASTIC) 7.5 MG TABLET [114018],2306.0,,1.99,1983.16,84
HCPCS,J7528,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],3135.175,,414.988,3890.597,332
HCPCS,J7674,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [192322],442.3,,1.73,380.378,84
HCPCS,J7674,METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION [27032],298.15,,1.73,256.409,168
HCPCS,J7799,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE [2361],72.05,,20.174,61.963,166
HCPCS,J7999,ABH CAPSULES (IP-CMPD) [40800001009],3.05,,0.854,2.623,83
HCPCS,J7999,ACETYLCYSTEINE OPHTHALMIC SOLUTION 10% (IP-CMPD) [40800001012],28.45,,7.966,24.467,83
HCPCS,J7999,AMITRIPTYLINE 2% KETAMINE 5% LIDOCAINE 5% IN VC (IP-CMPD) [40800000510],274.5,,76.86,236.07,83
HCPCS,J7999,"AMITRIPTYLINE 2%, LIDOCAINE 5% IN VANICREAM (IP-CMPD) [40800000509]",60.45,,16.926,51.987,83
HCPCS,J7999,AMITRIPTYLINE 5% KETAMINE 10% LIDOCAINE 5% IN VC (IP-CMPD) [40800000507],521.05,,145.894,448.103,83
HCPCS,J7999,"AMITRIPTYLINE 5%, LIDOCAINE 5% IN VANICREAM (IP-CMPD) [40800000508]",40.9,,11.452,35.174,83
HCPCS,J7999,AMPHOTERICIN B 2 MCG/ML TOPICAL SOLUTION (IP-CMPD) [40800001989],15.65,,4.382,13.459,83
HCPCS,J7999,BECLOMETHASONE DIPROPIONATE IN OIL 0.5 MG/ML (IP-CMPD) [40800001200],189.85,,53.158,163.271,83
HCPCS,J7999,CATARACT OPHTHALMIC IRRIGATION SOLUTION (IP-CMPD) [40800001916],33.9,,9.492,29.154,83
HCPCS,J7999,CHOLESTYRAMINE 10% IN AQUAPHOR OINTMENT (IP-CMPD) [40800000512],3375.5,,945.14,2902.93,83
HCPCS,J7999,CIDOFOVIR 1%�IN VERSABSE CREAM (IP-CMPD) [40800001202],2248.7,,629.636,1933.882,83
HCPCS,J7999,"EPINEPHRINE TOPICAL SOLUTION 1:20,000 (IP-CMPD) [40800001006]",52.9,,14.812,45.494,83
HCPCS,J7999,FLUOROURACIL OPHTHALMIC SOLUTION 10 MG/ML (1 %) (CMPD) [40800001011],6.9,,1.932,5.934,83
HCPCS,J7999,FLUOROURACIL OPHTHALMIC SOLUTION 5 MG/ML (0.5 %)(CMPD) [40800001996],6.9,,1.932,5.934,83
HCPCS,J7999,HYDROCORTISONE 1% IN EMOLLIENT CREAM (IP-CMPD) [40800000517],6.55,,1.834,5.633,83
HCPCS,J7999,HYDROCORTISONE 2.5% IN EMOLLIENT CREAM (IP-CMPD) [40800000518],13.25,,3.71,11.395,83
HCPCS,J7999,"LIDOCAINE 0.5% BUFFERED - EPINEPHRINE 1:200,000 INJ SYRINGE 1 ML (IP-CMPD) [40800002035]",6.9,,1.932,5.934,166
HCPCS,J7999,"LIDOCAINE 0.5% BUFFERED - EPINEPHRINE 1:200,000 INJ SYRINGE 10 ML (IP-CMPD) [40800002037]",6.9,,1.932,5.934,166
HCPCS,J7999,"LIDOCAINE 1% BUFFERED - EPINEPHRINE 1:100,000 INJ SYRINGE 0.5 ML (IP-CMPD) [40800003821]",6.9,,1.932,5.934,83
HCPCS,J7999,"LIDOCAINE 1% BUFFERED - EPINEPHRINE 1:100,000 INJ SYRINGE 1 ML (IP-CMPD) [40800000771]",6.9,,1.932,5.934,83
HCPCS,J7999,"LIDOCAINE 1% BUFFERED - EPINEPHRINE 1:100,000 INJ SYRINGE 10 ML (IP-CMPD) [40800000770]",26.8,,7.504,23.048,83
HCPCS,J7999,LIDOCAINE 1% BUFFERED - SODIUM BICARBONATE 16.7% INJ SYRINGE 3 ML (30 ML) [40800002480],6.9,,1.932,5.934,83
HCPCS,J7999,LIDOCAINE 1% IN AQUAPHOR (IP-CMPD) [40800001971],106.1,,29.708,91.246,83
HCPCS,J7999,"LIDOCAINE 2% BUFFERED - EPINEPHRINE 1:200,000 INJECTION SYRINGE (IP-CMPD) [40800001991]",11.2,,1.932,32.035,332
HCPCS,J7999,MITOMYCIN OPHTHALMIC SOLUTION 0.02% (IP-CMPD) [40800000964],102.5,,28.7,88.15,83
HCPCS,J7999,MITOMYCIN OPHTHALMIC SOLUTION 0.04% (IP-CMPD) [40800000963],414.15,,115.962,356.169,83
HCPCS,J7999,MORPHINE 0.1% IN SILVADENE CREAM (IP-CMPD) [40800000522],34.9,,9.772,30.014,83
HCPCS,J7999,NDX CREAM (IP-CMPD) [40800001010],33.1,,9.268,28.466,83
HCPCS,J7999,NIFEDIPINE 0.2% AND LIDOCAINE 1% IN VASELINE (IP-CMPD) [40800000525],11.95,,3.346,10.277,83
HCPCS,J7999,NIFEDIPINE 0.3% AND LIDOCAINE 5% IN VASELINE (IP-CMPD) [40800000526],16.9,,4.732,14.534,83
HCPCS,J7999,NITROGLYCERIN 0.2% IN WHITE PETROLATUM (IP-CMPD) [40800000527],34.25,,9.59,29.455,83
HCPCS,J7999,PHENOL 6% IN STERILE WATER INTRANEURAL INJECTION (IP-CMPD) [40800001922],73.05,,20.454,62.823,83
HCPCS,J7999,PHENYLEPHRINE 0.5% NASOPHARYNGEAL SOLUTION (IP-CMPD) [40800001154],15.95,,4.466,13.717,83
HCPCS,J7999,PHENYLEPHRINE 1% NASOPHARYNGEAL SOLUTION (IP-CMPD) [40800001984],16.875,,4.718,14.534,166
HCPCS,J7999,RIFAMPIN ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000943],37.35,,10.458,32.121,83
HCPCS,J7999,VANCOMYCIN OPHTHALMIC SOLUTION 25 MG/ML (IP-CMPD) [40800000965],43.35,,12.138,37.281,83
HCPCS,J7999,XYLOXYLIN ORAL SUSPENSION (IP-CMPD) [40800001002],9.55,,0.84,13.846,166
HCPCS,J8501,APREPITANT 125 MG (25 MG/ML FINAL CONCENTRATION) ORAL SUSPENSION [178997],1119.85,,2.72,963.071,168
HCPCS,J8501,APREPITANT 125 MG CAPSULE [35489],834.45,,2.72,717.627,588
HCPCS,J8501,APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,756
HCPCS,J8501,APREPITANT 80 MG CAPSULE [35488],534.1,,2.72,616.362,840
HCPCS,J8501,APREPITANT ORAL SUSPENSION 20 MG/ML (IP-CMPD) [40800000957],3095.2,,2.72,2661.872,84
HCPCS,J8510,BUSULFAN ORAL SUSPENSION 2 MG/ML (IP-CMPD) [40800000994],1629.35,,10.12,1401.241,85
HCPCS,J8515,CABERGOLINE 0.5 MG TABLET [19226],14.85,,2.702,25.499,249
HCPCS,J8522,CAPECITABINE 500 MG TABLET [22994],4.8,,0.03,133.386,602
HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG CAPSULE [162637],35.5,,1.98,30.53,84
HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG CAPSULE [162638],33.425000000000004,,1.98,45.537,168
HCPCS,J8530,CYCLOPHOSPHAMIDE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000930],235.0,,1.98,202.1,84
HCPCS,J8540,DEXAMETHASONE 0.5 MG TABLET [2322],1.65,,0.02,1.419,168
HCPCS,J8540,DEXAMETHASONE 0.5 MG/5 ML MOUTHWASH [40800001052],62.6,,0.02,53.836,84
HCPCS,J8540,DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR [2319],163.05,,0.02,150.414,168
HCPCS,J8540,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION [2320],118.825,,0.02,150.543,168
HCPCS,J8540,DEXAMETHASONE 0.75 MG TABLET [2323],1.65,,0.02,1.419,252
HCPCS,J8540,DEXAMETHASONE 1 MG TABLET [2324],1.65,,0.02,1.419,336
HCPCS,J8540,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE) [124195],81.9,,0.02,70.434,84
HCPCS,J8540,DEXAMETHASONE 2 MG TABLET [2326],2.95,,0.02,2.924,336
HCPCS,J8540,DEXAMETHASONE 4 MG TABLET [2327],4.8,,0.02,4.257,588
HCPCS,J8560,ETOPOSIDE 50 MG CAPSULE [10001],258.975,,65.632,243.853,258
HCPCS,J8560,ETOPOSIDE ORAL SOLUTION 10 MG/ML (CMPD) [40800000932],180.8,,50.624,155.488,86
HCPCS,J8600,MELPHALAN 2 MG TABLET [10523],43.65,,12.222,37.539,83
HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG TABLET [4973],13.15,,0.2,11.309,168
HCPCS,J8612,METHOTREXATE 2.5 MG/ML ORAL SOLUTION [182118],8437.05,,22.3,7255.863,86
HCPCS,J8670,ROLAPITANT 90 MG TABLET [175376],1085.7,,1.56,933.702,85
HCPCS,J8700,TEMOZOLOMIDE 100 MG CAPSULE [25894],85.8,,0.36,73.788,588
HCPCS,J8700,TEMOZOLOMIDE 140 MG CAPSULE [81461],124.25,,0.36,106.855,588
HCPCS,J8700,TEMOZOLOMIDE 180 MG CAPSULE [81462],156.425,,0.36,139.148,420
HCPCS,J8700,TEMOZOLOMIDE 20 MG CAPSULE [25893],41.675,,0.36,46.655,504
HCPCS,J8700,TEMOZOLOMIDE 250 MG CAPSULE [25895],231.925,,0.36,247.938,336
HCPCS,J8700,TEMOZOLOMIDE 5 MG CAPSULE [25892],12.6,,0.36,11.911,504
HCPCS,J8700,TEMOZOLOMIDE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000952],5891.9,,0.36,5067.034,84
HCPCS,J8705,TOPOTECAN ORAL SOLUTION 1 MG/ML (IP-CMPD) [40800000960],715.55,,124.9,615.373,86
HCPCS,J8999,ABIRATERONE 250 MG TABLET [109776],343.1,,96.068,295.066,83
HCPCS,J8999,ABIRATERONE 500 MG TABLET [182107],686.2,,192.136,590.132,83
HCPCS,J8999,AFATINIB 20 MG TABLET [122472],1313.45,,367.766,1129.567,83
HCPCS,J8999,AFATINIB 30 MG TABLET [122473],1313.45,,367.766,1129.567,83
HCPCS,J8999,AFATINIB 40 MG TABLET [122474],1313.45,,367.766,1129.567,83
HCPCS,J8999,AXITINIB 1 MG TABLET [113623],385.15,,107.842,331.229,83
HCPCS,J8999,AXITINIB 5 MG TABLET [113624],1155.45,,323.526,993.687,83
HCPCS,J8999,CRIZOTINIB 250 MG CAPSULE [111399],1298.05,,363.454,1116.323,83
HCPCS,J8999,DABRAFENIB 50 MG CAPSULE [122206],356.6,,99.848,306.676,83
HCPCS,J8999,DABRAFENIB 75 MG CAPSULE [122207],459.6,,128.688,395.256,83
HCPCS,J8999,DASATINIB 20 MG TABLET [76717],348.79999999999995,,40.544,475.408,166
HCPCS,J8999,DASATINIB 50 MG TABLET [76718],651.8,,55.454,950.773,166
HCPCS,J8999,DASATINIB 70 MG TABLET [76719],651.8,,55.454,950.773,166
HCPCS,J8999,ENZALUTAMIDE 40 MG CAPSULE [117351],419.15,,117.362,360.469,83
HCPCS,J8999,ERLOTINIB 150 MG TABLET [40091],208.85,,11.326,793.694,249
HCPCS,J8999,EXEMESTANE 25 MG TABLET [26551],15.8,,2.212,35.991,332
HCPCS,J8999,HYDROXYUREA 500 MG CAPSULE (ACCC AND ICU USE ONLY) [40800002701],3.1500000000000004,,0.532,3.784,249
HCPCS,J8999,HYDROXYUREA 500 MG CAPSULE [10236],4.4,,0.532,3.956,332
HCPCS,J8999,IBRUTINIB 140 MG CAPSULE [132625],386.6,,108.248,332.476,83
HCPCS,J8999,IMATINIB 400 MG TABLET [36092],20.75,,5.754,20.554,332
HCPCS,J8999,IRINOTECAN 100 MG/5 ML INJECTION FOR PO USE [40800000264],80.5,,16.184,88.752,166
HCPCS,J8999,LOMUSTINE 10 MG CAPSULE [10459],398.05,,111.454,342.323,83
HCPCS,J8999,LOMUSTINE 40 MG CAPSULE [10461],1592.0,,445.76,1369.12,83
HCPCS,J8999,MERCAPTOPURINE 25 MG HALF TABLET [40800000762],8.75,,2.45,7.525,83
HCPCS,J8999,MITOTANE 500 MG TABLET [10633],66.8,,18.704,57.448,83
HCPCS,J8999,NILOTINIB HCL 200 MG CAPSULE [88720],652.15,,182.602,560.849,166
HCPCS,J8999,PALBOCICLIB 100 MG CAPSULE [170704],2108.4,,590.352,1813.224,83
HCPCS,J8999,PALBOCICLIB 125 MG CAPSULE [170705],2108.4,,590.352,1813.224,83
HCPCS,J8999,PALBOCICLIB 75 MG CAPSULE [170703],2108.4,,590.352,1813.224,83
HCPCS,J8999,REGORAFENIB 40 MG TABLET [117575],975.85,,273.238,839.231,83
HCPCS,J8999,SORAFENIB 200 MG TABLET [43675],322.6,,43.54,364.769,332
HCPCS,J8999,TAMOXIFEN 10 MG TABLET [7711],1.65,,0.462,1.419,83
HCPCS,J8999,TAMOXIFEN 20 MG TABLET [11498],2.75,,0.518,3.139,249
HCPCS,J8999,TRAMETINIB 0.5 MG TABLET [122211],586.45,,164.206,504.347,83
HCPCS,J8999,TRAMETINIB 2 MG TABLET [122212],1995.9,,558.852,1716.474,83
HCPCS,J8999,VENETOCLAX 10 MG TABLET [178096],51.65,,14.462,44.419,166
HCPCS,J8999,VENETOCLAX 100 MG TABLET [178098],439.2,,122.962,377.755,166
HCPCS,J8999,VENETOCLAX 5 MG HALF-TABLET [40800001216],30.55,,8.554,26.273,83
HCPCS,J8999,VENETOCLAX 50 MG TABLET [178097],230.1,,64.428,197.886,166
HCPCS,J8999,VORINOSTAT 100 MG CAPSULE [77539],409.8,,114.744,352.428,83
HCPCS,J9000,DOXORUBICIN 2 MG/ML INJ CONTAINER [40800000109],93.65,,2.72,374.745,672
HCPCS,J9000,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],308.7,,2.72,394.439,588
HCPCS,J9000,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],861.7,,2.72,741.062,252
HCPCS,J9000,DOXORUBICIN 50 MG/2 ML INJ (LC BEADS) [40800000117],861.7,,2.72,741.062,168
HCPCS,J9000,DOXORUBICIN 50 MG/2.5 ML INJ (ONCOZENE BEADS) [40800000123],861.7,,2.72,741.062,84
HCPCS,J9000,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [128848],84.19999999999999,,2.72,103.329,420
HCPCS,J9000,DOXORUBICIN 75 MG/2 ML INJ (LC BEADS)  [40800000467],861.7,,2.72,741.062,84
HCPCS,J9000,DOXORUBICIN HIPEC INFUSION CONTAINER [40800002819],224.25,,2.72,192.855,84
HCPCS,J9000,DOXORUBICIN INFUSION 2 MG/ML (MAX CONC) (PEDI) [40800004211],93.65,,2.72,374.745,588
HCPCS,J9000,DOXORUBICIN INJ 50 MG/1.5 ML (CHEMOEMBOLIZATION) [40800000786],861.7,,2.72,741.062,84
HCPCS,J9000,DOXORUBICIN INJ 50 MG/1.5 ML (TACE) [40800002654],861.7,,2.72,741.062,84
HCPCS,J9000,DOXORUBICIN IVPB 2 MG/ML (MAX CONC) (PEDI) [40800004210],93.65,,2.72,374.745,588
HCPCS,J9011,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION [207184],16343.15,,51.52,14055.109,85
HCPCS,J9011,DATOPOTAMAB DERUXTECAN-DLNK 20 MG/ML INJECTION [40800004214],16343.15,,51.52,14055.109,85
HCPCS,J9015,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION [8993],21639.3,,3338.87,18609.798,85
HCPCS,J9015,ALDESLEUKIN INJ 18 MILLION UNITS/ML [40800000448],21639.3,,3338.87,18609.798,85
HCPCS,J9015,ALDESLEUKIN SUBCUTANEOUS INJ 1 MILLION UNITS/0.28 ML (IP-CMPD) [40800004231],983.65,,275.422,3839.7005,85
HCPCS,J9015,ALDESLEUKIN SUBCUTANEOUS INJ 3.6 MILLION UNITS/ML (IP-CMPD) [40800001605],21639.35,,3338.87,18609.841,85
HCPCS,J9017,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],961.55,,5.86,1673.517,1344
HCPCS,J9017,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION [184158],4574.15,,5.86,3933.769,168
HCPCS,J9021,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION [195401],18247.35,,55.3,15692.721,172
HCPCS,J9022,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [178549]",39105.75,,91.02,33630.945,86
HCPCS,J9022,ATEZOLIZUMAB 60 MG/ML INJECTION CONTAINER [40800003336],33239.9,,91.02,33630.945,172
HCPCS,J9022,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION [187802],27374.05,,91.02,23541.683,86
HCPCS,J9023,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [40800002637],4927.15,,100.3,4237.349,86
HCPCS,J9025,AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],311.25,,0.21,1648.835,1344
HCPCS,J9025,AZACITIDINE INJECTION 10 MG/ML [40800000411],311.25,,0.21,1648.835,756
HCPCS,J9025,AZACITIDINE SUBCUTANEOUS SOLUTION 25 MG/ML [40800000410],1220.725,,0.21,1648.835,168
HCPCS,J9026,TARLATAMAB-DLLE 0.9 MG/ML INJECTION [40800003634],5061.45,,1417.206,4352.847,172
HCPCS,J9026,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION [204734],5061.45,,1417.206,4352.847,172
HCPCS,J9026,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION [204733],50614.2,,1567.49,43528.212,86
HCPCS,J9026,TARLATAMAB-DLLE 2.4 MG/ML INJECTION  [40800003635],50614.2,,1567.49,43528.212,172
HCPCS,J9027,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],8297.55,,10.94,10042.306,688
HCPCS,J9028,NOGAPENDEKIN ALFA INBAKICEPT-PMLN 400 MCG/0.4 ML INTRAVESICAL SOLUTION [204422],117280.8,,94.12,100861.488,86
HCPCS,J9030,BCG LIVE 50 MG INTRAVESICAL SUSPENSION [127145],596.15,,3.12,512.689,172
HCPCS,J9030,BCG LIVE INTRAVESICAL 17 MG IN 50 ML NS (IP-CMPD) [40800002937],244.1,,3.12,209.926,86
HCPCS,J9030,BCG LIVE INTRAVESICAL 25 MG IN 50 ML NS (IP-CMPD) [40800001215],355.55,,3.12,305.773,86
HCPCS,J9030,BCG LIVE INTRAVESICAL 33 MG IN 50 ML NS (IP-CMPD) [40800004421],459.6,,3.12,395.256,86
HCPCS,J9030,BCG LIVE INTRAVESICAL 50 MG IN 50 ML NS (IP-CMPD) [40800002938],565.75,,3.12,486.545,86
HCPCS,J9030,BCG LIVE INTRAVESICAL SOLN 50 MG/ML [40800000446],596.15,,3.12,512.689,172
HCPCS,J9032,BELINOSTAT 500 MG INTRAVENOUS SOLUTION [165105],8413.55,,52.04,7235.653,86
HCPCS,J9032,BELINOSTAT INJECTION 50 MG/ML [40800000252],8413.55,,52.04,7235.653,86
HCPCS,J9034,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [176082],8104.2,,12.9,6969.612,86
HCPCS,J9035,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [108065],6526.975,,73.05,8981.109,172
HCPCS,J9038,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION [207071],27064.7,,55.65,33036.384,170
HCPCS,J9039,BLINATUMOMAB 12.5 MCG/ML CONTAINER [40800002487],19296.25,,163.21,16594.775,86
HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS KIT [170424],19296.25,,163.21,16594.775,86
HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION [182219],19296.25,,163.21,16594.775,86
HCPCS,J9040,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],105.3,,20.9,168.861,336
HCPCS,J9040,BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR INFUSION) [40800002695],260.575,,20.9,6189.463,504
HCPCS,J9040,BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR IVPB) [40800000102],260.575,,20.9,6189.463,672
HCPCS,J9040,BLEOMYCIN 3 UNITS/ML INTRALESIONAL INJ CONTAINER [40800003129],306.7,,20.9,6189.463,588
HCPCS,J9040,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],327.15,,20.9,6189.463,420
HCPCS,J9040,BLEOMYCIN 6 UNITS/ML SCLEROTHERAPY INJ CONTAINER [40800002630],306.7,,20.9,6189.463,588
HCPCS,J9040,BLEOMYCIN IVPB 3 UNITS/ML (MAX CONC)  [40800001214],347.6,,20.9,298.936,84
HCPCS,J9041,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],228.4,,1.59,845.208,756
HCPCS,J9041,BORTEZOMIB IV INJ 1 MG/ML INJECTION [40800000444],180.35000000000002,,1.59,221.364,504
HCPCS,J9041,BORTEZOMIB SUBCUTANEOUS 1 MG/ML INJECTION [40800002483],180.35000000000002,,1.59,221.364,504
HCPCS,J9041,BORTEZOMIB SUBCUTANEOUS INJ 2.5 MG/ML [40800000445],216.55,,1.59,845.208,588
HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348],43145.45,,258.52,37105.087,86
HCPCS,J9042,BRENTUXIMAB VEDOTIN INJ 5 MG/ML (DESENSITIZATION) [40800004111],43145.45,,258.52,37105.087,86
HCPCS,J9042,BRENTUXIMAB VEDOTIN INJ 5 MG/ML [40800000443],43145.45,,258.52,37105.087,86
HCPCS,J9043,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [105644],48222.25,,227.1,41471.135,172
HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],172.22500000000002,,2.11,253.442,1344
HCPCS,J9045,CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],197.60000000000002,,2.11,253.442,840
HCPCS,J9045,CARBOPLATIN IVPB 1 MG/ML IN 10 ML (DESENSITIZATION STOCK SOLUTION) [40800003841],73.05,,2.11,62.823,84
HCPCS,J9045,CARBOPLATIN IVPB 4 MG/ML IN 250 ML (DESENSITIZATION STOCK SOLN) [40800000705],546.0,,2.11,469.56,84
HCPCS,J9045,CARBOPLATIN IVPB 4 MG/ML IN D5W BAG #4 (DESENSITIZATION) [40800000710],546.0,,2.11,469.56,84
HCPCS,J9047,CARFILZOMIB 10 MG INTRAVENOUS SOLUTION [186037],2066.55,,55.09,1777.233,172
HCPCS,J9047,CARFILZOMIB 2 MG/ML INJ CONTAINER [40800000500],6199.55,,55.09,10663.14,430
HCPCS,J9047,CARFILZOMIB 30 MG INTRAVENOUS SOLUTION [178813],6199.55,,55.09,5331.613,86
HCPCS,J9047,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [117047],12399.0,,55.09,10663.14,172
HCPCS,J9050,CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],5548.55,,173.64,8452.08,1118
HCPCS,J9050,CARMUSTINE 3.3 MG/ML INJ [40800000104],2457.0,,173.64,7430.486,516
HCPCS,J9055,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION [37989],2781.5,,78.47,2392.09,86
HCPCS,J9055,CETUXIMAB 2 MG/ML INJ CONTAINER [40800000112],4172.225,,78.47,4784.137,172
HCPCS,J9055,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [108072],5562.95,,78.47,4784.137,86
HCPCS,J9055,CETUXIMAB IVPB 2 MG/ML SYRINGE [40800004213],4172.225,,78.47,4784.137,172
HCPCS,J9057,COPANLISIB INJECTION 15 MG/ML [40800002885],17210.8,,4819.024,14801.288,83
HCPCS,J9060,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],99.55,,1.95,243.036,1092
HCPCS,J9060,CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],107.15,,1.95,243.036,840
HCPCS,J9060,CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML (PEDI) [40840003500],111.3,,1.95,121.518,420
HCPCS,J9060,CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML [40840002352],111.3,,1.95,121.518,420
HCPCS,J9060,CISPLATIN IVPB 0.4 MG/ML IN 250 ML NS (DESENSITIZATION STOCK SOLN) [40800000706],138.0,,1.95,118.68,84
HCPCS,J9060,CISPLATIN IVPB 0.4 MG/ML IN NS BAG #4 (DESENSITIZATION) [40800000715],138.0,,1.95,118.68,84
HCPCS,J9061,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [194921],13031.9,,22.21,11207.434,172
HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION [199485],22496.75,,69.52,19347.205,86
HCPCS,J9065,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],1146.6,,8.53185,1225.586,430
HCPCS,J9075,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],1179.4,,0.62,1578.745,516
HCPCS,J9075,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],1952.525,,0.62,4127.441,774
HCPCS,J9075,CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],1346.475,,0.62,4127.441,1548
HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],917.95,,0.62,1031.871,516
HCPCS,J9075,CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],1480.8,,0.62,4127.441,1376
HCPCS,J9100,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ (RETAIL PHARMACY USE) [40800003972],30.275,,0.81,26.789,252
HCPCS,J9100,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION [96982],30.275,,0.81,26.789,252
HCPCS,J9100,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],69.2,,0.81,61.705,420
HCPCS,J9100,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) IV INJECTION SOLUTION [40800002451],69.75,,0.81,61.705,252
HCPCS,J9100,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) IV PUSH INJECTION [40800004009],69.75,,0.81,61.705,252
HCPCS,J9100,CYTARABINE IVPB 100 MG/ML (MAX CONC) (PEDI) [40800004206],69.2,,0.81,61.705,420
HCPCS,J9118,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION [189288],99878.5,,81.91,85895.51,86
HCPCS,J9119,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [186523],37132.35,,28.7,31933.821,86
HCPCS,J9120,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],3596.35,,302.92,7630.952,774
HCPCS,J9120,DACTINOMYCIN 500 MCG/ML INJ [40800000105],4776.65,,302.92,7630.952,688
HCPCS,J9120,DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],3596.35,,302.92,7630.952,774
HCPCS,J9130,DACARBAZINE 10 MG/ML INJ CONTAINER [40800000412],54.75,,3.82,54.395,336
HCPCS,J9130,DACARBAZINE 100 MG INTRAVENOUS SOLUTION [2090],47.75,,3.82,41.065,84
HCPCS,J9130,DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],54.75,,3.82,54.395,504
HCPCS,J9130,DACARBAZINE IVPB 10 MG/ML (MAX CONC) (PEDI) [40800004205],54.75,,3.82,54.395,336
HCPCS,J9144,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [40800002682]",36815.4,,54.67,31661.244,86
HCPCS,J9145,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [175974],6168.375,,69.84,9291.483,344
HCPCS,J9150,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],439.475,,19.76,944.839,756
HCPCS,J9150,DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],439.475,,19.76,944.839,756
HCPCS,J9153,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION [183121],37575.75,,255.09,32315.145,172
HCPCS,J9153,DAUNORUBICIN-CYTARABINE LIPOSOMAL INJECTION 2.2 MG-5 MG/ML [40800002855],37575.75,,255.09,32315.145,86
HCPCS,J9155,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [96987],2496.65,,4.36,2147.119,172
HCPCS,J9155,DEGARELIX 20 MG/ML SQ INJ [40800000068],1600.2,,4.36,1376.172,86
HCPCS,J9155,DEGARELIX 40 MG/ML SQ INJ [40800000067],2496.65,,4.36,2147.119,86
HCPCS,J9155,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [96986],1600.2,,4.36,1376.172,172
HCPCS,J9171,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [106443],223.1,,0.38,307.106,420
HCPCS,J9171,DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],289.625,,0.38,1225.586,840
HCPCS,J9171,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],851.8,,0.38,1225.586,588
HCPCS,J9171,DOCETAXEL IVPB 0.9 MG/ML IN 250 ML NS (DESENSITIZATION STOCK SOLN) [40800000707],783.2,,0.38,673.552,84
HCPCS,J9173,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [181795],8941.1,,85.25,12402.146,172
HCPCS,J9175,ELLIOTT'S B INTRATHECAL SOLUTION [18788],344.0,,96.32,295.84,83
HCPCS,J9176,ELOTUZUMAB 25 MG/ML INJ CONTAINER [40800002325],9048.9,,7.88,8893.733,172
HCPCS,J9176,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [176044],7756.25,,7.88,6670.375,86
HCPCS,J9176,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION [176045],10341.55,,7.88,8893.733,86
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV (PADCEV) 10 MG/ML INJ CONTAINER [40800002521],9785.425,,36.66,8916.953,172
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [40800002519],9202.3,,36.66,7913.978,86
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [190188],10368.55,,36.66,8916.953,86
HCPCS,J9178,EPIRUBICIN 2 MG/ML INJ CONTAINER [40840000518],466.1,,1.59,659.749,168
HCPCS,J9178,EPIRUBICIN 200 MG/100 ML INTRAVENOUS SOLUTION [88009],767.15,,1.59,659.749,84
HCPCS,J9178,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [88008],167.95,,1.59,146.931,168
HCPCS,J9179,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],4209.7,,76.76,3972.512,516
HCPCS,J9181,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],213.45,,1.3,350.45,840
HCPCS,J9181,ETOPOSIDE INTRATHECAL INJECTION 0.25 MG/2.5 ML [40800002813],6.9,,1.3,5.934,84
HCPCS,J9181,ETOPOSIDE INTRATHECAL INJECTION 0.5 MG/5 ML [40800002814],6.9,,1.3,5.934,84
HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION [17451],509.925,,1.3,479.966,168
HCPCS,J9181,ETOPOSIDE PHOSPHATE INFUSION 20 MG/ML (MAX CONC) [40800003872],558.1,,1.3,479.966,84
HCPCS,J9181,ETOPOSIDE PHOSPHATE INJ 20 MG/ML [40800000116],509.925,,1.3,479.966,168
HCPCS,J9181,ETOPOSIDE PHOSPHATE IVPB 20 MG/ML (MAX CONC) [40800004208],509.925,,1.3,479.966,168
HCPCS,J9183,GEMCITABINE 225 MG INTRAVESICAL IMPLANT [210339],226044.0,,63292.32,194397.84,84
HCPCS,J9185,FLUDARABINE 25 MG/ML INJ CONTAINER [40800000415],358.35,,71.65,612.793,336
HCPCS,J9185,FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],335.0,,71.65,309.944,168
HCPCS,J9185,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION [41294],712.55,,71.65,766.002,252
HCPCS,J9190,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],61.65,,1.72,87.72,672
HCPCS,J9190,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],138.6,,1.72,175.397,756
HCPCS,J9190,FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],63.25,,1.72,175.397,1428
HCPCS,J9190,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],34.625,,1.72,45.623,336
HCPCS,J9190,FLUOROURACIL INTRALESIONAL 50 MG/ML INJ CONTAINER [40800000748],61.65,,1.72,86.602,588
HCPCS,J9190,FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],61.65,,1.72,175.397,1176
HCPCS,J9201,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],164.025,,2.96,149.898,504
HCPCS,J9201,GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],46.45,,2.96,39.947,84
HCPCS,J9201,GEMCITABINE 38 MG/ML INJ CONTAINER [40800000110],150.7,,2.96,146.544,504
HCPCS,J9202,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT [16254],5513.4,,734.15,4741.524,85
HCPCS,J9202,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [10137],2023.2,,566.496,1739.952,85
HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN [183174],34403.1,,236.62,29586.666,86
HCPCS,J9203,GEMTUZUMAB OZOGAMICIN INJECTION 1 MG/ML [40800002854],34403.1,,236.62,29586.666,86
HCPCS,J9204,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION [186083],15980.5,,248.5,13743.23,86
HCPCS,J9205,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [175533],10001.65,,65.26,8601.419,86
HCPCS,J9206,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],68.65,,1.4,121.819,1092
HCPCS,J9206,IRINOTECAN IVPB 1 MG/ML IN 500 ML D5W (DESENSITIZATION STOCK SOLN) [40800003549],492.8,,1.4,423.808,84
HCPCS,J9207,IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],6599.7,,138.67,5675.742,172
HCPCS,J9207,IXABEPILONE 2 MG/ML INJ CONTAINER [40800000213],13199.4,,138.67,17027.226,258
HCPCS,J9207,IXABEPILONE 45 MG INTRAVENOUS SOLUTION [88653],19799.1,,138.67,17027.226,172
HCPCS,J9208,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],126.1,,23.5,108.446,168
HCPCS,J9208,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],352.35,,23.5,303.021,168
HCPCS,J9208,IFOSFAMIDE 50 MG/ML INJ CONTAINER [40800000150],239.22500000000002,,23.5,303.021,336
HCPCS,J9209,MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],70.4,,1.33,73.788,588
HCPCS,J9210,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION [187168],60786.2,,381.64,104552.264,258
HCPCS,J9211,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],282.65,,28.84,583.08,924
HCPCS,J9211,IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],282.65,,28.84,583.08,756
HCPCS,J9216,INTERFERON GAMMA-1B 100 MCG (2 MILLION UNIT)/0.5 ML SUBCUTANEOUS SOLN [10307],19196.45,,5375.006,16508.947,166
HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT [21108],15468.85,,155.42,13303.211,86
HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE [35236],5485.35,,155.42,4717.401,258
HCPCS,J9217,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],1371.35,,155.42,1179.361,172
HCPCS,J9217,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT [130418],3867.25,,155.42,3325.835,86
HCPCS,J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT [110751],23203.6,,155.42,19955.096,86
HCPCS,J9217,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21045],11601.6,,155.42,9977.376,86
HCPCS,J9217,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],4114.0,,155.42,3538.04,258
HCPCS,J9217,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],8228.0,,155.42,7076.08,258
HCPCS,J9218,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT [14135],1223.2,,342.496,1051.952,83
HCPCS,J9218,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS SOLUTION [10389],1223.2,,342.496,1051.952,83
HCPCS,J9220,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION [10265],572.05,,9.3,491.963,170
HCPCS,J9220,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION [198893],1214.4,,9.3,1044.384,170
HCPCS,J9220,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) IV/INJECTION CONTAINER [40800000376],893.225,,9.3,1044.384,340
HCPCS,J9223,LURBINECTEDIN 0.5 MG/ML INTRAVENOUS SOLUTION  [40800003600],27551.2,,206.13,23694.032,86
HCPCS,J9223,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [191741],27551.2,,206.13,23694.032,86
HCPCS,J9226,HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT [164961],152351.4,,41173.43,131022.204,86
HCPCS,J9227,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION [40800002679],9105.3,,82.86,13050.93,172
HCPCS,J9228,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956],121026.15,,183.41,104082.489,86
HCPCS,J9228,IPILIMUMAB 5 MG/ML INJ CONTAINER (S1404) [40890005222],75641.375,,183.41,104082.489,172
HCPCS,J9228,IPILIMUMAB 5 MG/ML INJ CONTAINER [40800000416],75641.375,,183.41,104082.489,172
HCPCS,J9228,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [108955],30256.6,,183.41,26020.676,86
HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN [183134],79915.65,,2698.05,68727.459,86
HCPCS,J9229,INOTUZUMAB OZOGAMICIN INJECTION 0.25 MG/ML [40800002641],79915.65,,2698.05,68727.459,86
HCPCS,J9245,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1554.45,,99.9833,4629.208,1892
HCPCS,J9245,MELPHALAN INJ 5 MG/ML [40800000435],1637.95,,99.9833,4629.208,1462
HCPCS,J9245,MELPHALAN INTRAVITREAL INJ 200 MCG/ML (2023-0468) [40890029817],225.6,,63.168,194.016,86
HCPCS,J9245,MELPHALAN INTRAVITREAL INJ 21 MCG/0.05 ML [40800000436],6.9,,1.932,120.67,86
HCPCS,J9245,MELPHALAN INTRAVITREAL INJ 29 MCG/0.07 ML [40800000437],6.9,,1.932,120.67,86
HCPCS,J9248,MELPHALAN HCL 50 MG INTRA-ARTERIAL SOLUTION [204067],123898.35,,787.79,106552.581,258
HCPCS,J9248,MELPHALAN INTRA-ARTERIAL 5 MG/ML INJECTION [40800004410],123898.35,,787.79,106552.581,172
HCPCS,J9260,METHOTREXATE 25 MG/ML INJECTION [40840002144],39.9,,2.26,98.212,336
HCPCS,J9260,METHOTREXATE INFUSION 25 MG/ML (MAX CONC) (PEDI) [40800004026],39.9,,2.26,98.212,336
HCPCS,J9260,METHOTREXATE INTRAVITREAL INJ 1.6 MG/0.4 ML [40800002400],6.9,,1.932,5.934,84
HCPCS,J9260,METHOTREXATE IVPB 25 MG/ML (MAX CONC) (PEDI) [40800004024],77.05,,2.26,98.212,252
HCPCS,J9260,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],48.8,,2.26,113.864,756
HCPCS,J9260,METHOTREXATE SODIUM 25 MG/ML INJ CONTAINER [40840000843],77.05,,2.26,109.306,588
HCPCS,J9260,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION [4974],34.5,,2.26,99.158,252
HCPCS,J9261,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2165.45,,52.71,2276.936,946
HCPCS,J9261,NELARABINE INFUSION 5 MG/ML [40800000417],2165.45,,52.71,2276.936,430
HCPCS,J9263,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],171.6,,0.09,507.142,672
HCPCS,J9263,OXALIPLATIN 5 MG/ML INJ CONTAINER [40800000056],260.85,,0.09,507.142,672
HCPCS,J9263,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [99610],190.32500000000002,,0.09,253.571,168
HCPCS,J9263,OXALIPLATIN HIPEC 5 MG/ML INFUSION [40800000339],311.225,,0.09,507.142,336
HCPCS,J9263,OXALIPLATIN IVPB 0.5 MG/ML IN 500 ML D5W (DESENSITIZATION STOCK SOLN) [40800000708],1392.3,,0.09,1197.378,84
HCPCS,J9264,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],4948.525,,6.02,4507.776,344
HCPCS,J9264,PACLITAXEL PROTEIN-BOUND INTRA-ARTERIAL INFUSION 5 MG/ML [40800000750],4720.75,,6.02,4451.618,344
HCPCS,J9264,PACLITAXEL PROTEIN-BOUND IVPB 5 MG/ML (INGREDIENT) [40800000106],4948.525,,6.02,4507.776,430
HCPCS,J9266,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],92238.8,,25826.864,79325.368,86
HCPCS,J9266,PEGASPARGASE 750 UNIT/ML INTRAMUSCULAR SOLUTION [40800002452],92238.8,,25826.864,79325.368,86
HCPCS,J9267,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",188.8,,0.11,281.736,924
HCPCS,J9267,PACLITAXEL IVPB 1.2 MG/ML IN 500 ML NS (DESENSITIZATION STOCK SOLN) [40800000709],832.1,,0.11,715.606,84
HCPCS,J9268,PENTOSTATIN 10 MG INTRAVENOUS SOLUTION [10910],10006.8,,2543.89,8605.848,86
HCPCS,J9268,PENTOSTATIN IVPB 2 MG/ML (MAX CONC) [40800000440],10006.8,,2543.89,8605.848,86
HCPCS,J9269,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION [187739]",110586.8,,348.62,95104.648,86
HCPCS,J9269,TAGRAXOFUSP-ERZS INJECTION 100 MCG/ML (IP-CMPD) [40800003330],110652.95,,348.62,95161.537,86
HCPCS,J9271,PEMBROLIZUMAB 25 MG/ML INJ CONTAINER [40800000420],19707.4,,58.56,16948.364,172
HCPCS,J9271,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [170641],19707.4,,58.56,16948.364,258
HCPCS,J9272,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [194605],40199.45,,243.82,34571.527,86
HCPCS,J9273,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION [195917],24245.05,,188.65,20850.743,86
HCPCS,J9273,TISOTUMAB VEDOTIN-TFTV INJECTION 10 MG/ML  [40800003817],24245.05,,188.65,20850.743,86
HCPCS,J9274,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION [196717],70466.8,,217.09,60601.448,86
HCPCS,J9276,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION [206400],11990.2,,25.0,10311.572,172
HCPCS,J9276,ZANIDATAMAB-HRII 50 MG/ML INTRAVENOUS SOLUTION [40800003643],11990.2,,25.0,10311.572,172
HCPCS,J9280,MITOMYCIN 0.1 MG/ML INJ CONTAINER [40800002659],1195.775,,28.27,2817.36,516
HCPCS,J9280,MITOMYCIN 0.25 MG/ML INJ CONTAINER [40800002660],1195.775,,28.27,2817.36,516
HCPCS,J9280,MITOMYCIN 0.5 MG/ML INJ CONTAINER [40800000212],2070.4,,28.27,3561.045,688
HCPCS,J9280,MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],1670.8,,28.27,3561.045,774
HCPCS,J9280,MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],1670.8,,28.27,3561.045,774
HCPCS,J9280,MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],1056.85,,28.27,1780.544,516
HCPCS,J9280,MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],3708.325,,28.27,3561.045,430
HCPCS,J9280,MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],644.2,,28.27,685.42,344
HCPCS,J9280,MITOMYCIN HIPEC 0.5 MG/ML INJ CONTAINER [40800000749],4140.65,,28.27,3561.045,344
HCPCS,J9281,MITOMYCIN 4 MG/ML INTRA-PYELOCALYCEAL SOLUTION [40800003543],62518.4,,317.42,71687.751,172
HCPCS,J9281,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [191142],62518.4,,317.42,71687.751,172
HCPCS,J9286,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION [201679],22530.574999999997,,2523.416,31002.097,172
HCPCS,J9293,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [93747]",886.5,,29.6,1586.915,258
HCPCS,J9295,NECITUMUMAB 800 MG/50 ML (16 MG/ML) INTRAVENOUS SOLUTION [176030],14184.3,,5.73,12198.498,86
HCPCS,J9298,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [197151],51532.85,,197.65,44318.251,86
HCPCS,J9298,NIVOLUMAB-RELATLIMAB-RMBW IVPB 12 MG-4 MG/ML (MAX CONC) [40800004114],51532.85,,197.65,44318.251,86
HCPCS,J9299,NIVOLUMAB 10 MG/ML INJ CONTAINER [40800001603],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0213) [40890019927],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0214) [40890019929],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB 10 MG/ML INJECTION (CIND2020-1080) [40890023066],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB 10 MG/ML INJECTION (CIND2021-0883) [40890027156],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB 10 MG/ML INJECTION (CIND2022-0196) [40890025900],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB 10 MG/ML INTRATHECAL INJECTION (CIND2020-0846) [40890018692],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [170515],11059.1,,33.0,9510.826,86
HCPCS,J9299,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [184233],26542.0,,33.0,22826.12,86
HCPCS,J9299,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [170514],4423.7,,33.0,3804.382,86
HCPCS,J9299,NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (CIND2022-0257) [40890027625],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2023-1068) [40890032270],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0103) [40890034161],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0238) [40890032498],12165.025000000001,,33.0,22826.12,344
HCPCS,J9299,NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0239)  [40890034294],11059.1,,33.0,22826.12,258
HCPCS,J9299,NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0284) [40890032568],11059.1,,33.0,22826.12,258
HCPCS,J9299,NIVOLUMAB INTRATHECAL INJ 10 MG/ML  [40800003640],4423.7,,33.0,3804.382,86
HCPCS,J9301,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [132573]",30959.2,,78.46,26624.912,86
HCPCS,J9303,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [108055],6231.75,,172.55,5359.305,172
HCPCS,J9303,PANITUMUMAB 20 MG/ML INJ CONTAINER [40800000423],15579.325,,172.55,21437.134,172
HCPCS,J9303,PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [108057],24926.9,,172.55,21437.134,86
HCPCS,J9305,PEMETREXED 25 MG/ML INJ CONTAINER [40800000036],1638.0,,3.73,2253.888,602
HCPCS,J9305,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [89350],94.225,,3.73,447.974,344
HCPCS,J9305,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],1638.0,,3.73,2253.888,602
HCPCS,J9306,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [116596],22567.35,,16.89,19407.921,86
HCPCS,J9307,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [99982],23868.45,,388.83,21930.817,172
HCPCS,J9307,PRALATREXATE 20 MG/ML INJ CONTAINER [40800000211],34986.4,,388.83,43861.634,344
HCPCS,J9307,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073],47736.875,,388.83,43861.634,172
HCPCS,J9308,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [162891],14971.025000000001,,74.45,21458.462,172
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [188465],64629.25,,136.23,55581.155,86
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION [192677],13849.2,,136.23,11910.312,86
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ INJECTION 20 MG/ML [40800002676],39239.225,,136.23,55581.155,172
HCPCS,J9311,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN [182370]",21544.9,,36.28,18528.614,86
HCPCS,J9312,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",9233.6,,74.16,13234.798,172
HCPCS,J9312,RITUXIMAB 10 MG/ML INTRALESIONAL INJECTION [40800002605],9233.6,,74.16,13234.798,172
HCPCS,J9312,RITUXIMAB INTRAVITREAL INJECTION 4 MG/0.4 ML [40800004438],9233.6,,74.16,13234.798,172
HCPCS,J9313,MOXETUMOMAB PASUDOTOX-TDFK (LUMOXITI) 1 MG/ML INTRAVENOUS SOLUTION [40800002518],7230.15,,23.39,6217.929,85
HCPCS,J9313,MOXETUMOMAB PASUDOTOX-TDFK 1 MG INTRAVENOUS SOLUTION [186631],7230.15,,23.39,6217.929,85
HCPCS,J9316,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [191789]",47642.15,,60.23,40972.249,86
HCPCS,J9316,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN [191790],31760.2,,60.23,27313.772,86
HCPCS,J9317,SACITUZUMAB GOVITECAN-HZIY 10 MG/ML INJ [40800002680],8566.0,,36.26,7366.76,86
HCPCS,J9317,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [191137],8566.0,,36.26,7366.76,86
HCPCS,J9319,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],10429.65,,30.8,9011.768,258
HCPCS,J9319,ROMIDEPSIN INJ 5 MG/ML [40800000442],10429.65,,30.8,9011.768,344
HCPCS,J9320,STREPTOZOCIN 1 GRAM INTRAVENOUS SOLUTION [11436],1144.1,,320.348,983.926,83
HCPCS,J9320,STREPTOZOCIN 100 MG/ML INJ [40800000035],1144.1,,320.348,983.926,83
HCPCS,J9321,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS INJECTION (IP-CMPD) [40800003881],5261.9,,55.66,4525.234,86
HCPCS,J9321,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS INJECTION (IP-CMPD) [40800003884],5261.9,,55.66,4525.234,86
HCPCS,J9321,EPCORITAMAB-BYSP 4 MG/0.8 ML SUBCUTANEOUS SOLUTION [201329],4589.15,,55.66,3946.669,86
HCPCS,J9321,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION [201328],55069.45,,55.66,47359.727,86
HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION [175554],251.8,,70.504,216.548,86
HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION [175555],24029.75,,73.55,20665.585,86
HCPCS,J9326,TELISOTUZUMAB VEDOTIN-TLLV 100 MG INTRAVENOUS SOLUTION [208880],45798.5,,145.99,39386.71,85
HCPCS,J9326,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INJ CONTAINER [40800004037],27479.1,,145.99,39386.71,170
HCPCS,J9328,TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION [97260],3286.2,,10.39,2826.132,86
HCPCS,J9328,TEMOZOLOMIDE IVPB 2.5 MG/ML SYRINGE (PEDI) [40800004030],3286.2,,10.39,2826.132,86
HCPCS,J9328,TEMOZOLOMIDE IVPB 2.5 MG/ML [40800000313],3286.2,,10.39,2826.132,86
HCPCS,J9329,TISLELIZUMAB-JSGR 10 MG/ML INTRAVENOUS SOLUTION [205480],18260.45,,57.42,15703.987,86
HCPCS,J9330,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],4460.45,,23.3634,5917.402,602
HCPCS,J9331,SIROLIMUS-PROTEIN BOUND 5 MG/ML INTRAVENOUS SUSPENSION [40800003820],28133.35,,84.53,24194.681,86
HCPCS,J9342,THIOTEPA 10 MG/ML INJ (TEPADINA US) [40800002863],3439.8,,5.74,5071.248,172
HCPCS,J9342,THIOTEPA 100 MG SOLUTION FOR INJECTION [181698],7698.6,,5.74,11973.78,258
HCPCS,J9342,THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],1638.0,,5.74,1972.152,172
HCPCS,J9345,RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION [200729],49264.5,,29.98,42367.47,86
HCPCS,J9347,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [199299],75277.5,,141.17,119517.468,172
HCPCS,J9348,NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION [193283],85391.9,,685.91,73437.034,86
HCPCS,J9349,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION [192300],4665.05,,14.08,4011.943,172
HCPCS,J9349,TAFASITAMAB-CXIX 40 MG/ML INTRAVENOUS SOLUTION [40800003417],4665.05,,14.08,4011.943,172
HCPCS,J9350,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION [199784],32776.200000000004,,592.088,54556.508,172
HCPCS,J9351,TOPOTECAN 1 MG/ML INJECTION CONTAINER [40800000312],452.15,,1.34,394.439,252
HCPCS,J9351,TOPOTECAN 4 MG INTRAVENOUS SOLUTION [17285],458.65,,1.34,662.114,252
HCPCS,J9351,TOPOTECAN INTRAVITREAL INJ 1000 MCG/ML (MAX CONC) [40840005239],458.65,,1.34,662.114,252
HCPCS,J9352,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION [175367],12932.35,,383.07,11121.821,86
HCPCS,J9352,TRABECTEDIN INJECTION 0.05 MG/ML [40800003813],12932.35,,383.07,11121.821,86
HCPCS,J9353,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [194020],9415.95,,50.45,8097.717,258
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [120086],13592.85,,41.85,11689.851,86
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [120087],21748.55,,41.85,18703.753,86
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 20 MG/ML INJ CONTAINER [40840000512],17670.7,,41.85,18703.753,172
HCPCS,J9355,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [182089],5105.4,,73.43,4390.644,86
HCPCS,J9355,TRASTUZUMAB 21 MG/ML INJ CONTAINER [40800000057],5105.4,,73.43,4390.644,86
HCPCS,J9356,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION [187994]",15316.1,,59.91,13171.846,86
HCPCS,J9357,VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION [24425],6061.45,,1270.52,5212.847,86
HCPCS,J9358,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [190191],10616.85,,30.0,9130.491,86
HCPCS,J9358,FAM-TRASTUZUMAB DERUXTECAN-NXKI 20 MG/ML INJECTION [40800003410],10616.85,,30.0,9130.491,86
HCPCS,J9359,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [194597],95101.55,,216.74,81787.333,86
HCPCS,J9359,LONCASTUXIMAB TESIRINE-LPYL 5 MG/ML INTRAVENOUS SOLUTION [40800003609],95101.55,,216.74,81787.333,86
HCPCS,J9360,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION [8594],210.35,,5.29,180.901,84
HCPCS,J9370,VINCRISTINE 1 MG/ML INJ CONTAINER [40800000422],58.0,,7.86,88.881,420
HCPCS,J9370,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],58.0,,7.86,55.04,252
HCPCS,J9370,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [128821],65.05,,7.86,88.881,252
HCPCS,J9380,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION [199304],6959.35,,33.27,5985.041,86
HCPCS,J9380,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION [199303],35492.55,,33.27,30523.593,86
HCPCS,J9382,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [206643],39252.65,,33.57,33757.279,170
HCPCS,J9390,VINORELBINE 10 MG/ML INJ CONTAINER [40800000424],190.32500000000002,,1.96,253.571,168
HCPCS,J9390,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],85.8,,1.96,73.788,84
HCPCS,J9390,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],294.85,,1.96,253.571,84
HCPCS,J9395,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],455.4,,6.98,2531.41,1512
HCPCS,J9600,PORFIMER 75 MG INTRAVENOUS SOLUTION [14472],76406.15,,21393.722,65709.289,84
HCPCS,J9600,PORFIMER INJECTION 2.5 MG/ML [40800004416],76406.15,,21393.722,65709.289,84
HCPCS,J9999,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION [173725],68576.35,,19201.378,58975.661,83
HCPCS,L0120,HC COLLAR CERV SML 3X16 1/2IN,35.0,,9.8,30.1,83
HCPCS,L0120,HC COLLAR CERVICAL MED (ZIMMER),38.0,,10.64,32.68,83
HCPCS,L0120,HC COLLAR PHILA CERVICAL ALL SIZE,81.0,,22.68,69.66,83
HCPCS,L0172,HC COLLAR CERVICAL ASPEN VISTA,104.0,,29.12,89.44,83
HCPCS,L0172,HC COLLAR CERVICAL LRG PHIL,65.0,,18.2,55.9,83
HCPCS,L0172,HC COLLAR CERVICAL MED PHIL,88.0,,24.64,75.68,83
HCPCS,L0172,HC COLLAR CERVICAL SM PHIL,87.0,,24.36,74.82,83
HCPCS,L0627,HC BACKJACK FLEX SET 37303/5,291.0,,81.48,250.26,83
HCPCS,L0631,HC BACK JACK PLUS 37401-05,333.0,,93.24,286.38,83
HCPCS,L1830,HC IMMOBILIZER KNEE LRG,97.0,,27.16,83.42,83
HCPCS,L1830,HC IMMOBILIZER KNEE MED,92.0,,25.76,79.12,83
HCPCS,L1830,HC PERFOR KNEE IMMOBIL FOAM L1830,75.0,,21.0,64.5,83
HCPCS,L1830,HC REH/KNEE IMMOB MED,92.0,,25.76,79.12,83
HCPCS,L1930,HC ORTOSIS ANKLE FOOT LT LRG,66.0,,18.48,56.76,83
HCPCS,L1930,HC ORTOSIS ANKLE FOOT LT MED,66.0,,18.48,56.76,83
HCPCS,L1930,HC ORTOSIS ANKLE FOOT LT SML,66.0,,18.48,56.76,83
HCPCS,L1930,HC ORTOSIS ANKLE FOOT RT LRG,66.0,,18.48,56.76,83
HCPCS,L1930,HC ORTOSIS ANKLE FOOT RT MED,66.0,,18.48,56.76,83
HCPCS,L1930,HC ORTOSIS ANKLE FOOT RT SML,66.0,,18.48,56.76,83
HCPCS,L3485,HC VISCOSPOT-PAIR,64.0,,17.92,55.04,83
HCPCS,L3999,HC SPLINT PLATFORM L/L,97.0,,27.16,83.42,83
HCPCS,L3999,HC SPLINT PLATFORM L/R,97.0,,27.16,83.42,83
HCPCS,L3999,HC SPLINT PLATFORM M/R,97.0,,27.16,83.42,83
HCPCS,L3999,HC SPLINT PLATFORM SM,65.0,,18.2,55.9,83
HCPCS,L4350,HC STABILIZER ANKLE,52.0,,14.56,44.72,83
HCPCS,L4398,HC MULTIBOOT LARGE,138.0,,38.64,118.68,83
HCPCS,L4398,HC MULTIBOOT MED,187.0,,52.36,160.82,83
HCPCS,L6310,HC SHOULDER IMMOB W/SLING/SWATHE,38.0,,10.64,32.68,83
HCPCS,L7900,HC VACUUM ERECTION DEVICE,495.0,,138.6,425.7,83
HCPCS,L8000,HC BRA SURG LRG,123.0,,34.44,105.78,83
HCPCS,L8000,HC BRA SURG MED,123.0,,34.44,105.78,83
HCPCS,L8000,HC BRA SURG SM,123.0,,34.44,105.78,83
HCPCS,L8000,HC BRA SURG XLRG,138.0,,38.64,118.68,83
HCPCS,L8000,HC BRA SURGI 2XL,138.0,,38.64,118.68,83
HCPCS,L8000,HC BRA SURGI 3XL,129.0,,36.12,110.94,83
HCPCS,L8000,"HC BRA, POST SURGICAL DALE MED",52.0,,14.56,44.72,83
HCPCS,L8000,HC JOBST MAMM SUPPORT SZ1 L8000,138.0,,38.64,118.68,83
HCPCS,L8000,HC JOBST MAMM SUPPORT SZ2 L8000,138.0,,38.64,118.68,83
HCPCS,L8000,HC JOBST MAMM SUPPORT SZ3 L8000,138.0,,38.64,118.68,83
HCPCS,L8000,HC JOBST MAMM SUPPORT SZ4 L8000,138.0,,38.64,118.68,83
HCPCS,L8000,HC JOBST MAMM SUPPORT SZ5 L8000,138.0,,38.64,118.68,83
HCPCS,L8000,HC JOBST MAMMARY SUPPORT BRA,202.0,,56.56,173.72,83
HCPCS,L8000,HC SURGI BRA (MULT SIZES),83.0,,23.24,71.38,83
HCPCS,L8000,HC VEST SRG JOBST W/CUPS SZ5,138.0,,38.64,118.68,83
HCPCS,L8000,HC VEST SURG JOBST W/CUPS SIZE 1,261.0,,73.08,224.46,83
HCPCS,L8000,HC VEST SURG JOBST W/CUPS SIZE 2,138.0,,38.64,118.68,83
HCPCS,L8000,HC VEST SURG JOBST W/CUPS SIZE 3,138.0,,38.64,118.68,83
HCPCS,L8000,HC VEST SURG JOBST W/CUPS SIZE 4,138.0,,38.64,118.68,83
HCPCS,L8000,HC VEST SURGICAL JUDY LONG-LINE,94.0,,26.32,80.84,83
HCPCS,L8499,HC LA TNG 4012KAPIGEL THK5MM,138.0,,38.64,118.68,83
HCPCS,L8499,HC LA TNG2012 KAPIGEL THN3MM,138.0,,38.64,118.68,83
HCPCS,L8500,HC ELECTROLARYNX PROVOX TRUTONE EMOTE,1964.0,,549.92,1689.04,83
HCPCS,L8500,HC ELECTROLARYNX PROVOX TRUTONE EMOTE  PLUS,1596.0,,446.88,1372.56,83
HCPCS,L8500,HC PROST RESIST INDW20FX10MM,698.0,,195.44,600.28,83
HCPCS,L8500,HC PROST RESIST INDW20FX18MM,338.0,,94.64,290.68,83
HCPCS,L8500,HC PROSTH GAUGE DEPTH 16FR,130.0,,36.4,111.8,83
HCPCS,L8500,HC PROSTH GAUGE DEPTH 20FR,130.0,,36.4,111.8,83
HCPCS,L8500,HC PROSTH INC RES INDWELL,470.0,,131.6,404.2,83
HCPCS,L8500,HC PROSTH RESIST INDW20FX6MM,698.0,,195.44,600.28,83
HCPCS,L8500,HC PROSTH VOC INDWL 20FX12MM,698.0,,195.44,600.28,83
HCPCS,L8500,HC PROSTH VOC INDWL 20FX22MM,282.0,,78.96,242.52,83
HCPCS,L8500,HC PROSTH VOC L/P IR 16FX8MM,182.0,,50.96,156.52,83
HCPCS,L8500,HC PROSTH VOC L/P IR 20FX8MM,182.0,,50.96,156.52,83
HCPCS,L8500,HC PROSTH VOC LP IR 16FX10MM,182.0,,50.96,156.52,83
HCPCS,L8500,HC PROSTH VOC LP IR 16FX28MM,182.0,,50.96,156.52,83
HCPCS,L8500,HC PROSTH VOIC INDWL 20FX8MM,698.0,,195.44,600.28,83
HCPCS,L8500,HC PROSTH VOIC L/P 20FX12MM,138.0,,38.64,118.68,83
HCPCS,L8500,HC PROSTH VOICE 20FR 1.4 INDWELLP,574.0,,160.72,493.64,83
HCPCS,L8500,HC PROSTH VOICE 20FR 1.8 INDWELLP,574.0,,160.72,493.64,83
HCPCS,L8500,HC PROSTH VOICE 20FR 2.2 INDWELLP,574.0,,160.72,493.64,83
HCPCS,L8500,HC PROSTH VOICE 20FR 2.6 INDWELLP,574.0,,160.72,493.64,83
HCPCS,L8500,HC PROSTH VOICE 20FR 3.0 INDWELLP,282.0,,78.96,242.52,83
HCPCS,L8500,HC PROSTH VOICE 4.5MM,798.0,,223.44,686.28,83
HCPCS,L8500,HC PROSTH VOICE 8MM,984.0,,275.52,846.24,83
HCPCS,L8500,HC PROSTH VOICE DIGT SERVOX,1450.0,,406.0,1247.0,83
HCPCS,L8500,HC PROSTH VOICE INDWEL 10MM,878.0,,245.84,755.08,83
HCPCS,L8500,HC PROSTH VOICE INDWEL 12MM,945.0,,264.6,812.7,83
HCPCS,L8500,HC PROSTH VOICE INDWEL 20FRX22MM,469.0,,131.32,403.34,83
HCPCS,L8500,HC PROSTH VOICE INDWEL 4MM,342.0,,95.76,294.12,83
HCPCS,L8500,HC PROSTH VOICE INDWEL 6MM,878.0,,245.84,755.08,83
HCPCS,L8500,HC PROSTH VOICE INDWEL 8MM,878.0,,245.84,755.08,83
HCPCS,L8500,HC PROSTH VOICE L/P 20FRX6MM,138.0,,38.64,118.68,83
HCPCS,L8500,HC PROSTH VOICE L/P IR 20FRC6MM,284.0,,79.52,244.24,83
HCPCS,L8500,HC PROSTH VOICE L/P IR 20FRX18MM,205.0,,57.4,176.3,83
HCPCS,L8500,HC PROSTH VOICE PROVOX 10MM,798.0,,223.44,686.28,83
HCPCS,L8500,HC PROSTH VOICE PROVOX 15MM,798.0,,223.44,686.28,83
HCPCS,L8500,HC PROSTH VOICE PROVOX12.5MM,798.0,,223.44,686.28,83
HCPCS,L8500,HC PROSTH VOICE U/LOW 3MM,130.0,,36.4,111.8,83
HCPCS,L8500,HC PROSTH VOICL/P IR16FX18MM,182.0,,50.96,156.52,83
HCPCS,L8500,HC PROSTHESIS DUMMY 16FR 2.2,138.0,,38.64,118.68,83
HCPCS,L8500,HC PROSTHESIS DUMMY 16FR 2.6,138.0,,38.64,118.68,83
HCPCS,L8500,HC PROSTHESIS DUMMY 16FR 3.0,138.0,,38.64,118.68,83
HCPCS,L8500,HC PROSTHESIS DUMMY 20FR 2.2,138.0,,38.64,118.68,83
HCPCS,L8500,HC PROSTHESIS DUMMY 20FR 2.6,138.0,,38.64,118.68,83
HCPCS,L8500,HC PROSTHESIS INC RES 16FR,182.0,,50.96,156.52,83
HCPCS,L8500,HC PROSTHESIS VOICE 16FR 1.6CM,91.0,,25.48,78.26,83
HCPCS,L8500,HC PROSTHESIS VOICE 16FR 2.6CM,130.0,,36.4,111.8,83
HCPCS,L8500,HC PROSTHESIS VOICE 16FR 3.0CM,130.0,,36.4,111.8,83
HCPCS,L8500,HC PROSTHESIS VOICE 20FR  8MM,138.0,,38.64,118.68,83
HCPCS,L8500,HC PROSTHESIS VOICE 20FR 1.4CM,122.0,,34.16,104.92,83
HCPCS,L8500,HC PROSTHESIS VOICE 20FR 1.8CM,130.0,,36.4,111.8,83
HCPCS,L8500,HC PROSTHESIS VOICE 20FR 2.0CM,122.0,,34.16,104.92,83
HCPCS,L8500,HC PROSTHESIS VOICE 20FR 2.2CM,91.0,,25.48,78.26,83
HCPCS,L8500,HC PROSTHESIS VOICE 20FR 2.6CM,122.0,,34.16,104.92,83
HCPCS,L8500,HC PROSTHESIS VOICE 20FR 3.0CM,91.0,,25.48,78.26,83
HCPCS,L8500,HC PROSTHESIS VOICE L/P IR 20FRX12MM,284.0,,79.52,244.24,83
HCPCS,L8500,HC PROSTHESIS VOICE L/P IR 20FRX14MM,284.0,,79.52,244.24,83
HCPCS,L8500,HC PROSTHESIS VOICE L/P IR 20FRX6MM,284.0,,79.52,244.24,83
HCPCS,L8500,HC PROSTHESIS VOICE LOW PRESSURE 16FR 3.6,284.0,,79.52,244.24,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 16FR 1.4CM,192.0,,53.76,165.12,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 16FR 1.6,192.0,,53.76,165.12,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 16FR 1.8,192.0,,53.76,165.12,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 16FR 2.0,192.0,,53.76,165.12,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 16FR 2.2,192.0,,53.76,165.12,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 16FR 2.6,192.0,,53.76,165.12,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 16FR 3.0,284.0,,79.52,244.24,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 16FR 3.3,284.0,,79.52,244.24,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 20FR 1.8CM,192.0,,53.76,165.12,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 20FR 2.2CM,192.0,,53.76,165.12,166
HCPCS,L8500,HC PROSTHESIS VOICE LP 20FR 2.6CM,192.0,,53.76,165.12,83
HCPCS,L8500,HC PROSTHESIS VOICE LP 20FR 3.0,284.0,,79.52,244.24,83
HCPCS,L8500,HC PROTHESIS VOIC 20FR 8MM,192.0,,53.76,165.12,83
HCPCS,L8500,HC REFRBSH ELECTROLARYNX KIT,898.0,,251.44,772.28,83
HCPCS,L8500,HC VOC INDW KIT REPLCMNT 8MM,574.0,,160.72,493.64,83
HCPCS,L8500,HC VOICE PROSTHESIS 20FR 4MM,698.0,,195.44,600.28,83
HCPCS,L8500,HC VOICE PROSTHESIS 20FR 6MM,698.0,,195.44,600.28,83
HCPCS,L8500,HC VOICE PROSTHESIS 20FR 8MM,698.0,,195.44,600.28,83
HCPCS,L8501,HC ADAPTER VLV SPEAKNG TRACH,52.0,,14.56,44.72,83
HCPCS,L8501,HC CASS HME PROVOX FREE HAND,325.0,,91.0,279.5,83
HCPCS,L8501,HC HME DIGITOP O2,135.0,,37.8,116.1,83
HCPCS,L8501,HC HME FLEXIVOICE PLUS STARTER KIT,1065.0,,298.2,915.9,83
HCPCS,L8501,HC KIT STARTER HME FREE HAND,953.0,,266.84,819.58,83
HCPCS,L8501,HC PROSTH PROVOX FREEHANDS FLEXIVOICE,394.0,,110.32,338.84,83
HCPCS,L8501,HC PROSTH VOICE NU-VOIS II,1024.0,,286.72,880.64,83
HCPCS,L8501,HC TRACH ADJUST TABLE VALVE,450.0,,126.0,387.0,83
HCPCS,L8501,HC TRACH TUBE INNERVALVE SZ4,509.0,,142.52,437.74,83
HCPCS,L8501,HC TRACH TUBE INNERVALVE SZ7,480.0,,134.4,412.8,83
HCPCS,L8501,HC TRACH TUBE SHILEY NONCUFF SZ:4,87.0,,24.36,74.82,83
HCPCS,L8501,HC TRACH TUBE SZ 4 TUCKER,2322.0,,650.16,1996.92,83
HCPCS,L8501,HC TRACH VALVE DIAPHRAGM U-LIGHT,52.0,,14.56,44.72,83
HCPCS,L8501,HC TRACH VALVE HOUSING LRG,49.0,,13.72,42.14,83
HCPCS,L8501,HC TRACH VALVE HOUSING STD,49.0,,13.72,42.14,83
HCPCS,L8501,HC TRACH VALVE KIT W/HUMIDIFIER,371.0,,103.88,319.06,83
HCPCS,L8501,HC VALV SPEAKING PUR 15INDIA,158.0,,44.24,135.88,83
HCPCS,L8501,HC VALV SPEAKNG AQUA 15INDIA,157.0,,43.96,135.02,83
HCPCS,L8501,HC VALVE SPEAKING PROTRACH DUALCARE,243.0,,68.04,208.98,83
HCPCS,L8501,HC VALVE SPEAKING WHT 15IN,151.0,,42.28,129.86,83
HCPCS,L8501,HC VALVE SPEAKNG GRY 15INDIA,157.0,,43.96,135.02,83
HCPCS,L8507,HC INDW CUSTOM LNG 4MM,365.0,,102.2,313.9,83
HCPCS,L8509,HC ADVNTG INDWL PRSTH20F/4MM,502.0,,140.56,431.72,83
HCPCS,L8509,HC ADVTG 2GN ALL SILCN20F6MM,878.0,,245.84,755.08,83
HCPCS,L8509,HC ADVTG 2GN ALL SILCN20F8MM,878.0,,245.84,755.08,83
HCPCS,L8509,HC ADVTG 2GN ALL SLCN20F10MM,878.0,,245.84,755.08,83
HCPCS,L8509,HC ADVTG 2GN ALL SLCN20F12MM,464.0,,129.92,399.04,83
HCPCS,L8509,HC BLOM-SINGER DUAL VALVE INDWELLING VOICE PROSTHESIS 10R/LF,1125.0,,315.0,967.5,83
HCPCS,L8509,HC BLOM-SINGER DUAL VALVE INDWELLING VOICE PROSTHESIS NS REG 6-8,1125.0,,315.0,967.5,83
HCPCS,L8509,HC ELECTROLARYNX DIGITAL ECHO,867.0,,242.76,745.62,83
HCPCS,L8509,HC ELECTROLARYNX PROVOX TRUTONE EMOTE PLUS,1596.0,,446.88,1372.56,83
HCPCS,L8509,HC IN HEALTH ADVANT INDWEL,338.0,,94.64,290.68,83
HCPCS,L8509,HC INDW CUSTOM LNG 16MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC INDW CUSTOM LNG 5MM,698.0,,195.44,600.28,83
HCPCS,L8509,HC INDW PROSTH SPLG 20F 11MM,507.0,,141.96,436.02,83
HCPCS,L8509,HC INDW PROSTH SPLG 20F 7MM,698.0,,195.44,600.28,83
HCPCS,L8509,HC INDW PROSTH SPLG 20F 9MM,698.0,,195.44,600.28,83
HCPCS,L8509,HC INDW PROSTH W/ENL ESO10MM,675.0,,189.0,580.5,83
HCPCS,L8509,HC INDW PROSTH W/ENL ESO12MM,675.0,,189.0,580.5,83
HCPCS,L8509,HC INDW PROSTH W/ENL ESO14MM,675.0,,189.0,580.5,83
HCPCS,L8509,HC INDW PROSTH W/ENLG ESO4MM,675.0,,189.0,580.5,83
HCPCS,L8509,HC INDW PROSTH W/ENLG ESO5MM,698.0,,195.44,600.28,83
HCPCS,L8509,HC INDW PROSTH W/ENLG ESO6MM,675.0,,189.0,580.5,83
HCPCS,L8509,HC INDW PROSTH W/ENLG ESO8MM,675.0,,189.0,580.5,83
HCPCS,L8509,HC INDW PROSTHESIS 16FR 10MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC INDW PROSTHESIS 16FR 12MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC INDW PROSTHESIS 16FR 14MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC INDW PROSTHESIS 16FR 16MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC INDW PROSTHESIS 16FR 18MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC INDW PROSTHESIS 16FR 4MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC INDW PROSTHESIS 16FR 8MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC INDW VOC PROSTH 16FR  6MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC INGLTH LG ESOPH RETEN PROST L8,223.0,,62.44,191.78,83
HCPCS,L8509,HC INHLTH INDWEL PROST SPCL LGTH,223.0,,62.44,191.78,83
HCPCS,L8509,HC NID PROSTH  17FR  10MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  17FR  12MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  17FR  14MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  17FR  18MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  17FR  6MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  17FR  8MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  20FR  10MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  20FR  12MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  20FR  14MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  20FR  18MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  20FR  6MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC NID PROSTH  20FR  8MM,249.0,,69.72,214.14,83
HCPCS,L8509,HC PROST VOIC INDWEL 20FX8MM,574.0,,160.72,493.64,83
HCPCS,L8509,HC PROSTH VOICE L/P 16FX25MM,284.0,,79.52,244.24,83
HCPCS,L8509,HC PROSTH VOICE PROVOX 6MM,798.0,,223.44,686.28,83
HCPCS,L8509,HC PROSTH VOICE VEGA XTRASEAL (MULT SIZES),783.0,,219.24,673.38,83
HCPCS,L8509,HC PROTHESIS INDWELLLING,181.0,,50.68,155.66,83
HCPCS,L8509,HC PROVOX VC PROSTH,388.0,,108.64,333.68,83
HCPCS,L8509,HC PRSTH VOIC INDWL 20FX12MM,619.0,,173.32,532.34,83
HCPCS,L8509,HC PRSTH VOIC L/P IR20FX10MM,182.0,,50.96,156.52,83
HCPCS,L8509,HC PRSTH VOIC L/P IR20FX22MM,182.0,,50.96,156.52,83
HCPCS,L8509,HC PRSTH VOIC L/P IR20FX25MM,182.0,,50.96,156.52,83
HCPCS,L8509,HC TRU TONE ELECTROLARYNX,1504.0,,421.12,1293.44,83
HCPCS,L8509,HC VALVE SPEAKING PROVOX ACTIVALVE,2590.0,,725.2,2227.4,83
HCPCS,L8509,HC VOICE PROSTHESIS INDW BLOM-SINGER CLASSIC (MULT SIZES),615.0,,172.2,528.9,83
HCPCS,L8509,HC VOICE PROSTHESIS INDW BLOM-SINGER DUAL VALVE (MULT SIZES),1125.0,,315.0,967.5,83
HCPCS,L8509,HC VOICE PROSTHESIS INDW BLOM-SINGER RAPID RESPONSE (MULT SIZES),756.0,,211.68,650.16,83
HCPCS,L8509,HC VOICE PROSTHESIS VEGA (MULT SIZES),674.0,,188.72,579.64,83
HCPCS,L8509,HC VOICE PROSTHESIS VEGA 17FRX10MM,674.0,,188.72,579.64,83
HCPCS,L8509,HC VOICE PROSTHESIS VEGA 20FRX10MM,674.0,,188.72,579.64,83
HCPCS,L8509,HC VOICE PROSTHESIS VEGA 20FRX8MM,674.0,,188.72,579.64,83
HCPCS,L8509,HC VOICE PROSTHESIS VEGA XTRA SEAL (MULT SIZES),783.0,,219.24,673.38,83
HCPCS,L8511,HC PLUG INSERT INDWEL 16FR,74.0,,20.72,63.64,83
HCPCS,L8511,HC PLUG INSERT INDWELLING,158.0,,44.24,135.88,83
HCPCS,L8511,HC PLUG VALVED INSERT INDWEL,138.0,,38.64,118.68,83
HCPCS,L8512,HC REPLCMNT CAP GEL16F 90/PK,53.0,,14.84,45.58,83
HCPCS,L8512,HC REPLCMNT CAP GEL20F 90/PK,53.0,,14.84,45.58,83
HCPCS,L8513,HC BRUSH PROVX REUS NS12.5MM,87.0,,24.36,74.82,83
HCPCS,L8514,HC DIALTOR PUNCTUR TRACH 22F,152.0,,42.56,130.72,83
HCPCS,L8600,HC BREAST IMP SALN FLD 168 C1789,950.0,,266.0,817.0,83
HCPCS,L8600,HC EXP BRST TISS 300CC FV,1718.0,,481.04,1477.48,83
HCPCS,L8600,HC EXP BRST TISS 300CC MV,1718.0,,481.04,1477.48,83
HCPCS,L8600,HC EXP BRST TISS 400CC MV,1718.0,,481.04,1477.48,83
HCPCS,L8600,HC EXP BRST TISS 500CC LV,1718.0,,481.04,1477.48,83
HCPCS,L8600,HC EXP BRST TISS 500CC MV,1718.0,,481.04,1477.48,83
HCPCS,L8600,HC IMP BR 163 SALN 360-380CCC1789,1520.0,,425.6,1307.2,83
HCPCS,L8600,HC IMP BR 163 SALN 440-460CCC1789,1520.0,,425.6,1307.2,83
HCPCS,L8600,HC IMP BR 163 SALN 531-555CCC1789,1520.0,,425.6,1307.2,83
HCPCS,L8600,HC IMP BR 163 SALN 655-690CCC1789,1520.0,,425.6,1307.2,83
HCPCS,L8600,HC IMP BR 163 SALN 780-820CCC1789,1520.0,,425.6,1307.2,83
HCPCS,L8600,HC IMP BR 363 SALN 230-240CCC1789,1520.0,,425.6,1307.2,83
HCPCS,L8600,HC IMP BR 468 SALN 195-205CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP BR 468 SALN 230-240CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP BR 468 SALN 270-285CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP BR 468 SALN 300-315CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP BR 468 SALN 350-370CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP BR 468 SALN 380-400CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP BR 468 SALN 450-475CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP BR 468 SALN 495-520CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP BR 468 SALN 560-590CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP BR 468 SALN 620-650CCC1789,1300.0,,364.0,1118.0,83
HCPCS,L8600,HC IMP MAM CNTR SAL ADJ275CCC1789,2300.0,,644.0,1978.0,83
HCPCS,L8600,HC IMP MAM CNTR SAL ADJ350CC,2300.0,,644.0,1978.0,83
HCPCS,L8600,HC IMP MAM CNTR SAL ADJ450CCC1789,2300.0,,644.0,1978.0,83
HCPCS,L8600,HC IMP MAM CNTR SAL ADJ550CCC1789,2300.0,,644.0,1978.0,83
HCPCS,L8600,HC IMP MAM CNTR SAL ADJ650CCC1789,2300.0,,644.0,1978.0,83
HCPCS,L8600,HC IMP MAM CNTR TEX SAL175CCC1789,1440.0,,403.2,1238.4,83
HCPCS,L8600,HC IMP MAM CNTR TEX SAL225CCC1789,1440.0,,403.2,1238.4,83
HCPCS,L8600,HC IMP MAM CNTR TEX SAL275CCC1789,1440.0,,403.2,1238.4,83
HCPCS,L8600,HC IMP MAM CNTR TEX SAL350CCC1789,1440.0,,403.2,1238.4,83
HCPCS,L8600,HC IMP MAM CNTR TEX SAL425CCC1789,1440.0,,403.2,1238.4,83
HCPCS,L8600,HC IMP MAM CNTR TEX SAL525CCC1789,1440.0,,403.2,1238.4,83
HCPCS,L8600,HC IMP MAMM RND BECK50 300CCC1789,4000.0,,1120.0,3440.0,83
HCPCS,L8600,HC IMP MAMM RND BECK50 400CCC1789,4000.0,,1120.0,3440.0,83
HCPCS,L8600,HC IMP MAMM RND BECK50 500CCC1789,4000.0,,1120.0,3440.0,83
HCPCS,L8600,HC IMP MAMM RND BECK50 600CCC1789,4000.0,,1120.0,3440.0,83
HCPCS,L8600,HC IMP MAMM RND BECK50 700CCC1789,4000.0,,1120.0,3440.0,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ125CC,1485.0,,415.8,1277.1,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ175CC,1600.0,,448.0,1376.0,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ225CC,1600.0,,448.0,1376.0,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ275CC,1600.0,,448.0,1376.0,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ325CCC1789,1600.0,,448.0,1376.0,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ375CC,1600.0,,448.0,1376.0,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ425CC,1600.0,,448.0,1376.0,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ475CC,1485.0,,415.8,1277.1,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ525CC,1600.0,,448.0,1376.0,83
HCPCS,L8600,HC IMP MAMM RND SAL ADJ575CC,1600.0,,448.0,1376.0,83
HCPCS,L8600,HC IMP MAMM RND TEX SAL125CCC1789,1755.0,,491.4,1509.3,83
HCPCS,L8600,HC IMP MAMM RND TEX SAL175CC,1755.0,,491.4,1509.3,83
HCPCS,L8600,HC IMP MAMM RND TEX SAL225CCC1789,1900.0,,532.0,1634.0,83
HCPCS,L8600,HC IMP MAMM RND TEX SAL275CCC1789,1854.0,,519.12,1594.44,83
HCPCS,L8600,HC IMP MAMM RND TEX SAL325CCC1789,1755.0,,491.4,1509.3,83
HCPCS,L8600,HC IMP MAMM RND TEX SAL375CCC1789,1755.0,,491.4,1509.3,83
HCPCS,L8600,HC IMP MAMM RND TEX SAL425CCC1789,1755.0,,491.4,1509.3,83
HCPCS,L8600,HC IMP MAMM RND TEX SAL475CCC1789,1755.0,,491.4,1509.3,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL125CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL150CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL175CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL200CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL225CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL250CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL275CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL300CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL325CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL350CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL375CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL400CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL450CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL500CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL550CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC IMP MAMM RND TEX SIL600CCC1789,1665.0,,466.2,1431.9,83
HCPCS,L8600,HC MENT SILTBECK25 150-800CCL8600,4000.0,,1120.0,3440.0,83
HCPCS,L8600,HC MENTOR SIL BRST IMPLT L8600,1665.0,,466.2,1431.9,83
HCPCS,L8603,HC COLLAGEN INJECT-IMPLANT,596.0,,166.88,512.56,83
HCPCS,L8603,HC MACRPLAST CLGNINJ2.5CC/ML,990.0,,277.2,851.4,83
HCPCS,L8606,HC EXP INJ BULK AGENT1ML DUR,443.0,,124.04,380.98,83
HCPCS,L8606,HC SYN IMP URTRAC 1MLSY&SPLY,867.0,,242.76,745.62,83
HCPCS,L8610,HC BIO-EYE COATED HYDRO16MM L8610,1590.0,,445.2,1367.4,83
HCPCS,L8610,HC BIO-EYE PERF HYDRO18-24MM,1790.0,,501.2,1539.4,83
HCPCS,L8610,HC CUSTOM SCLERA,1600.0,,448.0,1376.0,83
HCPCS,L8610,HC EYELID WEIGHTS GOLD .06,410.0,,114.8,352.6,83
HCPCS,L8610,HC EYELID WEIGHTS GOLD .8 L8610,420.0,,117.6,361.2,83
HCPCS,L8610,HC EYELID WEIGHTS GOLD 1.0 L8610,430.0,,120.4,369.8,83
HCPCS,L8610,HC EYELID WEIGHTS GOLD 1.2 L8610,440.0,,123.2,378.4,83
HCPCS,L8610,HC EYELID WEIGHTS GOLD 1.4 L8610,450.0,,126.0,387.0,83
HCPCS,L8610,HC EYELID WEIGHTS GOLD 1.6 L8610,510.0,,142.8,438.6,83
HCPCS,L8610,HC EYELID WGHT GLD THIN 1.4,673.0,,188.44,578.78,83
HCPCS,L8610,HC EYELID WGHT GLD THN 0.6 L8610,462.0,,129.36,397.32,83
HCPCS,L8610,HC EYELID WGHT GLD THN 0.8,496.0,,138.88,426.56,83
HCPCS,L8610,HC EYELID WGHT GLD THN 1.0,597.0,,167.16,513.42,83
HCPCS,L8610,HC EYELID WGHT GLD THN 1.2,624.0,,174.72,536.64,83
HCPCS,L8610,HC EYELID WGHT GLD THN 1.6 L8610,662.0,,185.36,569.32,83
HCPCS,L8610,HC IMP C-ORB HYDR/CNF16-22MML8610,1390.0,,389.2,1195.4,83
HCPCS,L8610,HC IMP ORB HYDRO/CNF 16-22MM,1390.0,,389.2,1195.4,83
HCPCS,L8610,HC IMP STORZ SPHERE 10-22MML8610,34.0,,9.52,29.24,83
HCPCS,L8612,HC CATH CSF CARDIAC PERIT SML8612,276.0,,77.28,237.36,83
HCPCS,L8612,HC CATH EXTERNAL DRAIN VENTRICUL,592.0,,165.76,509.12,83
HCPCS,L8612,HC CATH PUDENZ CARDIACMEDIUML8612,320.0,,89.6,275.2,83
HCPCS,L8612,HC IMP R-SHUNT DELTA CSF L1 L8612,3671.0,,1027.88,3157.06,83
HCPCS,L8612,HC IMP SHUNT STRATAII VAL RG,7900.0,,2212.0,6794.0,83
HCPCS,L8612,HC SHUNT ASCITES PERCU L8612,2598.0,,727.44,2234.28,83
HCPCS,L8612,HC SHUNT BPCAROTD13CM*12-16FL8612,122.0,,34.16,104.92,83
HCPCS,L8612,HC SHUNT BPCAROTID1H13CM*10FL8612,130.0,,36.4,111.8,83
HCPCS,L8612,HC SHUNT CARDIAC PERITONEAL L8612,230.0,,64.4,197.8,83
HCPCS,L8612,HC SHUNT DEL REG LEV I 1.5 L8612,3671.0,,1027.88,3157.06,83
HCPCS,L8612,HC SHUNT DELTA UNIT S-L 23CML6812,3134.0,,877.52,2695.24,83
HCPCS,L8612,HC SHUNT DELTA UNIT S-L I L8612,2891.0,,809.48,2486.26,83
HCPCS,L8612,HC SHUNT DELTA UNIT S-L II L8612,2652.0,,742.56,2280.72,83
HCPCS,L8612,HC SHUNT DENVER ASCITS S-VLVL8612,3266.0,,914.48,2808.76,83
HCPCS,L8612,HC SHUNT PERIT/VENO L8612,1360.0,,380.8,1169.6,83
HCPCS,L8612,HC SHUNT SPETZLER LUM L8612,1130.0,,316.4,971.8,83
HCPCS,L8612,HC SHUNT UNIT REG HIGH L6812,1510.0,,422.8,1298.6,83
HCPCS,L8612,HC SHUNT UNIT REG MED L6812,2353.0,,658.84,2023.58,83
HCPCS,L8612,HC SHUNT UNIT SM HIGH L6812,1478.0,,413.84,1271.08,83
HCPCS,L8612,HC SHUNT UNIT SM LOW L6812,2558.0,,716.24,2199.88,83
HCPCS,L8612,HC SHUNT UNIT SM MED L6812,2353.0,,658.84,2023.58,83
HCPCS,L8612,HC SHUNT UNTI REG LOW L6812,2558.0,,716.24,2199.88,83
HCPCS,L8612,HC SHUNT VP UNIT REG 1.5 23CM,1878.0,,525.84,1615.08,83
HCPCS,L8612,HC SHUNT VP UNIT RG 1.5 23CML8612,1878.0,,525.84,1615.08,83
HCPCS,L8613,HC SOFTCLIP STAPES INCUS PROSTH (MULT SIZES),600.0,,168.0,516.0,83
HCPCS,L8670,HC GRAFT VASC STD WALL 4-6MMX50CM,1072.0,,300.16,921.92,83
HCPCS,L8670,HC GRAFTVASC RNG 8MM*80CM*50CM,1960.0,,548.8,1685.6,83
HCPCS,L8680,HC IMPL NEUROST ELECT STIMUL,230.0,,64.4,197.8,83
HCPCS,L8680,HC LEAD 8 CHAN TRAIL C1778,2390.0,,669.2,2055.4,83
HCPCS,L8680,HC LEAD KIT SPINAL CORD SPECIFY,5252.0,,1470.56,4516.72,83
HCPCS,L8680,HC LEAD OCTRODE ELEC C1778,5900.0,,1652.0,5074.0,83
HCPCS,L8680,HC PISCES QUAD LEAD KIT,2680.0,,750.4,2304.8,83
HCPCS,L8680,HC QUAD PROGRAMMABLE GEN C1778,15278.0,,4277.84,13139.08,83
HCPCS,L8680,HC TRIAL LEAD NEURO ELECTROD,4684.0,,1311.52,4028.24,83
HCPCS,L8686,HC PUMP MED SYNCHR 20/40ML,23600.0,,6608.0,20296.0,83
HCPCS,L8691,HC COCHLEAR BAHA 5 W/RMT,5400.0,,1512.0,4644.0,83
HCPCS,L8691,HC COCHLEAR BAHA BP100PWRBLN,5250.0,,1470.0,4515.0,83
HCPCS,L8691,HC COCHLEAR BAHA CORDELL II,4950.0,,1386.0,4257.0,83
HCPCS,L8692,HC COCHLEAR BAHA BP110PWRBLN,5175.0,,1449.0,4450.5,83
HCPCS,L8699,HC 1.5MM TI MATRIXRIB STR PLATE 24 HOLES (MULT SIZE LENGTH),2668.0,,747.04,2294.48,83
HCPCS,L8699,HC 1.5MM TI MATRIXRIB STR PLATE 30 HOLES (MULT SIZE LENGTH),3176.0,,889.28,2731.36,83
HCPCS,L8699,HC AESC SAC PLATE 4H 26-32MML8699,1920.0,,537.6,1651.2,83
HCPCS,L8699,HC AESC SAC PLATE 6H 34-58MML8699,2080.0,,582.4,1788.8,83
HCPCS,L8699,HC AESC SAC PLATE 8H 49-64MML8699,2280.0,,638.4,1960.8,83
HCPCS,L8699,HC ALL POLY TIBIA 11MM SM,3615.0,,1012.2,3108.9,83
HCPCS,L8699,HC ANTBTC IMPRG SHNT CATH,1350.0,,378.0,1161.0,83
HCPCS,L8699,HC APR AMB12.5MM*14-20CM FGSC1813,9265.0,,2594.2,7967.9,83
HCPCS,L8699,HC ATLP LOCK SCREW 4.0 30MM L8699,46.0,,12.88,39.56,83
HCPCS,L8699,HC ATLP LOCKING PLATE L8699,3821.0,,1069.88,3286.06,83
HCPCS,L8699,HC ATLP PLATE 108-148MM SYNTL8699,4042.0,,1131.76,3476.12,83
HCPCS,L8699,HC BIOMET BONE PLUG (MULT SIZES),335.0,,93.8,288.1,83
HCPCS,L8699,HC BIOMET BONE PLUG MED,220.0,,61.6,189.2,83
HCPCS,L8699,HC BIOMET BONE PLUG XX-LG L8699,290.0,,81.2,249.4,83
HCPCS,L8699,HC BIOMET D-CENTRALIZER,354.0,,99.12,304.44,83
HCPCS,L8699,HC BM TUBE BPSALIVARY CL14MML6899,374.0,,104.72,321.64,83
HCPCS,L8699,HC BONE GRAFT OSTEOS EA L8699,1790.0,,501.2,1539.4,83
HCPCS,L8699,HC BP SUTRLBE GRAFT 4X5 CM,642.0,,179.76,552.12,83
HCPCS,L8699,HC BP SUTRLBE GRAFT 6X8CM,829.0,,232.12,712.94,83
HCPCS,L8699,HC BP SUTRLBE GRAFT 8X12 CM,1367.0,,382.76,1175.62,83
HCPCS,L8699,HC BURR H-CVR SHNT 17MM LPL8699,348.0,,97.44,299.28,83
HCPCS,L8699,HC C-A FLANG FIXTUR ST 3-4MML8699,2000.0,,560.0,1720.0,83
HCPCS,L8699,HC C-A HEALING ABUTMENT L8699,1030.0,,288.4,885.8,83
HCPCS,L8699,HC CAN EH-SCREW 4*12-16MM STL8699,371.0,,103.88,319.06,83
HCPCS,L8699,HC CAN EH-SCREW 4*12MM SD L8699,575.0,,161.0,494.5,83
HCPCS,L8699,HC CAN EH-SCRW4.35*12-16MMSTL8699,515.0,,144.2,442.9,83
HCPCS,L8699,HC CAN EH-SCRW4.5*12-16MM SDL8699,656.0,,183.68,564.16,83
HCPCS,L8699,HC CAN EH-SCRW4.5*12-16MM STL8699,515.0,,144.2,442.9,83
HCPCS,L8699,HC CAN TEH-SCREW 4.35*16MM L8699,427.0,,119.56,367.22,83
HCPCS,L8699,HC CATH CARDIAC PERIT EA L8699,319.0,,89.32,274.34,83
HCPCS,L8699,HC CATH HERMETIC VENTRI LRG,218.0,,61.04,187.48,83
HCPCS,L8699,HC CATH O-VENTRIC NEUROVIEW,322.0,,90.16,276.92,83
HCPCS,L8699,HC CATH PRX 27CM L6899,201.0,,56.28,172.86,83
HCPCS,L8699,HC CATH PUDEN PERITON LOW EAL8699,294.0,,82.32,252.84,83
HCPCS,L8699,HC CATH PUDEN PERTON MED EA,65.0,,18.2,55.9,83
HCPCS,L8699,HC CATH PUDENZ DVE FLUSH,1164.0,,325.92,1001.04,83
HCPCS,L8699,HC CATH PUDENZ PERIT HIGH,338.0,,94.64,290.68,83
HCPCS,L8699,HC CATH S-VENTRI BARIUM 23CM,244.0,,68.32,209.84,83
HCPCS,L8699,HC CLD ILIAC CONN 6.35*20MM,2720.0,,761.6,2339.2,83
HCPCS,L8699,HC CLIK ANCHOR,675.0,,189.0,580.5,83
HCPCS,L8699,HC COLOPLAST TESTIBU IMP M-L,2900.0,,812.0,2494.0,83
HCPCS,L8699,HC CONNECT PUDENZ RT ANG/NY,82.0,,22.96,70.52,83
HCPCS,L8699,HC COR BC-SCREW 4*12-16MM STL8699,495.0,,138.6,425.7,83
HCPCS,L8699,HC COR EH-SCREW 4*12-16MM SDL8699,575.0,,161.0,494.5,83
HCPCS,L8699,HC COR EH-SCREW 4*12-16MM STL8699,371.0,,103.88,319.06,83
HCPCS,L8699,HC CSLP FIXATION PIN L8699,251.0,,70.28,215.86,83
HCPCS,L8699,HC CSLP LCK PLTE 5H 28-33MM L8699,1601.0,,448.28,1376.86,83
HCPCS,L8699,HC CSLP PLTE SERIES 450.1 L8699,1717.0,,480.76,1476.62,83
HCPCS,L8699,HC CSLP PLTE SERIES 450.2 L8699,1851.0,,518.28,1591.86,83
HCPCS,L8699,HC CSLP PLTE SERIES 450.3 L8699,1941.0,,543.48,1669.26,83
HCPCS,L8699,HC CSLP PLTE SERIES 450.4 L8699,2096.0,,586.88,1802.56,83
HCPCS,L8699,HC CSLP S-STAT PLT 12-24MM L8699,1696.0,,474.88,1458.56,83
HCPCS,L8699,HC CSLP S-STAT PLT 28-43MM L8699,1782.0,,498.96,1532.52,83
HCPCS,L8699,HC CSLP S-STAT PLT 42-69MM L8699,1845.0,,516.6,1586.7,83
HCPCS,L8699,HC CSLP VA-PLT SER450.18/19 L8699,3033.0,,849.24,2608.38,83
HCPCS,L8699,HC CSLP VA-PLT SERIES 450.15L8699,2375.0,,665.0,2042.5,83
HCPCS,L8699,HC CSLP VA-PLT SERIES 450.16L8699,2558.0,,716.24,2199.88,83
HCPCS,L8699,HC CSLP VA-PLT SERIES 450.17L8699,2794.0,,782.32,2402.84,83
HCPCS,L8699,HC D/M VIT CBL/SLVE 2MM,825.0,,231.0,709.5,166
HCPCS,L8699,HC DALL MI 2.0 MED CABLE EA L8699,2277.0,,637.56,1958.22,83
HCPCS,L8699,HC DB CABL TI1*470MM W/CRIMPL8699,1204.0,,337.12,1035.44,83
HCPCS,L8699,HC DBX STRIP 2.5X10CM,2838.0,,794.64,2440.68,83
HCPCS,L8699,HC DCS PLT 35DG 6-10H L8699,2032.0,,568.96,1747.52,83
HCPCS,L8699,HC DCS PLT 95DG 12-14H L8699,2296.0,,642.88,1974.56,83
HCPCS,L8699,HC DCS PLT 95DG 16H/274MM L8699,2448.0,,685.44,2105.28,83
HCPCS,L8699,HC DELTA SHNT VLV LVL 1.0 LP,2742.0,,767.76,2358.12,83
HCPCS,L8699,HC DHS PLT SH BARRL135-150DGL8699,1214.0,,339.92,1044.04,83
HCPCS,L8699,HC DHS PLT ST BARRL135-150DGL8699,1214.0,,339.92,1044.04,83
HCPCS,L8699,HC DHS/DCS COMP SCREW 36MM L8699,137.0,,38.36,117.82,83
HCPCS,L8699,HC DHS/DCS LG SCREW 12.7MM L8699,702.0,,196.56,603.72,83
HCPCS,L8699,HC DHS/DCS LGSCR14*145-150MML8699,768.0,,215.04,660.48,83
HCPCS,L8699,HC DURA PATCH 3.5X7CM,950.0,,266.0,817.0,83
HCPCS,L8699,HC DURA PATCH 3.5X9CM,1950.0,,546.0,1677.0,83
HCPCS,L8699,HC DURA PATCH 6X9.5CM,2500.0,,700.0,2150.0,83
HCPCS,L8699,HC DURA PATCH 8X13.5CM,2600.0,,728.0,2236.0,83
HCPCS,L8699,"HC DUREPAIR REG MATRIX 3X3""",1271.0,,355.88,1093.06,83
HCPCS,L8699,"HC DUREPAIR REG MATRIX 4X5""",2360.0,,660.8,2029.6,83
HCPCS,L8699,"HC DUREPAIR REG MATRIX 5X8""",6821.0,,1909.88,5866.06,83
HCPCS,L8699,HC DVC FLUSHING L-PRESS L8699,1935.0,,541.8,1664.1,83
HCPCS,L8699,HC DVC FLUSHING M-PRESS L8699,2549.0,,713.72,2192.14,83
HCPCS,L8699,HC ECHO FX FEMORAL STEM,4000.0,,1120.0,3440.0,83
HCPCS,L8699,HC ENDOBRONCHIAL TUBE,829.0,,232.12,712.94,83
HCPCS,L8699,HC EXP 6.35 COCR ROD W/HE 4,2152.0,,602.56,1850.72,83
HCPCS,L8699,HC GELWEAVE STR L8699,983.0,,275.24,845.38,83
HCPCS,L8699,HC GMRS EXT PIECE 30MM,6799.0,,1903.72,5847.14,166
HCPCS,L8699,HC HRHK FEM BRUSING,713.0,,199.64,613.18,83
HCPCS,L8699,HC HRHK TIB INSERT 16MM,2722.0,,762.16,2340.92,83
HCPCS,L8699,HC ILIAC CRST WDG 19X21,2274.0,,636.72,1955.64,83
HCPCS,L8699,HC IMP CARD/PERT CATH 120CM,385.0,,107.8,331.1,83
HCPCS,L8699,HC IMP DURASEAL SEALANT 5ML,1792.0,,501.76,1541.12,83
HCPCS,L8699,HC IMP GORE PERICARD MEMB,2942.0,,823.76,2530.12,83
HCPCS,L8699,HC IMP MEDPOR TSI 20*20CM,1286.0,,360.08,1105.96,83
HCPCS,L8699,HC IMP MEDPOR TSI 40*40CM L6899,1408.0,,394.24,1210.88,83
HCPCS,L8699,HC IMP MONTG THYRO FEMALE,736.0,,206.08,632.96,83
HCPCS,L8699,HC IMP MONTG THYRO MALE,736.0,,206.08,632.96,83
HCPCS,L8699,HC ISOMED PUMP CATH MEDTRO L8699,850.0,,238.0,731.0,83
HCPCS,L8699,HC K-WIRE 1.1-1.6MM L8699,13.0,,3.64,11.18,83
HCPCS,L8699,HC K-WIRE 1.25*150MM,54.0,,15.12,46.44,83
HCPCS,L8699,HC K-WIRE 1.6*150MM L8699,54.0,,15.12,46.44,83
HCPCS,L8699,HC K-WIRE 1.6MM W/5MM THREADL8699,338.0,,94.64,290.68,83
HCPCS,L8699,HC KIT ACC CATH CONN&ANCHOR L8699,150.0,,42.0,129.0,83
HCPCS,L8699,HC KIT CRANIO PLASTIC L8699,1726.0,,483.28,1484.36,83
HCPCS,L8699,HC KIT EXTENTION 10/24CM L8699,1790.0,,501.2,1539.4,83
HCPCS,L8699,HC LG FRAG CAN SCRW L8699,93.0,,26.04,79.98,83
HCPCS,L8699,HC LG FRAG CORY SCRW L8699,46.0,,12.88,39.56,83
HCPCS,L8699,HC LG FRAG MALLEO SCRW L8699,88.0,,24.64,75.68,83
HCPCS,L8699,HC LG FRAG SS WSHR L8699,67.0,,18.76,57.62,83
HCPCS,L8699,HC LG FRAG T-PLT TBLR 4H L8699,178.0,,49.84,153.08,83
HCPCS,L8699,HC LG FRAG T-PLT TBLR 5H L8699,188.0,,52.64,161.68,83
HCPCS,L8699,HC LG FRAG T-PLT TBLR 6H L8699,202.0,,56.56,173.72,83
HCPCS,L8699,HC LG FRAG T-PLT TBLR 7H L8699,208.0,,58.24,178.88,83
HCPCS,L8699,HC LG FRAG TI T-PLT 4H L8699,684.0,,191.52,588.24,83
HCPCS,L8699,HC LG FRAG TI T-PLT 6H L8699,818.0,,229.04,703.48,83
HCPCS,L8699,HC LG FRAG TI T-PLT 8H L8699,1078.0,,301.84,927.08,83
HCPCS,L8699,HC LNG NAIL LFT 11*380MM,6698.0,,1875.44,5760.28,83
HCPCS,L8699,HC LNG NAIL LFT 13*420MM,5992.0,,1677.76,5153.12,83
HCPCS,L8699,HC LOW IMPEDANCE EXT KIT 51CM,150.0,,42.0,129.0,83
HCPCS,L8699,HC MANDB 2MNI LOC L-PL LT/RTL8699,327.0,,91.56,281.22,83
HCPCS,L8699,HC MEDPOR ORB IMP SPH16-22MML8699,1408.0,,394.24,1210.88,83
HCPCS,L8699,HC MEDTRONIC ACC KIT L8699,182.0,,50.96,156.52,83
HCPCS,L8699,HC MND 2 MNI LOC STRT PLCV8HL8699,681.0,,190.68,585.66,83
HCPCS,L8699,HC MNDB 2 MINI LOC BX PL 4H L8699,347.0,,97.16,298.42,83
HCPCS,L8699,HC MNDB 2 MNI LOC DBWD PL 9HL8699,497.0,,139.16,427.42,83
HCPCS,L8699,HC MNDB 2 MNI LOC DBWDPL 12HL8699,554.0,,155.12,476.44,83
HCPCS,L8699,HC MNDB 2.4 FRAC PL STR 10H L8699,783.0,,219.24,673.38,83
HCPCS,L8699,HC MNDB 2.4 FRAC PL STR 8H L8699,734.0,,205.52,631.24,83
HCPCS,L8699,HC MNDB 2.4 LC-DCP PL CRES4HL8699,734.0,,205.52,631.24,83
HCPCS,L8699,HC MNDB 2.4 LC-DCP PL CRES6HL8699,797.0,,223.16,685.42,83
HCPCS,L8699,HC MNDB 2.4 LC-DCP PL ECC 4HL8699,696.0,,194.88,598.56,83
HCPCS,L8699,HC MNDB 2.4 LC-DCP PL ECC 6HL8699,839.0,,234.92,721.54,83
HCPCS,L8699,HC MNDB 2MNI LOC DBL-Y PL 6HL8699,354.0,,99.12,304.44,83
HCPCS,L8699,HC MNDB 2MNI LOC TNBNDPB4HRLL8699,516.0,,144.48,443.76,83
HCPCS,L8699,HC NM-TIBIAL SHRT 75MM,7526.0,,2107.28,6472.36,83
HCPCS,L8699,HC NORIAN CRS FAST PUTTY 5CCC1713,3298.0,,923.44,2836.28,83
HCPCS,L8699,HC NORIAN CRS FAST PUTTY10CCC1713,6116.0,,1712.48,5259.76,83
HCPCS,L8699,HC NORIAN CRS FAST PUTTY15CCC1713,9516.0,,2664.48,8183.76,83
HCPCS,L8699,HC OPN SD CONN 6.35X6.35MM,2936.0,,822.08,2524.96,83
HCPCS,L8699,HC PATCH PERICARDIAL 5*12CM L8699,400.0,,112.0,344.0,83
HCPCS,L8699,HC PERICARDIAL MEMBRANE EA L8699,738.0,,206.64,634.68,83
HCPCS,L8699,HC PERTION CATH STD BA96.5CML8699,317.0,,88.76,272.62,83
HCPCS,L8699,HC PERTION CATH STD OE 120CM,317.0,,88.76,272.62,83
HCPCS,L8699,HC PLC XTR TI 2MM LFT/RT L8699,2817.0,,788.76,2422.62,83
HCPCS,L8699,HC PLC XTR TI 2MM STR 12H L8699,1234.0,,345.52,1061.24,83
HCPCS,L8699,HC PLC XTR TI 2MM STR 20H L8699,1704.0,,477.12,1465.44,83
HCPCS,L8699,HC PLC XTR TI2MM 2ANG4X20X4HL8699,3256.0,,911.68,2800.16,83
HCPCS,L8699,HC PLC XTR TI2MM 2ANG5X22X5HL8699,2861.0,,801.08,2460.46,83
HCPCS,L8699,HC PLC XTR TI2MM 2ANG6X24X6HL8699,3014.0,,843.92,2592.04,83
HCPCS,L8699,HC PROSTH IMP CMPONT ABUTMNT,1180.0,,330.4,1014.8,83
HCPCS,L8699,HC RESVR BURR VENTRIC 12MM,724.0,,202.72,622.64,83
HCPCS,L8699,HC RESVR BURR VENTRIC 7.5MM L8699,531.0,,148.68,456.66,83
HCPCS,L8699,HC RESVR CSF VENT/CONV 12MM,724.0,,202.72,622.64,83
HCPCS,L8699,HC RESVR CSF VENTRIC 12MM L8699,608.0,,170.24,522.88,83
HCPCS,L8699,HC RESVR CSF VENTRIC 28MM,724.0,,202.72,622.64,83
HCPCS,L8699,HC RSRB 1.5MM MESH L8699,4926.0,,1379.28,4236.36,83
HCPCS,L8699,HC RSRB CORT SCRW 2.0 PKG2 L8699,176.0,,49.28,151.36,83
HCPCS,L8699,HC RSRB CORT SCRW 2.0 PKG4 L8699,553.0,,154.84,475.58,83
HCPCS,L8699,HC RSRB CORT SCRW L8699,624.0,,174.72,536.64,83
HCPCS,L8699,HC RSRB CORT SCRW PFG2 L8699,268.0,,75.04,230.48,83
HCPCS,L8699,HC RSRB CORT SCRW PKG4 L8699,156.0,,43.68,134.16,83
HCPCS,L8699,HC RSRB CRT SCRW 2.0 PKG 4 L8699,536.0,,150.08,460.96,83
HCPCS,L8699,HC RSRB CRTX SCRW PKG10 L8699,1560.0,,436.8,1341.6,83
HCPCS,L8699,HC RSRB EMRG SCRW L8699,139.0,,38.92,119.54,83
HCPCS,L8699,HC SAFE T-TUBE CL STD10-14MM,328.0,,91.84,282.08,83
HCPCS,L8699,HC SCREW MIS SINGLE INNER SET,684.0,,191.52,588.24,83
HCPCS,L8699,HC SCREW TI MATRIXRIB L/N SELFDRILLING (MULT SIZES),358.0,,100.24,307.88,83
HCPCS,L8699,HC SCREW TI STERNAL LOCKING SELFDRILLING (MULT SIZES),286.0,,80.08,245.96,83
HCPCS,L8699,HC SCRW MTRX NEURO L8699,615.0,,172.2,528.9,83
HCPCS,L8699,HC SF CRS CONN MD A6-A7,3712.0,,1039.36,3192.32,83
HCPCS,L8699,HC SFX CROSS CONNECTOR,3712.0,,1039.36,3192.32,83
HCPCS,L8699,HC SG LS-CLIP9-12MM3.5-5.0OPL8699,566.0,,158.48,486.76,83
HCPCS,L8699,HC SGMT PRX TIBIA SZ 1,17682.0,,4950.96,15206.52,83
HCPCS,L8699,HC SHT SILICON NONREINF .060E1399,420.0,,117.6,361.2,83
HCPCS,L8699,HC SHUNT D-VLVE 26-40ML/MIN L8699,3266.0,,914.48,2808.76,83
HCPCS,L8699,HC SHUNT DELTA CSF UNI RG L2,2333.0,,653.24,2006.38,83
HCPCS,L8699,HC SHUNT OB-PASS  9F*31CM,938.0,,262.64,806.68,83
HCPCS,L8699,HC SHUNT SM LEV 1 1.5 EA L8699,3213.0,,899.64,2763.18,83
HCPCS,L8699,HC SILICONE STRAIGHT STENT,700.0,,196.0,602.0,83
HCPCS,L8699,HC SILICONE Y STENT,1700.0,,476.0,1462.0,83
HCPCS,L8699,HC SM FRG SHFT SCRW L8699,54.0,,15.12,46.44,83
HCPCS,L8699,HC SNEX CAGE L8699,18962.0,,5309.36,16307.32,83
HCPCS,L8699,HC SNYMESH SPNE TRANS L8699,2946.0,,824.88,2533.56,83
HCPCS,L8699,HC SNYNMESH 12-15X32 L8699,6125.0,,1715.0,5267.5,83
HCPCS,L8699,HC SP THRCANTI LS5.5X22-54MML8699,1089.0,,304.92,936.54,83
HCPCS,L8699,HC SPHINCTERTOME CRVCSCRSDFXV4X12-20MM,525.0,,147.0,451.5,83
HCPCS,L8699,HC SPHINCTERTOME TIVECTRAPL2LVL28-46MM,3080.0,,862.4,2648.8,83
HCPCS,L8699,HC SPINE CAN SCRW3.5*10-12MML8699,148.0,,41.44,127.28,83
HCPCS,L8699,HC SPIRATION VALVE IN CARTRIDGE 5-7 MM HUD,5300.0,,1484.0,4558.0,83
HCPCS,L8699,HC SPIRATION VALVE IN CARTRIDGE 9MM HUD,6900.0,,1932.0,5934.0,83
HCPCS,L8699,HC SPN CLK'X 3-D HD L8699,1152.0,,322.56,990.72,83
HCPCS,L8699,HC SPN CLK'X LC 3-D HD L8699,504.0,,141.12,433.44,83
HCPCS,L8699,HC SPN CLKX MNPDSCR4.2X25-40L8699,1759.0,,492.52,1512.74,83
HCPCS,L8699,HC SPN CLKX MNPDSCR5.2X25-55L8699,1759.0,,492.52,1512.74,83
HCPCS,L8699,HC SPN CLKX MNPDSCR6.2X25-50L8699,1759.0,,492.52,1512.74,83
HCPCS,L8699,HC SPN CLKX MNPDSCR6.2X55-65L8699,1759.0,,492.52,1512.74,83
HCPCS,L8699,HC SPN CLKX MNPDSCR7X25-100ML8699,1759.0,,492.52,1512.74,83
HCPCS,L8699,HC SPN CLKX MNPDSCR8X25-100ML8699,1759.0,,492.52,1512.74,83
HCPCS,L8699,HC SPN CLKX MNPDSCRX35-100MML8699,1759.0,,492.52,1512.74,83
HCPCS,L8699,HC SPN CORTX SCRW3.2X20-22MML8699,151.0,,42.28,129.86,83
HCPCS,L8699,HC SPN CRVCSCRSDF4.5X12-20MML8699,616.0,,172.48,529.76,83
HCPCS,L8699,HC SPN CVCSCRSTFXV4.5X12-20ML8699,506.0,,141.68,435.16,83
HCPCS,L8699,HC SPN CVCSCRSTFXVANG4X12-20L8699,460.0,,128.8,395.6,83
HCPCS,L8699,HC SPN ROD TAPRD L8699,2425.0,,679.0,2085.5,83
HCPCS,L8699,HC SPN THOR L-PLTE 64MM L8699,6537.0,,1830.36,5621.82,83
HCPCS,L8699,HC SPN THOR L-PLTE 67MM L8699,6807.0,,1905.96,5854.02,83
HCPCS,L8699,HC SPN THOR L-PLTE 70-79MM L8699,7139.0,,1998.92,6139.54,83
HCPCS,L8699,HC SPN THOR L-PLTE 94MM L8699,7708.0,,2158.24,6628.88,83
HCPCS,L8699,HC SPN THOR L-PLTE 97MM L8699,7768.0,,2175.04,6680.48,83
HCPCS,L8699,HC SPN THOR TI LP 100-109MM L8699,7771.0,,2175.88,6683.06,83
HCPCS,L8699,HC SPN THOR TI LP 40-61MM L8699,6056.0,,1695.68,5208.16,83
HCPCS,L8699,HC SPN THOR TI LP 82-91MM L8699,7073.0,,1980.44,6082.78,83
HCPCS,L8699,HC SPN TIVCTRAPL4LVL60-100MML8699,3600.0,,1008.0,3096.0,83
HCPCS,L8699,HC SPN TIVECTRAPL1LVL14-26MML8699,2870.0,,803.6,2468.2,83
HCPCS,L8699,HC SPN TIVECTRAPL3LVL45-69MML8699,3288.0,,920.64,2827.68,83
HCPCS,L8699,HC SPNCNSCRW3.5X10-24MMSTRLKL8699,342.0,,95.76,294.12,83
HCPCS,L8699,HC SPNTAP4-4.5CANBNSCR.220MML8699,402.0,,112.56,345.72,83
HCPCS,L8699,HC STEINMAN PIN 2-2.4MM L8699,14.0,,3.92,12.04,83
HCPCS,L8699,HC STEINMAN PIN 5/32 (4.0MM)L8699,18.0,,5.04,15.48,83
HCPCS,L8699,HC STEINMAN PINTHRD3.2-3.6MM,31.0,,8.68,26.66,83
HCPCS,L8699,HC STRYK HYDROSET BONE 10CC L8699,6690.0,,1873.2,5753.4,83
HCPCS,L8699,HC STRYKER BONE PLUG SM-LG,294.0,,82.32,252.84,83
HCPCS,L8699,HC STRYKER KNEE TIBIAL SLVE L8699,1226.0,,343.28,1054.36,83
HCPCS,L8699,HC STRYKER SS CANN WASHER A4649,80.0,,22.4,68.8,83
HCPCS,L8699,HC SUG LG A-CLIP PERMAN 14MML8699,550.0,,154.0,473.0,83
HCPCS,L8699,HC SUG LG A-CLIP PERMANENT L8699,540.0,,151.2,464.4,83
HCPCS,L8699,HC SUG STD A-CLIP TEMPORARY L8699,594.0,,166.32,510.84,83
HCPCS,L8699,HC SUGITA A-CLIP MINI 4-6MM L8699,594.0,,166.32,510.84,83
HCPCS,L8699,HC SUGITA LSA-CLIP 9MM 3.5OPL8699,560.0,,156.8,481.6,83
HCPCS,L8699,HC SUGITA STD A-CLIP 6-10MM L8699,594.0,,166.32,510.84,83
HCPCS,L8699,HC SYN3.5TRNSVBARW/CLMP5-6MML8699,722.0,,202.16,620.92,83
HCPCS,L8699,HC SYNCX PF-SCREW3.5*18-50MML8699,2824.0,,790.72,2428.64,83
HCPCS,L8699,HC SYNEX CAGE -5DG L8699,14176.0,,3969.28,12191.36,83
HCPCS,L8699,HC SYNEX CAGE -6DG L8699,18674.0,,5228.72,16059.64,83
HCPCS,L8699,HC SYNEX CAGE 0-5DG 23-32MML8699,15518.0,,4345.04,13345.48,83
HCPCS,L8699,HC SYNEX CAGE 0-5DG 26-40MM L8699,17240.0,,4827.2,14826.4,83
HCPCS,L8699,HC SYNEX CAGE 6 L8699,19656.0,,5503.68,16904.16,83
HCPCS,L8699,HC SYNEX CAGE ENDPLT L8699,14922.0,,4178.16,12832.92,83
HCPCS,L8699,HC SYNEX CAGE0-NG5DG223-31MML8699,14743.0,,4128.04,12678.98,83
HCPCS,L8699,HC SYNEX CAGE0-NG5DG26-40M L8699,16378.0,,4585.84,14085.08,83
HCPCS,L8699,HC SYNEX CAGE0-NG5DG31-56MML8699,18014.0,,5043.92,15492.04,83
HCPCS,L8699,HC SYNH 4.0MMTRANSV BAR SHRT,739.0,,206.92,635.54,83
HCPCS,L8699,HC SYNMESH 15X88 L8699,8904.0,,2493.12,7657.44,83
HCPCS,L8699,HC SYNMESH 17-26X88 L8699,13354.0,,3739.12,11484.44,83
HCPCS,L8699,HC SYNMESH 17X32 L8699,8968.0,,2511.04,7712.48,83
HCPCS,L8699,HC SYNMESH 22-26X64 L8699,11405.0,,3193.4,9808.3,83
HCPCS,L8699,HC SYNMESH E-RING L8699,373.0,,104.44,320.78,83
HCPCS,L8699,HC SYNMESH E-RNG ANT L8699,1129.0,,316.12,970.94,83
HCPCS,L8699,HC SYNMESH L8699,5600.0,,1568.0,4816.0,83
HCPCS,L8699,HC SYNMESH STD RING 17-26MM L8699,481.0,,134.68,413.66,83
HCPCS,L8699,HC SYNMESH STD SCREW 3.0MM L8699,73.0,,20.44,62.78,83
HCPCS,L8699,HC SYNMESH TI STPL L8699,3010.0,,842.8,2588.6,83
HCPCS,L8699,HC SYNTH 3.5MM TRNSV BAR LNGL8699,773.0,,216.44,664.78,83
HCPCS,L8699,HC SYNTH 4.0MMTRANSV BAR LNGL8699,739.0,,206.92,635.54,83
HCPCS,L8699,HC SYNTH CP-SCREW 4.5*8-50MML8699,2826.0,,791.28,2430.36,83
HCPCS,L8699,HC SYNTH CRV ROD 3.5*40-80MML8699,378.0,,105.84,325.08,83
HCPCS,L8699,HC SYNTHES 3.5MM TRNSV BAR L8699,773.0,,216.44,664.78,83
HCPCS,L8699,HC SYNTHES CP-SCREW 3.5*8-50MM,2558.0,,716.24,2199.88,83
HCPCS,L8699,HC SYNTHES CP-SCREW 4*8-50MML8699,2558.0,,716.24,2199.88,83
HCPCS,L8699,HC SYNTHES CRVROD 4*80MM L8699,463.0,,129.64,398.18,83
HCPCS,L8699,HC SYNTHES CSL-PLTE 5H 30MM L8699,1717.0,,480.76,1476.62,83
HCPCS,L8699,HC SYNTHES CSL-PLTE 5H 36MM L8699,1859.0,,520.52,1598.74,83
HCPCS,L8699,HC SYNTHES CSL-PLTE 8H 45MM L8699,1925.0,,539.0,1655.5,83
HCPCS,L8699,HC SYNTHES CSL-PLTE5H24-26MML8699,1665.0,,466.2,1431.9,83
HCPCS,L8699,HC SYNTHES CSL-PLTE8H39-42MML8699,1859.0,,520.52,1598.74,83
HCPCS,L8699,HC SYNTHES CSL-PLTE8H48-54MML8699,1859.0,,520.52,1598.74,83
HCPCS,L8699,HC SYNTHES CSL-PLTE8H57-63MML8699,1951.0,,546.28,1677.86,83
HCPCS,L8699,HC SYNTHES CSL-PLTE9H66-88MML8699,2108.0,,590.24,1812.88,83
HCPCS,L8699,HC SYNTHES DCP B-PLT4.5MM 6HL8699,608.0,,170.24,522.88,83
HCPCS,L8699,HC SYNTHES DCP B-PLT4.5MM 7HL8699,658.0,,184.24,565.88,83
HCPCS,L8699,HC SYNTHES DCP B-PLT4.5MM 8HL8699,732.0,,204.96,629.52,83
HCPCS,L8699,HC SYNTHES DCP B-PLT4.5MM 9HL8699,732.0,,204.96,629.52,83
HCPCS,L8699,HC SYNTHES DCP B-PLT4.5MM10HL8699,732.0,,204.96,629.52,83
HCPCS,L8699,HC SYNTHES DCP B-PLT4.5MM11HL8699,788.0,,220.64,677.68,83
HCPCS,L8699,HC SYNTHES DCP B-PLT4.5MM12HL8699,788.0,,220.64,677.68,83
HCPCS,L8699,HC SYNTHES DCP B-PLT4.5MM14HL8699,788.0,,220.64,677.68,83
HCPCS,L8699,HC SYNTHES DCP N-PLT4.5MM 4HL8699,398.0,,111.44,342.28,83
HCPCS,L8699,HC SYNTHES DCP N-PLT4.5MM 5HL8699,398.0,,111.44,342.28,83
HCPCS,L8699,HC SYNTHES DCP N-PLT4.5MM 6HL8699,448.0,,125.44,385.28,83
HCPCS,L8699,HC SYNTHES DCP N-PLT4.5MM 7HL8699,448.0,,125.44,385.28,83
HCPCS,L8699,HC SYNTHES DCP N-PLT4.5MM 8HL8699,448.0,,125.44,385.28,83
HCPCS,L8699,HC SYNTHES DCP N-PLT4.5MM 9HL8699,448.0,,125.44,385.28,83
HCPCS,L8699,HC SYNTHES DCP N-PLT4.5MM10HL8699,520.0,,145.6,447.2,83
HCPCS,L8699,HC SYNTHES DCP N-PLT4.5MM11HL8699,582.0,,162.96,500.52,83
HCPCS,L8699,HC SYNTHES DCP N-PLT4.5MM12HL8699,582.0,,162.96,500.52,83
HCPCS,L8699,HC SYNTHES HOOK LAM S-L FRNTL8699,1199.0,,335.72,1031.14,83
HCPCS,L8699,HC SYNTHES HOOK LAM THOR FRTL8699,1199.0,,335.72,1031.14,83
HCPCS,L8699,HC SYNTHES HOOK LAM THOR LFTL8699,1045.0,,292.6,898.7,83
HCPCS,L8699,HC SYNTHES HOOK LAMI S-L LFTL8699,1045.0,,292.6,898.7,83
HCPCS,L8699,HC SYNTHES HOOK LAMI S-L RT L8699,1045.0,,292.6,898.7,83
HCPCS,L8699,HC SYNTHES HOOK LAMI THOR RTL8699,1045.0,,292.6,898.7,83
HCPCS,L8699,HC SYNTHES HOOK PED FRNT L8699,1199.0,,335.72,1031.14,83
HCPCS,L8699,HC SYNTHES HOOK PED LFT L8699,1045.0,,292.6,898.7,83
HCPCS,L8699,HC SYNTHES HOOK PED RT L8699,1045.0,,292.6,898.7,83
HCPCS,L8699,HC SYNTHES HOOK TRAN FRT LFTL8699,1199.0,,335.72,1031.14,83
HCPCS,L8699,HC SYNTHES HOOK TRAN FRT RT L8699,1045.0,,292.6,898.7,83
HCPCS,L8699,HC SYNTHES HOOK TRANS LFT L8699,1045.0,,292.6,898.7,83
HCPCS,L8699,HC SYNTHES HOOK TRANS RT L8699,1199.0,,335.72,1031.14,83
HCPCS,L8699,HC SYNTHES L-PLTE 5H 33MM L8699,1721.0,,481.88,1480.06,83
HCPCS,L8699,HC SYNTHES OC-SCREW 4.5*4-18MM,426.0,,119.28,366.36,83
HCPCS,L8699,HC SYNTHES OC-SCREW 5*4-18MM,426.0,,119.28,366.36,83
HCPCS,L8699,HC SYNTHES PB-PROD 3.5*240MM,912.0,,255.36,784.32,83
HCPCS,L8699,HC SYNTHES TCONN CLMP BDY L8699,568.0,,159.04,488.48,83
HCPCS,L8699,HC SYNTHES TCONN COLLAR 6MM L8699,293.0,,82.04,251.98,83
HCPCS,L8699,HC SYNTHES TI HD RD120-240MML8699,2082.0,,582.96,1790.52,83
HCPCS,L8699,HC SYNTHES TI P-CONN 6MM L8699,1157.0,,323.96,995.02,83
HCPCS,L8699,HC SYNTHES TI ROD 3.5X80MM L8699,309.0,,86.52,265.74,83
HCPCS,L8699,HC SYNTHES TI ROD 4*120MM,504.0,,141.12,433.44,83
HCPCS,L8699,HC SYNTHES TI ROD 4*80MM,357.0,,99.96,307.02,83
HCPCS,L8699,HC SYNTHES US TI CLMP L8699,1936.0,,542.08,1664.96,83
HCPCS,L8699,HC SYNTHES US TI HLF RNG L8699,382.0,,106.96,328.52,83
HCPCS,L8699,HC SYNTHES USH-ROD 6X50MM L8699,296.0,,82.88,254.56,83
HCPCS,L8699,HC SYNTHES USH-ROD 6X75MM L8699,444.0,,124.32,381.84,83
HCPCS,L8699,HC SYNTHES USS-ROD 6X50MM L8699,296.0,,82.88,254.56,83
HCPCS,L8699,HC SYNTHES USS06X75MM L8699,444.0,,124.32,381.84,83
HCPCS,L8699,HC SYNTHESUSH-ROD6X100-500MML8699,578.0,,161.84,497.08,83
HCPCS,L8699,HC SYNTHESUSS-ROD6X100-150MML8699,578.0,,161.84,497.08,83
HCPCS,L8699,HC TEMPLATE FOR MATRIXRIB LOCKING PLATE (MULT SIZES),201.0,,56.28,172.86,83
HCPCS,L8699,HC TESTICULAR PROSTHESES TOROSA LARGE,3510.0,,982.8,3018.6,83
HCPCS,L8699,HC TI 1MMCBL W/SNG CRMP470MML8699,729.0,,204.12,626.94,83
HCPCS,L8699,HC TI ANT/THO LK PLT63-103MML8699,3674.0,,1028.72,3159.64,83
HCPCS,L8699,HC TI ASL-SCREWS 7.5*30-55MML8699,825.0,,231.0,709.5,83
HCPCS,L8699,HC TI CAN PLY SCREW 3.504.0,3361.0,,941.08,2890.46,83
HCPCS,L8699,HC TI CAN PLY SCREW 4.5,3485.0,,975.8,2997.1,83
HCPCS,L8699,HC TI CONTOUR MESH,15207.0,,4257.96,13078.02,83
HCPCS,L8699,HC TI HUMERAL END CAPT25 0MML8699,402.0,,112.56,345.72,83
HCPCS,L8699,HC TI K-WIRE 2*150MM L8699,40.0,,11.2,34.4,83
HCPCS,L8699,HC TI LAMINA HOOK L8699,2049.0,,573.72,1762.14,83
HCPCS,L8699,HC TI LCK SCRW,282.0,,78.96,242.52,83
HCPCS,L8699,HC TI OARA CIBB K8699,1378.0,,385.84,1185.08,83
HCPCS,L8699,HC TI OCC CLAMP L8699,1616.0,,452.48,1389.76,83
HCPCS,L8699,HC TI OCC PLT  LAT/MD,8406.0,,2353.68,7229.16,83
HCPCS,L8699,HC TI OCC PLT 50-60,11442.0,,3203.76,9840.12,83
HCPCS,L8699,HC TI OCC PLT/ROD L8699,3153.0,,882.84,2711.58,83
HCPCS,L8699,HC TI PARA O-ROD CON L8699,1007.0,,281.96,866.02,83
HCPCS,L8699,HC TI PARA O-ROD CONN 4MM LGL8699,1300.0,,364.0,1118.0,83
HCPCS,L8699,HC TI PARA O-ROD CONN 4MM SML8699,1239.0,,346.92,1065.54,83
HCPCS,L8699,HC TI PARA O-ROD CONN3 5/5M L8699,1252.0,,350.56,1076.72,83
HCPCS,L8699,HC TI PARA O-ROD CONN3 5/6MML8699,1317.0,,368.76,1132.62,83
HCPCS,L8699,HC TI PREBNT ROD,1245.0,,348.6,1070.7,83
HCPCS,L8699,HC TI ROD,801.0,,224.28,688.86,83
HCPCS,L8699,HC TI STR ROD 6.35*450MM,1440.0,,403.2,1238.4,83
HCPCS,L8699,HC TI STRML LCK STAR PLT,1171.0,,327.88,1007.06,83
HCPCS,L8699,HC TI STRNL LCK STAR PLT L8699,1290.0,,361.2,1109.4,83
HCPCS,L8699,HC TI STRNL LCK STR L8699,2803.0,,784.84,2410.58,83
HCPCS,L8699,HC TI STRNL LCK STR PL,1463.0,,409.64,1258.18,83
HCPCS,L8699,HC TI STRNL LCK STR PLT,2109.0,,590.52,1813.74,83
HCPCS,L8699,HC TI TOP LOAD L-HOOK L8699,2178.0,,609.84,1873.08,83
HCPCS,L8699,HC TI TOP LOAD TRANSCON L8699,3418.0,,957.04,2939.48,83
HCPCS,L8699,HC TI TRANCON LCK,234.0,,65.52,201.24,83
HCPCS,L8699,HC TI TRANCON LCK SCRW,420.0,,117.6,361.2,83
HCPCS,L8699,HC TI TRANSCON 60MM,3135.0,,877.8,2696.1,83
HCPCS,L8699,HC TI TRANSCONN 60-75 L8699,2258.0,,632.24,1941.88,83
HCPCS,L8699,HC TRIDENT CLSTR SHELL 60MM,2750.0,,770.0,2365.0,83
HCPCS,L8699,HC TUMOR BODY 61MM,9668.0,,2707.04,8314.48,83
HCPCS,L8699,HC U-SPIN TI STAPLSSM5.2-8MML8699,801.0,,224.28,688.86,83
HCPCS,L8699,HC U-SPINE ROD SOFT 6*500MM L8699,562.0,,157.36,483.32,83
HCPCS,L8699,HC U-SPINE TI ROD 3.5*120MM L8699,418.0,,117.04,359.48,83
HCPCS,L8699,HC U-SPINE TI STAPLS 5.2-8MML8699,816.0,,228.48,701.76,83
HCPCS,L8699,HC UN SPN CRVRODSFT6*45-85MML8699,497.0,,139.16,427.42,83
HCPCS,L8699,HC UNIV SPINE AXON LOCK SCREW,236.0,,66.08,202.96,83
HCPCS,L8699,HC UNIV SPINE BAR L8699,1099.0,,307.72,945.14,83
HCPCS,L8699,HC UNIV SPINE COLL HOOK L8699,296.0,,82.88,254.56,83
HCPCS,L8699,HC UNIV SPINE NUT 11MM L8699,120.0,,33.6,103.2,83
HCPCS,L8699,HC UNIV SPINE OPEN BAR L8699,1174.0,,328.72,1009.64,83
HCPCS,L8699,HC UNIV SPINE SCREW,1395.0,,390.6,1199.7,83
HCPCS,L8699,HC UNIV SPNE CAN T-SCRW L8699,65.0,,18.2,55.9,83
HCPCS,L8699,HC UNIV SPNE SCRW 3.5 L8699,2032.0,,568.96,1747.52,83
HCPCS,L8699,HC UNIV SPNE SCRW BLNT L8699,1106.0,,309.68,951.16,83
HCPCS,L8699,HC UNIV SPNE SCRW L8699,1306.0,,365.68,1123.16,83
HCPCS,L8699,HC UNIV SPNE TRANSCON L8699,9714.0,,2719.92,8354.04,83
HCPCS,L8699,HC US EXT BLDHK LMNA S-LGL/RL8699,1005.0,,281.4,864.3,83
HCPCS,L8699,HC US EXT BLDHKLMNA FRNTS-LGL8699,1152.0,,322.56,990.72,83
HCPCS,L8699,HC US OP TRANSVERSE BAR 15MML8699,1129.0,,316.12,970.94,83
HCPCS,L8699,HC US PEDIC HK W/O BEVEL L/RL8699,1005.0,,281.4,864.3,83
HCPCS,L8699,HC US PEDIC HK WO BEVEL FRNTL8699,1152.0,,322.56,990.72,83
HCPCS,L8699,HC US RECOPLAMIHK6.5-11MML/RL8699,1005.0,,281.4,864.3,83
HCPCS,L8699,HC US TB EXT BLDHKLMNAS-LL/RL8699,1005.0,,281.4,864.3,83
HCPCS,L8699,HC US TB EXTBLDHKLMNAFRTS-LGL8699,1152.0,,322.56,990.72,83
HCPCS,L8699,HC US TB HK LAMINA FRNT S-LGL8699,1152.0,,322.56,990.72,83
HCPCS,L8699,HC US TB HOOK LAMINASM-LGL/RL8699,1005.0,,281.4,864.3,83
HCPCS,L8699,HC US TI WASHR 16MM/5-7MM ODL8699,65.0,,18.2,55.9,83
HCPCS,L8699,HC US TRNSCONN6*15-30.5MM LPL8699,2317.0,,648.76,1992.62,83
HCPCS,L8699,HC US TRNSCONTI6*31.5-83MMLPL8699,2502.0,,700.56,2151.72,83
HCPCS,L8699,HC VAGINAL STENT 9.5-14CM,1650.0,,462.0,1419.0,83
HCPCS,L8699,HC VALVE DELTA REG LEVEL 1,3026.0,,847.28,2602.36,83
HCPCS,L8699,HC VALVE DELTA REG LVL I 1.5L8699,2547.0,,713.16,2190.42,83
HCPCS,L8699,HC VALVE DELTA SML LO CSF1.5L8699,1377.0,,385.56,1184.22,83
HCPCS,L8699,HC VALVE DELTA SML LVL I 1.5L8699,2547.0,,713.16,2190.42,83
HCPCS,L8699,HC VALVE IN CARTRIDGE 5-7MM (FOR IBV SPIRATION VALVE SYSTEM),5500.0,,1540.0,4730.0,83
HCPCS,L8699,HC VALVE M-PURPOSE HI PRESS,1843.0,,516.04,1584.98,83
HCPCS,L8699,HC VLVE FLUSH MISHLER DC HP L8699,1239.0,,346.92,1065.54,83
HCPCS,L8699,HC VP FLUSH VLVE LO/MD MUTIPL8699,2241.0,,627.48,1927.26,83
HCPCS,L8699,HC VP SHUNT UNI RG L1-L2,2891.0,,809.48,2486.26,83
HCPCS,L8699,HC VP STRATA NSC VALVE REG,7258.0,,2032.24,6241.88,83
HCPCS,L8699,HC WASHER ORTHOPEDIC SS ANSIS III FOR 4.0-7MM/8 SCREW,156.0,,43.68,134.16,83
HCPCS,L8699,HC WASHER ORTHOPEDIC TITANIUM ANSIS III FOR 4.0-7MM/8 SCREW,77.0,,21.56,66.22,83
HCPCS,L8699,HC X3 POLY INSERT 36M 10DG,2750.0,,770.0,2365.0,83
HCPCS,L9900,HC AMS 800 ACCESSORY KIT,1270.0,,355.6,1092.2,83
HCPCS,L9900,HC AMS US-DEACTIVAT PKG FGS,250.0,,70.0,215.0,83
HCPCS,L9900,HC ANTENNA EXTRNL FOR PRGRMRL9900,180.0,,50.4,154.8,83
HCPCS,L9900,HC BAHA SOFTBAND UNILT BLND,138.0,,38.64,118.68,83
HCPCS,L9900,HC BIOMET CABLE CC 2*750MM L9900,408.0,,114.24,350.88,83
HCPCS,L9900,HC BIOMET CABLE SS 2*750MM L9900,350.0,,98.0,301.0,83
HCPCS,L9900,HC BIOMET CRIMP CC 2.0MM L9900,244.0,,68.32,209.84,83
HCPCS,L9900,HC BIOMET CRIMP SS 2.0MM L9900,244.0,,68.32,209.84,83
HCPCS,L9900,"HC HEX WRENCH 3"" L9900",142.0,,39.76,122.12,83
HCPCS,L9900,HC HEX WRENCH L9900,142.0,,39.76,122.12,83
HCPCS,L9900,HC KIT ACCESSORY L9900,138.0,,38.64,118.68,83
HCPCS,L9900,HC MED-A SURG MED ADHESIVE L9900,138.0,,38.64,118.68,83
HCPCS,L9900,HC O.R.CABLE L9900,875.0,,245.0,752.5,83
HCPCS,L9900,HC PATIENT TRIAL KIT L9900,223.0,,62.44,191.78,83
HCPCS,L9900,HC RESTOR OCTAPOLR IL PLG/BTL9900,327.0,,91.56,281.22,83
HCPCS,L9900,HC RESTORE S-LID CONN CABLEL9900,525.0,,147.0,451.5,83
HCPCS,L9900,HC STYLET KIT W/S-CAP30-70CML9900,355.0,,99.4,305.3,83
HCPCS,L9900,HC STYLTW/S-CAP/S-STY30-70CML9900,338.0,,94.64,290.68,83
HCPCS,P9010,HC WHOLE BLOOD IRRADIATED,1584.0,,218.316,1362.24,84
HCPCS,P9012,HC CRYOPRECIP PROC,136.0,,38.08,116.96,84
HCPCS,P9012,HC CRYOPRECIP PROC & TESTING,129.0,,36.12,110.94,84
HCPCS,P9012,HC CRYOPRECIP PROC POOLED &  TESTING,129.0,,36.12,110.94,84
HCPCS,P9012,HC CRYOPRECIP PROC PREPOOLED & TESTING,136.0,,38.08,116.96,84
HCPCS,P9017,HC PLASMA FROZEN PROC,199.0,,55.72,171.14,84
HCPCS,P9017,HC PLASMA FROZEN PROC CCP IR & TESTING,190.0,,53.2,163.4,84
HCPCS,P9017,HC PLASMA FROZEN PROC FFP & TESTING,200.0,,56.0,172.0,84
HCPCS,P9017,HC PLASMA FRZN APHERE,335.0,,93.8,288.1,84
HCPCS,P9017,HC PLASMA SGL DONOR,189.0,,52.92,162.54,84
HCPCS,P9017,HC PLASMA SGL DONOR CCP APH IR & TESTING,190.0,,53.2,163.4,84
HCPCS,P9017,HC PLASMA SGL DONOR FFP APH & TESTING,190.0,,53.2,163.4,84
HCPCS,P9022,HC RED BLD CELLS FROZ,937.0,,262.36,805.82,84
HCPCS,P9022,HC RED BLD CELLS FROZ & TESTING,937.0,,262.36,805.82,84
HCPCS,P9022,"HC WASHED RED BLD CELL UNIT, ABO LEUKOREDU",1538.0,,423.867,1322.68,84
HCPCS,P9022,HC WASHED RED BLOOD CELL UNIT,1538.0,,423.867,1322.68,84
HCPCS,P9032,HC PLATELETS E2903 & TESTING,345.0,,96.6,451.9155,84
HCPCS,P9032,HC PLATELETS E2904 & TESTING,345.0,,96.6,451.9155,84
HCPCS,P9032,HC PLATELETS E2905 & TESTING,345.0,,96.6,451.9155,84
HCPCS,P9032,HC PLATELETS IRRADIATED,343.0,,96.04,451.9155,84
HCPCS,P9032,HC PLATELETS IRRADIATED PREPOOLED LR PR E9913 & TESTING,345.0,,96.6,451.9155,84
HCPCS,P9033,"HC PLATELETS IRR LR PRE POOLED, 5 UNITS",494.0,,138.32,424.84,84
HCPCS,P9033,"HC PLATELETS IRR LR PRE POOLED, EA UNIT - EA792 4 UNITS",448.0,,125.44,385.28,84
HCPCS,P9033,"HC PLATELETS IRR LR PRE POOLED, EA UNIT - EA794 6 UNITS",304.0,,85.12,261.44,84
HCPCS,P9033,"HC PLATELETS IRR LR PRE POOLED, EA UNIT - EA796 LOW YIELD",1653.0,,218.0285,1421.58,84
HCPCS,P9033,"HC PLATELETS IRR LR PRE POOLED, EA UNIT- EA793 5 UNITS",400.0,,112.0,344.0,84
HCPCS,P9033,HC PLATELETS IRRADIATED PREPOOLED LR E6210 & TESTING,345.0,,96.6,296.7,84
HCPCS,P9036,HC PLATELETS PHER IRR EA,1430.0,,400.4,1229.8,84
HCPCS,P9036,HC PLATELETS PHER IRR EA & TESTING,1431.0,,400.68,1230.66,84
HCPCS,P9037,HC PLATEL PHERESIS LEUK IRR,1905.0,,533.4,1638.3,84
HCPCS,P9037,HC PLATEL PHERESIS LEUK IRR & TESTING,1905.0,,533.4,1638.3,84
HCPCS,P9037,HC PLATEL PHERESIS LEUK IRR PLASMA REDUCTION & TESTING,1817.0,,508.76,1562.62,84
HCPCS,P9037,HC PLATELET PHERESIS LEUK IRR + WASHING & TESTING,1817.0,,508.76,1562.62,84
HCPCS,P9038,HC RED CELLS IRRAD,561.0,,157.08,482.46,84
HCPCS,P9038,HC RED CELLS IRRAD & TESTING,562.0,,157.36,483.32,84
HCPCS,P9040,HC RED CELLS LEUKOR IRRAD,647.0,,181.16,556.42,84
HCPCS,P9040,HC RED CELLS LEUKOR IRRAD & TESTING,647.0,,181.16,556.42,84
HCPCS,P9040,HC RED CELLS LEUKOR IRRAD PLASMA REDUCTION & TESTING,617.0,,172.76,530.62,84
HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003502]",284.65,,51.576,469.99,430
HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",184.2,,41.37,469.99,1118
HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800000377]",317.79999999999995,,51.534,469.99,430
HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",317.79999999999995,,51.534,469.99,602
HCPCS,P9047,"ALBUMIN, HUMAN 25% INJECTION [40800000271]",288.925,,53.08,326.112,172
HCPCS,P9050,HC GRANULOCYTE PHERESIS EACH UNIT,7471.0,,2091.88,6425.06,83
HCPCS,P9050,HC GRANULOCYTE PHERESIS EACH UNIT & TESTING,7471.0,,2091.88,6425.06,83
HCPCS,P9050,HC GRANULOCYTE PHERESIS EACH UNIT IRR & TESTING,7471.0,,2091.88,6425.06,83
HCPCS,P9056,HC WHOLE BLOOD LEUKOREDUCED IRR,1777.0,,97.2325,1528.22,84
HCPCS,P9073,HC PLATELETS PHERESIS PATH REDU,3102.0,,698.5445,2667.72,84
HCPCS,P9100,HC  PLATELET PGD TEST,157.0,,43.96,135.02,84
HCPCS,Q0035,PR CARDIOKYMOGRAPHY,44.0,,6.9445,39.6,33
HCPCS,Q0091,HC PAP SMEAR SCREENING,50.0,,14.0,43.0,84
HCPCS,Q0091,PR OBTAINING SCREEN PAP SMEAR,155.0,,16.47,139.5,33
HCPCS,Q0138,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [98312],3165.2749999999996,,0.23,3362.901,172
HCPCS,Q0144,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],61.35,,15.12,59.082,166
HCPCS,Q0144,AZITHROMYCIN 250 MG TABLET [20943],7.275,,0.462,10.191,913
HCPCS,Q0144,AZITHROMYCIN 600 MG TABLET [17387],21.85,,6.118,18.791,166
HCPCS,Q0161,CHLORPROMAZINE 10 MG TABLET [1653],16.450000000000003,,0.798,18.017,415
HCPCS,Q0161,CHLORPROMAZINE 100 MG TABLET [1654],36.5,,10.22,31.39,83
HCPCS,Q0161,CHLORPROMAZINE 25 MG TABLET [1656],21.975,,2.982,26.015,498
HCPCS,Q0161,CHLORPROMAZINE 50 MG TABLET [1657],25.55,,7.154,21.973,83
HCPCS,Q0162,ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],2.2,,0.01,2.494,336
HCPCS,Q0162,ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],3.05,,0.01,4.601,840
HCPCS,Q0162,ONDANSETRON HCL 4 MG TABLET [10778],2.4,,0.01,3.096,420
HCPCS,Q0162,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],180.425,,0.01,236.543,252
HCPCS,Q0162,ONDANSETRON HCL 8 MG TABLET [10779],2.95,,0.01,3.956,504
HCPCS,Q0163,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR [2511],11.85,,1.106,16.985,166
HCPCS,Q0163,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID SYRINGE (PEDI) [40800003892],22.45,,6.286,19.307,83
HCPCS,Q0163,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],22.45,,2.128,39.173,1245
HCPCS,Q0163,DIPHENHYDRAMINE 25 MG CAPSULE AND/OR TABLET [40800003154],1.65,,0.462,1.419,166
HCPCS,Q0163,DIPHENHYDRAMINE 25 MG CAPSULE [2509],1.65,,0.462,1.419,415
HCPCS,Q0163,DIPHENHYDRAMINE 25 MG TABLET [2505],1.65,,0.462,1.419,166
HCPCS,Q0164,PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],4.775,,0.7,5.934,581
HCPCS,Q0164,PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],1.7,,0.462,4.515,332
HCPCS,Q0166,GRANISETRON HCL 1 MG TABLET [14720],17.1,,1.4,33.153,332
HCPCS,Q0167,DRONABINOL 2.5 MG CAPSULE [9904],18.375,,0.798,29.928,504
HCPCS,Q0167,DRONABINOL 5 MG CAPSULE [9905],56.45,,1.68,51.858,336
HCPCS,Q0169,PROMETHAZINE 12.5 MG TABLET [6621],2.05,,0.462,2.107,415
HCPCS,Q0169,PROMETHAZINE 25 MG TABLET [6622],2.0,,0.462,1.763,415
HCPCS,Q0169,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],92.0,,14.462,117.519,249
HCPCS,Q0177,HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],2.3,,0.462,2.064,581
HCPCS,Q0224,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA) [204152],2311.45,,647.206,7239.0,84
HCPCS,Q2009,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],22.8,,1.33,119.368,765
HCPCS,Q2009,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],119.275,,1.33,341.764,680
HCPCS,Q2041,AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION [183620],1646700.0,,532192.241,1646700.0,19
HCPCS,Q2042,TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION [183167],1816212.03,,566531.304,1816212.03,19
HCPCS,Q2042,TISAGENLECLEUCEL 0.6 X 10EXP8 TO 6 X10EXP8 CELL INTRAVENOUS SUSPENSION [185152],1569455.37,,523152.0,1569455.37,19
HCPCS,Q2043,SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION [104852],190061.2,,53217.136,163452.632,86
HCPCS,Q2050,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",1954.8,,71.86,4744.448,1118
HCPCS,Q2053,BREXUCABTAGENE AUTOLEUCEL 1X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION [196078],1510740.0,,489450.202,1510740.0,32
HCPCS,Q2053,BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION [192076],1510740.0,,489450.202,1510740.0,32
HCPCS,Q2054,LISOCABTAGENE MARALEUCEL 1.5 X 10EXP6 TO 70 X 10EXP6 CELL/ML IV SUSP [193841],1673753.76,,557918.0,1673753.76,16
HCPCS,Q2054,LISOCABTAGENE MARALEUCEL(CD8) 1.5X TO 70X 10EXP6 CELL/ML IV SUSP(1OF2) [40800003806],1673753.76,,557918.0,1673753.76,16
HCPCS,Q2055,IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION [194238],1632485.4,,544162.0,1632485.4,48
HCPCS,Q2056,CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION [196949],1715909.25,,571970.0,1715909.25,32
HCPCS,Q2057,AFAMITRESGENE AUTOLEUCEL 2.68X 10EXP9 TO 10X 10EXP9 CELL IV SUSPENSION [205503],2344575.0,,770620.0,2344575.0,15
HCPCS,Q2058,OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 10 X 10EXP6 CELL INTRAVENOUS SUSPENSION SYRINGE (INITIAL DAY) [40800004014],858375.0,,286125.0,858375.0,15
HCPCS,Q2058,OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 10 X 10EXP6 CELL INTRAVENOUS SUSPENSION SYRINGE (SUBSEQUENT DAY) [40800004015],858375.0,,286125.0,858375.0,15
HCPCS,Q2058,OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 100 X 10EXP6 CELL INTRAVENOUS SUSPENSION (INITIAL DAY) [40800004018],858375.0,,286125.0,858375.0,30
HCPCS,Q2058,OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 100 X 10EXP6 CELL INTRAVENOUS SUSPENSION BAG (SUBSEQUENT DAY) [40800004019],858375.0,,286125.0,858375.0,30
HCPCS,Q3001,HC XRT-IR WIRE ADD 10,213.0,,59.64,183.18,83
HCPCS,Q3031,HC COLLAGEN SKIN TEST KIT,56.0,,15.68,48.16,83
HCPCS,Q4051,HC WRAP PEDI PLUS MED,86.0,,24.08,73.96,83
HCPCS,Q4051,HC WRAP PEDI PLUS XLRG,77.0,,21.56,66.22,83
HCPCS,Q4122,HC DECELLULARIZED DERMIS - SOFT TISSUE/SQ CM,54.0,,15.12,146.211,84
HCPCS,Q4122,"HC DERMACELL 16X20CM, 0.75 - 1.50MM THICK/SQ CM",60.0,,16.8,146.211,84
HCPCS,Q4122,"HC DERMACELL 8X16CM, 0.75 - 15.0MM THICK/SQ CM",59.0,,16.52,146.211,84
HCPCS,Q4125,HC ARTHROFLEX 4X7CM/SQ CM,283.0,,79.24,243.38,83
HCPCS,Q4125,HC ARTHROFLEX DECELL DERMIS 4X7CM /SQ CM,282.0,,78.96,242.52,83
HCPCS,Q4432,HC DURAGEN 3X3IN,1847.0,,146.211,1588.42,84
HCPCS,Q4432,HC DURAGEN 4X5IN,3106.0,,146.211,2671.16,84
HCPCS,Q4432,HC DURAGEN PLUS 3X3IN,1517.0,,146.211,1304.62,84
HCPCS,Q4432,HC DURAGEN PLUS 4X5IN,2836.0,,146.211,2438.96,84
HCPCS,Q4432,HC DURAGEN PLUS 5X7IN,2836.0,,146.211,2438.96,84
HCPCS,Q4432,HC DUREPAIR DURA REGENERATION MATRIX 3X3IN,1271.0,,146.211,1093.06,84
HCPCS,Q4432,HC DUREPAIR DURA REGENERATION MATRIX 4X5IN,2360.0,,146.211,2029.6,84
HCPCS,Q4432,HC DUREPAIR DURA REGENERATION MATRIX 5X8IN,6821.0,,146.211,5866.06,84
HCPCS,Q4432,HC ENDURAGEN PATCH COLLAGEN MATRIX 4X1CM,908.0,,146.211,780.88,84
HCPCS,Q4432,HC TISSUEMEND 5X6CM EA,6800.0,,146.211,5848.0,84
HCPCS,Q4432,HC TISSUEMEND 6X10CM EA,6800.0,,146.211,5848.0,84
HCPCS,Q4433,HC AVANCE NERVE GRAFT 1-2MM X 70MM,13594.0,,146.211,11690.84,84
HCPCS,Q4433,HC AVANCE NERVE GRAFT 1-3MM X 50MM,10700.0,,146.211,9202.0,84
HCPCS,Q4433,HC AVANCE NERVE GRAFT 3-4MM X 70MM,14894.0,,146.211,12808.84,84
HCPCS,Q5101,FILGRASTIM-SNDZ (ZARXIO) INJ CONTAINER [40800002662],1082.875,,0.35,1146.165,172
HCPCS,Q5101,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE (DOSES < 300 MCG) [40800002671],834.975,,0.35,719.777,258
HCPCS,Q5101,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [173703],834.975,,0.35,719.777,258
HCPCS,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE (DOSES > 300 MCG AND < 480 MCG) [40800002672],1332.75,,0.35,1146.165,172
HCPCS,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [173702],1332.75,,0.35,1146.165,258
HCPCS,Q5103,INFLIXIMAB-DYYB BIOSIMILAR (INFLECTRA) INJECTION 10 MG/ML [40800003566],3100.05,,19.68,2666.043,86
HCPCS,Q5106,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [185377]",370.25,,7.57,318.415,172
HCPCS,Q5106,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [185529]",1480.95,,7.57,1273.617,172
HCPCS,Q5107,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [188640],5714.4,,23.74,7862.98,344
HCPCS,Q5107,BEVACIZUMAB-AWWB BIOSIMILAR INTRAVITREAL INJECTION 10 MG/0.4 ML [40800003397],232.5,,23.74,199.95,86
HCPCS,Q5108,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [185767],6337.65,,79.5,5450.379,86
HCPCS,Q5116,TRASTUZUMAB-QYYP 150 MG INTRAVENOUS SOLUTION [194040],3967.6,,9.43575,3412.136,86
HCPCS,Q5116,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION [190553],11109.2,,9.43575,9553.912,172
HCPCS,Q5116,TRASTUZUMAB-QYYP BIOSIMILAR 21 MG/ML INJECTION CONTAINER [40800002688],7538.400000000001,,9.43575,9553.912,258
HCPCS,Q5117,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION [189654],4455.6,,43.28,3831.816,172
HCPCS,Q5117,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [188675],12475.6,,43.28,10729.016,258
HCPCS,Q5117,TRASTUZUMAB-ANNS BIOSIMILAR 21 MG/ML INJ CONTAINER [40800003396],8465.6,,43.28,10729.016,172
HCPCS,Q5118,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION [190094],5023.75,,23.93,6912.68,172
HCPCS,Q5119,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [190337],7044.725,,13.69,10097.432,172
HCPCS,Q5119,RITUXIMAB-PVVR INJ 10 MG/ML (DESENSITIZATION) [40800003585],7044.725,,13.69,10097.432,172
HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION [174231],440.25,,18.59,378.615,84
HCPCS,Q9956,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP [82177],426.3,,41.2,366.618,168
HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [31270],1132.1,,41.2,979.153,252
HCPCS,Q9961,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION [10333],34.75,,0.29,29.885,84
HCPCS,Q9964,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION [162661],371.65,,104.062,319.619,83
HCPCS,Q9965,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION [10319],127.35,,1.8,109.521,84
HCPCS,Q9966,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION [17594],222.0,,0.45,248.712,168
HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [119843],138.5,,0.45,119.11,84
HCPCS,Q9967,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],387.175,,0.15,470.42,336
HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRATHECAL SOLUTION [40800002808],127.85,,0.15,109.951,84
HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [119842],211.45,,0.15,435.16,504
HCPCS,Q9967,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],364.6,,0.15,1120.537,420
HCPCS,Q9967,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION [10327],260.75,,0.15,224.245,84
HCPCS,Q9967,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [10328],265.475,,0.15,663.619,336
HCPCS,Q9967,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION [14348],1.85,,0.15,161.379,252
HCPCS,Q9967,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION [14349],186.05,,0.15,192.812,420
HCPCS,Q9967,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [124027],173.825,,0.15,227.169,168
HCPCS,Q9968,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],3686.3,,10.29,3170.218,170
HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [179421],711.65,,10.29,612.019,425
HCPCS,S0108,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION [164320],4694.25,,4.3,4037.055,84
HCPCS,S8037,PR MRCP,186.0,,94.5,212.63,40
HCPCS,V2628,HC IMP COMFORM W/HOLES SM-LGV2628,38.0,,10.64,32.68,83
HCPCS,V2629,HC CONFORMER W/ HOLES S/M/L,38.0,,10.64,32.68,83
HCPCS,V2718,HC 3M PRESS ON PRISM PER LNS,59.0,,16.52,50.74,83
HCPCS,V2790,HC AMBIODISK AMNIOTIC MEMBRANE - 12MM OPHTHALMIC,1190.0,,333.2,1023.4,83
HCPCS,V2790,HC AMNIOGUARD OPHTHALMIC GRAFT,867.0,,242.76,745.62,83
HCPCS,V2790,HC AMNIOTIC MEMBRAN3.5X5.3.5,1858.0,,520.24,1597.88,83
HCPCS,V2790,HC AMNIOTIC MEMBRANE 2.5X2.0,1578.0,,441.84,1357.08,83
HCPCS,V2790,HC PROKERA,1898.0,,531.44,1632.28,83
HCPCS,V5010,HC HEARING AID ASSESSMENT,157.0,,43.96,135.02,83
HCPCS,V5011,HC HEARAID FIT/ORIENT/CHECK,234.0,,65.52,201.24,83
HCPCS,V5020,HC CONFRMTY EVAL/RL EAR MEAS,141.0,,39.48,121.26,83
HCPCS,V5221,HC CROS BINAURAL BTE/BTE LEVLE 1,3650.0,,1022.0,3139.0,83
HCPCS,V5221,HC CROS BINAURAL BTE/BTE LEVLE 2,3350.0,,938.0,2881.0,83
HCPCS,V5221,HC CROS BINAURAL BTE/BTE LEVLE 3,3050.0,,854.0,2623.0,83
HCPCS,V5221,HC CROS BINAURAL BTE/BTE LVL1 AUDEO L90-RL AND CROS L-R,4405.0,,1233.4,3788.3,83
HCPCS,V5221,HC CROS BINAURAL BTE/BTE LVL2 AUDEO L70-RL AND CROS L-R,3662.0,,1025.36,3149.32,83
HCPCS,V5221,HC CROS BINAURAL BTE/BTE LVL3 AUDEO L50-RL AND CROS L-R,3102.0,,868.56,2667.72,83
HCPCS,V5221,HC HA CROS BINAURAL BTE LVL1 PURE CHARGE & GO 7 IX & PURE CROS CHG & GO IX,3110.0,,870.8,2674.6,83
HCPCS,V5221,HC HA CROS BINAURAL BTE LVL2 PURE CHARGE & GO 5 IX & PURE CROS CHG & GO IX,2758.0,,772.24,2371.88,83
HCPCS,V5221,HC HA CROS BINAURAL BTE LVL3 PURE CHARGE & GO 3 IX & PURE CROS CHG & GO IX,2340.0,,655.2,2012.4,83
HCPCS,V5254,HC EARMOLD EMBEDDED HP,279.0,,78.12,239.94,83
HCPCS,V5254,"HC HA DIGTL CIC MONAURAL LVL2 VIRTO P70, P70 NW",1552.0,,434.56,1334.72,83
HCPCS,V5254,HC HA DIGTL CIC MONAURAL LVL2INSIO 5 NX,1484.0,,415.52,1276.24,83
HCPCS,V5254,"HC HA DIGTL CIC MONAURAL LVL3 VIRTO P50, P50 NW",1125.0,,315.0,967.5,83
HCPCS,V5254,HC HA DIGTL CIC MONAURAL LVL3INSIO 3 NX,1125.0,,315.0,967.5,83
HCPCS,V5254,"HC HA DIGTL CIC MONAURAL LVL4 VIRTO P30, P30 NW",792.0,,221.76,681.12,83
HCPCS,V5254,HC HA DIGTL CIC MONAURAL LVL4INSIO 2 NX,930.0,,260.4,799.8,83
HCPCS,V5254,HC HA DIGTL CIC MONAURL LVL1,3000.0,,840.0,2580.0,83
HCPCS,V5254,HC HA DIGTL CIC MONAURL LVL2,2700.0,,756.0,2322.0,83
HCPCS,V5254,HC HA DIGTL CIC MONAURL LVL3,2300.0,,644.0,1978.0,83
HCPCS,V5254,HC HA DIGTL CIC MONAURL LVL4,1800.0,,504.0,1548.0,83
HCPCS,V5254,HC HA DIGTL CIC�MONAURAL LVL1 VIRTO P-90- TITANIUM,2328.0,,651.84,2002.08,83
HCPCS,V5254,"HC HA DIGTL CIC�MONAURAL LVL1 VIRTO P90, P90 NW",2240.0,,627.2,1926.4,83
HCPCS,V5254,HC HA DIGTL CIC�MONAURAL LVL1INSIO 7 NX,2000.0,,560.0,1720.0,83
HCPCS,V5254,HC HA DIGTL CIC�MONAURAL LVL2 VIRTO P-70- TITANIUM,1632.0,,456.96,1403.52,83
HCPCS,V5255,"HC HA DIGTL ITC MONAURAL LVL1 VIRTO P90, P90 NW",2240.0,,627.2,1926.4,83
HCPCS,V5255,HC HA DIGTL ITC MONAURAL LVL1INSIO CHARGE & GO 7AX,2000.0,,560.0,1720.0,83
HCPCS,V5255,"HC HA DIGTL ITC MONAURAL LVL2 VIRTO P70, P70 NW",1552.0,,434.56,1334.72,83
HCPCS,V5255,HC HA DIGTL ITC MONAURAL LVL2INSIO CHARGE & GO 5AX,1484.0,,415.52,1276.24,83
HCPCS,V5255,"HC HA DIGTL ITC MONAURAL LVL3 VIRTO P50, P50 NW",1125.0,,315.0,967.5,83
HCPCS,V5255,HC HA DIGTL ITC MONAURAL LVL3INSIO CHARGE & GO 3AX,1125.0,,315.0,967.5,83
HCPCS,V5255,"HC HA DIGTL ITC MONAURAL LVL4 VIRTO P30, P30 NW",792.0,,221.76,681.12,83
HCPCS,V5255,HC HA DIGTL ITC MONAURAL LVL4INSIO CHARGE & GO 2AX,1125.0,,315.0,967.5,83
HCPCS,V5255,HC HA DIGTL ITC MONAURL LVL1,2750.0,,770.0,2365.0,83
HCPCS,V5255,HC HA DIGTL ITC MONAURL LVL2,2350.0,,658.0,2021.0,83
HCPCS,V5255,HC HA DIGTL ITC MONAURL LVL3,2100.0,,588.0,1806.0,83
HCPCS,V5255,HC HA DIGTL ITC MONAURL LVL4,1450.0,,406.0,1247.0,83
HCPCS,V5256,"HC HA DIGTL ITE MONAURAL LVL3 VIRTO P50, P50 NW",1125.0,,315.0,967.5,83
HCPCS,V5256,HC HA DIGTL ITE MONAURAL LVL3INSIO CHARGE & GO 3AX,1125.0,,315.0,967.5,83
HCPCS,V5256,"HC HA DIGTL ITE MONAURAL LVL4 VIRTO P30, P30 NW",792.0,,221.76,681.12,83
HCPCS,V5256,HC HA DIGTL ITE MONAURAL LVL4INSIO CHARGE & GO 2AX,1125.0,,315.0,967.5,83
HCPCS,V5256,"HC HA DIGTL ITE MONAURALLVL2 VIRTO P70, P70 NW",1552.0,,434.56,1334.72,83
HCPCS,V5256,HC HA DIGTL ITE MONAURALLVL2INSIO CHARGE & GO 5AX,1484.0,,415.52,1276.24,83
HCPCS,V5256,HC HA DIGTL ITE MONAURL LVL1,2450.0,,686.0,2107.0,83
HCPCS,V5256,HC HA DIGTL ITE MONAURL LVL2,2100.0,,588.0,1806.0,83
HCPCS,V5256,HC HA DIGTL ITE MONAURL LVL3,1800.0,,504.0,1548.0,83
HCPCS,V5256,HC HA DIGTL ITE MONAURL LVL4,1200.0,,336.0,1032.0,83
HCPCS,V5256,"HC HA DIGTL ITE�MONAURAL LVL1 VIRTO P90, P90 NW",2240.0,,627.2,1926.4,83
HCPCS,V5256,HC HA DIGTL ITE�MONAURAL LVL1INSIO CHARGE & GO 7AX,2000.0,,560.0,1720.0,83
HCPCS,V5257,"HC HA DGT BTE MONAURAL LVL1PURE CHARGE&GO 7 IX, STYLETTO 7 IX PURE 312 7 IX",2000.0,,560.0,1720.0,83
HCPCS,V5257,"HC HA DGT BTE MONAURAL LVL2PURE CHARGE&GO 5 IX, STYLETTO 5 IX PURE 312 5 IX",1648.0,,461.44,1417.28,83
HCPCS,V5257,"HC HA DGT BTE MONAURAL LVL3PURE CHARGE&GO 3 IX, STYLETTO 3 IX PURE 312 3 IX",1230.0,,344.4,1057.8,83
HCPCS,V5257,"HC HA DGT BTE MONAURAL LVL4PURE CHARGE&GO 2 AX, STYLETTO 2 AX PURE 312 2 AX",1125.0,,315.0,967.5,83
HCPCS,V5257,HC HA DIGTL BTE MONAURAL LVL1 AUDEO L90-RL,2694.0,,754.32,2316.84,83
HCPCS,V5257,"HC HA DIGTL BTE MONAURAL LVL1 SKY L90-PR, NAIDA L90-PR, NAIDA L90-UP",2510.0,,702.8,2158.6,83
HCPCS,V5257,HC HA DIGTL BTE MONAURAL LVL1MOTION CHARGE & GO 7 X,2000.0,,560.0,1720.0,83
HCPCS,V5257,HC HA DIGTL BTE MONAURAL LVL2 AUDEO L70-RL,1952.0,,546.56,1678.72,83
HCPCS,V5257,"HC HA DIGTL BTE MONAURAL LVL2 SKY L70-PR, NAIDA L70-PR, NAIDA L70-UP",1768.0,,495.04,1520.48,83
HCPCS,V5257,HC HA DIGTL BTE MONAURAL LVL2MOTION CHARGE & GO 5 X,1484.0,,415.52,1276.24,83
HCPCS,V5257,HC HA DIGTL BTE MONAURAL LVL3 AUDEO L50-RL,1392.0,,389.76,1197.12,83
HCPCS,V5257,"HC HA DIGTL BTE MONAURAL LVL3 NAIDA L30-PR, NAIDA L30-UP",963.0,,269.64,828.18,83
HCPCS,V5257,"HC HA DIGTL BTE MONAURAL LVL3 SKY L50-PR, NAIDA L50-PR, NAIDA L50-UP",1208.0,,338.24,1038.88,83
HCPCS,V5257,HC HA DIGTL BTE MONAURAL LVL3MOTION CHARGE & GO 2 X,1004.0,,281.12,863.44,83
HCPCS,V5257,HC HA DIGTL BTE MONAURAL LVL3MOTION CHARGE & GO 3 X,1125.0,,315.0,967.5,83
HCPCS,V5257,HC HA DIGTL BTE MONAURAL LVL4 AUDEO L30-RL,1125.0,,315.0,967.5,83
HCPCS,V5257,HC HA DIGTL BTE MONAURL LVL1,2450.0,,686.0,2107.0,83
HCPCS,V5257,HC HA DIGTL BTE MONAURL LVL2,2100.0,,588.0,1806.0,83
HCPCS,V5257,HC HA DIGTL BTE MONAURL LVL3,1800.0,,504.0,1548.0,83
HCPCS,V5257,HC HA DIGTL BTE MONAURL LVL4,1200.0,,336.0,1032.0,83
HCPCS,V5258,HC HA DIGTL CIC BINAURAL LVL1 VIRTO P-90- TITANIUM,4655.0,,1303.4,4003.3,83
HCPCS,V5258,"HC HA DIGTL CIC BINAURAL LVL1 VIRTO P90, P90 NW",4479.0,,1254.12,3851.94,83
HCPCS,V5258,HC HA DIGTL CIC BINAURAL LVL1INSIO 7 NX,4000.0,,1120.0,3440.0,83
HCPCS,V5258,HC HA DIGTL CIC BINAURAL LVL2 VIRTO P-70- TITANIUM,3263.0,,913.64,2806.18,83
HCPCS,V5258,"HC HA DIGTL CIC BINAURAL LVL2 VIRTO P70, P70 NW",3103.0,,868.84,2668.58,83
HCPCS,V5258,HC HA DIGTL CIC BINAURAL LVL2INSIO 5 NX,2968.0,,831.04,2552.48,83
HCPCS,V5258,"HC HA DIGTL CIC BINAURAL LVL3 VIRTO P50, P50 NW",2063.0,,577.64,1774.18,83
HCPCS,V5258,HC HA DIGTL CIC BINAURAL LVL3INSIO 3 NX,2172.0,,608.16,1867.92,83
HCPCS,V5258,"HC HA DIGTL CIC BINAURAL LVL4 VIRTO P30, P30 NW",1407.0,,393.96,1210.02,83
HCPCS,V5258,HC HA DIGTL CIC BINAURAL LVL4INSIO 2 NX,1652.0,,462.56,1420.72,83
HCPCS,V5258,HC HA DIGTL CIC BINAURL LVL1,6000.0,,1680.0,5160.0,83
HCPCS,V5258,HC HA DIGTL CIC BINAURL LVL2,5400.0,,1512.0,4644.0,83
HCPCS,V5258,HC HA DIGTL CIC BINAURL LVL3,4600.0,,1288.0,3956.0,83
HCPCS,V5258,HC HA DIGTL CIC BINAURL LVL4,3600.0,,1008.0,3096.0,83
HCPCS,V5259,"HC HA DIGTL ITC BINAURAL LVL1 VIRTO P90, P90 NW",4479.0,,1254.12,3851.94,83
HCPCS,V5259,HC HA DIGTL ITC BINAURAL LVL1INSIO CHARGE & GO 7AX,4000.0,,1120.0,3440.0,83
HCPCS,V5259,"HC HA DIGTL ITC BINAURAL LVL2 VIRTO P70, P70 NW",3103.0,,868.84,2668.58,83
HCPCS,V5259,HC HA DIGTL ITC BINAURAL LVL2INSIO CHARGE & GO 5AX,2968.0,,831.04,2552.48,83
HCPCS,V5259,"HC HA DIGTL ITC BINAURAL LVL3 VIRTO P50, P50 NW",2063.0,,577.64,1774.18,83
HCPCS,V5259,HC HA DIGTL ITC BINAURAL LVL3INSIO CHARGE & GO 3AX,2216.0,,620.48,1905.76,83
HCPCS,V5259,"HC HA DIGTL ITC BINAURAL LVL4 VIRTO P30, P30 NW",1407.0,,393.96,1210.02,83
HCPCS,V5259,HC HA DIGTL ITC BINAURAL LVL4INSIO CHARGE & GO 2AX,2132.0,,596.96,1833.52,83
HCPCS,V5259,HC HA DIGTL ITC BINAURL LVL1,5500.0,,1540.0,4730.0,83
HCPCS,V5259,HC HA DIGTL ITC BINAURL LVL2,4700.0,,1316.0,4042.0,83
HCPCS,V5259,HC HA DIGTL ITC BINAURL LVL3,4200.0,,1176.0,3612.0,83
HCPCS,V5259,HC HA DIGTL ITC BINAURL LVL4,2900.0,,812.0,2494.0,83
HCPCS,V5260,"HC HA DIGTL ITE BINAURAL LVL1 VIRTO P90, P90 NW",4479.0,,1254.12,3851.94,83
HCPCS,V5260,HC HA DIGTL ITE BINAURAL LVL1INSIO CHARGE & GO 7AX,4000.0,,1120.0,3440.0,83
HCPCS,V5260,"HC HA DIGTL ITE BINAURAL LVL2 VIRTO P70, P70 NW",3103.0,,868.84,2668.58,83
HCPCS,V5260,HC HA DIGTL ITE BINAURAL LVL2INSIO CHARGE & GO 5AX,2968.0,,831.04,2552.48,83
HCPCS,V5260,"HC HA DIGTL ITE BINAURAL LVL3 VIRTO P50, P50 NW",2063.0,,577.64,1774.18,83
HCPCS,V5260,HC HA DIGTL ITE BINAURAL LVL3INSIO CHARGE & GO 3AX,2216.0,,620.48,1905.76,83
HCPCS,V5260,"HC HA DIGTL ITE BINAURAL LVL4 VIRTO P30, P30 NW",1407.0,,393.96,1210.02,83
HCPCS,V5260,HC HA DIGTL ITE BINAURAL LVL4INSIO CHARGE & GO 2AX,2132.0,,596.96,1833.52,83
HCPCS,V5260,HC HA DIGTL ITE BINAURL LVL1,4900.0,,1372.0,4214.0,83
HCPCS,V5260,HC HA DIGTL ITE BINAURL LVL2,4200.0,,1176.0,3612.0,83
HCPCS,V5260,HC HA DIGTL ITE BINAURL LVL3,3600.0,,1008.0,3096.0,83
HCPCS,V5260,HC HA DIGTL ITE BINAURL LVL4,2400.0,,672.0,2064.0,83
HCPCS,V5261,"HC HA DGT BTE BINAURAL LVL1 PURE CHARGE&GO7 IX, STYLETTO 7 IX PURE 312 7 IX",4000.0,,1120.0,3440.0,83
HCPCS,V5261,"HC HA DGT BTE BINAURAL LVL2 PURE CHARGE&GO5 IX, STYLETTO 5 IX PURE 312 5 IX",3296.0,,922.88,2834.56,83
HCPCS,V5261,"HC HA DGT BTE BINAURAL LVL3PURE CHARGE&GO 3 IX, STYLETTO 3 IX PURE 312 3 IX",2460.0,,688.8,2115.6,83
HCPCS,V5261,"HC HA DGT BTE BINAURAL LVL4PURE CHARGE&GO 2 AX, STYLETTO 2 AX PURE 312 2 AX",2132.0,,596.96,1833.52,83
HCPCS,V5261,HC HA DIGTL BTE BINAURAL LVL1 AUDEO L90-RL,5388.0,,1508.64,4633.68,83
HCPCS,V5261,"HC HA DIGTL BTE BINAURAL LVL1 SKY L90-PR, NAIDA L90-PR, NAIDA L90-UP",5023.0,,1406.44,4319.78,83
HCPCS,V5261,HC HA DIGTL BTE BINAURAL LVL1MOTION CHARGE & GO 7 X,4000.0,,1120.0,3440.0,83
HCPCS,V5261,HC HA DIGTL BTE BINAURAL LVL2 AUDEO L70-RL,3903.0,,1092.84,3356.58,83
HCPCS,V5261,"HC HA DIGTL BTE BINAURAL LVL2 SKY L50-PR, NAIDA L50-PR, NAIDA L50-UP",2415.0,,676.2,2076.9,83
HCPCS,V5261,"HC HA DIGTL BTE BINAURAL LVL2 SKY L70-PR, NAIDA L70-PR, NAIDA L70-UP",3535.0,,989.8,3040.1,83
HCPCS,V5261,HC HA DIGTL BTE BINAURAL LVL2MOTION CHARGE & GO 3 X,2172.0,,608.16,1867.92,83
HCPCS,V5261,HC HA DIGTL BTE BINAURAL LVL2MOTION CHARGE & GO 5 X,2968.0,,831.04,2552.48,83
HCPCS,V5261,HC HA DIGTL BTE BINAURAL LVL3 AUDEO L50-RL,2783.0,,779.24,2393.38,83
HCPCS,V5261,"HC HA DIGTL BTE BINAURAL LVL3 NAIDA L30-PR, NAIDA L30-UP",1711.0,,479.08,1471.46,83
HCPCS,V5261,HC HA DIGTL BTE BINAURAL LVL3MOTION CHARGE & GO 2 X,1784.0,,499.52,1534.24,83
HCPCS,V5261,HC HA DIGTL BTE BINAURAL LVL4 AUDEO L30-RL,2079.0,,582.12,1787.94,83
HCPCS,V5261,HC HA DIGTL BTE BINAURL LVL1,4900.0,,1372.0,4214.0,83
HCPCS,V5261,HC HA DIGTL BTE BINAURL LVL2,4200.0,,1176.0,3612.0,83
HCPCS,V5261,HC HA DIGTL BTE BINAURL LVL3,3600.0,,1008.0,3096.0,83
HCPCS,V5261,HC HA DIGTL BTE BINAURL LVL4,1200.0,,336.0,1032.0,83
HCPCS,V5274,HC POCKET TALKER,354.0,,99.12,304.44,83
LOCAL,00100,PR ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY,108.0,,17.94,106.25,55
LOCAL,00102,PR ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP,108.0,,17.94,106.25,55
LOCAL,00103,PR ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID,108.0,,17.94,106.25,55
LOCAL,00104,PR ANESTHESIA ELECTROCONVULSIVE THERAPY,108.0,,17.94,106.25,55
LOCAL,00120,PR ANES PX ON EXTERNAL MIDDLE & INNER EAR W/BX NOS,108.0,,17.94,106.25,55
LOCAL,00124,PR ANES PX EXTERNAL MIDDLE&INNER EAR W/BX OTOSCOPY,108.0,,17.94,106.25,55
LOCAL,00126,PR ANES PX EXTERNAL MID&INNER EAR W/BX TYMPANOTOMY,108.0,,17.94,106.25,55
LOCAL,00140,PR ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED,108.0,,17.94,106.25,55
LOCAL,00142,PR ANESTHESIA PX ON EYE LENS SURGERY,108.0,,17.94,106.25,55
LOCAL,00144,PR ANESTHESIA PX ON EYE CORNEAL TRANSPLANT,108.0,,17.94,106.25,55
LOCAL,00145,PR ANESTHESIA PX ON EYE VITREORETINAL SURGERY,108.0,,17.94,106.25,55
LOCAL,00147,PR ANESTHESIA PX ON EYE IRIDECTOMY,108.0,,17.94,106.25,55
LOCAL,00148,PR ANESTHESIA PX ON EYE OPHTHALMOSCOPY,108.0,,17.94,106.25,55
LOCAL,00160,PR ANESTHESIA PX ON NOSE & ACCESSORY SINUSES NOS,108.0,,17.94,106.25,55
LOCAL,00162,PR ANES PX ON NOSE&ACCESSORY SINUSES RADICAL SURG,108.0,,17.94,106.25,55
LOCAL,00164,PR ANES PX ON NOSE&ACCESSORY SINUSES BX SOFT TISSUE,108.0,,17.94,106.25,55
LOCAL,00170,PR ANESTHESIA INTRAORAL PX WITH BIOPSY NOS,108.0,,17.94,106.25,55
LOCAL,00172,PR ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE,108.0,,17.94,106.25,55
LOCAL,00174,PR ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR,108.0,,17.94,106.25,55
LOCAL,00176,PR ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY,108.0,,17.94,106.25,55
LOCAL,00190,PR ANESTHESIA PX ON FACIAL BONES OR SKULL NOS,108.0,,17.94,106.25,55
LOCAL,00192,PR ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM,108.0,,17.94,106.25,55
LOCAL,00210,PR ANESTHESIA INTRACRANIAL PROCEDURES NOS,108.0,,17.94,106.25,55
LOCAL,00211,PR ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA,108.0,,17.94,106.25,55
LOCAL,00212,PR ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS,108.0,,17.94,106.25,55
LOCAL,00214,PR ANES INTRACRANIAL PX BURR HOLES W/VENTRG,108.0,,17.94,106.25,55
LOCAL,00215,PR ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL,108.0,,17.94,106.25,55
LOCAL,00216,PR ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES,108.0,,17.94,106.25,55
LOCAL,00218,PR ANES INTRACRANIAL PROCEDURE IN SITTING POSITION,108.0,,17.94,106.25,55
LOCAL,00220,PR ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX,108.0,,17.94,106.25,55
LOCAL,00222,PR ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV,108.0,,17.94,106.25,55
LOCAL,00300,PR ANES ALL PX INTEG MUSC&NRV HEAD NCK&PST TRNK NOS,108.0,,17.94,106.25,55
LOCAL,00320,PR ANES PX ESOPH THYR LARX TRCH&LYMPH NCK NOS 1YR/>,108.0,,17.94,106.25,55
LOCAL,00322,PR ANES ESOPH THYR LARX TRCH&LYMPH NCK NDL BX THYR,108.0,,17.94,106.25,55
LOCAL,00350,PR ANESTHESIA FOR PX MAJOR VESSELS NECK NOS,108.0,,17.94,106.25,55
LOCAL,00352,PR ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION,108.0,,17.94,106.25,55
LOCAL,00400,PR ANES PX INTEG SYS XTR ANT TRUNK & PERINEUM NOS,108.0,,17.94,106.25,55
LOCAL,00402,PR ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST,108.0,,17.94,106.25,55
LOCAL,00404,PR ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST,108.0,,17.94,106.25,55
LOCAL,00406,PR ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ,108.0,,17.94,106.25,55
LOCAL,00410,PR ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS,108.0,,17.94,106.25,55
LOCAL,00450,PR ANESTHESIA PX CLAVICLE AND SCAPULA NOS,108.0,,17.94,106.25,55
LOCAL,00454,PR ANESTHESIA PX CLAVICLE & SCAPULA BIOPSY CLAVICLE,108.0,,17.94,106.25,55
LOCAL,00470,PR ANESTHESIA PARTIAL RIB RESECTION NOS,108.0,,17.94,106.25,55
LOCAL,00472,PR ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY,108.0,,17.94,106.25,55
LOCAL,00474,PR ANESTHESIA PARTIAL RIB RESECTION RADICAL PX,108.0,,17.94,106.25,55
LOCAL,00500,PR ANESTHESIA ALL PROCEDURES ON ESOPHAGUS,108.0,,17.94,106.25,55
LOCAL,00520,PR ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS,108.0,,17.94,106.25,55
LOCAL,00522,PR ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA,108.0,,17.94,106.25,55
LOCAL,00524,PR ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS,108.0,,17.94,106.25,55
LOCAL,00528,PR ANES CLSD CH PX MEDIASTSC&THRSC W/O 1 LUNG VNTJ,108.0,,17.94,106.25,55
LOCAL,00529,PR ANES CLSD CH PX MEDIASTSC&THRSC W/1 LUNG VNTJ,108.0,,17.94,106.25,55
LOCAL,00530,PR ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION,108.0,,17.94,106.25,55
LOCAL,00532,PR ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION,108.0,,17.94,106.25,55
LOCAL,00534,PR ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB,108.0,,17.94,106.25,55
LOCAL,00539,PR ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION,108.0,,17.94,106.25,55
LOCAL,00540,PR ANESTHESIA THORACOTOMY PROCEDURES NOS,108.0,,17.94,106.25,55
LOCAL,00541,PR ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ,108.0,,17.94,106.25,55
LOCAL,00542,PR ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION,108.0,,17.94,106.25,55
LOCAL,00546,PR ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP,108.0,,17.94,106.25,55
LOCAL,00548,PR ANES THORACOTOMY PX NTRATHRC PX TRACHEA&BRONCHI,108.0,,17.94,106.25,55
LOCAL,00550,PR ANESTHESIA FOR STERNAL DEBRIDEMENT,108.0,,17.94,106.25,55
LOCAL,0055T,PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI,1514.0,,210.25,1362.6,40
LOCAL,00560,PR ANES PX HRT PRCRD SAC&GREAT VSLS W/O PUMP OXTJ,108.0,,17.94,106.25,55
LOCAL,00561,PR ANES PX HRT PRCRD SAC&GREAT VSLS W/PUMP OXTJ<1YR,108.0,,17.94,106.25,55
LOCAL,00562,PR ANES PX HRT PRCRD SAC&GRT VSL W/PMP OXT AGE 1YR+,108.0,,17.94,106.25,55
LOCAL,00563,PR ANES PX HRT PRCRD SAC&GRT VSL PMP OXT CRC ARREST,108.0,,17.94,106.25,55
LOCAL,00567,PR ANES DIRECT CABG W/PUMP OXYGENATOR,108.0,,17.94,106.25,55
LOCAL,00580,PR ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT,108.0,,17.94,106.25,55
LOCAL,00600,PR ANESTHESIA PX CERVICAL SPINE & CORD NOS,108.0,,17.94,106.25,55
LOCAL,00604,PR ANES PX CERVICAL SPINE & CORD W/PATIENT SITTING,108.0,,17.94,106.25,55
LOCAL,00620,PR ANESTHESIA PX THORACIC SPINE & CORD NOS,108.0,,17.94,106.25,55
LOCAL,00625,PR ANES THRC SPINE & CORD ANT APPR W/O 1 LUNG VENTJ,108.0,,17.94,106.25,55
LOCAL,00626,PR ANES THORACIC SPINE & CORD ANT APPR W/1 LNG VENT,108.0,,17.94,106.25,55
LOCAL,00630,PR ANESTHESIA PROCEDURES IN LUMBAR REGION NOS,108.0,,17.94,106.25,55
LOCAL,00632,PR ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY,108.0,,17.94,106.25,55
LOCAL,00635,PR ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE,108.0,,17.94,106.25,55
LOCAL,00640,PR ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE,108.0,,17.94,106.25,55
LOCAL,00670,PR ANESTHESIA EXTENSIVE SPINE&SPINAL CORD PROCEDURE,108.0,,17.94,106.25,55
LOCAL,00700,PR ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS,108.0,,17.94,106.25,55
LOCAL,00702,PR ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX,108.0,,17.94,106.25,55
LOCAL,00730,PR ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL,108.0,,17.94,106.25,55
LOCAL,00731,PR ANESTHESIA UPPER GI ENDOSCOPIC PX NOS,108.0,,17.94,106.25,55
LOCAL,00732,PR ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP,108.0,,17.94,106.25,55
LOCAL,00750,PR ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS,108.0,,17.94,106.25,55
LOCAL,00752,PR ANES HRNA RPR UPR ABD LMBR&VNT HERNIA&/DEHSN,108.0,,17.94,106.25,55
LOCAL,00754,PR ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE,108.0,,17.94,106.25,55
LOCAL,00756,PR ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA,108.0,,17.94,106.25,55
LOCAL,0075T,PR TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL,5939.0,,180.34,5345.1,40
LOCAL,00770,PR ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS,108.0,,17.94,106.25,55
LOCAL,00790,PR ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS,108.0,,17.94,106.25,55
LOCAL,00792,PR ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG,108.0,,17.94,106.25,55
LOCAL,00794,PR ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY,108.0,,17.94,106.25,55
LOCAL,00796,PR ANES IPER UPR ABD LIVER TRANSPLANT,108.0,,17.94,106.25,55
LOCAL,00797,PR ANES IPER UPR ABD GASTRIC RSTCV PX MO,108.0,,17.94,106.25,55
LOCAL,00800,PR ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS,108.0,,17.94,106.25,55
LOCAL,00802,PR ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY,108.0,,17.94,106.25,55
LOCAL,00811,PR ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS,108.0,,17.94,106.25,55
LOCAL,00812,PR ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC,108.0,,17.94,106.25,55
LOCAL,00813,PR ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX,108.0,,17.94,106.25,55
LOCAL,00820,PR ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL,108.0,,17.94,106.25,55
LOCAL,00830,PR ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS,108.0,,17.94,106.25,55
LOCAL,00832,PR ANES HERNIA REPAIR LWR ABD VENTRAL&INCISIONAL,108.0,,17.94,106.25,55
LOCAL,00834,PR ANES HERNIA REPAIR LOWER ABDOMEN NOS<1YR AGE,108.0,,17.94,106.25,55
LOCAL,00836,PR ANES HRNA RPR LWR ABD NOS INFT<37WK BRTH<50WK,108.0,,17.94,106.25,55
LOCAL,00840,PR ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS,108.0,,17.94,106.25,55
LOCAL,00842,PR ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS,108.0,,17.94,106.25,55
LOCAL,00844,PR ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ,108.0,,17.94,106.25,55
LOCAL,00846,PR ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY,108.0,,17.94,106.25,55
LOCAL,00848,PR ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION,108.0,,17.94,106.25,55
LOCAL,00851,PR ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ,108.0,,17.94,106.25,55
LOCAL,00860,PR ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS,108.0,,17.94,106.25,55
LOCAL,00862,PR ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX,108.0,,17.94,106.25,55
LOCAL,00864,PR ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC,108.0,,17.94,106.25,55
LOCAL,00865,PR ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT,108.0,,17.94,106.25,55
LOCAL,00866,PR ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY,108.0,,17.94,106.25,55
LOCAL,00868,PR ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL,108.0,,17.94,106.25,55
LOCAL,00870,PR ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY,108.0,,17.94,106.25,55
LOCAL,00872,PR ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH,108.0,,17.94,106.25,55
LOCAL,00873,PR ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH,108.0,,17.94,106.25,55
LOCAL,00880,PR ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS,108.0,,17.94,106.25,55
LOCAL,00882,PR ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION,108.0,,17.94,106.25,55
LOCAL,00902,PR ANESTHESIA ANORECTAL PROCEDURE,108.0,,17.94,106.25,55
LOCAL,00904,PR ANESTHESIA RADICAL PERINEAL PROCEDURE,108.0,,17.94,106.25,55
LOCAL,00906,PR ANESTHESIA VULVECTOMY,108.0,,17.94,106.25,55
LOCAL,00908,PR ANESTHESIA PERINEAL PROSTATECTOMY,108.0,,17.94,106.25,55
LOCAL,00910,PR ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS,108.0,,17.94,106.25,55
LOCAL,00912,PR ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR,108.0,,17.94,106.25,55
LOCAL,00914,PR ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE,108.0,,17.94,106.25,55
LOCAL,00916,PR ANES TRURL PX POST-TRURL RESECTION BLEEDING,108.0,,17.94,106.25,55
LOCAL,00918,PR ANES TRURL PX FRAGMNTJ MNPJ&/RMVL URTRL CALCULUS,108.0,,17.94,106.25,55
LOCAL,00920,PR ANESTHESIA PX MALE GENITALIA NOS,108.0,,17.94,106.25,55
LOCAL,00921,PR ANES PX MALE GENITALIA VASECTOMY UNI/BI,108.0,,17.94,106.25,55
LOCAL,00922,PR ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES,108.0,,17.94,106.25,55
LOCAL,00924,PR ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI,108.0,,17.94,106.25,55
LOCAL,00926,PR ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN,108.0,,17.94,106.25,55
LOCAL,00928,PR ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL,108.0,,17.94,106.25,55
LOCAL,00930,PR ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI,108.0,,17.94,106.25,55
LOCAL,00932,PR ANES PX MALE GENITALIA COMPL AMPUTATION PENIS,108.0,,17.94,106.25,55
LOCAL,00934,PR ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC,108.0,,17.94,106.25,55
LOCAL,00936,PR ANES RAD AMP PENIS W/BI INGUN&ILIAC LYMPHADEC,108.0,,17.94,106.25,55
LOCAL,00938,PR ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS,108.0,,17.94,106.25,55
LOCAL,00940,PR ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS,108.0,,17.94,106.25,55
LOCAL,00942,PR ANES VAG PX COLPTMY VAGNC COLPRPHY&OPN URTL PX,108.0,,17.94,106.25,55
LOCAL,00944,PR ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY,108.0,,17.94,106.25,55
LOCAL,00948,PR ANESTHESIA VAGINAL PX CERVICAL CERCLAGE,108.0,,17.94,106.25,55
LOCAL,00950,PR ANESTHESIA VAGINAL PX CULDOSCOPY,108.0,,17.94,106.25,55
LOCAL,00952,PR ANES VAG PX HYSTEROSCOPY&/HYSTEROSALPINGOGRAPHY,108.0,,17.94,106.25,55
LOCAL,01112,PR ANES BONE MARROW ASPIR&/BX ANT/PST ILIAC CREST,108.0,,17.94,106.25,55
LOCAL,01120,PR ANESTHESIA PROCEDURES ON BONY PELVIS,108.0,,17.94,106.25,55
LOCAL,01130,PR ANESTHESIA BODY CAST APPLICATION OR REVISION,108.0,,17.94,106.25,55
LOCAL,01140,PR ANESTHESIA INTERPELVIABDOMINAL AMPUTATION,108.0,,17.94,106.25,55
LOCAL,01150,PR ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP,108.0,,17.94,106.25,55
LOCAL,01160,PR ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT,108.0,,17.94,106.25,55
LOCAL,01170,PR ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT,108.0,,17.94,106.25,55
LOCAL,01173,PR ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM,108.0,,17.94,106.25,55
LOCAL,01200,PR ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT,108.0,,17.94,106.25,55
LOCAL,01202,PR ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT,108.0,,17.94,106.25,55
LOCAL,01210,PR ANESTHESIA OPEN PROCEDURES HIP JOINT NOS,108.0,,17.94,106.25,55
LOCAL,01212,PR ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION,108.0,,17.94,106.25,55
LOCAL,01214,PR ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY,108.0,,17.94,106.25,55
LOCAL,01215,PR ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY,108.0,,17.94,106.25,55
LOCAL,01220,PR ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR,108.0,,17.94,106.25,55
LOCAL,01230,PR ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS,108.0,,17.94,106.25,55
LOCAL,01232,PR ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION,108.0,,17.94,106.25,55
LOCAL,01234,PR ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION,108.0,,17.94,106.25,55
LOCAL,01250,PR ANES ALL PX NRV MUSC TDN FASCIA&BURSAE UPPER LEG,108.0,,17.94,106.25,55
LOCAL,01260,PR ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION,108.0,,17.94,106.25,55
LOCAL,01270,PR ANESTHESIA PX ARTERIES UPPER LEG NOS,108.0,,17.94,106.25,55
LOCAL,01272,PR ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG,108.0,,17.94,106.25,55
LOCAL,01274,PR ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC,108.0,,17.94,106.25,55
LOCAL,01320,PR ANES ALL PX NRV MUSC TDN FASCIA&BURSAE KNEE&/POP,108.0,,17.94,106.25,55
LOCAL,01340,PR ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR,108.0,,17.94,106.25,55
LOCAL,01360,PR ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR,108.0,,17.94,106.25,55
LOCAL,01380,PR ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT,108.0,,17.94,106.25,55
LOCAL,01382,PR ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT,108.0,,17.94,106.25,55
LOCAL,01390,PR ANES ALL CLOSED PX UPR END TIBIA FIBULA&/PATELLA,108.0,,17.94,106.25,55
LOCAL,01392,PR ANES ALL OPEN PX UPR ENDS TIBIA FIBULA&/PATELLA,108.0,,17.94,106.25,55
LOCAL,01400,PR ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS,108.0,,17.94,106.25,55
LOCAL,01402,PR ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY,108.0,,17.94,106.25,55
LOCAL,01404,PR ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE,108.0,,17.94,106.25,55
LOCAL,01420,PR ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT,108.0,,17.94,106.25,55
LOCAL,01430,PR ANESTHESIA PX VEINS KNEE & POPLITEAL AREA NOS,108.0,,17.94,106.25,55
LOCAL,01432,PR ANES PX VN KNE&POPLITEAL AREA ARTERIOVENOUS FSTL,108.0,,17.94,106.25,55
LOCAL,01440,PR ANES PX ARTERIES OF KNEE & POPLITEAL AREA NOS,108.0,,17.94,106.25,55
LOCAL,01442,PR ANES PX ART KNEE&POPLITEAL TEAEC W/WO PATCH GRF,108.0,,17.94,106.25,55
LOCAL,01444,PR ANES PX ART KNEE&POP EXC&GRF/RPR OCCLS/ANEURYSM,108.0,,17.94,106.25,55
LOCAL,01462,PR ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE & FOOT,108.0,,17.94,106.25,55
LOCAL,01464,PR ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE&/FOOT,108.0,,17.94,106.25,55
LOCAL,01470,PR ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE&FOOT NOS,108.0,,17.94,106.25,55
LOCAL,01472,PR ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT,108.0,,17.94,106.25,55
LOCAL,01474,PR ANESTHESIA GASTROCNEMIUS RECESSION,108.0,,17.94,106.25,55
LOCAL,01480,PR ANES OPEN PX BONES LOWER LEG ANKLE&FOOT NOS,108.0,,17.94,106.25,55
LOCAL,01482,PR ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION,108.0,,17.94,106.25,55
LOCAL,01484,PR ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB&/FIB,108.0,,17.94,106.25,55
LOCAL,01486,PR ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT,108.0,,17.94,106.25,55
LOCAL,01490,PR ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR,108.0,,17.94,106.25,55
LOCAL,01500,PR ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS,108.0,,17.94,106.25,55
LOCAL,01502,PR ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH,108.0,,17.94,106.25,55
LOCAL,01520,PR ANESTHESIA PX VEINS OF LOWER LEG NOS,108.0,,17.94,106.25,55
LOCAL,01522,PR ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH,108.0,,17.94,106.25,55
LOCAL,01610,PR ANES ALL PX NRV MUSC TND FSCA&BRS SHOULDER&AX,108.0,,17.94,106.25,55
LOCAL,01620,PR ANES CLSD PX HUMRL H&N STRNCLAV ACROMCLAV&SHO JT,108.0,,17.94,106.25,55
LOCAL,01622,PR ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT,108.0,,17.94,106.25,55
LOCAL,01630,PR ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV&SHO NOS,108.0,,17.94,106.25,55
LOCAL,01634,PR ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION,108.0,,17.94,106.25,55
LOCAL,01636,PR ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION,108.0,,17.94,106.25,55
LOCAL,01638,PR ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT,108.0,,17.94,106.25,55
LOCAL,01650,PR ANESTHESIA PX ARTERIES SHOULDER&AXILLA NOS,108.0,,17.94,106.25,55
LOCAL,01652,PR ANES PX ART SHO&AX AXILLARY-BRACHIAL ANEURYSM,108.0,,17.94,106.25,55
LOCAL,01654,PR ANES PX ARTERIES SHOULDER&AXILLA BYPASS GRAFT,108.0,,17.94,106.25,55
LOCAL,01656,PR ANES PX ART SHO&AX AXILLARY-FEMORAL BYPASS GRAFT,108.0,,17.94,106.25,55
LOCAL,01670,PR ANESTHESIA ALL PX VEINS SHOULDER&AXILLA,108.0,,17.94,106.25,55
LOCAL,01680,PR ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS,108.0,,17.94,106.25,55
LOCAL,01710,PR ANES NRV MUSC TDN FSCA&BRS UPR ARM&ELBOW NOS,108.0,,17.94,106.25,55
LOCAL,01712,PR ANES PX NRV MUSC TDN FSCA&BRS UPR A&E TNOT OPEN,108.0,,17.94,106.25,55
LOCAL,01716,PR ANES NRV MUSC TDN FSCA&BRS UPR A&E TENODESIS,108.0,,17.94,106.25,55
LOCAL,01730,PR ANESTHESIA CLOSED PROCEDURES HUMERUS & ELBOW,108.0,,17.94,106.25,55
LOCAL,01732,PR ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT,108.0,,17.94,106.25,55
LOCAL,01740,PR ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS,108.0,,17.94,106.25,55
LOCAL,01742,PR ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM,108.0,,17.94,106.25,55
LOCAL,01744,PR ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM,108.0,,17.94,106.25,55
LOCAL,01756,PR ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX,108.0,,17.94,106.25,55
LOCAL,01758,PR ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS,108.0,,17.94,106.25,55
LOCAL,01760,PR ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT,108.0,,17.94,106.25,55
LOCAL,01770,PR ANESTHESIA PX ARTERIES UPPER ARM&ELBOW NOS,108.0,,17.94,106.25,55
LOCAL,01772,PR ANESTHESIA PX ARTERIES UPR ARM&ELBW EMBOLECTOMY,108.0,,17.94,106.25,55
LOCAL,01780,PR ANESTHESIA PX VEINS UPPER ARM&ELBOW NOS,108.0,,17.94,106.25,55
LOCAL,01782,PR ANESTHESIA PX VEINS UPR ARM&ELBOW PHLEBORRHAPHY,108.0,,17.94,106.25,55
LOCAL,01810,PR ANES ALL PX NRV MUSC TDN FSCA&BRS F/ARM WRST&HND,108.0,,17.94,106.25,55
LOCAL,01820,PR ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES,108.0,,17.94,106.25,55
LOCAL,01829,PR ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST,108.0,,17.94,106.25,55
LOCAL,01830,PR ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS,108.0,,17.94,106.25,55
LOCAL,01832,PR ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT,108.0,,17.94,106.25,55
LOCAL,01840,PR ANESTHESIA PX ARTERIES FOREARM WRIST&HAND NOS,108.0,,17.94,106.25,55
LOCAL,01842,PR ANES PX ARTERIES FOREARM WRIST&HAND EMBOLECTOMY,108.0,,17.94,106.25,55
LOCAL,01844,PR ANESTHESIA VASCULAR SHUNT/SHUNT REVISION,108.0,,17.94,106.25,55
LOCAL,0184T,PR RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC,7798.0,,525.26,7018.2,40
LOCAL,01850,PR ANESTHESIA PX VEINS FOREARM WRIST&HAND NOS,108.0,,17.94,106.25,55
LOCAL,01852,PR ANES PX VEINS FOREARM WRIST&HAND PHLEBORRHAPHY,108.0,,17.94,106.25,55
LOCAL,01860,PR ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR,108.0,,17.94,106.25,55
LOCAL,01916,PR ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY,108.0,,17.94,106.25,55
LOCAL,01922,PR ANES NON-INVASIVE IMAGING/RADIATION THERAPY,108.0,,17.94,106.25,55
LOCAL,01924,PR ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS,108.0,,17.94,106.25,55
LOCAL,01925,PR ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY,108.0,,17.94,106.25,55
LOCAL,01926,PR ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC,108.0,,17.94,106.25,55
LOCAL,01930,PR ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS,108.0,,17.94,106.25,55
LOCAL,01931,PR ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC,108.0,,17.94,106.25,55
LOCAL,01932,PR ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR,108.0,,17.94,106.25,55
LOCAL,01937,PR ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP CRV/THRC,108.0,,17.94,106.25,55
LOCAL,01938,PR ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC,108.0,,17.94,106.25,55
LOCAL,01939,PR ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP CRV/THRC,108.0,,17.94,106.25,55
LOCAL,01940,PR ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP LMBR/SAC,108.0,,17.94,106.25,55
LOCAL,01941,PR ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC,108.0,,17.94,106.25,55
LOCAL,01942,PR ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP LMBR/SAC,108.0,,17.94,106.25,55
LOCAL,01951,PR ANES 2&3 DGR BURN EXC/DBRDMT W/WO GRFG <4% TBSA,108.0,,17.94,106.25,55
LOCAL,01952,PR ANES 2&3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9% TBSA,108.0,,17.94,106.25,55
LOCAL,01953,PR ANES 2&3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9%TBSA,108.0,,17.94,106.25,55
LOCAL,01958,PR ANESTHESIA EXTERNAL CEPHALIC VERSION,108.0,,17.94,106.25,55
LOCAL,01960,PR ANESTHESIA VAGINAL DELIVERY ONLY,108.0,,17.94,106.25,55
LOCAL,01961,PR ANESTHESIA CESAREAN DELIVERY ONLY,108.0,,17.94,106.25,55
LOCAL,01962,PR ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY,108.0,,17.94,106.25,55
LOCAL,01963,PR ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE,108.0,,17.94,106.25,55
LOCAL,01965,PR ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES,108.0,,17.94,106.25,55
LOCAL,01966,PR ANESTHESIA INDUCED ABORTION PROCEDURES,108.0,,17.94,106.25,55
LOCAL,01967,PR NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY,108.0,,17.94,106.25,55
LOCAL,01968,PR ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES,108.0,,17.94,106.25,55
LOCAL,01969,PR ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES,108.0,,17.94,106.25,55
LOCAL,01990,PR PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT,108.0,,17.94,106.25,55
LOCAL,01991,PR ANES DX/THER NRV BLK&NJX OTH/THN PRONE POS,108.0,,17.94,106.25,55
LOCAL,01992,PR ANES DX/THER NERVE BLOCK&INJECTION PRONE POS,108.0,,17.94,106.25,55
LOCAL,01996,PR DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN,329.0,,17.94,296.1,55
LOCAL,0200T,PR PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL,6222.0,,612.41,5795.26,42
LOCAL,0201T,PR PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS,12016.0,,792.32,10814.4,42
LOCAL,0213T,PR NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL,979.0,,128.15,881.1,42
LOCAL,0214T,PR NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL,626.0,,103.54,563.4,40
LOCAL,0238T,PR TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA,9396.0,,958.12,20277.97,42
LOCAL,0278T,PR TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS,1210.0,,17.02,1089.0,40
LOCAL,0437T,PR IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL,2148.0,,149.77,1933.2,40
LOCAL,0442T,PR ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,1141.0,,175.03,2914.8,42
LOCAL,0581T,PR ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL,3364.0,,1392.59,4762.01,42
LOCAL,0600T,PR ABLTJ IRE 1+TUM ORGN OTH/THN LVR/PRST8 IMG PERQ,8736.0,,1869.97,7862.4,42
LOCAL,0686T,PR HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,6279.0,,700.15,5918.7,38
LOCAL,0786T,PR INSJ/RPLCMT PERQ ELTRD RA SAC W/INTEGRATED NSTIM,4012.0,,673.93,3610.8,40
LOCAL,0866T,PR QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI,389.0,,70.99,350.1,40
LOCAL,0944T,PR 3D CONTOUR SIMULAJ TRGT LVR LES&MRGN MICRWV ABLT,389.0,,233.4,3762.5,36
LOCAL,1,Stem Cell Transplant - Outlier Per Diem Payment (Non ICU),,,1700.0,3500.0,4
LOCAL,10,"Stem Cell Transplant- Tandem Auto to Allo Related w/ AML, CML, Lymphoma and Renal Cell 2nd Attempt",,,129375.0,129375.0,1
LOCAL,10004,PR FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL,299.0,,31.7216,269.1,55
LOCAL,10005,PR FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,823.0,,53.1208,740.7,55
LOCAL,10006,PR FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,564.0,,36.3952,507.6,55
LOCAL,10007,PR FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION,977.0,,65.1728,879.3,55
LOCAL,10008,PR FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL,666.0,,37.3796,599.4,55
LOCAL,10009,PR FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION,1219.0,,78.6968,1097.1,55
LOCAL,10010,PR FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL,928.0,,52.3848,835.2,55
LOCAL,10021,PR FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,607.0,,40.0844,515.95,55
LOCAL,10030,PR IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ,1646.0,,97.6304,1481.4,55
LOCAL,10035,PR PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION,1127.0,,60.7384,1014.3,55
LOCAL,10036,PR PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION,619.0,,30.7372,557.1,55
LOCAL,1003T,PR ARTHRP 1ST CARP/MTCRPL JT W/MTCRPL PROSTC RPLCMT,6444.0,,3866.4,5799.6,28
LOCAL,10040,"PR EXTRACTION EG, MARSUPIALIZATION/OPEN, REMV MULTIP MILIA/COEDONES/CYSTS PUSTULES",369.0,,37.0515,313.65,55
LOCAL,10060,PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,562.0,,49.74,477.7,55
LOCAL,10061,PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE,1442.0,,92.81,1225.7,55
LOCAL,10120,PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,719.0,,52.27,611.15,55
LOCAL,10121,PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMP,1519.0,,115.23,1291.15,55
LOCAL,10140,PR I&D HEMATOMA SEROMA/FLUID COLLECTION,688.0,,61.95,584.8,55
LOCAL,10160,PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,686.0,,49.18,583.1,55
LOCAL,10180,PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,1331.0,,106.62,1384.03,55
LOCAL,1019T,PR LYMPHOVENOUS BYPASS W/ROBOTIC ASST PER EXTREMITY,7975.0,,4785.0,7177.5,28
LOCAL,1021T,PR ACTIVE THORACIC IRRIGATION SEPARATE PROCEDURE,887.0,,532.2,798.3,28
LOCAL,11,Stem Cell Transplant- Tandem- Auto/Allo Unrelated,,,141100.0,240000.0,2
LOCAL,11000,PR DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10% BDY SURF,302.0,,20.1664,256.7,55
LOCAL,11000001,HC PRIVATE ROOM,2536.0,,989.04,7612.0,43
LOCAL,11004,PR DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT&PER,4916.0,,414.1288,4424.4,55
LOCAL,11005,PR DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL,6817.0,,564.3832,6135.3,55
LOCAL,11006,PR DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER&ABDL,6196.0,,510.5356,5576.4,55
LOCAL,11008,PR RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION,2396.0,,198.7016,2156.4,55
LOCAL,11010,PR DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,2301.0,,203.1268,1955.85,55
LOCAL,11011,PR DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,2460.0,,218.3804,2445.22,55
LOCAL,11042,PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<,790.0,,44.5096,908.37,55
LOCAL,11043,PR DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<,1569.0,,112.6356,1631.29,55
LOCAL,11044,PR DEBRIDEMENT BONE 1ST 20 SQ CM/<,1924.0,,165.2596,2000.47,55
LOCAL,11045,PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,202.0,,18.446,181.8,55
LOCAL,11046,PR DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,372.0,,40.0844,334.8,55
LOCAL,11047,PR DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,610.0,,70.8216,549.0,55
LOCAL,11055,PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,182.0,,11.316,154.7,50
LOCAL,11056,PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,203.0,,15.9804,176.87,50
LOCAL,11057,PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4,274.0,,20.9024,281.61,50
LOCAL,111,CAR-T Case Rate,,,82500.0,120000.0,2
LOCAL,11102,PR TANGENTIAL BIOPSY SKIN SINGLE LESION,333.0,,26.299,299.7,55
LOCAL,11103,PR TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,196.0,,15.5295,176.4,55
LOCAL,11104,PR PUNCH BIOPSY SKIN SINGLE LESION,414.0,,33.4645,372.6,55
LOCAL,11105,PR PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,232.0,,18.6944,208.8,55
LOCAL,11106,PR INCISIONAL BIOPSY SKIN SINGLE LESION,505.0,,40.9105,454.5,55
LOCAL,11107,PR INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,266.0,,22.0235,239.4,55
LOCAL,11200,PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15,359.0,,37.75,305.15,55
LOCAL,11201,PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10,175.0,,11.441,182.02,55
LOCAL,11300,PR SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<,256.0,,24.3015,217.6,55
LOCAL,11301,PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM,506.0,,36.482,430.1,55
LOCAL,11302,PR SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM,591.0,,42.2875,502.35,55
LOCAL,11303,PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM,693.0,,50.7025,589.05,55
LOCAL,11305,PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,444.0,,27.2964,377.4,55
LOCAL,11306,PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,533.0,,35.6592,453.05,55
LOCAL,11307,PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM,666.0,,45.1095,566.1,55
LOCAL,11308,PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM,810.0,,50.9036,688.5,55
LOCAL,11310,PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<,444.0,,31.824,377.4,55
LOCAL,11311,PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM,610.0,,44.506,518.5,55
LOCAL,11312,PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM,721.0,,52.9805,612.85,55
LOCAL,11313,PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM,932.0,,67.6685,792.2,55
LOCAL,11400,PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<,434.0,,45.41,368.9,55
LOCAL,11401,PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,513.0,,62.22,451.61,55
LOCAL,11402,PR EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,608.0,,78.92,602.72,55
LOCAL,11403,PR EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM,779.0,,98.53,772.72,55
LOCAL,11404,PR EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM,1067.0,,115.07,1092.11,55
LOCAL,11406,PR EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,1555.0,,154.2,1543.71,55
LOCAL,11420,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,529.0,,49.48,449.65,55
LOCAL,11421,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,806.0,,70.05,685.1,55
LOCAL,11422,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,669.0,,85.31,642.21,55
LOCAL,11423,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,912.0,,111.11,942.71,55
LOCAL,11424,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM,1375.0,,127.2,1205.43,55
LOCAL,11426,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM,1606.0,,180.64,1657.04,55
LOCAL,11440,PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,566.0,,57.88,481.1,55
LOCAL,11441,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,774.0,,77.22,657.9,55
LOCAL,11442,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM,844.0,,94.61,829.38,55
LOCAL,11443,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,1210.0,,124.84,1054.32,55
LOCAL,11444,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM,1510.0,,152.18,1356.54,55
LOCAL,11446,PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM,1951.0,,194.92,1940.38,55
LOCAL,11450,PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR,2198.0,,183.31,2259.78,55
LOCAL,11451,PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR,2408.0,,226.72,2476.13,55
LOCAL,11462,PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR,1843.0,,164.86,1894.02,55
LOCAL,11463,PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR,2466.0,,193.16,2223.7,55
LOCAL,11470,PR EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR,2285.0,,202.07,1942.25,55
LOCAL,11471,PR EXCISION H/P/P/U COMPLEX REPAIR,2711.0,,227.23,2304.35,55
LOCAL,11600,PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<,577.0,,81.05,570.09,55
LOCAL,11601,PR EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,737.0,,105.28,626.75,55
LOCAL,11602,PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM,952.0,,118.4645,827.66,55
LOCAL,11603,PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM,1169.0,,141.8916,1032.01,55
LOCAL,11604,PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM,1441.0,,156.1608,1363.41,55
LOCAL,11606,PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM,2018.0,,219.45,1986.74,55
LOCAL,11620,PR EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,876.0,,86.49,810.49,55
LOCAL,11621,PR EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM,1087.0,,109.9308,958.17,55
LOCAL,11622,PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM,1283.0,,124.6784,1141.9,55
LOCAL,11623,PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM,1480.0,,153.7044,1399.47,55
LOCAL,11624,PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM,1791.0,,174.846,1765.24,55
LOCAL,11626,PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM,2442.0,,213.7068,2208.26,55
LOCAL,11640,PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<,926.0,,93.6928,882.61,55
LOCAL,11641,PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM,1168.0,,114.5952,1141.9,55
LOCAL,11642,PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM,1411.0,,134.0256,1435.54,55
LOCAL,11643,PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM,1770.0,,166.98,1840.78,55
LOCAL,11644,PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM,2256.0,,206.816,2134.42,55
LOCAL,11646,PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM,2632.0,,285.5128,2647.84,55
LOCAL,11719,PR TRIMMING NONDYSTROPHIC NAILS ANY NUMBER,132.0,,5.4096,137.37,50
LOCAL,11720,PR DEBRIDEMENT NAIL ANY METHOD 1-5,143.0,,10.3316,123.63,55
LOCAL,11721,PR DEBRIDEMENT NAIL ANY METHOD 6/>,182.0,,17.2132,183.73,55
LOCAL,11730,PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,305.0,,39.3484,261.0,55
LOCAL,11732,PR AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,193.0,,12.3004,188.89,55
LOCAL,11740,PR EVACUATION SUBUNGUAL HEMATOMA,228.0,,23.8556,204.34,55
LOCAL,11750,PR EXCISION NAIL&NAIL MATRIX PRTL/COMPL PERM RMVL,887.0,,75.256,922.11,55
LOCAL,11755,PR BIOPSY NAIL UNIT SEPARATE PROCEDURE,418.0,,44.2612,410.39,55
LOCAL,11760,PR REPAIR NAIL BED,1086.0,,79.3,1126.45,55
LOCAL,11765,PR WEDGE EXCISION SKIN NAIL FOLD,621.0,,38.36,614.74,55
LOCAL,11770,PR EXCISION PILONIDAL CYST/SINUS SIMPLE,1739.0,,137.7148,1808.16,55
LOCAL,11771,PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE,2493.0,,334.9444,2592.9,55
LOCAL,11772,PR EXCISION PILONIDAL CYST/SINUS COMPLICATED,4074.0,,399.82,3462.9,55
LOCAL,11900,PR INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS,167.0,,21.063,144.23,55
LOCAL,11901,PR INJECTION INTRALESIONAL >7 LESIONS,429.0,,31.824,364.65,55
LOCAL,11920,PR TATTOOING INCL MICROPIGMENTATION 6.0 CM/<,1402.0,,83.858,1440.68,50
LOCAL,11921,PR TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM,2772.0,,96.1584,2883.09,50
LOCAL,11922,PR TATTOOING INCL MICROPIGMENTATION EA 20.0 CM,1385.0,,21.1508,1440.68,50
LOCAL,11950,PR SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<,688.0,,38.1156,635.34,50
LOCAL,11951,PR SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC,770.0,,53.3692,693.73,50
LOCAL,11952,PR SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC,756.0,,75.0076,750.39,50
LOCAL,11954,PR SUBCUTANEOUS INJECTION FILLING MATRL >10.0 CC,2056.0,,81.8892,1747.6,50
LOCAL,11960,PR INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,6450.0,,573.28,5482.5,55
LOCAL,11970,PR REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT,5622.0,,416.8336,5072.46,55
LOCAL,11971,PR REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT,2985.0,,170.73,2537.25,53
LOCAL,11976,PR REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES,481.0,,71.6635,477.37,50
LOCAL,11981,PR INSERTION DRUG DELIVERY IMPLANT,632.0,,45.9908,537.2,55
LOCAL,11982,PR REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,790.0,,53.6084,671.5,55
LOCAL,11983,PR RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT,1290.0,,75.7436,1096.5,55
LOCAL,12,"Stem Cell Transplant- Tandem- Auto/Allo Unrelated w/ AML, CML, Lymphoma and Renal Cell",,,141100.0,141100.0,1
LOCAL,12001,PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,549.0,,32.9544,466.65,55
LOCAL,12002,PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,777.0,,43.286,660.45,55
LOCAL,12004,PR SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,961.0,,54.1052,816.85,55
LOCAL,12005,PR SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,1160.0,,69.598,986.0,55
LOCAL,12006,PR SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,1190.0,,85.0908,1011.5,55
LOCAL,12007,PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,1777.0,,105.7448,1827.04,55
LOCAL,12011,PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,715.0,,40.8204,607.75,55
LOCAL,12013,PR SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM,737.0,,42.5408,626.45,55
LOCAL,12014,PR SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM,1010.0,,55.0896,858.5,55
LOCAL,12015,PR SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM,986.0,,69.1012,1002.81,55
LOCAL,12016,PR SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM,1940.0,,93.6928,1649.0,55
LOCAL,12017,PR SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM,2407.0,,113.1232,2476.13,55
LOCAL,12018,PR SIMPLE REPAIR F/E/E/N/L/M >30.0 CM,2501.0,,127.3832,2574.0,55
LOCAL,12020,PR TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,1053.0,,121.81,895.05,55
LOCAL,12021,PR TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,787.0,,78.05,668.95,55
LOCAL,12031,PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,1179.0,,88.47,1002.15,55
LOCAL,12032,PR REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM,857.0,,109.49,728.45,55
LOCAL,12034,PR REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,1236.0,,138.03,1050.6,55
LOCAL,12035,PR REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,1435.0,,170.58,1219.75,55
LOCAL,12036,PR REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,1678.0,,207.45,1426.3,55
LOCAL,12037,PR REPAIR INTERMEDIATE S/A/T/E >30.0 CM,2500.0,,241.9876,2125.0,55
LOCAL,12041,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,954.0,,99.1,810.9,55
LOCAL,12042,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,894.0,,122.03,759.9,55
LOCAL,12044,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,1301.0,,150.04,1105.85,55
LOCAL,12045,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,1135.0,,183.3,1167.66,55
LOCAL,12046,PR RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,1524.0,,228.97,1511.09,55
LOCAL,12047,PR REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,2632.0,,261.1696,2271.79,55
LOCAL,12051,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<,1166.0,,108.24,991.1,55
LOCAL,12052,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM,998.0,,133.2,858.57,55
LOCAL,12053,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM,1354.0,,153.85,1150.9,55
LOCAL,12054,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM,1572.0,,162.058,1476.75,55
LOCAL,12055,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM,1966.0,,222.5572,1888.86,55
LOCAL,12056,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM,2420.0,,283.3048,2404.01,55
LOCAL,12057,PR REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM,2843.0,,309.12,2956.92,55
LOCAL,13,Stem Cell Transplant- Single- Allo Related,,,130000.0,145000.0,5
LOCAL,13100,PR REPAIR COMPLEX TRUNK 1.1-2.5 CM,1056.0,,132.62,897.6,55
LOCAL,13101,PR REPAIR COMPLEX TRUNK 2.6-7.5 CM,1268.0,,181.0008,1098.97,55
LOCAL,13102,PR REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<,701.0,,52.3848,595.85,55
LOCAL,13120,PR REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM,1247.0,,146.24,1059.95,55
LOCAL,13121,PR REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM,1680.0,,188.2835,1487.06,55
LOCAL,13122,PR REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<,639.0,,60.1035,599.28,55
LOCAL,13131,PR REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM,1356.0,,177.3116,1152.6,55
LOCAL,13132,PR REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM,2236.0,,219.249,2197.95,55
LOCAL,13133,PR REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<,1230.0,,90.117,1045.5,55
LOCAL,13151,PR REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,1855.0,,203.6236,1576.75,55
LOCAL,13152,PR REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,2998.0,,243.967,2780.06,55
LOCAL,13153,PR REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<,1320.0,,99.5992,1122.0,55
LOCAL,13160,PR SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP,5407.0,,436.18,4595.95,55
LOCAL,14,Stem Cell Transplant- Tandem Auto to Allo 1st Attempt Unrelated,,,82500.0,82500.0,1
LOCAL,14000,PR ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM/<,3575.0,,295.81,3038.75,55
LOCAL,14001,PR ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM,3706.0,,430.03,3150.1,55
LOCAL,14020,PR ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<,2797.0,,367.87,2586.03,55
LOCAL,14021,PR ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM,4477.0,,523.0752,3805.45,55
LOCAL,14040,PR ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,3530.0,,460.6072,3248.85,55
LOCAL,14041,PR ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM,4341.0,,561.6784,4110.85,55
LOCAL,14060,PR ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<,4003.0,,490.6084,4110.85,55
LOCAL,14061,PR ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM,5865.0,,603.244,5834.88,55
LOCAL,14301,PR ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM,7099.0,,640.6236,6389.1,55
LOCAL,14302,PR ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM,2070.0,,157.3936,1863.0,55
LOCAL,14350,PR FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE,3136.0,,498.9712,2984.4,55
LOCAL,15,"Stem Cell Transplant- Single- Allo Related w/ AML, CML, Lymphoma and Renal Cell",,,145000.0,145000.0,1
LOCAL,15002,PR PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT,1951.0,,160.586,1920.75,55
LOCAL,15003,PR PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT,450.0,,32.9544,421.93,55
LOCAL,15004,PR PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,2448.0,,189.6028,2410.14,55
LOCAL,15005,PR PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT,862.0,,65.412,842.63,55
LOCAL,15040,PR HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<,1077.0,,91.9724,1051.14,55
LOCAL,15100,PR SPLT AGRFT T/A/L 1ST 100 SQCM/</1% BDY INFT/CHLD,4451.0,,446.15,3783.35,55
LOCAL,15101,PR SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1% INFT/CHLD,1597.0,,81.1532,1650.19,55
LOCAL,15115,PR EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM/<,5261.0,,513.9764,5156.35,55
LOCAL,15120,PR SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM/</1%,4779.0,,509.7904,4632.87,55
LOCAL,15121,PR SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1%,2448.0,,96.3976,2316.43,55
LOCAL,15130,PR DERMAL AGRFT T/A/L 1ST 100 SQCM/</1%INFT/CHLD,3886.0,,441.922,3679.6,55
LOCAL,15131,PR DERMAL AGRFT T/A/L EA ADD 100 SQCM/1% INFT/CHLD,807.0,,65.1728,788.66,55
LOCAL,15135,PR DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM,5627.0,,558.9736,5518.18,55
LOCAL,15136,PR DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1%,807.0,,65.1728,788.66,55
LOCAL,15155,PR TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/,4824.0,,537.5836,4730.75,55
LOCAL,15156,PR TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM,1476.0,,109.9308,1444.86,55
LOCAL,15157,PR TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL,1612.0,,119.7656,1577.32,55
LOCAL,15200,PR FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM/<,4564.0,,394.63,3879.4,55
LOCAL,15201,PR FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM,1172.0,,55.8256,1219.18,55
LOCAL,15220,PR FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM/<,3549.0,,419.33,3140.66,55
LOCAL,15221,PR FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM,1664.0,,50.416,1571.19,55
LOCAL,15240,PR FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM/<,4692.0,,501.01,4006.11,55
LOCAL,15241,PR FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL,2266.0,,78.2,2002.2,55
LOCAL,15260,PR FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/<,4821.0,,571.68,4710.14,55
LOCAL,15261,PR FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM,2267.0,,98.8632,2357.65,55
LOCAL,15271,PR APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25,725.0,,61.4836,652.5,55
LOCAL,15272,PR APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC,168.0,,12.3004,151.2,55
LOCAL,15273,PR APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM,1834.0,,142.6368,1650.6,55
LOCAL,15274,PR APP SKN SUB GRFT T/A/L AREA>=100SCM ADL 100SQCM,406.0,,32.4576,365.4,55
LOCAL,15275,PR SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM,922.0,,68.1168,829.8,55
LOCAL,15276,PR SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM,255.0,,18.1976,229.5,55
LOCAL,15277,PR SUB GRFT F/S/N/H/F/G/M/D >= 100SCM 1ST 100SQ CM,2015.0,,162.5548,1813.5,55
LOCAL,15278,PR SUB GRFT F/S/N/H/F/G/M/D >= 100SCM ADL 100SQ CM,506.0,,40.5812,455.4,55
LOCAL,15570,PR FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK,4194.0,,533.74,4318.62,55
LOCAL,15572,PR FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS,5609.0,,521.97,4767.65,55
LOCAL,15574,PR FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F,4831.0,,531.53,5024.38,55
LOCAL,15576,PR FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL,4983.0,,378.22,5182.36,55
LOCAL,15600,PR DELAY FLAP/SECTIONING FLAP TRUNK,2539.0,,158.1296,2158.15,55
LOCAL,15610,PR DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS,3181.0,,181.9852,2703.85,55
LOCAL,15620,PR DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F,2872.0,,231.92,2747.44,55
LOCAL,15630,PR DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS,3111.0,,248.35,3235.1,55
LOCAL,15730,PR MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES,7864.0,,673.578,7077.6,55
LOCAL,15731,PR FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE,8134.0,,735.7976,7430.34,55
LOCAL,15733,PR MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL,8779.0,,758.6688,7901.1,55
LOCAL,15734,PR MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK,11442.0,,1106.8888,11382.97,55
LOCAL,15736,PR MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR,8531.0,,899.3276,8872.51,55
LOCAL,15738,PR MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR,9593.0,,934.2508,8872.51,55
LOCAL,15740,PR FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY,6588.0,,622.1776,6281.33,55
LOCAL,15750,PR FLAP NEUROVASCULAR PEDICLE,6946.0,,691.0396,7224.04,55
LOCAL,15756,PR FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST,20200.0,,1677.666,17170.0,55
LOCAL,15757,PR FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS,22413.0,,1666.6076,19051.05,55
LOCAL,15758,PR FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS,21705.0,,1659.7168,20489.01,55
LOCAL,15760,PR GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA,5137.0,,515.6968,4866.39,55
LOCAL,15769,PR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,1894.0,,356.0952,1704.6,55
LOCAL,15770,PR GRAFT DERMA-FAT-FASCIA,4966.0,,495.74,4866.39,55
LOCAL,15771,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,3839.0,,379.7024,3455.1,55
LOCAL,15772,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC,1605.0,,108.4496,1444.5,55
LOCAL,15773,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,3895.0,,371.588,3505.5,55
LOCAL,15774,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC,1320.0,,104.7604,1188.0,55
LOCAL,15775,PR PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS,819.0,,197.6845,810.45,42
LOCAL,15776,PR PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS,2030.0,,269.6455,2089.77,42
LOCAL,15777,PR IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,4107.0,,156.6484,3696.3,55
LOCAL,15778,PR IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA,4114.0,,282.5596,3702.6,55
LOCAL,15781,PR DERMABRASION SEGMENTAL FACE,1817.0,,277.18,1768.66,55
LOCAL,15786,PR ABRASION 1 LESION,476.0,,81.38,474.79,55
LOCAL,15787,PR ABRASION EACH ADDITIONAL 4 LESIONS OR LESS,160.0,,12.052,156.27,55
LOCAL,15788,PR CHEMICAL PEEL FACIAL EPIDERMAL,4001.0,,112.78,4150.35,50
LOCAL,15789,PR CHEMICAL PEEL FACIAL DERMAL,5445.0,,195.4,5302.55,50
LOCAL,15792,PR CHEMICAL PEEL NONFACIAL EPIDERMAL,1231.0,,72.21,1153.92,50
LOCAL,15793,PR CHEMICAL PEEL NONFACIAL DERMAL,1555.0,,127.1,1461.3,55
LOCAL,15820,PR BLEPHAROPLASTY LOWER EYELID,2923.0,,356.64,2843.6,55
LOCAL,15821,PR BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD,3382.0,,394.5,3228.24,55
LOCAL,15822,PR BLEPHAROPLASTY UPPER EYELID,3037.0,,294.86,3150.97,55
LOCAL,15823,PR BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN,3851.0,,406.2628,3995.8,55
LOCAL,15824,PR RHYTIDECTOMY FOREHEAD,5526.0,,348.69,5172.05,46
LOCAL,15825,PR RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING,6313.0,,301.25,6149.11,46
LOCAL,15826,PR RHYTIDECTOMY GLABELLAR FROWN LINES,5526.0,,251.34,5379.82,46
LOCAL,15828,PR RHYTIDECTOMY CHEEK CHIN & NECK,14598.0,,857.21,14211.12,46
LOCAL,15829,PR RHYTIDECTOMY SMAS FLAP,16175.0,,857.21,15749.68,46
LOCAL,15830,PR EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY,9601.0,,865.398,8893.6,50
LOCAL,15832,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH,5845.0,,657.47,5814.27,47
LOCAL,15833,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG,5526.0,,555.48,5675.18,47
LOCAL,15834,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP,5526.0,,596.16,5675.18,47
LOCAL,15835,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK,5526.0,,614.46,5675.18,47
LOCAL,15836,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM,6293.0,,503.46,5349.05,47
LOCAL,15837,PR EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND,4194.0,,471.13,4318.62,47
LOCAL,15838,PR EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD,3672.0,,425.03,3779.45,55
LOCAL,15839,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA,5294.0,,370.82,4783.98,47
LOCAL,15840,PR GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT,10511.0,,747.1044,8934.35,55
LOCAL,15841,PR GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT,9865.0,,1310.5124,9604.01,55
LOCAL,15842,PR GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG,28667.0,,1982.37,24366.95,55
LOCAL,15845,PR GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR,9235.0,,785.4684,9604.01,55
LOCAL,15847,PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN,4522.0,,254.8676,5097.01,44
LOCAL,15851,PR REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA,283.0,,35.85,262.73,55
LOCAL,15852,PR DRESSING CHANGE UNDER ANESTHESIA,507.0,,32.706,430.95,55
LOCAL,15860,PR IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT,794.0,,77.7124,769.29,55
LOCAL,15876,PR SUCTION ASSISTED LIPECTOMY HEAD & NECK,1905.0,,136.7304,1890.58,50
LOCAL,15877,PR SUCTION ASSISTED LIPECTOMY TRUNK,12972.0,,369.37,11026.2,42
LOCAL,15878,PR SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY,3398.0,,206.83,2888.3,42
LOCAL,15879,PR SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY,3398.0,,369.37,3377.63,42
LOCAL,15934,PR EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR,5496.0,,671.1,5302.55,55
LOCAL,15936,PR EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR,4516.0,,664.2308,3838.6,55
LOCAL,15940,PR EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE,4198.0,,416.46,3788.03,55
LOCAL,16,Stem Cell Transplant- Single- Allo Unrelated,,,160000.0,186960.0,4
LOCAL,16020,PR DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,423.0,,35.35,359.55,55
LOCAL,16035,PR ESCHAROTOMY INITIAL INCISION,789.0,,143.3728,786.6,55
LOCAL,17,Stem Cell Transplant- Single- Mismatch Allo Related/Unrelated,,,160000.0,180000.0,3
LOCAL,17000,PR DESTRUCTION PREMALIGNANT LESION 1ST,250.0,,32.03,212.5,55
LOCAL,17003,PR DESTRUCTION PREMALIGNANT LESION 2-14 EA,47.0,,1.428,44.65,55
LOCAL,17004,PR DESTRUCTION PREMALIGNANT LESION 15/>,831.0,,71.621,731.51,55
LOCAL,17106,PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM,1146.0,,202.55,1144.95,55
LOCAL,17107,PR DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM,2105.0,,265.8432,2089.5,55
LOCAL,17108,PR DSTRJ CUTANEOUS VASCULAR PRLF LESIONS>50.0 SQ CM,4204.0,,390.034,3573.4,55
LOCAL,17110,PR DESTRUCTION BENIGN LESIONS UP TO 14,345.0,,32.86,293.25,55
LOCAL,17111,PR DESTRUCTION BENIGN LESIONS 15/>,362.0,,47.9,307.7,55
LOCAL,17250,PR CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,214.0,,27.04,181.9,55
LOCAL,17260,PR DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<,330.0,,51.17,307.37,55
LOCAL,17261,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,473.0,,64.4276,415.55,55
LOCAL,17262,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM,574.0,,81.073,506.56,55
LOCAL,17263,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM,666.0,,89.267,568.38,55
LOCAL,17264,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM,728.0,,95.081,628.49,55
LOCAL,17266,PR DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM,792.0,,111.1885,783.02,55
LOCAL,17270,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,381.0,,70.4905,369.18,55
LOCAL,17271,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM,527.0,,77.464,461.91,55
LOCAL,17272,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM,629.0,,88.417,552.91,55
LOCAL,17273,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM,666.0,,99.467,659.38,55
LOCAL,17274,PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM,728.0,,120.8105,721.2,55
LOCAL,17276,PR DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM,946.0,,146.5655,813.93,55
LOCAL,17280,PR DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<,467.0,,64.1884,444.73,55
LOCAL,17281,PR DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM,611.0,,86.5895,537.47,55
LOCAL,17282,PR DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM,699.0,,99.178,628.49,55
LOCAL,17283,PR DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM,728.0,,122.7995,721.2,55
LOCAL,17284,PR DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM,1210.0,,144.466,1028.5,55
LOCAL,17286,PR DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM,1262.0,,196.3075,1072.7,55
LOCAL,17311,PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS,1885.0,,251.158,1699.97,55
LOCAL,17312,PR MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE,1105.0,,134.079,1014.35,55
LOCAL,17313,PR MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS,1800.0,,225.4285,1699.97,55
LOCAL,17314,PR MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE,1088.0,,122.264,1014.35,55
LOCAL,17315,PR MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE,226.0,,34.952,192.1,55
LOCAL,17340,PR CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,249.0,,31.86,211.65,55
LOCAL,17380,PR ELECTROLYSIS EPILATION EACH 30 MINUTES,232.0,,19.56,507.64,42
LOCAL,1799901,PR UNLISTED PROCEDURE SKIN TISSUE PROCEDURE SOFT TISSUE CRYO-ABLATION,4867.0,,1931.79,4136.95,28
LOCAL,1799902,PR UNLISTED PROCEDURE SKIN TISSUE LASER HAIR REMOVAL FROM FLAP,304.0,,182.4,1931.79,28
LOCAL,1799903,PR UNLISTED PROCEDURE SKIN TISSUE FALCIFORM LIGMENT FLAP,3501.0,,1931.79,2975.85,28
LOCAL,1799904,PR ABSORBABLE ANTIBIOTIC BEADS,2958.0,,1774.8,2514.3,28
LOCAL,1799905,"PR REPAIR WITH SOFT TISSUE, (EG, ACELLULAR DERMAL MATRIX, SURGIMEND) OTHER THAN BREAST OR TRUNK",5773.0,,1931.79,4907.05,28
LOCAL,1799906,PR UNLISTED PROCEDURE SKIN TISSUE; SUBQ FISTULA EXCEPT ANUS,1786.0,,1071.6,1931.79,28
LOCAL,1799907,PR UNLISTED PROCEDURE DEBRIDEMENT OF NECROTIZING FASCIITIS IN THE CHEST WALL,6867.0,,1931.79,5836.95,28
LOCAL,18,"Stem Cell Transplant- Single- Mismatch Allo Related/Unrelated w/ AML, CML, Lymphoma and Renal Cell",,,175000.0,175000.0,1
LOCAL,19000,PR PUNCTURE ASPIRATION CYST OF BREAST,415.0,,30.7372,352.75,55
LOCAL,19001,PR PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST,225.0,,15.2444,226.66,55
LOCAL,19020,PR MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP,2526.0,,160.58,2147.1,55
LOCAL,19030,PR INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM,1108.0,,54.8412,992.91,55
LOCAL,19081,PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,2907.0,,117.7968,2616.3,55
LOCAL,19082,PR BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,1379.0,,59.018,1241.1,55
LOCAL,19083,PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,2323.0,,111.4028,2090.7,55
LOCAL,19084,PR BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,1360.0,,55.5772,1224.0,55
LOCAL,19085,PR BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID,2573.0,,129.352,2315.7,55
LOCAL,19086,PR BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID,1629.0,,64.4276,1624.46,55
LOCAL,19100,PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX,684.0,,50.6552,581.4,55
LOCAL,1910001,PR BIOPSY BREAST PRC CRNDL WOIMGGD SP,684.0,,50.6552,581.4,55
LOCAL,19101,PR BIOPSY BREAST OPEN INCISIONAL,1722.0,,165.7472,1742.9,55
LOCAL,19105,PR ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA,2192.0,,175.7035,2146.44,47
LOCAL,19110,PR NIPPLE EXPLORATION,1911.0,,225.35,1924.93,55
LOCAL,19112,PR EXCISION LACTIFEROUS DUCT FISTULA,1956.0,,196.09,1904.31,55
LOCAL,19120,PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION,2376.0,,279.93,2208.26,55
LOCAL,19125,PR EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES,3109.0,,294.53,2642.65,55
LOCAL,19126,PR EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL,1454.0,,117.3,1235.9,55
LOCAL,19281,PR PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE,1098.0,,71.07,988.2,55
LOCAL,19282,PR PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE,551.0,,35.6592,495.9,55
LOCAL,19283,PR PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE,1123.0,,71.806,1010.7,55
LOCAL,19284,PR PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC,562.0,,35.9076,505.8,55
LOCAL,19285,PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,1183.0,,60.7384,1064.7,55
LOCAL,19286,PR PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,987.0,,30.498,888.3,55
LOCAL,19287,PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID,2193.0,,90.7488,1973.7,55
LOCAL,19288,PR PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID,1384.0,,45.2456,1383.95,55
LOCAL,19296,PR PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST,12408.0,,154.4404,11167.2,55
LOCAL,19300,PR MASTECTOMY FOR GYNECOMASTIA,3985.0,,337.4928,4372.6,51
LOCAL,19301,PR MASTECTOMY PARTIAL,4456.0,,490.1208,3787.6,55
LOCAL,19302,PR MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY,5809.0,,672.842,7171.55,55
LOCAL,19303,PR MASTECTOMY SIMPLE COMPLETE,6413.0,,710.2216,5451.05,55
LOCAL,19305,PR MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES,7015.0,,851.6256,6646.59,55
LOCAL,19306,PR MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES,8026.0,,904.9856,7870.67,55
LOCAL,19307,PR MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN,7753.0,,874.2484,6996.16,55
LOCAL,19316,PR MASTOPEXY,8480.0,,586.7668,7687.67,55
LOCAL,19318,PR BREAST REDUCTION,10212.0,,807.3552,8680.2,53
LOCAL,19325,PR BREAST AUGMENTATION WITH IMPLANT,6812.0,,456.4304,5877.8,55
LOCAL,19328,PR REMOVAL INTACT BREAST IMPLANT,4774.0,,316.19,4057.9,55
LOCAL,19330,PR RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS,5042.0,,376.6,4285.7,53
LOCAL,19340,PR INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY,5584.0,,494.57,4746.4,53
LOCAL,19342,PR INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY,7670.0,,563.8956,7957.26,55
LOCAL,19350,PR NIPPLE/AREOLA RECONSTRUCTION,7623.0,,498.9712,6479.55,55
LOCAL,19355,PR CORRECTION INVERTED NIPPLES,2482.0,,420.05,2109.7,55
LOCAL,19357,PR TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION,12821.0,,858.5072,11666.3,53
LOCAL,19361,PR BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP,18085.0,,1147.9576,18807.93,55
LOCAL,19364,PR BREAST RECONSTRUCTION W/FREE FLAP,45774.0,,1530.0,38907.9,55
LOCAL,19367,PR BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP,24533.0,,1303.134,24414.42,55
LOCAL,19368,PR BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST,24843.0,,1593.808,25590.67,55
LOCAL,19369,PR BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP,26072.0,,1481.1816,26856.19,55
LOCAL,19370,PR REVISION PERI-IMPLANT CAPSULE BREAST,6086.0,,481.4,6329.42,55
LOCAL,19371,PR PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE,7715.0,,527.0036,7347.68,55
LOCAL,19380,PR REVISION OF RECONSTRUCTED BREAST,6429.0,,590.95,5464.65,53
LOCAL,1949901,"PR UNLISTED PROCEDURE BREAST SURGERY, IMAG GUID PLC METALC LOCALIZ CLIP-PERC W/O BIOPSY",813.0,,487.8,946.15,28
LOCAL,1949902,"PR UNLISTED PROCEDURE BREAST SURGERY, IMAGE GUIDANCE RADIOACTIVE SEE PLACEMENT",813.0,,487.8,946.15,28
LOCAL,1949903,"PR UNLISTED PROCEDURE BREAST SURGERY, PLACE BIOPROSTHETIC MESH INTO BREAST-WHEN PERFORMED ALONE",5773.0,,946.15,4907.05,28
LOCAL,1949904,"PR UNLISTED PROCEDURE BREAST, CT-GUIDED BREAST BIOPSY",2017.0,,946.15,1714.45,28
LOCAL,2,Stem Cell Transplant - Outlier Per Diem Payment (ICU),,,2500.0,4000.0,4
LOCAL,20000001,HC RECOVERY ROOM - OVERNIGHT,6998.0,,2729.22,8061.0,43
LOCAL,20100,PR EXPLORATION PENETRATING WOUND SPX NECK,3412.0,,444.3784,3475.51,55
LOCAL,20101,PR EXPLORATION PENETRATING WOUND SPX CHEST,4653.0,,155.664,4739.33,55
LOCAL,20102,PR EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK,4032.0,,190.3388,4109.14,55
LOCAL,20103,PR EXPLORATION PENETRATING WOUND SPX EXTREMITY,3602.0,,256.2476,3667.84,55
LOCAL,20200,PR BIOPSY MUSCLE SUPERFICIAL,787.0,,71.3184,772.72,55
LOCAL,20200001,HC INTENSIVE CARE,6998.0,,2729.22,8061.0,43
LOCAL,20205,PR BIOPSY MUSCLE DEEP,1307.0,,115.092,1193.42,55
LOCAL,20206,PR BIOPSY MUSCLE PERCUTANEOUS NEEDLE,631.0,,42.0532,540.9,55
LOCAL,20220,PR BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL,811.0,,63.6916,689.35,55
LOCAL,20225,PR BIOPSY BONE TROCAR/NEEDLE DEEP,1828.0,,94.6772,1553.8,55
LOCAL,20240,PR BIOPSY BONE OPEN SUPERFICIAL,1405.0,,103.2884,1194.25,55
LOCAL,20245,PR BIOPSY BONE OPEN DEEP,3230.0,,247.16,2745.5,55
LOCAL,20250,PR BIOPSY VERTEBRAL BODY OPEN THORACIC,4725.0,,293.8756,4914.48,55
LOCAL,20251,PR BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL,4725.0,,323.1408,4914.48,55
LOCAL,20300001,HC INTENSIVE CARE PEDI,7166.0,,2794.74,8061.0,43
LOCAL,20500,PR INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX,715.0,,48.98,607.75,55
LOCAL,20501,PR INJECTION SINUS TRACT DIAGNOSTIC,599.0,,26.312,1064.92,55
LOCAL,20520,PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,1067.0,,79.84,906.95,55
LOCAL,20525,PR RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,2480.0,,185.9136,2108.0,55
LOCAL,20526,PR INJECTION THERAPEUTIC CARPAL TUNNEL,434.0,,42.0532,368.9,55
LOCAL,20527,PR INJECTION ENZYME PALMAR FASCIAL CORD,468.0,,48.9348,421.2,55
LOCAL,20550,PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS,338.0,,28.7684,287.3,55
LOCAL,20551,PR INJECTION SINGLE TENDON ORIGIN/INSERTION,356.0,,28.2808,302.6,55
LOCAL,20552,PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,338.0,,26.8088,317.68,55
LOCAL,20553,PR INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,422.0,,30.498,415.55,55
LOCAL,20555,PR PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT,3088.0,,243.4655,3154.65,47
LOCAL,20600,PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,308.0,,26.312,261.8,55
LOCAL,20600001,HC INTERMEDIATE CARE,3285.0,,1281.15,12438.0,43
LOCAL,20600002,HC ADVANCED SUPPORT - INTERMEDIATE,4479.0,,1746.81,12438.0,43
LOCAL,20604,PR ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,580.0,,34.1872,522.0,55
LOCAL,20605,PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,316.0,,27.048,268.6,55
LOCAL,20606,PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,651.0,,38.364,585.9,55
LOCAL,20610,PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,346.0,,33.442,294.1,55
LOCAL,20611,PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US,619.0,,43.5252,557.1,55
LOCAL,20612,PR ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ,306.0,,30.498,275.4,55
LOCAL,20615,PR ASPIRATION & INJECTION TREATMENT BONE CYST,1094.0,,84.6,929.9,55
LOCAL,20660,PR APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX,1868.0,,131.54,1895.73,55
LOCAL,20661,PR APPLICATION HALO CRANIAL INCLUDING REMOVAL,3105.0,,291.45,2639.25,55
LOCAL,20662,PR APPLICATION HALO PELVIC INCLUDING REMOVAL,1689.0,,395.6828,1688.4,55
LOCAL,20663,PR APPLICATION HALO FEMORAL INCLUDING REMOVAL,1611.0,,337.82,1615.85,55
LOCAL,20664,PR APPL HALO CRANIAL 6/> PINS THIN SKULL OSTEOLOGY,3693.0,,384.01,3633.49,55
LOCAL,20670,PR REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE,993.0,,78.9,844.05,55
LOCAL,20680,PR REMOVAL IMPLANT DEEP,3569.0,,224.91,3033.65,55
LOCAL,20696,PR APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST&SUBSQ,9282.0,,866.6216,8353.8,55
LOCAL,20700,PR MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV,790.0,,61.7228,711.0,55
LOCAL,20701,PR REMOVAL DEEP DRUG DELIVERY DEVICE,621.0,,46.9752,558.9,55
LOCAL,20702,PR MANUAL PREP&INSJ INTRAMEDULLARY DRUG DLVR DEVICE,1316.0,,105.2572,1184.4,55
LOCAL,20703,PR REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE,1029.0,,77.2156,926.1,55
LOCAL,20704,PR MANUAL PREP&INSJ I-ARTIC DRUG DELIVERY DEVICE,1368.0,,110.6668,1231.2,55
LOCAL,20705,PR REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE,1179.0,,91.4848,1061.1,55
LOCAL,20900,PR BONE GRAFT ANY DONOR AREA MINOR/SMALL,1684.0,,133.2896,1713.98,55
LOCAL,20902,PR BONE GRAFT ANY DONOR AREA MAJOR/LARGE,2566.0,,202.3908,2668.45,55
LOCAL,20910,PR CARTILAGE GRAFT COSTOCHONDRAL,2720.0,,184.69,2312.0,55
LOCAL,20912,PR CARTILAGE GRAFT NASAL SEPTUM,2955.0,,358.73,2511.75,55
LOCAL,20920,PR FASCIA LATA GRAFT BY STRIPPER,1571.0,,299.5336,1545.43,55
LOCAL,20922,PR FASCIA LATA GRAFT INCISION & AREA EXPOSURE,2721.0,,362.21,2312.85,55
LOCAL,20924,PR TENDON GRAFT FROM A DISTANCE,3278.0,,380.6868,2786.3,55
LOCAL,20930,PR ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED,1712.0,,107.24,1699.97,40
LOCAL,20931,PR ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,1635.0,,81.8892,1699.97,55
LOCAL,20932,PR OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF & BONE,7027.0,,554.7968,6324.3,55
LOCAL,20933,PR HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL,6709.0,,508.806,6038.1,55
LOCAL,20934,PR INTERCALARY ALLOGRAFT COMPLETE,7304.0,,554.3092,6573.6,55
LOCAL,20936,PR AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION,1977.0,,114.34,1699.97,40
LOCAL,20937,PR AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,2059.0,,123.4548,2141.28,55
LOCAL,20938,PR AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC,2566.0,,135.01,2668.45,55
LOCAL,20950,PR MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME,703.0,,66.1572,597.55,55
LOCAL,20955,PR BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA,16823.0,,1802.8412,16742.19,55
LOCAL,20956,PR BONE GRAFT MICROVASCULAR ANAST ILIAC CREST,16823.0,,1957.2816,16742.19,55
LOCAL,20957,PR BONE GRAFT MICROVASCULAR ANAST METATARSAL,9538.0,,2038.9316,9539.7,55
LOCAL,20962,PR BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR,16823.0,,1987.2828,16742.19,55
LOCAL,20969,PR FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE,24476.0,,2000.0708,20804.6,55
LOCAL,20970,PR FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST,16254.0,,2112.2096,16742.19,55
LOCAL,20972,PR FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL,10336.0,,2105.5764,10385.32,55
LOCAL,20973,PR FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE,10659.0,,2222.628,11058.43,55
LOCAL,20982,PR ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,4127.0,,268.548,3560.63,55
LOCAL,20983,PR ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD,3981.0,,267.2995,3582.9,47
LOCAL,20985,PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS,1346.0,,111.0695,1314.85,47
LOCAL,2099901,"PR UNLISTED PROCEDURE MUSCULOSKELETAL SURGERY, MUSCULOSKELETAL,GEN, LOCALIZAT",659.0,,395.4,3468.64,28
LOCAL,2099903,"PR UNLISTED PROCEDURE MUSCULOSKELETAL SURGERY, FIDUCIAL PLACEMENT MUSCULOSKELETAL,NOS",2050.0,,1230.0,3468.64,28
LOCAL,2099904,"PR UNLISTED PROCEDURE MUSCULOSKELETAL SURG, THERMAL TUMOR ABLATION W INTRAMEDULLARY, ARGON BEAM COAGULATOR",5605.0,,3363.0,4764.25,28
LOCAL,2099905,"PR UNLISTED PROCEDURE MUSCULOSKELETAL SURGERY, GENERAL (DBX PUTTY)",1712.0,,1027.2,3468.64,28
LOCAL,21011,PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM,1661.0,,197.2296,1494.9,55
LOCAL,21012,PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>,2371.0,,255.024,2133.9,55
LOCAL,21013,PR EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM,2908.0,,300.7572,2617.2,55
LOCAL,21014,PR EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/>,3804.0,,390.77,3423.6,55
LOCAL,21015,PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM,4124.0,,387.17,3505.4,55
LOCAL,21016,PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>,8197.0,,747.8404,7377.3,55
LOCAL,21025,PR EXCISION BONE MANDIBLE,5621.0,,440.46,4845.78,55
LOCAL,21026,PR EXCISION FACIAL BONE,5513.0,,252.53,5190.94,55
LOCAL,21029,PR REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE,6001.0,,469.4668,5814.27,55
LOCAL,21030,PR EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG,3246.0,,271.0044,3253.99,55
LOCAL,21031,PR EXCISION TORUS MANDIBULARIS,1734.0,,203.3752,1473.9,55
LOCAL,21032,PR EXCISION MAXILLARY TORUS PALATINUS,5478.0,,196.2452,4656.3,55
LOCAL,21034,PR EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA,5929.0,,730.57,5745.59,55
LOCAL,21040,PR EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL & CURT,3246.0,,158.84,2759.1,55
LOCAL,21044,PR EXCISION MALIGNANT TUMOR MANDIBLE,6227.0,,641.3596,5745.59,55
LOCAL,21045,PR EXCISION MALIGNANT TUMOR MANDIBLE RADICAL,10714.0,,889.0052,10383.59,55
LOCAL,21046,PR EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT,7974.0,,732.3476,7176.6,55
LOCAL,21047,PR EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDB,11047.0,,900.312,9942.3,55
LOCAL,21048,PR EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT,8153.0,,741.9432,7337.7,55
LOCAL,21049,PR EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLC,10708.0,,854.5696,9637.2,55
LOCAL,21050,PR CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX,8281.0,,640.3752,8307.56,55
LOCAL,21070,PR CORONOIDECTOMY SEPARATE PROCEDURE,6834.0,,454.71,6853.15,55
LOCAL,21073,PR MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA,1786.0,,183.9448,1750.27,55
LOCAL,21076,PR IMPRESSION&PREPARATION SURGICAL OBTURATOR PROSTH,6180.0,,554.013,5330.03,51
LOCAL,21077,PR IMPRESSION & PREPARATION ORBITAL PROSTHESIS,15002.0,,1344.445,13393.76,51
LOCAL,21079,PR IMPRESSION&PREPARATION INTERIM OBTURATOR PROSTH,10292.0,,876.9532,8877.65,55
LOCAL,21080,PR IMPRESSION & PREPJ DEFINITIVE OBTURATOR PROSTH,11162.0,,986.1388,9968.05,55
LOCAL,21081,PR IMPRESSION & PREPJ MANDIBULAR RESECTION PROSTH,10031.0,,904.0012,9085.44,55
LOCAL,21082,PR IMPRESSION & PREPJ PALATAL AUGMENTATION PROSTH,9609.0,,873.1795,8288.67,51
LOCAL,21083,PR IMPRESSION & PREPARATION PALATAL LIFT PROSTHESIS,7643.0,,804.2955,7667.06,51
LOCAL,21084,PR IMPRESSION & PREPARATION SPEECH AID PROSTHESIS,9232.0,,894.1664,8946.35,55
LOCAL,21085,PR IMPRESSION & PREPARATION ORAL SURGICAL SPLINT,3572.0,,361.7532,3145.81,55
LOCAL,21086,PR IMPRESSION & PREPARATION AURICULAR PROSTHESIS,11089.0,,959.0908,9899.35,55
LOCAL,21087,PR IMPRESSION & PREPARATION NASAL PROSTHESIS,10728.0,,959.0908,9899.35,55
LOCAL,21088,PR IMPRESSION & PREPARATION FACIAL PROSTHESIS,11054.0,,355.66,11384.69,48
LOCAL,2108801,"PR PREP FACE/ORAL PROST FACIAL, IMPRESSION AND CUSTOM PREPARATION",10974.0,,355.66,11384.69,48
LOCAL,2108901,PR UNLISTED PROCEDURE MAXILLOFACIAL PROSTHETIC PROCEDURE (SEGMENTING OF DENTAL BRIDGE),253.0,,151.8,1547.15,28
LOCAL,2108902,PR UNLISTED PROCEDURE MAXILLOFACIAL PROSTHETIC PROCEDURE (INSERTION OF SURGICAL GUARDS),629.0,,377.4,1547.15,28
LOCAL,21179,PR RCNSTJ FOREHEAD&/SUPRAORBITAL RIMS W/GRAFTS,16560.0,,1127.0552,16611.69,55
LOCAL,21180,PR RCNSTJ FOREHEAD&/SUPRAORBITAL RIMS W/AUTOGRAFT,18629.0,,1258.376,18689.43,55
LOCAL,21195,PR RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD,15109.0,,954.37,15158.99,55
LOCAL,21196,PR RCNSTJ MNDBLR RAMI&/BDY SGTL SPLT W/INT RGD FI,16369.0,,1049.18,16421.09,55
LOCAL,21198,PR OSTEOTOMY MANDIBLE SEGMENTAL,7537.0,,748.5856,7615.56,55
LOCAL,21199,PR OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT,14283.0,,752.7624,14329.6,55
LOCAL,21206,PR OSTEOTOMY MAXILLA SEGMENTAL,10915.0,,724.73,11352.07,55
LOCAL,21208,PR OSTEOPLASTY FACIAL BONES AUGMENTATION,6072.0,,552.3404,5884.66,55
LOCAL,21209,PR OSTEOPLASTY FACIAL BONES REDUCTION,4486.0,,373.92,4498.93,55
LOCAL,21210,PR GRAFT BONE NASAL/MAXILLARY/MALAR AREAS,7730.0,,569.802,7752.92,55
LOCAL,21215,PR GRAFT BONE MANDIBLE,9177.0,,592.4248,7800.45,55
LOCAL,21230,PR GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR,7868.0,,555.2844,7892.02,55
LOCAL,21235,PR GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR,5125.0,,425.9324,5330.03,55
LOCAL,21244,PR RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE,9319.0,,743.912,9691.58,55
LOCAL,21248,PR RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL,8647.0,,634.0405,10728.75,47
LOCAL,21249,PR RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE,13343.0,,885.717,13843.65,47
LOCAL,21280,PR MEDIAL CANTHOPEXY SEPARATE PROCEDURE,5431.0,,411.12,5261.34,55
LOCAL,21282,PR LATERAL CANTHOPEXY,4041.0,,257.42,4153.78,55
LOCAL,2129901,"PR UNLISTED PROCEDURE MAXILLOFACIAL SURG PLACMNT OF DENTAL IMPLANT ABUTMENTS/REMOVING ENDOSTEAL, EACH UNIT",253.0,,151.8,1928.36,28
LOCAL,2129902,PR UNLISTED PROCEDURE MID-FACE LIFT W/DRILL HOLE(S),7246.0,,1928.36,6159.1,28
LOCAL,21330,PR OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI,4947.0,,380.96,5132.55,55
LOCAL,21337,PR CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION,1515.0,,184.16,1559.17,55
LOCAL,21365,PR OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG,7946.0,,806.3708,8182.21,55
LOCAL,21366,PR OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT,9752.0,,949.4952,10043.6,55
LOCAL,21385,PR OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL,4915.0,,546.434,5058.73,55
LOCAL,21386,PR OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL,6068.0,,517.9048,6248.7,55
LOCAL,21387,PR OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR,8380.0,,559.52,8628.67,55
LOCAL,21390,PR OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC,6935.0,,593.4092,7141.61,55
LOCAL,21395,PR OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF,8524.0,,733.11,8778.06,55
LOCAL,21406,PR OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT,5059.0,,400.95,5208.11,55
LOCAL,21407,PR OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT,6580.0,,483.7268,6545.77,55
LOCAL,21408,PR OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT,7225.0,,671.73,7438.68,55
LOCAL,21453,PR CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,4770.0,,394.46,4911.05,55
LOCAL,21461,PR OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION,6294.0,,573.09,6545.77,55
LOCAL,21462,PR OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION,7514.0,,683.16,7735.75,55
LOCAL,21470,PR OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION,7772.0,,865.8856,7565.76,55
LOCAL,21480,PR CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,414.0,,23.3588,556.35,55
LOCAL,21485,PR CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,1905.0,,194.07,1848.26,55
LOCAL,21497,PR INTERDENTAL WIRING OTHER THAN FRACTURE,2241.0,,254.1,2228.86,55
LOCAL,21501,PR I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX,2155.0,,179.87,2064.01,55
LOCAL,21502,PR I&D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC,2405.0,,373.55,2474.42,55
LOCAL,21510,PR INCISION DEEP OPENING BONE CORTEX THORAX,2236.0,,309.61,1900.6,55
LOCAL,21550,PR BIOPSY SOFT TISSUE NECK/THORAX,1097.0,,92.14,932.45,55
LOCAL,21552,PR EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>,3455.0,,335.9288,3109.5,55
LOCAL,21554,PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>,6169.0,,546.9308,5552.1,55
LOCAL,21555,PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM,1700.0,,188.29,1608.97,55
LOCAL,21556,PR EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM,2774.0,,310.24,2884.81,55
LOCAL,21557,PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,10143.0,,588.49,10548.44,55
LOCAL,21558,PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>,12567.0,,994.75,11310.3,55
LOCAL,21600,PR EXCISION RIB PARTIAL,3676.0,,381.38,3298.65,55
LOCAL,21601,PR EXCISION CHEST WALL TUMOR INCLUDING RIBS,7383.0,,847.688,6644.7,55
LOCAL,21602,PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC,13595.0,,1142.548,12235.5,55
LOCAL,21603,PR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC,11770.0,,1238.9456,10593.0,55
LOCAL,21610,PR COSTOTRANSVERSECTOMY SEPARATE PROCEDURE,5603.0,,622.47,5769.62,55
LOCAL,21615,PR EXCISION 1ST &/CERVICAL RIB,7283.0,,462.0884,7500.51,55
LOCAL,21616,PR EXCISION 1ST &/CERVICAL RIB W/SYMPATHECTOMY,8004.0,,526.516,8242.31,55
LOCAL,21620,PR OSTECTOMY STERNUM PARTIAL,6710.0,,374.7804,6674.55,55
LOCAL,21627,PR STERNAL DEBRIDEMENT,6493.0,,396.56,6736.38,55
LOCAL,21630,PR RADICAL RESECTION STERNUM,10006.0,,978.2728,10304.61,53
LOCAL,21685,PR HYOID MYOTOMY & SUSPENSION,6001.0,,728.6584,5684.99,55
LOCAL,21750,PR CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX,4804.0,,499.2196,4945.39,55
LOCAL,21811,PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS,6021.0,,492.5665,5418.9,47
LOCAL,21812,PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS,7007.0,,591.906,6306.3,47
LOCAL,21813,PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS,9490.0,,808.996,8541.0,47
LOCAL,21825,PR OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION,4282.0,,413.3928,4119.44,55
LOCAL,2189901,PR NECK OR THORAX PROCEDURE,597.0,,358.2,2759.45,28
LOCAL,2189902,PR UNLISTED PROCEDURE NECK AND THORAX  (BONE GRAFT USING ALLOGRAFT),1879.0,,1127.4,2759.45,28
LOCAL,2189903,PR UNLISTED PROCEDURE EXPLORATION OF CHEST WALL W/O THORACOTOMY,4213.0,,2527.8,3581.05,28
LOCAL,2189904,"UNLISTED PROCEDURE NECK/THORAX,PERCUTANEOUS RELEASE OF AXILLARY SCAR BY NEEDLE",1918.0,,1150.8,2759.45,28
LOCAL,21920,PR BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL,1329.0,,89.81,1129.65,55
LOCAL,21925,PR BIOPSY SOFT TISSUE BACK/FLANK DEEP,1916.0,,206.47,1904.31,55
LOCAL,21930,PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,3012.0,,253.06,3132.08,55
LOCAL,21931,PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>,3521.0,,353.3904,3168.9,55
LOCAL,21932,PR EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM,5132.0,,498.4836,4618.8,55
LOCAL,21933,PR EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>,5921.0,,551.8436,5328.9,55
LOCAL,21935,PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM,8097.0,,758.172,7005.97,55
LOCAL,21936,PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>,11998.0,,1049.3428,10798.2,55
LOCAL,22010,PR I&D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR,6568.0,,734.0772,5807.64,55
LOCAL,22015,PR I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC,5821.0,,715.1344,5749.99,55
LOCAL,22100,PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV,4055.0,,572.13,3709.04,55
LOCAL,22101,PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC,3603.0,,598.94,3709.04,55
LOCAL,22102,PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR,3603.0,,457.32,3709.04,55
LOCAL,22103,PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA,1297.0,,98.118,1114.43,55
LOCAL,22110,PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV,11079.0,,749.67,9417.15,55
LOCAL,22112,PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC,4881.0,,756.91,4945.39,55
LOCAL,22114,PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR,4804.0,,653.37,4945.39,55
LOCAL,22116,PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA,1960.0,,105.2572,2038.25,55
LOCAL,22206,PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC,30102.0,,1834.0752,25586.7,55
LOCAL,22207,PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR,18759.0,,1786.364,19184.22,55
LOCAL,22208,PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM,6549.0,,436.5124,5566.65,55
LOCAL,22210,PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV,14163.0,,1237.16,14587.17,55
LOCAL,22212,PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC,13630.0,,1139.3464,14175.06,55
LOCAL,22214,PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR,13869.0,,1137.626,14424.04,55
LOCAL,22216,PR OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM,4161.0,,268.0512,4327.21,55
LOCAL,22220,PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV,14961.0,,1221.9808,15411.4,55
LOCAL,22222,PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC,14564.0,,1125.38,14999.29,55
LOCAL,22224,PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR,14660.0,,1187.5544,15246.56,55
LOCAL,22226,PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL,4399.0,,265.8432,4574.48,55
LOCAL,22310,PR CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING,2204.0,,185.88,2268.36,55
LOCAL,22325,PR OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM LM,9526.0,,854.77,9476.94,55
LOCAL,22326,PR OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM CR,9932.0,,1136.89,10304.61,55
LOCAL,22327,PR OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM TH,9534.0,,1158.7768,9890.78,55
LOCAL,22328,PR OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM EA,2851.0,,208.7848,2965.51,55
LOCAL,22510,PR PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC,4547.0,,317.7312,4092.3,55
LOCAL,22511,PR PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL,4067.0,,299.2852,3660.3,55
LOCAL,22512,PR VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL,2245.0,,151.4872,2020.5,55
LOCAL,22513,PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,4854.0,,375.0288,4368.6,55
LOCAL,22514,PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,4484.0,,350.4372,4035.6,55
LOCAL,22515,PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,2245.0,,159.3532,2020.5,55
LOCAL,22551,PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,12687.0,,1272.3968,11418.3,55
LOCAL,22552,PR ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,3442.0,,292.8912,3097.8,55
LOCAL,22554,PR ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2,13017.0,,948.2716,13537.99,55
LOCAL,22556,PR ARTHRD ANT INTERBODY MIN DSC THORACIC,15350.0,,1261.8168,14963.22,55
LOCAL,22558,PR ARTHRD ANT INTERBODY MIN DSC LUMBAR,14106.0,,1138.6104,13537.99,55
LOCAL,22585,PR ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE,4114.0,,239.0344,4062.78,55
LOCAL,22590,PR ARTHRODESIS POSTERIOR CRANIOCERVICAL,14843.0,,1199.5972,15437.16,55
LOCAL,22595,PR ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2,15154.0,,1145.9888,15722.21,55
LOCAL,22600,PR ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT,13017.0,,982.9464,13537.99,55
LOCAL,22610,PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC,12134.0,,967.4536,12588.42,55
LOCAL,22612,PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR,14106.0,,1181.1604,12255.29,55
LOCAL,22614,PR ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC,3968.0,,289.202,4085.1,55
LOCAL,22630,PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR,16899.0,,1174.0212,17575.02,55
LOCAL,22632,PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL,5071.0,,237.0656,5273.37,55
LOCAL,22633,PR ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR,14024.0,,1354.0376,12621.6,55
LOCAL,22634,PR ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL,3967.0,,358.064,3570.3,55
LOCAL,22800,PR ARTHRODESIS POSTERIOR SPINAL DFRM <6 VRT SGM,15911.0,,1026.4716,16388.46,55
LOCAL,22802,PR ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM,18910.0,,1571.1852,19666.51,55
LOCAL,22804,PR ARTHRODESIS POSTERIOR SPINAL DFRM 13+ VRT SGM,22920.0,,1803.0896,23607.36,55
LOCAL,22808,PR ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM,15311.0,,1357.4784,15770.28,55
LOCAL,22810,PR ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM,18448.0,,1492.2492,19000.24,55
LOCAL,22812,PR ARTHRODESIS ANTERIOR SPINAL DFRM 8+ VRT SGM,21397.0,,1635.3736,22039.6,55
LOCAL,22830,PR EXPLORATION SPINAL FUSION,14616.0,,619.9696,15200.19,55
LOCAL,22840,PR POSTERIOR NON-SEGMENTAL INSTRUMENTATION,8450.0,,556.7656,8788.37,55
LOCAL,22841,PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS,4566.0,,357.64,3881.1,40
LOCAL,22842,PR POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,10504.0,,563.6472,10924.5,55
LOCAL,22843,PR POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG,11556.0,,603.98,12018.32,55
LOCAL,22844,PR POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE,12821.0,,727.9224,13206.6,55
LOCAL,22845,PR ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,10962.0,,536.1024,11400.14,55
LOCAL,22846,PR ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,12060.0,,558.486,12542.05,55
LOCAL,22847,PR ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS,14758.0,,587.0152,13774.95,55
LOCAL,22848,PR PELVIC FIXATION OTHER THAN SACRUM,2786.0,,265.3464,2368.1,55
LOCAL,22849,PR REINSERTION SPINAL FIXATION DEVICE,10757.0,,978.2728,9143.45,55
LOCAL,22850,PR REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION,5937.0,,555.7812,6174.88,55
LOCAL,22852,PR REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,6852.0,,534.8788,7126.16,55
LOCAL,22853,PR INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD,2391.0,,190.3388,2151.9,55
LOCAL,22854,PR INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD,3372.0,,247.8848,3034.8,55
LOCAL,22855,PR REMOVAL ANTERIOR INSTRUMENTATION,12543.0,,731.24,11875.81,55
LOCAL,22857,PR TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR,25258.0,,1396.6605,21469.3,45
LOCAL,22859,PR INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD,3049.0,,247.6456,2744.1,55
LOCAL,22869,PR INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL,3897.0,,343.604,3507.3,47
LOCAL,22870,PR INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL,1297.0,,88.3915,1167.3,47
LOCAL,2289901,"PR UNLISTED PROCEDURE SPINE SURGERY, FIDUCIAL MARKER PLACEMENT,SPINE",2050.0,,1230.0,8371.1,28
LOCAL,2289902,"PR UNLISTED PROCEDURE SPINE SURGERY, SACRUM VERTEBROPLASTY",10507.0,,6304.2,8930.95,28
LOCAL,2289903,"PR UNLISTED PROCEDURE SPINE SURGERY, OPEN VERTEBROPLASTY CERVICOTHORACIC OR LUMBOSACRAL, INTIAL",10923.0,,6553.8,9284.55,28
LOCAL,2289904,"PR UNLISTED PROCEDURE SPINE SUGERY, OPEN VERTEBROPLASTY CERVICOTHORACIC OR LUMBOSACRAL, EACH ADDITIONAL",10507.0,,6304.2,8930.95,28
LOCAL,2289905,"PR UNLISTED PROCEDURE SPINE SURGERY, PARTIAL S1 VERTEBRECTOMY",8745.0,,5247.0,8371.1,28
LOCAL,2289906,PR UNLISTED PROCEDURE KYPHOPLASTY,15603.0,,8371.1,13262.55,28
LOCAL,2289907,PR UNLISTED PROCEDURE SPINE PERCUTANEOUS POSTERIOR SEGMENTAL INSTRUMENTATION,10608.0,,6364.8,9016.8,28
LOCAL,2289908,PR UNLISTED PROCEDURE SPINE (CEMENT),1503.0,,901.8,8371.1,28
LOCAL,2289909,PR UNLISTED PROCEDURE PLMT FIBULA BONE GRAFT INTERNAL FIXATION SPINE,6898.0,,4138.8,8371.1,28
LOCAL,2289910,"PR UNLISTED PX SPINE, ETHANOL ABLATION",4275.0,,2565.0,8371.1,28
LOCAL,2289911,"PR UNLISTED PROCEDURE SPINE, CAGE PLACEMENT WITHOUT SPINAL INSTRUMENTATION",3236.0,,1941.6,8371.1,28
LOCAL,22900,PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM,2676.0,,291.02,2659.86,55
LOCAL,22901,PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>,5196.0,,499.468,4676.4,55
LOCAL,22902,PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM,2264.0,,251.8224,2037.6,55
LOCAL,22903,PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>,3401.0,,331.0068,3060.9,55
LOCAL,22904,PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM,9819.0,,776.8664,8837.1,55
LOCAL,22905,PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>,11968.0,,991.3092,10771.2,55
LOCAL,2299901,"PR UNLISTED PROCEDURE ABDOMEN WALL SURG INSERTION OF PROLENE MESH, EXCEPT HERNIA REPAIR",1879.0,,1127.4,3219.65,28
LOCAL,2299902,PR UNLISTED PROCEDURE LAPAROSCOPIC ROBOITC EXC TUMOR SOFT TISS OF ABD WALL SUBFASCIAL <5CM,2585.0,,1551.0,3219.65,28
LOCAL,2299903,"PR UNLISTED PX ABDOMEN, IMPLANTATION OF BIOLOGICAL IMPLANT FOR SOFT TISSUE REINFORCEMENT",2146.0,,1287.6,3219.65,28
LOCAL,23000,PR REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN,2226.0,,249.8,2239.16,55
LOCAL,23030,PR I&D SHOULDER DEEP ABSCESS/HEMATOMA,1947.0,,183.44,1654.95,55
LOCAL,23031,PR I&D SHOULDER INFECTED BURSA,2077.0,,97.9,1765.45,55
LOCAL,23035,PR INCISION BONE CORTEX SHOULDER AREA,5150.0,,492.66,4377.5,55
LOCAL,23065,PR BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL,573.0,,90.97,570.53,55
LOCAL,23066,PR BIOPSY SOFT TISSUE SHOULDER DEEP,1613.0,,162.91,1578.05,55
LOCAL,23071,PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>,3025.0,,316.7468,2722.5,55
LOCAL,23073,PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>,5621.0,,523.0752,5058.9,55
LOCAL,23075,PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,2356.0,,135.35,2002.6,55
LOCAL,23076,PR EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM,2645.0,,362.67,2553.4,55
LOCAL,23077,PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM,11190.0,,762.53,11637.11,55
LOCAL,23078,PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/>,13134.0,,1072.95,11820.6,55
LOCAL,23105,PR ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY,6665.0,,485.1988,6756.98,55
LOCAL,23106,PR ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX,4445.0,,358.52,4505.79,55
LOCAL,23120,PR CLAVICULECTOMY PARTIAL,3978.0,,385.05,3753.69,55
LOCAL,23125,PR CLAVICULECTOMY TOTAL,6134.0,,536.3508,6004.86,55
LOCAL,23130,PR ACROMIOPLASTY/ACROMIONECTOMY PRTL +-LIGAMENT RLS,4307.0,,468.7216,3753.69,55
LOCAL,23140,PR EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA,2298.0,,364.06,2328.46,55
LOCAL,23145,PR EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT,3447.0,,525.78,3490.96,55
LOCAL,23146,PR EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT,2964.0,,437.5,3005.01,55
LOCAL,23150,PR EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS,4601.0,,500.71,4505.79,55
LOCAL,23155,PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT,5555.0,,602.0112,5630.53,55
LOCAL,23156,PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT,4984.0,,514.464,4881.86,55
LOCAL,23170,PR SEQUESTRECTOMY CLAVICLE,3334.0,,385.8,3357.03,55
LOCAL,23180,PR PARTIAL EXCISION BONE CLAVICLE,4065.0,,413.67,3455.25,55
LOCAL,23182,PR PARTIAL EXCISION BONE SCAPULA,3069.0,,494.2,3005.01,55
LOCAL,23184,PR PARTIAL EXCISION BONE PROXIMAL HUMERUS,4601.0,,558.2376,4505.79,55
LOCAL,23190,PR OSTECTOMY SCAPULA PARTIAL,3658.0,,436.5124,3109.3,55
LOCAL,23195,PR RESECTION HUMERAL HEAD,5924.0,,564.6316,6004.86,55
LOCAL,23200,PR RADICAL RESECTION TUMOR CLAVICLE,7399.0,,696.28,7359.7,55
LOCAL,23210,PR RADICAL RESECTION TUMOR SCAPULA,7666.0,,709.89,7509.09,55
LOCAL,23220,PR RADICAL RESECTION TUMOR PROXIMAL HUMERUS,7935.0,,893.21,7509.09,55
LOCAL,23334,PR PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT,8196.0,,795.8,7376.4,55
LOCAL,23335,PR PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT,9660.0,,944.8308,8694.0,55
LOCAL,23350,PR INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG,877.0,,36.3952,841.38,55
LOCAL,23395,PR MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE,7488.0,,922.77,7457.58,55
LOCAL,23397,PR MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE,8688.0,,850.6412,8946.35,55
LOCAL,23400,PR SCAPULOPEXY,7405.0,,729.6428,7509.09,55
LOCAL,23405,PR TENOTOMY SHOULDER AREA 1 TENDON,3875.0,,462.576,3753.69,55
LOCAL,23406,PR TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION,4815.0,,553.564,4881.86,55
LOCAL,23410,PR OPEN REPAIR OF ROTATOR CUFF ACUTE,6131.0,,616.5196,5630.53,55
LOCAL,23412,PR OPEN REPAIR OF ROTATOR CUFF CHRONIC,6612.0,,640.6236,6756.98,55
LOCAL,23415,PR CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY,5000.0,,490.42,4250.0,55
LOCAL,23430,PR TENODESIS LONG TENDON BICEPS,7051.0,,560.4548,5993.35,55
LOCAL,23450,PR CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON,6961.0,,709.2372,7057.48,55
LOCAL,23455,PR CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR,7775.0,,727.4348,7883.44,55
LOCAL,23466,PR CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,9034.0,,838.8376,9097.46,55
LOCAL,23470,PR ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY,7371.0,,893.918,7509.09,55
LOCAL,23472,PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER,10118.0,,1075.6548,9842.69,55
LOCAL,23473,PR REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT,12005.0,,1195.6688,10804.5,55
LOCAL,23474,PR REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT,13066.0,,1290.346,11759.4,55
LOCAL,23480,PR OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION,5697.0,,578.42,4842.45,55
LOCAL,23485,PR OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL,5186.0,,714.3984,5256.2,55
LOCAL,23490,PR PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE,4445.0,,647.0176,4505.79,55
LOCAL,23491,PR PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS,5750.0,,762.1096,5630.53,55
LOCAL,23500,PR CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,1277.0,,121.81,1085.45,55
LOCAL,23505,PR CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,1233.0,,205.22,1258.67,55
LOCAL,23515,PR OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION,3727.0,,483.45,3812.07,55
LOCAL,23570,PR CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,1035.0,,129.53,953.02,55
LOCAL,23575,PR CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION,1307.0,,223.89,1334.22,55
LOCAL,23600,PR CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,1367.0,,195.6,1220.9,55
LOCAL,23605,PR CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ,1989.0,,325.24,1981.59,55
LOCAL,23615,PR OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY,5400.0,,664.4792,5338.6,55
LOCAL,23616,PR OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT,13790.0,,921.9596,11721.5,55
LOCAL,23620,PR CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ,1425.0,,180.83,1211.25,55
LOCAL,23625,PR CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION,2346.0,,261.21,1994.1,55
LOCAL,23650,PR CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,2079.0,,175.51,1767.15,55
LOCAL,23655,PR CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,1592.0,,244.87,1602.1,55
LOCAL,23700,PR MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS,1384.0,,148.0464,1334.22,55
LOCAL,23900,PR INTERTHORACOSCAPULAR AMPUTATION,9794.0,,1033.3624,9682.99,55
LOCAL,23920,PR DISARTICULATION SHOULDER,7329.0,,841.5424,7244.64,55
LOCAL,23921,PR DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION,2238.0,,327.08,2288.96,55
LOCAL,2392901,PR UNLISTED PROCEDURE SHOULDER SURG CRYOABLATION OF BONE-SHOULDER REGION,5605.0,,2428.04,4764.25,28
LOCAL,2392902,PR UNLISTED PROCEDURE SHOULDER SURG REVISION OF RT HUMERAL PROSTHESIS,7405.0,,2428.04,6294.25,28
LOCAL,2392903,PR UNLISTED PROCEDURE SHOULDER (HUMERAL SUSPENSION USING GORE-TEX GRAFT),2964.0,,1778.4,2519.4,28
LOCAL,2392904,PR RECONSTRUCTION OF SHOULDER WITH TISSUE MEND,1877.0,,1126.2,2428.04,28
LOCAL,2392905,"PR UNLISTED PROCEDURE SHOULDER/PROXIMAL HUMERUS, FOR RECONSTRUCTION WITH ALLOGRAFT",1879.0,,1127.4,2428.04,28
LOCAL,2392906,"PR RECONSTRUCTION OF CAPSULAR/PROXIMAL HUMERUS (GLENOID, ETC.) WITH SURGIMEND",8516.0,,2428.04,7238.6,28
LOCAL,2392907,PR RECONSTRUCTION OF SHOULDER (CLAVICLE/SCAPULA/PROXIMAL HUMERUS) WITH CEMENTATION,1503.0,,901.8,2428.04,28
LOCAL,23930,PR I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,1509.0,,147.0,1406.34,55
LOCAL,23931,PR INCISION&DRAINAGE UPPER ARM/ELBOW BURSA,1452.0,,80.67,1406.34,55
LOCAL,23935,PR INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW,3192.0,,359.55,2810.97,55
LOCAL,24000,PR ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB,3988.0,,364.6972,3865.3,55
LOCAL,24006,PR ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX,4895.0,,540.2884,4160.75,55
LOCAL,24065,PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL,843.0,,89.95,716.55,55
LOCAL,24066,PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP,1916.0,,255.32,1628.6,55
LOCAL,24071,PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>,2918.0,,305.6792,2626.2,55
LOCAL,24073,PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>,5621.0,,520.858,5058.9,55
LOCAL,24075,PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM,2126.0,,192.1,1807.1,55
LOCAL,24076,PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM,2402.0,,329.12,2249.47,55
LOCAL,24077,PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW <5CM,7210.0,,733.46,7028.29,55
LOCAL,24079,PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM+,13510.0,,988.8436,12159.0,55
LOCAL,24105,PR EXCISION OLECRANON BURSA,2211.0,,251.63,1879.35,55
LOCAL,24110,PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS,4503.0,,448.8036,4217.32,55
LOCAL,24115,PR EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT,5437.0,,556.7656,5213.27,55
LOCAL,24116,PR EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT,4878.0,,646.2816,4567.62,55
LOCAL,24120,PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN,6678.0,,406.0144,5676.3,55
LOCAL,24125,PR EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT,4927.0,,439.07,4727.32,55
LOCAL,24126,PR EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT,4927.0,,493.3132,4727.32,55
LOCAL,24140,PR PARTIAL EXCISION BONE HUMERUS,5566.0,,531.438,4731.1,55
LOCAL,24145,PR PARTIAL EXCISION BONE RADIAL HEAD/NECK,3262.0,,450.7724,3161.28,55
LOCAL,24150,PR RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS,6162.0,,928.54,5973.96,55
LOCAL,24160,PR PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS,3988.0,,415.95,3865.3,55
LOCAL,24164,PR PROSTHESIS REMOVAL RADIAL HEAD,3625.0,,395.31,3514.99,55
LOCAL,24200,PR RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,819.0,,71.62,696.15,55
LOCAL,24201,PR REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,2451.0,,250.88,2083.35,55
LOCAL,24300,PR MANIPULATION ELBOW UNDER ANESTHESIA,1992.0,,338.3852,1693.2,55
LOCAL,24301,PR MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE,4730.0,,565.8644,4919.63,55
LOCAL,24341,PR REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC,6900.0,,500.52,5865.0,55
LOCAL,24360,PR ARTHROPLASTY ELBOW W/MEMBRANE,7972.0,,678.4908,7730.6,55
LOCAL,24361,PR ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT,7972.0,,756.4516,7730.6,55
LOCAL,24362,PR ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ,7972.0,,795.064,7730.6,55
LOCAL,24363,PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM,11954.0,,1080.8252,11594.18,55
LOCAL,24370,PR REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT,12262.0,,1145.9888,11035.8,55
LOCAL,24371,PR REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT,13833.0,,1313.7048,12449.7,55
LOCAL,24430,PR REPAIR NON/MALUNION HUMERUS W/O GRAFT,5924.0,,791.8624,5973.96,55
LOCAL,24435,PR REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT,6950.0,,811.2928,7028.29,55
LOCAL,24498,PR PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT,6301.0,,648.9864,5621.94,55
LOCAL,24500,PR CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION,1631.0,,189.38,1386.35,55
LOCAL,24505,PR CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ,2304.0,,323.62,2074.31,55
LOCAL,24515,PR OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE,5066.0,,662.5104,4976.3,55
LOCAL,24516,PR TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE,5800.0,,645.0488,6032.34,55
LOCAL,24530,PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ,1826.0,,206.47,1552.1,55
LOCAL,24535,PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ,2991.0,,387.34,2542.35,55
LOCAL,24545,PR OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN,5192.0,,688.72,5278.51,55
LOCAL,24546,PR OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN,7642.0,,779.0744,6495.7,55
LOCAL,24575,PR OPEN TX HUMERAL EPICONDYLAR FRACTURE,3859.0,,555.2844,3921.96,55
LOCAL,24579,PR OPEN TREATMENT HUMERAL CONDYLAR FRACTURE,4526.0,,630.292,4598.53,55
LOCAL,24600,PR TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,1353.0,,196.21,1150.05,55
LOCAL,24605,PR TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,1636.0,,246.5,1635.6,55
LOCAL,24650,PR CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,1068.0,,148.29,1037.16,55
LOCAL,24655,PR CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,1525.0,,242.86,1547.15,55
LOCAL,24665,PR OPEN TX RADIAL HEAD/NECK FRACTURE,3879.0,,499.2196,3810.35,55
LOCAL,24666,PR OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT,4785.0,,553.3248,4864.68,55
LOCAL,24670,PR CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ,1336.0,,147.31,1135.6,55
LOCAL,24675,PR CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ,1708.0,,271.88,1734.32,55
LOCAL,24685,PR OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX,4271.0,,495.282,4073.07,55
LOCAL,24900,PR AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE,4032.0,,576.4352,3770.87,55
LOCAL,24920,PR AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR,2968.0,,544.04,3017.03,55
LOCAL,24925,PR AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ,2152.0,,432.5748,1978.39,55
LOCAL,24930,PR AMPUTATION ARM THRU HUMERUS RE-AMPUTATION,3710.0,,582.8292,3770.87,55
LOCAL,24931,PR AMPUTATION ARM THRU HUMERUS W/IMPLANT,4228.0,,698.6572,4299.74,55
LOCAL,2499901,"PR UNLISTED PROCEDURE UPPER ARM/ELBOW SURGERY PLCMT OF INTERCALARY SPACER IN HUMERUS, STRYKER SYSTEM",5934.0,,1931.79,5043.9,28
LOCAL,2499902,PR UNLISTED PROCEDURE HUMERUS OR ELBOW (BONE GRAFT USING ALLOGRAFT),1879.0,,1127.4,1931.79,28
LOCAL,2499903,PR RECONSTRUCTION WITH CEMENTATION OF HUMERUS OR ELBOW,1503.0,,901.8,1931.79,28
LOCAL,2499904,PR UNLISTED PROCEDURE HUMERUS OR ELBOW   CORE DECOMPRESSION HUMERUS,3044.0,,1826.4,2587.4,28
LOCAL,25000,PR INCISION EXTENSOR TENDON SHEATH WRIST,2147.0,,242.9,2045.13,55
LOCAL,25020,PR DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT,4202.0,,343.48,3571.7,55
LOCAL,25023,PR DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT,8570.0,,590.76,7284.5,55
LOCAL,25024,PR DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DB,5045.0,,585.534,4288.25,55
LOCAL,25025,PR DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT,5656.0,,918.2704,4807.6,55
LOCAL,25028,PR I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA,2524.0,,233.88,2145.4,55
LOCAL,25031,PR INCISION & DRAINAGE FOREARM&/WRIST BURSA,1716.0,,145.57,1712.63,55
LOCAL,25065,PR BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL,963.0,,85.62,818.55,55
LOCAL,25066,PR BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP,1875.0,,178.66,1620.6,55
LOCAL,25071,PR EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>,3146.0,,320.1876,2831.4,55
LOCAL,25073,PR EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/>,3956.0,,406.0144,3560.4,55
LOCAL,25075,PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM,2260.0,,194.32,1921.0,55
LOCAL,25076,PR EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM,3237.0,,291.65,2751.45,55
LOCAL,25077,PR RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM,8575.0,,625.09,7288.75,55
LOCAL,25078,PR RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>,9436.0,,871.5436,8492.4,55
LOCAL,25100,PR ARTHROTOMY WRIST JOINT WITH BIOPSY,3433.0,,268.0512,2918.05,55
LOCAL,25101,PR ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB,4461.0,,310.6012,3791.85,55
LOCAL,25105,PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY,4870.0,,371.8364,4139.5,55
LOCAL,25109,PR EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA,3656.0,,408.2316,3583.94,55
LOCAL,25110,PR EXCISION LESION TENDON SHEATH FOREARM&/WRIST,2409.0,,222.7,2047.65,55
LOCAL,25111,PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY,2070.0,,224.4,2153.3,55
LOCAL,25112,PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,2746.0,,278.25,2334.1,55
LOCAL,25118,PR SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT,3106.0,,293.3788,3229.96,55
LOCAL,25119,PR SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA,4288.0,,382.6556,3644.8,55
LOCAL,25120,PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA,6003.0,,382.1588,5102.55,55
LOCAL,25125,PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT,5146.0,,452.4928,4374.1,55
LOCAL,25126,PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT,5328.0,,455.446,4528.8,55
LOCAL,25130,PR EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES,4288.0,,315.38,3644.8,55
LOCAL,25135,PR EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT,5146.0,,415.49,4374.1,55
LOCAL,25136,PR EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT,5146.0,,360.72,4374.1,55
LOCAL,25145,PR SEQUESTRECTOMY FOREARM &/WRIST,5146.0,,396.9156,4374.1,55
LOCAL,25150,PR PARTIAL EXCISION BONE ULNA,4439.0,,431.5904,3773.15,55
LOCAL,25151,PR PARTIAL EXCISION BONE RADIUS,4439.0,,441.41,3773.15,55
LOCAL,25170,PR RADICAL RESECTION TUMOR RADIUS OR ULNA,7659.0,,697.92,6510.15,55
LOCAL,25210,PR CARPECTOMY 1 BONE,3392.0,,362.31,2883.2,55
LOCAL,25215,PR CARPECTOMY ALL BONES PROXIMAL ROW,4829.0,,470.442,5022.66,55
LOCAL,25260,PR RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MU,4339.0,,406.97,3688.15,55
LOCAL,25263,PR RPR TDN/MUSC FLXR F/ARM&/WRIST SEC 1 EA TDN/MUS,6003.0,,455.03,5102.55,55
LOCAL,25265,PR RPR TDN/MUSC FLXR F/ARM&/WRISTSEC FR GRF EA,4958.0,,569.5536,4214.3,55
LOCAL,25270,PR RPR TDN/MUSC XTNSR F/ARM&/WRIST PRIM 1 EA TDN,3293.0,,304.99,2799.05,55
LOCAL,25272,PR RPR TDN/MUSC XTNSR F/ARM&/WRIST SEC 1 EA TDN/MU,3433.0,,337.42,2918.05,55
LOCAL,25274,PR RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN,4288.0,,504.6292,3644.8,55
LOCAL,25280,PR LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRIST 1 EA TDN,3954.0,,373.8,3360.9,55
LOCAL,25300,PR TENODESIS WRIST FLEXORS FINGERS,6003.0,,523.5628,5102.55,55
LOCAL,25301,PR TENODESIS WRIST EXTENSORS FINGERS,5146.0,,487.416,4374.1,55
LOCAL,25310,PR TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN,4560.0,,513.57,4665.49,55
LOCAL,25312,PR TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GR,5511.0,,542.9932,5022.66,55
LOCAL,25337,PR RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ,7291.0,,631.06,6197.35,55
LOCAL,25400,PR RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT,5574.0,,604.2284,4737.9,55
LOCAL,25405,PR RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT,7474.0,,778.826,6352.9,55
LOCAL,25425,PR REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA,6434.0,,723.2488,5468.9,55
LOCAL,25426,PR REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA,7291.0,,840.0612,6197.35,55
LOCAL,25441,PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS,7291.0,,705.2996,6197.35,55
LOCAL,25442,PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA,7291.0,,592.4,6197.35,55
LOCAL,25443,PR ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL,7291.0,,592.6732,6197.35,55
LOCAL,25444,PR ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE,8147.0,,624.634,6924.95,55
LOCAL,25445,PR ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM,6439.0,,544.962,6696.88,55
LOCAL,25446,PR ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/ENTIR CARPS,11146.0,,877.6892,9474.1,55
LOCAL,25449,PR REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT,5146.0,,720.48,4374.1,55
LOCAL,25490,PR PROPH TX W/WO METHYLMETHACRYLATE RADIUS,4720.0,,543.2416,4012.0,55
LOCAL,25491,PR PROPH TX W/WO METHYLMETHACRYLATE ULNA,4886.0,,558.486,4153.1,55
LOCAL,25492,PR PROPH TX W/WO METHYLMETHACRYLATE RADIUS&ULNA,5574.0,,681.9408,4737.9,55
LOCAL,25500,PR CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,1507.0,,157.5,1280.95,55
LOCAL,25505,PR CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,2096.0,,286.74,1781.6,55
LOCAL,25515,PR OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ,5074.0,,508.3184,4312.9,55
LOCAL,25530,PR CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION,1098.0,,153.1,1052.61,55
LOCAL,25535,PR CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,1646.0,,286.03,1590.86,55
LOCAL,25545,PR OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ,4456.0,,475.1156,3787.6,55
LOCAL,25560,PR CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MNPJ,1421.0,,154.43,1315.34,55
LOCAL,25565,PR CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ,2605.0,,341.63,2496.73,55
LOCAL,25574,PR OPTX RADIAL&ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA,5244.0,,512.7436,4862.96,55
LOCAL,25575,PR OPTX RADIAL&ULNAR SHFT FX W/INT FIXJ RADIUS&ULNA,5296.0,,682.18,5321.44,55
LOCAL,25600,PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ,1160.0,,184.52,1135.04,55
LOCAL,25605,PR CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ,3418.0,,320.62,2905.3,55
LOCAL,25607,PR OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION,5843.0,,562.4236,4966.55,55
LOCAL,25608,PR OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG,5958.0,,626.3636,5714.43,55
LOCAL,25609,PR OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3+ FRAG,7233.0,,793.8312,7430.34,55
LOCAL,25622,PR CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ,1269.0,,162.37,1215.74,55
LOCAL,25624,PR CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ,1646.0,,272.69,1578.05,55
LOCAL,25628,PR OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ,3564.0,,521.28,3417.12,55
LOCAL,25652,PR OPEN TREATMENT ULNAR STYLOID FRACTURE,3016.0,,474.3796,2891.67,55
LOCAL,25800,PR ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT,5946.0,,552.5796,5054.1,55
LOCAL,25805,PR ARTHRODESIS WRIST W/SLIDING GRAFT,5136.0,,638.4064,4928.21,55
LOCAL,25810,PR ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT,14249.0,,654.8836,12111.65,55
LOCAL,25830,PR ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE,5672.0,,627.85,5257.91,55
LOCAL,25900,PR AMPUTATION FOREARM THROUGH RADIUS & ULNA,4957.0,,543.3,4213.45,55
LOCAL,25905,PR AMP FOREARM THRU RADIUS & ULNA OPEN CIRCULAR,3564.0,,529.9568,3417.12,55
LOCAL,25907,PR AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE,2792.0,,452.18,2791.28,55
LOCAL,25909,PR AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION,4109.0,,482.75,3942.58,55
LOCAL,25920,PR DISARTICULATION THROUGH WRIST,4109.0,,526.27,3942.58,55
LOCAL,25922,PR DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ,2193.0,,436.01,2182.69,55
LOCAL,25924,PR DISARTICULATION THRU WRIST RE-AMPUTATION,4109.0,,536.1024,3942.58,55
LOCAL,2599901,"PR UNLISTED PROCEDURE UPPER ARM/ELBOW SURGERY, DEBULKING OF PARATHYROID AUTOGRAFT",2809.0,,1685.4,2387.65,28
LOCAL,2599902,PR UNLISTED PROCEDURE FOREARM OR WRIST (RECONSTRUCTION USING ALLOGRAFT),1879.0,,1127.4,1931.79,28
LOCAL,26000001,HC IV INF HYDRA INIT 1 HR,759.0,,50.75,652.74,85
LOCAL,26000002,HC IV HYDRA EA ADD HR,119.0,,19.5,102.34,85
LOCAL,26000003,HC IV INF THER INIT 1 HR,792.0,,98.72,681.12,85
LOCAL,26000004,HC IV THER EA ADD HR,119.0,,32.03,102.34,85
LOCAL,26000005,HC IV THER ADD SEQ INF 1HR,417.0,,44.52,358.62,85
LOCAL,26000006,HC IV THER CONCURR INF,704.0,,30.99,605.44,84
LOCAL,26000007,HC IV INF THERAPY INIT PUMP,801.0,,224.28,688.86,84
LOCAL,26000009,HC SUBCU INF EACH ADDITIONAL HOUR,234.0,,25.27,201.24,85
LOCAL,26000011,HC THER INJ SUBCU/IM,262.0,,22.67,225.32,85
LOCAL,26000012,HC THER INJ INTRA-ARTER,262.0,,29.43,249.9065,85
LOCAL,26000013,HC THER INJ IVP INIT DRUG,373.0,,57.72,320.78,85
LOCAL,26000014,HC THER INJ EA ADD SQ IVP,345.0,,24.19,296.7,85
LOCAL,26000015,HC THER IVP SAME DRUG EA,332.0,,34.2,285.52,84
LOCAL,26000016,HC APPLICATON ON-BODY INJECTOR (NEULASTA),304.0,,28.91,261.44,85
LOCAL,26010,PR DRAINAGE FINGER ABSCESS SIMPLE,1454.0,,62.24,1235.9,55
LOCAL,26011,PR DRAINAGE FINGER ABSCESS COMPLICATED,1771.0,,122.9,1505.35,55
LOCAL,26020,PR DRAINAGE TENDON SHEATH DIGIT&/PALM EACH,4502.0,,281.0,3826.7,55
LOCAL,26035,PR DECOMPRESSION FINGERS&/HAND INJECTION INJURY,5958.0,,478.01,5324.88,55
LOCAL,26037,PR DECOMPRESSIVE FASCIOTOMY HAND,4611.0,,426.4292,3919.35,55
LOCAL,26055,PR TENDON SHEATH INCISION,3005.0,,206.29,2554.25,55
LOCAL,26111,PR EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>,3190.0,,316.0108,2871.0,55
LOCAL,26113,PR EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/>,3642.0,,415.8492,3277.8,55
LOCAL,26115,PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM,2950.0,,190.84,2507.5,55
LOCAL,26116,PR EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM,3728.0,,305.36,3168.8,55
LOCAL,26117,PR RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM,12407.0,,449.06,10545.95,55
LOCAL,26118,PR RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>,8215.0,,791.3748,7393.5,55
LOCAL,26121,PR FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT,4754.0,,455.446,4943.67,55
LOCAL,26160,PR EXC LESION TDN SHTH/JT CAPSL HAND/FNGR,2639.0,,182.5,2243.15,55
LOCAL,26180,PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH,2130.0,,308.54,1900.88,55
LOCAL,26200,PR EXCISION/CURETTAGE CYST/TUMOR METACARPAL,2556.0,,333.37,2282.09,55
LOCAL,26205,PR EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT,3526.0,,458.8868,3042.78,55
LOCAL,26210,PR EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER,3395.0,,301.11,2885.75,55
LOCAL,26215,PR EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT,3406.0,,423.12,3042.78,55
LOCAL,26230,PR PARTIAL EXCISION BONE METACARPAL,3586.0,,349.07,3048.1,55
LOCAL,26235,PR PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER,3198.0,,343.05,2718.3,55
LOCAL,26236,PR PARTIAL EXCISION DISTAL PHALANX FINGER,3734.0,,305.71,3173.9,55
LOCAL,26250,PR RADICAL RESECTION TUMOR METACARPAL,11960.0,,456.14,10166.0,55
LOCAL,26260,PR RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER,4258.0,,428.05,3803.48,55
LOCAL,26340,PR MANIPULATION FINGER JOINT UNDER ANES EACH JOINT,1747.0,,276.1656,1484.95,55
LOCAL,26356,PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,5299.0,,516.83,4713.57,55
LOCAL,26357,PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,9246.0,,509.73,7859.1,55
LOCAL,26358,PR RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON,10336.0,,555.36,8785.6,55
LOCAL,26410,PR REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,3377.0,,261.02,2870.45,55
LOCAL,26412,PR REPAIR EXTENSOR TENDON HAND W/GRAFT EACH,4571.0,,415.81,3885.35,55
LOCAL,26418,PR REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,3407.0,,262.58,2895.95,55
LOCAL,26420,PR REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH,5069.0,,418.45,4308.65,55
LOCAL,26433,PR REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF,5333.0,,286.03,4533.05,55
LOCAL,26434,PR REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT,4897.0,,370.37,4162.45,55
LOCAL,26440,PR TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON,2900.0,,284.74,2553.08,55
LOCAL,26442,PR TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO,5248.0,,370.15,4460.8,55
LOCAL,26445,PR TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH,2498.0,,251.76,2399.21,55
LOCAL,26485,PR TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH,4656.0,,476.65,4529.84,55
LOCAL,26489,PR TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH,8593.0,,408.12,7304.05,55
LOCAL,26497,PR TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR,7616.0,,592.25,6473.6,55
LOCAL,26498,PR TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS,9246.0,,868.83,7859.1,55
LOCAL,26508,PR RELEASE THENAR MUSCLE,4354.0,,337.61,3700.9,55
LOCAL,26591,PR REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE,3577.0,,184.03,3681.56,55
LOCAL,26600,PR CLTX METACARPAL FX W/O MANIPULATION EACH BONE,1472.0,,115.3,1251.2,55
LOCAL,26605,PR CLTX METACARPAL FX W/MANIPULATION EACH BONE,1354.0,,171.03,1239.77,55
LOCAL,26608,PR PRQ SKELETAL FIXJ METACARPAL FX EACH BONE,3422.0,,293.15,2908.7,55
LOCAL,26615,PR OPEN TX METACARPAL FRACTURE SINGLE EA BONE,3169.0,,343.9,2693.65,55
LOCAL,26665,PR OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB,5157.0,,470.72,4383.45,55
LOCAL,26720,PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA,1713.0,,89.63,1456.05,55
LOCAL,26725,PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,5866.0,,155.74,4986.1,55
LOCAL,26727,PR PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T,3358.0,,246.42,2854.3,55
LOCAL,26735,PR OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA,2877.0,,318.68,2630.67,55
LOCAL,26770,PR CLTX IPHAL JT DISLC W/MANJ W/O ANES,912.0,,115.57,799.8,55
LOCAL,26775,PR CLTX IPHAL JT DISLC W/MANJ REQ ANES,1150.0,,151.31,1140.41,55
LOCAL,26843,PR ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH,4092.0,,470.83,3757.12,55
LOCAL,26844,PR ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT,4912.0,,538.27,4509.23,55
LOCAL,26850,PR ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ,10752.0,,382.47,9139.2,55
LOCAL,26852,PR ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT,4295.0,,470.82,3908.23,55
LOCAL,26860,PR ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ,2739.0,,302.0,2328.15,55
LOCAL,26861,PR ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT,1359.0,,75.0076,1409.79,55
LOCAL,26862,PR ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT,15195.0,,414.77,12915.75,55
LOCAL,26863,PR ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT,1883.0,,166.98,1729.16,55
LOCAL,26910,PR AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER,3886.0,,425.04,3382.78,55
LOCAL,26951,PR AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,3583.0,,245.79,3045.55,55
LOCAL,26952,PR AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,5914.0,,340.33,5026.9,55
LOCAL,2698901,PR UNLISTED PROCEDURE HANDS OR FINGERS (BONE GRAFT WITH ALLOGRAFT),1879.0,,1127.4,1729.16,28
LOCAL,2698902,"PR UNLISTED PROCEDURE HANDS OR FINGERS, OPEN SOFT TISSUE BIOPSY OF HAND",1257.0,,754.2,1729.16,28
LOCAL,26990,PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA,4024.0,,338.27,3420.4,55
LOCAL,26991,PR I&D PELVIS/HIP JOINT AREA INFECTED BURSA,2791.0,,264.68,2372.35,55
LOCAL,27000017,HC LANCET DEVICE PENLET PLUS,69.0,,19.32,59.34,83
LOCAL,27000103,HC INTUBATION TRAY-NO OR NO ANES,300.0,,84.0,258.0,83
LOCAL,27000123,HC EMERGENCY CARE - MOBILE UNIT,1005.0,,281.4,864.3,83
LOCAL,27000247,HC EMST 150,88.0,,24.64,75.68,83
LOCAL,27000248,"HC ABC HAND CONTROL 6"" MALLEABLE",163.0,,45.64,140.18,83
LOCAL,27000249,HC ABC HAND CONTROL PENCIL,136.0,,38.08,116.96,83
LOCAL,27000252,HC BIT LGD ACORN 9X6 A4649,241.0,,67.48,207.26,83
LOCAL,27000253,HC BIT LGD BALL DMD 14X3-6 A4649,370.0,,103.6,318.2,83
LOCAL,27000254,HC BIT LGD BALL DMD 7X15-6 A4649,247.0,,69.16,212.42,83
LOCAL,27000255,HC BIT LGD BALL DMD EC14X4-6A4649,380.0,,106.4,326.8,83
LOCAL,27000256,HC BIT LGD BALL DMD LG 7X1-3A4649,250.0,,70.0,215.0,83
LOCAL,27000257,HC BIT LGD BALL FINE 7X5 A4649,238.0,,66.64,204.68,83
LOCAL,27000258,HC BIT LGD BALL FLUTED 9X5-6A4649,252.0,,70.56,216.72,83
LOCAL,27000259,HC BIT LGD BALL FLUTED14X46A4649,363.0,,101.64,312.18,83
LOCAL,27000260,HC BIT LGD BALL FULTED 14X3A4649,356.0,,99.68,306.16,83
LOCAL,27000261,HC BIT LGD BALL LONG 7X1-3 A4649,233.0,,65.24,200.38,83
LOCAL,27000262,HC BIT LGD MATCH 9X3 A4649,247.0,,69.16,212.42,83
LOCAL,27000263,HC BIT LGD TAPERED 8X22.3 A4649,509.0,,142.52,437.74,83
LOCAL,27000265,HC BRUSH BIPOLAR 18G W/CORD,39.0,,10.92,33.54,83
LOCAL,27000266,HC CASS MICROTIP ABS 30/.9MM,214.0,,59.92,184.04,83
LOCAL,27000267,HC CLIP ENDO 5MM,574.0,,160.72,493.64,83
LOCAL,27000268,HC COLLAR PHILA CERVICAL ALL SIZE,81.0,,22.68,69.66,83
LOCAL,27000271,HC CORD DISP ACTIVE A4649,65.0,,18.2,55.9,83
LOCAL,27000272,HC CRV SINUS BUR RAD/CRV A4649,347.0,,97.16,298.42,83
LOCAL,27000278,HC CYLINDER/PUMP PENOSCROTAL PC CX IZ12CM-21C,11355.0,,3179.4,9765.3,83
LOCAL,27000279,HC CYLIND PENILE CX IZ 15CM-21CM,9158.0,,2564.24,7875.88,83
LOCAL,27000281,HC DEVICE OMNIPORT HAND ASSIT SUR,770.0,,215.6,662.2,83
LOCAL,27000282,HC DIAZ GREEN SKIN HOOKS,109.0,,30.52,93.74,83
LOCAL,27000283,HC DILATOR/CANNULA 12MM VERSASTEP,245.0,,68.6,210.7,83
LOCAL,27000284,HC DILATOR/CANNULA 5MM VERSASTEP,217.0,,60.76,186.62,83
LOCAL,27000285,HC DOPP COOK EXT CABLE,228.0,,63.84,196.08,83
LOCAL,27000288,HC ELEC DISP LIGASURE AXS,402.0,,112.56,345.72,83
LOCAL,27000289,HC ELEC FLUTED VAPORTRODE,296.0,,82.88,254.56,83
LOCAL,27000290,HC ELECT LIGASURE VESSEL SEAL,338.0,,94.64,290.68,83
LOCAL,27000291,HC ELECTRODE CONNECTOR MINI,867.0,,242.76,745.62,83
LOCAL,27000292,HC ELECTRODE STRAIGHT BLADE 27 CM,69.0,,19.32,59.34,83
LOCAL,27000293,HC ELECTRODES SUBDERMAL PAIRED,401.0,,112.28,344.86,83
LOCAL,27000299,HC ENDO SCRUB 2 TUBING SET A4649,75.0,,21.0,64.5,83
LOCAL,27000300,HC ENDO SCRUB 2.7-4MM0-70DEGA4649,104.0,,29.12,89.44,83
LOCAL,27000301,HC ENDO UNVRSAL ROTCUL30-2.5A4649,800.0,,224.0,688.0,83
LOCAL,27000302,HC ENDOPATH RIGHT  ANGLE 5MM,83.0,,23.24,71.38,83
LOCAL,27000304,HC FABRIC HEMA KNITTED DBLE VELOU,181.0,,50.68,155.66,83
LOCAL,27000308,HC GUARD CUSA CONTAMINATION,175.0,,49.0,150.5,83
LOCAL,27000309,HC HALTER PRO HEAD,62.0,,17.36,53.32,83
LOCAL,27000311,HC IMMOB CUTAWAY SHLDER ZIM,58.0,,16.24,49.88,83
LOCAL,27000312,HC INLET CLOSURE KIT,260.0,,72.8,223.6,83
LOCAL,27000313,HC KIT ACCESS 700 AMS,1103.0,,308.84,948.58,83
LOCAL,27000314,HC KIT ACCESS 800AMS,1920.0,,537.6,1651.2,83
LOCAL,27000316,HC KIT MEASURING THYROPLASTY,214.0,,59.92,184.04,83
LOCAL,27000317,HC LACRIM INTUB SET W/SUTURE,158.0,,44.24,135.88,83
LOCAL,27000318,HC LACRIMAL INTUBATION SET,151.0,,42.28,129.86,83
LOCAL,27000319,HC LIGASURE 5MM SEAL/DIV14.6A4649,821.0,,229.88,706.06,83
LOCAL,27000320,HC LIGASURE PRECIS SEAL7.9INA4649,531.0,,148.68,456.66,83
LOCAL,27000321,HC MEROCEL NASAL DRESSING 8CM,38.0,,10.64,32.68,83
LOCAL,27000322,HC MICROTIP CUSA CURVED-EXTENDED,1227.0,,343.56,1055.22,83
LOCAL,27000323,HC M-R 2.3MM TAPERED BALL,159.0,,44.52,136.74,83
LOCAL,27000324,HC M-R 6.0MM RND FLUTED BALL,187.0,,52.36,160.82,83
LOCAL,27000325,HC M-R6.0MM RND FLUTED BALL,191.0,,53.48,164.26,83
LOCAL,27000326,HC NEEDLE DISP BX NASHOLD,482.0,,134.96,414.52,83
LOCAL,27000327,HC NEEDLE ELECT LEVEEN 3.5*15,3670.0,,1027.6,3156.2,83
LOCAL,27000328,HC NEEDLE ELECT LEVEEN 4.0*15,2588.0,,724.64,2225.68,83
LOCAL,27000329,HC NEEDLE INSUFFLATION/ACCESS 14G,88.0,,24.64,75.68,83
LOCAL,27000330,HC NEEDLE INSUFFLATION/ACCESS 14G,88.0,,24.64,75.68,83
LOCAL,27000331,HC NEUROVIEW BIPOLAR ELECTRODE,457.0,,127.96,393.02,83
LOCAL,27000333,HC OBTURATOR NON-BLADED 5MM,495.0,,138.6,425.7,83
LOCAL,27000334,HC OMNI TIP SWITCHABLE A4649,315.0,,88.2,270.9,83
LOCAL,27000336,HC OST KIT DRESSING PU LG,138.0,,38.64,118.68,83
LOCAL,27000337,HC OST KIT DRESSING PU MED,126.0,,35.28,108.36,83
LOCAL,27000339,HC PAC VASC DUAL LOPRO 6.8FRC1788,900.0,,252.0,774.0,83
LOCAL,27000340,HC PAC VASC DUAL LOPRP 6.8FRC1788,900.0,,252.0,774.0,83
LOCAL,27000341,HC PAC VASCSINGLETRIVTX9.5FRC1788,750.0,,210.0,645.0,83
LOCAL,27000342,HC PGK SNAP CONE RTE FGS,875.0,,245.0,752.5,83
LOCAL,27000343,HC PKG RT EXTEND ULTREX,187.0,,52.36,160.82,83
LOCAL,27000346,HC PRECISIONTIP CUSA CURVED-EXTEN,1339.0,,374.92,1151.54,83
LOCAL,27000347,HC PUMP INFLATE/DEFLATE IZ,6270.0,,1755.6,5392.2,83
LOCAL,27000349,HC REH/KNEE IMMOB LG,97.0,,27.16,83.42,83
LOCAL,27000350,HC REH/KNEE IMMOB MED,92.0,,25.76,79.12,83
LOCAL,27000351,HC REH/KNEE IMMOB SMALL,83.0,,23.24,71.38,83
LOCAL,27000352,HC RESERVOIR 65ML,1403.0,,392.84,1206.58,83
LOCAL,27000353,HC AMS PENILE PROSTH RESERVOIR 65ML/100ML INHIBIZONE,1905.0,,533.4,1638.3,83
LOCAL,27000355,HC SEALANT FLOSEAL MATRIX,491.0,,137.48,422.26,83
LOCAL,27000356,HC SET PRESS BAG IRRIGATION TUBE,44.0,,12.32,37.84,83
LOCAL,27000357,HC SET VENTRICULAR DRAINAGE,370.0,,103.6,318.2,83
LOCAL,27000359,HC SPLINT NASAL SEPTAL,80.0,,22.4,68.8,83
LOCAL,27000360,HC STANDARDTIP CUSA CURVED-EXTEND,1125.0,,315.0,967.5,83
LOCAL,27000361,HC STANDARDTIP CUSA STRAIGHT-EXTE,1125.0,,315.0,967.5,83
LOCAL,27000362,HC STR SINUS BLDE TRICUT A4649,263.0,,73.64,226.18,83
LOCAL,27000363,HC STRIP ELECT PLAT SUB WYLER A46,898.0,,251.44,772.28,83
LOCAL,27000364,HC SURG RETRACT RING PLAS A4649,121.0,,33.88,104.06,83
LOCAL,27000365,HC SYSTEM VESSEL HARVEST,1191.0,,333.48,1024.26,83
LOCAL,27000366,HC TRAY VEIN HARVEST FLEX,836.0,,234.08,718.96,83
LOCAL,27000367,HC TRAY VESSEL HARVEST,562.0,,157.36,483.32,83
LOCAL,27000368,HC TROCAR BLADELESS 10/12MM,564.0,,157.92,485.04,83
LOCAL,27000369,HC TUBE PE T SILICONE,56.0,,15.68,48.16,83
LOCAL,27000370,HC TUBE SALEM SUMP 18FR SIL,52.0,,14.56,44.72,83
LOCAL,27000371,HC TUBING SYS SMOKE EVAC,65.0,,18.2,55.9,83
LOCAL,27000375,HC BELT STERNOTOMY ZIPPERBELT,225.0,,63.0,193.5,83
LOCAL,27000376,HC BELT THORACOTOMY,225.0,,63.0,193.5,83
LOCAL,27000397,HC OIL SILIKON 1000,858.0,,240.24,737.88,83
LOCAL,27000399,HC PREVENA PLUS INCISION MANAGEMENT SYSTEM KIT,1326.0,,371.28,1140.36,83
LOCAL,27000400,HC ACCESS ADHESIVE-MEDICAL BONDING PACING DEVICE,72.0,,20.16,61.92,83
LOCAL,27000401,HC SUPPLIES FOR EXT DRUG INFUSION PUMP/CASS,65.0,,18.2,55.9,83
LOCAL,27000403,HC RELIZORB DIGESTIVE ENZYME CARTRIDGE - INHOUSE USE,275.0,,77.0,236.5,83
LOCAL,27000405,HC SYSTEM QORAMATIC AUTOMATED STOOL MANAGEMENT,394.0,,110.32,338.84,83
LOCAL,27025,PR FASCIOTOMY HIP/THIGH ANY TYPE,5366.0,,563.09,4561.1,55
LOCAL,27030,PR ARTHROTOMY HIP W/DRAINAGE,6003.0,,701.362,5192.65,55
LOCAL,27033,PR ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY,9113.0,,729.1552,7746.05,55
LOCAL,27036,PR CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC,7267.0,,764.0784,7557.17,55
LOCAL,27040,PR BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL,1368.0,,111.26,1162.8,55
LOCAL,27041,PR BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM,3404.0,,392.04,2893.4,55
LOCAL,27043,PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>,3662.0,,352.6544,3295.8,55
LOCAL,27045,PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>,6485.0,,549.6356,5836.5,55
LOCAL,27047,PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM,2057.0,,271.9888,1842.94,55
LOCAL,27048,PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM,4905.0,,354.7,4169.25,55
LOCAL,27049,PR RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5 CM,14408.0,,799.91,12246.8,55
LOCAL,27050,PR ARTHROTOMY W/BIOPSY SACROILIAC JOINT,2791.0,,310.3528,2372.35,55
LOCAL,27052,PR ARTHROTOMY W/BIOPSY HIP JOINT,6510.0,,439.9532,5533.5,55
LOCAL,27059,PR RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>,17092.0,,1349.6124,15382.8,55
LOCAL,27060,PR EXCISION ISCHIAL BURSA,2791.0,,312.0,2372.35,55
LOCAL,27062,PR EXCISION TROCHANTERIC BURSA/CALCIFICATION,3095.0,,320.55,2630.75,55
LOCAL,27065,PR EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL,3722.0,,387.56,3163.7,55
LOCAL,27066,PR EXCISION BONE CYST/BENIGN TUMOR DEEP,6185.0,,607.12,5257.25,55
LOCAL,27067,PR EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC,7345.0,,776.8664,6243.25,55
LOCAL,27070,PR PARTIAL EXCISION SUPERFICIAL PELVIS,3413.0,,599.14,3079.5,55
LOCAL,27071,PR PARTIAL EXCISION DEEP PELVIS,6652.0,,665.59,5654.2,55
LOCAL,27075,PR RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL,12476.0,,1030.77,10604.6,55
LOCAL,27076,PR RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC,15155.0,,1275.19,12881.75,55
LOCAL,27077,PR RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL,18590.0,,1414.52,15801.5,55
LOCAL,27078,PR RAD RESCT TUMOR ISCHIAL TUBEROSITY&GRT TRCHNTR,5581.0,,755.12,4743.85,55
LOCAL,27080,PR COCCYGECTOMY PRIMARY,3703.0,,375.13,3147.55,55
LOCAL,27086,PR RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,677.0,,75.9,620.38,55
LOCAL,27087,PR REMOVAL FOREIGN BODY PELVIS/HIP DEEP,4101.0,,389.53,3485.85,55
LOCAL,27090,PR REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE,5486.0,,622.1776,4663.1,55
LOCAL,27091,PR RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA,13106.0,,1186.0732,11496.3,55
LOCAL,27093,PR INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA,1097.0,,49.9192,1051.55,55
LOCAL,27095,PR INJECTION HIP ARTHROGRAPHY W/ANESTHESIA,981.0,,60.0024,940.91,55
LOCAL,27096,PR INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,1287.0,,61.4836,1287.14,55
LOCAL,27098,PR TRANSFER ADDUCTOR ISCHIUM,7438.0,,526.0284,6322.3,55
LOCAL,27100,PR TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF,9296.0,,625.6184,7901.6,55
LOCAL,27100002,HC SYSTEM CATH MNGT BOWEL,464.0,,129.92,399.04,83
LOCAL,27100003,HC CLAMP INCONT CUNNINGHM LG,77.0,,21.56,66.22,83
LOCAL,27100017,HC LIDCORAPID SMARTCARD STANDARD-ASPECT MED,338.0,,94.64,290.68,83
LOCAL,27100019,HC POWDER CLOTTING SEAL,47.0,,13.16,40.42,83
LOCAL,27100020,HC 500ML INFOVAC CAN W/GEL,107.0,,29.96,92.02,83
LOCAL,27100021,HC SENSATRAC PAD ASSY,64.0,,17.92,55.04,83
LOCAL,27100022,HC BOOT PREVALON W/STABILIZR,138.0,,38.64,118.68,83
LOCAL,27100023,HC PROTEC HEEL PREVALON PTIT,138.0,,38.64,118.68,83
LOCAL,27100025,HC PROTECTR HEEL XL PRVALNWW,338.0,,94.64,290.68,83
LOCAL,27100026,HC HEEL ELEVATOR UNIV SIZE,66.0,,18.48,56.76,83
LOCAL,27100027,HC PT LIFT SLING FULLBODY SM,115.0,,32.2,98.9,83
LOCAL,27100028,HC PT LIFT SLING FULLBODY MD,118.0,,33.04,101.48,83
LOCAL,27100029,HC PT LIFT SLING FULLBODY LG,123.0,,34.44,105.78,83
LOCAL,27100030,HC PT LIFT SLING FULLBODY XL,128.0,,35.84,110.08,83
LOCAL,27100031,HC PT LIFT SLNG FULLBODY XXL,138.0,,38.64,118.68,83
LOCAL,27100032,HC PT LIFT SLNG FULBODY XXXL,297.0,,83.16,255.42,83
LOCAL,27100033,HC PT LIFT SLING SIT/STND SME,82.0,,22.96,70.52,83
LOCAL,27100034,HC PT LIFT SLING SIT/STND MD,98.0,,27.44,84.28,83
LOCAL,27100035,HC PT LIFT SLING SIT/STND LG,102.0,,28.56,87.72,83
LOCAL,27100036,HC PT LIFT SLING SIT/STND XL,106.0,,29.68,91.16,83
LOCAL,27100037,HC CUSHION ADULT 19X19X2IN,57.0,,15.96,49.02,83
LOCAL,27100038,HC CUSHION BARIATRC 28X22X2,120.0,,33.6,103.2,83
LOCAL,27100039,HC SERVOX INTN SILORL CNECTR,57.0,,15.96,49.02,83
LOCAL,27100040,HC BRAIN WAVE SENSOR MONITOR: SEDLINE,49.0,,13.72,42.14,83
LOCAL,27100046,HC EARMOLD EMBEDDED HP,279.0,,78.12,239.94,83
LOCAL,27100047,HC HA DIGTL CIC MONAURL LVL1,3000.0,,840.0,2580.0,83
LOCAL,27100048,HC HA DIGTL CIC MONAURL LVL2,2700.0,,756.0,2322.0,83
LOCAL,27100049,HC HA DIGTL CIC MONAURL LVL3,2300.0,,644.0,1978.0,83
LOCAL,27100050,HC HA DIGTL CIC MONAURL LVL4,1800.0,,504.0,1548.0,83
LOCAL,27100051,HC HA DIGTL ITC MONAURL LVL1,2750.0,,770.0,2365.0,83
LOCAL,27100052,HC HA DIGTL ITC MONAURL LVL2,2350.0,,658.0,2021.0,83
LOCAL,27100053,HC HA DIGTL ITC MONAURL LVL3,2100.0,,588.0,1806.0,83
LOCAL,27100054,HC HA DIGTL ITC MONAURL LVL4,1450.0,,406.0,1247.0,83
LOCAL,27100055,HC HA DIGTL ITE MONAURL LVL1,2450.0,,686.0,2107.0,83
LOCAL,27100056,HC HA DIGTL ITE MONAURL LVL2,2100.0,,588.0,1806.0,83
LOCAL,27100057,HC HA DIGTL ITE MONAURL LVL3,1800.0,,504.0,1548.0,83
LOCAL,27100058,HC HA DIGTL ITE MONAURL LVL4,1200.0,,336.0,1032.0,83
LOCAL,27100059,HC HA DIGTL BTE MONAURL LVL1,2450.0,,686.0,2107.0,83
LOCAL,27100060,HC HA DIGTL BTE MONAURL LVL2,2100.0,,588.0,1806.0,83
LOCAL,27100061,HC HA DIGTL BTE MONAURL LVL3,1800.0,,504.0,1548.0,83
LOCAL,27100062,HC HA DIGTL BTE MONAURL LVL4,1200.0,,336.0,1032.0,83
LOCAL,27100063,HC HA DIGTL CIC BINAURL LVL1,6000.0,,1680.0,5160.0,83
LOCAL,27100064,HC HA DIGTL CIC BINAURL LVL2,5400.0,,1512.0,4644.0,83
LOCAL,27100065,HC HA DIGTL CIC BINAURL LVL3,4600.0,,1288.0,3956.0,83
LOCAL,27100066,HC HA DIGTL CIC BINAURL LVL4,3600.0,,1008.0,3096.0,83
LOCAL,27100067,HC HA DIGTL ITC BINAURL LVL1,5500.0,,1540.0,4730.0,83
LOCAL,27100068,HC HA DIGTL ITC BINAURL LVL2,4700.0,,1316.0,4042.0,83
LOCAL,27100069,HC HA DIGTL ITC BINAURL LVL3,4200.0,,1176.0,3612.0,83
LOCAL,27100070,HC HA DIGTL ITC BINAURL LVL4,2900.0,,812.0,2494.0,83
LOCAL,27100071,HC HA DIGTL ITE BINAURL LVL1,4900.0,,1372.0,4214.0,83
LOCAL,27100072,HC HA DIGTL ITE BINAURL LVL2,4200.0,,1176.0,3612.0,83
LOCAL,27100073,HC HA DIGTL ITE BINAURL LVL3,3600.0,,1008.0,3096.0,83
LOCAL,27100074,HC HA DIGTL ITE BINAURL LVL4,2400.0,,672.0,2064.0,83
LOCAL,27100075,HC HA DIGTL BTE BINAURL LVL1,4900.0,,1372.0,4214.0,83
LOCAL,27100076,HC HA DIGTL BTE BINAURL LVL2,4200.0,,1176.0,3612.0,83
LOCAL,27100077,HC HA DIGTL BTE BINAURL LVL3,3600.0,,1008.0,3096.0,83
LOCAL,27100078,HC HA DIGTL BTE BINAURL LVL4,1200.0,,336.0,1032.0,83
LOCAL,27100079,HC GLOVE COMPR SZ-1,140.0,,39.2,120.4,83
LOCAL,27100080,HC GLOVE COMPR SZ-2,142.0,,39.76,122.12,83
LOCAL,27100081,HC GLOVE COMPR SZ-3,169.0,,47.32,145.34,83
LOCAL,27100082,HC GLOVE COMPR SZ-4,169.0,,47.32,145.34,83
LOCAL,27100083,HC GLOVE COMPR SZ-5,142.0,,39.76,122.12,83
LOCAL,27100084,HC GLOVE COMPR SZ-6,142.0,,39.76,122.12,83
LOCAL,27100085,HC GLOVE COMPR SZ-7,148.0,,41.44,127.28,83
LOCAL,27100088,HC GLUCOSE STRIP (SURESTEP),104.0,,29.12,89.44,83
LOCAL,27100089,HC STRIP GLUCOSE UL,178.0,,49.84,153.08,83
LOCAL,27100090,HC STRIP TST GLUC FREESTYLE,138.0,,38.64,118.68,83
LOCAL,27100091,HC STRIP TST GLUC FRSTLLT/50,138.0,,38.64,118.68,83
LOCAL,27100094,HC CLAMP INCONT CUNNINGHAM,68.0,,19.04,58.48,83
LOCAL,27100105,HC DISCS TAPE ADH HVY DUTY,53.0,,14.84,45.58,83
LOCAL,27100106,HC TAPE ADH DIS STD,38.0,,10.64,32.68,83
LOCAL,27100134,HC SLING HARRIS HEMI ARM LEFT,47.0,,13.16,40.42,83
LOCAL,27100135,HC SLING HARRIS HEMI ARM RIGHT,47.0,,13.16,40.42,83
LOCAL,27100136,HC SLING HEMI,60.0,,16.8,51.6,83
LOCAL,27100137,HC SLING POUCH ORTHOPEDIC LARGE,40.0,,11.2,34.4,83
LOCAL,27100138,HC SLING POUCH ORTHOPEDIC MEDIUM,40.0,,11.2,34.4,83
LOCAL,27100139,HC SLING POUCH ORTHOPEDIC SMALL,40.0,,11.2,34.4,83
LOCAL,27100140,HC SPLINT WRIST ELAS RT RT LG LNG,65.0,,18.2,55.9,83
LOCAL,27100141,HC SPLINT FOREARM WRIST RIGHT SMALL LONG (ALIMED),65.0,,18.2,55.9,83
LOCAL,27100142,HC SPLINT FOREARM WRIST MML,65.0,,18.2,55.9,83
LOCAL,27100143,HC SPLINT FOREARM WRIST MMR,65.0,,18.2,55.9,83
LOCAL,27100144,HC SPLINT PLATFORM L/L,97.0,,27.16,83.42,83
LOCAL,27100145,HC SPLINT PLATFORM L/R,97.0,,27.16,83.42,83
LOCAL,27100146,HC SPLINT PLATFORM M/L,97.0,,27.16,83.42,83
LOCAL,27100147,HC SPLINT PLATFORM M/R,97.0,,27.16,83.42,83
LOCAL,27100148,HC SPLINT PLATFORM S/R,97.0,,27.16,83.42,83
LOCAL,27100149,HC SPLINT TRACTION MED (ZIMMER),131.0,,36.68,112.66,83
LOCAL,27100151,HC REPLACMNT MANO ADAPT KIT,142.0,,39.76,122.12,83
LOCAL,27100152,HC HEMASTIX-CHEMSTRIP OB DIP,91.0,,25.48,78.26,83
LOCAL,27100154,HC ADAPT LUBRICAT DEODOR 8OZ,38.0,,10.64,32.68,83
LOCAL,27100155,HC ADHESIVE FLEXIDERM OVAL,261.0,,73.08,224.46,83
LOCAL,27100156,HC ADHESIVE FLEXIDERM RND,146.0,,40.88,125.56,83
LOCAL,27100157,HC ADHESIVE OPTIDERM OVAL,372.0,,104.16,319.92,83
LOCAL,27100158,HC ADHESIVE OPTIDERM RND,292.0,,81.76,251.12,83
LOCAL,27100159,HC ADHESIVE OVAL REG,139.0,,38.92,119.54,83
LOCAL,27100160,HC ADHESIVE RND REG,139.0,,38.92,119.54,83
LOCAL,27100161,HC ADHESIVE X-BASE PROVOX,447.0,,125.16,384.42,83
LOCAL,27100162,HC COVER STOMA WHT,39.0,,10.92,33.54,83
LOCAL,27100163,HC KIT CATH RPR ADHES,138.0,,38.64,118.68,83
LOCAL,27100164,HC OST CEMENT SURG 4OZ,45.0,,12.6,38.7,83
LOCAL,27100168,HC PAPER NITRAZINE 1.4IN*180IN,86.0,,24.08,73.96,83
LOCAL,27100170,HC RESPIRATOR N95 REGULAR TECNOL,54.0,,15.12,46.44,83
LOCAL,27100173,HC PAD CONVOLUTED 36IN*74IN (ZIMF,38.0,,10.64,32.68,83
LOCAL,27100176,HC RESTRAINT LIMB HOLDER SM 10IN,36.0,,10.08,30.96,83
LOCAL,27100177,HC RESTRAINT ROLL BELT,59.0,,16.52,50.74,83
LOCAL,27100178,HC RESTRAINT SECURE MITT,64.0,,17.92,55.04,83
LOCAL,27100180,HC RESTRAINT SPLINT MED FREEDOM,40.0,,11.2,34.4,83
LOCAL,27100188,HC WRAP PEDI PLUS MED,86.0,,24.08,73.96,83
LOCAL,27100189,HC WRAP PEDI PLUS XLRG,77.0,,21.56,66.22,83
LOCAL,27100193,HC WOUND VENTILATION SYSTEM,66.0,,18.48,56.76,83
LOCAL,27100197,HC RPVD VAGINAL DILATOR1,124.0,,34.72,106.64,83
LOCAL,27100198,HC RPVD VAGINAL DILATOR2,132.0,,36.96,113.52,83
LOCAL,27100199,HC RPVD VAGINAL DILATOR3,138.0,,38.64,118.68,83
LOCAL,27100200,HC VAGINAL DILATOR 1 1/8X4 1/2IN,117.0,,32.76,100.62,83
LOCAL,27100201,HC VAGINAL DILATOR 1 X 4 IN,77.0,,21.56,66.22,83
LOCAL,27100202,HC VAGINAL DILATOR 3/4 X3IN,69.0,,19.32,59.34,83
LOCAL,27100203,HC VAGINAL DILATOR 7/8 X 3 1/2 IN,78.0,,21.84,67.08,83
LOCAL,27100206,HC MOISTURIZR ORLMOUTHKOT8OZ,53.0,,14.84,45.58,83
LOCAL,27100207,HC OINTMENT AQUAPHOR,38.0,,10.64,32.68,83
LOCAL,27100211,HC POWDER CLOTTING TOPCL SM,38.0,,10.64,32.68,83
LOCAL,27100212,HC STKNG THIGH SIL TOPOPNSZ1,138.0,,38.64,118.68,83
LOCAL,27100213,HC STKNG THIGH SIL TOPOPNSZ2,138.0,,38.64,118.68,83
LOCAL,27100214,HC STKNG THIGH SIL TOPOPNSZ3,138.0,,38.64,118.68,83
LOCAL,27100215,HC STKNG THIGH SIL TOPOPNSZ4,138.0,,38.64,118.68,83
LOCAL,27100216,HC STKNG THIGH SIL TOPOPNSZ5,138.0,,38.64,118.68,83
LOCAL,27100217,HC STKNG THIGH SIL TOPOPNSZ6,138.0,,38.64,118.68,83
LOCAL,27100218,HC STKNG THIGH SIL TOPOPNSZ7,138.0,,38.64,118.68,83
LOCAL,27100220,HC STOCKING THIGH HI LT SZ-7,107.0,,29.96,92.02,83
LOCAL,27100221,HC STOCKING THIGH HI RT SZ-1,107.0,,29.96,92.02,83
LOCAL,27100222,HC STOCKING THIGH HI RT SZ-7,107.0,,29.96,92.02,83
LOCAL,27100223,HC ARMSLEEV CMBO LONG SZ3CL1,108.0,,30.24,92.88,83
LOCAL,27100224,HC ARMSLEEV CMBO LONG SZ4CL1,120.0,,33.6,103.2,83
LOCAL,27100225,HC ARMSLEEV CMBO LONG SZ5CL1,102.0,,28.56,87.72,83
LOCAL,27100226,HC ARMSLEEV CMBO LONG SZ6CL1,102.0,,28.56,87.72,83
LOCAL,27100227,HC ARMSLEEV CMBO LONG SZ7CL1,108.0,,30.24,92.88,83
LOCAL,27100228,HC ARMSLEEV CMBO SHRT SZ2CL1,108.0,,30.24,92.88,83
LOCAL,27100229,HC ARMSLEEV CMBO SHRT SZ3CL1,108.0,,30.24,92.88,83
LOCAL,27100230,HC ARMSLEEV CMBO SHRT SZ5CL1,102.0,,28.56,87.72,83
LOCAL,27100231,HC ARMSLEEV CMBO SHRT SZ6CL1,106.0,,29.68,91.16,83
LOCAL,27100232,HC ARMSLEEV CMBO SHRT SZ7CL1,94.0,,26.32,80.84,83
LOCAL,27100233,HC ARMSLEEV SHORT SZ3 CLASS1,80.0,,22.4,68.8,83
LOCAL,27100234,HC ARMSLEEV SHORT SZ4 CLASS1,75.0,,21.0,64.5,83
LOCAL,27100235,HC ARMSLEEV SHORT SZ5 CLASS1,75.0,,21.0,64.5,83
LOCAL,27100236,HC ARMSLEEV SHORT SZ6 CLASS1,80.0,,22.4,68.8,83
LOCAL,27100237,HC ARMSLEEV SHORT SZ7 CLASS1,78.0,,21.84,67.08,83
LOCAL,27100238,HC ARMSLEEVE LNG COMBO SZ-2,102.0,,28.56,87.72,83
LOCAL,27100239,HC ARMSLEEVE LNG COMBO SZ-2,102.0,,28.56,87.72,83
LOCAL,27100240,HC ARMSLEEVE LNG SZ-7,75.0,,21.0,64.5,83
LOCAL,27100241,HC ARMSLEEVE LONG SZ 2 CL 1,75.0,,21.0,64.5,83
LOCAL,27100242,HC ARMSLEEVE LONG SZ 3 CL 1,75.0,,21.0,64.5,83
LOCAL,27100243,HC ARMSLEEVE LONG SZ 4 CL 1,80.0,,22.4,68.8,83
LOCAL,27100244,HC ARMSLEEVE LONG SZ 5 CL 1,75.0,,21.0,64.5,83
LOCAL,27100245,HC ARMSLEEVE LONG SZ 6 CL 1,79.0,,22.12,67.94,83
LOCAL,27100246,HC ARMSLEEVE SHRT SZ-2,80.0,,22.4,68.8,83
LOCAL,27100247,HC CMBO ARMSLEEV SHRT SZ4CL1,102.0,,28.56,87.72,83
LOCAL,27100249,HC STKNG TH HI W/ATT LSZ2CL3,112.0,,31.36,96.32,83
LOCAL,27100250,HC STKNG TH HI W/ATT LSZ3CL3,112.0,,31.36,96.32,83
LOCAL,27100251,HC STKNG TH HI W/ATT LSZ4CL3,112.0,,31.36,96.32,83
LOCAL,27100252,HC STKNG TH HI W/ATT LSZ5CL3,112.0,,31.36,96.32,83
LOCAL,27100253,HC STKNG TH HI W/ATT LSZ6CL3,112.0,,31.36,96.32,83
LOCAL,27100254,HC STKNG TH HI W/ATT RSZ2CL3,107.0,,29.96,92.02,83
LOCAL,27100255,HC STKNG TH HI W/ATT RSZ3CL3,107.0,,29.96,92.02,83
LOCAL,27100256,HC STKNG TH HI W/ATT RSZ4CL3,107.0,,29.96,92.02,83
LOCAL,27100257,HC STKNG TH HI W/ATT RSZ5CL3,112.0,,31.36,96.32,83
LOCAL,27100258,HC STKNG TH HI W/ATT RSZ6CL3,112.0,,31.36,96.32,83
LOCAL,27100259,HC STKNG THIGH HI LT SZ2 CL2,92.0,,25.76,79.12,83
LOCAL,27100260,HC STKNG THIGH HI LT SZ3 CL2,92.0,,25.76,79.12,83
LOCAL,27100261,HC STKNG THIGH HI LT SZ4 CL2,92.0,,25.76,79.12,83
LOCAL,27100262,HC STKNG THIGH HI LT SZ5 CL2,92.0,,25.76,79.12,83
LOCAL,27100263,HC STKNG THIGH HI LT SZ6 CL2,92.0,,25.76,79.12,83
LOCAL,27100264,HC STKNG THIGH HI LT SZ7 CL2,92.0,,25.76,79.12,83
LOCAL,27100265,HC STKNG THIGH HI RT SZ2 CL2,92.0,,25.76,79.12,83
LOCAL,27100266,HC STKNG THIGH HI RT SZ3 CL2,92.0,,25.76,79.12,83
LOCAL,27100267,HC STKNG THIGH HI RT SZ4 CL2,92.0,,25.76,79.12,83
LOCAL,27100268,HC STKNG THIGH HI RT SZ5 CL2,93.0,,26.04,79.98,83
LOCAL,27100269,HC STKNG THIGH HI RT SZ6 CL2,92.0,,25.76,79.12,83
LOCAL,27100270,HC STKNG THIGH HI RT SZ7 CL2,92.0,,25.76,79.12,83
LOCAL,27100271,HC STOCKING CALF SZ1 CLASS2,87.0,,24.36,74.82,83
LOCAL,27100272,HC STOCKING CALF SZ2 CLASS2,87.0,,24.36,74.82,83
LOCAL,27100273,HC STOCKING CALF SZ3 CLASS2,87.0,,24.36,74.82,83
LOCAL,27100274,HC STOCKING CALF SZ4 CLASS2,93.0,,26.04,79.98,83
LOCAL,27100275,HC STOCKING CALF SZ5 CLASS2,91.0,,25.48,78.26,83
LOCAL,27100276,HC STOCKING CALF SZ6 CLASS2,87.0,,24.36,74.82,83
LOCAL,27100277,HC STOCKING CALF SZ7 CLASS2,87.0,,24.36,74.82,83
LOCAL,27100286,HC MIRROR INSPECTION FLEXIBLE 22I,46.0,,12.88,39.56,83
LOCAL,27100293,HC ZIPPER BUTTONER PULL QUAD QUIP,45.0,,12.6,38.7,83
LOCAL,27100299,HC ATOMIZER EZ-SPRAY DISP,62.0,,17.36,53.32,83
LOCAL,27100300,HC BRA SURGI 3XL,129.0,,36.12,110.94,83
LOCAL,27100301,HC BRA SURGI 2XL,138.0,,38.64,118.68,83
LOCAL,27100302,HC BLINKEZE EXTERNAL LID WEIGHT,153.0,,42.84,131.58,83
LOCAL,27100303,HC BRA SURG LRG,123.0,,34.44,105.78,83
LOCAL,27100304,HC BRA SURG MED,123.0,,34.44,105.78,83
LOCAL,27100305,HC BRA SURG SM,123.0,,34.44,105.78,83
LOCAL,27100306,HC BRA SURG XLRG,138.0,,38.64,118.68,83
LOCAL,27100308,HC SLING DRAIN U,129.0,,36.12,110.94,83
LOCAL,27100311,HC GAUNTLET CC1 II - SZ 2,73.0,,20.44,62.78,83
LOCAL,27100312,HC GAUNTLET CC1 III - SZ 3,73.0,,20.44,62.78,83
LOCAL,27100313,HC GAUNTLET CC1 IV - SZ 4,73.0,,20.44,62.78,83
LOCAL,27100314,HC GAUNTLET CC1 V - SZ 5,73.0,,20.44,62.78,83
LOCAL,27100315,HC GAUNTLET CC1 VI - SZ 6,73.0,,20.44,62.78,83
LOCAL,27100316,HC GAUNTLET CC1 VII - SZ 7,73.0,,20.44,62.78,83
LOCAL,27100317,HC GAUNTLET CC2 II - SZ 2,73.0,,20.44,62.78,83
LOCAL,27100318,HC GAUNTLET CC2 III - SZ 3,73.0,,20.44,62.78,83
LOCAL,27100319,HC GAUNTLET CC2 IV -SZ 4,73.0,,20.44,62.78,83
LOCAL,27100320,HC GAUNTLET CC2 VI - SZ 6,73.0,,20.44,62.78,83
LOCAL,27100321,HC GAUNTLET CC2 VII - SZ 7,73.0,,20.44,62.78,83
LOCAL,27100322,HC GLOVE CC1 II - SZ 2,180.0,,50.4,154.8,83
LOCAL,27100323,HC GLOVE CC1 III - SZ 3,180.0,,50.4,154.8,83
LOCAL,27100324,HC GLOVE CC1 IV - SZ 4,180.0,,50.4,154.8,83
LOCAL,27100325,HC GLOVE CC1 VII - SZ 7,180.0,,50.4,154.8,83
LOCAL,27100326,HC GLOVE CC2 II - SZ 2,180.0,,50.4,154.8,83
LOCAL,27100327,HC GLOVE CC2 III - SZ 3,180.0,,50.4,154.8,83
LOCAL,27100328,HC GLOVE CC2 IV - SZ 4,180.0,,50.4,154.8,83
LOCAL,27100329,HC GLOVE CC2 V - SZ 5,180.0,,50.4,154.8,83
LOCAL,27100330,HC GLOVE CC2 VI - SZ 6,180.0,,50.4,154.8,83
LOCAL,27100331,HC GLOVE CC2 VII - SZ 7,180.0,,50.4,154.8,83
LOCAL,27100332,HC ARMSLEEVE 20-30 W/TB VI - SZ 6,97.0,,27.16,83.42,83
LOCAL,27100333,HC ARMSLEEVE 30-40 W/TB II - SZ 2,97.0,,27.16,83.42,83
LOCAL,27100334,HC ARMSLEEVE 30-40 W/TB III -SZ 3,97.0,,27.16,83.42,83
LOCAL,27100335,HC ARMSLEEVE 30-40 W/TB IV - SZ 4,97.0,,27.16,83.42,83
LOCAL,27100336,HC ARMSLEEVE 30-40 W/TB V - SZ 5,97.0,,27.16,83.42,83
LOCAL,27100337,HC ARMSLEEVE 30-40 W/TB VI - SZ 6,97.0,,27.16,83.42,83
LOCAL,27100338,HC ARMSLEEVE 30-40 W/TB VII -SZ 7,97.0,,27.16,83.42,83
LOCAL,27100339,HC ARMSLEEVE 30-40 W/TB VIII -SZ8,97.0,,27.16,83.42,83
LOCAL,27100340,HC PESSARY NON RUBER ANY TYPE,138.0,,38.64,118.68,83
LOCAL,27100341,HC GLOVE CC1 V - SZ 5,180.0,,50.4,154.8,83
LOCAL,27100342,HC ARMSLEEV 20-30 SZ 2,110.0,,30.8,94.6,83
LOCAL,27100343,HC ARMSLEEVE 20-30 SZ 3,97.0,,27.16,83.42,83
LOCAL,27100344,HC ARMSLEEVE 20-30 SZ 4,97.0,,27.16,83.42,83
LOCAL,27100345,HC ARMSLEEVE 20-30 SZ 5,97.0,,27.16,83.42,83
LOCAL,27100346,HC ARMSLEEVE 20-30 SZ 7,97.0,,27.16,83.42,83
LOCAL,27100347,HC ARMSLEEVE 20-30� SZ 8,97.0,,27.16,83.42,83
LOCAL,27100348,HC GAUNTLET CC2 SZ5,73.0,,20.44,62.78,83
LOCAL,27100349,HC GLOVE CC1 VI SZ6,180.0,,50.4,154.8,83
LOCAL,27100350,HC SPLINT FOREARM WRIST LEFT LARGE LONG (ALIMED),65.0,,18.2,55.9,83
LOCAL,27100355,HC CLOTH INTERDRY AG TEXTILE 10IN,132.0,,36.96,113.52,83
LOCAL,27100358,HC SYSTEM STOOL MANAGEMENT DIGNISHIELD,338.0,,94.64,290.68,83
LOCAL,27100362,HC CUSHION SEGMENTED 4X16X18IN,258.0,,72.24,221.88,83
LOCAL,27100363,HC PROVOX ADHESIVE FLEXIDERM OVAL,40.0,,11.2,34.4,83
LOCAL,27100364,HC SPOT EX ENDOSCOPIC TATTOO MARKER,80.0,,22.4,68.8,83
LOCAL,27102035,HC CROS BINAURAL BTE/BTE LEVLE 1,3650.0,,1022.0,3139.0,83
LOCAL,27102036,HC CROS BINAURAL BTE/BTE LEVLE 2,3350.0,,938.0,2881.0,83
LOCAL,27102037,HC CROS BINAURAL BTE/BTE LEVLE 3,3050.0,,854.0,2623.0,83
LOCAL,27102040,HC CLAMP INCONT WIESNER,77.0,,21.56,66.22,83
LOCAL,27102041,"HC HA DGT BTE BINAURAL LVL1 PURE CHARGE&GO7 IX, STYLETTO 7 IX PURE 312 7 IX",4000.0,,1120.0,3440.0,83
LOCAL,27102042,"HC HA DGT BTE BINAURAL LVL2 PURE CHARGE&GO5 IX, STYLETTO 5 IX PURE 312 5 IX",3296.0,,922.88,2834.56,83
LOCAL,27102043,"HC HA DGT BTE BINAURAL LVL3PURE CHARGE&GO 3 IX, STYLETTO 3 IX PURE 312 3 IX",2460.0,,688.8,2115.6,83
LOCAL,27102044,"HC HA DGT BTE BINAURAL LVL4PURE CHARGE&GO 2 AX, STYLETTO 2 AX PURE 312 2 AX",2132.0,,596.96,1833.52,83
LOCAL,27102045,HC HA DIGTL BTE BINAURAL LVL1MOTION CHARGE & GO 7 X,4000.0,,1120.0,3440.0,83
LOCAL,27102046,HC HA DIGTL BTE BINAURAL LVL2MOTION CHARGE & GO 5 X,2968.0,,831.04,2552.48,83
LOCAL,27102047,HC HA DIGTL BTE BINAURAL LVL2MOTION CHARGE & GO 3 X,2172.0,,608.16,1867.92,83
LOCAL,27102048,HC HA DIGTL BTE BINAURAL LVL3MOTION CHARGE & GO 2 X,1784.0,,499.52,1534.24,83
LOCAL,27102049,"HC HA DGT BTE MONAURAL LVL1PURE CHARGE&GO 7 IX, STYLETTO 7 IX PURE 312 7 IX",2000.0,,560.0,1720.0,83
LOCAL,27102050,"HC HA DGT BTE MONAURAL LVL2PURE CHARGE&GO 5 IX, STYLETTO 5 IX PURE 312 5 IX",1648.0,,461.44,1417.28,83
LOCAL,27102051,"HC HA DGT BTE MONAURAL LVL3PURE CHARGE&GO 3 IX, STYLETTO 3 IX PURE 312 3 IX",1230.0,,344.4,1057.8,83
LOCAL,27102052,"HC HA DGT BTE MONAURAL LVL4PURE CHARGE&GO 2 AX, STYLETTO 2 AX PURE 312 2 AX",1125.0,,315.0,967.5,83
LOCAL,27102053,HC HA DIGTL BTE MONAURAL LVL1MOTION CHARGE & GO 7 X,2000.0,,560.0,1720.0,83
LOCAL,27102054,HC HA DIGTL BTE MONAURAL LVL2MOTION CHARGE & GO 5 X,1484.0,,415.52,1276.24,83
LOCAL,27102055,HC HA DIGTL BTE MONAURAL LVL3MOTION CHARGE & GO 3 X,1125.0,,315.0,967.5,83
LOCAL,27102056,HC HA DIGTL BTE MONAURAL LVL3MOTION CHARGE & GO 2 X,1004.0,,281.12,863.44,83
LOCAL,27102057,HC HA CROS BINAURAL BTE LVL1 PURE CHARGE & GO 7 IX & PURE CROS CHG & GO IX,3110.0,,870.8,2674.6,83
LOCAL,27102058,HC HA CROS BINAURAL BTE LVL2 PURE CHARGE & GO 5 IX & PURE CROS CHG & GO IX,2758.0,,772.24,2371.88,83
LOCAL,27102059,HC HA CROS BINAURAL BTE LVL3 PURE CHARGE & GO 3 IX & PURE CROS CHG & GO IX,2340.0,,655.2,2012.4,83
LOCAL,27102060,HC HA DIGTL CIC BINAURAL LVL1INSIO 7 NX,4000.0,,1120.0,3440.0,83
LOCAL,27102061,HC HA DIGTL CIC BINAURAL LVL2INSIO 5 NX,2968.0,,831.04,2552.48,83
LOCAL,27102062,HC HA DIGTL CIC BINAURAL LVL3INSIO 3 NX,2172.0,,608.16,1867.92,83
LOCAL,27102063,HC HA DIGTL CIC BINAURAL LVL4INSIO 2 NX,1652.0,,462.56,1420.72,83
LOCAL,27102064,HC HA DIGTL CIC�MONAURAL LVL1INSIO 7 NX,2000.0,,560.0,1720.0,83
LOCAL,27102065,HC HA DIGTL CIC MONAURAL LVL2INSIO 5 NX,1484.0,,415.52,1276.24,83
LOCAL,27102066,HC HA DIGTL CIC MONAURAL LVL3INSIO 3 NX,1125.0,,315.0,967.5,83
LOCAL,27102067,HC HA DIGTL CIC MONAURAL LVL4INSIO 2 NX,930.0,,260.4,799.8,83
LOCAL,27102068,HC HA DIGTL ITC BINAURAL LVL1INSIO CHARGE & GO 7AX,4000.0,,1120.0,3440.0,83
LOCAL,27102069,HC HA DIGTL ITC BINAURAL LVL2INSIO CHARGE & GO 5AX,2968.0,,831.04,2552.48,83
LOCAL,27102070,HC HA DIGTL ITC BINAURAL LVL3INSIO CHARGE & GO 3AX,2216.0,,620.48,1905.76,83
LOCAL,27102071,HC HA DIGTL ITC BINAURAL LVL4INSIO CHARGE & GO 2AX,2132.0,,596.96,1833.52,83
LOCAL,27102072,HC HA DIGTL ITC MONAURAL LVL1INSIO CHARGE & GO 7AX,2000.0,,560.0,1720.0,83
LOCAL,27102073,HC HA DIGTL ITC MONAURAL LVL2INSIO CHARGE & GO 5AX,1484.0,,415.52,1276.24,83
LOCAL,27102074,HC HA DIGTL ITC MONAURAL LVL3INSIO CHARGE & GO 3AX,1125.0,,315.0,967.5,83
LOCAL,27102075,HC HA DIGTL ITC MONAURAL LVL4INSIO CHARGE & GO 2AX,1125.0,,315.0,967.5,83
LOCAL,27102076,HC HA DIGTL ITE BINAURAL LVL1INSIO CHARGE & GO 7AX,4000.0,,1120.0,3440.0,83
LOCAL,27102077,HC HA DIGTL ITE BINAURAL LVL2INSIO CHARGE & GO 5AX,2968.0,,831.04,2552.48,83
LOCAL,27102078,HC HA DIGTL ITE BINAURAL LVL3INSIO CHARGE & GO 3AX,2216.0,,620.48,1905.76,83
LOCAL,27102079,HC HA DIGTL ITE BINAURAL LVL4INSIO CHARGE & GO 2AX,2132.0,,596.96,1833.52,83
LOCAL,27102080,HC HA DIGTL ITE�MONAURAL LVL1INSIO CHARGE & GO 7AX,2000.0,,560.0,1720.0,83
LOCAL,27102081,HC HA DIGTL ITE MONAURALLVL2INSIO CHARGE & GO 5AX,1484.0,,415.52,1276.24,83
LOCAL,27102082,HC HA DIGTL ITE MONAURAL LVL3INSIO CHARGE & GO 3AX,1125.0,,315.0,967.5,83
LOCAL,27102083,HC HA DIGTL ITE MONAURAL LVL4INSIO CHARGE & GO 2AX,1125.0,,315.0,967.5,83
LOCAL,27102084,HC HA DIGTL BTE BINAURAL LVL1 AUDEO L90-RL,5388.0,,1508.64,4633.68,83
LOCAL,27102085,HC HA DIGTL BTE BINAURAL LVL2 AUDEO L70-RL,3903.0,,1092.84,3356.58,83
LOCAL,27102086,HC HA DIGTL BTE BINAURAL LVL3 AUDEO L50-RL,2783.0,,779.24,2393.38,83
LOCAL,27102087,HC HA DIGTL BTE BINAURAL LVL4 AUDEO L30-RL,2079.0,,582.12,1787.94,83
LOCAL,27102088,"HC HA DIGTL BTE BINAURAL LVL1 SKY L90-PR, NAIDA L90-PR, NAIDA L90-UP",5023.0,,1406.44,4319.78,83
LOCAL,27102089,"HC HA DIGTL BTE BINAURAL LVL2 SKY L70-PR, NAIDA L70-PR, NAIDA L70-UP",3535.0,,989.8,3040.1,83
LOCAL,27102090,"HC HA DIGTL BTE BINAURAL LVL2 SKY L50-PR, NAIDA L50-PR, NAIDA L50-UP",2415.0,,676.2,2076.9,83
LOCAL,27102091,"HC HA DIGTL BTE BINAURAL LVL3 NAIDA L30-PR, NAIDA L30-UP",1711.0,,479.08,1471.46,83
LOCAL,27102092,HC HA DIGTL BTE MONAURAL LVL1 AUDEO L90-RL,2694.0,,754.32,2316.84,83
LOCAL,27102093,HC HA DIGTL BTE MONAURAL LVL2 AUDEO L70-RL,1952.0,,546.56,1678.72,83
LOCAL,27102094,HC HA DIGTL BTE MONAURAL LVL3 AUDEO L50-RL,1392.0,,389.76,1197.12,83
LOCAL,27102095,HC HA DIGTL BTE MONAURAL LVL4 AUDEO L30-RL,1125.0,,315.0,967.5,83
LOCAL,27102096,"HC HA DIGTL BTE MONAURAL LVL1 SKY L90-PR, NAIDA L90-PR, NAIDA L90-UP",2510.0,,702.8,2158.6,83
LOCAL,27102097,"HC HA DIGTL BTE MONAURAL LVL2 SKY L70-PR, NAIDA L70-PR, NAIDA L70-UP",1768.0,,495.04,1520.48,83
LOCAL,27102098,"HC HA DIGTL BTE MONAURAL LVL3 SKY L50-PR, NAIDA L50-PR, NAIDA L50-UP",1208.0,,338.24,1038.88,83
LOCAL,27102099,"HC HA DIGTL BTE MONAURAL LVL3 NAIDA L30-PR, NAIDA L30-UP",963.0,,269.64,828.18,83
LOCAL,27102100,HC CROS BINAURAL BTE/BTE LVL1 AUDEO L90-RL AND CROS L-R,4405.0,,1233.4,3788.3,83
LOCAL,27102101,HC CROS BINAURAL BTE/BTE LVL2 AUDEO L70-RL AND CROS L-R,3662.0,,1025.36,3149.32,83
LOCAL,27102102,HC CROS BINAURAL BTE/BTE LVL3 AUDEO L50-RL AND CROS L-R,3102.0,,868.56,2667.72,83
LOCAL,27102103,HC HA DIGTL CIC BINAURAL LVL1 VIRTO P-90- TITANIUM,4655.0,,1303.4,4003.3,83
LOCAL,27102104,HC HA DIGTL CIC BINAURAL LVL2 VIRTO P-70- TITANIUM,3263.0,,913.64,2806.18,83
LOCAL,27102105,"HC HA DIGTL CIC BINAURAL LVL1 VIRTO P90, P90 NW",4479.0,,1254.12,3851.94,83
LOCAL,27102106,"HC HA DIGTL CIC BINAURAL LVL2 VIRTO P70, P70 NW",3103.0,,868.84,2668.58,83
LOCAL,27102107,"HC HA DIGTL CIC BINAURAL LVL3 VIRTO P50, P50 NW",2063.0,,577.64,1774.18,83
LOCAL,27102108,"HC HA DIGTL CIC BINAURAL LVL4 VIRTO P30, P30 NW",1407.0,,393.96,1210.02,83
LOCAL,27102109,HC HA DIGTL CIC�MONAURAL LVL1 VIRTO P-90- TITANIUM,2328.0,,651.84,2002.08,83
LOCAL,27102110,HC HA DIGTL CIC�MONAURAL LVL2 VIRTO P-70- TITANIUM,1632.0,,456.96,1403.52,83
LOCAL,27102111,"HC HA DIGTL CIC�MONAURAL LVL1 VIRTO P90, P90 NW",2240.0,,627.2,1926.4,83
LOCAL,27102112,"HC HA DIGTL CIC MONAURAL LVL2 VIRTO P70, P70 NW",1552.0,,434.56,1334.72,83
LOCAL,27102113,"HC HA DIGTL CIC MONAURAL LVL3 VIRTO P50, P50 NW",1125.0,,315.0,967.5,83
LOCAL,27102114,"HC HA DIGTL CIC MONAURAL LVL4 VIRTO P30, P30 NW",792.0,,221.76,681.12,83
LOCAL,27102115,"HC HA DIGTL ITC BINAURAL LVL1 VIRTO P90, P90 NW",4479.0,,1254.12,3851.94,83
LOCAL,27102116,"HC HA DIGTL ITC BINAURAL LVL2 VIRTO P70, P70 NW",3103.0,,868.84,2668.58,83
LOCAL,27102117,"HC HA DIGTL ITC BINAURAL LVL3 VIRTO P50, P50 NW",2063.0,,577.64,1774.18,83
LOCAL,27102118,"HC HA DIGTL ITC BINAURAL LVL4 VIRTO P30, P30 NW",1407.0,,393.96,1210.02,83
LOCAL,27102119,"HC HA DIGTL ITC MONAURAL LVL1 VIRTO P90, P90 NW",2240.0,,627.2,1926.4,83
LOCAL,27102120,"HC HA DIGTL ITC MONAURAL LVL2 VIRTO P70, P70 NW",1552.0,,434.56,1334.72,83
LOCAL,27102121,"HC HA DIGTL ITC MONAURAL LVL3 VIRTO P50, P50 NW",1125.0,,315.0,967.5,83
LOCAL,27102122,"HC HA DIGTL ITC MONAURAL LVL4 VIRTO P30, P30 NW",792.0,,221.76,681.12,83
LOCAL,27102123,"HC HA DIGTL ITE BINAURAL LVL1 VIRTO P90, P90 NW",4479.0,,1254.12,3851.94,83
LOCAL,27102124,"HC HA DIGTL ITE BINAURAL LVL2 VIRTO P70, P70 NW",3103.0,,868.84,2668.58,83
LOCAL,27102125,"HC HA DIGTL ITE BINAURAL LVL3 VIRTO P50, P50 NW",2063.0,,577.64,1774.18,83
LOCAL,27102126,"HC HA DIGTL ITE BINAURAL LVL4 VIRTO P30, P30 NW",1407.0,,393.96,1210.02,83
LOCAL,27102127,"HC HA DIGTL ITE�MONAURAL LVL1 VIRTO P90, P90 NW",2240.0,,627.2,1926.4,83
LOCAL,27102128,"HC HA DIGTL ITE MONAURALLVL2 VIRTO P70, P70 NW",1552.0,,434.56,1334.72,83
LOCAL,27102129,"HC HA DIGTL ITE MONAURAL LVL3 VIRTO P50, P50 NW",1125.0,,315.0,967.5,83
LOCAL,27102130,"HC HA DIGTL ITE MONAURAL LVL4 VIRTO P30, P30 NW",792.0,,221.76,681.12,83
LOCAL,27120,PR ACETABULOPLASTY,10726.0,,969.4224,9117.1,55
LOCAL,27122,PR ACETABULOPLASTY RESECTION FEMORAL HEAD,9623.0,,824.8168,8179.55,55
LOCAL,27125,PR HEMIARTHROPLASTY HIP PARTIAL,9628.0,,846.216,10012.7,55
LOCAL,27130,PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT,13551.0,,957.3704,14092.63,55
LOCAL,27132,PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT,16045.0,,1243.1316,16687.25,55
LOCAL,27134,PR REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT,17474.0,,1413.0556,18172.58,55
LOCAL,27137,PR REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT,13907.0,,1090.4116,14463.54,55
LOCAL,27138,PR REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT,13907.0,,1132.4648,14463.54,55
LOCAL,27146,PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE,9296.0,,910.12,7901.6,55
LOCAL,27147,PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ,12085.0,,1090.4116,10272.25,55
LOCAL,27151,PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT,12085.0,,1177.7104,10272.25,55
LOCAL,27156,PR OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ,13479.0,,1268.2108,11457.15,55
LOCAL,27158,PR OSTEOTOMY PELVIS BILATERAL,13943.0,,1043.4456,11851.55,55
LOCAL,27165,PR OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL,11836.0,,1022.0464,10060.6,55
LOCAL,27185,PR EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR,5296.0,,393.53,4501.6,55
LOCAL,27187,PR PROPH TX N/P/PLTWR W/WO MMA FEM NCK & PROX FEMUR,8371.0,,747.1044,8159.88,55
LOCAL,27197,PR CLSD TX PELVIC RING FX W/O MANIPULATION,799.0,,99.1024,719.1,55
LOCAL,27198,PR CLSD TX PELVIC RING FX W/MANIPULATION W/ANES,2582.0,,236.0812,2323.8,55
LOCAL,27200,PR CLOSED TREATMENT COCCYGEAL FRACTURE,958.0,,108.01,983.93,55
LOCAL,27200003,HC HANDPIECE (BREAST BX),278.0,,77.84,239.08,83
LOCAL,27200004,HC AINTREE INTUBATING 19FR-COOK,138.0,,38.64,118.68,83
LOCAL,27200005,HC AIRTRAQ,169.0,,47.32,145.34,83
LOCAL,27200006,HC LMA UNIQUE,39.0,,10.92,33.54,83
LOCAL,27200013,HC COOK AIRWAY EXCH  CATHETER,138.0,,38.64,118.68,83
LOCAL,27200015,HC VIGILEO,138.0,,38.64,118.68,83
LOCAL,27200017,HC 18GA X 4IN STIMULATING NEEDLE & 20GA CATHETER,83.0,,23.24,71.38,83
LOCAL,27200019,HC LANCETS (SOFTCLIX),40.0,,11.2,34.4,83
LOCAL,27200032,HC CVC KIT - DBL LUMEN 4FR C1751-ARROW,95.0,,26.6,81.7,83
LOCAL,27200039,HC BANDAGE TRICOFIX,56.0,,15.68,48.16,83
LOCAL,27200040,HC BIOPSY SITE IDENTIFIER,169.0,,47.32,145.34,83
LOCAL,27200041,HC BIT DRILL CRAN CONNEL,1125.0,,315.0,967.5,83
LOCAL,27200043,HC CVC KIT - DBL LUMEN 4-5FR-ARROW,172.0,,48.16,147.92,83
LOCAL,27200044,HC CATHETER SET-HYSTERO,38.0,,10.64,32.68,83
LOCAL,27200045,HC CVC KIT - DBL LUMEN 8FR C1751-ARROW,157.0,,43.96,135.02,83
LOCAL,27200046,HC CVC KIT - SGL LUMEN 16G C1751-ARROW,65.0,,18.2,55.9,83
LOCAL,27200047,HC DEVICE BIOPSY BREAST VACUUM,368.0,,103.04,316.48,83
LOCAL,27200048,HC CVC KIT - TPL LUMEN 12FR C1751-ARROW,148.0,,41.44,127.28,83
LOCAL,27200049,HC DRAIN PERICARDIAL 8.3FR KIT,371.0,,103.88,319.06,83
LOCAL,27200050,HC DRAIN PNEUMOPERICARDIAL 8.5FR,317.0,,88.76,272.62,83
LOCAL,27200051,HC CVC/PSI KIT - DBL LUMEN 14FR C1751-ARROW,259.0,,72.52,222.74,83
LOCAL,27200054,HC EPIDURAL TRAY,119.0,,33.32,102.34,83
LOCAL,27200055,HC CHANNEL RFA ENDO CATH BARRX,3040.0,,851.2,2614.4,83
LOCAL,27200057,HC HOMER BREAST WIRE,77.0,,21.56,66.22,83
LOCAL,27200058,HC INTRODUCER SET,20.0,,5.6,17.2,83
LOCAL,27200059,HC KOPANS NEEDLE BREAST,65.0,,18.2,55.9,83
LOCAL,27200060,HC LEUKOCYTE DEPLE PLT,146.0,,40.88,125.56,83
LOCAL,27200061,HC LEUKOCYTE DEPLE RBC,74.0,,20.72,63.64,83
LOCAL,27200063,HC LOCALIZATION SET,388.0,,108.64,333.68,83
LOCAL,27200065,HC MICROBIOLOGY BRUSH,64.0,,17.92,55.04,83
LOCAL,27200066,HC NEEDLE GUIDE,16.0,,4.48,13.76,83
LOCAL,27200072,HC DUAL PATIENT LINE-BELMONT,63.0,,17.64,54.18,83
LOCAL,27200073,HC ENFLOW BLOOD WARMER CARTRIDGE-ANESTH ONLY FOR NORMOTHERMIA PURPOSES,43.0,,12.04,36.98,83
LOCAL,27200082,HC KIT PSI 6FR-ARROW,84.0,,23.52,72.24,83
LOCAL,27200085,HC KIT PSI 8.5FR-ARROW,94.0,,26.32,80.84,83
LOCAL,27200086,HC TISSUE EXPANDER,51.0,,14.28,43.86,83
LOCAL,27200087,HC TRAY BONE MARROW BIOPSY ASPIRA,66.0,,18.48,56.76,83
LOCAL,27200089,HC TRAY-RESUTURE,60.0,,16.8,51.6,83
LOCAL,27200090,HC TUBE FEEDING 6FR 36IN,42.0,,11.76,36.12,83
LOCAL,27200091,HC TUBE FEEDING 8FR 36IN,42.0,,11.76,36.12,83
LOCAL,27200093,HC KIT PSI/DBL LUMEN 14FR-ARROW,259.0,,72.52,222.74,83
LOCAL,27200094,HC TUBE SALEM SUMP SILI 18FR,52.0,,14.56,44.72,83
LOCAL,27200095,HC CONNECTOR W/INT INJ CAP 5.5FR,38.0,,10.64,32.68,83
LOCAL,27200096,HC CONNECTOR GROSHONG RPR 7.0FR,68.0,,19.04,58.48,83
LOCAL,27200099,HC 18 GA CORE NEEDLE,84.0,,23.52,72.24,83
LOCAL,27200100,HC ASPIRATION NEEDLE 22 GA,195.0,,54.6,167.7,83
LOCAL,27200101,HC TEMNO BIOPSY NEEDLE 14-16GX11CM,138.0,,38.64,118.68,83
LOCAL,27200104,HC CORE CO-AXIAL NEEDLE,116.0,,32.48,99.76,83
LOCAL,27200107,HC LARGE RESERVOIR-BELMONT,236.0,,66.08,202.96,83
LOCAL,27200108,HC SWING TIP CANNULA OLYMPUS,338.0,,94.64,290.68,83
LOCAL,27200110,HC IMRI BONE BIOPSY SET,280.0,,78.4,240.8,83
LOCAL,27200111,HC IMRI PUNCTURE NEEDLE A,64.0,,17.92,55.04,83
LOCAL,27200112,HC IMRI PUNCTURE NEEDLE B,135.0,,37.8,116.1,83
LOCAL,27200114,HC IMRI-BIOPSY KIT A,214.0,,59.92,184.04,83
LOCAL,27200115,HC IMRI-SEMI AUTO BIOPSY NDL,203.0,,56.84,174.58,83
LOCAL,27200118,HC NDL BX B/MARR13GA X 3 1/2,54.0,,15.12,46.44,83
LOCAL,27200119,HC NDL BX BONE MARR 11GAX4,54.0,,15.12,46.44,83
LOCAL,27200121,HC NEEDLE B,48.0,,13.44,41.28,83
LOCAL,27200122,HC NEEDLE C,98.0,,27.44,84.28,83
LOCAL,27200125,HC NEEDLE D,171.0,,47.88,147.06,83
LOCAL,27200126,HC NEEDLE E,563.0,,157.64,484.18,83
LOCAL,27200127,HC NEEDLE F,374.0,,104.72,321.64,83
LOCAL,27200128,HC NEEDLE G,661.0,,185.08,568.46,83
LOCAL,27200129,HC NEEDLE H,950.0,,266.0,817.0,83
LOCAL,27200150,HC RF ABLATION - NEEDLE,106.0,,29.68,91.16,83
LOCAL,27200161,HC CATH 3LMN 5FRX15CM,372.0,,104.16,319.92,83
LOCAL,27200162,HC CATH 3LMN ANTIMICR 7F25CM,280.0,,78.4,240.8,83
LOCAL,27200164,HC CATH ANTMCROB 3LMN 7F20C,246.0,,68.88,211.56,83
LOCAL,27200165,HC CATH BIPOLR 5FR SVC INSRT,502.0,,140.56,431.72,83
LOCAL,27200166,HC CATH BIPOLR PACING 5FSWAN,502.0,,140.56,431.72,83
LOCAL,27200167,HC CATH CV 3 LMN TRAY 7FR,416.0,,116.48,357.76,83
LOCAL,27200168,HC CATH DL7.5FR 20CM ANTIMIC,251.0,,70.28,215.86,83
LOCAL,27200169,HC CATH FEMORAL ARTERIAL 16F,44.0,,12.32,37.84,83
LOCAL,27200170,HC CATH FEMORAL ARTERIAL 18F,40.0,,11.2,34.4,83
LOCAL,27200171,HC CATH HOHN 5FR,338.0,,94.64,290.68,83
LOCAL,27200172,HC CATH HOHN POWR TRAY 5F SL,415.0,,116.2,356.9,83
LOCAL,27200173,HC CATH HOHN POWR TRAY 6F DL,477.0,,133.56,410.22,83
LOCAL,27200176,HC CATH KIT HOHN D L 7F*40CM,490.0,,137.2,421.4,83
LOCAL,27200178,HC CATH PICC POWR TRAY 5F DL,234.0,,65.52,201.24,83
LOCAL,27200179,HC CATH PICLINE 4FR PEDI,383.0,,107.24,329.38,83
LOCAL,27200180,HC CATH POWER PICC TRPL LUMN,675.0,,189.0,580.5,83
LOCAL,27200181,HC CATH QUINTON 8FRX12CM,178.0,,49.84,153.08,83
LOCAL,27200182,HC CATH QUINTON 8FRX9CM,153.0,,42.84,131.58,83
LOCAL,27200183,HC CATH SIL 1LM5FX25 W/CLAMP,306.0,,85.68,263.16,83
LOCAL,27200184,HC CATH SWAN GANZ CEDV,1099.0,,307.72,945.14,83
LOCAL,27200185,HC CTH SIL 2LM 7FX25CM CLAMP,480.0,,134.4,412.8,83
LOCAL,27200186,HC CTH SIL 3LM 8FX25CM CLAMP,480.0,,134.4,412.8,83
LOCAL,27200187,HC KIT CATH DBL LUMEN 7FR*8IN,88.0,,24.64,75.68,83
LOCAL,27200188,HC KIT CATH MLTLUMN 7FR*12IN,165.0,,46.2,141.9,83
LOCAL,27200190,HC KIT CVC PEDI 5.5F 3L 30CM,144.0,,40.32,123.84,83
LOCAL,27200191,HC PICC DL 7FRX50CM SILICONE,338.0,,94.64,290.68,83
LOCAL,27200192,HC PROBE EDM,338.0,,94.64,290.68,83
LOCAL,27200193,HC SET PNEUMOTHORAX,338.0,,94.64,290.68,83
LOCAL,27200194,HC SET PNEUMOTHORAX 8.5FR,332.0,,92.96,285.52,83
LOCAL,27200195,HC SHERLOCK CATH 4F SNGL LMN,352.0,,98.56,302.72,83
LOCAL,27200196,HC SHERLOCK CATH 5FR DBL LMN,342.0,,95.76,294.12,83
LOCAL,27200198,HC TRAY INSERT QUINTON 19.5CM,232.0,,64.96,199.52,83
LOCAL,27200199,HC TRAY REMVL PORT,105.0,,29.4,90.3,83
LOCAL,27200214,HC TRAY INSERT QUINTON 16CM,235.0,,65.8,202.1,83
LOCAL,27200215,HC TRAY CATH FOL16F WURINMTR,75.0,,21.0,64.5,83
LOCAL,27200216,HC TRAY CATH FOLY 16F 947616,38.0,,10.64,32.68,83
LOCAL,27200217,HC TRAY CATH STLK WDRNBAG (MULT SIZES),38.0,,10.64,32.68,83
LOCAL,27200218,HC TRAY CATH W/URINE METER 16FR,42.0,,11.76,36.12,83
LOCAL,27200219,HC TRAY CATH W/URINE METER 18FR,42.0,,11.76,36.12,83
LOCAL,27200220,HC TRAY ART CATH 2.5FRX2.5CM,138.0,,38.64,118.68,83
LOCAL,27200221,HC TRAY CATH ART 3FR X 5CM,138.0,,38.64,118.68,83
LOCAL,27200224,HC TRAY DIAL 2LMN 13.5FX16CM,233.0,,65.24,200.38,83
LOCAL,27200225,HC TRAY DIAL 2LMN 13.5FX19CM,235.0,,65.8,202.1,83
LOCAL,27200226,HC TRAY INSERTION TBE CHEST,48.0,,13.44,41.28,83
LOCAL,27200228,HC BOWEL BAG COLLECTR 3000ML,43.0,,12.04,36.98,83
LOCAL,27200238,HC LASER ET MALLINCKRODT,122.0,,34.16,104.92,83
LOCAL,27200241,HC URETHRAL MEATAL DILATOR,65.0,,18.2,55.9,83
LOCAL,27200273,HC CATH HEMATURIA 2-WAY 24FR,88.0,,24.64,75.68,83
LOCAL,27200274,HC CATH HEMATURIA 3-WAY 18FR,65.0,,18.2,55.9,83
LOCAL,27200278,HC CATH COUDE W/BALLOON 12FR,38.0,,10.64,32.68,83
LOCAL,27200279,HC CATH COUDE W/BALLOON 14FR,38.0,,10.64,32.68,83
LOCAL,27200280,HC CATH COUDE W/BALLOON 16FR,38.0,,10.64,32.68,83
LOCAL,27200281,HC CATH COUDE W/BALLOON 18 FR,38.0,,10.64,32.68,83
LOCAL,27200282,HC CATH COUDE W/BALLOON 20FR,38.0,,10.64,32.68,83
LOCAL,27200283,HC CATH COUDE W/BALLOON 22FR,38.0,,10.64,32.68,83
LOCAL,27200284,HC CATH COUDE W/BALLOON 24FR,38.0,,10.64,32.68,83
LOCAL,27200290,HC CATH COUNCILL MODEL16-24F,51.0,,14.28,43.86,83
LOCAL,27200293,HC CATH TIEMAN COUD TP14-24F,42.0,,11.76,36.12,83
LOCAL,27200294,HC FOLEY 2-WAY SIMPLISI 24CH,65.0,,18.2,55.9,83
LOCAL,27200295,HC CATH COUNCIL 16FR (OR),40.0,,11.2,34.4,83
LOCAL,27200296,HC CATH COUNCIL 18FR (OR),40.0,,11.2,34.4,83
LOCAL,27200297,HC CATH COUNCIL 20FR (OR),40.0,,11.2,34.4,83
LOCAL,27200301,HC CATH HEMATURIA 3-WAY 20FR,64.0,,17.92,55.04,83
LOCAL,27200302,HC CATH HEMATURIA 3-WAY 22FR,54.0,,15.12,46.44,83
LOCAL,27200303,HC CATH HEMATURIA 3-WAY 24FR,54.0,,15.12,46.44,83
LOCAL,27200304,HC FOLY CATH 3WY16-30F CNTIR,46.0,,12.88,39.56,83
LOCAL,27200306,HC CAP GEL INSERT SYS 16FR,136.0,,38.08,116.96,83
LOCAL,27200309,HC BAG LUMBAR DRAINAGE REPLACEMT,108.0,,30.24,92.88,83
LOCAL,27200310,HC LMA SUPREME,69.0,,19.32,59.34,83
LOCAL,27200311,HC BAG VENTRICULAR DRAIN REPLACE,90.0,,25.2,77.4,83
LOCAL,27200312,HC CHEST DRAIN SYS,119.0,,33.32,102.34,83
LOCAL,27200313,HC SET VENTRICULAR DRAINAGE,400.0,,112.0,344.0,83
LOCAL,27200314,HC SYSTEM CHEST WATRSEAL DRN,72.0,,20.16,61.92,83
LOCAL,27200315,HC BIODESIGN FISTULA PLUG,2090.0,,585.2,1797.4,83
LOCAL,27200316,HC BENDING CANNULA OLYMPUS,338.0,,94.64,290.68,83
LOCAL,27200317,HC RFA CATH ULTRALONG COVIDIEN,3538.0,,990.64,3042.68,83
LOCAL,27200319,HC CATH CONNECTOR C-RPLC INTRSPIN,375.0,,105.0,322.5,83
LOCAL,27200322,HC MRI SYRINGE-IRADIMED,51.0,,14.28,43.86,83
LOCAL,27200323,HC 18GA X 2IN STIMULATING NEEDLE & 20GA CATHETER,72.0,,20.16,61.92,83
LOCAL,27200324,HC 18GA X 2-1/8IN SHORT BEVEL NEEDLE & 20GA CATHETER,42.0,,11.76,36.12,83
LOCAL,27200325,HC REINFORCED TUBE,65.0,,18.2,55.9,83
LOCAL,27200326,HC LASER TUBE - RUSCH,213.0,,59.64,183.18,83
LOCAL,27200328,HC SENSOR CARDIAC OUTPUT FLOTRAC-EDWARDS LS,488.0,,136.64,419.68,83
LOCAL,27200329,HC SENSOR CARDIAC OUTPUT FLOTRAC-EDWARDS LS,488.0,,136.64,419.68,83
LOCAL,27200331,HC STIMUQUIK SING SHOT NDL,41.0,,11.48,35.26,83
LOCAL,27200333,HC TAPSCOPE 550-CARDIOCOMMAND,138.0,,38.64,118.68,83
LOCAL,27200340,HC BINDER ABD LRG,38.0,,10.64,32.68,83
LOCAL,27200342,HC BINDER ABD XLRG,65.0,,18.2,55.9,83
LOCAL,27200346,HC UNVERSIAL 3-SPIKE-BELMONT,274.0,,76.72,235.64,83
LOCAL,27200351,HC 395 MYELOGRAM TRAY,38.0,,10.64,32.68,83
LOCAL,27200353,HC BONE MARROW BIOPSY TRAY,73.0,,20.44,62.78,83
LOCAL,27200354,HC CT BIOPSY TRAY,61.0,,17.08,52.46,83
LOCAL,27200359,HC KIT PARACENTESIS,87.0,,24.36,74.82,83
LOCAL,27200360,HC KIT PERCUTANEOUS INTRO 9FR,94.0,,26.32,80.84,83
LOCAL,27200361,HC KIT PERCUTANEOUS INTRODUCE 6FR,87.0,,24.36,74.82,83
LOCAL,27200363,HC SUTURE SET EC,53.0,,14.84,45.58,83
LOCAL,27200364,HC TRAY BIOPSY BIPLATE BACH,31.0,,8.68,26.66,83
LOCAL,27200365,HC TRAY BONE MAR JAMSHIDI,68.0,,19.04,58.48,83
LOCAL,27200366,HC TRAY BONE MARROW BLAT ASP,135.0,,37.8,116.1,83
LOCAL,27200367,HC TRAY BONE MARROW BX T LOK,103.0,,28.84,88.58,83
LOCAL,27200374,HC TRAY TRORCNTS SFTY,139.0,,38.92,119.54,83
LOCAL,27200376,HC TRAY CATH FOLEY 14FR TEMP-SENSING W/URINE METER,80.0,,22.4,68.8,83
LOCAL,27200377,HC TRAY CATH FOLEY 14FR W/URINE METER,50.0,,14.0,43.0,83
LOCAL,27200378,HC TRAY BONE MARROW ASPIRATION T LOK,65.0,,18.2,55.9,83
LOCAL,27200382,HC TRAY COUDE 14-18FR W/ 350ML URINE METER (MULT SIZES),65.0,,18.2,55.9,83
LOCAL,27200383,HC SLING POUCH ORTHOPEDIC LARGE,40.0,,11.2,34.4,83
LOCAL,27200384,HC TRAY BIOSPY SYS 102 MM ONCONTROL COMPREHENSIVE KIT,439.0,,122.92,377.54,83
LOCAL,27200394,HC ABLATION DEVICE A,500.0,,140.0,430.0,83
LOCAL,27200395,HC ABLATION DEVICE B,976.0,,273.28,839.36,83
LOCAL,27200396,HC ABLATION DEVICE C (CRYOPROBE),2000.0,,560.0,1720.0,83
LOCAL,27200397,HC ABLATION DEVICE D,4067.0,,1138.76,3497.62,83
LOCAL,27200398,HC ELECTRODE PROBE ACT,2516.0,,704.48,2163.76,83
LOCAL,27200399,HC ABLATION DEVICE F,3818.0,,1069.04,3283.48,83
LOCAL,27200400,HC ABLATION DEVICE G,4062.0,,1137.36,3493.32,83
LOCAL,27200401,HC ABLATION ELECTRODE,867.0,,242.76,745.62,83
LOCAL,27200406,HC ADAPTER C,36.0,,10.08,30.96,83
LOCAL,27200407,HC ADAPTER DEVICE A,800.0,,224.0,688.0,83
LOCAL,27200408,HC ANCHOR SET A,89.0,,24.92,76.54,83
LOCAL,27200409,HC ANCHOR SET B,242.0,,67.76,208.12,83
LOCAL,27200412,HC BALLOON TMP PACMKR CTH KT,338.0,,94.64,290.68,83
LOCAL,27200415,HC BIOPSY KIT,695.0,,194.6,597.7,83
LOCAL,27200418,HC BONE ACCESS SYSTEM A,1275.0,,357.0,1096.5,83
LOCAL,27200419,HC BONE CEMENT A,418.0,,117.04,359.48,83
LOCAL,27200420,HC BONE CEMENT B,270.0,,75.6,232.2,83
LOCAL,27200421,HC BONE FILLER DEVICE,248.0,,69.44,213.28,83
LOCAL,27200422,HC BONE INFLATION ACESRY SET,225.0,,63.0,193.5,83
LOCAL,27200423,HC BONE TAMP A,1649.0,,461.72,1418.14,83
LOCAL,27200424,HC BONE TAMP B,1731.0,,484.68,1488.66,83
LOCAL,27200425,HC BPX30 IMAG COIL MR INSRT,387.0,,108.36,332.82,83
LOCAL,27200432,HC CARDIC CATH PACK,192.0,,53.76,165.12,83
LOCAL,27200433,HC CATH 2LMN 4FRX15CM,444.0,,124.32,381.84,83
LOCAL,27200434,HC CATH 2LMN 5FRX12CM,321.0,,89.88,276.06,83
LOCAL,27200436,HC CATH DAIL 2LMN 14FRX20CM,213.0,,59.64,183.18,83
LOCAL,27200437,HC CATH DIAL 2LM 13.5FX24CM,168.0,,47.04,144.48,83
LOCAL,27200438,HC CATH DRN VENTRC ANTIMICRO,639.0,,178.92,549.54,83
LOCAL,27200439,HC CATH KIT 2LMN 14FRX15CM,219.0,,61.32,188.34,83
LOCAL,27200440,HC CATH KIT MAC 9FRX10CM,249.0,,69.72,214.14,83
LOCAL,27200441,HC CATH MICROINTRODUCR KIT5F,101.0,,28.28,86.86,83
LOCAL,27200442,HC CATH PICC ANTIBIOT 1LM 4F,402.0,,112.56,345.72,83
LOCAL,27200443,HC CATH PICC ANTIBIOT 1LM 5F,450.0,,126.0,387.0,83
LOCAL,27200445,HC CATHETER - ANGIO A,65.0,,18.2,55.9,83
LOCAL,27200446,HC CATHETER - ANGIO B,98.0,,27.44,84.28,83
LOCAL,27200447,HC CATHETER - ANGIO C,80.0,,22.4,68.8,83
LOCAL,27200448,HC CATHETER - ANGIO D,290.0,,81.2,249.4,83
LOCAL,27200449,HC CATHETER - ANGIO E,367.0,,102.76,315.62,83
LOCAL,27200450,HC CATHETER - ANGIO F,410.0,,114.8,352.6,83
LOCAL,27200451,HC CATHETER - ANGIO G,737.0,,206.36,633.82,83
LOCAL,27200452,HC CATHETER - ANGIO H,1130.0,,316.4,971.8,83
LOCAL,27200453,HC CATHETER - ANGIO I,950.0,,266.0,817.0,83
LOCAL,27200454,HC CATHETER - ANGIO J,1378.0,,385.84,1185.08,83
LOCAL,27200456,HC CATHETER - DRAINAGE B,100.0,,28.0,86.0,83
LOCAL,27200457,HC CATHETER - DRAINAGE C,190.0,,53.2,163.4,83
LOCAL,27200458,HC CATHETER - DRAINAGE D,403.0,,112.84,346.58,83
LOCAL,27200459,HC CATHETER - INFUSION A,326.0,,91.28,280.36,83
LOCAL,27200460,HC CATHETER SET,42.0,,11.76,36.12,83
LOCAL,27200461,HC CATHETERS DRN SEROMA 2,101.0,,28.28,86.86,83
LOCAL,27200466,HC COIL DETACH CONTROL,387.0,,108.36,332.82,83
LOCAL,27200470,HC CONT EVAC EMPTY 1000CC,38.0,,10.64,32.68,83
LOCAL,27200471,HC CONTURA ACCESSORY KIT,69.0,,19.32,59.34,83
LOCAL,27200472,HC CPS STAND PACK STJUDE,1116.0,,312.48,959.76,83
LOCAL,27200474,HC CENTRAL VENOUS CATH TRAY SPECTRUM COOK,624.0,,174.72,536.64,83
LOCAL,27200479,HC DIALYSIS CATHETER A,370.0,,103.6,318.2,83
LOCAL,27200480,HC DIALYSIS CATHETER B,793.0,,222.04,681.98,83
LOCAL,27200483,HC DILATOR B,35.0,,9.8,30.1,83
LOCAL,27200489,HC DRILL BIT A,280.0,,78.4,240.8,83
LOCAL,27200490,HC DRILL BIT B,1549.0,,433.72,1332.14,83
LOCAL,27200491,HC D-STAT FLOWABLE HEMOSTAT,313.0,,87.64,269.18,83
LOCAL,27200494,HC EMBOLIZATION - AGENTS A,100.0,,28.0,86.0,83
LOCAL,27200495,HC EMBOLIZATION - AGENTS B,155.0,,43.4,133.3,83
LOCAL,27200496,HC EMBOLIZATION - AGENTS C,358.0,,100.24,307.88,83
LOCAL,27200497,HC EMBOLIZATION - AGENTS D,584.0,,163.52,502.24,83
LOCAL,27200498,HC EMBOLIZATION - AGENTS E,670.0,,187.6,576.2,83
LOCAL,27200499,HC EMBOLIZATION - AGENTS F,1000.0,,280.0,860.0,83
LOCAL,27200500,HC EMBOLIZATION - AGENTS G,1500.0,,420.0,1290.0,83
LOCAL,27200501,HC EMBOLIZATION - AGENTS H,2900.0,,812.0,2494.0,83
LOCAL,27200502,HC EMBOLIZATION - AGENTS I,2300.0,,644.0,1978.0,83
LOCAL,27200503,HC EMBOLIZATION - AGENTS J,4600.0,,1288.0,3956.0,83
LOCAL,27200504,HC EMBOLIZATION - AGENTS K,4500.0,,1260.0,3870.0,83
LOCAL,27200505,HC EMBOLIZATION - AGENTS L,8880.0,,2486.4,7636.8,83
LOCAL,27200506,HC EMBOLIZATION - COILS A,42.0,,11.76,36.12,83
LOCAL,27200507,HC EMBOLIZATION - COILS B,80.0,,22.4,68.8,83
LOCAL,27200508,HC EMBOLIZATION - COILS C,235.0,,65.8,202.1,83
LOCAL,27200509,HC EMBOLIZATION - COILS D,938.0,,262.64,806.68,83
LOCAL,27200510,HC EMBOLIZATION - COILS E,800.0,,224.0,688.0,83
LOCAL,27200511,HC EMBOLIZATION - COILS F,1125.0,,315.0,967.5,83
LOCAL,27200512,HC EMBOLIZATION - COILS G,1600.0,,448.0,1376.0,83
LOCAL,27200513,HC EMBOLIZATION - COILS H,1403.0,,392.84,1206.58,83
LOCAL,27200514,HC EMBOLIZATION - COILS I,1502.0,,420.56,1291.72,83
LOCAL,27200515,HC EMBOLIZATION - COILS J,1584.0,,443.52,1362.24,83
LOCAL,27200516,HC EMBOLIZATION - COILS K,170.0,,47.6,146.2,83
LOCAL,27200517,HC EMBOLIZATION - COILS L,1800.0,,504.0,1548.0,83
LOCAL,27200518,HC EMBOLIZATION DEVICE,656.0,,183.68,564.16,83
LOCAL,27200519,HC EPSTEIN FACIOPLAST ALL SZ,73.0,,20.44,62.78,83
LOCAL,27200520,HC FIBRIN SEALANT 5/10ML (HUMAN) (VISTASEAL/EVICEL),1086.0,,304.08,933.96,83
LOCAL,27200524,HC FACIOPLASTY SUPPORT LRG,65.0,,18.2,55.9,83
LOCAL,27200525,HC FACIOPLASTY SUPPORT MED,104.0,,29.12,89.44,83
LOCAL,27200532,HC FOAM DISC ADH LRG (PK-30EA),87.0,,24.36,74.82,83
LOCAL,27200544,HC HEMOSTATIC VALVE,48.0,,13.44,41.28,83
LOCAL,27200546,HC IAB CATH 34-40CCLIEN7.5FR,1275.0,,357.0,1096.5,83
LOCAL,27200547,HC IAB CATHETER 8FR 50CC,1415.0,,396.2,1216.9,83
LOCAL,27200550,HC IMRI DRILL BIT,280.0,,78.4,240.8,83
LOCAL,27200551,HC IMRI SCAPEL,84.0,,23.52,72.24,83
LOCAL,27200552,HC IMRI SENSOR A,290.0,,81.2,249.4,83
LOCAL,27200555,HC INFLATION SYRINGE,257.0,,71.96,221.02,83
LOCAL,27200556,HC INFLATOR ACCESSORY SET A,1350.0,,378.0,1161.0,83
LOCAL,27200559,HC BONE CEMENT INJECTOR,900.0,,252.0,774.0,83
LOCAL,27200560,HC INTRODUCER PICC W/SFTY 5F,96.0,,26.88,82.56,83
LOCAL,27200561,HC INTRODUCER TOOL KIT,1631.0,,456.68,1402.66,83
LOCAL,27200564,HC KIT CATH PRC DRN 14FX23CM,401.0,,112.28,344.86,83
LOCAL,27200565,HC KIT LUMBAR ACCESSORY (CORDIS),343.0,,96.04,294.98,83
LOCAL,27200567,HC KIT WOUND DEBRIDEMENT PULSAVAC,144.0,,40.32,123.84,83
LOCAL,27200575,HC MICROPUNCTURE SET A,51.0,,14.28,43.86,83
LOCAL,27200577,HC NEEDLE BIOPSY TRUCUT 14G*6IN,45.0,,12.6,38.7,83
LOCAL,27200578,HC NIAGARA SLIM CATH 15CM,180.0,,50.4,154.8,83
LOCAL,27200579,HC NIAGARA SLIM CATH 20CM,180.0,,50.4,154.8,83
LOCAL,27200580,HC NIAGARA SLIM CATH 24CM,189.0,,52.92,162.54,83
LOCAL,27200581,HC NITINOL EXTRACT 1.7F115CM,391.0,,109.48,336.26,83
LOCAL,27200582,HC NITINOL EXTRACT 2.4F115CM,389.0,,108.92,334.54,83
LOCAL,27200583,HC NITINOL STONE RETRV BASKT,497.0,,139.16,427.42,83
LOCAL,27200584,HC NPAS 100 RH NT,130.0,,36.4,111.8,83
LOCAL,27200585,HC OLCOTT TORQUE DEVICE,39.0,,10.92,33.54,83
LOCAL,27200586,HC OPTICAL COHER TOMO CATH,1800.0,,504.0,1548.0,83
LOCAL,27200588,HC OSTEO INTRODUCER KIT,5391.0,,1509.48,4636.26,83
LOCAL,27200589,HC PACEMAKER KIT,172.0,,48.16,147.92,83
LOCAL,27200591,HC PEAK PLASMABLADE 3.0S,585.0,,163.8,503.1,83
LOCAL,27200594,HC PIRANHA3F URETEROSCOPIC,799.0,,223.72,687.14,83
LOCAL,27200595,HC PLASMA EXCHANGE SET,338.0,,94.64,290.68,83
LOCAL,27200598,HC POLYMETHYMETHACRYLATE,3218.0,,901.04,2767.48,83
LOCAL,27200600,HC PUMP SET,438.0,,122.64,376.68,83
LOCAL,27200604,HC SAVI FLX CATH PROTCTR SET,394.0,,110.32,338.84,83
LOCAL,27200606,HC SAVI SPACER,342.0,,95.76,294.12,83
LOCAL,27200609,HC FEEDING KANGAROO TUBE W/ DOBHOFF TIP,38.0,,10.64,32.68,83
LOCAL,27200610,HC SET INTRO 8FR DAIG PEEL,105.0,,29.4,90.3,83
LOCAL,27200611,HC SET PLEURAL DRNG LINE,127.0,,35.56,109.22,83
LOCAL,27200613,HC SHEATH D,139.0,,38.92,119.54,83
LOCAL,27200614,HC SHEATH E,300.0,,84.0,258.0,83
LOCAL,27200615,HC SHEATH F,400.0,,112.0,344.0,83
LOCAL,27200616,HC SHEATH G,562.0,,157.36,483.32,83
LOCAL,27200621,HC STERILE BIOPSY GRID,70.0,,19.6,60.2,83
LOCAL,27200627,HC TEMPORARY PACING CABLES,60.0,,16.8,51.6,83
LOCAL,27200628,HC THERMODILUTION SWAN 7FR,145.0,,40.6,124.7,83
LOCAL,27200633,HC TRACH ADH SKIN 2 OZ,119.0,,33.32,102.34,83
LOCAL,27200634,HC TRACH FOAM DISC STD (PK-30EA),76.0,,21.28,65.36,83
LOCAL,27200635,HC TRACKING PAD A,425.0,,119.0,365.5,83
LOCAL,27200636,HC TRAY DIAL 3LMN 12FRX16CM,338.0,,94.64,290.68,83
LOCAL,27200637,HC TRAY DIAL 3LMN 12FRX20CM,294.0,,82.32,252.84,83
LOCAL,27200638,HC TRAY DIAL 3LMN 12FRX24CM,263.0,,73.64,226.18,83
LOCAL,27200642,HC TUNNELER B,59.0,,16.52,50.74,83
LOCAL,27200643,HC URETERAL BRUSH/ DEFLECTABLE BRUSH BIOPSY SET,175.0,,49.0,150.5,83
LOCAL,27200645,HC US CONNECTOR PORT,203.0,,56.84,174.58,83
LOCAL,27200650,HC VALVE CHEST DRAIN (HEIMLICH/SIMPLE),372.0,,104.16,319.92,83
LOCAL,27200652,HC VENOUS - BIOPTOME,465.0,,130.2,399.9,83
LOCAL,27200653,HC VENOUS - TIPS SET,87.0,,24.36,74.82,83
LOCAL,27200659,HC VENOUS LIVER SET A,500.0,,140.0,430.0,83
LOCAL,27200660,HC VENOUS LIVER SET B,612.0,,171.36,526.32,83
LOCAL,27200661,HC VENOUS LIVER SET C,1125.0,,315.0,967.5,83
LOCAL,27200662,HC VENOUS LIVER SET D,900.0,,252.0,774.0,83
LOCAL,27200663,HC VENOUS LIVER SET E,1050.0,,294.0,903.0,83
LOCAL,27200674,HC WHT BLOOD CELL KIT OR REMOVER,355.0,,99.4,305.3,83
LOCAL,27200675,HC WIRE STONE EXTRACTOR,338.0,,94.64,290.68,83
LOCAL,27200677,HC WRENCH KIT,112.0,,31.36,96.32,83
LOCAL,27200679,HC XT125 125 KIT LO HEMATOCRITS,2921.0,,817.88,2512.06,83
LOCAL,27200684,HC HEMOPERFUSION CARTRIDGE,875.0,,245.0,752.5,83
LOCAL,27200685,HC DRESSING POLYMEM MAX 8X8IN,42.0,,11.76,36.12,83
LOCAL,27200686,HC DRESSING POLYMEM MAX SILVER 8X8,50.0,,14.0,43.0,83
LOCAL,27200687,HC DRESSING POLYMEM PLAIN 4X12.5IN,59.0,,16.52,50.74,83
LOCAL,27200688,HC DRESSING POLYMEM WIC 3X12IN,45.0,,12.6,38.7,83
LOCAL,27200689,HC DRESSING POLYMEM WIC SILVER 3X3IN,47.0,,13.16,40.42,83
LOCAL,27200690,HC DRESSING POLYMEM SILVER WOUND ROPE 0.4X14IN WIC,39.0,,10.92,33.54,83
LOCAL,27200691,HC DRESSING HYDROFERA BLUE 8X8IN,46.0,,12.88,39.56,83
LOCAL,27200692,HC DRESSING HYDROFERA BLUE CLASSIC 6X6IN,46.0,,12.88,39.56,83
LOCAL,27200693,HC DRESSING PROMOGRAN 19.1SQ IN,65.0,,18.2,55.9,83
LOCAL,27200694,HC DRESSING PROMOGRAN PRISMA 19.1SQ IN,67.0,,18.76,57.62,83
LOCAL,27200701,HC GEL MEDIHONEY 1.5OZ,65.0,,18.2,55.9,83
LOCAL,27200706,HC LENSES CONTACT 18-22 MM DIAMETER 9 MM BASE CURVE PLANO,137.0,,38.36,117.82,83
LOCAL,27200707,HC LENS CONTACT AIR OPTIX NIGHT&DAY AQUA 6P,129.0,,36.12,110.94,83
LOCAL,27200719,HC MEDIHONY CALCM ALGNAT DRE,38.0,,10.64,32.68,83
LOCAL,27200740,HC PASTE TB MEDIHONY HYDRCOL,52.0,,14.56,44.72,83
LOCAL,27200748,HC TISSEEL 4 ML,666.0,,186.48,572.76,83
LOCAL,27200749,HC TISSEEL 10 ML,1453.0,,406.84,1249.58,83
LOCAL,27200753,HC DRESSING GAUZE 6IN,38.0,,10.64,32.68,83
LOCAL,27200754,HC LARGE SENSATRAC DRESSING,138.0,,38.64,118.68,83
LOCAL,27200755,HC MED VAC SPONGE SILVER,162.0,,45.36,139.32,83
LOCAL,27200756,HC MEDIUM SENSATRAC DRESSING,126.0,,35.28,108.36,83
LOCAL,27200757,HC SENSATRAC X-LG DRESSING,257.0,,71.96,221.02,83
LOCAL,27200758,HC SMALL SENSATRAC DRESSING,100.0,,28.0,86.0,83
LOCAL,27200759,HC OST KIT CANISTER W/ISOLYZE,107.0,,29.96,92.02,83
LOCAL,27200761,HC FILTER EPIDURAL CATH .22,38.0,,10.64,32.68,83
LOCAL,27200762,HC DRAIN CHEST W/RSVR 30ML,86.0,,24.08,73.96,83
LOCAL,27200763,HC DRAIN CHST XPRS MOBL500ML,138.0,,38.64,118.68,83
LOCAL,27200781,HC CATH TROCAR 16FR,48.0,,13.44,41.28,83
LOCAL,27200782,HC CATH TROCAR 20FR,46.0,,12.88,39.56,83
LOCAL,27200783,HC CATH TROCAR 28FR,46.0,,12.88,39.56,83
LOCAL,27200784,HC CATH TROCAR 32 FR,46.0,,12.88,39.56,83
LOCAL,27200823,HC BRACHY PROSTATE NEEDLE,52.0,,14.56,44.72,83
LOCAL,27200825,HC CATHETER - BALLOON A,70.0,,19.6,60.2,83
LOCAL,27200826,HC CATHETER - BALLOON B,216.0,,60.48,185.76,83
LOCAL,27200827,HC CATHETER - BALLOON C,246.0,,68.88,211.56,83
LOCAL,27200828,HC CATHETER - BALLOON D,675.0,,189.0,580.5,83
LOCAL,27200829,HC CATHETER - BALLOON E,529.0,,148.12,454.94,83
LOCAL,27200830,HC CATHETER - BALLOON F,850.0,,238.0,731.0,83
LOCAL,27200831,HC CATHETER - BALLOON G,1050.0,,294.0,903.0,83
LOCAL,27200832,HC CATHETER - BALLOON H,1250.0,,350.0,1075.0,83
LOCAL,27200833,HC CATHETER - BALLOON NV,563.0,,157.64,484.18,83
LOCAL,27200834,HC EVERCROS BALLOON5-9X40X80,333.0,,93.24,286.38,83
LOCAL,27200845,HC CATH DRAINAGE MULTI 8.5FR,165.0,,46.2,141.9,83
LOCAL,27200846,HC CATH MULTIPURPOSE DRAIN,165.0,,46.2,141.9,83
LOCAL,27200847,HC CATHETER - DRAINAGE E,574.0,,160.72,493.64,83
LOCAL,27200848,HC CATHETER - DRAINAGE F,65.0,,18.2,55.9,83
LOCAL,27200909,HC BIOPSY SYS COMP 102/152MM,293.0,,82.04,251.98,83
LOCAL,27200968,HC IMRI CRYO PROBE D,2400.0,,672.0,2064.0,83
LOCAL,27200997,HC CATH EXTERNAL DRAIN VENTRICUL,592.0,,165.76,509.12,83
LOCAL,27201002,HC ABLATION ELECTRODE,867.0,,242.76,745.62,83
LOCAL,27201010,HC TUBE STYLET  PEDI,24.0,,6.72,20.64,83
LOCAL,27201012,HC INSULIN PEN NEEDLE STERIL,75.0,,21.0,64.5,83
LOCAL,27201013,HC ASPIRATION NEEDLE,213.0,,59.64,183.18,83
LOCAL,27201014,HC ASPIRAT NEEDLE (EBUS)22G,178.0,,49.84,153.08,83
LOCAL,27201015,HC ASPIRAT NEEDLE (EBUS)21G,270.0,,75.6,232.2,83
LOCAL,27201018,HC SUPRAPUB CATH,72.0,,20.16,61.92,83
LOCAL,27201019,HC DIALATOR SET,369.0,,103.32,317.34,83
LOCAL,27201020,HC 6 X 20 STENT,256.0,,71.68,220.16,83
LOCAL,27201021,HC STENT SET,336.0,,94.08,288.96,83
LOCAL,27201029,HC FISTULA WOUND MGT SYS MAX,65.0,,18.2,55.9,83
LOCAL,27201030,HC FISTULA WOUND MGT SYS MID,55.0,,15.4,47.3,83
LOCAL,27201031,HC FISTULA WOUND MGT SYS MIN,38.0,,10.64,32.68,83
LOCAL,27201032,HC KIT REFILL MEDPAC MEDTRONIIC,83.0,,23.24,71.38,83
LOCAL,27201033,HC COLLAGEN SKIN TEST KIT,56.0,,15.68,48.16,83
LOCAL,27201034,HC SPONGE GELFOAM SZ: 100,63.0,,17.64,54.18,83
LOCAL,27201035,HC REGIONAL BLOCK,86.0,,24.08,73.96,83
LOCAL,27201037,HC TRAY GYN PELVIC SPEC COLL,115.0,,32.2,98.9,83
LOCAL,27201038,HC DRESSING GEL SIL 1.5OZ,49.0,,13.72,42.14,83
LOCAL,27201040,HC SYSTEM JAW REHAB THERABITE ADULT,916.0,,256.48,787.76,83
LOCAL,27201042,HC SEALANT SPRAY TIP,138.0,,38.64,118.68,83
LOCAL,27201047,HC UROPLASTY ENDOSCOP NEEDLE,83.0,,23.24,71.38,83
LOCAL,27201048,HC RADIAL JAW HOT BIOPSY,193.0,,54.04,165.98,83
LOCAL,27201052,HC TUBE FEEDING 6FR 36IN,38.0,,10.64,32.68,83
LOCAL,27201053,HC TUBE FEEDING 8FR 36IN,30.0,,8.4,25.8,83
LOCAL,27201055,HC HANDPIECE (MRI),412.0,,115.36,354.32,83
LOCAL,27201057,HC 10/12 100MM BLN TROCARSYSA4649,65.0,,18.2,55.9,83
LOCAL,27201058,HC 16FR SERIAL DILATOR A4649,214.0,,59.92,184.04,83
LOCAL,27201059,HC 23G DIRECT LASER PROBE A4649,379.0,,106.12,325.94,83
LOCAL,27201060,HC 3-WIRE STONE BSKT/EXTR .6A4649,688.0,,192.64,591.68,83
LOCAL,27201061,HC 4CHANNEL 18MM PROTECT PINA,427.0,,119.56,367.22,83
LOCAL,27201062,HC 6-WIRE STONE BSKT/EXTR .6A4649,752.0,,210.56,646.72,83
LOCAL,27201064,HC ABTHERA WND VAC DRS A6252,828.0,,231.84,712.08,83
LOCAL,27201065,HC ACMI PLASMA-V VD ELEC A4649,1125.0,,315.0,967.5,83
LOCAL,27201066,HC ACMI SUPERLOOP ELEC A4649,1125.0,,315.0,967.5,83
LOCAL,27201067,HC ACMI SUPERSECT ELEC A4649,815.0,,228.2,700.9,83
LOCAL,27201068,HC AIRWAY EXCHANGE 19FR A4649,119.0,,33.32,102.34,83
LOCAL,27201069,HC ALEXIS RETRACTOR SM/LG,69.0,,19.32,59.34,83
LOCAL,27201070,HC ANTENNA EXTRNL FOR PRGRMRL9900,180.0,,50.4,154.8,83
LOCAL,27201071,HC ANTI SIPHON DEVICE,677.0,,189.56,582.22,83
LOCAL,27201072,HC FIAPC PROBE - ERBE,450.0,,126.0,387.0,83
LOCAL,27201073,HC AQUANMANTYS B-SEALER 6.3 A4649,1012.0,,283.36,870.32,83
LOCAL,27201076,HC AVA TEX BONE CEMENT A4649,299.0,,83.72,257.14,83
LOCAL,27201077,HC AVA TEX BONE CEMENT11-13GA4649,464.0,,129.92,399.04,83
LOCAL,27201078,HC AVA TEX KIT11GX12-15CM A4649,203.0,,56.84,174.58,83
LOCAL,27201079,HC AVA TEX RADIOPAC W/5G BARA4649,191.0,,53.48,164.26,83
LOCAL,27201080,HC AVITENE SHEETS DISP,595.0,,166.6,511.7,83
LOCAL,27201081,HC AXIEM CRAN TRACE PNTR PCKA4649,803.0,,224.84,690.58,83
LOCAL,27201082,HC AXIEM CRAN TUMOR RESEC NIA4649,900.0,,252.0,774.0,83
LOCAL,27201083,HC AXIEM CRANSHUNT PLCMNT NIA4649,1452.0,,406.56,1248.72,83
LOCAL,27201087,HC BALLON MAJ-1351 A4649,65.0,,18.2,55.9,83
LOCAL,27201088,HC CVC STAINLESS TUNNELER BARD,138.0,,38.64,118.68,83
LOCAL,27201089,HC BASKET V SYSTEM WIRE GUIDED,474.0,,132.72,407.64,83
LOCAL,27201090,HC BEAMPATH ENT-L FIBER A4649,1275.0,,357.0,1096.5,83
LOCAL,27201091,HC B-GUIDE WIRE 038*145CM C1769,46.0,,12.88,39.56,83
LOCAL,27201092,HC BINDER ABD LGA4463,38.0,,10.64,32.68,83
LOCAL,27201093,HC BINDER ABD MED A4463,32.0,,8.96,27.52,83
LOCAL,27201094,HC BINDER ABD XL A4463,65.0,,18.2,55.9,83
LOCAL,27201096,HC BIOPSY BRUSH DEFLEC URETERAL 3FR,178.0,,49.84,153.08,83
LOCAL,27201097,HC BIOPSY DEV CORE18GX21CM A4649,116.0,,32.48,99.76,83
LOCAL,27201098,HC BIOPSY FORCEP URETEROSCOPA4649,1125.0,,315.0,967.5,83
LOCAL,27201099,HC BIOPSY FORCEPCUP3FX11.5CMA4649,687.0,,192.36,590.82,83
LOCAL,27201100,HC BIOVAC Y-PORT A4649,225.0,,63.0,193.5,83
LOCAL,27201101,HC BIOVER MV VEIN CLMP S-M A4649,97.0,,27.16,83.42,83
LOCAL,27201103,HC BIT DRILL CN TWT 6.5MM A4649,1125.0,,315.0,967.5,83
LOCAL,27201104,HC BIT WIRE 1.1 STRYKER A4649,138.0,,38.64,118.68,83
LOCAL,27201106,HC BIT WIRE 1.3 STRYKER A4649,138.0,,38.64,118.68,83
LOCAL,27201107,HC BIT WIRE 1.5 STRYKER A4649,138.0,,38.64,118.68,83
LOCAL,27201117,HC BLOCK NEVER CONTI TOUHY A4649,79.0,,22.12,67.94,83
LOCAL,27201118,HC BLUNT NERV BLOCK20GX114MMC1892,38.0,,10.64,32.68,83
LOCAL,27201119,HC BLUNT NERV BLOCK20GX152MMC1892,38.0,,10.64,32.68,83
LOCAL,27201120,HC BLUNT NERV BLOCK20GX203MMC1892,38.0,,10.64,32.68,83
LOCAL,27201121,HC BLUNT NERV COUDE20GX114MMC1892,49.0,,13.72,42.14,83
LOCAL,27201122,HC BLUNT NERV COUDE20GX152MMC1892,44.0,,12.32,37.84,83
LOCAL,27201123,HC BLUNT NERV COUDE20GX203MMC1892,49.0,,13.72,42.14,83
LOCAL,27201124,HC BLUNT OBTURATOR A4649,282.0,,78.96,242.52,83
LOCAL,27201125,HC BRAD MICRO INTRODUCER 4F C1894,97.0,,27.16,83.42,83
LOCAL,27201126,HC BROVIAC 6.6. S-LMM CVC C1751,338.0,,94.64,290.68,83
LOCAL,27201127,HC BRUSH CLNG BRISTLE 4MM A4649,338.0,,94.64,290.68,83
LOCAL,27201129,HC BRUSH CYTOLOGY 160CM A4649,38.0,,10.64,32.68,83
LOCAL,27201130,HC BUCKLING SCLERAL COMP A4649,443.0,,124.04,380.98,83
LOCAL,27201131,HC BUTTON GAST 1 STEP,378.0,,105.84,325.08,83
LOCAL,27201132,HC BUTTON GASTROSTOMY,295.0,,82.6,253.7,83
LOCAL,27201133,HC BUTTON REPLAC 18FRX1.2CM B4088,378.0,,105.84,325.08,83
LOCAL,27201134,HC BUTTON TRACH 10 SHORT A7524,315.0,,88.2,270.9,83
LOCAL,27201135,HC BUTTON TRACH BART10 REG A7524,315.0,,88.2,270.9,83
LOCAL,27201136,HC BUTTON TRACH BART12 SHRT A7524,315.0,,88.2,270.9,83
LOCAL,27201137,HC C-A DRILL CNTRSINK 3-4MM A4649,450.0,,126.0,387.0,83
LOCAL,27201138,HC C-A GUIDE DRILL 3MM&4MM A4649,350.0,,98.0,301.0,83
LOCAL,27201139,HC CAROTID ARTERY SHNT SET A4649,65.0,,18.2,55.9,83
LOCAL,27201140,HC CASSETTE IRIG DISP CORE A4649,128.0,,35.84,110.08,83
LOCAL,27201141,HC CATH ANTIMICRO3LMN7FX25CMC1751,280.0,,78.4,240.8,83
LOCAL,27201142,HC CATH BROVIAC 2.7F SGL LUMC1751,270.0,,75.6,232.2,83
LOCAL,27201143,HC CATH CHOLANG 4.5FRA4340,87.0,,24.36,74.82,83
LOCAL,27201144,HC CATH CHOLANG 5.5FR(GREEN)A4340,80.0,,22.4,68.8,83
LOCAL,27201145,HC CATH CHOLANG 7.5FR (BLUE)A4340,117.0,,32.76,100.62,83
LOCAL,27201146,HC CATH CHOLANGIOGRAM 6.5F A4340,140.0,,39.2,120.4,83
LOCAL,27201147,HC CATH CNCIL-TIP 16-20F 5CCA4340,40.0,,11.2,34.4,83
LOCAL,27201148,HC CATH CNCIL-TIP 22FR 5CC A4344,42.0,,11.76,36.12,83
LOCAL,27201149,HC CATH CONTURA CVTY MAIN A4649,318.0,,89.04,273.48,83
LOCAL,27201150,HC CATH CVC 2LMN 5F*12CM C1751,333.0,,93.24,286.38,83
LOCAL,27201151,"HC CATH CVC IC 2LMN5F*3 1/8""C1751",171.0,,47.88,147.06,83
LOCAL,27201152,HC CATH CVC IC 2LMN5FX51/8IN,91.0,,25.48,78.26,83
LOCAL,27201153,HC CATH CVC PLYTRAY3L7FX50CMC1751,229.0,,64.12,196.94,83
LOCAL,27201154,HC CATH CVC SLCN 1LM 5FX20CMC1751,338.0,,94.64,290.68,83
LOCAL,27201155,HC CATH CVC2L8FX16CMARWGRDBLC1751,156.0,,43.68,134.16,83
LOCAL,27201156,HC CATH DBL LUM11.5F*15-20CMC1750,212.0,,59.36,182.32,83
LOCAL,27201157,HC CATH DRAIN CAV PERCUT KITC1729,242.0,,67.76,208.12,83
LOCAL,27201158,HC CATH EDELMAN FOLEY 16-18FA4344,115.0,,32.2,98.9,83
LOCAL,27201159,HC CATH EPIDURAL FLEXTIP19GAC1755,41.0,,11.48,35.26,83
LOCAL,27201160,HC CATH FGRTYARTEMB/IRRG3-4FC1757,168.0,,47.04,144.48,83
LOCAL,27201161,HC CATH FGRTYARTTHRMBCT8/10FC1757,138.0,,38.64,118.68,83
LOCAL,27201162,HC CATH FOGARTY A4649,138.0,,38.64,118.68,83
LOCAL,27201163,HC CATH FOGARTY IRRIG A4649,65.0,,18.2,55.9,83
LOCAL,27201170,HC CATH FOLEY 2W 22F 5CC A4344,42.0,,11.76,36.12,83
LOCAL,27201172,HC CATH FOLEY 2W 26F 5CC A4344,13.0,,3.64,11.18,83
LOCAL,27201174,HC CATH FOLEY 2W 6F 1.5CC SIA4344,39.0,,10.92,33.54,83
LOCAL,27201177,HC CATH FOLEY 2WAY 28FR 30CCA4344,15.0,,4.2,12.9,83
LOCAL,27201179,HC CATH FOLEY 3 WAY HEMA A4346,65.0,,18.2,55.9,83
LOCAL,27201180,HC CATH FOLEY 3W 16F 5CC A4346,18.0,,5.04,15.48,83
LOCAL,27201184,HC CATH FOLEY 3W 20F 5CC A4346,38.0,,10.64,32.68,83
LOCAL,27201186,HC CATH FOLEY 3W 22F 5CC A4346,38.0,,10.64,32.68,83
LOCAL,27201188,HC CATH FOLEY 3W 24F 5CC A4346,38.0,,10.64,32.68,83
LOCAL,27201190,HC CATH FOLEY BAKER JEJUN 16B4087,618.0,,173.04,531.48,83
LOCAL,27201192,HC CATH FOLEY COUDE 30 TIP A4340,38.0,,10.64,32.68,83
LOCAL,27201193,HC CATH FOLEY COUDE 5 TIP A4340,38.0,,10.64,32.68,83
LOCAL,27201194,HC CATH FOLEY MALECOT 14FR A4340,65.0,,18.2,55.9,83
LOCAL,27201201,HC CATH FOLEY TEMP PROB 10FRA4344,56.0,,15.68,48.16,83
LOCAL,27201202,HC CATH FOLEY TEMP PROB 12FRA4344,56.0,,15.68,48.16,83
LOCAL,27201203,HC CATH FOLEY TEMP PROB 16FRA4344,35.0,,9.8,30.1,83
LOCAL,27201204,HC CATH FOLEY3W 18F 5CC A4346,38.0,,10.64,32.68,83
LOCAL,27201206,HC CATH FOLEY3W 26F 30CC A4346,34.0,,9.52,29.24,83
LOCAL,27201207,HC CATH FOLY HEM 2W24CH 30CCA4340,70.0,,19.6,60.2,83
LOCAL,27201208,HC CATH FOLY HEM 3W22CH 30CCA4340,44.0,,12.32,37.84,83
LOCAL,27201209,HC CATH FOLY HEM 3W24CH 30CCA4340,44.0,,12.32,37.84,83
LOCAL,27201210,HC CATH FOLY TEMP PROBE 16FRA4340,80.0,,22.4,68.8,83
LOCAL,27201211,HC CATH FOLY W-TIP 18-24F5CCC1758,61.0,,17.08,52.46,83
LOCAL,27201212,HC CATH FOLY W-TIP22-26F30CCC1758,65.0,,18.2,55.9,83
LOCAL,27201214,HC CATH FOLY3WY SIL 16FX30MLA4346,222.0,,62.16,190.92,83
LOCAL,27201215,HC CATH HEMO 2LMM 8F*18CM C1750,570.0,,159.6,490.2,83
LOCAL,27201216,HC CATH HEMO 2LMN8FR*12CM C1750,308.0,,86.24,264.88,83
LOCAL,27201217,HC CATH HICKMAN 7FR DUAL LUMC1751,973.0,,272.44,836.78,83
LOCAL,27201218,HC CATH HICKMAN ROUND DUAL C1751,729.0,,204.12,626.94,83
LOCAL,27201219,HC CATH HOH 5FR C1751,338.0,,94.64,290.68,83
LOCAL,27201220,HC CATH INTRSPINL 8703W LMBRC1755,875.0,,245.0,752.5,83
LOCAL,27201222,HC CATH KIT DRAIN CAVITY PERC1729,241.0,,67.48,207.26,83
LOCAL,27201223,HC CATH KIT HEMODIA 2LMNPEDIC1751,164.0,,45.92,141.04,83
LOCAL,27201224,HC CATH CVC TRAY SPECTRUM DL 4F STD,388.0,,108.64,333.68,83
LOCAL,27201225,HC CATH KIT MULTI-LUM ARROW C1751,167.0,,46.76,143.62,83
LOCAL,27201226,HC CATH MALECOT ALL TYPESA4340,65.0,,18.2,55.9,83
LOCAL,27201227,HC CATH NATURL LTX 6 EYES22FA4340,64.0,,17.92,55.04,83
LOCAL,27201228,HC CATH PASS W/ORBITOR A4649,207.0,,57.96,178.02,83
LOCAL,27201229,HC CATH PERITONEAL TENCKHOFFA4340,138.0,,38.64,118.68,83
LOCAL,27201230,HC CATH QUINTON 10F X 12CM C1751,131.0,,36.68,112.66,83
LOCAL,27201234,HC CATH SIL 1LMN5FX25 W/CLMPC1751,306.0,,85.68,263.16,83
LOCAL,27201235,HC CATH SMPLC 2W 30CC 20F A4344,65.0,,18.2,55.9,83
LOCAL,27201236,HC CATH SMPLC 3W 30CC 20F A4344,57.0,,15.96,49.02,83
LOCAL,27201237,HC CATH S-SIMP 2W 22F*30ML A4344,65.0,,18.2,55.9,83
LOCAL,27201244,HC CATH STRT THORACIC 40FR,38.0,,10.64,32.68,83
LOCAL,27201245,HC CATH SUBCUTANEOUS PASSER A4649,361.0,,101.08,310.46,83
LOCAL,27201246,HC CATH SUPRPBC ST10-14FPRCUC2627,119.0,,33.32,102.34,83
LOCAL,27201248,HC CATH URET SIX EYE 24FR C1758,64.0,,17.92,55.04,83
LOCAL,27201249,HC CATH URL DIL 5.8F*75CM C2617,534.0,,149.52,459.24,83
LOCAL,27201250,HC CATH VENOUS 16 FR,338.0,,94.64,290.68,83
LOCAL,27201251,HC CATH WHISTLE TIP ALL C1758,161.0,,45.08,138.46,83
LOCAL,27201252,HC CATHETER INTRAD SPINECATHC1754,1793.0,,502.04,1541.98,83
LOCAL,27201253,HC CATHETER LUMBAR ACCESSORYA4340,343.0,,96.04,294.98,83
LOCAL,27201255,HC CELIAC FNA NEEDLE A4215,391.0,,109.48,336.26,83
LOCAL,27201256,HC CHEST DRAINAGE SYSTEM,90.0,,25.2,77.4,83
LOCAL,27201257,HC CHRONC DL CATH SYS23A-28AC1750,522.0,,146.16,448.92,83
LOCAL,27201258,HC CLAMPS VESSEL MED A4649,121.0,,33.88,104.06,83
LOCAL,27201259,HC CLEARPOINT SKULL PIN TIPSA4649,74.0,,20.72,63.64,83
LOCAL,27201260,HC CLIP GUN OMNI DISP,138.0,,38.64,118.68,83
LOCAL,27201261,HC CLIP SPRING 12 MM,51.0,,14.28,43.86,83
LOCAL,27201262,HC CNTP URETCATH4.8-12FX70CMC1758,43.0,,12.04,36.98,83
LOCAL,27201264,HC COKSTENT F-URET6F*20-24CMC2617,251.0,,70.28,215.86,83
LOCAL,27201266,HC COOK 810 SET,134.0,,37.52,115.24,83
LOCAL,27201267,HC COOK COPE 12FR .038 25CM C1729,185.0,,51.8,159.1,83
LOCAL,27201268,HC COOK DILATOR SET,138.0,,38.64,118.68,83
LOCAL,27201270,HC COOK STENT DB J 7F*22CM C2617,251.0,,70.28,215.86,83
LOCAL,27201271,HC COOK STENT URET 6F-8F C2617,251.0,,70.28,215.86,83
LOCAL,27201272,HC COOK STENTF-URET 6F*26CM C2617,251.0,,70.28,215.86,83
LOCAL,27201274,HC CORNEAL SHIELD COLLAGN72HA4649,98.0,,27.44,84.28,83
LOCAL,27201275,HC COUPLER M-VASC A-DVC1-4MMA4649,674.0,,188.72,579.64,83
LOCAL,27201276,HC CRE WB-DILATOR 12-15MM,524.0,,146.72,450.64,83
LOCAL,27201277,HC CRE WB-DILATOR 15-18MM,524.0,,146.72,450.64,83
LOCAL,27201278,HC CRE WB-DILATOR 6-8MM,368.0,,103.04,316.48,83
LOCAL,27201279,HC CRYO PROBE 3MM*18MM,2000.0,,560.0,1720.0,83
LOCAL,27201280,HC CRYO PROBE 5-8MM C2618,2000.0,,560.0,1720.0,83
LOCAL,27201281,HC CRYO PROSTATE SURG KIT C2618,7500.0,,2100.0,6450.0,83
LOCAL,27201282,HC CSF VENTR RESERV 12MM A4649,590.0,,165.2,507.4,83
LOCAL,27201283,HC CSLP DRILL BIT 3*14MM A4649,473.0,,132.44,406.78,83
LOCAL,27201284,HC CSLP LOCKING PLATE 9HOLE 92MM,1689.0,,472.92,1452.54,83
LOCAL,27201285,HC CSLP TMPLTE SERIES 350.1 A4649,95.0,,26.6,81.7,83
LOCAL,27201286,HC CSLP TMPLTE SERIES 350.2 A4649,95.0,,26.6,81.7,83
LOCAL,27201287,HC CSLP TMPLTE SERIES 350.3 A4649,110.0,,30.8,94.6,83
LOCAL,27201288,HC CSLP TMPLTE SERIES 350.4 A4649,127.0,,35.56,109.22,83
LOCAL,27201289,HC CSLP VA-TMPLTE 14-100MM A4649,138.0,,38.64,118.68,83
LOCAL,27201290,HC CUT LIN ENDO BLUE TSB45,422.0,,118.16,362.92,83
LOCAL,27201291,HC CUT LOOP ELEC 24-28 A4649,311.0,,87.08,267.46,83
LOCAL,27201292,HC CUTTER 55 LINEAR VASCULAR DLU,138.0,,38.64,118.68,83
LOCAL,27201293,HC CUTTER LINEAR 100MM BLUE,386.0,,108.08,331.96,83
LOCAL,27201294,HC CUTTER LINEAR 100MM BLUE DLU,272.0,,76.16,233.92,83
LOCAL,27201295,HC CUTTER LINEAR 100MM GREEN,412.0,,115.36,354.32,83
LOCAL,27201296,HC CUTTER LINEAR 100MM GREEN DLU,287.0,,80.36,246.82,83
LOCAL,27201297,HC CVC 5FR 12CM DOUBLE LUMENC1751,302.0,,84.56,259.72,83
LOCAL,27201298,HC CVC 5FR 8CM TRIPLE LUMENC1751,337.0,,94.36,289.82,83
LOCAL,27201299,HC CVC 7 FR 15CM TRIPLE LUMNC1751,337.0,,94.36,289.82,83
LOCAL,27201300,HC CVC 7 FR 25CM TRIPLE LUMNC1751,337.0,,94.36,289.82,83
LOCAL,27201301,HC CVC 7F 25CM DBL LMN SILCNC1751,374.0,,104.72,321.64,83
LOCAL,27201302,HC CVC 7FR 25CM DOUBLE LUMENC1751,480.0,,134.4,412.8,83
LOCAL,27201303,HC CVC 8FR 25CM TRIPLE LUMENC1751,506.0,,141.68,435.16,83
LOCAL,27201304,HC CVC 9FR 25CM DOUBL LUMEN C1751,258.0,,72.24,221.88,83
LOCAL,27201305,HC CVC BROVIA S-LMM 4.2FR C1751,704.0,,197.12,605.44,83
LOCAL,27201306,HC CYBERWAND PROBE A4649,1506.0,,421.68,1295.16,83
LOCAL,27201307,HC CYTOLOGY BRUSH,283.0,,79.24,243.38,83
LOCAL,27201308,HC DENVER SHUNT 12FR INTRO C1894,180.0,,50.4,154.8,83
LOCAL,27201309,HC DENVER SHUNT 16FR INTRO C1894,179.0,,50.12,153.94,83
LOCAL,27201310,HC DENVER SPLINT A4570,110.0,,30.8,94.6,83
LOCAL,27201312,HC DEXTRUS RETRACT FL S-L A4649,112.0,,31.36,96.32,83
LOCAL,27201313,HC DEXTRUS SEAL CAP ASSEM A4649,1134.0,,317.52,975.24,83
LOCAL,27201314,HC DIAZ GREEN SKIN HOOKS,109.0,,30.52,93.74,83
LOCAL,27201315,HC DIL BLN CRE 6FR*10-12CM,408.0,,114.24,350.88,83
LOCAL,27201316,HC DILATOR AMPLATZ 26FRC1892,75.0,,21.0,64.5,83
LOCAL,27201317,HC DILATOR AMPLATZ RENAL STC1726,432.0,,120.96,371.52,83
LOCAL,27201318,HC DILATOR BLN CRE6F*18-20CMC1726,608.0,,170.24,522.88,83
LOCAL,27201319,HC DISCMONITOR A4649,340.0,,95.2,292.4,83
LOCAL,27201320,HC DRAIN BLAKE FLAT 10MM A4649,65.0,,18.2,55.9,83
LOCAL,27201321,HC DRAIN BLAKE FLAT 7MM A4649,65.0,,18.2,55.9,83
LOCAL,27201322,HC DRAIN BLAKE RND 10F A4649,58.0,,16.24,49.88,83
LOCAL,27201323,HC DRAIN BLAKE RND 19F A4649,58.0,,16.24,49.88,83
LOCAL,27201324,HC DRAIN BLAKE ROUND 15F A4649,58.0,,16.24,49.88,83
LOCAL,27201328,HC DRAIN JP RND 19F T/R KIT A4649,69.0,,19.32,59.34,83
LOCAL,27201330,HC DRAIN JP RND15F T/R KIT A4649,61.0,,17.08,52.46,83
LOCAL,27201333,HC DRAIN MALECOT 16FR A4340,65.0,,18.2,55.9,83
LOCAL,27201334,HC DRAIN MALECOT 24FR A4340,64.0,,17.92,55.04,83
LOCAL,27201335,HC DRAIN MALECOT 26FR A4340,64.0,,17.92,55.04,83
LOCAL,27201336,HC DRAIN MALECOT 28FR A4340,248.0,,69.44,213.28,83
LOCAL,27201337,HC DRAIN MALECOT 32FR A4340,60.0,,16.8,51.6,83
LOCAL,27201338,HC DRAIN PLEUR EVAC,288.0,,80.64,247.68,83
LOCAL,27201339,HC DRAIN SI PEZZER 14F C1729,84.0,,23.52,72.24,83
LOCAL,27201340,HC DRAIN TRIPLE LUMEN,78.0,,21.84,67.08,83
LOCAL,27201342,HC DRESS LG VERS-FOAM10X15CMA6209,46.0,,12.88,39.56,83
LOCAL,27201345,HC DRS/DUODERM CGF 6*7 A6237,38.0,,10.64,32.68,83
LOCAL,27201346,HC DUAL LUM URET CATHC1758,97.0,,27.16,83.42,83
LOCAL,27201347,HC DUETTE MULTI-BAND MUCOSECTOMY DVC,574.0,,160.72,493.64,83
LOCAL,27201349,HC DUPLOCATH 35 MIS A4649,135.0,,37.8,116.1,83
LOCAL,27201350,HC ECHO FNA NEEDLE A4215,495.0,,138.6,425.7,83
LOCAL,27201351,HC ECHO HD22-C ECHOTIP ULTRAA4649,604.0,,169.12,519.44,83
LOCAL,27201352,HC ECHO-25 ECHOTIP ULTRA A4649,484.0,,135.52,416.24,83
LOCAL,27201353,HC ELEC BUGBEE 5F*58CM A4649,169.0,,47.32,145.34,83
LOCAL,27201354,HC ELEC COAG RLR BX 2.7MM A4649,636.0,,178.08,546.96,83
LOCAL,27201355,HC ELEC NDL LEVEEN 17G A4649,1680.0,,470.4,1444.8,83
LOCAL,27201356,HC ELEC NDL LEVEEN 1G A4649,2241.0,,627.48,1927.26,83
LOCAL,27201359,HC ELECTRODE FULG 3FR 10 A4649,206.0,,57.68,177.16,83
LOCAL,27201360,HC ENDO AVITENE COLLAG 10MM A4649,221.0,,61.88,190.06,83
LOCAL,27201361,HC ENDO AVITENE COLLAGEN 5MMA4649,138.0,,38.64,118.68,83
LOCAL,27201363,HC ENDO DISSECT 5 MM,1020.0,,285.6,877.2,83
LOCAL,27201364,HC ENDO FORCEPS RTH3FX11.5CMC1773,599.0,,167.72,515.14,83
LOCAL,27201365,HC ENDO INSUFF TUBING HIGH A4649,81.0,,22.68,69.66,83
LOCAL,27201366,HC ENDO RFA ELEC 2*25CM A4649,1838.0,,514.64,1580.68,83
LOCAL,27201367,HC ENDOSCPC MUCOSL RESCTN EMR KIT,360.0,,100.8,309.6,83
LOCAL,27201368,HC ERASER WF-HEMOSTAT BX 23GA4649,92.0,,25.76,79.12,83
LOCAL,27201369,HC ENDOSCOPIC ASPIRATION/BIOPSY (EUS/SL) NEEDLE,653.0,,182.84,561.58,83
LOCAL,27201370,HC EUS BALLOON SHEATH,319.0,,89.32,274.34,83
LOCAL,27201371,HC EXTRACTOR 4WIRE 3.2FR*115A4649,367.0,,102.76,315.62,83
LOCAL,27201372,HC FIBER BEAMPATH MARK I C02A4649,875.0,,245.0,752.5,83
LOCAL,27201373,HC FIBER HOLMBK1000W/FLATTIPA4649,1200.0,,336.0,1032.0,83
LOCAL,27201374,HC FIBER HOLMBK200W/FLAT TIPA4649,875.0,,245.0,752.5,83
LOCAL,27201375,HC FIBER LASER HOLM 365 A4649,875.0,,245.0,752.5,83
LOCAL,27201376,HC FIBER TEST 550 A4649,875.0,,245.0,752.5,83
LOCAL,27201377,HC FILIFORM ALL TYPESA4340,153.0,,42.84,131.58,83
LOCAL,27201378,HC FLEXITIP LUM CATH10FR50CMC1758,101.0,,28.28,86.86,83
LOCAL,27201379,HC FLLW-PHILP TREAD 8-24FRA4355,228.0,,63.84,196.08,83
LOCAL,27201380,HC FLOSEAL LAP APP 42CM A4649,186.0,,52.08,159.96,83
LOCAL,27201381,HC FLOW COUPLE2.0-3.0MMPROBEA4649,1900.0,,532.0,1634.0,83
LOCAL,27201382,HC FNA NEEDLE A,338.0,,94.64,290.68,83
LOCAL,27201383,HC FOGARTY ARTERI EMBOL 2FR C1757,153.0,,42.84,131.58,83
LOCAL,27201384,HC FOGARTY ARTERI EMBOL 3FR C1757,132.0,,36.96,113.52,83
LOCAL,27201385,HC FOGARTY ARTERI EMBOL 4FR C1757,132.0,,36.96,113.52,83
LOCAL,27201386,HC FOGARTY ARTERI EMBOL 5FR C1757,99.0,,27.72,85.14,83
LOCAL,27201387,HC FOGARTY ARTERI EMBOL 6FR C1757,134.0,,37.52,115.24,83
LOCAL,27201388,HC FOGARTY ARTERI EMBOL 7FR C1757,118.0,,33.04,101.48,83
LOCAL,27201389,HC FOGARTY SOFT JAW INSERT 33MM,35.0,,9.8,30.1,83
LOCAL,27201390,HC FOGARTY SOFT JAW INSERT 61MM,37.0,,10.36,31.82,83
LOCAL,27201391,HC FOGARTY SOFT JAW INSERT 86MM,37.0,,10.36,31.82,83
LOCAL,27201392,HC FORCEP GRPING SHEATH COAXC1773,338.0,,94.64,290.68,83
LOCAL,27201393,HC FORCEPS BIOPSY 2.8MM A4649,83.0,,23.24,71.38,83
LOCAL,27201394,HC FRAGATOME ACCESS PCK A4649,138.0,,38.64,118.68,83
LOCAL,27201395,HC G KIT FLEXIFLOW 18 F B4087,338.0,,94.64,290.68,83
LOCAL,27201396,HC MIC GASTRO FEEDING TUBE W CONNECTORS (MULT SIZES),87.0,,24.36,74.82,83
LOCAL,27201397,HC GASTRO TUBE MIC 28FR B4087,80.0,,22.4,68.8,83
LOCAL,27201398,HC FIXED-CORE WIRE GUIDE T-J TIP,40.0,,11.2,34.4,83
LOCAL,27201399,HC GELPORT BLN TROCAR 130MM A4649,138.0,,38.64,118.68,83
LOCAL,27201400,HC GF-TUBE 14-16F 1.0-2.5 B4088,200.0,,56.0,172.0,83
LOCAL,27201401,HC GLIDE WIRE ANG 35-38*150 C1769,127.0,,35.56,109.22,83
LOCAL,27201402,HC GLIDE WIRE STR 35-38*150 C1769,127.0,,35.56,109.22,83
LOCAL,27201403,"HC GLIDEWIRE .018""*180CM ANGC1769",136.0,,38.08,116.96,83
LOCAL,27201404,"HC GLIDEWIRE .035""-.038"" C1769",138.0,,38.64,118.68,83
LOCAL,27201405,HC GLIDEWIRE .035*150 ANG C1769,86.0,,24.08,73.96,83
LOCAL,27201406,HC GLIDEWIRE .035*180 ANG C1769,129.0,,36.12,110.94,83
LOCAL,27201407,HC GLIDEWIRE .35 *145CM STC1769,85.0,,23.8,73.1,83
LOCAL,27201408,"HC GLIDEWIRE 0.25""*180CM ANGC1769",141.0,,39.48,121.26,83
LOCAL,27201409,HC GLIDEWIRE UGW.035-.038ANGC1769,102.0,,28.56,87.72,83
LOCAL,27201410,HC GLIDEWIRE UGW.035-.038STRC1769,102.0,,28.56,87.72,83
LOCAL,27201412,HC GUIDE ROD 2.8MM BALL TIP A4649,833.0,,233.24,716.38,83
LOCAL,27201413,HC GUIDE THE GHAJAR A4649,176.0,,49.28,151.36,83
LOCAL,27201414,HC GUIDE TRAJ NAVIGUSA4649,1493.0,,418.04,1283.98,83
LOCAL,27201415,HC GUIDE WIRE 035*145CM C1769,38.0,,10.64,32.68,83
LOCAL,27201416,HC GUIDE WIRE 038*145CM C1769,38.0,,10.64,32.68,83
LOCAL,27201417,"HC GUIDE WIRE SENSOR PTFE DF ANGL .035"" 3CM",172.0,,48.16,147.92,83
LOCAL,27201418,"HC GUIDE WIRE SENSOR PTFE DF STR .035"" 3CM",172.0,,48.16,147.92,83
LOCAL,27201419,HC GUIDE WIRE SYSTEM 20FR C1769,384.0,,107.52,330.24,83
LOCAL,27201420,HC GUIDEWIRE AMPLATZ STRAIGHT/STIFF (MULT SIZES),124.0,,34.72,106.64,83
LOCAL,27201421,HC GUIDEWIRE CRVD 38X145CMC1769,38.0,,10.64,32.68,83
LOCAL,27201422,HC GWIRE BALL TIP 2.5*800MM C1769,394.0,,110.32,338.84,83
LOCAL,27201423,"HC G-WIRE DBF-TIPS.032""X60CMC1769",65.0,,18.2,55.9,83
LOCAL,27201424,"HC G-WIRE HD F-TIP.025""X60CMC1769",106.0,,29.68,91.16,83
LOCAL,27201425,HC HALO DISTL ATTCHM IMPLANTA4649,90.0,,25.2,77.4,83
LOCAL,27201426,HC HAND GELPORT 120MM A4649,1300.0,,364.0,1118.0,83
LOCAL,27201427,HC HANDCONTROL GRIP PROBE IIA4649,138.0,,38.64,118.68,83
LOCAL,27201428,HC HANDPIECE MULTI W/FIBER A4649,975.0,,273.0,838.5,83
LOCAL,27201429,HC HELICAL EXTRACT 3FR115CM A4649,380.0,,106.4,326.8,83
LOCAL,27201430,"HC HEX WRENCH 3"" L9900",142.0,,39.76,122.12,83
LOCAL,27201431,HC HEX WRENCH L9900,142.0,,39.76,122.12,83
LOCAL,27201432,HC HMERAL TEFLON TUBE A4649,646.0,,180.88,555.56,83
LOCAL,27201434,HC CATH THORACIC PLEURAL PVC,50.0,,14.0,43.0,83
LOCAL,27201435,HC INJECTOR NEEDLE - OLYMPUSA4215,65.0,,18.2,55.9,83
LOCAL,27201436,HC INLET CLOSURE KIT,371.0,,103.88,319.06,83
LOCAL,27201437,"HC INSERTION NEEDLE 5-6.5""",112.0,,31.36,96.32,83
LOCAL,27201439,HC INTRO MINOP DISP 10-19FR C1894,562.0,,157.36,483.32,83
LOCAL,27201440,HC INTROD GUARD 8-10FRX15CM C1894,313.0,,87.64,269.18,83
LOCAL,27201441,HC INTRODUC KIT PERCUTAN 8FRC1894,138.0,,38.64,118.68,83
LOCAL,27201442,HC INTRODUC W/O WIRE GUIDE C1892,235.0,,65.8,202.1,83
LOCAL,27201443,HC INTRODUCER CHOLANGI A4649,159.0,,44.52,136.74,83
LOCAL,27201444,HC INTRODUCER KIT PERCU 12FRC1894,135.0,,37.8,116.1,83
LOCAL,27201445,HC INTRODUCER MINIPORT 2MM A4649,181.0,,50.68,155.66,83
LOCAL,27201446,HC J KIT FLEXIFLOW 10 FR,338.0,,94.64,290.68,83
LOCAL,27201447,HC JOBST GIRDL MID-THIGH 1XLA4463,141.0,,39.48,121.26,83
LOCAL,27201448,HC JOBST GIRDL MID-THIGH 2XLA4463,141.0,,39.48,121.26,83
LOCAL,27201449,HC JOBST GIRDL MIDTHIGH L-XLA4463,140.0,,39.2,120.4,83
LOCAL,27201450,HC JP C-DRAIN 10MM W/TROCARA4649,44.0,,12.32,37.84,83
LOCAL,27201451,HC JP C-DRAIN 7MM W/TROCARA4649,41.0,,11.48,35.26,83
LOCAL,27201452,HC JP DRAIN WND RND S 10-19FA4649,44.0,,12.32,37.84,83
LOCAL,27201453,HC KIT ACCESSORY L9900,138.0,,38.64,118.68,83
LOCAL,27201454,HC KIT CRANIO PLASTIC L8699,1726.0,,483.28,1484.36,83
LOCAL,27201455,HC KIT INTRO PERC 6FR C1894,87.0,,24.36,74.82,83
LOCAL,27201456,HC KIT INTRO PERC 8.5FR C1894,72.0,,20.16,61.92,83
LOCAL,27201459,HC KT INTRODUCR 5F PEELAPARTC1892,138.0,,38.64,118.68,83
LOCAL,27201460,HC KUGLEN PP ANG HOOK A4649,57.0,,15.96,49.02,83
LOCAL,27201461,HC KYPHON 1S OSTEO INTRO T/DA4649,1533.0,,429.24,1318.38,83
LOCAL,27201462,HC KYPHON BONE CEMENT/MIXER,355.0,,99.4,305.3,83
LOCAL,27201463,HC KYPHON BONE FILL DVE DIR A4649,233.0,,65.24,200.38,83
LOCAL,27201464,HC KYPHON BONE FILLER DEVICE,223.0,,62.44,191.78,83
LOCAL,27201465,HC KYPHON EXPANDER II INFLATABLE BONE TAMP SZ3,2430.0,,680.4,2089.8,83
LOCAL,27201466,HC KYPHON EXPRESS INFLATABLE BONE TAMP SZ2,1484.0,,415.52,1276.24,83
LOCAL,27201468,HC KYPHON EX OSTEOINTR DTROCA4649,630.0,,176.4,541.8,83
LOCAL,27201469,HC KYPHON EXP BONE FILLR DVEA4649,223.0,,62.44,191.78,83
LOCAL,27201470,HC KYPHON EXP DBONE FILT DEVEA,233.0,,65.24,200.38,83
LOCAL,27201471,HC KYPHON EXP OSTEOINTRO B/DA4649,1465.0,,410.2,1259.9,83
LOCAL,27201472,HC KYPHON INTO OIS 1STEP A4649,1620.0,,453.6,1393.2,83
LOCAL,27201473,HC KYPHON SYR KIS INFLA HPA4649,365.0,,102.2,313.9,83
LOCAL,27201474,HC KYPHON EXPANDER INFLATABLE BONE TAMP SZ3,1953.0,,546.84,1679.58,83
LOCAL,27201475,HC KYPHON XPAND INFL NDLEA4649,231.0,,64.68,198.66,83
LOCAL,27201476,HC LASER ENDOSTAT 0.6MM12FT A4649,499.0,,139.72,429.14,83
LOCAL,27201477,HC LASER HOLMF-FIBERTIP550 A4649,875.0,,245.0,752.5,83
LOCAL,27201478,HC LENS VITRECT DISP FLAT SIA4649,88.0,,24.64,75.68,83
LOCAL,27201479,HC LIGASURE ELECTRODE LNG A4649,403.0,,112.84,346.58,83
LOCAL,27201481,HC PROBE LITOTRIPTER MECHANICAL,711.0,,199.08,611.46,83
LOCAL,27201482,HC LONG TUNNELING TOOL 35CM,449.0,,125.72,386.14,83
LOCAL,27201483,HC LONG TEMP PROBEL - CRYO C2618,282.0,,78.96,242.52,83
LOCAL,27201485,HC LOOP ELCTRDE CUT YEL 24FRA4649,148.0,,41.44,127.28,83
LOCAL,27201486,HC LOOP NEPHROSTOMY COPE C1729,338.0,,94.64,290.68,83
LOCAL,27201487,HC LOOP POLY LIGDVC2.8MMCH-AA4649,169.0,,47.32,145.34,83
LOCAL,27201488,HC L-TUBE PRO 8F*36MM A7520,315.0,,88.2,270.9,83
LOCAL,27201489,"HC MAHURKAR CATH 13.5F*14.2""C1750",338.0,,94.64,290.68,83
LOCAL,27201490,HC MALLIS IRRIG TUBE 15,65.0,,18.2,55.9,83
LOCAL,27201491,HC MDA BM TRAY 15G ASPR A4649,66.0,,18.48,56.76,83
LOCAL,27201492,HC MED-A SURG MED ADHESIVE L9900,138.0,,38.64,118.68,83
LOCAL,27201493,HC MEDTRONIC EXTEN KIT 40CM C1883,1362.0,,381.36,1171.32,83
LOCAL,27201495,HC MEDTRONIC PT PROGMER C1787,1785.0,,499.8,1535.1,83
LOCAL,27201496,"HC MEPILEX TRANS 8X20"" A6205",51.0,,14.28,43.86,83
LOCAL,27201498,HC MEROCEL NASAL DRESSING 8CM,38.0,,10.64,32.68,83
LOCAL,27201499,HC MESH CUT SCISS LNG NOSE A4649,1124.0,,314.72,966.64,83
LOCAL,27201500,HC METAL T-PUSH 7FR*45CM A4649,43.0,,12.04,36.98,83
LOCAL,27201501,HC MIC G-12 LAP INTRO KIT B4087,501.0,,140.28,430.86,83
LOCAL,27201502,HC MIC G-14 LAP INTRO KIT B4087,501.0,,140.28,430.86,83
LOCAL,27201503,HC MIC GASTRO FEEDING TUBE 12-30F,80.0,,22.4,68.8,83
LOCAL,27201504,HC MIC JEJ FEEDING TUBE W CONNECTOR,302.0,,84.56,259.72,83
LOCAL,27201505,HC MIC JEJ 14FR FEEDING TUBEB4087,277.0,,77.56,238.22,83
LOCAL,27201506,HC MIC SAFETY PERCU ENDO GASTRO PEG KIT W CONNECTORS,209.0,,58.52,179.74,83
LOCAL,27201507,HC MIC LP GASTRO KIT18F3.0CMB4088,200.0,,56.0,172.0,83
LOCAL,27201508,HC MIC LP T-G JEJUNAL FTUBEB4088,566.0,,158.48,486.76,83
LOCAL,27201509,HC MIC TRANSGASTRIC JEJ 18F B4087,536.0,,150.08,460.96,83
LOCAL,27201510,HC MICROCLIP GEM TI HEMOSTATA4649,38.0,,10.64,32.68,83
LOCAL,27201511,HC MICROMYST APPL 15CM A4649,829.0,,232.12,712.94,83
LOCAL,27201512,HC MINI PLTE HOLDER LNG A4649,475.0,,133.0,408.5,83
LOCAL,27201513,HC MIROPUNC INTRO SET C1894,77.0,,21.56,66.22,83
LOCAL,27201514,HC MONOMER FUME FILTER W/ADAPTOR,223.0,,62.44,191.78,83
LOCAL,27201515,HC NASAL MEROPACK W/COLL A6407,144.0,,40.32,123.84,83
LOCAL,27201516,HC NDL B-GUIDE NAVIGUS 2MMA4649,1250.0,,350.0,1075.0,83
LOCAL,27201517,HC NDLE ASPIR 22G F/EZA4649,331.0,,92.68,284.66,83
LOCAL,27201518,HC NDLE BX BONE MARROW 11G A4215,77.0,,21.56,66.22,83
LOCAL,27201519,HC NDLE BX BONE MARROW 13G A4215,79.0,,22.12,67.94,83
LOCAL,27201521,HC ESD NEEDLE KNIFE OLYMPUS,338.0,,94.64,290.68,83
LOCAL,27201522,HC NEUROVIEW SHEATH 18FR,88.0,,24.64,75.68,83
LOCAL,27201523,HC NGAGE NITINOL STONE EXTRACTOR 1.7-2.2,464.0,,129.92,399.04,83
LOCAL,27201524,HC NOZZEL ABC HANDPIECE,149.0,,41.72,128.14,83
LOCAL,27201526,"HC NUKNIT 6*9"" A4649",281.0,,78.68,241.66,83
LOCAL,27201527,HC O.R.CABLE L9900,875.0,,245.0,752.5,83
LOCAL,27201528,HC OCCLUDER PIN,657.0,,183.96,565.02,83
LOCAL,27201529,HC OCUTOME IRRIG EYE PROBE A4649,320.0,,89.6,275.2,83
LOCAL,27201530,HC OMNI TIP SWT TIP 30DG A4649,77.0,,21.56,66.22,83
LOCAL,27201531,HC OMNIGDE BPATH ROBO FIBER,1942.0,,543.76,1670.12,83
LOCAL,27201533,HC OPEN-END FLEXI-TIP CATHC1758,41.0,,11.48,35.26,83
LOCAL,27201536,HC OST TAPE PERMATYPE,28.0,,7.84,24.08,83
LOCAL,27201538,HC P1M PROSTATE CRYO KIT C2618,8250.0,,2310.0,7095.0,83
LOCAL,27201539,HC P1M PROSTATE CRYO PROBE C2618,578.0,,161.84,497.08,83
LOCAL,27201540,HC P1M RENAL CRYO KIT C2618,8250.0,,2310.0,7095.0,83
LOCAL,27201541,HC P1M RENAL CRYO PROBE 2618,3000.0,,840.0,2580.0,83
LOCAL,27201542,HC PACING LEAD,76.0,,21.28,65.36,83
LOCAL,27201543,HC PAD TOPIFOAM ADH7*11.5*.5A5126,38.0,,10.64,32.68,83
LOCAL,27201545,HC PASSIVE CATH INTRODUCER A4649,858.0,,240.24,737.88,83
LOCAL,27201546,HC PATIENT PROGRAMMER KIT C1787,1877.0,,525.56,1614.22,83
LOCAL,27201547,HC PATIENT TRIAL KIT L9900,223.0,,62.44,191.78,83
LOCAL,27201548,HC PCK EPISTXIS NASL DL 5.5CA6407,110.0,,30.8,94.6,83
LOCAL,27201549,HC PEDI MULTI CVC 5F3LMN13CMC1751,171.0,,47.88,147.06,83
LOCAL,27201550,HC PERCUFLEX U-STENT 6F 80CMC2617,415.0,,116.2,356.9,83
LOCAL,27201551,HC PERCUT LMBR DISCETMY PROBA4649,2775.0,,777.0,2386.5,83
LOCAL,27201552,HC PERFLUORON LIQ OCTANE 7MLA4649,1035.0,,289.8,890.1,83
LOCAL,27201553,HC PERFORATOR 14MM,591.0,,165.48,508.26,83
LOCAL,27201554,HC PERFORATOR CRANIAL 7,502.0,,140.56,431.72,83
LOCAL,27201555,HC PERITONEAL INTRO 61-70CM A4649,392.0,,109.76,337.12,83
LOCAL,27201556,HC PERMAFIX FIXATION SYS 15FA4649,417.0,,116.76,358.62,83
LOCAL,27201557,HC PINNACLE SHEATH 5-7FR C1766,83.0,,23.24,71.38,83
LOCAL,27201558,HC PK FRONT LOADING ELEC SUPA4649,1125.0,,315.0,967.5,83
LOCAL,27201559,HC PK PLASMABTN ELEC BUTT A4649,1125.0,,315.0,967.5,83
LOCAL,27201560,HC PLEURAL CATHETER KIT EA A7042,1158.0,,324.24,995.88,83
LOCAL,27201561,HC PMT CONN MINI 1*8 A4649,867.0,,242.76,745.62,83
LOCAL,27201562,HC PMT CORTICAL GRID 6*6 A4649,1193.0,,334.04,1025.98,83
LOCAL,27201563,HC PMT SUBDURAL GRID A4649,1114.0,,311.92,958.04,83
LOCAL,27201564,HC POLY TIP VFI CANN 23GA7MMA4649,59.0,,16.52,50.74,83
LOCAL,27201565,HC POLYLOOP LIGATING,191.0,,53.48,164.26,83
LOCAL,27201566,HC SAFETY PEG KIT ENDOVIVE W/ CONNECTOR,581.0,,162.68,499.66,83
LOCAL,27201567,HC PORT CLOSURE CT II 10/14 A4649,617.0,,172.76,530.62,83
LOCAL,27201568,HC PORT-A-CATH(PERITO.),338.0,,94.64,290.68,83
LOCAL,27201569,HC PRASS S-MONO STIM PROBE A4649,346.0,,96.88,297.56,83
LOCAL,27201570,HC PROBE FOG BLN BIL 6F*23CMC1757,110.0,,30.8,94.6,83
LOCAL,27201571,HC PROBE INCRM STD PRASS TIPA4649,449.0,,125.72,386.14,83
LOCAL,27201572,HC PROBE STIM BP PRASSA4649,261.0,,73.08,224.46,83
LOCAL,27201573,HC PROBE STIM PRASS STD MONOA4649,376.0,,105.28,323.36,83
LOCAL,27201574,HC PROCORE FNA NEEDLE A4215,777.0,,217.56,668.22,83
LOCAL,27201576,HC PUNCH AORTIC DISP,83.0,,23.24,71.38,83
LOCAL,27201577,HC PUNCH AORTIC VIEW 6.0 A4649,87.0,,24.36,74.82,83
LOCAL,27201578,HC PUREGRAFT 250/PURE SYS A4550,979.0,,274.12,841.94,83
LOCAL,27201579,HC QC-DRILBIT1.5*110MMW/OSA4649,147.0,,41.16,126.42,83
LOCAL,27201580,HC QUINTON CATH 10FRX15CM C1751,177.0,,49.56,152.22,83
LOCAL,27201581,HC QUINTON CATH 11.5FRX16CM C1751,168.0,,47.04,144.48,83
LOCAL,27201582,HC QUINTON CATH 11.5FRX24CM C1751,184.0,,51.52,158.24,83
LOCAL,27201583,HC QUINTON CATH 11.5FX13.5CMC1751,165.0,,46.2,141.9,83
LOCAL,27201584,HC QUINTON CATH 11.5FX19.5CMC1751,178.0,,49.84,153.08,83
LOCAL,27201585,HC QUINTON CATH 8FRX9CM C1751,153.0,,42.84,131.58,83
LOCAL,27201586,HC RESECTION ELEC LOOP 24F A4649,222.0,,62.16,190.92,83
LOCAL,27201587,HC RESTOR OCTAPOLR IL PLG/BTL9900,327.0,,91.56,281.22,83
LOCAL,27201589,HC RESTORE PT PROGRMERC1787,1697.0,,475.16,1459.42,83
LOCAL,27201590,HC RESTORE S-LID CONN CABLEL9900,525.0,,147.0,451.5,83
LOCAL,27201591,HC RESTRAINT LIMB SML 10IN E0710,32.0,,8.96,27.52,83
LOCAL,27201592,HC RESTRICTOR CEM 25MM A4649,264.0,,73.92,227.04,83
LOCAL,27201593,HC RETRACT SYS DEEP SCROTAL A4649,948.0,,265.44,815.28,83
LOCAL,27201594,HC REVOLVE FAT PROC SYS A4649,1168.0,,327.04,1004.48,83
LOCAL,27201595,HC RUMI KOH PL 3-4 CM A4649,273.0,,76.44,234.78,83
LOCAL,27201596,HC RUMI KOH-EFF SS 3-4CM A4649,203.0,,56.84,174.58,83
LOCAL,27201597,HC RUMI TIPS 6.7MM*6-12CM A4649,121.0,,33.88,104.06,83
LOCAL,27201598,HC SAVI PREP CATH A4649,342.0,,95.76,294.12,83
LOCAL,27201599,HC SAVI SPACER A4649,342.0,,95.76,294.12,83
LOCAL,27201600,HC SCOPE DISTAL TIP ATTACH (MULT SIZES),65.0,,18.2,55.9,83
LOCAL,27201601,HC SCOPE INTRODUCER C1894,49.0,,13.72,42.14,83
LOCAL,27201602,HC SCREW DRVR BLDE HEX A4649,695.0,,194.6,597.7,83
LOCAL,27201603,HC SCREWS DISP HEAD RING S/M/L,306.0,,85.68,263.16,83
LOCAL,27201604,HC SEAMGRD MF GIA 60/PROX 55A4649,501.0,,140.28,430.86,83
LOCAL,27201605,HC SEAMGRD MF GIA 80/PROX 75A4649,508.0,,142.24,436.88,83
LOCAL,27201606,HC SEAMGUARD BIOAB 45 A4649,432.0,,120.96,371.52,83
LOCAL,27201607,HC SEAMGUARD BIOAB 60 A4649,473.0,,132.44,406.78,83
LOCAL,27201608,HC SEAMGUARD ECHELON 45 A4649,432.0,,120.96,371.52,83
LOCAL,27201609,HC SEAMGUARD ECHELON 60 A4649,462.0,,129.36,397.32,83
LOCAL,27201610,HC SEAMGUARD ENDO II GIA 45 A4649,462.0,,129.36,397.32,83
LOCAL,27201611,HC SET BIOPSY BONE 13GAX19CMA4649,383.0,,107.24,329.38,83
LOCAL,27201612,HC SET CATH URETER ILLUMINATC2617,338.0,,94.64,290.68,83
LOCAL,27201613,HC SET CROPROBE DIRECT 1MM C2618,875.0,,245.0,752.5,83
LOCAL,27201614,HC SET PNEUMO 18GX9FR NEEDL A4550,338.0,,94.64,290.68,83
LOCAL,27201615,HC SHEATH BALLOON A4649,469.0,,131.32,403.34,83
LOCAL,27201616,HC SHEATH URETERAL ACCESS (FORTE) (MULT SIZES),203.0,,56.84,174.58,83
LOCAL,27201617,HC SIL PEZZER DRN 14FR C1729,90.0,,25.2,77.4,83
LOCAL,27201618,HC SIL PEZZER DRN 18-24FR C1729,102.0,,28.56,87.72,83
LOCAL,27201619,HC SIMPULSE WND CARE KIT A4649,138.0,,38.64,118.68,83
LOCAL,27201622,HC SLEEVE SMIT 40*6MM A4649,162.0,,45.36,139.32,83
LOCAL,27201623,HC SMARTFRAME UNI-LAT KIT A4649,7157.0,,2003.96,6155.02,83
LOCAL,27201624,HC SMIT SLEEVE 20MM X 6MM A4649,190.0,,53.2,163.4,83
LOCAL,27201625,HC SNARE DIAMOND DISP,65.0,,18.2,55.9,83
LOCAL,27201626,HC SPATULA ULTRA DUKE 45*27GA4649,132.0,,36.96,113.52,83
LOCAL,27201627,HC SPHERE MARKER 11.5MM A4649,48.0,,13.44,41.28,83
LOCAL,27201628,HC SPHERES REFLECTIVE MARKERA4649,76.0,,21.28,65.36,83
LOCAL,27201629,HC SPINE WAND 8-11 GA A4649,3600.0,,1008.0,3096.0,83
LOCAL,27201630,HC SPLINT  TIBIA FIBULA S-L A4570,65.0,,18.2,55.9,83
LOCAL,27201631,HC SPLINT FEMORAL LEG PAD LGA4570,79.0,,22.12,67.94,83
LOCAL,27201632,HC SPLINT FEMORAL LEG PAD MDA4570,71.0,,19.88,61.06,83
LOCAL,27201637,HC SPRLTP URETRACCCATH6F70CMC1758,43.0,,12.04,36.98,83
LOCAL,27201638,HC SPY ELITE SNG VIAL PACK A4649,1587.0,,444.36,1364.82,83
LOCAL,27201639,HC SPY IMAGING PAQS A4649,692.0,,193.76,595.12,83
LOCAL,27201641,HC STAYS ELAS 12MM FBEA4649,38.0,,10.64,32.68,83
LOCAL,27201642,HC STENT DBL SOFT J C2617,603.0,,168.84,518.58,83
LOCAL,27201643,HC STENT F-URT MAR7F*24-28CMC2617,446.0,,124.88,383.56,83
LOCAL,27201644,HC STENT F-URT MAR8F*22-28CMC2617,313.0,,87.64,269.18,83
LOCAL,27201645,HC STENT HYDRO URET 6FR*30CMC2617,324.0,,90.72,278.64,83
LOCAL,27201646,HC STENT POLL URET O-E 5-6F C1758,282.0,,78.96,242.52,83
LOCAL,27201647,HC STENT S-URET 6FX22-28CM C2617,603.0,,168.84,518.58,83
LOCAL,27201648,HC STENT S-URET 7FX20-28CM C2617,603.0,,168.84,518.58,83
LOCAL,27201649,HC STENT S-URET 8FX20-28CM C2617,467.0,,130.76,401.62,83
LOCAL,27201650,HC STENT U-SPIRAL TP 4F*70CMC1758,48.0,,13.44,41.28,83
LOCAL,27201651,HC STENT U-WHISTL TIP8F*70CMC1758,38.0,,10.64,32.68,83
LOCAL,27201652,HC STENT U-WHISTL TP 7F*70CMC2617,138.0,,38.64,118.68,83
LOCAL,27201653,HC STENT VAGINAL ALL C1874,875.0,,245.0,752.5,83
LOCAL,27201654,HC STNT URET DB6-8FRX20-28CMC2617,338.0,,94.64,290.68,83
LOCAL,27201655,HC STNT URET DBLJ FRM7FX30CMC2617,324.0,,90.72,278.64,83
LOCAL,27201656,HC STNT URET SPRL TP 5FX70CMC1758,43.0,,12.04,36.98,83
LOCAL,27201657,HC STNT URET WHISTLTP6FX70CMC2617,37.0,,10.36,31.82,83
LOCAL,27201658,HC STNT URINRY DIV SI7F*90CMC2617,391.0,,109.48,336.26,83
LOCAL,27201659,HC STNT URINRY DIV SI8F*90CMC2617,338.0,,94.64,290.68,83
LOCAL,27201660,HC STRYK T-GUIDE WIRE3*300MMC1769,138.0,,38.64,118.68,83
LOCAL,27201661,HC BEVEL TIP STYLET W/O NEEDLE 11-13G STRYKER,138.0,,38.64,118.68,83
LOCAL,27201662,HC STRYKR AUTOPLX SYKT11/13GA4649,1275.0,,357.0,1096.5,83
LOCAL,27201663,HC STRYKER AUTOPELX W/ VERTAPLEX HV BONE CEMENT,2082.0,,582.96,1790.52,83
LOCAL,27201664,HC STRYKR VRTPRT CANN CMNT A4649,158.0,,44.24,135.88,83
LOCAL,27201665,HC STYLET DILATIN COAX 8FR A4212,124.0,,34.72,106.64,83
LOCAL,27201666,HC STYLET KIT W/S-CAP30-70CML9900,355.0,,99.4,305.3,83
LOCAL,27201667,HC STYLTW/S-CAP/S-STY30-70CML9900,338.0,,94.64,290.68,83
LOCAL,27201668,HC SUBCUT CATH PASS 38CMA4649,339.0,,94.92,291.54,83
LOCAL,27201669,HC SUPER FINE MICROCLIP A4649,38.0,,10.64,32.68,83
LOCAL,27201670,HC SUPPORT ABD CROW S-L A4463,58.0,,16.24,49.88,83
LOCAL,27201674,HC SURGIFLO ENDO APPL A4649,124.0,,34.72,106.64,83
LOCAL,27201675,HC SURGIFLO HEM MTRX A4649,291.0,,81.48,250.26,83
LOCAL,27201676,HC SURGIFLO HEMO MATRIX A4649,219.0,,61.32,188.34,83
LOCAL,27201678,HC SURGITK STENT URET DJ6-7FC2617,338.0,,94.64,290.68,83
LOCAL,27201679,HC SURGTK STNT URETDJ7F*90CMC2617,550.0,,154.0,473.0,83
LOCAL,27201680,HC SYN JL-DRILBIT1.5*10-22MMA4649,292.0,,81.76,251.12,83
LOCAL,27201681,HC SYN JR-DRILBIT1.8*10-22MM,292.0,,81.76,251.12,83
LOCAL,27201682,HC SYNT HC-DRILBIT1.3*3*52MMA4649,229.0,,64.12,196.94,83
LOCAL,27201683,HC SYNT JL-DRILBIT1.3*3*45MMA4649,229.0,,64.12,196.94,83
LOCAL,27201684,HC SYNTH 3.2MMD-BITW/FX SHFTA4649,875.0,,245.0,752.5,83
LOCAL,27201685,HC SYNTH CT ROD TMPLTE5*150MA4649,338.0,,94.64,290.68,83
LOCAL,27201686,HC SYNTH JL-DRILBIT1.8*125MMA4649,260.0,,72.8,223.6,83
LOCAL,27201687,HC SYNTH JL-DRILBIT2.4*125MMA4649,260.0,,72.8,223.6,83
LOCAL,27201688,HC SYNTH K-WIRE 2.0MM W/TROCAR,38.0,,10.64,32.68,83
LOCAL,27201689,HC SYNTH LT WDG-TMPLT50-60MMA4649,270.0,,75.6,232.2,83
LOCAL,27201690,HC SYNTH OCCMED-TMPLT50-60MMA4649,270.0,,75.6,232.2,83
LOCAL,27201691,HC SYNTH QC DRILBIT3.2*245MMA4649,686.0,,192.08,589.96,83
LOCAL,27201692,HC SYNTH QC-DRILBIT1.5*110MMA4649,195.0,,54.6,167.7,83
LOCAL,27201693,HC SYNTH QC-DRILLBIT3.2*65MMA4649,412.0,,115.36,354.32,83
LOCAL,27201694,HC SYNTH QC-DRILLBIT3.8*20MMA4649,597.0,,167.16,513.42,83
LOCAL,27201695,HC SYNTH ROD TMPLTE3.5*240MMA4649,266.0,,74.48,228.76,83
LOCAL,27201696,HC SYNTH UNV JNT SCRWDVR T15A4649,2735.0,,765.8,2352.1,83
LOCAL,27201697,HC SYNTHES 3F D-BIT 2.5MM A4649,290.0,,81.2,249.4,83
LOCAL,27201698,HC SYNTHES ADJ DRILL GDE A4649,4266.0,,1194.48,3668.76,83
LOCAL,27201699,HC SYNTHES AML-TMPLAT12H 2MMA4649,124.0,,34.72,106.64,83
LOCAL,27201700,HC SYNTHES CNC BN TAP 4.5MM A4649,446.0,,124.88,383.56,83
LOCAL,27201701,HC SYNTHES CNC BNE TAP 3.5MMA4649,366.0,,102.48,314.76,83
LOCAL,27201702,HC SYNTHES CNTRTORQUE HNDLE A4649,2655.0,,743.4,2283.3,83
LOCAL,27201703,HC SYNTHES CR-TEMPLT 6*150MMA4649,325.0,,91.0,279.5,83
LOCAL,27201704,HC SYNTHES CR-TEMPLT 6*500MMA4649,673.0,,188.44,578.78,83
LOCAL,27201705,HC SYNTHES CRV PED PRBE2.4MMA4649,1491.0,,417.48,1282.26,83
LOCAL,27201706,HC SYNTHES CTX SCW TAP 3.5MMA4649,366.0,,102.48,314.76,83
LOCAL,27201707,HC SYNTHES DC-SCREW TAP 8MM A4649,735.0,,205.8,632.1,83
LOCAL,27201708,HC SYNTHES DEPTH GAUGE A4649,2156.0,,603.68,1854.16,83
LOCAL,27201709,HC SYNTHES DIST PIN 14MM A4649,320.0,,89.6,275.2,83
LOCAL,27201710,HC SYNTHES DIST PIN 16MM A4649,320.0,,89.6,275.2,83
LOCAL,27201711,HC SYNTHES DRILL GDE W/GRAD A4649,2483.0,,695.24,2135.38,83
LOCAL,27201712,HC SYNTHES DRL/SCRW GDE A4649,3744.0,,1048.32,3219.84,83
LOCAL,27201713,HC SYNTHES FLEX D-BIT 5MM A4649,646.0,,180.88,555.56,83
LOCAL,27201714,HC SYNTHES HEXDBIT 1.1*4-6MMA4649,239.0,,66.92,205.54,83
LOCAL,27201715,HC SYNTHES J-L DBIT1.1*4-6MMA4649,239.0,,66.92,205.54,83
LOCAL,27201716,HC SYNTHES K-WIRE 2.4MM A4649,366.0,,102.48,314.76,83
LOCAL,27201717,HC SYNTHES LLL-TMPLT6*21H2MMA4649,123.0,,34.44,105.78,83
LOCAL,27201718,HC SYNTHES LLS-TEMPLT 6H 2MMA4649,124.0,,34.72,106.64,83
LOCAL,27201719,HC SYNTHES LS-TMPLT 3*3H 2MMA4649,107.0,,29.96,92.02,83
LOCAL,27201720,HC SYNTHES MML-TEMPLT 6H 2MMA4649,108.0,,30.24,92.88,83
LOCAL,27201721,HC SYNTHES OCC ROD TMPLTE A4649,340.0,,95.2,292.4,83
LOCAL,27201722,HC SYNTHES OC-SCREW TAP4.5MMA4649,824.0,,230.72,708.64,83
LOCAL,27201723,HC SYNTHES PED PROBE 2.4MM A4649,1491.0,,417.48,1282.26,83
LOCAL,27201724,HC SYNTHES PLTE BENDER A4649,4643.0,,1300.04,3992.98,83
LOCAL,27201725,HC SYNTHES POSITIONING TOOL A4649,1776.0,,497.28,1527.36,83
LOCAL,27201726,HC SYNTHES QC D-BIT 1.5*8MM A4649,230.0,,64.4,197.8,83
LOCAL,27201727,HC SYNTHES QC-D-BIT3.3*248MMA4649,333.0,,93.24,286.38,83
LOCAL,27201728,HC SYNTHES QC-DRILL BIT 2.4*65MM,471.0,,131.88,405.06,83
LOCAL,27201729,HC SYNTHES S/T TD-FIX PINA4649,310.0,,86.8,266.6,83
LOCAL,27201730,HC SYNTHES S/T T-FIX PINA4649,948.0,,265.44,815.28,83
LOCAL,27201731,HC SYNTHES S-DRILLBIT 2*65MMA4649,384.0,,107.52,330.24,83
LOCAL,27201732,HC SYNTHES SO-SCREW TAP9.0MMA4649,875.0,,245.0,752.5,83
LOCAL,27201733,HC SYNTHES S-TAP 3.2-3.5MM A4649,384.0,,107.52,330.24,83
LOCAL,27201734,HC SYNTHES SV D-BIT3*12-20MMA4649,465.0,,130.2,399.9,83
LOCAL,27201735,HC SYNTHES TEMP FIX PIN A4649,357.0,,99.96,307.02,83
LOCAL,27201736,HC SYNTHES UNIV JNT TAP4.5MMA4649,1961.0,,549.08,1686.46,83
LOCAL,27201737,HC SYNTHES VT-FIX PIN A4649,306.0,,85.68,263.16,83
LOCAL,27201738,HC SYNTHES XLR-TEMPLTE 2MMA4649,128.0,,35.84,110.08,83
LOCAL,27201739,HC SYNTHES XL-TEMPLT 5*22*5HA4649,132.0,,36.96,113.52,83
LOCAL,27201740,HC SYNTHS CSLP DBIT3*12-16MMA4649,492.0,,137.76,423.12,83
LOCAL,27201741,HC SYNTHS CSLP TAPS 4-4.35MMA4649,492.0,,137.76,423.12,83
LOCAL,27201742,HC SYNTHS DRILL BIT1.5*125MMA4649,213.0,,59.64,183.18,83
LOCAL,27201743,HC SYNTHS HEX DBIT1.5*4-12MMA4649,239.0,,66.92,205.54,83
LOCAL,27201744,HC SYNTHS J-LDBT1.5*44.5-125MMA46,239.0,,66.92,205.54,83
LOCAL,27201745,HC SYNTHS LL-TMPLT4*20*4H2MMA4649,132.0,,36.96,113.52,83
LOCAL,27201746,HC SYNTHS LL-TMPLT6*24*6H2MMA4649,132.0,,36.96,113.52,83
LOCAL,27201747,HC SYNTHS MQCDBT1.5*44.5-125MMA46,239.0,,66.92,205.54,83
LOCAL,27201748,HC SYNTHS QCDBIT 1.5*75MM A4649,239.0,,66.92,205.54,83
LOCAL,27201749,HC SYNTHS SV DBIT2.5*12-20MMA4649,484.0,,135.52,416.24,83
LOCAL,27201750,HC SYNTHS U/H DBT1.5*85-110MMA464,239.0,,66.92,205.54,83
LOCAL,27201751,HC INFLATION SYRINGE ALLIANCE,119.0,,33.32,102.34,83
LOCAL,27201752,HC SYRINGE 10ML OIL SIL 5000A4649,699.0,,195.72,601.14,83
LOCAL,27201753,HC SYS TRAC MSTR STONE RETR A4649,413.0,,115.64,355.18,83
LOCAL,27201754,HC SYSTEM IMPLT WILSON A4649,174.0,,48.72,149.64,83
LOCAL,27201756,HC TANO MEM SCRAPER 20G A4649,236.0,,66.08,202.96,83
LOCAL,27201757,"HC TEFLON FELT 4"" X 4""",412.0,,115.36,354.32,83
LOCAL,27201759,HC TEX PREP KIT BONE CEMENT A4649,207.0,,57.96,178.02,83
LOCAL,27201760,HC TG/F-TUBE 16F*2*22CM B4088,566.0,,158.48,486.76,83
LOCAL,27201761,HC TG/F-TUBE 16F*2*30CM B4088,566.0,,158.48,486.76,83
LOCAL,27201762,HC TG/F-TUBE 16F*2.5*30CM B4088,566.0,,158.48,486.76,83
LOCAL,27201763,HC THERMOCHEM PROC KIT A4550,4425.0,,1239.0,3805.5,83
LOCAL,27201764,HC GIRDLE MID THIGH FEMALE S/M/L/XL,138.0,,38.64,118.68,83
LOCAL,27201765,HC TIP SNP SPETLER 25MZ ANG A4649,1540.0,,431.2,1324.4,83
LOCAL,27201766,HC TIP SNPT SPETZLER25MHZ MIA4649,1311.0,,367.08,1127.46,83
LOCAL,27201767,HC TIP SNPT SPETZLER25MZ BARA4649,1155.0,,323.4,993.3,83
LOCAL,27201768,HC TISSINK DISSEC SEALER 3.5A4649,1828.0,,511.84,1572.08,83
LOCAL,27201769,HC TORQUE VISE A4649,38.0,,10.64,32.68,83
LOCAL,27201774,HC TRACH TUB PRXXLTCUFF5-8MMA7521,138.0,,38.64,118.68,83
LOCAL,27201775,HC TRACH TUBE PEDI,338.0,,94.64,290.68,83
LOCAL,27201776,HC TRACH TUBE PEDI 4.0MM A7521,449.0,,125.72,386.14,83
LOCAL,27201777,HC TRACH TUBE PRX XTL6MMCUFFA7521,138.0,,38.64,118.68,83
LOCAL,27201778,HC TRACH TUBE XLT5-7MM CFFEDA7521,144.0,,40.32,123.84,83
LOCAL,27201779,HC TRACH TUBE XLT5-7MM CFLSSA7520,144.0,,40.32,123.84,83
LOCAL,27201781,HC TRAY CATH W/URIN METER A4314,42.0,,11.76,36.12,83
LOCAL,27201782,HC TRAY LEVEL EXTRA AVAMAX A4550,657.0,,183.96,565.02,83
LOCAL,27201788,HC TRIGGER DISP W/CORD 4MM A4649,51.0,,14.28,43.86,83
LOCAL,27201789,HC TROCAR 12*100MM EXCEL A4649,138.0,,38.64,118.68,83
LOCAL,27201790,HC TRUSOFT LIQUID 4OZ A4649,49.0,,13.72,42.14,83
LOCAL,27201791,HC TRUSOFT POWDER 3OZ A4649,65.0,,18.2,55.9,83
LOCAL,27201792,HC TUBE CELESTINE ADUL,875.0,,245.0,752.5,83
LOCAL,27201794,HC TUBE FEEDING 10,138.0,,38.64,118.68,83
LOCAL,27201795,HC TUBE GASTRO LP 18-24F B4088,200.0,,56.0,172.0,83
LOCAL,27201796,HC TUBE MIC GASTRO 26F B4087,76.0,,21.28,65.36,83
LOCAL,27201797,HC TUBE MIC GASTRO 30F B4087,80.0,,22.4,68.8,83
LOCAL,27201798,HC TUBE MIC GASTROENT20-22FB4087,338.0,,94.64,290.68,83
LOCAL,27201799,HC TUBE MIC TRNSGSTR JJNL22FB4087,359.0,,100.52,308.74,83
LOCAL,27201800,HC TUBE MOSS GASTRO 1,429.0,,120.12,368.94,83
LOCAL,27201805,HC TUBE POP VENT 1.14MM A4649,41.0,,11.48,35.26,83
LOCAL,27201808,HC TUBE TRACH UCP 3MM A7520,84.0,,23.52,72.24,83
LOCAL,27201809,HC TUBING ASPIRATION LIPOSUCTION,38.0,,10.64,32.68,83
LOCAL,27201811,HC TUBING DOLPHIN TRANSDUCERA4649,197.0,,55.16,169.42,83
LOCAL,27201812,HC TUBING LAP SMOKE EVAC A4649,71.0,,19.88,61.06,83
LOCAL,27201814,"HC TUNNLER ON Q 8-12"" A4649",110.0,,30.8,94.6,83
LOCAL,27201815,HC ULTRASND BALLOON CUFF 3A4649,65.0,,18.2,55.9,83
LOCAL,27201817,HC URET DILATR H-CATH12F60CMC2627,72.0,,20.16,61.92,83
LOCAL,27201819,HC UROMAX ULTRA BALLOON KIT 15-24F,1031.0,,288.68,886.66,83
LOCAL,27201820,HC UROSEAL MULTICLK ADPTER A4649,65.0,,18.2,55.9,83
LOCAL,27201821,HC VALVE FLUSHING HEYER SCHULTE P,973.0,,272.44,836.78,83
LOCAL,27201822,HC VALVE FLUSHING MISHLER DUAL S,683.0,,191.24,587.38,83
LOCAL,27201823,"HC VALVE FLUSHING MISHLER DUAL, S",683.0,,191.24,587.38,83
LOCAL,27201824,HC VALVE LOW MED MULTIPURPOSE STU,3168.0,,887.04,2724.48,83
LOCAL,27201825,HC VARI-STIM III NERV LOCATRA4649,109.0,,30.52,93.74,83
LOCAL,27201826,HC VASC GELFOAM SPNGE LG A4649,63.0,,17.64,54.18,83
LOCAL,27201828,HC VASC SURGICEL 2*3 A4649,88.0,,24.64,75.68,83
LOCAL,27201829,HC VASC SURGICEL 4*8 A4649,138.0,,38.64,118.68,83
LOCAL,27201830,"HC VASC SURIGICEL FIB 4*4"" A4649",250.0,,70.0,215.0,83
LOCAL,27201831,HC VENTRICULAR ACCESS,447.0,,125.16,384.42,83
LOCAL,27201832,HC VIGILON WOUND DRESS13*24 A6244,103.0,,28.84,88.58,83
LOCAL,27201833,HC VISCERAL CATH 5F40CM A4649,65.0,,18.2,55.9,83
LOCAL,27201835,HC VISITEC TREPHINE LACRIMALA4212,138.0,,38.64,118.68,83
LOCAL,27201837,"HC WIRE GUID .038""*145CMA-USC1769",63.0,,17.64,54.18,83
LOCAL,27201838,HC WIRE GUIDE .038X60CM C1769,48.0,,13.44,41.28,83
LOCAL,27201839,HC WIRE GUIDE DB FLX TIP C1769,84.0,,23.52,72.24,83
LOCAL,27201840,HC WIRE GUIDE S-G STD 360CMC1769,338.0,,94.64,290.68,83
LOCAL,27201841,HC WRENCH SCR NEURO ST ACSRYA4649,124.0,,34.72,106.64,83
LOCAL,27201843,HC COMPAT NG TUBE 10F B4081,73.0,,20.44,62.78,83
LOCAL,27201844,HC CATH FOLEY TEMP H/L 8F A4344,43.0,,12.04,36.98,83
LOCAL,27201845,HC COMPAT NG TUBE 8F B4081,65.0,,18.2,55.9,83
LOCAL,27201846,HC S&N CLB D-GDE PIN3.2*300MA4649,173.0,,48.44,148.78,83
LOCAL,27201847,HC CMPAT NG TUBE 12F B4081,75.0,,21.0,64.5,83
LOCAL,27201848,HC S&N PERI-LOC K-WIRE2*28MMA4649,80.0,,22.4,68.8,83
LOCAL,27201849,HC S&N PERI-LOC D-BIT 3.5MM A4649,357.0,,99.96,307.02,83
LOCAL,27201850,HC S&N SRSHT AO D-BIT 4MM A4649,556.0,,155.68,478.16,83
LOCAL,27201851,HC S&N LNG AO P-DRILL 4MM A4649,702.0,,196.56,603.72,83
LOCAL,27201852,HC S&N CLB GDE PIN 3.2*230MMA4649,156.0,,43.68,134.16,83
LOCAL,27201853,HC S&N PERI-LOC D-BIT 4.5MM A4649,357.0,,99.96,307.02,83
LOCAL,27201854,HC CONQUEST BALLOON 8MM,713.0,,199.64,613.18,83
LOCAL,27201855,HC ENCORE 26 INFLAT DVE 20MLA4649,83.0,,23.24,71.38,83
LOCAL,27201856,HC S&N BT-GDE ROD 3*1000MM A4649,503.0,,140.84,432.58,83
LOCAL,27201857,HC S&N PRT DRILL GDE PROBE A4649,849.0,,237.72,730.14,83
LOCAL,27201858,HC S&N TRIGEN6.4MM STEPDRILLA4649,683.0,,191.24,587.38,83
LOCAL,27201859,HC S&N BPT-GDE PIN 3.2*343MMA4649,359.0,,100.52,308.74,83
LOCAL,27201860,HC HEMODIA CATH 5F*7.6CM C1881,175.0,,49.0,150.5,83
LOCAL,27201861,HC S&N SC-TWST D-BIT 3.5MM A4649,175.0,,49.0,150.5,83
LOCAL,27201863,HC GWIRE STR.018X180CMGR1803C1769,138.0,,38.64,118.68,83
LOCAL,27201864,HC COUPLER FLOW4.0GEM2756-FCA4649,1900.0,,532.0,1634.0,83
LOCAL,27201865,HC COUPLER FLOW3.5GEM2755-FCA4649,1900.0,,532.0,1634.0,83
LOCAL,27201866,HC GWIRE STR.025X260CMGR2503C1769,193.0,,54.04,165.98,83
LOCAL,27201867,HC GWIRE STR.025X180CMGR2502C1769,141.0,,39.48,121.26,83
LOCAL,27201868,HC GWIRE ANGLED .018X150CM C1769,138.0,,38.64,118.68,83
LOCAL,27201869,HC GWIRE STR.018X150CMGR1802C1769,138.0,,38.64,118.68,83
LOCAL,27201870,HC OPEN END URET CATH 3F C1758,38.0,,10.64,32.68,83
LOCAL,27201871,HC SET LOOP NEPHROSTOMY C1729,357.0,,99.96,307.02,83
LOCAL,27201872,HC GWIRE STR.025X150CMGR2501C1769,138.0,,38.64,118.68,83
LOCAL,27201873,HC TUBING&BX CORD IRRG MALISA4649,138.0,,38.64,118.68,83
LOCAL,27201874,HC FIBER ELEV ELITE ENT A4649,2250.0,,630.0,1935.0,83
LOCAL,27201875,HC SPECIAL SURGICAL SUPPLY - STERILE,1920.0,,537.6,1651.2,83
LOCAL,27201877,HC CATH FOLEY HEM 3W22CH 30CC,828.0,,231.84,712.08,83
LOCAL,27201879,HC SPYBITE ENDOSCOPIC BIOPSY FORCEPS,1167.0,,326.76,1003.62,83
LOCAL,27201880,HC MALONEY BOUGIE MFLEX 30 SLFINF,338.0,,94.64,290.68,83
LOCAL,27201881,HC MALONEY BOUGIE MFLEX 40 SLFINF,419.0,,117.32,360.34,83
LOCAL,27201882,HC MALONEY BOUGIE MFLEX 46 SLFINF,492.0,,137.76,423.12,83
LOCAL,27201885,HC INTERJECT SCLEROTHER NEEDL BSC,138.0,,38.64,118.68,83
LOCAL,27201886,HC X-PRESS CANNULA OLYMPUS,135.0,,37.8,116.1,83
LOCAL,27201887,HC BENDING CANNULA OLYMPUS,84.0,,23.52,72.24,83
LOCAL,27201889,HC GOLD PROBE CATH BSCI,476.0,,133.28,409.36,83
LOCAL,27201890,HC INFLATION DEVICE OLYMPUS,97.0,,27.16,83.42,83
LOCAL,27201891,HC SYRINGE BIG 60 MERRIT,97.0,,27.16,83.42,83
LOCAL,27201892,HC FEEDING TUBE EXTN HALYARD,96.0,,26.88,82.56,83
LOCAL,27201893,HC EHL PROBE NORTECH,350.0,,98.0,301.0,83
LOCAL,27201894,HC SPIRAL/CRESENT SNARE OLYMPUS,64.0,,17.92,55.04,83
LOCAL,27201895,HC ESD DUAL KNIFE OLYMPUS,1546.0,,432.88,1329.56,83
LOCAL,27201897,HC PROBE FIA PC SIDE VIEW ERBE,495.0,,138.6,425.7,83
LOCAL,27201898,HC BARRX CHANNEL RFA CATH,2318.0,,649.04,1993.48,83
LOCAL,27201899,HC FORCEP HOT BIOPSY BDCI,126.0,,35.28,108.36,83
LOCAL,27201900,HC PROBE CIRCUMFERENTIAL ERBE,495.0,,138.6,425.7,83
LOCAL,27201901,HC TRAY 5-6FR TRPL LMN PICC CATH 3CG,420.0,,117.6,361.2,83
LOCAL,27201902,HC TRAY CATH PEDI TEMP SENS URMTR 6F 1.5ML,59.0,,16.52,50.74,83
LOCAL,27201903,HC TRAY CATH PEDI TEMP SENS URMTR 8F 3ML,87.0,,24.36,74.82,83
LOCAL,27201904,HC TRAY CATH PEDI TEMP SENS URMTR 10F 3ML,87.0,,24.36,74.82,83
LOCAL,27201905,HC TRAY CATH PEDI TEMP SENS URMTR 12F 10ML,54.0,,15.12,46.44,83
LOCAL,27201906,HC TRAY CATH PEDI URMTR ADD-A-CATH,49.0,,13.72,42.14,83
LOCAL,27201908,HC KIT BREVIA CATH STR 11FR 2LMN 15CM,147.0,,41.16,126.42,83
LOCAL,27201909,HC KIT BREVIA CATH STR 11FR 2LMN 20CM,168.0,,47.04,144.48,83
LOCAL,27201910,HC KIT BREVIA CATH STR 11FR 2LMN 24CM,147.0,,41.16,126.42,83
LOCAL,27201911,HC TRAY LP ADLT SAF-T 20GX3.5IN,47.0,,13.16,40.42,83
LOCAL,27201912,HC TRAY LP PEDI SAF-T 22GX1.5IN,41.0,,11.48,35.26,83
LOCAL,27201913,HC POUCH OST 1PC SENSURA XPRO LT,65.0,,18.2,55.9,83
LOCAL,27201914,HC INTRODUCER MICROPUNCTURE NITINOL SET,90.0,,25.2,77.4,83
LOCAL,27201922,HC STYLET LEAD PACEMAKER TIP  6094-6082,99.0,,27.72,85.14,83
LOCAL,27201923,HC AQUAMANTYS3 2.3,1012.0,,283.36,870.32,83
LOCAL,27201925,HC BERENSTEIN ANGIO CATH 5FR 65CM,52.0,,14.56,44.72,83
LOCAL,27201926,HC FLEXOR SHUTTLE GUIDING SHEATH,226.0,,63.28,194.36,83
LOCAL,27201927,HC CNTL DRILL BIT 3.2MM,318.0,,89.04,273.48,83
LOCAL,27201928,HC PRHL DRILL BIT 2.7MM,338.0,,94.64,290.68,83
LOCAL,27201929,HC UD HOSE DRPE ASMBLY,436.0,,122.08,374.96,83
LOCAL,27201930,HC UD TIP EXTEN 120MM,1142.0,,319.76,982.12,83
LOCAL,27201931,HC UD DISK DRILL 7-11MM,1142.0,,319.76,982.12,83
LOCAL,27201933,HC UD S-K OSTEOTOME 9.5MM,1142.0,,319.76,982.12,83
LOCAL,27201935,HC UD HELIX TIP 9.5MM,1142.0,,319.76,982.12,83
LOCAL,27201936,HC 11G IVAS VERTEPORT,158.0,,44.24,135.88,83
LOCAL,27201937,HC PRESSURIZER SPONGE,110.0,,30.8,94.6,83
LOCAL,27201938,HC FEM BONE CMNT PREP KIT,312.0,,87.36,268.32,83
LOCAL,27201939,HC 11G HAND DRILL,225.0,,63.0,193.5,83
LOCAL,27201940,"HC 11G 5"" IVAS BN BIOPSY KIT",181.0,,50.68,155.66,83
LOCAL,27201941,HC MDF HALL MOD SHAFT,1046.0,,292.88,899.56,83
LOCAL,27201942,HC 1-STEP CONICAL REAMER,1370.0,,383.6,1178.2,83
LOCAL,27201943,HC T2 RGD REAMER 10MM,1407.0,,393.96,1210.02,83
LOCAL,27201944,HC AO DRILL BIT 4.2*180MM,478.0,,133.84,411.08,83
LOCAL,27201945,HC AO DRILL BIT 4.2*130MM,454.0,,127.12,390.44,83
LOCAL,27201946,HC DRILL BIT  3.1*204MM,338.0,,94.64,290.68,83
LOCAL,27201947,HC AO DRILL BIT 3.5MM,469.0,,131.32,403.34,83
LOCAL,27201948,HC MARQUEE BIOPSY INSTRUMENT,138.0,,38.64,118.68,83
LOCAL,27201949,HC MARQUEE BIOPSY KIT,180.0,,50.4,154.8,83
LOCAL,27201950,HC TEMNO BIOPSY NEEDLE,81.0,,22.68,69.66,83
LOCAL,27201951,HC CATH QUINTON 10FRX15CM,176.0,,49.28,151.36,83
LOCAL,27201952,HC MYRIAD HANDPIECE ST-RSC 11-13G,4230.0,,1184.4,3637.8,83
LOCAL,27201953,HC 11G 15MM IVAS SYSTEM KIT,4698.0,,1315.44,4040.28,83
LOCAL,27201954,HC 11 IVAS VERTEPORT,158.0,,44.24,135.88,83
LOCAL,27201955,HC SEALER DURASEAL EXACT 5.0ML,1344.0,,376.32,1155.84,83
LOCAL,27201957,HC PICC SET TURBO-JECT POWER-INJECTABLE SPECTRUM 2LMN 4-5F,545.0,,152.6,468.7,83
LOCAL,27201958,HC PICC SET TURBO-JECT POWER-INJECTABLE SPECTRUM 3LMN 6F,674.0,,188.72,579.64,83
LOCAL,27201959,HC THERMODILUTION SWAN CATHETER (MULT SIZES),108.0,,30.24,92.88,83
LOCAL,27201960,HC CAPSULORHEXIS CYSTITOME 25G,53.0,,14.84,45.58,83
LOCAL,27201961,HC SLVE ULTRA INFUSION,77.0,,21.56,66.22,83
LOCAL,27201962,HC CLEARPOINT SMARTFRAME XG KT,8514.0,,2383.92,7322.04,83
LOCAL,27201963,HC NEURO PROC DREPE TAPER,632.0,,176.96,543.52,83
LOCAL,27201964,HC RIA REAMER HEAD 13MM,714.0,,199.92,614.04,83
LOCAL,27201965,HC RIA DRIVER SHAFT SEAL,69.0,,19.32,59.34,83
LOCAL,27201966,HC RIA BT-REAMING ROD 950MM,518.0,,145.04,445.48,83
LOCAL,27201967,HC MINI-BOLT NEUROBLTE 2.2-3.3,1350.0,,378.0,1161.0,83
LOCAL,27201968,HC PRB NB FULLFIRE DT-LASER 000-5,13425.0,,3759.0,11545.5,83
LOCAL,27201969,HC PRB NB FULLFIRE SD-TIP 000-5,13425.0,,3759.0,11545.5,83
LOCAL,27201970,HC DRVR PRB NB ADVANCED,4500.0,,1260.0,3870.0,83
LOCAL,27201971,HC PRB NB SIDEFIRE D-LASER 000-5,13425.0,,3759.0,11545.5,83
LOCAL,27201972,HC DRVR PRB NB ROBOTIC,4500.0,,1260.0,3870.0,83
LOCAL,27201973,HC PRB NB SIDEFIRE DT-LASER 000-5,13425.0,,3759.0,11545.5,83
LOCAL,27201974,HC RIA LOCKING CLIP,184.0,,51.52,158.24,83
LOCAL,27201975,HC GRAFT FILTER,2260.0,,632.8,1943.6,83
LOCAL,27201976,HC RIA TUBING ASMBLY,1093.0,,306.04,939.98,83
LOCAL,27201977,HC CONFIDENCE DT-INTRO NDL,248.0,,69.44,213.28,83
LOCAL,27201978,HC PREVENA INCISION MANAGEMENT PEEL&PLACE KIT (MULT SIZES),1125.0,,315.0,967.5,83
LOCAL,27201980,HC OVERSTITCH ENDOSCOPIC SUTURING SYSTEM,800.0,,224.0,688.0,83
LOCAL,27201981,HC OVERSTITCH SUTURE CINCH/POLYPROPYLENE (ENDO),165.0,,46.2,141.9,83
LOCAL,27201982,HC OVERSTITCH 2-0 POLYDIOXANONE ENDO SUTURE,147.0,,41.16,126.42,83
LOCAL,27201983,HC CABLE EPG SURGICAL DISPOSABLE,149.0,,41.72,128.14,83
LOCAL,27201985,HC BLOCKER ENDOBRONCH 7-9FR (ARNDT/FUJI),338.0,,94.64,290.68,83
LOCAL,27201986,HC CURVED BRONCHIAL BLADE M4 ROTATABLE,983.0,,275.24,845.38,83
LOCAL,27201987,HC VIZISHOT 19G NEEDLE,563.0,,157.64,484.18,83
LOCAL,27201988,HC PULM SPIRAT DISPOSABLE BALLOON CATHETER 2MM B5-2C,253.0,,70.84,217.58,83
LOCAL,27201989,HC ENDOSCOPIC GUIDE SHEATH KIT,273.0,,76.44,234.78,83
LOCAL,27201990,HC SYS LEAD DELIVERY ACUITY PRO,700.0,,196.0,602.0,83
LOCAL,27201991,HC AIRWAY SIZING KIT HUD (FOR IBV SPIRATION VALVE SYSTEM),675.0,,189.0,580.5,83
LOCAL,27201992,HC CATH PERICARDIOCENTESIS 6F 60C,225.0,,63.0,193.5,83
LOCAL,27201993,HC TRUGUIDE CORE BIOPSY NEEDLE KIT,134.0,,37.52,115.24,83
LOCAL,27201994,HC CYTOLOGY BRUSH COLONIC,43.0,,12.04,36.98,83
LOCAL,27201995,HC DBL BILIARY CYTOLOGY BRUSH,203.0,,56.84,174.58,83
LOCAL,27201996,HC MISSION BIOPSY NEEDLE 16-20GX10CM,94.0,,26.32,80.84,83
LOCAL,27201997,HC MONOPTY BIOPSY NEEDLE,91.0,,25.48,78.26,83
LOCAL,27201998,HC NEEDLE BIOPSY MAX CORE,168.0,,47.04,144.48,83
LOCAL,27201999,HC NEEDLE BIOPSY COAX TRUGUIDE,49.0,,13.72,42.14,83
LOCAL,27202000,HC NEEDLE BIOPSY ULTRASOUND MRI 14GAX10CM,114.0,,31.92,98.04,83
LOCAL,27202001,HC NEEDLE BIOPSY ULTRASOUND MRI 16GAX10CM,108.0,,30.24,92.88,83
LOCAL,27202002,HC NEEDLE BIOPSY ACHIEVE 14-18GX11,80.0,,22.4,68.8,83
LOCAL,27202003,HC NEEDLE BIOPSY COAXIAL,113.0,,31.64,97.18,83
LOCAL,27202004,HC IDENTIFIER BIOPSY SITE,158.0,,44.24,135.88,83
LOCAL,27202005,HC MICROSNARE KIT 7MM 175-200CM 2.3-3F105-175CM,878.0,,245.84,755.08,83
LOCAL,27202006,HC QUICK CORE BIOPSY NEEDLE (SOFT TISSUE),104.0,,29.12,89.44,83
LOCAL,27202007,HC CHIBA ECHO TIP BIOPSY NEEDLE,138.0,,38.64,118.68,83
LOCAL,27202008,HC MCLEAN-RING ENTERAL FEEDING TUBE SET,151.0,,42.28,129.86,83
LOCAL,27202010,HC CATHETER - ANGIO K,138.0,,38.64,118.68,83
LOCAL,27202011,HC EMBOLIZATION - COILS M,60.0,,16.8,51.6,83
LOCAL,27202012,HC EMBOLIZATION - COILS N,875.0,,245.0,752.5,83
LOCAL,27202013,HC  5FR MERIT PIGTAIL 30CM PERICARDIOCENTESIS,39.0,,10.92,33.54,83
LOCAL,27202014,HC AZUR HELICAL HYDROCOIL PUSHABLE (EMBOLIZATION),647.0,,181.16,556.42,83
LOCAL,27202015,HC TR BAND RADIAL COMPRESSION BAND DEVICE,110.0,,30.8,94.6,83
LOCAL,27202016,HC BONE LESION BIOPSY TRAY W/ NEEDLE ASPIRATION,725.0,,203.0,623.5,83
LOCAL,27202017,HC SUPERCORE SEMI-AUTOMATIC BIOPSY INSTRUMENT/NEEDLE (MULT SIZES),116.0,,32.48,99.76,83
LOCAL,27202018,HC ENTERAL ACCESS SURG DILATOR W/ BUILT IN SHEATH 20-24F DIA,213.0,,59.64,183.18,83
LOCAL,27202019,HC NEUWAVE ABLATION PR XT PROBE,3818.0,,1069.04,3283.48,83
LOCAL,27210996,HC INFINITY SAMPLE DEVICE,1125.0,,315.0,967.5,83
LOCAL,27210997,HC 5FR JACKY 110CM CATH OPTITORQUE,124.0,,34.72,106.64,83
LOCAL,27210998,HC AQUIRE EUS FNA BIOPSY NEEDLE,994.0,,278.32,854.84,83
LOCAL,27210999,HC ONYX 34 LES LIQUID EMBOLIZATION AGENT,5436.0,,1522.08,4674.96,83
LOCAL,27211000,HC ANGIO INF CATH CRAGG-MCNAMARA,313.0,,87.64,269.18,83
LOCAL,27211002,HC CORE BIOPSY INSTRUMENT DSP TRUGUIDE CORE KIT W/O NEEDLE,94.0,,26.32,80.84,83
LOCAL,27211003,HC CATH CVC POWERLINE DL INTERMEDIATE TRAY,1152.0,,322.56,990.72,83
LOCAL,27211004,HC CATH CVC POWERLINE 5F DL MICROINTRODUCER TRAY (MULT SIZES),653.0,,182.84,561.58,83
LOCAL,27211005,HC CRYOPROBE V-PROBE 1-3MM,2400.0,,672.0,2064.0,83
LOCAL,27211006,HC INTRODUCTION NEEDLE 10-13G DIAMOND TIP MATCH-GROUND STRYKER,138.0,,38.64,118.68,83
LOCAL,27211007,HC VPS RHYTHM DEVICE TIPTRACKER STYLET ACCESSORY PACK,348.0,,97.44,299.28,83
LOCAL,27211008,HC ENDOTRACHEAL TUBE VIVASIGHT DOUBLE LUMEN,394.0,,110.32,338.84,83
LOCAL,27211009,HC PROBE RF ABLATION OSTEOCOOL DUAL KIT SYS,9373.0,,2624.44,8060.78,83
LOCAL,27211010,HC OSTEOCOOL BONE ACCESS KIT 8-13G,1125.0,,315.0,967.5,83
LOCAL,27211011,HC COIL DETACHER AXIUM ID INSTANT,138.0,,38.64,118.68,83
LOCAL,27211012,HC EMBOLIZATION COIL CONCERTO NYLON HELICAL,1366.0,,382.48,1174.76,83
LOCAL,27211013,HC GUIDEWIRE ORTHOPEDIC ANSIS III THREADED,87.0,,24.36,74.82,83
LOCAL,27211014,HC GUIDEWIRE ORTHOPEDIC ANSIS III NONTHREADED,338.0,,94.64,290.68,83
LOCAL,27211015,HC GUIDEWIRE ORTHOPEDIC ANSIS III W CALIBRATIONS & QUICK RELEASE,592.0,,165.76,509.12,83
LOCAL,27211016,HC NANOKNIFE SINGLE ELECTRODE PROBE ANGIO (MULT SIZES),4200.0,,1176.0,3612.0,83
LOCAL,27211017,HC ESD DUAL KNIFE INSULTATED TIP NANO,1125.0,,315.0,967.5,83
LOCAL,27211018,HC DRESSING POLYMEM WOUND FILLER WIC SILVER 8X8IN,73.0,,20.44,62.78,83
LOCAL,27211019,HC VERIFY EXTERNAL NEUROSTIMULATOR 353101,900.0,,252.0,774.0,83
LOCAL,27211021,HC ALLERGAN INSPIRA BREAST SIZER SR-F/M/X,507.0,,141.96,436.02,83
LOCAL,27211024,HC SCOUT 5-10CM DELIVERY NEEDLE AND REFLECTOR,1004.0,,281.12,863.44,83
LOCAL,27211025,HC HEMOSPRAY ENDOSCOPIC HEMOSTAT,5000.0,,1400.0,4300.0,83
LOCAL,27211026,HC TERUMO GLIDEWIRE 450 ANGLED/STRAIGHT 0.035,404.0,,113.12,347.44,83
LOCAL,27211027,HC DURACLIP HEMOSTASIS CLIP FOR COLONOSCOPE/GASTROSCOPE,230.0,,64.4,197.8,83
LOCAL,27211028,HC GLIDE GUIDEWIRE ADVANTAGE,360.0,,100.8,309.6,83
LOCAL,27211029,HC ENCORE INFLATION DEVICE-BS,110.0,,30.8,94.6,83
LOCAL,27211030,HC SB KNIFE OLYMPUS,1564.0,,437.92,1345.04,83
LOCAL,27211031,HC WAYNE PNEUMOTHORAX TRAY - COOK,338.0,,94.64,290.68,83
LOCAL,27211032,HC NAVIFLEX RX DELIVERY SYSTEM 7-10F (MULT SIZES),245.0,,68.6,210.7,83
LOCAL,27211033,HC EZSHOT FNA NEEDLE - OLYMPUS,608.0,,170.24,522.88,83
LOCAL,27211034,HC SURECLIP SHORTEST STEM (MICROTECH) 11MM,248.0,,69.44,213.28,83
LOCAL,27211035,HC PRO MAG BIOPSY NEEDLE,65.0,,18.2,55.9,83
LOCAL,27211036,HC DERMABOND PRINEO SKIN CLOSURE,169.0,,47.32,145.34,83
LOCAL,27211037,HC PROBE NEUROBLATE FULLFIRE/SIDEFIRE,17900.0,,5012.0,15394.0,83
LOCAL,27211038,HC MINI-BOLT NEUROBLATE,1800.0,,504.0,1548.0,83
LOCAL,27211039,HC THAL-QUICK CHEST TUBE TRAY (COOK),369.0,,103.32,317.34,83
LOCAL,27211040,HC TRUETOME CANNULATING SPHINCTERTOME,856.0,,239.68,736.16,83
LOCAL,27211041,HC FUJI ST HOOD (DISTAL TIP) (MULT SIZES),135.0,,37.8,116.1,83
LOCAL,27211042,HC ESD DUAL KNIFE J OLYMPUS,1546.0,,432.88,1329.56,83
LOCAL,27211043,HC COLD SNARE CAPTIVATOR,65.0,,18.2,55.9,83
LOCAL,27211044,HC CANNULATOME CLASSIC DOUBLE LUMEN,675.0,,189.0,580.5,83
LOCAL,27211045,HC BLADE SHAVER TRICUT BRONCHIAL,875.0,,245.0,752.5,83
LOCAL,27211046,HC OPTIFLOW NASAL HIGH-FLOW THERAPY SUPPLY (ANESTH ONLY),138.0,,38.64,118.68,83
LOCAL,27211047,HC NVISION VLE LASER MARKING PROBE STER (MULT SIZES),2190.0,,613.2,1883.4,83
LOCAL,27211048,HC VERTEPORT MANIFOLD 11G (CEMENT DELIVERY),837.0,,234.36,719.82,83
LOCAL,27211049,HC VERTEPORT CARTRIDGE 11G,647.0,,181.16,556.42,83
LOCAL,27211050,HC CUSA CLARITY 36KHZ CURVED EXT MICROTIP,970.0,,271.6,834.2,83
LOCAL,27211051,HC CUSA CLARITY 36KHZ CURVED EXT STD,1330.0,,372.4,1143.8,83
LOCAL,27211052,HC CUSA CLARITY 36KHZ CURVED EXT PLUS MICROTIP,2162.0,,605.36,1859.32,83
LOCAL,27211053,HC CUSA CLARITY 36KHZ CURVED EXT SHEARTIP,2128.0,,595.84,1830.08,83
LOCAL,27211054,HC CUSA CLARITY QUICK CONNECT TUBING SET (ULTRASON TISSUE ABLATION),1002.0,,280.56,861.72,83
LOCAL,27211055,HC CUSA CLARITY 36KHZ TORQUE WRENCH (DISP),179.0,,50.12,153.94,83
LOCAL,27211056,HC CUSA CLARITY CONTAMINATION GUARD,338.0,,94.64,290.68,83
LOCAL,27211057,HC EUS BALLOONS RADIAL/LINEAR,59.0,,16.52,50.74,83
LOCAL,27211058,HC THERMOCOUPLE OSTEOCOOL,875.0,,245.0,752.5,83
LOCAL,27211059,HC KYPHON HVR BONE CEMENT XPEDE,203.0,,56.84,174.58,83
LOCAL,27211060,HC KYPHON EXPRESS II INFLATABLE BONE TAMP SZ2,2826.0,,791.28,2430.36,83
LOCAL,27211061,HC KYPHON XPEDE BONE CEMENT AND MIXER,679.0,,190.12,583.94,83
LOCAL,27211062,HC KYPHON CEMENT DELIVERY GUN/SYSTEM,780.0,,218.4,670.8,83
LOCAL,27211063,HC KYPHON CEMENT DELIVERY CARTRIDGES/PR,203.0,,56.84,174.58,83
LOCAL,27211064,HC KYPHON V OSTEO INTRODUCER BEVEL/TROCAR KIT,1800.0,,504.0,1548.0,83
LOCAL,27211065,HC KYPHON DIRECTIONAL CANNULA TROCAR TIP,1465.0,,410.2,1259.9,83
LOCAL,27211066,HC KYPHON CANNULA INTRO BEVEL TIP,936.0,,262.08,804.96,83
LOCAL,27211067,HC SURECLIP PLUS,304.0,,85.12,261.44,83
LOCAL,27211068,"HC CANISTER HI-FLOW 3,000CC (HYSTEROLUX TRUCLEAR)",312.0,,87.36,268.32,83
LOCAL,27211069,"HC TUBE SET, HYSTEROLUX VACUUM",139.0,,38.92,119.54,83
LOCAL,27211070,HC TRUCLEAR ULTRA PLUS SHAVER DEVICE/TISSUE REMOVER,1590.0,,445.2,1367.4,83
LOCAL,27211071,HC TRUCLEAR ULTRA MINI SHAVER DEVICE/TISSUE REMOVER,1925.0,,539.0,1655.5,83
LOCAL,27211072,HC TRUCLEAR INCISOR DEVICE SHAVER/TISSUE REMOVER,1192.0,,333.76,1025.12,83
LOCAL,27211073,HC TRUCLEAR INCISOR PLUS SHAVER DEVICE/TISSUE REMOVER,1098.0,,307.44,944.28,83
LOCAL,27211074,HC EMBOLIZATION COIL PUSHER,425.0,,119.0,365.5,83
LOCAL,27211075,HC AMPLATZ MICROSNARE,1247.0,,349.16,1072.42,83
LOCAL,27211076,HC AMPLATZ GOOSENECK SNARE,680.0,,190.4,584.8,83
LOCAL,27211077,HC EN SNARE ENDOVASCULAR,681.0,,190.68,585.66,83
LOCAL,27211078,HC ESD HOOK KNIFE OLYMPUS,1125.0,,315.0,967.5,83
LOCAL,27211079,HC DISPOSABLE VARICES INJECTOR NEEDLE,110.0,,30.8,94.6,83
LOCAL,27211080,HC SPYGLASS RETRIEVAL BASKET,1167.0,,326.76,1003.62,83
LOCAL,27211081,HC SPYGLASS RETRIEVAL SNARE,876.0,,245.28,753.36,83
LOCAL,27211083,HC AQUIRE 19G FLEX EUS NEEDLE,1200.0,,336.0,1032.0,83
LOCAL,27211086,HC DRIVER PROBE NEUROBLATE,6000.0,,1680.0,5160.0,83
LOCAL,27211087,HC OTSC TWIN GRASPER,1238.0,,346.64,1064.68,83
LOCAL,27211088,HC HISTOGUIDE WIRE GUIDED BILIARY FORCEPS,450.0,,126.0,387.0,83
LOCAL,27211089,HC ASCOPE 3 SLIM (ANESTH ONLY),2123.0,,594.44,1825.78,83
LOCAL,27211090,HC ASCOPE 3 (ANESTH ONLY),2534.0,,709.52,2179.24,83
LOCAL,27211091,HC STEALTHSTATION AXIEM STYLET,1125.0,,315.0,967.5,83
LOCAL,27211092,HC EM NON-INVASIVE PT NAVIGATION TRACKER,464.0,,129.92,399.04,83
LOCAL,27211093,HC AXIEM NAVIGATION POINTER,875.0,,245.0,752.5,83
LOCAL,27211094,HC 600 MICRON LASER FIBER W/ SIDE FIRING CAP,613.0,,171.64,527.18,83
LOCAL,27211095,HC 400 MICRON LASER FIBER FLAT TIP,957.0,,267.96,823.02,83
LOCAL,27211097,HC POUCH 1-PC MOLDBLE ESTEEM 40-50MM,38.0,,10.64,32.68,83
LOCAL,27211099,HC SURGIFOAM ABSORBABLE GELATIN POWDER,326.0,,91.28,280.36,83
LOCAL,27211100,HC BOLUS FEEDING TUBE,84.0,,23.52,72.24,83
LOCAL,27211101,HC HIGH FLOW BLOOD WARMER CARTRIDGE-ANESTH ONLY FOR NORMOTHERMIA PURPOSES,103.0,,28.84,88.58,83
LOCAL,27211102,HC TRAY DIAL TRIALYSIS 3LMN (MULT SIZES),520.0,,145.6,447.2,83
LOCAL,27211103,HC 600 MICRON LASER FIBER W/ FLAT TIP,788.0,,220.64,677.68,83
LOCAL,27211104,HC TRACER METRO DIRECT GUIDEWIRE,529.0,,148.12,454.94,83
LOCAL,27211105,HC NVISION VLE INFLATION SYSTEM,1450.0,,406.0,1247.0,83
LOCAL,27211106,HC SYNTHES REAMER HEAD (MULT SIZES),960.0,,268.8,825.6,83
LOCAL,27211107,HC WILSON MALE PENILE RETRACTOR SYSTEM COLOPLAST,517.0,,144.76,444.62,83
LOCAL,27211108,HC GUIDEWIRE VIPER 2 BLUNT (MULT SIZES) A,507.0,,141.96,436.02,83
LOCAL,27211109,HC ARGON SM DIAM CORE .018? X 80 CM STAINLESS STEEL GUIDEWIRE,91.0,,25.48,78.26,83
LOCAL,27211110,HC ARGON SM DIAM CORE .018? X 80 CM NITINOL GUIDEWIRE,128.0,,35.84,110.08,83
LOCAL,27211111,HC CONFIDENCE SPINAL CEMENT SYSTEM KIT 11CC,2775.0,,777.0,2386.5,83
LOCAL,27211112,HC TISSUE GRAFT COLLECTION WASHING SET 850/PURE,979.0,,274.12,841.94,83
LOCAL,27211113,HC EMPRINT ANTENNA PERCUTANEOUS TUMOR ABLAT 15CM/20CM,5390.0,,1509.2,4635.4,83
LOCAL,27211114,HC EMPRINT ANTENNA PERCUTANEOUS TUMOR ABLAT 30CM,5690.0,,1593.2,4893.4,83
LOCAL,27211115,HC 200 MICRON LASER FIBER W/ FLAT TIP,900.0,,252.0,774.0,83
LOCAL,27211116,HC CEMENT PUSHER,138.0,,38.64,118.68,83
LOCAL,27211117,HC CEMENT INJECTOR TRANSFER TUBE,138.0,,38.64,118.68,83
LOCAL,27211118,HC GELPOINT MINI ADVANCED ACCESS PLATFORM,1125.0,,315.0,967.5,83
LOCAL,27211119,HC TISSUE EXPANDER DERMACLOSE,1990.0,,557.2,1711.4,83
LOCAL,27211120,HC ARGON COAXIAL NEEDLE (SUPERCORE NDL ONLY),61.0,,17.08,52.46,83
LOCAL,27211121,"HC APOLLO ABLATOR, ASPIRATING/NON (MULT SIZES)",338.0,,94.64,290.68,83
LOCAL,27211122,HC ACCESS 6996T FINA TUNNELING TOOL FOR 6996 SQ LEAD,753.0,,210.84,647.58,83
LOCAL,27211123,HC NITINOL RETRIEVAL BASKET ZERO TIP (MULT SIZES),624.0,,174.72,536.64,83
LOCAL,27211124,"HC STIMULATOR, NERVE/LOCATOR, CHECKPOINT",1184.0,,331.52,1018.24,83
LOCAL,27211125,"HC RETRACTOR, FREEHOLD",342.0,,95.76,294.12,83
LOCAL,27211126,HC LIGASURE SEALER/DIVIDER A (MULT SIZES),875.0,,245.0,752.5,83
LOCAL,27211127,HC LIGASURE SEALER/DIVIDER B (MULT SIZES),1492.0,,417.76,1283.12,83
LOCAL,27211128,HC LIGASURE SEALER/DIVIDER C (MULT SIZES),1125.0,,315.0,967.5,83
LOCAL,27211129,HC ROTATING HEMOSTATIC VALVE FLOWGATE,420.0,,117.6,361.2,83
LOCAL,27211130,HC COIL DETACHMENT SYSTEM (INZONE),563.0,,157.64,484.18,83
LOCAL,27211131,HC COIL DETATCHMENT IZDS CONNECTING CABLE,138.0,,38.64,118.68,83
LOCAL,27211132,HC TARGET DETACHABLE EMBOLIZATION COIL A,5452.0,,1526.56,4688.72,83
LOCAL,27211133,HC TARGET DETACHABLE EMBOLIZATION COIL B,4136.0,,1158.08,3556.96,83
LOCAL,27211134,HC TARGET DETACHABLE EMBOLIZATION COIL C,2820.0,,789.6,2425.2,83
LOCAL,27211135,HC TARGET DETACHABLE EMBOLIZATION COIL D,3900.0,,1092.0,3354.0,83
LOCAL,27211136,HC SYNCHRO GUIDEWIRE ACCESS LENGTH,1250.0,,350.0,1075.0,83
LOCAL,27211137,HC SYNCHRO GUIDEWIRE EXCHANGE LENGTH,1088.0,,304.64,935.68,83
LOCAL,27211138,HC TRANSEND GUIDEWIRE .014,875.0,,245.0,752.5,83
LOCAL,27211139,HC TRANSEND GUIDEWIRE 300,975.0,,273.0,838.5,83
LOCAL,27211140,HC AXS CATALYST 6 DISTAL ACCESS CATH,4315.0,,1208.2,3710.9,83
LOCAL,27211141,HC DISTAL ACCESS CATHETER DAC,2600.0,,728.0,2236.0,83
LOCAL,27211142,HC AXS VECTA ASPIRATION CATH,4425.0,,1239.0,3805.5,83
LOCAL,27211143,HC SHEATH H,875.0,,245.0,752.5,83
LOCAL,27211144,HC TREVO PRO MICROCATHETER (MULT SIZES),1238.0,,346.64,1064.68,83
LOCAL,27211145,HC TREVO XP PROVUE RETRIEVER (SGL DEVICE ONLY),11993.0,,3358.04,10313.98,83
LOCAL,27211146,HC TREVO XP PROVUE RETRIEVER PACK,12293.0,,3442.04,10571.98,83
LOCAL,27211147,HC TREVO STROKE FAST 2 COMP PACK,14693.0,,4114.04,12635.98,83
LOCAL,27211148,HC TREVO STROKE FAST 3 COMP PACK,14993.0,,4198.04,12893.98,83
LOCAL,27211149,HC EXCELSIOR MICROCATHETER (XT-27/XT-17/1018/SL-10),2080.0,,582.4,1788.8,83
LOCAL,27211151,HC AXS OFFSET DELIVERY ASSIST CATH,1575.0,,441.0,1354.5,83
LOCAL,27211152,HC NEUROFORM STENT STABILIZER CATH,2250.0,,630.0,1935.0,83
LOCAL,27211153,HC GLIDECATH HYDROPHIL COATED,138.0,,38.64,118.68,83
LOCAL,27211154,HC EUS SYSTEM W/ FNA NEEDLE A (BNX/SHARKCORE),525.0,,147.0,451.5,83
LOCAL,27211155,HC EUS SYSTEM W/ FNA NEEDLE - B,3000.0,,840.0,2580.0,83
LOCAL,27211156,HC FNA/FNB NEEDLE B (SHARKCORE/FLEXISION),563.0,,157.64,484.18,83
LOCAL,27211157,HC FIBRIN SEALANT 2/4ML (HUMAN) (VISTASEAL/EVICEL),472.0,,132.16,405.92,83
LOCAL,27211158,HC ACQUIRE PULM EBUS NEEDLE,657.0,,183.96,565.02,83
LOCAL,27211159,HC EMBOLIZATION - COILS O,2560.0,,716.8,2201.6,83
LOCAL,27211160,HC EMBOLIZATION - COILS P,2685.0,,751.8,2309.1,83
LOCAL,27211162,HC LANTERN DELIVERY MICROCATHETER,1035.0,,289.8,890.1,83
LOCAL,27211163,HC CHEST DRAIN WET SUCTION WATER SEAL,71.0,,19.88,61.06,83
LOCAL,27211164,HC CABLE SURG DISP FOR PACING SYS ANALYZER,83.0,,23.24,71.38,83
LOCAL,27211165,HC OVERSTITCH TISSUE HELIX (ENDO),402.0,,112.56,345.72,83
LOCAL,27211166,HC EXALT DUODENOSCOPE SINGLE USE,4395.0,,1230.6,3779.7,83
LOCAL,27211167,HC DRILL BIT C,552.0,,154.56,474.72,83
LOCAL,27211169,HC VASCULAR CLOSURE DEVICE EZ CLIP,127.0,,35.56,109.22,83
LOCAL,27211170,HC PLEURX 1000ML EA VACUUM DRAINAGE BOTTLE KIT,156.0,,43.68,134.16,83
LOCAL,27211171,HC EMBOLIZATION PROTECTIVE SYSTEM (NAV6),2950.0,,826.0,2537.0,83
LOCAL,27211173,HC PRELUDE SYNC DISTAL RADIAL COMPRESSION BAND,65.0,,18.2,55.9,83
LOCAL,27211174,HC SHEATH I,1248.0,,349.44,1073.28,83
LOCAL,27211175,HC MICROINTRODUCER KIT (GREBSET),219.0,,61.32,188.34,83
LOCAL,27211176,HC ENDOFORM DERMAL TEMPLATE 2X2CM,38.0,,10.64,32.68,83
LOCAL,27211177,HC ENDOFORM DERMAL TEMPLATE 4X5CM,105.0,,29.4,90.3,83
LOCAL,27211178,HC BIOGLUE 5ML SYG,1570.0,,439.6,1350.2,83
LOCAL,27211179,HC BIOGLUE 10ML SYG,1964.0,,549.92,1689.04,83
LOCAL,27211180,HC CATHETER - ANGIO L,38.0,,10.64,32.68,83
LOCAL,27211181,HC NEEDLE CRYOABLATION ICE,2000.0,,560.0,1720.0,83
LOCAL,27211182,HC KIT ASSEMBLY TITAN PENILE PROSTHESIS STANDARD BASE,1125.0,,315.0,967.5,83
LOCAL,27211183,HC KIT ACCESSORY AMS 700 PENILE PROSTHESIS,1810.0,,506.8,1556.6,83
LOCAL,27211184,HC GELPOINT V-PATH TRANSVAGINAL ACCESS PLATFORM,1350.0,,378.0,1161.0,83
LOCAL,27211185,HC TITAN TOUCH PUMP ASSEMBLY PENILE PROSTH,8348.0,,2337.44,7179.28,83
LOCAL,27211186,HC KYPHON V OSTEO INTRODUCER TROCAR 10G,563.0,,157.64,484.18,83
LOCAL,27211187,HC SHARKCORE FNB BX SYSTEM W/ NEEDLE,788.0,,220.64,677.68,83
LOCAL,27211188,HC BIT DRILL TIBIAL PHOENIX SHORT 152MML F/NAIL SYSTEM,354.0,,99.12,304.44,83
LOCAL,27211189,HC CAP HEALING W/PLUG COCHLEAR,50.0,,14.0,43.0,83
LOCAL,27211190,HC COVER SCREW CONICAL COCHLEAR BAHA,372.0,,104.16,319.92,83
LOCAL,27211191,HC SNARE TRACTION POLYPECTOMY,507.0,,141.96,436.02,83
LOCAL,27211192,HC APPLICATOR HANDLE F/VASCULAR CLOSURE DEVICE EZ CLIP,249.0,,69.72,214.14,83
LOCAL,27211193,HC CORE BIOPSY SYSTEM GENCUT PULMONARY,869.0,,243.32,747.34,83
LOCAL,27211194,HC NEEDLE PULMONARY ENB ACRPOINT,441.0,,123.48,379.26,83
LOCAL,27211195,HC SUPERDIMENSION MARKER DELIVERY KIT CATH (EXCL MARKER),230.0,,64.4,197.8,83
LOCAL,27211196,HC BX FORCEPS RADIAL JAW PULMONARY STD/LG,158.0,,44.24,135.88,83
LOCAL,27211197,HC VALVE HEMOSTATIC GUARDIAN II TORQUE DEVICE GW INSRT,132.0,,36.96,113.52,83
LOCAL,27211198,HC GUIDE PIN ORTHO VERSANAIL HIP THREADED L444MM OD3.2MM,337.0,,94.36,289.82,83
LOCAL,27211199,HC GUIDE PIN ORTHO SURESHOT TIBIAL 3.2 X 343MM,687.0,,192.36,590.82,83
LOCAL,27211200,HC DRILL WIDENING 3-4MM W/COUNTERSINK COCHLEAR BAHA,456.0,,127.68,392.16,83
LOCAL,27211201,HC FEMOSTOP GOLD FEMORAL COMPRESSION SYSTEM,261.0,,73.08,224.46,83
LOCAL,27211202,HC ASPIRATOR TIP CUSA SHEAR,1580.0,,442.4,1358.8,83
LOCAL,27211203,HC ASPIRATOR TIP CUSA EXTENDED,2247.0,,629.16,1932.42,83
LOCAL,27211204,"HC ADHESIVE HISTOACRYL, TISSUE",158.0,,44.24,135.88,83
LOCAL,27211205,HC NEEDLE VENTRICULAR CODMAN CONE 3.5IN 12/14GA,539.0,,150.92,463.54,83
LOCAL,27211206,HC NEEDLE VENTRICULAR CODMAN CONE 3.5IN 18GA,604.0,,169.12,519.44,83
LOCAL,27211207,HC MR8 BALL CARBIDE ROTARY CUTTING DEVICE,331.0,,92.68,284.66,83
LOCAL,27211208,HC BAG SUCTION DRAINAGE TRU-CLOSE ASPIR WND/BDFLUID,79.0,,22.12,67.94,83
LOCAL,27211209,HC BX FORCEPS RADIAL JAW PULMONARY JUMBO,138.0,,38.64,118.68,83
LOCAL,27211210,HC LEAD CAP FOR PACEMAKER,99.0,,27.72,85.14,83
LOCAL,27211211,HC HEX WRENCH SJM PM,72.0,,20.16,61.92,83
LOCAL,27211212,HC VOICE PROSTH PLACEMENT KIT (BLOM-SINGER),563.0,,157.64,484.18,83
LOCAL,27211213,HC CRYOPROBE FLEX 2 ERBE A,664.0,,185.92,571.04,83
LOCAL,27211214,HC CRYOPROBE FLEX 2 ERBE B,889.0,,248.92,764.54,83
LOCAL,27211215,HC GUIDEWIRE VIPER 2 BLUNT (MULT SIZES) B,610.0,,170.8,524.6,83
LOCAL,27211216,HC ENTEROSCOPIC SPLINTING TUBE,592.0,,165.76,509.12,83
LOCAL,27211217,HC VISION CATHETER ION INTUITIVE (5X),2000.0,,560.0,1720.0,83
LOCAL,27211218,HC VISION PROBE ION INTUITIVE (5X INSTR),760.0,,212.8,653.6,83
LOCAL,27211221,HC NG FEEDING TUBE 8-12F CORTRAK,138.0,,38.64,118.68,83
LOCAL,27211223,HC VOICE PROSTHESIS PROVOX  XTRAFLANGE,132.0,,36.96,113.52,83
LOCAL,27211225,HC TRACH TUBE FLEX W/ REUS INNER CANNULA (MULT SIZE),156.0,,43.68,134.16,83
LOCAL,27211226,"HC MIC-KEY GASTROSTOMY FEEDING TUBE, EXTENSION SET",214.0,,59.92,184.04,83
LOCAL,27211227,"HC MIC JEJUNAL FEEDING TUBE KIT, EXT SETS W CONNECTORS (MULT SIZES)",396.0,,110.88,340.56,83
LOCAL,27211228,HC MIC GASTRIC-JEJUNAL FEEDING TUBE KIT W CONNECTOR  ENDO/RAD PLC,519.0,,145.32,446.34,83
LOCAL,27211229,HC MIC GASTRIC-JEJUNAL FEEDING TUBE KIT EXTENSION SET,756.0,,211.68,650.16,83
LOCAL,27211230,HC NG FEEDING TUBE CORFLO ULTRA-LITE,38.0,,10.64,32.68,83
LOCAL,27211231,HC NG/NASOINTESTINAL FEEDING TUBE W ELECTROMAG TRANSMIT STYLET,138.0,,38.64,118.68,83
LOCAL,27211234,HC PEG KIT STANDARD ENDOVIVE W/ CONNECTOR,419.0,,117.32,360.34,83
LOCAL,27211238,HC TUBE LARYNGECTOMY PROVOX LIFE,313.0,,87.64,269.18,83
LOCAL,27211239,HC LARYBUTTON PROVOX LIFE,316.0,,88.48,271.76,83
LOCAL,27211240,HC GUARD SHOWER PROVOX LIFE,116.0,,32.48,99.76,83
LOCAL,27211241,HC PLUG PROVOX VEGA,175.0,,49.0,150.5,83
LOCAL,27211242,HC ADHESIVE PROVOX LIFE NIGHT FOR TRACHEOSTOMA,42.0,,11.76,36.12,83
LOCAL,27211243,HC VISTASEAL DUAL APPLICATOR,122.0,,34.16,104.92,83
LOCAL,27211244,HC PROGEL PALS EXTENDED APPLICATOR SPRAY TIP,368.0,,103.04,316.48,83
LOCAL,27211245,HC VISION CATHETER ION INTUITIVE (8X),1950.0,,546.0,1677.0,83
LOCAL,27211247,"HC NEEDLE BIOPSY, TEMNO EVOLUTION 20G X 11CM",97.0,,27.16,83.42,83
LOCAL,27211248,HC VALVE CHEST DRAIN 1 WAY HEIMLICH 14FR TUBE 30CM,212.0,,59.36,182.32,83
LOCAL,27211249,"HC ENDOTRACHEAL TUBE, TENAX LASER RESISTANT",539.0,,150.92,463.54,83
LOCAL,27211250,HC THOPAZ TUBING DOUBLE LUNG DRAINAGE,113.0,,31.64,97.18,83
LOCAL,27211251,HC CANISTER LUNG DRAINAGE THOPAZ 0.3L 24 PK CERT,83.0,,23.24,71.38,83
LOCAL,27211252,HC THOPAZ TUBING SINGLE LUNG DRAINAGE,103.0,,28.84,88.58,83
LOCAL,27211253,HC CANISTER THOPAZ+ W/O SOLIDIFIER 6PK CERT LUNG DRAINAGE,103.0,,28.84,88.58,83
LOCAL,27211254,HC CSF EXTERNAL DRAIN SYSTEM NATUS,486.0,,136.08,417.96,83
LOCAL,27211255,HC POSISEP 0.6X2.0 HEMOSTATIC DRESSING/INTRANASAL SPLINT,315.0,,88.2,270.9,83
LOCAL,27211256,HC POSISEP X 0.6X2.0 HEMOSTATIC DRESSING/INTRANASAL SPLINT,338.0,,94.64,290.68,83
LOCAL,27211257,HC TRAY CATH FOLEY SURESTEP BARDEX IC COMPLETE CARE W/ URIN MTR & STABL DVC,69.0,,19.32,59.34,83
LOCAL,27211258,HC PROVU SINGLE USE VIDEO LARYNGOSCOPE HANDL W/ BLADE FLEXICARE (ANES ONLY),79.0,,22.12,67.94,83
LOCAL,27211259,HC BRONCHOFLEX SINGLE USE VIDEO BRONCHOSCOPE FLEXICARE (ANES ONLY),608.0,,170.24,522.88,83
LOCAL,27211262,HC E-STERISCOPE TX SGL-USE RHINOLARYNGOSCOPE (IP USE ONLY),689.0,,192.92,592.54,83
LOCAL,27211263,HC E-STERISCOPE DX SGL-USE RHINOLARYNGOSCOPE (IP USE ONLY),439.0,,122.92,377.54,83
LOCAL,27211264,HC FIBRIN SEALANT 10ML (HUMAN) (VISTASEAL),1086.0,,304.08,933.96,83
LOCAL,27212000,HC INTRODUCER/SAFESHEATH ULTRA (MULT SIZES),142.0,,39.76,122.12,83
LOCAL,27212001,HC PREVIEW FLEX 21G ASPIRATING NEEDLE,466.0,,130.48,400.76,83
LOCAL,27212002,HC ENDOJAW BIOPSY FORCEPS,67.0,,18.76,57.62,83
LOCAL,27212003,HC NEEDLE BIOPSY ASPIRATION SUPERTRAX,252.0,,70.56,216.72,83
LOCAL,27212004,HC BRUSH CYTOLOGY TRIPLE NEEDLE,315.0,,88.2,270.9,83
LOCAL,27212005,"HC ENDOBRONCHIAL PROCEDURE KIT, 45/90/180/190 CATHETER",2512.0,,703.36,2160.32,83
LOCAL,27212007,HC CATHETER DRUG COATED PTA BALLOON  - LUTONIX AV,5998.0,,1679.44,5158.28,83
LOCAL,27212008,HC CATHETER ELECTROPHYS VIKING QUAD FIXED CURVE 5F,338.0,,94.64,290.68,83
LOCAL,27212009,HC CATHETER ELECTROPHYS DECA DX,875.0,,245.0,752.5,83
LOCAL,27212010,HC CABLE ELECTROPHYS DX QUAD 4-PIN,293.0,,82.04,251.98,83
LOCAL,27212011,HC CABLE ELECTROPHYS DECA QUICK S PINS,438.0,,122.64,376.68,83
LOCAL,27212012,"HC ENCOR BREAST BIOPSY PROBE 10G,12G",405.0,,113.4,348.3,83
LOCAL,27212013,HC FIXED CORE WIRE GUIDE STRAIGHT TIP,38.0,,10.64,32.68,83
LOCAL,27212014,HC FIXED CORE GUIDEWIRE HVY DTY DOUBLE FLEXIBLE TIP,70.0,,19.6,60.2,83
LOCAL,27212015,HC CATHETER VENTRICULAR DRAINAGE VENTRICLEAR II,619.0,,173.32,532.34,83
LOCAL,27212016,HC VALVULOTOME EXPANDABLE LEMAITRE,3179.0,,890.12,2733.94,83
LOCAL,27212017,HC  CATH CVC 12F  TRIPLE LUMEN HICKMAN INFUSION TRAY (MULT SIZES),1554.0,,435.12,1336.44,83
LOCAL,27212018,HC CATH CVC POWERLINE 6F TL INTERMEDIATE TRAY (MULT SIZES),1152.0,,322.56,990.72,83
LOCAL,27212019,HC HEMOSTATIC AGENT SURGICEL POWDER,326.0,,91.28,280.36,83
LOCAL,27212020,HC PLASMABLADE X 3.0S LIGHT,754.0,,211.12,648.44,83
LOCAL,27215,PR OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD,7689.0,,447.58,7649.9,50
LOCAL,27216,PR PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS,5253.0,,607.68,4465.05,50
LOCAL,27217,PR OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR,7795.0,,621.9292,8025.95,50
LOCAL,27218,PR OPTX POST PEL BONE FX&/DISLC INT FIXJ IF PFRMD,8924.0,,853.0976,8879.38,50
LOCAL,27220,PR CLTX ACETABULUM HIP/SOCKT FX W/O MANJ,2098.0,,313.0576,2089.77,55
LOCAL,27222,PR CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ,4466.0,,616.34,4598.53,55
LOCAL,27226,PR OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ,6739.0,,787.4372,6939.0,55
LOCAL,27227,PR OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT,12425.0,,1229.3592,10561.25,55
LOCAL,27228,PR OPTX ACTBLR FX INVG ANT&POST 2 COLUMNS FX W/INT,15310.0,,1395.1064,15883.62,55
LOCAL,27230,PR CLTX FEM FX PROX END NCK W/O MANJ,2664.0,,282.3,2264.4,55
LOCAL,27232,PR CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ,4644.0,,546.6824,4598.53,55
LOCAL,27235,PR PRQ SKEL FIXJ FEMORAL FX PROX END NECK,8622.0,,679.972,8966.94,55
LOCAL,27236,PR OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT,8968.0,,891.4616,9279.47,55
LOCAL,27238,PR CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ,2642.0,,346.7,2342.18,55
LOCAL,27240,PR CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ,5098.0,,716.8548,4333.3,55
LOCAL,27244,PR TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT,8320.0,,917.286,8652.7,55
LOCAL,27245,PR TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW,9964.0,,916.0532,9487.24,55
LOCAL,27246,PR CLTX GREATER TROCHANTERIC FX W/O MANJ,2428.0,,285.55,2063.8,55
LOCAL,27248,PR OPEN TREATMENT GREATER TROCHANTERIC FRACTURE,5239.0,,558.7344,4453.15,55
LOCAL,27265,PR CLTX POST HIP ARTHRP DISLC W/O ANES,3083.0,,279.95,2620.55,55
LOCAL,27266,PR CLTX POST HIP ARTHRP DISLC REQ ANES,3198.0,,389.79,3013.6,55
LOCAL,27275,PR MANIPULATION HIP JOINT GENERAL ANESTHESIA,1689.0,,138.57,1756.65,55
LOCAL,27279,PR ARTHRD SI JT PLMT TRANSARTICULAR&/I-ARTIC DEVICE,6529.0,,673.761,5876.1,47
LOCAL,27280,PR ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ,7471.0,,785.08,7751.2,55
LOCAL,27290,PR INTERPELVIABDOMINAL AMPUTATION,15880.0,,1209.6804,15047.37,55
LOCAL,27295,PR DISARTICULATION HIP,12602.0,,934.2508,12540.34,55
LOCAL,2729901,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, CEMENTOPLASTY OF PELVIS OR HIP JOINT",5463.0,,2575.72,4643.55,28
LOCAL,2729902,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, CRYOABLATION OF BONE-PELVIS OR HIP JOINT",5605.0,,2575.72,4764.25,28
LOCAL,2729903,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, INSERTION OF ALLOGRAFT",1879.0,,1127.4,2575.72,28
LOCAL,2729904,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, REPAIR OF THE HIP CAPSULE USING TISSUE MEND",1877.0,,1126.2,2575.72,28
LOCAL,2729905,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, INTERNAL FIXATION OF VASCULARIZED FIBULAR GRAFT",8622.0,,2575.72,7328.7,28
LOCAL,2729906,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT SURGERY, CORE COMPRESSION OF FEMORAL HEAD/NECK OR HIP",4355.0,,2575.72,3701.75,28
LOCAL,2729907,"PR UNLISTED PROCEDURE RESECTION OF ILIAC CREST, SURGERY",6428.0,,2575.72,5463.8,28
LOCAL,2729908,PR UNLISTED PROCEDURE PELVIS OR HIP JOINT (HIP GLUTEUS MUSCLE TENDON REPAIR),4003.0,,2401.8,3402.55,28
LOCAL,2729909,PR UNLISTED PROCEDURE PELVIS OR HIP JOINT (ROBOTIC-ASSISTED COCCYGECTOMY),4837.0,,2575.72,4111.45,28
LOCAL,2729910,PR RECONSTRUCTION OF PELVIS AND HIP JOINT WITH CEMENTATION,1503.0,,901.8,2575.72,28
LOCAL,2729911,"PR UNLISTED PROCEDURE PELVIS/HIP JOINT, OPEN MANIPULATION OF HIP PROSTHETIC DISLOCATION",9442.0,,2575.72,8025.7,28
LOCAL,27300022,HC CATH HEMATURIA 3-WAY 20FR,52.0,,14.56,44.72,83
LOCAL,27300024,HC CHEST DRAIN SYS,83.0,,23.24,71.38,83
LOCAL,27300037,HC GLOVE COMPR SZ-6,142.0,,39.76,122.12,83
LOCAL,27300048,HC GLOVE NON-LATEX SURGEON SZ 7,273.0,,76.44,234.78,83
LOCAL,27300088,HC SYR INS 0.3MLX30GX5/16IN BX,57.0,,15.96,49.02,83
LOCAL,27300089,HC SYR SFTY INS1/2ML 29GX1/2BX100,78.0,,21.84,67.08,83
LOCAL,27300090,HC SYRING INSULIN 1/2CC 31GX8MMBX,57.0,,15.96,49.02,83
LOCAL,27300091,HC SYRING INSULN 1CC 31GX8MM ULBX,57.0,,15.96,49.02,83
LOCAL,27300101,HC SYRINGE 60CC SLIP TIP,41.0,,11.48,35.26,83
LOCAL,27300107,HC CANNULA NEEDLELESS PLASTIC,46.0,,12.88,39.56,83
LOCAL,27300112,HC NDL BD ECLIPSE 23GX1IN BX100,48.0,,13.44,41.28,83
LOCAL,27300113,HC NDL BD ECLIPSE 30GX0.5IN BX100,49.0,,13.72,42.14,83
LOCAL,27300114,HC NDL BD/SFTY VAR SZ BX100,48.0,,13.44,41.28,83
LOCAL,27300115,HC SYR SFTY INS VAR SZ BX100,78.0,,21.84,67.08,83
LOCAL,27300119,HC SYRINGE 60CC BLUE TIP L/L,40.0,,11.2,34.4,83
LOCAL,27300162,HC SWAB CLRHXDN GLUCNATBX100,38.0,,10.64,32.68,83
LOCAL,27300170,HC KIT CATHETER PUMP ISOMED,270.0,,75.6,232.2,83
LOCAL,27300183,HC TRAY CATH CV 2LMN,327.0,,91.56,281.22,83
LOCAL,27300243,HC UROLOGY DISCHARGE KIT,97.0,,27.16,83.42,83
LOCAL,27300274,HC TAPE ADH DISC LRG,41.0,,11.48,35.26,83
LOCAL,27300296,HC FILTER REPLACE FOAM 30/PK,115.0,,32.2,98.9,83
LOCAL,27300297,HC FLTR TRACH LNG10MMX12.5MM,158.0,,44.24,135.88,83
LOCAL,27300299,HC TRACH VALVE CAP & FILTERS HUMI,124.0,,34.72,106.64,83
LOCAL,27300312,HC SPLINT PLTFRM LT LRG,65.0,,18.2,55.9,83
LOCAL,27300313,HC SPLINT POSTERIOR LEAF LEFT LRG,65.0,,18.2,55.9,83
LOCAL,27300314,HC SPLINT POSTERIOR LEAF LEFT MED,69.0,,19.32,59.34,83
LOCAL,27300315,HC SPLINT POSTERIOR LEAF LEFT SML,65.0,,18.2,55.9,83
LOCAL,27300316,HC SPLINT POSTERIOR LEAF LEFT XLG,69.0,,19.32,59.34,83
LOCAL,27300317,HC SPLINT POSTERIOR LEAF RT MED,65.0,,18.2,55.9,83
LOCAL,27300334,HC DILATOR PUNCT 22FR TRACHEOSTO,152.0,,42.56,130.72,83
LOCAL,27300336,HC DILATOR VAG LRG,38.0,,10.64,32.68,83
LOCAL,27300346,HC KIT ORAL IRRIG,138.0,,38.64,118.68,83
LOCAL,27300347,HC KIT PFG (PERCUTAN FLORO GTUBE),157.0,,43.96,135.02,83
LOCAL,27300407,HC PLEURL DRNAG K1000ML10BTL,861.0,,241.08,740.46,83
LOCAL,27300408,HC PLEURX DRAINAG1000ML 4/KT,784.0,,219.52,674.24,83
LOCAL,27300481,HC STOCKING THIGH HI LT SZ-7,107.0,,29.96,92.02,83
LOCAL,27300482,HC STOCKING THIGH HI RT SZ-1,107.0,,29.96,92.02,83
LOCAL,27300483,HC STOCKING THIGH HI RT SZ-7,107.0,,29.96,92.02,83
LOCAL,27300493,HC RESP N95 SMALL,38.0,,10.64,32.68,83
LOCAL,27300499,HC GLOVE LRG LIGHTWEIGHT CR&WH,65.0,,18.2,55.9,83
LOCAL,27300500,HC GLOVE MED LIGHTWEIGHT CR&WH,65.0,,18.2,55.9,83
LOCAL,27300501,HC GLOVE SMALL LIGHTWEIGHT CR&WH,65.0,,18.2,55.9,83
LOCAL,27300502,HC GLOVE XLRG LIGHTWEIGHT CR&WH,65.0,,18.2,55.9,83
LOCAL,27300512,HC ARMSLEEVE SHRT SZ-4,75.0,,21.0,64.5,83
LOCAL,27300513,HC GAUNTLET SIZE 6 CLASS 1,62.0,,17.36,53.32,83
LOCAL,27300514,HC STKNG THIGH HI RT SZ4 CL2,92.0,,25.76,79.12,83
LOCAL,27300516,HC OINTMENT BETADINE 1/32OZ,42.0,,11.76,36.12,83
LOCAL,27300517,HC SERVOX INTN SILORL CNECTR,57.0,,15.96,49.02,83
LOCAL,27300521,HC TRACH NYLON #4,216.0,,60.48,185.76,83
LOCAL,27300522,HC TRACH NYLON #6,178.0,,49.84,153.08,83
LOCAL,27300523,HC TRACH SHILEY#6,87.0,,24.36,74.82,83
LOCAL,27300524,HC TUBE ET PEDI SZ-3.5,75.0,,21.0,64.5,83
LOCAL,27300526,HC TUBE ET NYLON SZ-7,163.0,,45.64,140.18,83
LOCAL,27300527,HC TUBE ET NYLON SZ-8,225.0,,63.0,193.5,83
LOCAL,27300528,HC TUBE TRACH MARTIN SZ-7,233.0,,65.24,200.38,83
LOCAL,27300531,HC TUBE CABRIEL TUCKER 5,338.0,,94.64,290.68,83
LOCAL,27300532,HC PACEMAKER MONITOR MEDTRON,900.0,,252.0,774.0,83
LOCAL,27300533,HC PACEMAKER MONITOR ST JUDE,1588.0,,444.64,1365.68,83
LOCAL,27300535,HC LATITUDE PATIENT MONITORING CONNECTIVITY COMMUNICATOR,563.0,,157.64,484.18,83
LOCAL,27300536,HC MY PTM HANDSET COMMUNICATOR ACCSRY FOR PAIN PUMP,2774.0,,776.72,2385.64,83
LOCAL,27301,PR I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION,3029.0,,284.41,2574.65,55
LOCAL,27303,PR INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE,4623.0,,468.18,3929.55,55
LOCAL,27310,PR ARTHRT KNE W/EXPL DRG/RMVL FB,5383.0,,552.828,5237.3,55
LOCAL,27323,PR BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL,1664.0,,100.88,1414.4,55
LOCAL,27324,PR BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP,2270.0,,245.54,2182.51,55
LOCAL,27327,PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM,1840.0,,220.1,1564.0,55
LOCAL,27328,PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM,3690.0,,322.7,3136.5,55
LOCAL,27329,PR RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM,14464.0,,777.1056,12655.38,55
LOCAL,27330,PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY,5229.0,,322.4048,4801.16,55
LOCAL,27331,PR ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB,5988.0,,363.4736,5500.03,55
LOCAL,27334,PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR,6713.0,,519.6344,6981.93,55
LOCAL,27335,PR ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA,7721.0,,577.668,8029.39,55
LOCAL,27337,PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>,3276.0,,316.4984,2948.4,55
LOCAL,27339,PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>,5964.0,,566.1128,5367.6,55
LOCAL,27340,PR EXCISION PREPATELLAR BURSA,2602.0,,270.33,2706.23,55
LOCAL,27345,PR EXCISION SYNOVIAL CYST POPLITEAL SPACE,4029.0,,371.3396,4189.84,55
LOCAL,27347,PR EXCISION LESION MENISCUS/CAPSULE KNEE,6639.0,,400.8532,5891.54,55
LOCAL,27350,PR PATELLECTOMY/HEMIPATELLECTOMY,5038.0,,495.0336,4282.3,55
LOCAL,27355,PR EXCISION/CURETTAGE CYST/TUMOR FEMUR,5411.0,,461.84,4801.16,55
LOCAL,27356,PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT,5662.0,,558.9736,5673.46,55
LOCAL,27357,PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT,6294.0,,614.56,6545.77,55
LOCAL,27358,PR EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION,3691.0,,201.6548,3616.32,55
LOCAL,27360,PR PRTL EXC BONE FEMUR PROX TIBIA&/FIBULA,6000.0,,637.23,5100.0,55
LOCAL,27364,PR RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>,14262.0,,1164.9224,12835.8,55
LOCAL,27365,PR RADICAL RESECTION TUMOR FEMOR OR KNEE,13150.0,,1020.17,12655.38,55
LOCAL,27372,PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE,2378.0,,279.28,2100.08,55
LOCAL,27380,PR SUTURE INFRAPATELLAR TENDON PRIMARY,3660.0,,468.4824,3319.25,55
LOCAL,27381,PR SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF,5242.0,,616.2804,4455.7,55
LOCAL,27385,PR SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY,3913.0,,457.1664,4069.64,55
LOCAL,27386,PR SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ,5452.0,,643.08,5010.64,55
LOCAL,27396,PR TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON,3650.0,,468.7216,3757.12,55
LOCAL,27397,PR TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN,4259.0,,672.26,4383.89,55
LOCAL,27400010,HC INSTAFLO BOWEL CATH SYSTM,525.0,,147.0,451.5,83
LOCAL,27400026,HC VOICE PROSTHESIS VEGA (MULT SIZES),674.0,,188.72,579.64,83
LOCAL,27400027,HC VOICE PROSTHESIS VEGA 17FRX10MM,674.0,,188.72,579.64,83
LOCAL,27400028,HC VOICE PROSTHESIS VEGA 20FRX8MM,674.0,,188.72,579.64,83
LOCAL,27400029,HC VOICE PROSTHESIS VEGA 20FRX10MM,674.0,,188.72,579.64,83
LOCAL,27400031,HC ELECTROLARYNX DIGITAL ECHO,867.0,,242.76,745.62,83
LOCAL,27400036,"HC NATURA DRANBL POUCH2 3/4""",53.0,,14.84,45.58,83
LOCAL,27400037,"HC NATURA DRANBL POUCH 1 3/4""",53.0,,14.84,45.58,83
LOCAL,27400038,"HC NATURA DRANBL POUCH 2 1/4""",53.0,,14.84,45.58,83
LOCAL,27400039,HC FILTER LARYNGOFOAM FLHSTD,131.0,,36.68,112.66,83
LOCAL,27400041,HC PESSARY NON-RUBBER SILCN,97.0,,27.16,83.42,83
LOCAL,27400054,HC BRUSH PROVX REUS NS12.5MM,87.0,,24.36,74.82,83
LOCAL,27400078,HC DRAIN PLEUR EVAC,300.0,,84.0,258.0,83
LOCAL,27400079,HC OST SKIN BARRIER NO STING,38.0,,10.64,32.68,83
LOCAL,27400080,HC SKIN TAC WIPES/ BOX,59.0,,16.52,50.74,83
LOCAL,27400102,HC PROVOX SPCH VLV MEMBR  LG,162.0,,45.36,139.32,83
LOCAL,27400103,HC PROVOX SPCH VLV MEMBR  MD,178.0,,49.84,153.08,83
LOCAL,27400107,HC PROVOX HME CAP W/TITANIUM,138.0,,38.64,118.68,83
LOCAL,27400108,HC HME FLEXIVOICE PLUS STARTER KIT,1065.0,,298.2,915.9,83
LOCAL,27400112,HC TRACH VALVE HOUSING LARGE,49.0,,13.72,42.14,83
LOCAL,27400113,HC TRACH VALVE HOUSING STNRD,49.0,,13.72,42.14,83
LOCAL,27400119,HC LA TNG 4012KAPIGEL THK5MM,138.0,,38.64,118.68,83
LOCAL,27400120,HC LA TNG2012 KAPIGEL THN3MM,138.0,,38.64,118.68,83
LOCAL,27400121,HC CASS HME PROVOX H/FLOW,320.0,,89.6,275.2,83
LOCAL,27400122,HC CASS HME PROVOX NRML,320.0,,89.6,275.2,83
LOCAL,27400123,HC HME CARTRIDGE/PK,203.0,,56.84,174.58,83
LOCAL,27400125,HC XTR MOIST HME CASSETTFLTR,225.0,,63.0,193.5,83
LOCAL,27400126,HC XTRA FLOW HME CASSET FLTR,225.0,,63.0,193.5,83
LOCAL,27400128,HC PERISTOMAL ATTACHMENT OVL,270.0,,75.6,232.2,83
LOCAL,27400129,HC PERISTOMAL ATTACHMNT RND,270.0,,75.6,232.2,83
LOCAL,27400130,HC PERISTOMAL ATTACHMNT STD,270.0,,75.6,232.2,83
LOCAL,27400131,HC PRO VOX LARY TUBE UNFINESTR W,216.0,,60.48,185.76,83
LOCAL,27400139,HC SHLY XLT TB PX XT5.0UNCUF,138.0,,38.64,118.68,83
LOCAL,27400140,HC SHLY XLT TB PX XT6.0UNCUF,138.0,,38.64,118.68,83
LOCAL,27400141,HC SHLY XLT TB PX XT7.0UNCUF,138.0,,38.64,118.68,83
LOCAL,27400142,HC SHLY XLT TB PX XT8.0UNCUF,138.0,,38.64,118.68,83
LOCAL,27400143,HC TRACH TUBE BIVONA SZ: 6-7,230.0,,64.4,197.8,83
LOCAL,27400144,HC TRACH TUBE BIVONA SZ: 7-8,230.0,,64.4,197.8,83
LOCAL,27400145,HC TUB TRACH BIVON ADJ NK8MM,427.0,,119.56,367.22,83
LOCAL,27400147,HC TUBE LARYNGEC FEN 8FX36MM,322.0,,90.16,276.92,83
LOCAL,27400148,HC TUBE LARYNGEC STD 8FX27MM,223.0,,62.44,191.78,83
LOCAL,27400149,HC TUBE LARYNGEC STD 8FX36MM,291.0,,81.48,250.26,83
LOCAL,27400150,HC TUBE LARYNGEC STD 8FX55MM,291.0,,81.48,250.26,83
LOCAL,27400151,HC TUBE LARYNGEC STD 9FX27MM,223.0,,62.44,191.78,83
LOCAL,27400152,HC TUBE LARYNGEC STD 9FX36MM,411.0,,115.08,353.46,83
LOCAL,27400153,HC TUBE LARYNGEC STD 9FX55MM,414.0,,115.92,356.04,83
LOCAL,27400154,HC TUBE LARYNGEC STD10FX36MM,291.0,,81.48,250.26,83
LOCAL,27400155,HC TUBE LARYNGEC STD10FX55MM,291.0,,81.48,250.26,83
LOCAL,27400156,HC TUBE LARYNGEC STD12FX27MM,223.0,,62.44,191.78,83
LOCAL,27400157,HC TUBE LARYNGEC STD12FX36MM,223.0,,62.44,191.78,83
LOCAL,27400158,HC TUBE LARYNGEC STD12FX55MM,291.0,,81.48,250.26,83
LOCAL,27400159,HC TUBE LARYNGEC WRNG8FX36MM,365.0,,102.2,313.9,83
LOCAL,27400160,HC TUBE LARYNGECTOMY SZ:10,102.0,,28.56,87.72,83
LOCAL,27400161,HC TUBE LARYNGECTOMY SZ:6,102.0,,28.56,87.72,83
LOCAL,27400162,HC TUBE TRACH BIVONA ADJ 6MM,427.0,,119.56,367.22,83
LOCAL,27400163,HC TUBE TRACH CUFFLESS SZ-8,87.0,,24.36,74.82,83
LOCAL,27400165,HC TUBE TRACH FEN DISP SZ-10,105.0,,29.4,90.3,83
LOCAL,27400166,HC TUBE TRACH JACKSON SZ-4,1049.0,,293.72,902.14,83
LOCAL,27400167,HC TUBE TRACH JACKSON SZ-5,1125.0,,315.0,967.5,83
LOCAL,27400168,HC TUBE TRACH JACKSON SZ-6,1108.0,,310.24,952.88,83
LOCAL,27400169,HC TUBE TRACH JACKSON SZ-7,671.0,,187.88,577.06,83
LOCAL,27400171,HC TUBE TRACH PEDI 4.5MM,75.0,,21.0,64.5,83
LOCAL,27400172,HC TUBE TRACH PEDI 5.5MM,75.0,,21.0,64.5,83
LOCAL,27400173,HC TUBE TRACH PEDI 5MM,75.0,,21.0,64.5,83
LOCAL,27400174,HC TUBE TRACHEOSTOMY PEDI3MM,75.0,,21.0,64.5,83
LOCAL,27400175,HC TUBE TRACHEOSTOMY PEDI4MM,75.0,,21.0,64.5,83
LOCAL,27400176,HC TUBELARYNGEC STD10FX27MM,291.0,,81.48,250.26,83
LOCAL,27400177,HC SHLY XLT TB PRX EXT5.0CUF,140.0,,39.2,120.4,83
LOCAL,27400178,HC SHLY XLT TB PRX EXT6.0CUF,140.0,,39.2,120.4,83
LOCAL,27400179,HC SHLY XLT TB PRX EXT7.0CUF,138.0,,38.64,118.68,83
LOCAL,27400180,HC SHLY XLT TB PRX EXT8.0CUF,138.0,,38.64,118.68,83
LOCAL,27400184,HC TUBE LARYNGEC SZ-10FR,233.0,,65.24,200.38,83
LOCAL,27400185,HC GUARD SHOWER BLOM-SINGER,97.0,,27.16,83.42,83
LOCAL,27400189,HC BUTT0N BARTON 10 SHRT,312.0,,87.36,268.32,83
LOCAL,27400190,HC BUTTON BARTON 12 LNG,238.0,,66.64,204.68,83
LOCAL,27400191,HC BUTTON BARTON 14 SHRT,312.0,,87.36,268.32,83
LOCAL,27400192,HC BUTTON BARTON 9 SHRT,315.0,,88.2,270.9,83
LOCAL,27400210,HC BUTTON TRACH BART 12SHRT,315.0,,88.2,270.9,83
LOCAL,27400212,HC LARY BUTTON 12/18,232.0,,64.96,199.52,83
LOCAL,27400213,HC LARY BUTTON 12/8,302.0,,84.56,259.72,83
LOCAL,27400214,HC LARY BUTTON 14/18,232.0,,64.96,199.52,83
LOCAL,27400215,HC LARY BUTTON 14/8,302.0,,84.56,259.72,83
LOCAL,27400216,HC LARY BUTTON 16/18,232.0,,64.96,199.52,83
LOCAL,27400217,HC LARY BUTTON 16/8,420.0,,117.6,361.2,83
LOCAL,27400218,HC LARY BUTTON 18/18,232.0,,64.96,199.52,83
LOCAL,27400219,HC LARY BUTTON 18/8,302.0,,84.56,259.72,83
LOCAL,27400220,HC LARY CLIPS,431.0,,120.68,370.66,83
LOCAL,27400223,HC STUD STOM12MMX14.5X16.5MM,97.0,,27.16,83.42,83
LOCAL,27400224,HC STUD STOM14MMX15.5X16.5MM,97.0,,27.16,83.42,83
LOCAL,27400225,HC STUD STOMA 10X12.5X16.5MM,97.0,,27.16,83.42,83
LOCAL,27400226,HC PLUG PROVOX W/BRUSH REUS,138.0,,38.64,118.68,83
LOCAL,27400227,HC STOPPER DECANNULATON NO-2,39.0,,10.92,33.54,83
LOCAL,27400228,HC STOPPER DECANULATION NO-7,65.0,,18.2,55.9,83
LOCAL,27400300,HC BACKJACK FLEX SET 37303/5,291.0,,81.48,250.26,83
LOCAL,27400301,HC BACK JACK PLUS 37401-05,333.0,,93.24,286.38,83
LOCAL,27400304,HC ORTOSIS ANKLE FOOT LT LRG,66.0,,18.48,56.76,83
LOCAL,27400305,HC ORTOSIS ANKLE FOOT LT MED,66.0,,18.48,56.76,83
LOCAL,27400306,HC ORTOSIS ANKLE FOOT LT SML,66.0,,18.48,56.76,83
LOCAL,27400307,HC ORTOSIS ANKLE FOOT RT LRG,66.0,,18.48,56.76,83
LOCAL,27400308,HC ORTOSIS ANKLE FOOT RT MED,66.0,,18.48,56.76,83
LOCAL,27400309,HC ORTOSIS ANKLE FOOT RT SML,66.0,,18.48,56.76,83
LOCAL,27400314,HC VISCOSPOT-PAIR,64.0,,17.92,55.04,83
LOCAL,27400316,HC SPLNT WRIST ELAS LTSM LNG,60.0,,16.8,51.6,83
LOCAL,27400321,HC VACUUM ERECTION DEVICE,495.0,,138.6,425.7,83
LOCAL,27400323,HC JOBST MAMMARY SUPPORT BRA,202.0,,56.56,173.72,83
LOCAL,27400328,HC POCKET TALKER,354.0,,99.12,304.44,83
LOCAL,27400329,HC PROST RESIST INDW20FX10MM,698.0,,195.44,600.28,83
LOCAL,27400330,HC PROST RESIST INDW20FX18MM,338.0,,94.64,290.68,83
LOCAL,27400332,HC PROSTH GAUGE DEPTH 16FR,130.0,,36.4,111.8,83
LOCAL,27400333,HC PROSTH INC RES INDWELL,470.0,,131.6,404.2,83
LOCAL,27400334,HC PROSTH RESIST INDW20FX6MM,698.0,,195.44,600.28,83
LOCAL,27400335,HC PROSTH VOC INDWL 20FX12MM,698.0,,195.44,600.28,83
LOCAL,27400336,HC PROSTH VOICE INDWEL 20FRX22MM,469.0,,131.32,403.34,83
LOCAL,27400337,HC PROSTH VOC INDWL 20FX22MM,282.0,,78.96,242.52,83
LOCAL,27400338,HC PROSTH VOC L/P IR 16FX8MM,182.0,,50.96,156.52,83
LOCAL,27400339,HC PROSTH VOC L/P IR 20FX8MM,182.0,,50.96,156.52,83
LOCAL,27400340,HC PROSTH VOC LP IR 16FX10MM,182.0,,50.96,156.52,83
LOCAL,27400341,HC PROSTH VOC LP IR 16FX28MM,182.0,,50.96,156.52,83
LOCAL,27400342,HC PROSTH VOIC INDWL 20FX8MM,698.0,,195.44,600.28,83
LOCAL,27400343,HC PROSTH VOIC L/P 20FX12MM,138.0,,38.64,118.68,83
LOCAL,27400344,HC PROSTH VOICE 20FR 1.4 INDWELLP,574.0,,160.72,493.64,83
LOCAL,27400345,HC PROSTH VOICE 20FR 1.8 INDWELLP,574.0,,160.72,493.64,83
LOCAL,27400346,HC PROSTH VOICE 20FR 2.2 INDWELLP,574.0,,160.72,493.64,83
LOCAL,27400347,HC PROSTH VOICE 20FR 2.6 INDWELLP,574.0,,160.72,493.64,83
LOCAL,27400348,HC PROSTH VOICE 20FR 3.0 INDWELLP,282.0,,78.96,242.52,83
LOCAL,27400350,HC PROSTH VOICE 4.5MM,798.0,,223.44,686.28,83
LOCAL,27400351,HC PROSTH VOICE 8MM,984.0,,275.52,846.24,83
LOCAL,27400352,HC PROSTH VOICE DIGT SERVOX,1450.0,,406.0,1247.0,83
LOCAL,27400353,HC PROSTH VOICE INDWEL 10MM,878.0,,245.84,755.08,83
LOCAL,27400354,HC PROSTH VOICE INDWEL 12MM,945.0,,264.6,812.7,83
LOCAL,27400355,HC PROSTH VOICE INDWEL 4MM,342.0,,95.76,294.12,83
LOCAL,27400356,HC PROSTH VOICE INDWEL 6MM,878.0,,245.84,755.08,83
LOCAL,27400357,HC PROSTH VOICE INDWEL 8MM,878.0,,245.84,755.08,83
LOCAL,27400358,HC PROSTH VOICE L/P 20FRX6MM,138.0,,38.64,118.68,83
LOCAL,27400359,HC PROSTH VOICE PROVOX 10MM,798.0,,223.44,686.28,83
LOCAL,27400360,HC PROSTH VOICE PROVOX 15MM,798.0,,223.44,686.28,83
LOCAL,27400361,HC PROSTH VOICE PROVOX12.5MM,798.0,,223.44,686.28,83
LOCAL,27400362,HC PROSTH VOICE U/LOW 3MM,130.0,,36.4,111.8,83
LOCAL,27400363,HC PROSTH VOICL/P IR16FX18MM,182.0,,50.96,156.52,83
LOCAL,27400364,HC PROSTHESIS DUMMY 16FR 2.2,138.0,,38.64,118.68,83
LOCAL,27400365,HC PROSTHESIS DUMMY 16FR 2.6,138.0,,38.64,118.68,83
LOCAL,27400366,HC PROSTHESIS DUMMY 16FR 3.0,138.0,,38.64,118.68,83
LOCAL,27400367,HC PROSTHESIS DUMMY 20FR 2.2,138.0,,38.64,118.68,83
LOCAL,27400368,HC PROSTHESIS DUMMY 20FR 2.6,138.0,,38.64,118.68,83
LOCAL,27400372,HC PROSTHESIS VOICE 16FR 1.6CM,91.0,,25.48,78.26,83
LOCAL,27400376,HC PROSTHESIS VOICE 16FR 2.6CM,130.0,,36.4,111.8,83
LOCAL,27400377,HC PROSTHESIS VOICE LOW PRESSURE 16FR 3.6,284.0,,79.52,244.24,83
LOCAL,27400379,HC PROSTHESIS VOICE 20FR 1.8CM,130.0,,36.4,111.8,83
LOCAL,27400380,HC PROSTHESIS VOICE 20FR 2.0CM,122.0,,34.16,104.92,83
LOCAL,27400381,HC PROSTHESIS VOICE 20FR 2.2CM,91.0,,25.48,78.26,83
LOCAL,27400382,HC PROSTHESIS VOICE 20FR 2.6CM,122.0,,34.16,104.92,83
LOCAL,27400383,HC PROSTHESIS VOICE 20FR 3.0CM,91.0,,25.48,78.26,83
LOCAL,27400384,HC PROSTHESIS VOICE LP 16FR 1.6,192.0,,53.76,165.12,83
LOCAL,27400385,HC PROSTHESIS VOICE LP 16FR 1.8,192.0,,53.76,165.12,83
LOCAL,27400386,HC PROSTHESIS VOICE LP 16FR 2.0,192.0,,53.76,165.12,83
LOCAL,27400387,HC PROSTHESIS VOICE LP 16FR 2.2,192.0,,53.76,165.12,83
LOCAL,27400388,HC PROSTHESIS VOICE LP 16FR 2.6,192.0,,53.76,165.12,83
LOCAL,27400389,HC PROSTHESIS VOICE LP 16FR 3.0,284.0,,79.52,244.24,83
LOCAL,27400390,HC PROSTHESIS VOICE LP 16FR 3.3,284.0,,79.52,244.24,83
LOCAL,27400391,HC PROSTHESIS VOICE LP 20FR 1.8CM,192.0,,53.76,165.12,83
LOCAL,27400392,HC PROSTHESIS VOICE LP 20FR 2.2CM,192.0,,53.76,165.12,83
LOCAL,27400393,HC PROSTHESIS VOICE LP 20FR 3.0,284.0,,79.52,244.24,83
LOCAL,27400394,HC PROTHESIS VOIC 20FR 8MM,192.0,,53.76,165.12,83
LOCAL,27400395,HC REFRBSH ELECTROLARYNX KIT,898.0,,251.44,772.28,83
LOCAL,27400400,HC VOC INDW KIT REPLCMNT 8MM,574.0,,160.72,493.64,83
LOCAL,27400401,HC VOICE PROSTHESIS 20FR 4MM,698.0,,195.44,600.28,83
LOCAL,27400402,HC VOICE PROSTHESIS 20FR 6MM,698.0,,195.44,600.28,83
LOCAL,27400403,HC VOICE PROSTHESIS 20FR 8MM,698.0,,195.44,600.28,83
LOCAL,27400404,HC ADAPTER VLV SPEAKNG TRACH,52.0,,14.56,44.72,83
LOCAL,27400406,HC CASS HME PROVOX FREE HAND,325.0,,91.0,279.5,83
LOCAL,27400408,HC KIT STARTER HME FREE HAND,953.0,,266.84,819.58,83
LOCAL,27400410,HC PROSTH VOICE NU-VOIS II,1024.0,,286.72,880.64,83
LOCAL,27400412,HC STUD STOMA 8X10.5X16.5MM,97.0,,27.16,83.42,83
LOCAL,27400413,HC TRACH ADJUST TABLE VALVE,450.0,,126.0,387.0,83
LOCAL,27400414,HC TRACH TUBE INNERVALVE SZ4,509.0,,142.52,437.74,83
LOCAL,27400415,HC TRACH TUBE INNERVALVE SZ7,480.0,,134.4,412.8,83
LOCAL,27400416,HC TRACH TUBE SZ 4 TUCKER,2322.0,,650.16,1996.92,83
LOCAL,27400418,HC TRACH VALVE DIAPHRAGM U-LIGHT,52.0,,14.56,44.72,83
LOCAL,27400419,HC TRACH VALVE HOUSING LRG,49.0,,13.72,42.14,83
LOCAL,27400421,HC TRACH VALVE KIT W/HUMIDIFIER,371.0,,103.88,319.06,83
LOCAL,27400422,HC VALV SPEAKING PUR 15INDIA,158.0,,44.24,135.88,83
LOCAL,27400423,HC VALV SPEAKNG AQUA 15INDIA,157.0,,43.96,135.02,83
LOCAL,27400424,HC VALVE SPEAKING WHT 15IN,151.0,,42.28,129.86,83
LOCAL,27400425,HC VALVE SPEAKNG GRY 15INDIA,157.0,,43.96,135.02,83
LOCAL,27400427,HC INDW CUSTOM LNG 4MM,365.0,,102.2,313.9,83
LOCAL,27400451,HC ADVNTG INDWL PRSTH20F/4MM,502.0,,140.56,431.72,83
LOCAL,27400452,HC ADVTG 2GN ALL SILCN20F6MM,878.0,,245.84,755.08,83
LOCAL,27400453,HC ADVTG 2GN ALL SILCN20F8MM,878.0,,245.84,755.08,83
LOCAL,27400454,HC ADVTG 2GN ALL SLCN20F10MM,878.0,,245.84,755.08,83
LOCAL,27400455,HC ADVTG 2GN ALL SLCN20F12MM,464.0,,129.92,399.04,83
LOCAL,27400456,HC IN HEALTH ADVANT INDWEL,338.0,,94.64,290.68,83
LOCAL,27400457,HC INDW CUSTOM LNG 16MM,574.0,,160.72,493.64,83
LOCAL,27400458,HC INDW CUSTOM LNG 5MM,698.0,,195.44,600.28,83
LOCAL,27400459,HC INDW PROSTH SPLG 20F 11MM,507.0,,141.96,436.02,83
LOCAL,27400460,HC INDW PROSTH SPLG 20F 7MM,698.0,,195.44,600.28,83
LOCAL,27400461,HC INDW PROSTH SPLG 20F 9MM,698.0,,195.44,600.28,83
LOCAL,27400462,HC INDW PROSTH W/ENL ESO10MM,675.0,,189.0,580.5,83
LOCAL,27400463,HC INDW PROSTH W/ENL ESO12MM,675.0,,189.0,580.5,83
LOCAL,27400464,HC INDW PROSTH W/ENL ESO14MM,675.0,,189.0,580.5,83
LOCAL,27400465,HC INDW PROSTH W/ENLG ESO4MM,675.0,,189.0,580.5,83
LOCAL,27400466,HC INDW PROSTH W/ENLG ESO5MM,698.0,,195.44,600.28,83
LOCAL,27400467,HC INDW PROSTH W/ENLG ESO6MM,675.0,,189.0,580.5,83
LOCAL,27400468,HC INDW PROSTH W/ENLG ESO8MM,675.0,,189.0,580.5,83
LOCAL,27400469,HC INDW PROSTHESIS 16FR 10MM,574.0,,160.72,493.64,83
LOCAL,27400470,HC INDW PROSTHESIS 16FR 12MM,574.0,,160.72,493.64,83
LOCAL,27400471,HC INDW PROSTHESIS 16FR 14MM,574.0,,160.72,493.64,83
LOCAL,27400472,HC INDW PROSTHESIS 16FR 16MM,574.0,,160.72,493.64,83
LOCAL,27400473,HC INDW PROSTHESIS 16FR 18MM,574.0,,160.72,493.64,83
LOCAL,27400474,HC INDW PROSTHESIS 16FR 4MM,574.0,,160.72,493.64,83
LOCAL,27400475,HC INDW PROSTHESIS 16FR 8MM,574.0,,160.72,493.64,83
LOCAL,27400476,HC INDW VOC PROSTH 16FR  6MM,574.0,,160.72,493.64,83
LOCAL,27400477,HC INGLTH LG ESOPH RETEN PROST L8,223.0,,62.44,191.78,83
LOCAL,27400478,HC INHLTH INDWEL PROST SPCL LGTH,223.0,,62.44,191.78,83
LOCAL,27400479,HC NID PROSTH  17FR  10MM,249.0,,69.72,214.14,83
LOCAL,27400480,HC NID PROSTH  17FR  12MM,249.0,,69.72,214.14,83
LOCAL,27400481,HC NID PROSTH  17FR  14MM,249.0,,69.72,214.14,83
LOCAL,27400482,HC NID PROSTH  17FR  18MM,249.0,,69.72,214.14,83
LOCAL,27400483,HC NID PROSTH  17FR  6MM,249.0,,69.72,214.14,83
LOCAL,27400484,HC NID PROSTH  17FR  8MM,249.0,,69.72,214.14,83
LOCAL,27400485,HC NID PROSTH  20FR  10MM,249.0,,69.72,214.14,83
LOCAL,27400486,HC NID PROSTH  20FR  12MM,249.0,,69.72,214.14,83
LOCAL,27400487,HC NID PROSTH  20FR  14MM,249.0,,69.72,214.14,83
LOCAL,27400488,HC NID PROSTH  20FR  18MM,249.0,,69.72,214.14,83
LOCAL,27400489,HC NID PROSTH  20FR  6MM,249.0,,69.72,214.14,83
LOCAL,27400490,HC NID PROSTH  20FR  8MM,249.0,,69.72,214.14,83
LOCAL,27400491,HC PROSTH VOICE L/P 16FX25MM,284.0,,79.52,244.24,83
LOCAL,27400492,HC PROSTH VOICE PROVOX 6MM,798.0,,223.44,686.28,83
LOCAL,27400493,HC PROTHESIS INDWELLLING,181.0,,50.68,155.66,83
LOCAL,27400494,HC PROVOX VC PROSTH,388.0,,108.64,333.68,83
LOCAL,27400495,HC PRSTH VOIC INDWL 20FX12MM,619.0,,173.32,532.34,83
LOCAL,27400496,HC PRSTH VOIC L/P IR20FX10MM,182.0,,50.96,156.52,83
LOCAL,27400497,HC PRSTH VOIC L/P IR20FX22MM,182.0,,50.96,156.52,83
LOCAL,27400498,HC PRSTH VOIC L/P IR20FX25MM,182.0,,50.96,156.52,83
LOCAL,27400499,HC TRU TONE ELECTROLARYNX,1504.0,,421.12,1293.44,83
LOCAL,27400501,HC PLUG INSERT INDWEL 16FR,74.0,,20.72,63.64,83
LOCAL,27400502,HC REPLCMNT CAP GEL16F 90/PK,53.0,,14.84,45.58,83
LOCAL,27400503,HC REPLCMNT CAP GEL20F 90/PK,53.0,,14.84,45.58,83
LOCAL,27400504,HC DIALTOR PUNCTUR TRACH 22F,152.0,,42.56,130.72,83
LOCAL,27400505,HC COCHLEAR BAHA 5 W/RMT,5400.0,,1512.0,4644.0,83
LOCAL,27400506,HC COCHLEAR BAHA BP100PWRBLN,5250.0,,1470.0,4515.0,83
LOCAL,27400507,HC COCHLEAR BAHA CORDELL II,4950.0,,1386.0,4257.0,83
LOCAL,27400508,HC COCHLEAR BAHA BP110PWRBLN,5175.0,,1449.0,4450.5,83
LOCAL,27400515,HC BAHA SOFTBAND UNILT BLND,138.0,,38.64,118.68,83
LOCAL,27400521,HC PROSTHESIS VOICE 16FR 3.0CM,130.0,,36.4,111.8,83
LOCAL,27400522,HC PROSTHESIS VOICE 20FR 1.4CM,122.0,,34.16,104.92,83
LOCAL,27400523,HC DRAINABLE POUCH,45.0,,12.6,38.7,83
LOCAL,27400528,HC COLLAR CERV SML 3X16 1/2IN,35.0,,9.8,30.1,83
LOCAL,27400529,HC COLLAR CERVICAL SM PHIL,87.0,,24.36,74.82,83
LOCAL,27400530,HC SHOULDER IMMOB W/SLING/SWATHE,38.0,,10.64,32.68,83
LOCAL,27400532,HC 3M PRESS ON PRISM PER LNS,59.0,,16.52,50.74,83
LOCAL,27400538,HC OST BILIARY DRAIN UNIT,51.0,,14.28,43.86,83
LOCAL,27400543,HC HOLDER HUMID FILTER,132.0,,36.96,113.52,83
LOCAL,27400547,HC OST POUCH ACTIVE LIFE 1IN 25MM,41.0,,11.48,35.26,83
LOCAL,27400548,HC OST POUCH DRAIN 1 1/2IN 38MM,41.0,,11.48,35.26,83
LOCAL,27400549,HC OST POUCH DRAIN 1-1/4IN 32MM,41.0,,11.48,35.26,83
LOCAL,27400559,HC OST UROSTOMY PACK MICROSKIN,138.0,,38.64,118.68,83
LOCAL,27400561,HC OST CONVEXETTE FLANGE 1 1/8IN,63.0,,17.64,54.18,83
LOCAL,27400562,HC OST CONVEXETTE FLANGE 1IN,63.0,,17.64,54.18,83
LOCAL,27400563,HC OST DURAH FLEX WAFER 1 3/4,41.0,,11.48,35.26,83
LOCAL,27400564,HC OST NATURA WAFER 1 3/4,38.0,,10.64,32.68,83
LOCAL,27400565,HC OST WAFER DURAHESIVE 2-1/4IN,41.0,,11.48,35.26,83
LOCAL,27400566,HC OST WAFER STOMAHESIVE 2-1/4IN,38.0,,10.64,32.68,83
LOCAL,27400567,HC OST WAFER STOMAHESIVE 8IN*8IN,43.0,,12.04,36.98,83
LOCAL,27400568,HC COLLAR CERVICAL MED (ZIMMER),38.0,,10.64,32.68,83
LOCAL,27400569,HC COLLAR CERVICAL LRG PHIL,65.0,,18.2,55.9,83
LOCAL,27400570,HC COLLAR CERVICAL MED PHIL,88.0,,24.64,75.68,83
LOCAL,27400571,HC PROSTH GAUGE DEPTH 20FR,130.0,,36.4,111.8,83
LOCAL,27400572,HC PROSTHESIS INC RES 16FR,182.0,,50.96,156.52,83
LOCAL,27400573,HC PROSTH VOICE L/P IR 20FRX18MM,205.0,,57.4,176.3,83
LOCAL,27400574,HC PROSTHESIS VOICE L/P IR 20FRX6MM,284.0,,79.52,244.24,83
LOCAL,27400575,HC PROSTHESIS VOICE 20FR  8MM,138.0,,38.64,118.68,83
LOCAL,27400576,HC PROSTHESIS VOICE LP 16FR 1.4CM,192.0,,53.76,165.12,83
LOCAL,27400577,HC PROSTHESIS VOICE LP 20FR 2.2CM,192.0,,53.76,165.12,83
LOCAL,27400578,HC PROSTHESIS VOICE LP 20FR 2.6CM,192.0,,53.76,165.12,83
LOCAL,27400580,HC TRACH TUBE SHILEY NONCUFF SZ:4,87.0,,24.36,74.82,83
LOCAL,27400581,HC TRACH VALVE HOUSING STD,49.0,,13.72,42.14,83
LOCAL,27400584,HC IMMOBILIZER KNEE LRG,97.0,,27.16,83.42,83
LOCAL,27400585,HC IMMOBILIZER KNEE MED,92.0,,25.76,79.12,83
LOCAL,27400586,HC VEST SRG JOBST W/CUPS SZ5,138.0,,38.64,118.68,83
LOCAL,27400587,HC MULTIBOOT LARGE,138.0,,38.64,118.68,83
LOCAL,27400588,HC MULTIBOOT MED,187.0,,52.36,160.82,83
LOCAL,27400589,HC STABILIZER ANKLE,52.0,,14.56,44.72,83
LOCAL,27400590,HC VEST SURG JOBST W/CUPS SIZE 1,261.0,,73.08,224.46,83
LOCAL,27400591,HC VEST SURG JOBST W/CUPS SIZE 2,138.0,,38.64,118.68,83
LOCAL,27400592,HC VEST SURG JOBST W/CUPS SIZE 3,138.0,,38.64,118.68,83
LOCAL,27400593,HC VEST SURG JOBST W/CUPS SIZE 4,138.0,,38.64,118.68,83
LOCAL,27400594,HC PLUG INSERT INDWELLING,158.0,,44.24,135.88,83
LOCAL,27400595,HC PLUG VALVED INSERT INDWEL,138.0,,38.64,118.68,83
LOCAL,27400596,HC TRACH TUBE CUFF LP SZ: 4,110.0,,30.8,94.6,83
LOCAL,27400597,HC TRACH TUBE CUFF LP SZ: 6,110.0,,30.8,94.6,83
LOCAL,27400598,HC TRACH TUBE CUFF LP SZ: 8,110.0,,30.8,94.6,83
LOCAL,27400599,HC TRACH BUTTON BART  10 REG,315.0,,88.2,270.9,83
LOCAL,27400600,HC TRACH BUTTON BART  12 REG,315.0,,88.2,270.9,83
LOCAL,27400601,HC TRACH BUTTON BART  14 LONG,315.0,,88.2,270.9,83
LOCAL,27400602,HC TRACH BUTTON BART  14 REG,315.0,,88.2,270.9,83
LOCAL,27400604,HC STOPPER DECANNULATION NO-4,130.0,,36.4,111.8,83
LOCAL,27400605,HC STOPPER DECANNULATION NO-6,137.0,,38.36,117.82,83
LOCAL,27400606,HC FILTER FOAM REPLACEMENT,83.0,,23.24,71.38,83
LOCAL,27400607,HC PROST VOIC INDWEL 20FX8MM,574.0,,160.72,493.64,83
LOCAL,27400610,HC PROSTH VOICE L/P IR 20FRC6MM,284.0,,79.52,244.24,83
LOCAL,27400611,HC PROSTHESIS VOICE L/P IR 20FRX12MM,284.0,,79.52,244.24,83
LOCAL,27400612,HC PROSTHESIS VOICE L/P IR 20FRX14MM,284.0,,79.52,244.24,83
LOCAL,27400613,HC ALLER410FF SZER185-740CC,394.0,,110.32,338.84,83
LOCAL,27400614,HC ALLER410FM SZER205-670CC,394.0,,110.32,338.84,83
LOCAL,27400615,HC ALLER410MF SZER140-640CC,394.0,,110.32,338.84,83
LOCAL,27400616,HC ALLER410MM SZER160-450CC,394.0,,110.32,338.84,83
LOCAL,27400617,HC ALLERGAN B-SZ 270-620 CC,124.0,,34.72,106.64,83
LOCAL,27400618,HC ALLERGAN B-SZ 510-650 CC,124.0,,34.72,106.64,83
LOCAL,27400619,HC ALLERGAN HP B-SZ120-800CC,394.0,,110.32,338.84,83
LOCAL,27400620,HC ALLERGAN MR B-SZ158-752CC,394.0,,110.32,338.84,83
LOCAL,27400621,HC BREAST SIZER ALL DISP,97.0,,27.16,83.42,83
LOCAL,27400622,HC DERMABOND ADVANCED TOPICAL ADHESIVE,60.0,,16.8,51.6,83
LOCAL,27400623,HC IMP COMFORM W/HOLES SM-LGV2628,38.0,,10.64,32.68,83
LOCAL,27400624,HC JOBST MAMM SUPPORT SZ1 L8000,138.0,,38.64,118.68,83
LOCAL,27400625,HC JOBST MAMM SUPPORT SZ2 L8000,138.0,,38.64,118.68,83
LOCAL,27400626,HC JOBST MAMM SUPPORT SZ3 L8000,138.0,,38.64,118.68,83
LOCAL,27400627,HC JOBST MAMM SUPPORT SZ4 L8000,138.0,,38.64,118.68,83
LOCAL,27400628,HC JOBST MAMM SUPPORT SZ5 L8000,138.0,,38.64,118.68,83
LOCAL,27400629,HC MENT 1600 B-SZR 125-475CC,97.0,,27.16,83.42,83
LOCAL,27400630,HC MENT 2000 B-SZR 175-800CC,97.0,,27.16,83.42,83
LOCAL,27400631,HC MENT 3000 B-SZR 190-630CC,97.0,,27.16,83.42,83
LOCAL,27400632,HC MENT GEL SZERS 120-775CC,900.0,,252.0,774.0,83
LOCAL,27400633,HC MENT MODCLSG-SZR130-800CC,563.0,,157.64,484.18,83
LOCAL,27400634,HC MENT SX HI B-SZR275-650CC,97.0,,27.16,83.42,83
LOCAL,27400635,HC MENT SZER GEL HI125-800CC,465.0,,130.2,399.9,83
LOCAL,27400636,HC MENT ULTRA HISZR135-590CC,563.0,,157.64,484.18,83
LOCAL,27400637,HC MENTOR G-SZE MOD100-800CC,563.0,,157.64,484.18,83
LOCAL,27400638,HC MENTOR G-SZR HP 300-550CC,563.0,,157.64,484.18,83
LOCAL,27400639,HC MENTOR LM+B-SZER125-690CC,587.0,,164.36,504.82,83
LOCAL,27400640,HC MENTOR MH+B-SZER165-685CC,754.0,,211.12,648.44,83
LOCAL,27400641,HC MENTOR MM+B-SZER140-650CC,754.0,,211.12,648.44,83
LOCAL,27400642,HC MENTOR SZER GEL+100-800CC,563.0,,157.64,484.18,83
LOCAL,27400643,HC MENTOR TM+B-SZER145-680CC,587.0,,164.36,504.82,83
LOCAL,27400647,HC PERFOR KNEE IMMOBIL FOAM L1830,75.0,,21.0,64.5,83
LOCAL,27400648,HC SHILEY CPT-TUBE SZ4-5A7521,92.0,,25.76,79.12,83
LOCAL,27400649,HC SHILEY PLCT-TUBEA7521,113.0,,31.64,97.18,83
LOCAL,27400650,HC SHILEY SCCT-TUBE SZ8A7521,66.0,,18.48,56.76,83
LOCAL,27400652,HC SHILEY TSTCL-TUBE 5-8MMA7520,138.0,,38.64,118.68,83
LOCAL,27400653,HC SHILY TTUB UC/ML2.5-5.5MMA7520,99.0,,27.72,85.14,83
LOCAL,27400656,HC SURGI BRA (MULT SIZES),83.0,,23.24,71.38,83
LOCAL,27400659,HC TRACH TB SHLY UCSZ4-6PEDIA7520,87.0,,24.36,74.82,83
LOCAL,27400660,HC TRACH TBE SHLY UCSZ5 PEDIA7520,88.0,,24.64,75.68,83
LOCAL,27400661,HC TRACH TUBE SHIL LPC SZ10 A7521,130.0,,36.4,111.8,83
LOCAL,27400662,HC TRACH TUBE SHIL LPCSZ6-8 A7521,135.0,,37.8,116.1,83
LOCAL,27400663,HC TRACH TUBE SHILEY LPCSZ4 A7521,110.0,,30.8,94.6,83
LOCAL,27400664,HC TRACH TUBE SHILEY UCPSZ4 A7520,84.0,,23.52,72.24,83
LOCAL,27400665,HC TUBE TRACH CUFFED SZ6-8 A7521,87.0,,24.36,74.82,83
LOCAL,27400667,HC TUBE TRACH HYPERFLX 7.0MMA7520,427.0,,119.56,367.22,83
LOCAL,27400668,HC TUBE TRACH HYPERFLX 8.0MMA7520,427.0,,119.56,367.22,83
LOCAL,27400669,HC TUBE TRACH HYPERFLX6.0MMA7520,427.0,,119.56,367.22,83
LOCAL,27400670,HC TUBE TRACH PEDI CUFF 5.5FA7521,113.0,,31.64,97.18,83
LOCAL,27400671,HC ALLERGAN INSPIRA SMOOTH ROUND GEL SIZER A,473.0,,132.44,406.78,83
LOCAL,27400672,HC ALLERG 410FXSZER185-495CC,394.0,,110.32,338.84,83
LOCAL,27400673,HC ALLERG 410FL SZER 320CC,394.0,,110.32,338.84,83
LOCAL,27400674,HC ALLERG 410LXSZER195-405CC,394.0,,110.32,338.84,83
LOCAL,27400675,HC ALLERG 410LFSZER175-595CC,394.0,,110.32,338.84,83
LOCAL,27400676,HC ALLERG 410LMSZER190-320CC,394.0,,110.32,338.84,83
LOCAL,27400677,HC ALLERG 410ML SZER 285CC,394.0,,110.32,338.84,83
LOCAL,27400678,HC ALLERG 410LLSZER240-300CC,394.0,,110.32,338.84,83
LOCAL,27400679,HC ALLERGAN 45 B-SZER 120-700CC,350.0,,98.0,301.0,83
LOCAL,27400680,HC MENTOR MEMORYSHAPE HP SZER 180-755CC,754.0,,211.12,648.44,83
LOCAL,27400681,HC MENTOR MEMORYGEL XTRA SM/MP SZER 115-755CC,552.0,,154.56,474.72,83
LOCAL,27400682,HC MENTOR MEMORYGEL XTRA SM/HP SZER 150-790CC,552.0,,154.56,474.72,83
LOCAL,27400684,HC VEST SURGICAL JUDY LONG-LINE,94.0,,26.32,80.84,83
LOCAL,27400685,HC PROSTH VOICE VEGA XTRASEAL (MULT SIZES),783.0,,219.24,673.38,83
LOCAL,27400686,HC PROSTH PROVOX FREEHANDS FLEXIVOICE,394.0,,110.32,338.84,83
LOCAL,27400687,HC MENTOR B SIZER MEMORYGEL ULTRA HP 535CC,1300.0,,364.0,1118.0,83
LOCAL,27400688,HC BLOM-SINGER DUAL VALVE INDWELLING VOICE PROSTHESIS NS REG 6-8,1125.0,,315.0,967.5,83
LOCAL,27400689,HC BLOM-SINGER DUAL VALVE INDWELLING VOICE PROSTHESIS 10R/LF,1125.0,,315.0,967.5,83
LOCAL,27400690,"HC BRA, POST SURGICAL DALE MED",52.0,,14.56,44.72,83
LOCAL,27400695,HC VALVE SPEAKING PROTRACH DUALCARE,243.0,,68.04,208.98,83
LOCAL,27400696,HC HME DIGITOP O2,135.0,,37.8,116.1,83
LOCAL,27400697,HC ELECTROLARYNX PROVOX TRUTONE EMOTE,1964.0,,549.92,1689.04,83
LOCAL,27400698,HC ELECTROLARYNX PROVOX TRUTONE EMOTE  PLUS,1596.0,,446.88,1372.56,83
LOCAL,27400699,HC VALVE SPEAKING PROVOX ACTIVALVE,2590.0,,725.2,2227.4,83
LOCAL,27400700,HC VOICE PROSTHESIS VEGA XTRA SEAL (MULT SIZES),783.0,,219.24,673.38,83
LOCAL,27400701,HC VOICE PROSTHESIS INDW BLOM-SINGER RAPID RESPONSE (MULT SIZES),756.0,,211.68,650.16,83
LOCAL,27400702,HC VOICE PROSTHESIS INDW BLOM-SINGER CLASSIC (MULT SIZES),615.0,,172.2,528.9,83
LOCAL,27400703,HC VOICE PROSTHESIS INDW BLOM-SINGER DUAL VALVE (MULT SIZES),1125.0,,315.0,967.5,83
LOCAL,27400704,HC ELECTROLARYNX PROVOX TRUTONE EMOTE PLUS,1596.0,,446.88,1372.56,83
LOCAL,27400707,HC SPLINT PLATFORM SM,65.0,,18.2,55.9,83
LOCAL,27400710,HC COLLAR CERVICAL ASPEN VISTA,104.0,,29.12,89.44,83
LOCAL,27405,PR RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL,5093.0,,510.5356,4329.05,55
LOCAL,27407,PR REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT,5473.0,,601.5236,5633.97,55
LOCAL,27409,PR RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE,6384.0,,725.9536,6573.25,55
LOCAL,27415,PR OSTEOCHONDRAL ALLOGRAFT KNEE OPEN,10232.0,,1026.72,9208.8,55
LOCAL,27418,PR ANTERIOR TIBIAL TUBERCLEPLASTY,6384.0,,614.3116,6573.25,55
LOCAL,27420,PR RCNSTJ DISLOCATING PATELLA,5048.0,,563.1596,5196.09,55
LOCAL,27422,PR RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RL,5178.0,,560.9424,5384.98,55
LOCAL,27424,PR RCNSTJ DISLC PATELLA W/PATELLECTOMY,5473.0,,565.616,5633.97,55
LOCAL,27425,PR LATERAL RETINACULAR RELEASE OPEN,4516.0,,346.4996,4696.4,55
LOCAL,27427,PR LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR,7296.0,,533.8944,7512.52,55
LOCAL,27428,PR LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR,8633.0,,839.5736,8889.67,55
LOCAL,27429,PR LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR,8510.0,,887.89,8764.32,55
LOCAL,27430,PR QUADRICEPSPLASTY,4838.0,,559.222,4383.89,55
LOCAL,27437,PR ARTHROPLASTY PATELLA W/O PROSTHESIS,6170.0,,499.7072,5244.5,55
LOCAL,27438,PR ARTHROPLASTY PATELLA W/PROSTHESIS,4982.0,,632.7576,5010.64,55
LOCAL,27446,PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT,9187.0,,857.5228,9140.39,55
LOCAL,27447,PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS,11346.0,,956.1376,11769.33,55
LOCAL,27448,PR OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION,4910.0,,623.162,5010.64,55
LOCAL,27450,PR OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION,6482.0,,754.2344,5633.97,55
LOCAL,27454,PR OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT,6081.0,,966.4692,6260.73,55
LOCAL,27455,PR OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL,4866.0,,720.0564,5010.64,55
LOCAL,27457,PR OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL,5853.0,,715.6312,5822.86,55
LOCAL,27458,PR OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV,15755.0,,1528.215,14179.5,33
LOCAL,27465,PR OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876,6020.0,,877.69,6260.73,55
LOCAL,27466,PR OSTEOPLASTY FEMUR LENGTHENING,8809.0,,886.052,8764.32,55
LOCAL,27470,PR RPR NON/MAL FEMUR DSTL H/N W/O GRF,6600.0,,882.6112,6260.73,55
LOCAL,27472,PR RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE,7100.0,,944.8308,7200.01,55
LOCAL,27475,PR ARREST EPIPHYSEAL DISTAL FEMUR,5777.0,,501.4276,5948.19,55
LOCAL,27477,PR ARREST EPIPHYSEAL TIBIA & FIBULA PROXIMAL,6384.0,,553.8124,6573.25,55
LOCAL,27479,PR ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB,7296.0,,689.5584,7512.52,55
LOCAL,27486,PR REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT,9440.0,,1047.6224,9391.08,55
LOCAL,27487,PR REVJ TOT KNEE ARTHRP FEM&ENTIRE TIBIAL COMPONE,13841.0,,1303.3824,13773.26,55
LOCAL,27488,PR RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER,8069.0,,897.6072,7512.52,55
LOCAL,27495,PR PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR,5410.0,,845.2316,5321.44,55
LOCAL,27500,PR CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,3642.0,,364.9456,3095.7,55
LOCAL,27500001,HC CARDIO DEFIB D/CHAMB VIRT,40000.0,,11200.0,34400.0,83
LOCAL,27500002,HC CARDIO DEFIB S/CHAMB PROT,37359.0,,10460.52,32128.74,83
LOCAL,27500003,HC CARDIO DEFIB S/CHAMB TELI,32000.0,,8960.0,27520.0,83
LOCAL,27500004,HC CARDIO DEFIB S/CHAMB VIRT,38140.0,,10679.2,32800.4,83
LOCAL,27500005,HC CARDIO DEFIB S/CHAMBSTJUD,36529.0,,10228.12,31414.94,83
LOCAL,27500006,HC ICD-VR DVBB1D4 EVERA XT,35878.0,,10045.84,30855.08,83
LOCAL,27500007,HC LEAD NEUROSTIMULA TENDRIL,1806.0,,505.68,1553.16,83
LOCAL,27500008,HC PACEMKR DUAL CHAMB ADAPDR,10365.0,,2902.2,8913.9,83
LOCAL,27500010,HC PACEMKR DUAL CHAMB ADVISA,14814.0,,4147.92,12740.04,83
LOCAL,27500011,HC PACEMKR DUAL CHAMB ADVMRI,11450.0,,3206.0,9847.0,83
LOCAL,27500012,HC PACEMKR DUAL CHAMB ENRHYT,10193.0,,2854.04,8765.98,83
LOCAL,27500013,HC PACEMKR DUAL CHAMB RVDR01,11608.0,,3250.24,9982.88,83
LOCAL,27500014,HC PACEMKR DUAL CHAMB VERSA,9307.0,,2605.96,8004.02,83
LOCAL,27500015,HC PACMKR DUAL CHAMB ACCNTDR,12768.0,,3575.04,10980.48,83
LOCAL,27500016,HC PMK DUAL CHAM SENSIA DR,8921.0,,2497.88,7672.06,83
LOCAL,27500017,HC ACCENT SRPACEKER ST JUDE,10574.0,,2960.72,9093.64,83
LOCAL,27500018,HC PACEMAKER SNGL CHMBR,2739.0,,766.92,2355.54,83
LOCAL,27500019,HC PACEMKR SNGL CHAMB ADASR1,7905.0,,2213.4,6798.3,83
LOCAL,27500020,HC PACEMKR SNGL CHAMB SENSIA,7380.0,,2066.4,6346.8,83
LOCAL,27500021,HC PACEMKR SNGL CHAMB ZEPHYRC1786,9016.0,,2524.48,7753.76,83
LOCAL,27500022,HC PACMKR S/CHAMB ENTOVSR-T,12500.0,,3500.0,10750.0,83
LOCAL,27500023,HC CARDIO DEFIB S/D CONCERTO,49080.0,,13742.4,42208.8,83
LOCAL,27500024,HC CARIO DEFIB INCEPTA BOST,47000.0,,13160.0,40420.0,83
LOCAL,27500025,HC CARIO DEFIB OTH S/D CHAM,48280.0,,13518.4,41520.8,83
LOCAL,27500026,HC CARIO DEFIB OTHS/D VIVAXT,48312.0,,13527.36,41548.32,83
LOCAL,27500027,HC ENERGEN CRT-D/DF4 BOSTON,42000.0,,11760.0,36120.0,83
LOCAL,27500028,HC HV GENERATOR ASSURA STJUD,60000.0,,16800.0,51600.0,83
LOCAL,27500029,HC HV GENERATOR QUADRA STJUD,65146.0,,18240.88,56025.56,83
LOCAL,27500030,HC INTRO/SHEATH MRI,264.0,,73.92,227.04,83
LOCAL,27500031,HC HV LEAD DURATA SVC STJUD,8420.0,,2357.6,7241.2,83
LOCAL,27500032,HC LEAD CAR-DEF EDC QUATTRO,10528.0,,2947.84,9054.08,83
LOCAL,27500033,HC LEAD CAR-DEF END DUA METR,9660.0,,2704.8,8307.6,83
LOCAL,27500034,HC DEXTRUS IS-1 RA/RV BOSTON,2000.0,,560.0,1720.0,83
LOCAL,27500035,HC HV LEAD PRUS/TENDR STJUD,1387.0,,388.36,1192.82,83
LOCAL,27500036,HC LEAD PCMK VDD S/PASS,1253.0,,350.84,1077.58,83
LOCAL,27500037,HC LEAD PMKR VDD DEXTR BOST,1450.0,,406.0,1247.0,83
LOCAL,27500038,HC LEAD PMKR VDD S/CAPSUREFX,923.0,,258.44,793.78,83
LOCAL,27500039,HC LEAD PMKR VDD S/CAPSURFXN,1242.0,,347.76,1068.12,83
LOCAL,27500040,HC LEAD PMKR VDD S/MRI 52-58,1465.0,,410.2,1259.9,83
LOCAL,27500041,HC LEAD PMKR VDD S/SETRO S53,1200.0,,336.0,1032.0,83
LOCAL,27500042,HC LEAD PMKR VDD S/TENDRST JD,1572.0,,440.16,1351.92,83
LOCAL,27500043,HC ACUITY/EASYTRACK BOSTON,10000.0,,2800.0,8600.0,83
LOCAL,27500044,HC HV LEAD QUARET US STJUD,7964.0,,2229.92,6849.04,83
LOCAL,27500045,HC LEAD CORN EASTRAK2LVAIS-1,6600.0,,1848.0,5676.0,83
LOCAL,27500046,HC LEAD LFT VCS ATTAIN STRT,4364.0,,1221.92,3753.04,83
LOCAL,27500047,HC LEAD LFT VCS QUARLEADST JD,9030.0,,2528.4,7765.8,83
LOCAL,27500048,HC LEAD LFT VENT CORON  SYS,5796.0,,1622.88,4984.56,83
LOCAL,27500049,HC PACEMAKER DUAL CHMBR,2615.0,,732.2,2248.9,83
LOCAL,27500050,HC PACEMKR S/D CHAMB CONSULT,16012.0,,4483.36,13770.32,83
LOCAL,27500051,HC PACMKR S/DCHAMB INVIVBOST,17800.0,,4984.0,15308.0,83
LOCAL,27500052,HC PACMKR S/DCHAMB STJUDARF,16488.0,,4616.64,14179.68,83
LOCAL,27500053,HC PACMKR S/DCHAMB/ALLRQST JD,21952.0,,6146.56,18878.72,83
LOCAL,27500054,HC DEFIB D/CHAMB FORTASSURDR,38145.0,,10680.6,32804.7,83
LOCAL,27500055,HC TEMP PACEMKR CATH,338.0,,94.64,290.68,83
LOCAL,27500056,HC LEAD LFT VCVS ATTAIN PERFORMA MEDTRONIC,9347.0,,2617.16,8038.42,83
LOCAL,27500057,HC DEFIB D/CHAMB ELLIPSTJUDEC1721,38145.0,,10680.6,32804.7,83
LOCAL,27500058,HC DEFIB D/CHAMB MEDTEVERAXT,42052.0,,11774.56,36164.72,83
LOCAL,27500059,HC CARDIO DEFIB S/CHAMB DVMB,41380.0,,11586.4,35586.8,83
LOCAL,27500060,HC INOGENX4 CRTDIS-1/DF4BOST,41000.0,,11480.0,35260.0,83
LOCAL,27500061,HC PACEMKR ESSENT DRIS1BOST,8500.0,,2380.0,7310.0,83
LOCAL,27500062,HC PACEMKR IPGA3SROI ADVISA MEDTR,8834.0,,2473.52,7597.24,83
LOCAL,27500064,HC PACMKR D/CHAMB ENTOVDR-T,14000.0,,3920.0,12040.0,83
LOCAL,27500065,HC CARDIO-DEFIBRILL SINGLE CHAMBER CD1357-4Q ST JUDE,40186.0,,11252.08,34559.96,83
LOCAL,27500066,HC CARDIO DEFIBRILLATOR SINGLE/DUAL VIVA XT DTB1D1,46636.0,,13058.08,40106.96,83
LOCAL,27500067,HC PACMKR S/D CHAM QUADRA ALLURE PM3242,22962.0,,6429.36,19747.32,83
LOCAL,27500068,HC ICD DEFIB ELLIPSE VR-36 DF4 CD1411-36Q,35444.0,,9924.32,30481.84,83
LOCAL,27500069,HC DEFIB S/CH ICD MRI EVERA XT VR DVMB1D4,41380.0,,11586.4,35586.8,83
LOCAL,27500070,HC PACEMAKER ASSURITY SR RF PM1240,11972.0,,3352.16,10295.92,83
LOCAL,27500071,HC DEFIB S/D CH ICD QUADRA ASSURA CD3365-40Q,49990.0,,13997.2,42991.4,83
LOCAL,27500072,HC DEFIB S/D CH ICD UNIFY QUADRA CRT-D SYSTEM,48455.0,,13567.4,41671.3,83
LOCAL,27500073,HC PACEMAKER ASSURITY DR RF PM2240,13907.0,,3893.96,11960.02,83
LOCAL,27500074,HC ICD DEFIB VIVA XT CRT-D DTBA1D1,46636.0,,13058.08,40106.96,83
LOCAL,27500075,HC QUADRA ASSURA MP CD3369-4Q,53590.0,,15005.2,46087.4,83
LOCAL,27500076,HC EVERA MRI XT DR SURESCAN,47716.0,,13360.48,41035.76,83
LOCAL,27500077,HC ACCOLADE DR IS-1,8500.0,,2380.0,7310.0,83
LOCAL,27500078,HC ALTRUA 60 DDDR IS-1,7900.0,,2212.0,6794.0,83
LOCAL,27500079,HC ICD DEFIB CLARIA CRT-D,56468.0,,15811.04,48562.48,83
LOCAL,27500080,HC ICD DEFIB DYNAGEN X4 CRT-D,41000.0,,11480.0,35260.0,83
LOCAL,27500081,HC ASSURITY MRI PACEMAKER SR-RF,13772.0,,3856.16,11843.92,83
LOCAL,27500082,HC ICD-VR DVFB1D4 VISIA MRI AF US DF4,44086.0,,12344.08,37913.96,83
LOCAL,27500083,HC ASSURITY MRI DUAL CHAMBER PACEMAKER PM2272,15707.0,,4397.96,13508.02,83
LOCAL,27500084,HC MICRA TRANSCATHETER PACING SYSTEM,21500.0,,6020.0,18490.0,83
LOCAL,27500085,HC ICD DEFIB AMPLIA MRI QUAD CRT-D,55727.0,,15603.56,47925.22,83
LOCAL,27500086,HC LEAD ICD SPRINT QUATTRO 62CM,9719.0,,2721.32,8358.34,83
LOCAL,27500088,HC ICD DEFIB CLARIA MRI QUAD DTMA1QQ,57627.0,,16135.56,49559.22,83
LOCAL,27500089,HC SOLARA QUAD CRT-P MRI SURESCAN PACEMAKER GENERATOR W4TR03,18627.0,,5215.56,16019.22,83
LOCAL,27500090,HC AZURE XT DR MIR SURESCAN DUAL PMKR W1DR01,12680.0,,3550.4,10904.8,83
LOCAL,27500091,HC PERCEPTA CRT-P MRI SURESCAN,19427.0,,5439.56,16707.22,83
LOCAL,27500092,HC CRTD SURESCAN CLARIA MRI GENERATOR,56468.0,,15811.04,48562.48,83
LOCAL,27500093,HC PERCEPTA QUAD CRT-P MRI SURESCAN PACEMAKER GENERATOR,23900.0,,6692.0,20554.0,83
LOCAL,27500094,HC LEAD PACING ATTAIN MRI,10347.0,,2897.16,8898.42,83
LOCAL,27500095,HC SLEEVE CONNECTOR LEAD IS-4 DF-4,225.0,,63.0,193.5,83
LOCAL,27500096,HC AICD SINGLE CHAMBER GALLANT VR_ICD_UMRI_US,40406.0,,11313.68,34749.16,83
LOCAL,27500097,HC CARDIO DEFIB SINGLE CHAMB COBALT DVPB3D4,43866.0,,12282.48,37724.76,83
LOCAL,27500098,HC CRT-D COBALT HF MRI SURESCAN,57338.0,,16054.64,49310.68,83
LOCAL,27501,PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,3023.0,,378.4696,2992.99,55
LOCAL,27502,PR CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ,4274.0,,566.352,3632.9,55
LOCAL,27503,PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,5267.0,,602.508,4476.95,55
LOCAL,27506,PR OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW,8362.0,,999.9112,8005.34,55
LOCAL,27507,PR OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE,7041.0,,723.4972,7308.19,55
LOCAL,27508,PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,2109.0,,331.45,2089.77,55
LOCAL,27509,PR PRQ SKELETAL FIXJ FEMORAL FX DISTAL END,4436.0,,386.34,4244.78,55
LOCAL,27514,PR OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE,7210.0,,721.0408,7447.27,55
LOCAL,27519,PR OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION,6545.0,,665.7028,6265.87,55
LOCAL,27524,PR OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR,4983.0,,567.8332,4768.51,55
LOCAL,27530,PR CLTX TIBIAL FX PROXIMAL W/O MANIPULATION,1817.0,,225.262,1602.1,55
LOCAL,27532,PR CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ,2616.0,,431.7,2223.6,55
LOCAL,27535,PR OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR,5687.0,,669.8888,5288.82,55
LOCAL,27536,PR OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ,6251.0,,888.5084,5656.28,55
LOCAL,27566,PR OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY,4216.0,,670.8732,4176.1,55
LOCAL,27570,PR MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA,1141.0,,117.19,1183.11,55
LOCAL,27580,PR ARTHRODESIS KNEE ANY TECHNIQUE,9677.0,,1098.526,8225.45,55
LOCAL,27590,PR AMPUTATION THIGH THROUGH FEMUR ANY LEVEL,5309.0,,576.4352,5082.76,55
LOCAL,27591,PR AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST,5270.0,,723.2488,5221.86,55
LOCAL,27592,PR AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR,6323.0,,499.468,6265.87,55
LOCAL,27594,PR AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION,2654.0,,346.72,2255.9,55
LOCAL,27596,PR AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION,4919.0,,526.516,4873.27,55
LOCAL,27598,PR DISARTICULATION KNEE,5818.0,,515.9452,5568.71,55
LOCAL,2759901,PR UNLISTED PROCEDURE FEMUR/KNEE SURG CEMENTOPLASTY FEMUR OR KNEE,5463.0,,3277.8,6439.31,28
LOCAL,2759902,PR UNLISTED PROCEDURE FEMUR/KNEE SURG CRYOABLATION OF BONE-FEMUR OR KNEE,5605.0,,3363.0,6439.31,28
LOCAL,2759903,PR UNLISTED PROCEDURE FEMUR/KNEE SURG KNEE REPAIR WITH TISSUE MEND,1785.0,,1071.0,6439.31,28
LOCAL,2759904,PR UNLISTED PROCEDURE FEMUR/KNEE SURG INTERCALARY RECONSTRUCTION ON FEMUR WITH MODULAR ENDOPRESTHESIS,8078.0,,4846.8,6866.3,28
LOCAL,2759905,PR UNLISTED PROCEDURE FEMUR OR KNEE (FOR ROTATIONPLASTY),7375.0,,4425.0,6439.31,28
LOCAL,2759906,PR UNLISTED PROCEDURE FEMUR OR KNEE (RECONSTRUCTION USING ALLOGRAFT),1879.0,,1127.4,6439.31,28
LOCAL,2759907,PR RECONSTRUCTION OF FEMUR OR KNEE WITH CEMENT,1503.0,,901.8,6439.31,28
LOCAL,2759908,PR UNLISTED PROCEDURE FEMUR OR KNEE - STANMORE BONE LENGTHENING,1285.0,,771.0,6439.31,28
LOCAL,2759909,PR UNLISTED PROCEDURE FEMUR OR KNEE CORE DECOMPRESSION KNEE,4787.0,,2872.2,6439.31,28
LOCAL,2759910,"PR UNLISTED PROCEDURE FEMUR/KNEE SURG UNLISTED, FEMUR TRANSPOSITION",7985.0,,4791.0,6787.25,28
LOCAL,27600,PR DCMPRN FASCT LEG ANT&/LAT COMPARTMENTS ONLY,2305.0,,299.71,2397.15,55
LOCAL,27600002,HC ALCON IOL IMPA10.0D-30.5D,278.0,,77.84,239.08,83
LOCAL,27600003,HC ALCON IOL IMPB10.0D-30.0DC1780,315.0,,88.2,270.9,83
LOCAL,27601,PR DCMPRN FASCT LEG POST COMPARTMENT ONLY,3635.0,,300.43,3089.75,55
LOCAL,27602,PR DCMPRN FASCT LEG ANT&/LAT&PST CMPRT,3390.0,,352.406,3513.3,55
LOCAL,27603,PR INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA,2363.0,,237.09,2008.55,55
LOCAL,27604,PR INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA,2173.0,,168.72,1847.05,55
LOCAL,27605,PR TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,1407.0,,127.02,1195.95,55
LOCAL,27606,PR TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES,2317.0,,202.91,1969.45,55
LOCAL,27612,PR ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH,4017.0,,432.8232,3994.09,55
LOCAL,27613,PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL,1306.0,,88.81,1110.1,55
LOCAL,27614,PR BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP,2064.0,,253.01,1758.36,55
LOCAL,27615,PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM,8601.0,,687.91,8944.62,55
LOCAL,27616,PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>,10994.0,,929.0896,9894.6,55
LOCAL,27618,PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM,1931.0,,228.69,1641.35,55
LOCAL,27619,PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM,2764.0,,350.4372,2716.52,55
LOCAL,27630,PR EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK,2683.0,,257.81,2280.55,55
LOCAL,27632,PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>,3169.0,,307.8964,2852.1,55
LOCAL,27634,PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>,5703.0,,501.9244,5132.7,55
LOCAL,27635,PR EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA,4497.0,,434.5436,4471.45,55
LOCAL,27637,PR EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT,5759.0,,564.6316,5989.41,55
LOCAL,27638,PR EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT,5621.0,,559.958,5591.04,55
LOCAL,27640,PR PARTIAL EXCISION BONE TIBIA,5380.0,,619.9696,5350.64,55
LOCAL,27641,PR PARTIAL EXCISION BONE FIBULA,4819.0,,492.8256,4792.57,55
LOCAL,27645,PR RADICAL RESECTION OF TUMOR TIBIA,6423.0,,866.74,6389.52,55
LOCAL,27646,PR RADICAL RESECTION TUMOR BONE FIBULA,5621.0,,782.75,5591.04,55
LOCAL,27647,PR RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS,5818.0,,729.42,5989.41,55
LOCAL,27650,PR REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON,4762.0,,495.7788,4952.25,55
LOCAL,27652,PR RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT,5739.0,,499.7072,5910.42,55
LOCAL,27654,PR REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT,5376.0,,539.304,5591.04,55
LOCAL,27658,PR REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,2838.0,,279.8548,2795.52,55
LOCAL,27659,PR RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH,3935.0,,355.1108,3593.99,55
LOCAL,27680,PR TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,3043.0,,319.7,2586.55,55
LOCAL,27681,PR TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN,3104.0,,383.8792,3195.62,55
LOCAL,27685,PR LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX,3562.0,,328.12,3027.7,55
LOCAL,27686,PR LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA,3104.0,,399.1328,3195.62,55
LOCAL,27690,PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC,4238.0,,481.022,3994.09,55
LOCAL,27691,PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP,5044.0,,558.9736,5190.94,55
LOCAL,27692,PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN,1053.0,,75.4952,895.05,55
LOCAL,27695,PR RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL,4377.0,,366.666,4552.16,55
LOCAL,27696,PR RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS,6360.0,,411.6724,6549.2,55
LOCAL,27705,PR OSTEOTOMY TIBIA,5431.0,,557.9984,5591.04,55
LOCAL,27707,PR OSTEOTOMY FIBULA,2717.0,,307.648,2795.52,55
LOCAL,27709,PR OSTEOTOMY TIBIA & FIBULA,6204.0,,728.98,6389.52,55
LOCAL,27712,PR OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD,6981.0,,826.0496,7187.99,55
LOCAL,27713,PR OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV,16553.0,,1548.8275,14897.7,33
LOCAL,27720,PR REPAIR NONUNION/MALUNION TIBIA W/O GRAFT,6929.0,,655.6288,7187.99,55
LOCAL,27722,PR REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT,7368.0,,673.0812,7586.36,55
LOCAL,27724,PR RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT,8062.0,,934.4992,8384.83,55
LOCAL,27725,PR RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH,10857.0,,850.27,11182.07,55
LOCAL,27726,PR REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION,7194.0,,717.3516,7463.46,55
LOCAL,27745,PR PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA,6823.0,,551.356,6787.89,55
LOCAL,27750,PR CLTX TIBIAL SHAFT FX W/O MANIPULATION,1603.0,,223.56,1614.11,55
LOCAL,27752,PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ,3086.0,,366.13,2651.27,55
LOCAL,27756,PR PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE,4272.0,,446.3472,4299.74,55
LOCAL,27758,PR OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE,5858.0,,673.3296,6092.45,55
LOCAL,27759,PR TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLA,6430.0,,747.3528,6521.73,55
LOCAL,27760,PR CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION,1195.0,,185.24,1200.28,55
LOCAL,27762,PR CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,1781.0,,280.88,1790.99,55
LOCAL,27766,PR OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE,3538.0,,457.4148,3439.46,55
LOCAL,27767,PR CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,1342.0,,227.2308,1314.85,55
LOCAL,27768,PR CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,2682.0,,344.5308,2628.46,55
LOCAL,27780,PR CLTX PROX FIBULA/SHFT FX W/O MANJ,1139.0,,150.71,985.64,55
LOCAL,27781,PR CLTX PROX FIBULA/SHFT FX W/MANJ,1401.0,,253.42,1372.69,55
LOCAL,27786,PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ,1382.0,,178.84,1174.7,55
LOCAL,27788,PR CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,1906.0,,254.7,1620.1,55
LOCAL,27792,PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS,3906.0,,484.7112,3655.81,55
LOCAL,27800004,HC ARTERIAL LINE KIT W/SHARPS-ARROW,110.0,,30.8,94.6,83
LOCAL,27800013,HC BLOCKER COHEN ENDOBRONCH 9FR-COOK,724.0,,202.72,622.64,83
LOCAL,27800015,HC 18GA 1X3MM TISS CARBN MRK,187.0,,52.36,160.82,83
LOCAL,27800016,HC 18GA0.9X3MM TISS GLD3 MRK,120.0,,33.6,103.2,83
LOCAL,27800017,HC FIDUCIAL MARKER A,500.0,,140.0,430.0,83
LOCAL,27800018,HC RADIOACTIVE SEED,225.0,,63.0,193.5,83
LOCAL,27800019,HC TISSUE MARKER,138.0,,38.64,118.68,83
LOCAL,27800021,HC VISIC GOLD TISS MRK0.75MM,424.0,,118.72,364.64,83
LOCAL,27800026,HC CHIPS CANC 30CC,1125.0,,315.0,967.5,83
LOCAL,27800027,HC CHIPS CORT/CAN 30CC,1125.0,,315.0,967.5,83
LOCAL,27800028,HC DBX MIX 10CC,2857.0,,799.96,2457.02,83
LOCAL,27800029,HC DBX PUTTY 5CC,1505.0,,421.4,1294.3,83
LOCAL,27800030,HC GRAN C/C 30CC,1125.0,,315.0,967.5,83
LOCAL,27800031,HC SIMUBLAST CB PUTTTY,2590.0,,725.2,2227.4,83
LOCAL,27800032,HC IR-192 SEED NOSTR HI DSRT,725.0,,203.0,623.5,84
LOCAL,27800033,HC IR-192 SEED NOSTR NONHDRT,100.0,,28.0,1045.005,84
LOCAL,27800034,HC MEDTRON NC SPRINT BALLON,400.0,,112.0,344.0,83
LOCAL,27800035,HC BALLOON DILAT CATH W/COAT,875.0,,245.0,752.5,83
LOCAL,27800050,HC CONTURA MLB W/TRI-CON TIP4.5-6,5500.0,,1540.0,4730.0,83
LOCAL,27800051,HC CONTURA MLB WTRICONCTP4-5,5500.0,,1540.0,4730.0,83
LOCAL,27800052,HC MAMMOSIT MLT SPER4-5CMAPP,4800.0,,1344.0,4128.0,83
LOCAL,27800053,HC MAMMOSIT RTS TRY VAR4-5CM,4800.0,,1344.0,4128.0,83
LOCAL,27800054,HC MAMMOSIT RTS TRY VAR4-6CM,4800.0,,1344.0,4128.0,83
LOCAL,27800055,HC MAMMOSIT RTS TRY VAR5-6CM,5200.0,,1456.0,4472.0,83
LOCAL,27800056,HC SAVI APPLICATOR TRAY 10-1,4400.0,,1232.0,3784.0,83
LOCAL,27800057,HC SAVI APPLICATOR TRAY 6-1,4400.0,,1232.0,3784.0,83
LOCAL,27800058,HC SAVI APPLICATOR TRAY 8-1,4400.0,,1232.0,3784.0,83
LOCAL,27800059,HC SAVI APPLICATR TRAY6-1MNI,4400.0,,1232.0,3784.0,83
LOCAL,27800060,HC BENTSON WIRE GUIDE,66.0,,18.48,56.76,83
LOCAL,27800061,HC COPE NEPHROSTOMY SET,338.0,,94.64,290.68,83
LOCAL,27800064,HC CATHETER ANGIO K,5400.0,,1512.0,4644.0,83
LOCAL,27800065,HC MEDTRON EXPORT ASPIR CATH,1150.0,,322.0,989.0,83
LOCAL,27800066,HC THROMBOLYSIS CATH A,216.0,,60.48,185.76,83
LOCAL,27800067,HC THROMBOLYSIS CATH B,1958.0,,548.24,1683.88,83
LOCAL,27800068,HC THROMBOLYSIS CATH C,3307.0,,925.96,2844.02,83
LOCAL,27800069,HC THROMBOLYSIS CATH D,3966.0,,1110.48,3410.76,83
LOCAL,27800070,HC URETERAL CATH CONE TIP,26.0,,7.28,22.36,83
LOCAL,27800071,HC URETERAL CATHETER,28.0,,7.84,24.08,83
LOCAL,27800072,HC ACUNAV ULTRASOUND CATH,6364.0,,1781.92,5473.04,83
LOCAL,27800074,HC CLOSURE DEVICE D,1970.0,,551.6,1694.2,83
LOCAL,27800080,HC REVEAL LINQ MEDTRONIC,10590.0,,2965.2,9107.4,83
LOCAL,27800081,HC ENDOPROTHESIS C,3975.0,,1113.0,3418.5,83
LOCAL,27800082,HC ENDOPROTHESIS D,4725.0,,1323.0,4063.5,83
LOCAL,27800083,HC ENDOPROTHESIS E,5400.0,,1512.0,4644.0,83
LOCAL,27800084,HC ENDOPROTHESIS F,6975.0,,1953.0,5998.5,83
LOCAL,27800085,HC ENDOPROTHESIS G,8800.0,,2464.0,7568.0,83
LOCAL,27800086,HC ENDOPROTHESIS H,10463.0,,2929.64,8998.18,83
LOCAL,27800087,HC ENDOPROTHESIS I,14963.0,,4189.64,12868.18,83
LOCAL,27800088,HC ENDOPROTHESIS J,22463.0,,6289.64,19318.18,83
LOCAL,27800089,HC ENDOPROTHESIS K,26963.0,,7549.64,23188.18,83
LOCAL,27800091,HC GUIDEWIRE ANGLE TIP 3CM,132.0,,36.96,113.52,83
LOCAL,27800103,HC WIRE GRASPER,984.0,,275.52,846.24,83
LOCAL,27800104,HC CATHETER SET RA ARROW INT 20G-ARROW,23.0,,6.44,19.78,83
LOCAL,27800105,HC FISTULA PLUG,6800.0,,1904.0,5848.0,83
LOCAL,27800106,HC COVERED STENT A,16916.0,,4736.48,14547.76,83
LOCAL,27800107,HC COVERED STENT B,3429.0,,960.12,2948.94,83
LOCAL,27800108,HC COVERED STENT C,7790.0,,2181.2,6699.4,83
LOCAL,27800109,HC COVERED STENT D,7797.0,,2183.16,6705.42,83
LOCAL,27800110,HC COVERED STENT E,9866.0,,2762.48,8484.76,83
LOCAL,27800111,HC COVERED STENT F,16916.0,,4736.48,14547.76,83
LOCAL,27800112,HC COVERED STENT G,18141.0,,5079.48,15601.26,83
LOCAL,27800118,HC MEDTRON INTEGRITY STENT,1300.0,,364.0,1118.0,83
LOCAL,27800119,HC ENDOBRONCH BLOCKER SET (ARNDT/UNIVENT),529.0,,148.12,454.94,83
LOCAL,27800127,HC CATH CPS AIM SL STJUDE,650.0,,182.0,559.0,83
LOCAL,27800130,HC TRUFREEZE CATH,3590.0,,1005.2,3087.4,83
LOCAL,27800131,HC INTRO/SHEATH CPS DIR (MULT SIZES),1530.0,,428.4,1315.8,83
LOCAL,27800133,HC CONTURA INTRO SPLSHEATHTP,150.0,,42.0,129.0,83
LOCAL,27800139,HC IMPL LEAD NEUROS TEST KIT,840.0,,235.2,722.4,83
LOCAL,27800144,HC URETERAL STENT SET,193.0,,54.04,165.98,83
LOCAL,27800145,HC URETERL PIGTAIL STENT SET,223.0,,62.44,191.78,83
LOCAL,27800149,HC S-CURVE URETHRAL DILATOR,393.0,,110.04,337.98,83
LOCAL,27800150,HC XRT-I125 1.09=>1.55MCI OCULAR SEED NS,248.0,,69.44,213.28,84
LOCAL,27800151,HC XRT-I125 3.0=>4.0MCI OCULAR SEED NSTR,282.0,,78.96,242.52,84
LOCAL,27800152,HC XRT-I125<3.0MCI OCULAR SEED NSTR,270.0,,75.6,232.2,84
LOCAL,27800153,HC XRT-I125>4.0 MCI OCULAR SEED NST,304.0,,85.12,261.44,84
LOCAL,27800154,HC XRT-I125 PROSTAT SEED-STR,176.0,,40.549,151.36,84
LOCAL,27800155,HC XRT-I125 PROSTA SEED-NSTR,142.0,,39.76,122.12,84
LOCAL,27800156,HC XRT-PD103 PROSTAT SEED-STR,270.0,,75.6,232.2,84
LOCAL,27800157,HC XRT-P103 PROSTA SEED-NSTR,243.0,,68.04,208.98,84
LOCAL,27800158,HC CS-131 PROSTAT SEED-STR,349.0,,97.72,300.14,84
LOCAL,27800159,HC CS-131 PROSTAT SEED-NSTR,158.0,,44.24,135.88,84
LOCAL,27800160,HC IR-192 SEEDS STRANDED,716.0,,40.549,615.76,84
LOCAL,27800161,HC IMPLANT CLIX F,65.0,,18.2,1297.41,84
LOCAL,27800162,HC COLLAGEN INJECT-IMPLANT,596.0,,166.88,512.56,83
LOCAL,27800163,HC EXP INJ BULK AGENT1ML DUR,443.0,,124.04,380.98,83
LOCAL,27800164,HC SYN IMP URTRAC 1MLSY&SPLY,867.0,,242.76,745.62,83
LOCAL,27800165,HC CUSTOM SCLERA,1600.0,,448.0,1376.0,83
LOCAL,27800166,HC IMPL NEUROST ELECT STIMUL,230.0,,64.4,197.8,83
LOCAL,27800167,HC TRIAL LEAD NEURO ELECTROD,4684.0,,1311.52,4028.24,83
LOCAL,27800168,HC DBX STRIP 2.5X10CM,2838.0,,794.64,2440.68,83
LOCAL,27800169,HC DURA PATCH 3.5X7CM,950.0,,266.0,817.0,83
LOCAL,27800170,HC DURA PATCH 3.5X9CM,1950.0,,546.0,1677.0,83
LOCAL,27800171,HC DURA PATCH 6X9.5CM,2500.0,,700.0,2150.0,83
LOCAL,27800172,HC DURA PATCH 8X13.5CM,2600.0,,728.0,2236.0,83
LOCAL,27800173,HC DURAGEN 3X3IN,1847.0,,146.211,1588.42,84
LOCAL,27800174,HC DURAGEN 4X5IN,3106.0,,146.211,2671.16,84
LOCAL,27800175,HC DURAGEN PLUS 3X3IN,1517.0,,146.211,1304.62,84
LOCAL,27800176,HC DURAGEN PLUS 4X5IN,2836.0,,146.211,2438.96,84
LOCAL,27800177,"HC DUREPAIR REG MATRIX 3X3""",1271.0,,355.88,1093.06,83
LOCAL,27800178,"HC DUREPAIR REG MATRIX 4X5""",2360.0,,660.8,2029.6,83
LOCAL,27800179,"HC DUREPAIR REG MATRIX 5X8""",6821.0,,1909.88,5866.06,83
LOCAL,27800180,HC VALVE IN CARTRIDGE 5-7MM (FOR IBV SPIRATION VALVE SYSTEM),5500.0,,1540.0,4730.0,83
LOCAL,27800181,HC ILIAC CRST WDG 19X21,2274.0,,636.72,1955.64,83
LOCAL,27800182,HC PROSTH IMP CMPONT ABUTMNT,1180.0,,330.4,1014.8,83
LOCAL,27800183,HC SILICONE STRAIGHT STENT,700.0,,196.0,602.0,83
LOCAL,27800184,HC SILICONE Y STENT,1700.0,,476.0,1462.0,83
LOCAL,27800185,HC VASCU-GUARD .8X8CM,340.0,,95.2,292.4,83
LOCAL,27800186,"HC BRACHYTHERAPY SEED, YTTRIUM-90",33000.0,,9240.0,28380.0,84
LOCAL,27800187,HC XRT-IR WIRE ADD 10,213.0,,59.64,183.18,83
LOCAL,27800188,HC CONFORMER W/ HOLES S/M/L,38.0,,10.64,32.68,83
LOCAL,27800190,HC AMNIOTIC MEMBRAN3.5X5.3.5,1858.0,,520.24,1597.88,83
LOCAL,27800191,HC AMNIOTIC MEMBRANE 2.5X2.0,1578.0,,441.84,1357.08,83
LOCAL,27800192,HC PROKERA,1898.0,,531.44,1632.28,83
LOCAL,27800193,HC XRT-I125 LOACT OCULAR SEED<1000MCI,225.0,,63.0,200.169,84
LOCAL,27800194,HC AIGIS RX ANTI ENV ICD/PPM,2390.0,,669.2,2055.4,83
LOCAL,27800197,HC PORT IMPLANTABLE A,470.0,,131.6,404.2,83
LOCAL,27800198,HC MACRPLAST CLGNINJ2.5CC/ML,990.0,,277.2,851.4,83
LOCAL,27800199,HC ATHERECTOMY CAT EVSTH/LSM,5250.0,,1470.0,4515.0,83
LOCAL,27800200,HC BLN 8-9X20X135POWFLEX P3,338.0,,94.64,290.68,83
LOCAL,27800201,HC NANO2.5X40BALLOON150-210M,875.0,,245.0,752.5,83
LOCAL,27800202,HC NANOC2.5X40BALLOON20-100M,674.0,,188.72,579.64,83
LOCAL,27800203,HC AMPLATZ RENAL DILATOR SET,362.0,,101.36,311.32,83
LOCAL,27800204,HC NEPHROMAX BALLOON CATH,853.0,,238.84,733.58,83
LOCAL,27800205,HC URMAX ULTR CATH12-15FX6CM,675.0,,189.0,580.5,83
LOCAL,27800206,HC UROMAX BALLOON KT W/ INFLATOR (MULT SIZES),916.0,,256.48,787.76,83
LOCAL,27800207,HC CATH BRACHY SEED ADM,4125.0,,1155.0,3547.5,83
LOCAL,27800208,HC CATH BRACHY SEED ADM HDR,88.0,,24.64,75.68,83
LOCAL,27800209,HC CATH BRACHY SEED ADM LDR,25.0,,7.0,21.5,83
LOCAL,27800210,HC CATH BRACHY SEED HDR HAM 4-CHANNEL 28CM NUCLETRON,1060.0,,296.8,911.6,83
LOCAL,27800211,HC 5FIBI DEFLECT CATH ST.JUD,600.0,,168.0,516.0,83
LOCAL,27800212,HC ARROW BLUE+ 2-LUMEN CVC,155.0,,43.4,133.3,83
LOCAL,27800213,HC CATH 3LMN 5FRX12CM CVC TR,451.0,,126.28,387.86,83
LOCAL,27800214,HC CVC CATH CRV 10FR 5LUMEN,574.0,,160.72,493.64,83
LOCAL,27800215,HC KIT CATH CURVD DRNG 14FRX,378.0,,105.84,325.08,83
LOCAL,27800216,HC KIT SLDNGR CHEST DRNG 20G,223.0,,62.44,191.78,83
LOCAL,27800217,HC SHERLOCK CATH 3FR DBL LM,365.0,,102.2,313.9,83
LOCAL,27800218,HC SHERLOCK CATH 4FR DBL LM,388.0,,108.64,333.68,83
LOCAL,27800219,HC BEAC TIP ROYAL HI-FLW CAT,80.0,,22.4,68.8,83
LOCAL,27800220,HC URETERAL CATH WHISTLE TIP,36.0,,10.08,30.96,83
LOCAL,27800221,HC ANGIOSEAL VASCULAR CLOSE,540.0,,151.2,464.4,83
LOCAL,27800222,HC FEMOSTOP CLOSURE DEVICE,216.0,,60.48,185.76,83
LOCAL,27800223,HC PRECLOSE PROG VASCU CLOSE,403.0,,112.84,346.58,83
LOCAL,27800224,HC TR BAND  CLOSURE DEVICE,138.0,,38.64,118.68,83
LOCAL,27800225,HC AAA EXTENDER A,4065.0,,1138.2,3495.9,83
LOCAL,27800226,HC ENDOPROSTHESIS B,5798.0,,1623.44,4986.28,83
LOCAL,27800227,HC ENDOPROTHESIS A,12555.0,,3515.4,10797.3,83
LOCAL,27800228,HC RETRIEVAL SET A,394.0,,110.32,338.84,83
LOCAL,27800229,HC RETRIEVAL SET B,893.0,,250.04,767.98,83
LOCAL,27800230,HC STENT TRACHEOBRONCHL ULTRAFLEX COVERED,6344.0,,1776.32,5455.84,83
LOCAL,27800231,HC STENT TRACHOBRNCHL NONCOV,1350.0,,378.0,1161.0,83
LOCAL,27800232,HC WALLSTENT E,1450.0,,406.0,1247.0,83
LOCAL,27800233,HC VENOUS FILTER C,1875.0,,525.0,1612.5,83
LOCAL,27800234,HC VENOUS FILTER D,1613.0,,451.64,1387.18,83
LOCAL,27800235,HC VENOUS FILTER E,2543.0,,712.04,2186.98,83
LOCAL,27800236,HC ANG REV BALL CAT7FR110CM,138.0,,38.64,118.68,83
LOCAL,27800237,HC ANGIO BALLOON CAT7FR110CM,132.0,,36.96,113.52,83
LOCAL,27800238,HC BALLN WED CAT4-6FR.110 CM,110.0,,30.8,94.6,83
LOCAL,27800239,HC CATH 4F 3-6 100-125CM,38.0,,10.64,32.68,83
LOCAL,27800240,HC CATH 4F ANGIOGRAPHIC SET,89.0,,24.92,76.54,83
LOCAL,27800241,HC CATH 6F 3.5-4 GUIDE 100CM,121.0,,33.88,104.06,83
LOCAL,27800242,HC CATH 6F EXPO 100CM,45.0,,12.6,38.7,83
LOCAL,27800243,HC CATH 6F EXPO MULTIPAK,47.0,,13.16,40.42,83
LOCAL,27800244,HC CATH 6F3DRC/JL7 100-125CM,34.0,,9.52,29.24,83
LOCAL,27800245,HC CATH ACUITY BREAK-AWAY,975.0,,273.0,838.5,83
LOCAL,27800246,HC CATHETER,315.0,,88.2,270.9,83
LOCAL,27800247,HC CATHETER 5FR JACKY TERUMO,132.0,,36.96,113.52,83
LOCAL,27800248,HC CATHETER ATTAIN COMMAND,1263.0,,353.64,1086.18,83
LOCAL,27800249,HC CATHETER GUIDE TELESCOPING 7FR,327.0,,91.56,281.22,83
LOCAL,27800250,HC CATHETER ATTAIN SELECTIII,478.0,,133.84,411.08,83
LOCAL,27800251,HC CATHETER KIT CURVED,1134.0,,317.52,975.24,83
LOCAL,27800252,HC DOUBLE LUMEN BALL WED CAT,119.0,,33.32,102.34,83
LOCAL,27800253,HC DUAL LUMEN PIGTAIL CATH,291.0,,81.48,250.26,83
LOCAL,27800254,HC GUIDELINER CATH 5.5F VASC,839.0,,234.92,721.54,83
LOCAL,27800255,HC SUPRDIMN LOCATABL GD CATH,1493.0,,418.04,1283.98,83
LOCAL,27800256,HC VASCULAR MINNIE CATH,238.0,,66.64,204.68,83
LOCAL,27800257,HC VASCULAR TWIN PASS CATH,650.0,,182.0,559.0,83
LOCAL,27800258,HC INTRO SAFESHEATH ULTR SU,160.0,,44.8,137.6,83
LOCAL,27800259,HC INTRO/SHEATH (OPTISEAL/PRELUDE),138.0,,38.64,118.68,83
LOCAL,27800260,HC OUTERCATHETER 5 FR,863.0,,241.64,742.18,83
LOCAL,27800261,HC 6/7FX11CM ARRW SHTH INTRO,62.0,,17.36,53.32,83
LOCAL,27800262,HC 7-9FR SAFESHEATH,160.0,,44.8,137.6,83
LOCAL,27800263,HC ENDOVASCULAR SHEATH A,191.0,,53.48,164.26,83
LOCAL,27800264,HC ENDOVASCULAR SHEATH B,660.0,,184.8,567.6,83
LOCAL,27800265,HC ENDOVASCULAR SHEATH C,413.0,,115.64,355.18,83
LOCAL,27800266,HC FORTE HD ACCESS SHEATH,203.0,,56.84,174.58,83
LOCAL,27800267,HC INTRO/SHEATH 7-9FR,138.0,,38.64,118.68,83
LOCAL,27800268,HC INTRODUCER SHEATH PERITONEAL,117.0,,32.76,100.62,83
LOCAL,27800269,HC MEDTRON FF 11 CM SHEATH,117.0,,32.76,100.62,83
LOCAL,27800270,HC MEDTRON STERILE SLEEVES,43.0,,12.04,36.98,83
LOCAL,27800271,HC MICROPUNCTURE SET B,81.0,,22.68,69.66,83
LOCAL,27800272,HC MICROPUNCTURE SET C,138.0,,38.64,118.68,83
LOCAL,27800273,HC SHEATH 25CM TERUMO,65.0,,18.2,55.9,83
LOCAL,27800274,HC SHEATH 4-9FX10 PINNACLE,20.0,,5.6,17.2,83
LOCAL,27800275,HC SHEATH 5FR MICRO COOK,77.0,,21.56,66.22,83
LOCAL,27800276,HC SHEATH 5FR MICRO TERUMO,105.0,,29.4,90.3,83
LOCAL,27800277,HC SHEATH 5FSTIC-MICRO-ARGON,108.0,,30.24,92.88,83
LOCAL,27800278,HC SHEATH 5FSTIFF-MICRO-COOK,132.0,,36.96,113.52,83
LOCAL,27800279,HC SHEATH 5FSTIF-MICRO-NAVIL,72.0,,20.16,61.92,83
LOCAL,27800280,HC SHEATH 6-7FR 45CM TERUMO,209.0,,58.52,179.74,83
LOCAL,27800281,HC SHEATH 6F RADIAL,130.0,,36.4,111.8,83
LOCAL,27800282,HC SHEATH 5-8FX63-85 MULLINS,138.0,,38.64,118.68,83
LOCAL,27800283,HC SHEATH B,65.0,,18.2,55.9,83
LOCAL,27800284,HC SHEATH C,95.0,,26.6,81.7,83
LOCAL,27800285,HC URETERAL STENT,280.0,,78.4,240.8,83
LOCAL,27800286,HC RESONANCE URETERAL STENT W/DELIVERY,1791.0,,501.48,1540.26,83
LOCAL,27800287,HC XTRAFLURET STENT6F10-30CM,338.0,,94.64,290.68,83
LOCAL,27800288,HC OCCLUSION CATHETER A,878.0,,245.84,755.08,83
LOCAL,27800289,HC OCCLUSION CATHETER B,762.0,,213.36,655.32,83
LOCAL,27800290,HC DUAL LUMEN URET ACC CATH,101.0,,28.28,86.86,83
LOCAL,27800291,HC CATH 3LMN 5FRX12CM CVC TR,324.0,,90.72,278.64,83
LOCAL,27800292,HC SAVI PREP CATHETER,342.0,,95.76,294.12,83
LOCAL,27800293,HC VENOUS - WALLGRAFT,3505.0,,981.4,3014.3,83
LOCAL,27800294,HC VENOUS - WALLSTENT A,1000.0,,280.0,860.0,83
LOCAL,27800295,HC VENOUS - WALLSTENT C,3345.0,,936.6,2876.7,83
LOCAL,27800296,HC WALLSTENT A,2614.0,,731.92,2248.04,83
LOCAL,27800297,HC WALLSTENT B,2500.0,,700.0,2150.0,83
LOCAL,27800298,HC WALLSTENT C,3345.0,,936.6,2876.7,83
LOCAL,27800299,HC WALLSTENT D,5175.0,,1449.0,4450.5,83
LOCAL,27800300,HC VENOUS FILTER A,2029.0,,568.12,1744.94,83
LOCAL,27800301,HC VENOUS FILTER B,895.0,,250.6,769.7,83
LOCAL,27800303,HC CRE PULMONARY BALLOON,703.0,,196.84,604.58,83
LOCAL,27800304,HC 5.5F BIOP FORC50-104,438.0,,122.64,376.68,83
LOCAL,27800305,HC ACUITY BREAKAWAY LEAD SYS,875.0,,245.0,752.5,83
LOCAL,27800306,HC CLOSURE DEVICE A,367.0,,102.76,315.62,83
LOCAL,27800307,HC CLOSURE DEVICE B,489.0,,136.92,420.54,83
LOCAL,27800308,HC CLOSURE DEVICE C,560.0,,156.8,481.6,83
LOCAL,27800310,HC URETHRAL DILATOR SET COOK,365.0,,102.2,313.9,83
LOCAL,27800311,HC GUIDEWIRE A,50.0,,14.0,43.0,83
LOCAL,27800312,HC GUIDEWIRE B,81.0,,22.68,69.66,83
LOCAL,27800313,HC GUIDEWIRE C,175.0,,49.0,150.5,83
LOCAL,27800314,HC GUIDEWIRE D,221.0,,61.88,190.06,83
LOCAL,27800315,HC GUIDEWIRE E,367.0,,102.76,315.62,83
LOCAL,27800316,HC GUIDEWIRE F,448.0,,125.44,385.28,83
LOCAL,27800317,HC GUIDEWIRE G,921.0,,257.88,792.06,83
LOCAL,27800320,HC TUB SKNLVL GSTRSTMY16F2.5,194.0,,54.32,166.84,83
LOCAL,27800321,HC TUB SKNLVL GSTRSTMY16F3.0,194.0,,54.32,166.84,83
LOCAL,27800322,HC TUBE GASTROSTOMY 16F 4.0,194.0,,54.32,166.84,83
LOCAL,27800323,HC TUBE GASTROSTOMY 18F 3.0,194.0,,54.32,166.84,83
LOCAL,27800324,HC TUBE GASTROSTOMY 18F 3.5,194.0,,54.32,166.84,83
LOCAL,27800325,HC TUBE GASTROSTOMY 18F 4.5,194.0,,54.32,166.84,83
LOCAL,27800326,HC TUBE GASTROSTOMY 20F 3.0,194.0,,54.32,166.84,83
LOCAL,27800327,HC TUBE GASTROSTOMY 20F 3.5,194.0,,54.32,166.84,83
LOCAL,27800328,HC TUBE GASTROSTOMY 20F 4.0,194.0,,54.32,166.84,83
LOCAL,27800329,HC TUBE GASTROSTOMY 20F 4.5,194.0,,54.32,166.84,83
LOCAL,27800330,HC TUBE GASTROSTOMY 24F 3.0,194.0,,54.32,166.84,83
LOCAL,27800331,HC TUBE GASTROSTOMY 24F 3.5,194.0,,54.32,166.84,83
LOCAL,27800332,HC TUBE GASTROSTOMY 24F 4.0,194.0,,54.32,166.84,83
LOCAL,27800333,HC ABBVIE PERCU GASTROSTOMY TUBE (PEG) KIT,194.0,,54.32,166.84,83
LOCAL,27800334,HC TUBE MICKY FEEDNGKT12X2.5,194.0,,54.32,166.84,83
LOCAL,27800335,HC TUBE SKN LVL GASTR 14F1.5,194.0,,54.32,166.84,83
LOCAL,27800336,HC TUBE SKN LVL GASTR 14F2.0,194.0,,54.32,166.84,83
LOCAL,27800337,HC TUBE SKN LVL GASTR 14F3.0,194.0,,54.32,166.84,83
LOCAL,27800338,HC AMPLATZ STRAIGHT TIP GWIRE,122.0,,34.16,104.92,83
LOCAL,27800339,HC ARGON 18/45 MANDREL GWIRE,67.0,,18.76,57.62,83
LOCAL,27800341,HC COUGAR XT.014X190CM GWIRE,147.0,,41.16,126.42,83
LOCAL,27800342,HC FLOPPY/PT GWIRE 182/300CM,164.0,,45.92,141.04,83
LOCAL,27800343,HC FRACT FLOW RESRV GWIRE,975.0,,273.0,838.5,83
LOCAL,27800344,HC FRACTFLOW RESRVGWIRESTJUD,1050.0,,294.0,903.0,83
LOCAL,27800348,HC GUIDEWIRE,225.0,,63.0,193.5,83
LOCAL,27800349,HC GUIDEWIRE CPS SOFT/FIRM,192.0,,53.76,165.12,83
LOCAL,27800350,HC GUIDEWIRE H,570.0,,159.6,490.2,83
LOCAL,27800351,HC GUIDEWIRE W/HYDRO TIP,129.0,,36.12,110.94,83
LOCAL,27800352,HC GWIRE .021X150CM FC 3MM,39.0,,10.92,33.54,83
LOCAL,27800353,HC GWIRE .025X150CM FC 3MM,32.0,,8.96,27.52,83
LOCAL,27800354,HC GWIRE .035X150CM FC 3MM,32.0,,8.96,27.52,83
LOCAL,27800355,HC GWIRE 0.035X180-300 STORG,132.0,,36.96,113.52,83
LOCAL,27800356,HC GWIRE EDS CS-J/ST BOSTON,315.0,,88.2,270.9,83
LOCAL,27800357,HC GWIRE MOV TAPER.035X145CM,46.0,,12.88,39.56,83
LOCAL,27800358,HC GWIRE PERICARDICO 6FR,235.0,,65.8,202.1,83
LOCAL,27800359,HC GWIRE PERICARDICO 8FR,273.0,,76.44,234.78,83
LOCAL,27800360,HC G-WIRE ROADRUN HYPROPH PC,108.0,,30.24,92.88,83
LOCAL,27800361,HC GWIRE TERUMO.035X180-260CM,123.0,,34.44,105.78,83
LOCAL,27800362,HC GWIRE.025-.35X150-260FC,23.0,,6.44,19.78,83
LOCAL,27800363,HC GWIRE.035X180CM TIGERWIRE,209.0,,58.52,179.74,83
LOCAL,27800364,HC COONS WIRE GUIDE,90.0,,25.2,77.4,83
LOCAL,27800365,HC GWIRE.035X260CM TIGERWIRE,221.0,,61.88,190.06,83
LOCAL,27800367,HC NITINOL W/RADIO .18X145CM,55.0,,15.4,47.3,83
LOCAL,27800368,HC NITINOL W/RADIO .18X70CM,77.0,,21.56,66.22,83
LOCAL,27800369,HC NITREX.018-.025 80-300CM,138.0,,38.64,118.68,83
LOCAL,27800370,HC PLEURX PLEURAL CATH KIT,758.0,,212.24,651.88,83
LOCAL,27800371,HC RADIFOCUS GLIDWRE STRGHT,127.0,,35.56,109.22,83
LOCAL,27800373,HC STRGHT TIP GWIRE.035X80CM,65.0,,18.2,55.9,83
LOCAL,27800374,HC TIP GWIRE .035-80CM-3MM,38.0,,10.64,32.68,83
LOCAL,27800376,HC XTRAFLO URETERAL STENT,270.0,,75.6,232.2,83
LOCAL,27800377,HC ZIPWIRE HYDROPHILIC GWIRE,120.0,,33.6,103.2,83
LOCAL,27800378,"HC IMAGING COIL,MR(INSERTABLE)",248.0,,69.44,213.28,83
LOCAL,27800379,HC ATTAIN VENOGRAM BALLOON,200.0,,56.0,172.0,83
LOCAL,27800380,HC BLUE RHINI G2 TRAY,854.0,,239.12,734.44,83
LOCAL,27800383,HC ENDOBRONCHIAL TUBE,829.0,,232.12,712.94,83
LOCAL,27800390,HC FROVA INTUBATING INTRODUCER-COOK,171.0,,47.88,147.06,83
LOCAL,27800391,HC INTRODUCER STYLET 15FR W/COUDE-CARE FUSIONS,49.0,,13.72,42.14,83
LOCAL,27800393,"HC ""MESH MALIS TIT. 6*6""""C1781""",1431.0,,400.68,1230.66,83
LOCAL,27800394,HC PROLENE HERNIA MESH 4,1260.0,,352.8,1083.6,83
LOCAL,27800395,HC 1.0/1.5MMCMSHPLT100*100MMC1713,2564.0,,717.92,2205.04,83
LOCAL,27800396,HC 1.3MM BURHOLECVR6H12-24MMC1713,332.0,,92.96,285.52,83
LOCAL,27800397,HC 1.3MM C-MESH MAL/RG L-ARCC1713,1700.0,,476.0,1462.0,83
LOCAL,27800398,HC 1.3MM CMESH MAL/RG38*45MMC1713,1895.0,,530.6,1629.7,83
LOCAL,27800399,HC 1.3MM CMESH MAL/RIG S-ARCC1713,1088.0,,304.64,935.68,83
LOCAL,27800400,HC 1.3MM CMESH MALRG RND30MMC1713,1088.0,,304.64,935.68,83
LOCAL,27800401,HC 1.3MM CMESH MALRG RND70MMC1713,2259.0,,632.52,1942.74,83
LOCAL,27800402,HC 1.3MM CMESH MALRGRND100MMC1713,2823.0,,790.44,2427.78,83
LOCAL,27800403,HC 1.3MM STRUT PLT 5*43MM18HC1713,629.0,,176.12,540.94,83
LOCAL,27800404,HC 1.3MMCMESH MLRIG100*100MMC1713,2960.0,,828.8,2545.6,83
LOCAL,27800405,HC 1.5MM BURHOLECVR6H12-24MMC1713,332.0,,92.96,285.52,83
LOCAL,27800406,HC 1.5MM CMESH MAL/RIG L-ARCC1713,1598.0,,447.44,1374.28,83
LOCAL,27800407,HC 1.5MM CMESH MALRGRND100MMC1713,3212.0,,899.36,2762.32,83
LOCAL,27800408,HC 1.5MM CMESH MALRIG38*45MMC1713,1782.0,,498.96,1532.52,83
LOCAL,27800409,HC 1.5MM CMESH MALRIGRND30MMC1713,1026.0,,287.28,882.36,83
LOCAL,27800410,HC 1.5MM CMESH MALRIGRND70MMC1713,2126.0,,595.28,1828.36,83
LOCAL,27800411,HC 1.5MM CMESHMALRG100*100MMC1713,3370.0,,943.6,2898.2,83
LOCAL,27800412,HC 1.5MM OBL L-PLTE 2*3H L/RC1713,318.0,,89.04,273.48,83
LOCAL,27800413,HC 1.5MM OBL L-PLTE 3*4H L/RC1713,336.0,,94.08,288.96,83
LOCAL,27800414,HC 2X8 INFINION SPLITTER KITC1883,3366.0,,942.48,2894.76,83
LOCAL,27800415,HC 3D MAX MESH LRG LT/RT,468.0,,131.04,402.48,83
LOCAL,27800416,HC 3DMAX MESH XL LT/RT C1781,515.0,,144.2,442.9,83
LOCAL,27800417,HC AES SACR SCREW4.5*13-17MMC1713,740.0,,207.2,636.4,83
LOCAL,27800418,HC AESC SAC PLATE 4H 26-32MML8699,1920.0,,537.6,1651.2,83
LOCAL,27800419,HC AESC SAC PLATE 6H 34-58MML8699,2080.0,,582.4,1788.8,83
LOCAL,27800420,HC AESC SAC PLATE 8H 49-64MML8699,2280.0,,638.4,1960.8,83
LOCAL,27800421,HC AESC SACB SCREW 10-28MM C1713,576.0,,161.28,495.36,83
LOCAL,27800422,HC AESC SACU SCREW 10-18MM C1713,740.0,,207.2,636.4,83
LOCAL,27800423,HC ALCON ACF MP F-LEN10.30.0,315.0,,88.2,270.9,83
LOCAL,27800424,HC ALCON PMMA O-LEN 5.0-30.0C1780,170.0,,47.6,146.2,83
LOCAL,27800425,HC ALCON WF ACRYSOF6.0-30.0 C1780,318.0,,89.04,273.48,83
LOCAL,27800426,HC ALG SBRST IMP68HP*160-800C1789,950.0,,266.0,817.0,83
LOCAL,27800427,HC ALG SBRST IMP68LP*125-680C1789,800.0,,224.0,688.0,83
LOCAL,27800428,HC ALGN SXT-EXP TAB250-800CCC1789,3100.0,,868.0,2666.0,83
LOCAL,27800429,HC ALLER410FF B-IMP185-740CC,2190.0,,613.2,1883.4,83
LOCAL,27800430,HC ALLER410FM B-IMP205-670CCC1789,2190.0,,613.2,1883.4,83
LOCAL,27800431,HC ALLER410MF B-IMP140-640CC,2190.0,,613.2,1883.4,83
LOCAL,27800432,HC ALLER410MM B-IMP160-450CCC1789,2190.0,,613.2,1883.4,83
LOCAL,27800433,HC ALLERGY BRST IMP 20*120-800,1650.0,,462.0,1419.0,83
LOCAL,27800434,HC ALLG BRST IMPL 40*80-560 C1789,1700.0,,476.0,1462.0,83
LOCAL,27800435,HC ALLERGY MV T-EXP/TAB250-700C,2900.0,,812.0,2494.0,83
LOCAL,27800436,HC ALLERGY MX T-EXP 300-850CC,2600.0,,728.0,2236.0,83
LOCAL,27800437,HC ALLERGY SBRST IMP 10*120-800,1650.0,,462.0,1419.0,83
LOCAL,27800438,HC ALLG SBRST IMP120*500-650C1789,1700.0,,476.0,1462.0,83
LOCAL,27800439,HC ALLG SBRST IMP363*170-620C1789,1520.0,,425.6,1307.2,83
LOCAL,27800440,HC ALLG SBRST IMP45*120-800 C1789,1650.0,,462.0,1419.0,83
LOCAL,27800441,HC ALLERGY SBRST IMP68*120-800,950.0,,266.0,817.0,83
LOCAL,27800442,HC ALLG SX T-EXP 250-800CC C1789,2600.0,,728.0,2236.0,83
LOCAL,27800443,HC ALLG TISS ESP SRV 650CC C1789,1050.0,,294.0,903.0,83
LOCAL,27800444,HC ALLG TISS EXP LCVD 775CC C1789,990.0,,277.2,851.4,83
LOCAL,27800445,HC ALLG TISS EXP RZV 125CC C1789,1050.0,,294.0,903.0,83
LOCAL,27800446,HC ALLG TISS EXP SRS 680CC C1789,990.0,,277.2,851.4,83
LOCAL,27800447,HC ALLERGY MX T-EXP/TAB300-850CC,2900.0,,812.0,2494.0,83
LOCAL,27800448,HC ALLGSV T-EXP/TAB200-550CCC1789,2900.0,,812.0,2494.0,83
LOCAL,27800449,HC ALLR15SI BRS IMP213-752CCC1789,1700.0,,476.0,1462.0,83
LOCAL,27800450,HC AMS 800 ACCESSORY KIT,1270.0,,355.6,1092.2,83
LOCAL,27800451,HC AMS UNINARY SPHINCTER 800,14886.0,,4168.08,12801.96,83
LOCAL,27800452,HC AMS UR SPH BLTCUFFGS5.5CMC1815,8000.0,,2240.0,6880.0,83
LOCAL,27800453,HC AMS URINARY SPHINCTER 800C1815,14886.0,,4168.08,12801.96,83
LOCAL,27800454,HC AMS UNINARY SPHINCTER BLNFGS61-70CM,4300.0,,1204.0,3698.0,83
LOCAL,27800455,HC AMS US-DEACTIVAT PKG FGS,250.0,,70.0,215.0,83
LOCAL,27800458,HC ANTBTC IMPRG SHNT CATH,1350.0,,378.0,1161.0,83
LOCAL,27800459,HC APR AMB12.5MM*14-20CM FGSC1813,9265.0,,2594.2,7967.9,83
LOCAL,27800460,HC ASIF 3.5MM 6H TIB PL/LTC1713,2430.0,,680.4,2089.8,83
LOCAL,27800461,HC ATLP LOCK SCREW 4.0 30MM L8699,46.0,,12.88,39.56,83
LOCAL,27800462,HC ATLP LOCKING PLATE L8699,3821.0,,1069.88,3286.06,83
LOCAL,27800463,HC ATLP PLATE 108-148MM SYNTL8699,4042.0,,1131.76,3476.12,83
LOCAL,27800464,HC AXN3.5X5MMT HROD120X170MMC1713,1907.0,,533.96,1640.02,83
LOCAL,27800465,HC AXN3.5X5MMT HROD240X250MMC1713,2425.0,,679.0,2085.5,83
LOCAL,27800466,HC AXON CANC TSCRW 4X8-26MMC1713,1973.0,,552.44,1696.78,83
LOCAL,27800467,HC AXON CANC TSCRW3.5X8-26MMC1713,1973.0,,552.44,1696.78,83
LOCAL,27800468,HC AXON CRT TSCRW3.5X28-50MMC1713,1973.0,,552.44,1696.78,83
LOCAL,27800469,HC AXON T-HOOK LT/RT SHRT LGC1713,1856.0,,519.68,1596.16,83
LOCAL,27800470,HC AXON T-ROD 3.5X240MMC1713,666.0,,186.48,572.76,83
LOCAL,27800471,HC AXON T-TRNSVRS BAR 3.5MMC1713,699.0,,195.72,601.14,83
LOCAL,27800472,HC BALLOON DILATOR MAXPASS BILIARY (MULT SIZES),679.0,,190.12,583.94,83
LOCAL,27800473,HC CRE FIXED WIRE BALLOON DILATOR 8CM-180,457.0,,127.96,393.02,83
LOCAL,27800474,HC BALN(DBL)ENTRSCOP FUJINONC1726,453.0,,126.84,389.58,83
LOCAL,27800475,HC BARD POWER PORT MRI 8F,1030.0,,288.4,885.8,83
LOCAL,27800476,HC BARD POWER PORT STE MRI 8F,1008.0,,282.24,866.88,83
LOCAL,27800477,HC BARRX HALO 60 ABLATN CATH,2790.0,,781.2,2399.4,83
LOCAL,27800478,HC BELT CUFF FGS 6.0 CM IZ C1815,9200.0,,2576.0,7912.0,83
LOCAL,27800479,HC BELT CUFF FGS3.5-5.5CM IZ,7078.0,,1981.84,6087.08,83
LOCAL,27800480,HC BI2X4STRET-COIL EX20-40CMC1883,3116.0,,872.48,2679.76,83
LOCAL,27800481,HC BILIARY STENT COTTON-LEUNG CURVED (MULT SIZES),110.0,,30.8,94.6,83
LOCAL,27800482,HC BILIARY STENT UNCV WDELIVC1876,2900.0,,812.0,2494.0,83
LOCAL,27800483,HC BIO-EYE COATED HYDRO16MM L8610,1590.0,,445.2,1367.4,83
LOCAL,27800484,HC BIO-EYE PERF HYDRO18-24MM,1790.0,,501.2,1539.4,83
LOCAL,27800485,HC BIOM HFD-CENTRALIZER 11MM,252.0,,70.56,216.72,83
LOCAL,27800486,HC BIOM HFD-CENTRALIZER 9MM,354.0,,99.12,304.44,83
LOCAL,27800487,HC BIOM HFI-CENTRALIZER 11MMC1776,5480.0,,1534.4,4712.8,83
LOCAL,27800488,HC BIOM HFI-CENTRALIZER 9MM C1776,5158.0,,1444.24,4435.88,83
LOCAL,27800489,HC BIOM HIP ACETAB SHELL 5MMC1776,3626.0,,1015.28,3118.36,83
LOCAL,27800490,HC BIOM HIP ACETAB SHELL52MMC1776,3412.0,,955.36,2934.32,83
LOCAL,27800491,HC BIOM HIP ACETAB SHELL54MMC1776,3412.0,,955.36,2934.32,83
LOCAL,27800492,HC BIOM HL-CLAW CONN 55-65MMC1776,938.0,,262.64,806.68,83
LOCAL,27800493,HC BIOM MALLORY/HEAD T-BOLT C1713,1068.0,,299.04,918.48,83
LOCAL,27800494,HC BIOM R-ULNA W/BEAR4*115MMC1776,7204.0,,2017.12,6195.44,83
LOCAL,27800495,HC BIOM T-C SCREW4.5*24-30MMC1713,366.0,,102.48,314.76,83
LOCAL,27800496,HC BIOM TIBIAL BEARING 14CMM,1784.0,,499.52,1534.24,83
LOCAL,27800497,HC BIOM TRANVERSE PIN28-36MM,714.0,,199.92,614.04,83
LOCAL,27800498,HC BIOMET 1B-STEM 11*150MM,16192.0,,4533.76,13925.12,83
LOCAL,27800499,HC BIOMET ANCHOR HRPN SZ2,818.0,,229.04,703.48,83
LOCAL,27800500,HC BIOMET ANCHOR PLUG10-16MM,1460.0,,408.8,1255.6,83
LOCAL,27800501,HC BIOMET BAH-HEAD 44*19MM C1776,2624.0,,734.72,2256.64,83
LOCAL,27800502,HC BIOMET BIPOLAR CUP SZ 43 C1776,2616.0,,732.48,2249.76,83
LOCAL,27800503,HC BIOMET BIPOLAR CUP SZ 45,2616.0,,732.48,2249.76,83
LOCAL,27800504,HC BIOMET BIPOLAR CUP SZ 46 C1776,2616.0,,732.48,2249.76,83
LOCAL,27800505,HC BIOMET BIPOLAR CUP SZ 47,2462.0,,689.36,2117.32,83
LOCAL,27800506,HC BIOMET BIPOLAR CUP SZ 48,2616.0,,732.48,2249.76,83
LOCAL,27800507,HC BIOMET BIPOLAR CUP SZ 49 C1776,2462.0,,689.36,2117.32,83
LOCAL,27800508,HC BIOMET BIPOLAR CUP SZ 51,2462.0,,689.36,2117.32,83
LOCAL,27800509,HC BIOMET BIPOLAR CUP SZ 52,2616.0,,732.48,2249.76,83
LOCAL,27800510,HC BIOMET BIPOLAR CUP SZ 53,1600.0,,448.0,1376.0,83
LOCAL,27800511,HC BIOMET BONE PLUG MED,220.0,,61.6,189.2,83
LOCAL,27800512,HC BIOMET BONE PLUG (MULT SIZES),335.0,,93.8,288.1,83
LOCAL,27800513,HC BIOMET BONE PLUG XX-LG L8699,290.0,,81.2,249.4,83
LOCAL,27800514,HC BIOMET CABLE CC 2*750MM L9900,408.0,,114.24,350.88,83
LOCAL,27800515,HC BIOMET CABLE SS 2*750MM L9900,350.0,,98.0,301.0,83
LOCAL,27800516,HC BIOMET CRIMP CC 2.0MM L9900,244.0,,68.32,209.84,83
LOCAL,27800517,HC BIOMET CRIMP SS 2.0MM L9900,244.0,,68.32,209.84,83
LOCAL,27800518,HC BIOMET D-CENTRALIZER,354.0,,99.12,304.44,83
LOCAL,27800519,HC BIOMET D-SEGMENT 3-9CM,11902.0,,3332.56,10235.72,83
LOCAL,27800520,HC BIOMET FIB-STEM 11*150MM,4062.0,,1137.36,3493.32,83
LOCAL,27800521,HC BIOMET FIB-STEM 11*225MM C1776,3034.0,,849.52,2609.24,83
LOCAL,27800522,HC BIOMET FIB-STEM 12*150MM C1776,4062.0,,1137.36,3493.32,83
LOCAL,27800523,HC BIOMET FIB-STEM 13*150MM C1776,2846.0,,796.88,2447.56,83
LOCAL,27800524,HC BIOMET FIB-STEM 14*150MM C1776,2846.0,,796.88,2447.56,83
LOCAL,27800525,HC BIOMET FIS-STEM 13-22MM,2152.0,,602.56,1850.72,83
LOCAL,27800526,HC BIOMET HIP ACETAB CUP28MM,2616.0,,732.48,2249.76,83
LOCAL,27800527,HC BIOMET HIP M-HEAD 28MM,1200.0,,336.0,1032.0,83
LOCAL,27800528,HC BIOMET HIP MOD HEAD 32MM C1776,1428.0,,399.84,1228.08,83
LOCAL,27800529,HC BIOMET IC-COLLAR 4CM,1308.0,,366.24,1124.88,83
LOCAL,27800530,HC BIOMET KA-PATELL 31MM C1776,1510.0,,422.8,1298.6,83
LOCAL,27800531,HC BIOMET KA-PATELL 34MM C1776,1604.0,,449.12,1379.44,83
LOCAL,27800532,HC BIOMET KA-PATELL 37MM C1776,1604.0,,449.12,1379.44,83
LOCAL,27800533,HC BIOMET KD-COUPLER 10CM C1776,11902.0,,3332.56,10235.72,83
LOCAL,27800534,HC BIOMET KD-SEGMENT 15CM C1776,11902.0,,3332.56,10235.72,83
LOCAL,27800535,HC BIOMET KF-BUSHING,814.0,,227.92,700.04,83
LOCAL,27800536,HC BIOMET KNEE COMP NUT,516.0,,144.48,443.76,83
LOCAL,27800537,HC BIOMET KNEE OSS AXLE,880.0,,246.4,756.8,83
LOCAL,27800538,HC BIOMET KNEE OSS L-SCREW C1713,476.0,,133.28,409.36,83
LOCAL,27800539,HC BIOMET KT-BUSHING,583.0,,163.24,501.38,83
LOCAL,27800540,HC BIOMET LF-STEM 11*220MM C1776,13836.0,,3874.08,11898.96,83
LOCAL,27800541,HC BIOMET LMHCF STEM 9*220MMC1776,16876.0,,4725.28,14513.36,83
LOCAL,27800542,HC BIOMET LRS-FEMORAL 3CM C1776,10836.0,,3034.08,9318.96,83
LOCAL,27800543,HC BIOMET OSS LOCKING PIN,483.0,,135.24,415.38,83
LOCAL,27800544,HC BIOMET PROX FERMORAL L/R C1776,7620.0,,2133.6,6553.2,83
LOCAL,27800545,HC BIOMET RESTRICTOR 22MM,352.0,,98.56,302.72,83
LOCAL,27800546,HC BIOMET RF-STEM 9*220MM C1776,11402.0,,3192.56,9805.72,83
LOCAL,27800547,HC BIOMET RF-STEM 9*300MM C1776,15412.0,,4315.36,13254.32,83
LOCAL,27800548,HC BIOMET RHCF-STEM 9*220MM C1776,16876.0,,4725.28,14513.36,83
LOCAL,27800549,HC BIOMET RKF-SEG 7CM,15014.0,,4203.92,12912.04,83
LOCAL,27800550,HC BIOMET RL-LINER SZ 24 C1776,2076.0,,581.28,1785.36,83
LOCAL,27800551,HC BIOMET SPACER 14016MM,584.0,,163.52,502.24,83
LOCAL,27800552,HC BIOMET SR-SPINDLE 12MM C1776,6066.0,,1698.48,5216.76,83
LOCAL,27800553,HC BIOMET S-TIBIAL BASE 71MMC1776,4524.0,,1266.72,3890.64,83
LOCAL,27800554,HC BIOMET TIB BASE PLATE63MMC1776,5480.0,,1534.4,4712.8,83
LOCAL,27800555,HC BIOMET TIBIAL BASE 75MM,4644.0,,1300.32,3993.84,83
LOCAL,27800556,HC BIOMET TIBIAL BASE 79MM C1776,4644.0,,1300.32,3993.84,83
LOCAL,27800557,HC BIOMET TIBIAL BEARING12MM,2189.0,,612.92,1882.54,83
LOCAL,27800558,HC BM TUBE BPSALIVARY CL14MML6899,374.0,,104.72,321.64,83
LOCAL,27800559,HC BONE CHIPS 30CC,814.0,,227.92,700.04,83
LOCAL,27800560,HC BONE GRAFT OSTEOS EA L8699,1790.0,,501.2,1539.4,83
LOCAL,27800561,HC BREAST IMP SALN FLD 168 C1789,950.0,,266.0,817.0,83
LOCAL,27800562,HC BRST TISS EXP 133FV 11-16C1789,2600.0,,728.0,2236.0,83
LOCAL,27800563,HC BRST TISS EXP 133LV 11-16C1789,2600.0,,728.0,2236.0,83
LOCAL,27800564,HC BRST TISS EXP 133MV 11-16,2600.0,,728.0,2236.0,83
LOCAL,27800565,HC BURR H-CVR SHNT 17MM LPL8699,348.0,,97.44,299.28,83
LOCAL,27800566,HC C-A CVR SCRW W/INT HXAGN C1713,333.0,,93.24,286.38,83
LOCAL,27800567,HC C-A FLANG FIXTUR ST 3-4MML8699,2000.0,,560.0,1720.0,83
LOCAL,27800568,HC C-A HEALING ABUTMENT L8699,1030.0,,288.4,885.8,83
LOCAL,27800569,HC CAN EH-SCREW 4*12-16MM STL8699,371.0,,103.88,319.06,83
LOCAL,27800570,HC CAN EH-SCREW 4*12MM SD L8699,575.0,,161.0,494.5,83
LOCAL,27800571,HC CAN EH-SCRW4.35*12-16MMSTL8699,515.0,,144.2,442.9,83
LOCAL,27800572,HC CAN EH-SCRW4.5*12-16MM SDL8699,656.0,,183.68,564.16,83
LOCAL,27800573,HC CAN EH-SCRW4.5*12-16MM STL8699,515.0,,144.2,442.9,83
LOCAL,27800574,HC CAN TEH-SCREW 4.35*16MM L8699,427.0,,119.56,367.22,83
LOCAL,27800575,HC CAPSL DLVRSYSADVNC-USENDOC1894,317.0,,88.76,272.62,83
LOCAL,27800576,HC CATH 2 PC W/SUTURE C1755,1344.0,,376.32,1155.84,83
LOCAL,27800577,HC CATH ACCESS KIT VENTRIC,538.0,,150.64,462.68,83
LOCAL,27800578,HC CATH ARTERI PORT 7F INFUSC1788,730.0,,204.4,627.8,83
LOCAL,27800579,HC CATH CARDIAC PERIT EA L8699,319.0,,89.32,274.34,83
LOCAL,27800580,HC CATH CSF CARDIAC PERIT SML8612,276.0,,77.28,237.36,83
LOCAL,27800581,HC CATH CSF VENTRIC STD TR E1399,278.0,,77.84,239.08,83
LOCAL,27800582,HC CATH CSF VENTRICULAR,278.0,,77.84,239.08,83
LOCAL,27800583,HC CATH FOGARTY OCCLU C2628,147.0,,41.16,126.42,83
LOCAL,27800584,HC CATH HALO BALLN ABLATN 90,2790.0,,781.2,2399.4,83
LOCAL,27800585,HC CATH HALO BALLN ABLATN360,3930.0,,1100.4,3379.8,83
LOCAL,27800586,HC CATH HALO SIZING BALLOON,1050.0,,294.0,903.0,83
LOCAL,27800587,HC CATH HERMETIC VENTRI LRG,218.0,,61.04,187.48,83
LOCAL,27800589,HC CATH INDURA 1P INTRATHECLC1755,1084.0,,303.52,932.24,83
LOCAL,27800590,HC CATH INTRATHECL 2PC 41IN C1755,4386.0,,1228.08,3771.96,83
LOCAL,27800591,HC CATH LONG TERM EPID DUPN A4340,1944.0,,544.32,1671.84,83
LOCAL,27800592,HC CATH O-VENTRIC NEUROVIEW,322.0,,90.16,276.92,83
LOCAL,27800593,HC CATH PRX 27CM L6899,201.0,,56.28,172.86,83
LOCAL,27800594,HC CATH PUDEN PERITON LOW EAL8699,294.0,,82.32,252.84,83
LOCAL,27800595,HC SET THORA & PARA 1 STEP 5FRX10CM VLVD FIXD,119.0,,33.32,102.34,83
LOCAL,27800596,HC CATH PUDEN PERTON MED EA,65.0,,18.2,55.9,83
LOCAL,27800597,HC CATH PUDENZ CARDIACMEDIUML8612,320.0,,89.6,275.2,83
LOCAL,27800598,HC CATH PUDENZ DVE FLUSH,1164.0,,325.92,1001.04,83
LOCAL,27800599,HC CATH PUDENZ THREE WAY,196.0,,54.88,168.56,83
LOCAL,27800600,HC CATH SOEHENDRA C1726,118.0,,33.04,101.48,83
LOCAL,27800601,HC CATH S-VENTRI BARIUM 23CM,244.0,,68.32,209.84,83
LOCAL,27800602,HC CELECT VENA CAVA FEM/JUG C1880,2300.0,,644.0,1978.0,83
LOCAL,27800603,HC CEMENT BONE,217.0,,60.76,186.62,83
LOCAL,27800604,HC CERVFX THRD35X6X120X170MMC1713,1907.0,,533.96,1640.02,83
LOCAL,27800605,HC CHRN HEMCATH15.5F*24-28CM,670.0,,187.6,576.2,83
LOCAL,27800606,HC CLIP-TRICLIP WILSON COOK,230.0,,64.4,197.8,83
LOCAL,27800607,HC CNTR R-MESH 0.4*100MM,3678.0,,1029.84,3163.08,83
LOCAL,27800608,HC CNTR R-MESH 0.6*100MM,3540.0,,991.2,3044.4,83
LOCAL,27800609,HC COAG GRASPER,574.0,,160.72,493.64,83
LOCAL,27800610,HC COLON DECOMPRSN W/GUIDEWIRE,269.0,,75.32,231.34,83
LOCAL,27800611,HC COLOPLAST TESTIBU IMP M-L,2900.0,,812.0,2494.0,83
LOCAL,27800613,HC COMP 1X8 TRL LD KIT 45C C1897,2724.0,,762.72,2342.64,83
LOCAL,27800614,HC CONNECT PUDENZ RT ANG/NY,82.0,,22.96,70.52,83
LOCAL,27800615,HC CONTROL PUMP FGS IZ C1815,20600.0,,5768.0,17716.0,83
LOCAL,27800616,HC CONTURABRACH CATH 4-6CM C1728,5400.0,,1512.0,4644.0,83
LOCAL,27800617,HC COR BC-SCREW 4*12-16MM STL8699,495.0,,138.6,425.7,83
LOCAL,27800618,HC COR EH-SCREW 4*12-16MM SDL8699,575.0,,161.0,494.5,83
LOCAL,27800619,HC COR EH-SCREW 4*12-16MM STL8699,371.0,,103.88,319.06,83
LOCAL,27800620,HC CORTOSS B-A CART 10CC C1763,3000.0,,840.0,2580.0,83
LOCAL,27800621,HC CORTOSS B-A CART 5CC C1763,1600.0,,448.0,1376.0,83
LOCAL,27800622,HC CR MESH 0.4*100*100MM,3506.0,,981.68,3015.16,83
LOCAL,27800623,HC CRANI 1.3MM ADAPT PLT 24HC1713,747.0,,209.16,642.42,83
LOCAL,27800624,HC CRANI 1.3MM H-PLTE 11H C1713,314.0,,87.92,270.04,83
LOCAL,27800625,HC CRANI 1.3MM ORB RIM PL 9HC1713,297.0,,83.16,255.42,83
LOCAL,27800626,HC CRANI 1.3MM STR PLTE 2H C1713,53.0,,14.84,45.58,83
LOCAL,27800627,HC CRANI 1.3MM STR PLTE 4H C1713,72.0,,20.16,61.92,83
LOCAL,27800628,HC CRANI 1.3MM T-PLTE 7H C1713,297.0,,83.16,255.42,83
LOCAL,27800629,HC CRANI 1.3MM X-PLTE 4H C1713,275.0,,77.0,236.5,83
LOCAL,27800630,HC CRANI 1.3MM Y-PLTE 5H C1713,275.0,,77.0,236.5,83
LOCAL,27800631,HC CRANI 1.3MMMESHPLT38*53MMC1713,1833.0,,513.24,1576.38,83
LOCAL,27800632,HC CRANI 1.3MMRGMSH200*200MMC1713,11805.0,,3305.4,10152.3,83
LOCAL,27800633,HC CRANI 1.5MM BOX PLTE 4H C1713,321.0,,89.88,276.06,83
LOCAL,27800634,HC CRANI 1.5MM MALMESH S-ARCC1713,1026.0,,287.28,882.36,83
LOCAL,27800635,HC CRANI 1.5MM ORB RIM PL10HC1713,372.0,,104.16,319.92,83
LOCAL,27800636,HC CRANI 1.5MM ORB RIM PL12HC1713,401.0,,112.28,344.86,83
LOCAL,27800637,HC CRANI 1.5MM PL ADPT 20HLPC1713,426.0,,119.28,366.36,83
LOCAL,27800638,HC CRANI 1.5MM PL UNV ORBFLRC1713,1427.0,,399.56,1227.22,83
LOCAL,27800639,HC CRANI 1.5MM SPRNG CLPA4649,252.0,,70.56,216.72,83
LOCAL,27800640,HC CRANI 1.5MM STR PL 2HC1713,54.0,,15.12,46.44,83
LOCAL,27800641,HC CRANI 1.5MM STR PL 4HC1713,74.0,,20.72,63.64,83
LOCAL,27800642,HC CRANI 1.5MM T-PLT MAL4*7HC1713,321.0,,89.88,276.06,83
LOCAL,27800643,HC CRANI 1.5MM X PL 4HC1713,321.0,,89.88,276.06,83
LOCAL,27800644,HC CRANI 1.5MM Y PL 5HC1713,321.0,,89.88,276.06,83
LOCAL,27800645,HC CRANI 1.5MMHOLE SPGCLIPLTC1713,327.0,,91.56,281.22,83
LOCAL,27800646,HC CRANI 1.5MMRGMSH200*200MMC1713,11123.0,,3114.44,9565.78,83
LOCAL,27800647,HC CRANI 2MM CMP PL 4HMN DYNC1713,344.0,,96.32,295.84,83
LOCAL,27800648,HC CRANI 2MM CMP PL 5HMN DYNC1713,380.0,,106.4,326.8,83
LOCAL,27800649,HC CRANI 2MM CMP PL 6HMN DYNC1713,416.0,,116.48,357.76,83
LOCAL,27800650,HC CRANI 2MM CMP PL 7HMN DYNC1713,449.0,,125.72,386.14,83
LOCAL,27800651,HC CRANI 2MM CMP PL 8HMN DYNC1713,485.0,,135.8,417.1,83
LOCAL,27800652,HC CRANI 2MM H-PL 8-9HC1713,324.0,,90.72,278.64,83
LOCAL,27800653,HC CRANI 2MM LPL OBL3HX4H LRC1713,320.0,,89.6,275.2,83
LOCAL,27800654,HC CRANI 2MM ORB RIM PL 10HC1713,305.0,,85.4,262.3,83
LOCAL,27800655,HC CRANI 2MM ORB RIM PL 12HC1713,321.0,,89.88,276.06,83
LOCAL,27800656,HC CRANI 2MM ORB RIM PL 8HC1713,288.0,,80.64,247.68,83
LOCAL,27800657,HC CRANI 2MM PL ZYDPT 13HC1713,441.0,,123.48,379.26,83
LOCAL,27800658,HC CRANI 2MM X PL 4HC1713,288.0,,80.64,247.68,83
LOCAL,27800659,HC CRANI 2MM Y PL 5HC1713,309.0,,86.52,265.74,83
LOCAL,27800660,HC CRANI 2MMLPL OB2HX3LR100DC1713,305.0,,85.4,262.3,83
LOCAL,27800661,HC CRANI 2MMLPL OB4HX3LR100DC1713,297.0,,83.16,255.42,83
LOCAL,27800662,HC CRANI 2MMLPL OB4HX6LR100DC1713,351.0,,98.28,301.86,83
LOCAL,27800663,HC CRANI 2MMLPL2X2X17-23LR90C1713,285.0,,79.8,245.1,83
LOCAL,27800664,HC CRANI 2MMLPL3X2X20MMLR90DC1713,303.0,,84.84,260.58,83
LOCAL,27800665,HC CRANI 2MMPL STR4HX34-30MMC1713,339.0,,94.92,291.54,83
LOCAL,27800666,HC CRANI 2MMPL ZYGOMA4HX22MMC1713,303.0,,84.84,260.58,83
LOCAL,27800667,HC CRANI 2MMPL ZYGOMA5HX27MMC1713,317.0,,88.76,272.62,83
LOCAL,27800668,HC CRANI 2MMPL ZYGOMA6HX32MMC1713,339.0,,94.92,291.54,83
LOCAL,27800669,HC CRANIOS BH 12-24MM LP,428.0,,119.84,368.08,83
LOCAL,27800670,HC CRANIOS BOX PLTE 4H 14*14MM,411.0,,115.08,353.46,83
LOCAL,27800671,HC CRANIOS BX PLTE 4H 10*16MM,376.0,,105.28,323.36,83
LOCAL,27800672,HC CRANI BX PLTE 4H 16*16MM C1713,403.0,,112.84,346.58,83
LOCAL,27800673,HC CRANI CORTX SCRW1.3*4-5MMC1713,108.0,,30.24,92.88,83
LOCAL,27800674,HC CRANI CRTX SCRW 3X4-24MMC1713,84.0,,23.52,72.24,83
LOCAL,27800675,HC CRANI CRTX SCRW1.3X3-18MMC1713,125.0,,35.0,107.5,83
LOCAL,27800676,HC CRANI CRTX SCRW1.5*4-12MMC1713,74.0,,20.72,63.64,83
LOCAL,27800677,HC CRANI CRTXSCRW TI2X4-24MMC1713,81.0,,22.68,69.66,83
LOCAL,27800678,HC CRANI CTMSH CIR100MM MRLPC1713,2843.0,,796.04,2444.98,83
LOCAL,27800679,HC CRANI CTMSH CIR30MM MLRLPC1713,1100.0,,308.0,946.0,83
LOCAL,27800680,HC CRANI CTMSH CIR70MM MLRLPC1713,2279.0,,638.12,1959.94,83
LOCAL,27800681,HC CRANI CTMSH CVLG MLRGD LPC1713,1715.0,,480.2,1474.9,83
LOCAL,27800682,HC CRANI CTMSH CVSM MLRGD LPC1713,1100.0,,308.0,946.0,83
LOCAL,27800683,HC CRANI CTMSH100X100MM MLLPC1713,2979.0,,834.12,2561.94,83
LOCAL,27800684,HC CRANI CTMSH200X200MM RGLPC1713,13850.0,,3878.0,11911.0,83
LOCAL,27800685,HC CRANI CTMSH38X45MM MLRGLPC1713,1914.0,,535.92,1646.04,83
LOCAL,27800686,HC CRANI CTR MESH MAS MAL LPC1713,1332.0,,372.96,1145.52,83
LOCAL,27800687,HC CRANI DB Y-PLT 6H*18-21MMC1713,321.0,,89.88,276.06,83
LOCAL,27800688,HC CRANI EMRG SCRW 1.7X3-8MMC1713,109.0,,30.52,93.74,83
LOCAL,27800689,HC CRANI EMRG SCRW 2X4-12MMC1713,79.0,,22.12,67.94,83
LOCAL,27800690,HC CRANI EMRG SCRW2.4X5-18MMC1713,85.0,,23.8,73.1,83
LOCAL,27800691,HC CRANIOS LP ADAPT PLTE 7H,461.0,,129.08,396.46,83
LOCAL,27800692,HC CRANIOS LP DB Y-PLTE 6H,392.0,,109.76,337.12,83
LOCAL,27800693,HC CRANIOS LP STR PLTE 2H,97.0,,27.16,83.42,83
LOCAL,27800694,HC CRANIOS LP STR PLTE 4H,121.0,,33.88,104.06,83
LOCAL,27800695,HC CRANIOS LP STRUT PLTE 6H,683.0,,191.24,587.38,83
LOCAL,27800696,HC CRANIOS LP STRUT PLTE 8H,973.0,,272.44,836.78,83
LOCAL,27800697,HC CRANIOS LP X-PLTE 4H,377.0,,105.56,324.22,83
LOCAL,27800698,HC CRANIOS LP Y-PLTE 4H,392.0,,109.76,337.12,83
LOCAL,27800699,HC CRANI1.3MMBXPLT4H10*5-10MC1713,267.0,,74.76,229.62,83
LOCAL,27800700,HC CRANI1.3MMDBYPLT6H*15-18MC1713,294.0,,82.32,252.84,83
LOCAL,27800701,HC CRANI1.3MMMHSCRN100*100MMC1713,1490.0,,417.2,1281.4,83
LOCAL,27800702,HC CRANI1.3MMMSHPLT100*100MMC1713,2847.0,,797.16,2448.42,83
LOCAL,27800703,HC CRANIOS REINFD PUTTY 5CC,2747.0,,769.16,2362.42,83
LOCAL,27800704,HC CR-MESH 0.6*100*100MM,3768.0,,1055.04,3240.48,83
LOCAL,27800705,HC CRUNCH GRAFTON 5CC E1399,1490.0,,417.2,1281.4,83
LOCAL,27800706,HC CRV STRUT PLT 2*3H,776.0,,217.28,667.36,83
LOCAL,27800707,HC CRV STRUT PLT 2*4H C1713,1105.0,,309.4,950.3,83
LOCAL,27800708,HC CRYO SPRAY CATHETER,3990.0,,1117.2,3431.4,83
LOCAL,27800709,HC CSLP FIXATION PIN L8699,251.0,,70.28,215.86,83
LOCAL,27800710,HC CSLP LCK PLTE 5H 28-33MM L8699,1601.0,,448.28,1376.86,83
LOCAL,27800711,HC CSLP PLTE SERIES 450.1 L8699,1717.0,,480.76,1476.62,83
LOCAL,27800712,HC CSLP PLTE SERIES 450.2 L8699,1851.0,,518.28,1591.86,83
LOCAL,27800713,HC CSLP PLTE SERIES 450.3 L8699,1941.0,,543.48,1669.26,83
LOCAL,27800714,HC CSLP PLTE SERIES 450.4 L8699,2096.0,,586.88,1802.56,83
LOCAL,27800715,HC CSLP S-STAT PLT 12-24MM L8699,1696.0,,474.88,1458.56,83
LOCAL,27800716,HC CSLP S-STAT PLT 28-43MM L8699,1782.0,,498.96,1532.52,83
LOCAL,27800717,HC CSLP S-STAT PLT 42-69MM L8699,1845.0,,516.6,1586.7,83
LOCAL,27800718,HC CSLP VA-PLT SER450.18/19 L8699,3033.0,,849.24,2608.38,83
LOCAL,27800719,HC CSLP VA-PLT SERIES 450.15L8699,2375.0,,665.0,2042.5,83
LOCAL,27800720,HC CSLP VA-PLT SERIES 450.16L8699,2558.0,,716.24,2199.88,83
LOCAL,27800721,HC CSLP VA-PLT SERIES 450.17L8699,2794.0,,782.32,2402.84,83
LOCAL,27800722,HC CV PTCH 10*15CM*.6MM,2462.0,,689.36,2117.32,83
LOCAL,27800723,HC CX PD SCRW 6.2-8X30-65MMC1713,1201.0,,336.28,1032.86,83
LOCAL,27800724,HC CX PDSCRWDCPA4.-9X25-100MC1713,2346.0,,656.88,2017.56,83
LOCAL,27800725,HC CX PDSCRWDCR4.2-9X25-100MC1713,1261.0,,353.08,1084.46,83
LOCAL,27800726,HC DALL MI 2.0 MED CABLE EA L8699,2277.0,,637.56,1958.22,83
LOCAL,27800727,HC DB CABL TI1*470MM W/CRIMPL8699,1204.0,,337.12,1035.44,83
LOCAL,27800728,HC DCS PLT 35DG 6-10H L8699,2032.0,,568.96,1747.52,83
LOCAL,27800729,HC DCS PLT 95DG 12-14H L8699,2296.0,,642.88,1974.56,83
LOCAL,27800730,HC DCS PLT 95DG 16H/274MM L8699,2448.0,,685.44,2105.28,83
LOCAL,27800731,HC DELTA SHNT VLV LVL 1.0 LP,2742.0,,767.76,2358.12,83
LOCAL,27800732,HC DGNTY POWERPORT LP5.0-8.0,797.0,,223.16,685.42,83
LOCAL,27800733,HC DHS PLT SH BARRL135-150DGL8699,1214.0,,339.92,1044.04,83
LOCAL,27800734,HC DHS PLT ST BARRL135-150DGL8699,1214.0,,339.92,1044.04,83
LOCAL,27800735,HC DHS/DCS COMP SCREW 36MM L8699,137.0,,38.36,117.82,83
LOCAL,27800736,HC DHS/DCS LG SCREW 12.7MM L8699,702.0,,196.56,603.72,83
LOCAL,27800737,HC DHS/DCS LGSCR14*145-150MML8699,768.0,,215.04,660.48,83
LOCAL,27800738,HC DILATOR ACHALASIA BALLOON,574.0,,160.72,493.64,83
LOCAL,27800739,HC DILATOR CRE FIXED BALLOON,524.0,,146.72,450.64,83
LOCAL,27800740,HC CRE WIREGUIDED BALLOON DILATION CATH (MULT SIZES),597.0,,167.16,513.42,83
LOCAL,27800741,HC DURAFLOW HEMO CATH32-36CM,743.0,,208.04,638.98,83
LOCAL,27800742,HC DVC FLUSHING L-PRESS L8699,1935.0,,541.8,1664.1,83
LOCAL,27800743,HC DVC FLUSHING M-PRESS L8699,2549.0,,713.72,2192.14,83
LOCAL,27800744,HC ESOPHAGEAL OVERTUBE,1190.0,,333.2,1023.4,83
LOCAL,27800746,HC EXP BRST TISS 300CC FV,1718.0,,481.04,1477.48,83
LOCAL,27800747,HC EXP BRST TISS 300CC MV,1718.0,,481.04,1477.48,83
LOCAL,27800748,HC EXP BRST TISS 400CC MV,1718.0,,481.04,1477.48,83
LOCAL,27800749,HC EXP BRST TISS 500CC LV,1718.0,,481.04,1477.48,83
LOCAL,27800750,HC EXP BRST TISS 500CC MV,1718.0,,481.04,1477.48,83
LOCAL,27800751,HC DOUBLE LUMEN EXTRACTION BALLOON,227.0,,63.56,195.22,83
LOCAL,27800753,HC EYELID WEIGHTS GOLD .06,410.0,,114.8,352.6,83
LOCAL,27800754,HC EYELID WEIGHTS GOLD .8 L8610,420.0,,117.6,361.2,83
LOCAL,27800755,HC EYELID WEIGHTS GOLD 1.0 L8610,430.0,,120.4,369.8,83
LOCAL,27800756,HC EYELID WEIGHTS GOLD 1.2 L8610,440.0,,123.2,378.4,83
LOCAL,27800757,HC EYELID WEIGHTS GOLD 1.4 L8610,450.0,,126.0,387.0,83
LOCAL,27800758,HC EYELID WEIGHTS GOLD 1.6 L8610,510.0,,142.8,438.6,83
LOCAL,27800759,HC EYELID WGHT GLD THN 0.6 L8610,462.0,,129.36,397.32,83
LOCAL,27800760,HC EYELID WGHT GLD THN 0.8,496.0,,138.88,426.56,83
LOCAL,27800761,HC EYELID WGHT GLD THN 1.0,597.0,,167.16,513.42,83
LOCAL,27800762,HC EYELID WGHT GLD THN 1.2,624.0,,174.72,536.64,83
LOCAL,27800763,HC EYELID WGHT GLD THIN 1.4,673.0,,188.44,578.78,83
LOCAL,27800765,HC FILTER VENA CAVA 12 C1880,1880.0,,526.4,1616.8,83
LOCAL,27800766,HC FUSION BILIARY DILATOR,420.0,,117.6,361.2,83
LOCAL,27800767,HC GELSFT PS-VSC GRFT 8-10MM,951.0,,266.28,817.86,83
LOCAL,27800768,HC GELSOFT AB-ERS GFT 8-10MMC1768,3130.0,,876.4,2691.8,83
LOCAL,27800769,HC GELWEAVE STR 20-24MM,913.0,,255.64,785.18,83
LOCAL,27800770,HC GELWEAVE STR 26-28MM,983.0,,275.24,845.38,83
LOCAL,27800771,HC GELWEAVE STR L8699,983.0,,275.24,845.38,83
LOCAL,27800773,HC GLIDE GUIDEWIRE NAVIPRO,373.0,,104.44,320.78,83
LOCAL,27800774,HC GLSFT PB-VASC GRFT14-24MMC1768,1334.0,,373.52,1147.24,83
LOCAL,27800775,HC GORE-TEX DUAL20CM*30CM2MM,7596.0,,2126.88,6532.56,83
LOCAL,27800776,HC GORE-TEX DUAL26CM*34CM2MM,7494.0,,2098.32,6444.84,83
LOCAL,27800777,HC GP TEAR DUCT TUBE 3-4MMA4263,124.0,,34.72,106.64,83
LOCAL,27800778,HC GRAF VAS D-VEL12*7MM*40CMC1768,1664.0,,465.92,1431.04,83
LOCAL,27800779,HC GRAFT CORTEX RING C1768,774.0,,216.72,665.64,83
LOCAL,27800780,HC GRAFT DBL VELOUR C1768,1164.0,,325.92,1001.04,83
LOCAL,27800781,HC GRAFT SOFT TISSUE 20*30*2,6130.0,,1716.4,5271.8,83
LOCAL,27800782,HC GRAFT SOFT TISSUE 5*10*1MM,628.0,,175.84,540.08,83
LOCAL,27800783,HC GRAFT SOFT TISSU 5*10*2MMC1781,502.0,,140.56,431.72,83
LOCAL,27800784,HC GRAFT VASC D-VEL 14-24MM C1768,884.0,,247.52,760.24,83
LOCAL,27800785,HC GRAFT VASC D-VEL 20-22MM C768,1164.0,,325.92,1001.04,83
LOCAL,27800786,HC GRAFTVASC RNG 8MM*80CM*50CM,1960.0,,548.8,1685.6,83
LOCAL,27800787,HC GRFT BIFU 14*7MM*50CM C1768,1212.0,,339.36,1042.32,83
LOCAL,27800788,HC GRFT BIFU 16*8MM*50CM C1768,1212.0,,339.36,1042.32,83
LOCAL,27800789,HC GRFT BIFU 18*9MM*50CM C1768,1212.0,,339.36,1042.32,83
LOCAL,27800790,HC GRFT BIFU 20*10MM*50CM C1768,1212.0,,339.36,1042.32,83
LOCAL,27800791,HC GRFT BIFU 24*12MM*50CM C1768,1212.0,,339.36,1042.32,83
LOCAL,27800792,HC GRFT VASC RNG TW 8MM*80CMC1768,2822.0,,790.16,2426.92,83
LOCAL,27800793,HC GRFT VASC ST WALL6MM*60CMC1768,1282.0,,358.96,1102.52,83
LOCAL,27800794,HC GRFT VASC ST WR6-8MM*40CMC1768,1440.0,,403.2,1238.4,83
LOCAL,27800795,HC GRFT VASC STD WR 6MM*45CMC1768,1400.0,,392.0,1204.0,83
LOCAL,27800796,HC GRFT VASC STD WR12MM*50CMC1768,2910.0,,814.8,2502.6,83
LOCAL,27800797,HC GUIDEWIRE SAVRY ESOPHAG200,264.0,,73.92,227.04,83
LOCAL,27800798,HC GUIDEWIR SAVRY SML BWL200C1769,249.0,,69.72,214.14,83
LOCAL,27800799,HC GUIDWIR DREAMWIRE ST/ANGL BSCI,485.0,,135.8,417.1,83
LOCAL,27800800,HC GYNECARE TVT OBTUR SYSC1781,1990.0,,557.2,1711.4,83
LOCAL,27800801,HC GYNEMESH PROLENPS/NA10*15,740.0,,207.2,636.4,83
LOCAL,27800802,HC HALO GUIDE WIRE,336.0,,94.08,288.96,83
LOCAL,27800803,HC HEMO DIALYSIS CATH 40-55CM,660.0,,184.8,567.6,83
LOCAL,27800804,HC HIP C-TAPER HEAD 26MM/+5 C1776,1751.0,,490.28,1505.86,83
LOCAL,27800805,HC HIP C-TAPER HEAD 28-32MM,1430.0,,400.4,1229.8,83
LOCAL,27800806,HC IMP A-E ESO STENT 18-20F,4000.0,,1120.0,3440.0,83
LOCAL,27800807,HC IMP BR 163 SALN 360-380CCC1789,1520.0,,425.6,1307.2,83
LOCAL,27800808,HC IMP BR 163 SALN 440-460CCC1789,1520.0,,425.6,1307.2,83
LOCAL,27800809,HC IMP BR 163 SALN 531-555CCC1789,1520.0,,425.6,1307.2,83
LOCAL,27800810,HC IMP BR 163 SALN 655-690CCC1789,1520.0,,425.6,1307.2,83
LOCAL,27800811,HC IMP BR 163 SALN 780-820CCC1789,1520.0,,425.6,1307.2,83
LOCAL,27800812,HC IMP BR 363 SALN 230-240CCC1789,1520.0,,425.6,1307.2,83
LOCAL,27800813,HC IMP BR 468 SALN 195-205CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800814,HC IMP BR 468 SALN 230-240CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800815,HC IMP BR 468 SALN 270-285CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800816,HC IMP BR 468 SALN 300-315CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800817,HC IMP BR 468 SALN 350-370CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800818,HC IMP BR 468 SALN 380-400CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800819,HC IMP BR 468 SALN 450-475CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800820,HC IMP BR 468 SALN 495-520CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800821,HC IMP BR 468 SALN 560-590CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800822,HC IMP BR 468 SALN 620-650CCC1789,1300.0,,364.0,1118.0,83
LOCAL,27800823,HC IMP CARD/PERT CATH 120CM,385.0,,107.8,331.1,83
LOCAL,27800824,HC IMP CEMENT RESTRICTOR 18,314.0,,87.92,270.04,83
LOCAL,27800825,HC IMP C-ORB HYDR/CNF16-22MML8610,1390.0,,389.2,1195.4,83
LOCAL,27800826,HC IMP DURASEAL SEALANT 5ML,1792.0,,501.76,1541.12,83
LOCAL,27800827,HC IMP GOR S-TISS 20*30*1,4008.0,,1122.24,3446.88,83
LOCAL,27800828,HC IMP GORE PERICARD MEMB,2942.0,,823.76,2530.12,83
LOCAL,27800829,HC IMP GORE VAS R-GRFT 12MM C1768,2028.0,,567.84,1744.08,83
LOCAL,27800830,HC IMP GORE VAS R-GRFT 6MM C1768,1362.0,,381.36,1171.32,83
LOCAL,27800831,HC IMP GRFT D-VELOUR 24*15MMC1768,884.0,,247.52,760.24,83
LOCAL,27800832,HC IMP GRFT S-VASC12MM*40CMC1768,1712.0,,479.36,1472.32,83
LOCAL,27800833,HC IMP GRFT S-VASC24MM*40CM C1768,1712.0,,479.36,1472.32,83
LOCAL,27800834,HC IMP GRFT VAS SW4-7MM*45CMC1768,1232.0,,344.96,1059.52,83
LOCAL,27800835,HC IMP GRFT VASC SW 6MM*40CMC1768,848.0,,237.44,729.28,83
LOCAL,27800836,HC IMP GRFT VASC SW 6MM*80CMC1768,1580.0,,442.4,1358.8,83
LOCAL,27800837,HC IMP GRFT VASC SW 8MM*40CMC1768,848.0,,237.44,729.28,83
LOCAL,27800838,HC IMP GRFT VASC SWR 6*20*70C1768,1998.0,,559.44,1718.28,83
LOCAL,27800839,HC IMP GRFT VASC SWR 6*50*70C1768,2364.0,,661.92,2033.04,83
LOCAL,27800840,HC IMP GRFT VASC SWR 8*20*30C1768,1362.0,,381.36,1171.32,83
LOCAL,27800841,HC IMP GRFT VASC SWR10*20*20C1768,1472.0,,412.16,1265.92,83
LOCAL,27800842,HC IMP GRFT VASC SWR12*20*20C1768,1502.0,,420.56,1291.72,83
LOCAL,27800843,HC IMP GRFT VASC SWR14*20*20C1768,1502.0,,420.56,1291.72,83
LOCAL,27800844,HC IMP GRFT VASC SWR14*30*30C1768,2148.0,,601.44,1847.28,83
LOCAL,27800845,HC IMP GRAFT VASCULAR SWR16*20*20,1502.0,,420.56,1291.72,83
LOCAL,27800846,HC IMP GRAFT VASCULAR SWR16*30*30,2042.0,,571.76,1756.12,83
LOCAL,27800847,HC IMP GRFT VASC SWR20*30*30C1768,2148.0,,601.44,1847.28,83
LOCAL,27800848,HC IMP GRFT VASCTW 7MM*80CMC1768,1832.0,,512.96,1575.52,83
LOCAL,27800849,HC IMP MAM CNTR SAL ADJ275CCC1789,2300.0,,644.0,1978.0,83
LOCAL,27800850,HC IMP MAM CNTR SAL ADJ350CC,2300.0,,644.0,1978.0,83
LOCAL,27800851,HC IMP MAM CNTR SAL ADJ450CCC1789,2300.0,,644.0,1978.0,83
LOCAL,27800852,HC IMP MAM CNTR SAL ADJ550CCC1789,2300.0,,644.0,1978.0,83
LOCAL,27800853,HC IMP MAM CNTR SAL ADJ650CCC1789,2300.0,,644.0,1978.0,83
LOCAL,27800854,HC IMP MAM CNTR TEX SAL175CCC1789,1440.0,,403.2,1238.4,83
LOCAL,27800855,HC IMP MAM CNTR TEX SAL225CCC1789,1440.0,,403.2,1238.4,83
LOCAL,27800856,HC IMP MAM CNTR TEX SAL275CCC1789,1440.0,,403.2,1238.4,83
LOCAL,27800857,HC IMP MAM CNTR TEX SAL350CCC1789,1440.0,,403.2,1238.4,83
LOCAL,27800858,HC IMP MAM CNTR TEX SAL425CCC1789,1440.0,,403.2,1238.4,83
LOCAL,27800859,HC IMP MAM CNTR TEX SAL525CCC1789,1440.0,,403.2,1238.4,83
LOCAL,27800860,HC IMP MAMM RND BECK50 300CCC1789,4000.0,,1120.0,3440.0,83
LOCAL,27800861,HC IMP MAMM RND BECK50 400CCC1789,4000.0,,1120.0,3440.0,83
LOCAL,27800862,HC IMP MAMM RND BECK50 500CCC1789,4000.0,,1120.0,3440.0,83
LOCAL,27800863,HC IMP MAMM RND BECK50 600CCC1789,4000.0,,1120.0,3440.0,83
LOCAL,27800864,HC IMP MAMM RND BECK50 700CCC1789,4000.0,,1120.0,3440.0,83
LOCAL,27800865,HC IMP MAMM RND SAL ADJ125CC,1485.0,,415.8,1277.1,83
LOCAL,27800866,HC IMP MAMM RND SAL ADJ175CC,1600.0,,448.0,1376.0,83
LOCAL,27800867,HC IMP MAMM RND SAL ADJ225CC,1600.0,,448.0,1376.0,83
LOCAL,27800868,HC IMP MAMM RND SAL ADJ275CC,1600.0,,448.0,1376.0,83
LOCAL,27800869,HC IMP MAMM RND SAL ADJ325CCC1789,1600.0,,448.0,1376.0,83
LOCAL,27800870,HC IMP MAMM RND SAL ADJ375CC,1600.0,,448.0,1376.0,83
LOCAL,27800871,HC IMP MAMM RND SAL ADJ425CC,1600.0,,448.0,1376.0,83
LOCAL,27800872,HC IMP MAMM RND SAL ADJ475CC,1485.0,,415.8,1277.1,83
LOCAL,27800873,HC IMP MAMM RND SAL ADJ525CC,1600.0,,448.0,1376.0,83
LOCAL,27800874,HC IMP MAMM RND SAL ADJ575CC,1600.0,,448.0,1376.0,83
LOCAL,27800875,HC IMP MAMM RND TEX SAL125CCC1789,1755.0,,491.4,1509.3,83
LOCAL,27800876,HC IMP MAMM RND TEX SAL175CC,1755.0,,491.4,1509.3,83
LOCAL,27800877,HC IMP MAMM RND TEX SAL225CCC1789,1900.0,,532.0,1634.0,83
LOCAL,27800878,HC IMP MAMM RND TEX SAL275CCC1789,1854.0,,519.12,1594.44,83
LOCAL,27800879,HC IMP MAMM RND TEX SAL325CCC1789,1755.0,,491.4,1509.3,83
LOCAL,27800880,HC IMP MAMM RND TEX SAL375CCC1789,1755.0,,491.4,1509.3,83
LOCAL,27800881,HC IMP MAMM RND TEX SAL425CCC1789,1755.0,,491.4,1509.3,83
LOCAL,27800882,HC IMP MAMM RND TEX SAL475CCC1789,1755.0,,491.4,1509.3,83
LOCAL,27800883,HC IMP MAMM RND TEX SIL125CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800884,HC IMP MAMM RND TEX SIL150CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800885,HC IMP MAMM RND TEX SIL175CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800886,HC IMP MAMM RND TEX SIL200CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800887,HC IMP MAMM RND TEX SIL225CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800888,HC IMP MAMM RND TEX SIL250CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800889,HC IMP MAMM RND TEX SIL275CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800890,HC IMP MAMM RND TEX SIL300CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800891,HC IMP MAMM RND TEX SIL325CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800892,HC IMP MAMM RND TEX SIL350CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800893,HC IMP MAMM RND TEX SIL375CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800894,HC IMP MAMM RND TEX SIL400CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800895,HC IMP MAMM RND TEX SIL450CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800896,HC IMP MAMM RND TEX SIL500CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800897,HC IMP MAMM RND TEX SIL550CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800898,HC IMP MAMM RND TEX SIL600CCC1789,1665.0,,466.2,1431.9,83
LOCAL,27800899,HC IMP MEDPOR TSI 20*20CM,1286.0,,360.08,1105.96,83
LOCAL,27800900,HC IMP MEDPOR TSI 40*40CM L6899,1408.0,,394.24,1210.88,83
LOCAL,27800901,HC IMP MESH VICRYL 12X12,1442.0,,403.76,1240.12,83
LOCAL,27800902,HC IMP MONTG THYRO FEMALE,736.0,,206.08,632.96,83
LOCAL,27800903,HC IMP MONTG THYRO MALE,736.0,,206.08,632.96,83
LOCAL,27800904,HC IMP MRI PLAS PORT 6FC1788,527.0,,147.56,453.22,83
LOCAL,27800905,HC IMP ORB HYDRO/CNF 16-22MM,1390.0,,389.2,1195.4,83
LOCAL,27800906,HC IMP PAC MRI 8FR 1LMN PU C1788,556.0,,155.68,478.16,83
LOCAL,27800907,HC IMP PAC X-PORT DUO9.5F2LP,1090.0,,305.2,937.4,83
LOCAL,27800908,HC IMP PAC XPRT MRI 6-8F1LPUC1788,670.0,,187.6,576.2,83
LOCAL,27800909,HC IMP PORT-A-CATH 5.8F C1788,913.0,,255.64,785.18,83
LOCAL,27800910,HC IMP PORT-A-CATH 6F C1788,557.0,,155.96,479.02,83
LOCAL,27800911,HC IMP POWER PORT 8F C1788,1030.0,,288.4,885.8,83
LOCAL,27800912,HC IMP POWER PORT ISP 6F,709.0,,198.52,609.74,83
LOCAL,27800913,HC IMP POWER PORT ISP MCF 8FC1788,984.0,,275.52,846.24,83
LOCAL,27800914,HC IMP PRODENSE 10CC  C1713,4800.0,,1344.0,4128.0,83
LOCAL,27800915,HC IMP PRODENSE 20CC  C1713,4800.0,,1344.0,4128.0,83
LOCAL,27800916,HC IMP PRODENSE 4CC  C1713,2590.0,,725.2,2227.4,83
LOCAL,27800917,HC IMP R-SHUNT DELTA CSF L1 L8612,3671.0,,1027.88,3157.06,83
LOCAL,27800918,HC IMP SHUNT STRATAII VAL RG,7900.0,,2212.0,6794.0,83
LOCAL,27800919,HC IMP STORZ SPHERE 10-22MML8610,34.0,,9.52,29.24,83
LOCAL,27800920,HC IMP TV PORT-A-CATH 7F C1788,750.0,,210.0,645.0,83
LOCAL,27800921,HC IMP VASC HS/DV 16*8*40,1664.0,,465.92,1431.04,83
LOCAL,27800922,HC IMP VASCULAR PORT DUAL C1788,804.0,,225.12,691.44,83
LOCAL,27800923,HC IMP VITOSS BAF-BONE 10CC C1763,3574.0,,1000.72,3073.64,83
LOCAL,27800924,HC IMP VITOSS BAF-BONE 5CC C1763,1936.0,,542.08,1664.96,83
LOCAL,27800925,HC INFINION LEAD KIT 50-70CMC1778,7812.0,,2187.36,6718.32,83
LOCAL,27800926,HC INTERNG VASC TW GRFT6-8MMC1768,3066.0,,858.48,2636.76,83
LOCAL,27800927,HC ISNARE RETRVL DVC-US ENDOC1773,210.0,,58.8,180.6,83
LOCAL,27800928,HC ISOMED PUMP CATH MEDTRO L8699,850.0,,238.0,731.0,83
LOCAL,27800929,HC JEJUNAL FEEDING TUBE (MULT SIZES),384.0,,107.52,330.24,83
LOCAL,27800931,HC KIT ACC CATH CONN&ANCHOR L8699,150.0,,42.0,129.0,83
LOCAL,27800932,HC KIT EXTENSIONC1883,1362.0,,381.36,1171.32,83
LOCAL,27800933,HC KIT EXTENTION 10/24CM L8699,1790.0,,501.2,1539.4,83
LOCAL,27800934,HC K-WIRE 1.1-1.6MM L8699,13.0,,3.64,11.18,83
LOCAL,27800935,HC K-WIRE 1.25*150MM,54.0,,15.12,46.44,83
LOCAL,27800936,HC K-WIRE 1.6*150MM L8699,54.0,,15.12,46.44,83
LOCAL,27800937,HC K-WIRE 1.6MM W/5MM THREADL8699,338.0,,94.64,290.68,83
LOCAL,27800938,HC LASER DOPPLER FLW PROB DSP,908.0,,254.24,780.88,83
LOCAL,27800939,HC LCP PLATE 10 HOLES C1713,898.0,,251.44,772.28,83
LOCAL,27800940,HC LCP PLATE 12 HOLES C1713,894.0,,250.32,768.84,83
LOCAL,27800941,HC LCP PLATE 5 HOLES,648.0,,181.44,557.28,83
LOCAL,27800942,HC LCP PLATE 6 HOLES,764.0,,213.92,657.04,83
LOCAL,27800943,HC LCP PLATE 8 HOLES C1713,838.0,,234.64,720.68,83
LOCAL,27800945,HC LD KIT 16CNT30CM 5-6-5SURC1778,11900.0,,3332.0,10234.0,83
LOCAL,27800946,HC LD KIT8CON 30-45CMSPEC2X4C1778,6860.0,,1920.8,5899.6,83
LOCAL,27800948,HC LEAD 8 CHAN TRAIL C1778,2390.0,,669.2,2055.4,83
LOCAL,27800950,HC LEAD KIT SPINAL CORD SPECIFY,5252.0,,1470.56,4516.72,83
LOCAL,27800951,HC LEAD OCTRODE ELEC C1778,5900.0,,1652.0,5074.0,83
LOCAL,27800952,HC LG FR CANC SCR6.5*35-75MMC1713,93.0,,26.04,79.98,83
LOCAL,27800953,HC LG FR CANCSCR6.5*90-110MMC1713,91.0,,25.48,78.26,83
LOCAL,27800954,HC LG FR COR-SCREW4.5*16-66MM,58.0,,16.24,49.88,83
LOCAL,27800955,HC LG FR DCP N-PLT 4.5MM 10HC1713,454.0,,127.12,390.44,83
LOCAL,27800956,HC LG FR TI CANCSCRW6.5*30MMC1713,87.0,,24.36,74.82,83
LOCAL,27800957,HC LG FRAG CORY SCRW L8699,46.0,,12.88,39.56,83
LOCAL,27800958,HC LG FRAG DCP 6H STAINLSS C1713,950.0,,266.0,817.0,83
LOCAL,27800959,HC LG FRAG LS 4X50-54MM C1713,308.0,,86.24,264.88,83
LOCAL,27800960,HC LG FRAG LS 5X14-50MM C1713,352.0,,98.56,302.72,83
LOCAL,27800961,HC LG FRAG MALLEO SCRW L8699,88.0,,24.64,75.68,83
LOCAL,27800962,HC LG FRAG SS LOCK PLATE 6H C1713,1492.0,,417.76,1283.12,83
LOCAL,27800963,HC LG FRAG SS WSHR L8699,67.0,,18.76,57.62,83
LOCAL,27800964,HC LG FRAG TI T-PLT 4H L8699,684.0,,191.52,588.24,83
LOCAL,27800965,HC LG FRAG TI T-PLT 6H L8699,818.0,,229.04,703.48,83
LOCAL,27800966,HC LG FRAG TI T-PLT 8H L8699,1078.0,,301.84,927.08,83
LOCAL,27800967,HC LG FRAG T-PLT TBLR 4H L8699,178.0,,49.84,153.08,83
LOCAL,27800968,HC LG FRAG T-PLT TBLR 5H L8699,188.0,,52.64,161.68,83
LOCAL,27800969,HC LG FRAG T-PLT TBLR 6H L8699,202.0,,56.56,173.72,83
LOCAL,27800970,HC LG FRAG T-PLT TBLR 7H L8699,208.0,,58.24,178.88,83
LOCAL,27800971,HC LG FRAGCRTSCSS4.5X28-38MMC1713,40.0,,11.2,34.4,83
LOCAL,27800972,HC LINARSTLEAD E-STYL30-70CM,4878.0,,1365.84,4195.08,83
LOCAL,27800973,HC LINEAR 3-4 LEAD 50-70CM,4878.0,,1365.84,4195.08,83
LOCAL,27800975,HC LINEAR GUIDE V GUIDEWIRE C1769,217.0,,60.76,186.62,83
LOCAL,27800977,HC LOW IMPEDANCE EXT KIT 51CM,150.0,,42.0,129.0,83
LOCAL,27800978,HC LOW PROF QUADEXT10-40-51CC1883,1362.0,,381.36,1171.32,83
LOCAL,27800979,HC LP CRANI ADAPT PLTE 20H,893.0,,250.04,767.98,83
LOCAL,27800980,HC LP CRANI ADAPT PLTE 5H,369.0,,103.32,317.34,83
LOCAL,27800981,HC LP TN-EMERG SCREW 4-6MM C1713,108.0,,30.24,92.88,83
LOCAL,27800982,HC LP T-NEURO SCREW SD 3-6MMC1713,108.0,,30.24,92.88,83
LOCAL,27800983,HC LPP CAN CON SCRW5X50-85MMC1713,378.0,,105.84,325.08,83
LOCAL,27800984,HC LPP CANN SCRW 5X25-85MM C1713,430.0,,120.4,369.8,83
LOCAL,27800985,HC LPP CANN SCRW 7.3X70-85MMC1713,636.0,,178.08,546.96,83
LOCAL,27800986,HC LPP CND PL 6H 4.5X170MMRTC1713,3312.0,,927.36,2848.32,83
LOCAL,27800987,HC LPP COND PL 8H 4.5X206 RTC1713,3376.0,,945.28,2903.36,83
LOCAL,27800988,HC LPP PRX TIBPL4H 4.5X82MMRC1713,3060.0,,856.8,2631.6,83
LOCAL,27800989,HC LPP PRX TIBPL6H4.5X118MMLC1713,3098.0,,867.44,2664.28,83
LOCAL,27800990,HC LPP PRX TIBPL8H4.5X154MMRC1713,3132.0,,876.96,2693.52,83
LOCAL,27800991,HC LPP SCRW 4X38-46MM C1713,308.0,,86.24,264.88,83
LOCAL,27800992,HC LUQUE WIRE E1399,158.0,,44.24,135.88,83
LOCAL,27800993,HC MANDB 2MNI LOC L-PL LT/RTL8699,327.0,,91.56,281.22,83
LOCAL,27800994,HC MATRIX DURAL GRAFT 3*3 E1399,1008.0,,282.24,866.88,83
LOCAL,27800995,HC MATRIX DURAL GRAFT 4*5 E1399,1994.0,,558.32,1714.84,83
LOCAL,27800996,HC MEDPOR ORB IMP SPH16-22MML8699,1408.0,,394.24,1210.88,83
LOCAL,27800997,HC MEDTRONIC ACC KIT L8699,182.0,,50.96,156.52,83
LOCAL,27800998,HC MEDTRONIC EXTEN KIT 20CMC1883,1320.0,,369.6,1135.2,83
LOCAL,27800999,HC MEDTRONIC LEAD INTRO KITC1897,560.0,,156.8,481.6,83
LOCAL,27801000,HC MEDTRONIC NEUROSTM NORCHG,23360.0,,6540.8,20089.6,83
LOCAL,27801001,HC MEDTRONIC SNS LEAD 28CMC1778,7110.0,,1990.8,6114.6,83
LOCAL,27801002,HC MENT 2000 B-IMP 175-800CC,900.0,,252.0,774.0,83
LOCAL,27801003,HC MENT 9100 T-EXP 250-750CCC1789,2900.0,,812.0,2494.0,83
LOCAL,27801004,HC MENT 9200 T-EXP 275-800CC,2900.0,,812.0,2494.0,83
LOCAL,27801005,HC MENT 9300 T-EXP 250-850CCC1789,2900.0,,812.0,2494.0,83
LOCAL,27801006,HC MENT CRS TISS EXP50-500CCC1789,1120.0,,313.6,963.2,83
LOCAL,27801007,HC MENT ELLP TISSEXP25-250CCC1789,1120.0,,313.6,963.2,83
LOCAL,27801008,HC MENT MGEL SX IMP100-800CC,1600.0,,448.0,1376.0,83
LOCAL,27801009,HC MENT MOD B-IMP120-775CC,2552.0,,714.56,2194.72,83
LOCAL,27801010,HC MENT MOD CLS IMP130-800CC,1600.0,,448.0,1376.0,83
LOCAL,27801011,HC MENT MOD PLUSIMP100-800CC,1600.0,,448.0,1376.0,83
LOCAL,27801012,HC MENT RCT TISS EXP50-700CCC1789,1120.0,,313.6,963.2,83
LOCAL,27801013,HC MENT RNDTISSEXP400-1000CCC1789,1120.0,,313.6,963.2,83
LOCAL,27801014,HC MENT SILTBECK25 150-800CCL8600,4000.0,,1120.0,3440.0,83
LOCAL,27801015,HC MENT ULTHI IMP 135-800CC,1600.0,,448.0,1376.0,83
LOCAL,27801016,HC MENTOR 7100T-EX 250-750CCC1789,3000.0,,840.0,2580.0,83
LOCAL,27801017,HC MENTOR 7200T-EXP275-800CCC1789,3000.0,,840.0,2580.0,83
LOCAL,27801018,HC MENTOR 7300T-EXP250-850CCC1789,3000.0,,840.0,2580.0,83
LOCAL,27801019,HC MENTOR LM+IMP 125-690CC C1789,2190.0,,613.2,1883.4,83
LOCAL,27801020,HC MENTOR MH B-IMP165-685CC,2190.0,,613.2,1883.4,83
LOCAL,27801021,HC MENTOR MM+IMP 140-650CC,2190.0,,613.2,1883.4,83
LOCAL,27801022,HC MENTOR SIL BRST IMPLT L8600,1665.0,,466.2,1431.9,83
LOCAL,27801023,HC MENTOR TM+BIMP 145-680CC C1789,2190.0,,613.2,1883.4,83
LOCAL,27801024,HC MERSILENE 2.5*4.5 VAUTH,330.0,,92.4,283.8,83
LOCAL,27801025,HC MESH DERMMATRIX SURG 8*8,852.0,,238.56,732.72,83
LOCAL,27801026,HC MESH DEXON C1781,202.0,,56.56,173.72,83
LOCAL,27801028,HC MESH DUAL PL 10*15CM*2MM,2194.0,,614.32,1886.84,83
LOCAL,27801029,HC MESH MAL STRUTMTRXNEUROTIC1713,870.0,,243.6,748.2,83
LOCAL,27801030,HC MESH MALTMPMTRXNEURO MDTI,1392.0,,389.76,1197.12,83
LOCAL,27801031,HC MESH MARLEX 10*14,454.0,,127.12,390.44,83
LOCAL,27801032,HC MESH MARLEX 2**12,250.0,,70.0,215.0,83
LOCAL,27801033,HC MESH MAS MALMTRXNEUROLGTIC1713,1394.0,,390.32,1198.84,83
LOCAL,27801034,HC MESH MAS MALMTRXNEUROMDTIC1713,1265.0,,354.2,1087.9,83
LOCAL,27801035,HC MESH MAS MALMTRXNEUROSMTIC1713,1118.0,,313.04,961.48,83
LOCAL,27801037,HC MESH MERSILEN 12*12 VAUTHC1781,1020.0,,285.6,877.2,83
LOCAL,27801038,HC MESH PROLENE 12*12,624.0,,174.72,536.64,83
LOCAL,27801039,HC MESH PROLENE HERNIA MD C1781,1034.0,,289.52,889.24,83
LOCAL,27801040,HC MIC-KEY GASTROSTOMY TUBE (MULTIPLE SIZES),200.0,,56.0,172.0,83
LOCAL,27801041,HC MINI MONOKA FAYET STENT C1874,110.0,,30.8,94.6,83
LOCAL,27801042,HC MITEK 0 MINI QCK ANCHOR,800.0,,224.0,688.0,83
LOCAL,27801043,HC MITEK 2-0 MINI QCK ANCHOR,800.0,,224.0,688.0,83
LOCAL,27801044,HC MITEK 3-0MICRO QCK ANCHORC1713,768.0,,215.04,660.48,83
LOCAL,27801045,HC MK LP TG-JEJ 18F 2.5CM B4088,646.0,,180.88,555.56,83
LOCAL,27801046,HC MK LP TG-JEJ 22F 3.0CM B4088,646.0,,180.88,555.56,83
LOCAL,27801047,HC MK LP TG-JEJ 22F 3.5CM B4088,646.0,,180.88,555.56,83
LOCAL,27801048,HC MND 2 MNI LOC STRT PLCV8HL8699,681.0,,190.68,585.66,83
LOCAL,27801049,HC MNDB 2 LP 4HX4H ANGL LG C1713,1272.0,,356.16,1093.92,83
LOCAL,27801050,HC MNDB 2 LP 6H STR LG C1713,1028.0,,287.84,884.08,83
LOCAL,27801051,HC MNDB 2 LP INTERM 12H C1713,846.0,,236.88,727.56,83
LOCAL,27801052,HC MNDB 2 LP INTERM 6H C1713,747.0,,209.16,642.42,83
LOCAL,27801053,HC MNDB 2 MINI LOC BX PL 4H L8699,347.0,,97.16,298.42,83
LOCAL,27801054,HC MNDB 2 MNI LOC ADPTPL 12HC1713,948.0,,265.44,815.28,83
LOCAL,27801055,HC MNDB 2 MNI LOC DBWD PL 9HL8699,497.0,,139.16,427.42,83
LOCAL,27801056,HC MNDB 2 MNI LOC DBWDPL 12HL8699,554.0,,155.12,476.44,83
LOCAL,27801057,HC MNDB 2 TI MINI LP 20H ADPC1713,866.0,,242.48,744.76,83
LOCAL,27801058,HC MNDB 2 TI MINI LP BROAD4HC1713,566.0,,158.48,486.76,83
LOCAL,27801059,HC MNDB 2 TI MNI LP TENBND4HC1713,552.0,,154.56,474.72,83
LOCAL,27801060,HC MNDB 2.4 COMP TNBND PL 4HC1713,470.0,,131.6,404.2,83
LOCAL,27801061,HC MNDB 2.4 COMP TNBND PL 6HC1713,506.0,,141.68,435.16,83
LOCAL,27801062,HC MNDB 2.4 FRAC PL STR 10H L8699,783.0,,219.24,673.38,83
LOCAL,27801063,HC MNDB 2.4 FRAC PL STR 8H L8699,734.0,,205.52,631.24,83
LOCAL,27801064,HC MNDB 2.4 FRACPL ANGL3HX3HC1713,1223.0,,342.44,1051.78,83
LOCAL,27801065,HC MNDB 2.4 FRACPL ANGL4HX4HC1713,1320.0,,369.6,1135.2,83
LOCAL,27801066,HC MNDB 2.4 LC-DCP PL 4H C1713,665.0,,186.2,571.9,83
LOCAL,27801067,HC MNDB 2.4 LC-DCP PL 5H C1713,734.0,,205.52,631.24,83
LOCAL,27801068,HC MNDB 2.4 LC-DCP PL 6H C1713,797.0,,223.16,685.42,83
LOCAL,27801069,HC MNDB 2.4 LC-DCP PL CRES4HL8699,734.0,,205.52,631.24,83
LOCAL,27801070,HC MNDB 2.4 LC-DCP PL CRES6HL8699,797.0,,223.16,685.42,83
LOCAL,27801071,HC MNDB 2.4 LC-DCP PL ECC 4HL8699,696.0,,194.88,598.56,83
LOCAL,27801072,HC MNDB 2.4 LC-DCP PL ECC 6HL8699,839.0,,234.92,721.54,83
LOCAL,27801073,HC MNDB 2.4 MICRO PL 16H STRC1713,1356.0,,379.68,1166.16,83
LOCAL,27801074,HC MNDB 2.4 MICRO PL 18H STRC1713,1542.0,,431.76,1326.12,83
LOCAL,27801075,HC MNDB 2.4 MICRO PLT 14HSTRC1713,1471.0,,411.88,1265.06,83
LOCAL,27801076,HC MNDB 2.4 MICRPL5HX22DBANGC1713,4613.0,,1291.64,3967.18,83
LOCAL,27801077,HC MNDB 2.4 MICRPL6HX18LRANGC1713,2366.0,,662.48,2034.76,83
LOCAL,27801078,HC MNDB 2.4MCRPL4HX20X4DBANGC1713,4430.0,,1240.4,3809.8,83
LOCAL,27801079,HC MNDB 2.4MCRPL6HX24X6DBANGC1713,5531.0,,1548.68,4756.66,83
LOCAL,27801080,HC MNDB 2.4MICR PL 20-24HSTRC1713,1727.0,,483.56,1485.22,83
LOCAL,27801081,HC MNDB 2.4MICR PL4HX16LRANGC1713,1964.0,,549.92,1689.04,83
LOCAL,27801082,HC MNDB 2.4MICR PL4HX8 LRANGC1713,1727.0,,483.56,1485.22,83
LOCAL,27801083,HC MNDB 2.4MICR PL5HX17LRANGC1713,2150.0,,602.0,1849.0,83
LOCAL,27801084,HC MNDB 2.4MICR PL6HX21LRANGC1713,2586.0,,724.08,2223.96,83
LOCAL,27801085,HC MNDB 2.4X3 PL 3X3 CRES C1713,1448.0,,405.44,1245.28,83
LOCAL,27801086,HC MNDB 2.4X3 PL 4X20X4DBANGC1713,2916.0,,816.48,2507.76,83
LOCAL,27801087,HC MNDB 2.4X3MM PL 4X4 C1713,1562.0,,437.36,1343.32,83
LOCAL,27801088,HC MNDB 2.4X3MM PL 5X8ANGL/RC1713,1701.0,,476.28,1462.86,83
LOCAL,27801089,HC MNDB 2.4X3MM PL6X23ANGL/RC1713,3031.0,,848.68,2606.66,83
LOCAL,27801090,HC MNDB 2.4X3MMBNDINSRT SCRWC1713,59.0,,16.52,50.74,83
LOCAL,27801091,HC MNDB 2.4X3MMPL12H STR95MMC1713,1208.0,,338.24,1038.88,83
LOCAL,27801092,HC MNDB 2.4X3MMPL20HSTR159MMC1713,2013.0,,563.64,1731.18,83
LOCAL,27801093,HC MNDB 2.4X3MMPL4X18CNDHDLRC1713,5384.0,,1507.52,4630.24,83
LOCAL,27801094,HC MNDB 2.4X3MMPL5X20CNDHDLRC1713,5664.0,,1585.92,4871.04,83
LOCAL,27801095,HC MNDB 2.4X3MMPL5X22X5DBANGC1713,3078.0,,861.84,2647.08,83
LOCAL,27801096,HC MNDB 2.4X3MMPL6X24X6DBANGC1713,3249.0,,909.72,2794.14,83
LOCAL,27801097,HC MNDB 2.4X3MMPLX16 CNDHDLTC1713,5100.0,,1428.0,4386.0,83
LOCAL,27801098,HC MNDB 2LP 3HX3HANG/CRES LGC1713,1175.0,,329.0,1010.5,83
LOCAL,27801099,HC MNDB 2LP 6HX21LT/RTANGLLGC1713,2680.0,,750.4,2304.8,83
LOCAL,27801100,HC MNDB 2MNI LOC DBL-Y PL 6HL8699,354.0,,99.12,304.44,83
LOCAL,27801101,HC MNDB 2MNI LOC TNBNDPB4HRLL8699,516.0,,144.48,443.76,83
LOCAL,27801102,HC MNDB 2TI MINILP 4HNRW MALC1713,441.0,,123.48,379.26,83
LOCAL,27801103,HC MNDB 2TI MINILP 6HNRW MALC1713,580.0,,162.4,498.8,83
LOCAL,27801104,HC MNDB 2TI MNILP BROAD CV4HC1713,644.0,,180.32,553.84,83
LOCAL,27801105,HC MNDB CORT SCRW 2X5-8MM C1713,87.0,,24.36,74.82,83
LOCAL,27801106,HC MNDB CRTSCRSLFT2X5-18MMSDC1713,81.0,,22.68,69.66,83
LOCAL,27801107,HC MNDB CRTSCRSS2X6-18MMCRHDC1713,43.0,,12.04,36.98,83
LOCAL,27801108,HC MNDB CRTXSCRSFT2.4X8-40MMC1713,125.0,,35.0,107.5,83
LOCAL,27801109,HC MNDB EMRG SCRW 2.4X8-18MMC1713,136.0,,38.08,116.96,83
LOCAL,27801110,HC MNDB EMRG SCRW 2X6-18MM C1713,85.0,,23.8,73.1,83
LOCAL,27801111,HC MNDB LCKNG SCRW 2X5-18MM C1713,162.0,,45.36,139.32,83
LOCAL,27801112,HC MNDB LCKNG SCRW2.4X8-24MMC1713,201.0,,56.28,172.86,83
LOCAL,27801113,HC MNDB LCKNSCRWSFTP3X8-24MMC1713,234.0,,65.52,201.24,83
LOCAL,27801114,HC MONARC HAMMOCK SUBFAS,2698.0,,755.44,2320.28,83
LOCAL,27801115,HC MTR SAL RHP B-IMP 350C1789,900.0,,252.0,774.0,83
LOCAL,27801116,HC MTR SAL RMP B-IMP 350C1789,900.0,,252.0,774.0,83
LOCAL,27801117,HC MENTOR SILTEX SALINE ROUND/CONTURA BREAST IMPLANT,1700.0,,476.0,1462.0,83
LOCAL,27801118,HC MTR SAL SLX RMP B-IMP 354C1789,1350.0,,378.0,1161.0,83
LOCAL,27801119,HC MTR SIL RHP B-IMP 350,1600.0,,448.0,1376.0,83
LOCAL,27801120,HC MTR SIL RMP B-IMP 350C1789,1575.0,,441.0,1354.5,83
LOCAL,27801121,HC MTR SIL SLX RHP B-IMP 354C1789,1755.0,,491.4,1509.3,83
LOCAL,27801122,HC MTR SIL SLX RMP B-IMP 354C1789,1665.0,,466.2,1431.9,83
LOCAL,27801123,HC MTR TE SLX LHCP B-IMP 354C1789,2475.0,,693.0,2128.5,83
LOCAL,27801124,HC MTR TE SLX MHCP B-IMP 354C1789,2475.0,,693.0,2128.5,83
LOCAL,27801125,HC MTR TE SLX THCP B-IMP 354C1789,2475.0,,693.0,2128.5,83
LOCAL,27801126,HC MTR TE SRB B-IMP 354C1789,4000.0,,1120.0,3440.0,83
LOCAL,27801127,HC NASAL BILIARY DRAIN CATH C1729,220.0,,61.6,189.2,83
LOCAL,27801128,HC NASO-JJNL FDNGTB-KNDLTYCO,207.0,,57.96,178.02,83
LOCAL,27801129,HC NORIAN CRS FAST PUTTY 5CCC1713,3298.0,,923.44,2836.28,83
LOCAL,27801130,HC NORIAN CRS FAST PUTTY10CCC1713,6116.0,,1712.48,5259.76,83
LOCAL,27801131,HC NORIAN CRS FAST PUTTY15CCC1713,9516.0,,2664.48,8183.76,83
LOCAL,27801132,HC OVERTUBE ESOPH/COLN-SPRUSC1894,990.0,,277.2,851.4,83
LOCAL,27801133,HC OVERTUBE ESOPHAGL-FUJINONC1894,453.0,,126.84,389.58,83
LOCAL,27801134,HC OVESCO OTSC SYSTEM SET 12/6A 12/6T  12/3T,998.0,,279.44,858.28,83
LOCAL,27801135,HC OVESCO OTSC SET 12/6GC,1078.0,,301.84,927.08,83
LOCAL,27801136,HC OVESCO OTSC SYSTEM SET 11/3A 11/6A 11/3T,798.0,,223.44,686.28,83
LOCAL,27801137,HC PATCH 5CMX7.5CMX0.6MM EA C1768,622.0,,174.16,534.92,83
LOCAL,27801138,HC PATCH PERICARDIAL 5*12CM L8699,400.0,,112.0,344.0,83
LOCAL,27801139,HC PEDI 2L CVC 5F*8CM C1751,144.0,,40.32,123.84,83
LOCAL,27801140,HC PEDI 3L CVC 5F*13CM C1751,105.0,,29.4,90.3,83
LOCAL,27801141,HC PEG TUBE KIT W/STYLET,365.0,,102.2,313.9,83
LOCAL,27801142,HC LG FRAG CAN SCRW L8699,93.0,,26.04,79.98,83
LOCAL,27801143,HC PERICARDIAL MEMBRANE EA L8699,738.0,,206.64,634.68,83
LOCAL,27801144,HC PERTION CATH STD BA96.5CML8699,317.0,,88.76,272.62,83
LOCAL,27801145,HC PERTION CATH STD OE 120CM,317.0,,88.76,272.62,83
LOCAL,27801146,HC PF ESOPH STENT 90-120MM,4316.0,,1208.48,3711.76,83
LOCAL,27801147,HC PHASE III LEAD EXTEN 35CMC1883,4878.0,,1365.84,4195.08,83
LOCAL,27801148,HC BILIARY STENT DOUBLE PIGTAIL,162.0,,45.36,139.32,83
LOCAL,27801149,HC PISCES QUAD LEAD KIT,2680.0,,750.4,2304.8,83
LOCAL,27801151,HC PIS-QUAD SOMLD KIT33-45CMC1778,2724.0,,762.72,2342.64,83
LOCAL,27801152,HC PL ARTHLCPATANK6HX100MMSTC1713,2164.0,,605.92,1861.04,83
LOCAL,27801153,HC PL ARTHLCPATANKL7HX116MSTC1713,2224.0,,622.72,1912.64,83
LOCAL,27801154,HC PL COND 4.5CVD12HX278MMLRC1713,3610.0,,1010.8,3104.6,83
LOCAL,27801155,HC PL COND 4.5CVD20HX422MMLTC1713,3910.0,,1094.8,3362.6,83
LOCAL,27801156,HC PL COND 4.5CVD20HX422MMRTC1713,3464.0,,969.92,2979.04,83
LOCAL,27801157,HC PL COND 4.5CVD22H/458MMRTC1713,3532.0,,988.96,3037.52,83
LOCAL,27801158,HC PL COND 4.5CVD22HX458MMLTC1713,3798.0,,1063.44,3266.28,83
LOCAL,27801159,HC PL COND4.5CV10HX242MMLTSTC1713,3614.0,,1011.92,3108.04,83
LOCAL,27801160,HC PL COND4.5CV12HX278MMLRSTC1713,3688.0,,1032.64,3171.68,83
LOCAL,27801161,HC PL COND4.5CV18HX386MMLRSTC1713,3912.0,,1095.36,3364.32,83
LOCAL,27801162,HC PL COND4.5CV20HX422MMLRSTC1713,3988.0,,1116.64,3429.68,83
LOCAL,27801163,HC PL COND4.5CV22HX458MMRLSTC1713,4066.0,,1138.48,3496.76,83
LOCAL,27801164,HC PL COND4.5CVD10HX242MML/RC1713,3536.0,,990.08,3040.96,83
LOCAL,27801165,HC PL COND4.5CVD14HX314MLRSTC1713,3762.0,,1053.36,3235.32,83
LOCAL,27801166,HC PL COND4.5CVD14HX314MML/RC1713,3684.0,,1031.52,3168.24,83
LOCAL,27801167,HC PL COND4.5CVD16HX350MML/RC1713,3756.0,,1051.68,3230.16,83
LOCAL,27801168,HC PL COND4.5CVD16HX350MMRSTC1713,3834.0,,1073.52,3297.24,83
LOCAL,27801169,HC PL CONXD4.5CVD18HX386MMLRC1713,3834.0,,1073.52,3297.24,83
LOCAL,27801170,HC PL MESH1.5MMCTRRGSMARCGLDC1713,1026.0,,287.28,882.36,83
LOCAL,27801171,HC PL NEURO ORB RIM 12HLOPROC1713,402.0,,112.56,345.72,83
LOCAL,27801172,HC PL RECON LCKG LP 3.5MM 3HC1713,1098.0,,307.44,944.28,83
LOCAL,27801173,HC PL RECON LCKG LP 3.5MM 4HC1713,1150.0,,322.0,989.0,83
LOCAL,27801174,HC PL RECON LCKG LP 3.5MM 5HC1713,1202.0,,336.56,1033.72,83
LOCAL,27801175,HC PL RECON LCKG LP 3.5MM 6HC1713,1252.0,,350.56,1076.72,83
LOCAL,27801176,HC PL RECON LCKG LP 3.5MM 7HC1713,1302.0,,364.56,1119.72,83
LOCAL,27801177,HC PL RECON LCKG LP 3.5MM 8HC1713,1354.0,,379.12,1164.44,83
LOCAL,27801178,HC PL RECON LCKG LP 3.5MM 9HC1713,1404.0,,393.12,1207.44,83
LOCAL,27801179,HC PL RECON LCKG LP 3.5MM10HC1713,1454.0,,407.12,1250.44,83
LOCAL,27801180,HC PL RECON LCKG LP 3.5MM11HC1713,1506.0,,421.68,1295.16,83
LOCAL,27801181,HC PL RECON LCKG LP 3.5MM12HC1713,1554.0,,435.12,1336.44,83
LOCAL,27801182,HC PL RECON LCKG LP 3.5MM13HC1713,1606.0,,449.68,1381.16,83
LOCAL,27801183,HC PL RECON LCKG LP 3.5MM14HC1713,1658.0,,464.24,1425.88,83
LOCAL,27801184,HC PL RECON LCKG LP 3.5MM15HC1713,1710.0,,478.8,1470.6,83
LOCAL,27801185,HC PL RECON LCKG LP 3.5MM16HC1713,1760.0,,492.8,1513.6,83
LOCAL,27801186,HC PL RECON LCKG LP 3.5MM18HC1713,1808.0,,506.24,1554.88,83
LOCAL,27801187,HC PL RECON LCKG LP 3.5MM20HC1713,1862.0,,521.36,1601.32,83
LOCAL,27801188,HC PL RECON WANGL LP 3.5MM3HC1713,674.0,,188.72,579.64,83
LOCAL,27801189,HC PL RECON WANGL LP 3.5MM4HC1713,706.0,,197.68,607.16,83
LOCAL,27801190,HC PL RECON WANGL LP 3.5MM5HC1713,738.0,,206.64,634.68,83
LOCAL,27801191,HC PL RECON WANGL LP 3.5MM6HC1713,770.0,,215.6,662.2,83
LOCAL,27801192,HC PL RECON WANGL LP 3.5MM7HC1713,802.0,,224.56,689.72,83
LOCAL,27801193,HC PL RECON WANGL LP 3.5MM8HC1713,834.0,,233.52,717.24,83
LOCAL,27801194,HC PL RECON WANGL LP 3.5MM9HC1713,868.0,,243.04,746.48,83
LOCAL,27801195,HC PL RECON WANGL LP3.5MM10HC1713,900.0,,252.0,774.0,83
LOCAL,27801196,HC PL RECON WANGL LP3.5MM11HC1713,948.0,,265.44,815.28,83
LOCAL,27801197,HC PL RECON WANGL LP3.5MM12HC1713,1002.0,,280.56,861.72,83
LOCAL,27801198,HC PL RECON WANGL LP3.5MM13HC1713,1054.0,,295.12,906.44,83
LOCAL,27801199,HC PL RECON WANGL LP3.5MM14HC1713,1100.0,,308.0,946.0,83
LOCAL,27801200,HC PL RECON WANGL LP3.5MM15HC1713,1152.0,,322.56,990.72,83
LOCAL,27801201,HC PL RECON WANGL LP3.5MM16HC1713,1204.0,,337.12,1035.44,83
LOCAL,27801202,HC PL RECON WANGL LP3.5MM18HC1713,1256.0,,351.68,1080.16,83
LOCAL,27801203,HC PL RECON WANGL LP3.5MM20HC1713,1304.0,,365.12,1121.44,83
LOCAL,27801204,HC PLC 2ANG LG 4X20X4H 2MMTIC1713,3105.0,,869.4,2670.3,83
LOCAL,27801205,HC PLC 2ANG LG 5X22X5H 2MMTIC1713,3279.0,,918.12,2819.94,83
LOCAL,27801206,HC PLC 2ANG LG 6X24X6H 2MMTIC1713,2874.0,,804.72,2471.64,83
LOCAL,27801207,HC PLC STR 12H 2MM TI 1.5 C1713,2874.0,,804.72,2471.64,83
LOCAL,27801208,HC PLC STR 20H 2MM TI 1.5 C1713,1623.0,,454.44,1395.78,83
LOCAL,27801209,HC PLC STR 3X3H 2MM TI 1.5C1713,854.0,,239.12,734.44,83
LOCAL,27801210,HC PLC XTR TI 2MM LFT/RT L8699,2817.0,,788.76,2422.62,83
LOCAL,27801211,HC PLC XTR TI 2MM STR 12H L8699,1234.0,,345.52,1061.24,83
LOCAL,27801212,HC PLC XTR TI 2MM STR 20H L8699,1704.0,,477.12,1465.44,83
LOCAL,27801213,HC PLC XTR TI2MM 2ANG4X20X4HL8699,3256.0,,911.68,2800.16,83
LOCAL,27801214,HC PLC XTR TI2MM 2ANG5X22X5HL8699,2861.0,,801.08,2460.46,83
LOCAL,27801215,HC PLC XTR TI2MM 2ANG6X24X6HL8699,3014.0,,843.92,2592.04,83
LOCAL,27801216,HC PLT LCK CUB2.4MM/2.7MML/RC1713,1702.0,,476.56,1463.72,83
LOCAL,27801217,HC PLT NAVI LCK 2.4MM/2.7MM C1713,1748.0,,489.44,1503.28,83
LOCAL,27801218,HC PLT SYM PUBIC 3.5MM4H2DCPC1713,1810.0,,506.8,1556.6,83
LOCAL,27801219,HC PLT SYM PUBIC 3.5MM6H2DCPC1713,1988.0,,556.64,1709.68,83
LOCAL,27801220,HC PLT SYMPHYSIS PUBC3.5MM4HC1713,1650.0,,462.0,1419.0,83
LOCAL,27801221,HC PLT SYMPHYSIS PUBC3.5MM6HC1713,1806.0,,505.68,1553.16,83
LOCAL,27801222,HC PLT TALUS LCK 2.4MM/2.7MMC1713,1680.0,,470.4,1444.8,83
LOCAL,27801223,HC PLTE LP STR NEURO 9MM 2H C1713,65.0,,18.2,55.9,83
LOCAL,27801224,HC PLTE SPRING 1H 3.5MM C1713,472.0,,132.16,405.92,83
LOCAL,27801225,HC PLTE SPRING 1H STRL 3.5MMC1713,550.0,,154.0,473.0,83
LOCAL,27801226,HC PLTE SPRING 2 H 3.5MM C1713,512.0,,143.36,440.32,83
LOCAL,27801227,HC PLTE SPRING 2H STRL 3.5MMC1713,590.0,,165.2,507.4,83
LOCAL,27801228,HC PLTE SPRING 3H 3.5MM C1713,562.0,,157.36,483.32,83
LOCAL,27801229,HC PLTE SPRING 3H STRL 3.5MMC1713,640.0,,179.2,550.4,83
LOCAL,27801230,HC PLVC 3.5MM PL CVD 8HX94MMC1713,972.0,,272.16,835.92,83
LOCAL,27801231,HC PLVC 3.5MM PL STR 5HX58MMC1713,718.0,,201.04,617.48,83
LOCAL,27801232,HC PLVC 3.5MMPL STR14HX166MMC1713,1110.0,,310.8,954.6,83
LOCAL,27801233,HC PLVC 4.5 PL 14HX221MM C1713,1320.0,,369.6,1135.2,83
LOCAL,27801234,HC PLVC 6.5CANCSCRW FT50-60MC1713,93.0,,26.04,79.98,83
LOCAL,27801235,HC POLYFLEX AIRWAY STENT C1874,3710.0,,1038.8,3190.6,83
LOCAL,27801236,HC PORP INTERPOS DORNHOFFER,654.0,,183.12,562.44,83
LOCAL,27801237,HC PORT 1L W/A-CATH 9.6F C1788,750.0,,210.0,645.0,83
LOCAL,27801238,HC PORT BARD TIT IMPLANT C1788,526.0,,147.28,452.36,83
LOCAL,27801240,HC PORT POWER SLIM6F WH-CATH,850.0,,238.0,731.0,83
LOCAL,27801241,HC PROPATEN 6MM*20CM C1768,1342.0,,375.76,1154.12,83
LOCAL,27801242,HC PROPATEN 6MM*40CM C1768,2844.0,,796.32,2445.84,83
LOCAL,27801243,HC GRAFT VASC PROPATEN THIN WALL W/RMV RINGS (MULT SIZES),5884.0,,1647.52,5060.24,83
LOCAL,27801244,HC PROPATEN 8MM*40CM C1768,3004.0,,841.12,2583.44,83
LOCAL,27801245,HC PROPATEN 8MM*80CM C1768,5474.0,,1532.72,4707.64,83
LOCAL,27801246,HC PROSTH JNT INC ABAUM S-LC1776,698.0,,195.44,600.28,83
LOCAL,27801247,HC PTERIONAL LT/RT 43X44X6MM,1188.0,,332.64,1021.68,83
LOCAL,27801249,HC PUMP MED SYNCHR 20/40ML,23600.0,,6608.0,20296.0,83
LOCAL,27801250,HC QUAD PROGRAMMABLE GEN C1778,15278.0,,4277.84,13139.08,83
LOCAL,27801251,HC QUICK CLIP CLOS DVC VASC C1760,178.0,,49.84,153.08,83
LOCAL,27801252,HC RAPTOR - RETRIEVAL DEVICE,240.0,,67.2,206.4,83
LOCAL,27801254,HC RESOLUTION CLIP CLOSDV VASC,537.0,,150.36,461.82,83
LOCAL,27801255,HC RESORB 1.5MM ADAPT PLTE C1713,334.0,,93.52,287.24,83
LOCAL,27801256,HC RESORB 1.5MM BURR-HOL CVRA4649,482.0,,134.96,414.52,83
LOCAL,27801257,HC RESORB 1.5MM C-MSH50*.5MMC1713,2514.0,,703.92,2162.04,83
LOCAL,27801258,HC RESORB 1.5MM DB Y-PLTE C1713,524.0,,146.72,450.64,83
LOCAL,27801259,HC RESORB 1.5MM OBL L-PLT LTC1713,524.0,,146.72,450.64,83
LOCAL,27801261,HC RESORB 1.5MM ORB RIM PLT C1713,524.0,,146.72,450.64,83
LOCAL,27801262,HC RESORB 1.5MM STR PLTE 2H C1713,232.0,,64.96,199.52,83
LOCAL,27801263,HC RESORB 1.5MM STR PLTE 4H C1713,307.0,,85.96,264.02,83
LOCAL,27801264,HC RESORB 1.5MM X-PLTE C1713,430.0,,120.4,369.8,83
LOCAL,27801265,HC RESORB 1.5MM Y-PLTE C1713,465.0,,130.2,399.9,83
LOCAL,27801266,HC RESORB 1.5MMMSH50*50*.5MMC1713,2040.0,,571.2,1754.4,83
LOCAL,27801267,HC RESORB 1.5MMMSH50*50*.8MMC1713,2123.0,,594.44,1825.78,83
LOCAL,27801268,HC RESORB 1.5MMMSH60*80*.5MMC1713,3494.0,,978.32,3004.84,83
LOCAL,27801269,HC RESORB 1.5MMMSH75*75*.8MMC1713,4176.0,,1169.28,3591.36,83
LOCAL,27801270,HC RESORB 1.5MMSTRUTPLT2*10HC1713,918.0,,257.04,789.48,83
LOCAL,27801271,HC RESORB 1.5MMSTRUTPLT2*18HC1713,1136.0,,318.08,976.96,83
LOCAL,27801272,HC RESORB 1.5MSH100*100*.5MMC1713,4926.0,,1379.28,4236.36,83
LOCAL,27801273,HC RESORB 1.5MSH100*100*.8MMC1713,5460.0,,1528.8,4695.6,83
LOCAL,27801274,HC RESORB 1.5MSH125*125*.8MMC1713,6286.0,,1760.08,5405.96,83
LOCAL,27801275,HC RESORB 1.5ORB FLR PLT.5MMC1713,1420.0,,397.6,1221.2,83
LOCAL,27801276,HC RESORB 1.5SHEET50*50*.5MMC1713,1690.0,,473.2,1453.4,83
LOCAL,27801277,HC RESORB 1.5SHEET75*75*.5MMC1713,2826.0,,791.28,2430.36,83
LOCAL,27801278,HC RESORB 1.5SHEET75*75*.8MMC1713,2984.0,,835.52,2566.24,83
LOCAL,27801279,HC RESORB 2.0MM ADAPTN PLT8HC1713,402.0,,112.56,345.72,83
LOCAL,27801280,HC RESORB 2.0MM ORB RIM PLT C1713,524.0,,146.72,450.64,83
LOCAL,27801281,HC RESORB 2.0MM STR PLTE 2H C1713,210.0,,58.8,180.6,83
LOCAL,27801282,HC RESORB 2.0MM STR PLTE 4H C1713,360.0,,100.8,309.6,83
LOCAL,27801283,HC RESORB 2.0MM Y-PLTE C1713,524.0,,146.72,450.64,83
LOCAL,27801284,HC RESORB 2.0MMOBL L-PLT L/RC1713,452.0,,126.56,388.72,83
LOCAL,27801285,HC RESORB 2.0MMSTRUTPLT2*10HC1713,830.0,,232.4,713.8,83
LOCAL,27801286,HC RESTORE NEUROSTIMC1820,31850.0,,8918.0,27391.0,83
LOCAL,27801287,HC RESVR BURR VENTRIC 12MM,724.0,,202.72,622.64,83
LOCAL,27801288,HC RESVR BURR VENTRIC 7.5MM L8699,531.0,,148.68,456.66,83
LOCAL,27801289,HC RESVR CSF VENT/CONV 12MM,724.0,,202.72,622.64,83
LOCAL,27801290,HC RESVR CSF VENTRIC 12MM L8699,608.0,,170.24,522.88,83
LOCAL,27801291,HC RESVR CSF VENTRIC 28MM,724.0,,202.72,622.64,83
LOCAL,27801292,HC ROTH NET RTRVL DVC-USENDO,200.0,,56.0,172.0,83
LOCAL,27801293,HC ROTH NET-MAXI RETRIVL DVI,260.0,,72.8,223.6,83
LOCAL,27801294,HC RSRB 1.5MM MESH L8699,4926.0,,1379.28,4236.36,83
LOCAL,27801295,HC RSRB CORT SCRW 2.0 PKG2 L8699,176.0,,49.28,151.36,83
LOCAL,27801296,HC RSRB CORT SCRW 2.0 PKG4 L8699,553.0,,154.84,475.58,83
LOCAL,27801297,HC RSRB CORT SCRW L8699,624.0,,174.72,536.64,83
LOCAL,27801298,HC RSRB CORT SCRW PFG2 L8699,268.0,,75.04,230.48,83
LOCAL,27801299,HC RSRB CORT SCRW PKG4 L8699,156.0,,43.68,134.16,83
LOCAL,27801300,HC RSRB CRT SCRW 2.0 PKG 4 L8699,536.0,,150.08,460.96,83
LOCAL,27801301,HC RSRB CRTX SCRW PKG10 L8699,1560.0,,436.8,1341.6,83
LOCAL,27801302,HC RSRB EMRG SCRW L8699,139.0,,38.92,119.54,83
LOCAL,27801303,HC RX BILIARY CB PRELOADED C2625,508.0,,142.24,436.88,83
LOCAL,27801304,HC S&N RCIH-SCREW 5*45-65MM C1713,411.0,,115.08,353.46,83
LOCAL,27801305,HC S&N RCR SCREW 6.4*80-95MMC1713,698.0,,195.44,600.28,83
LOCAL,27801306,HC S&N RCR-SCREW 5*25-40MM C1713,411.0,,115.08,353.46,83
LOCAL,27801307,HC S&N SHC-SCREW 6.5*25MM C1713,370.0,,103.6,318.2,83
LOCAL,27801308,HC S&N TBH-STEM 8/7-10/8.5MMC1713,3390.0,,949.2,2915.4,83
LOCAL,27801309,HC S&N TGK-NAIL 10MM*28-36CMC1713,3389.0,,948.92,2914.54,83
LOCAL,27801310,HC S&N THL-SCREW 4*22-26MM C1713,344.0,,96.32,295.84,83
LOCAL,27801311,HC S&N THL-SCREW 5*28-54MM C1713,416.0,,116.48,357.76,83
LOCAL,27801312,HC S&N TTGK-NAIL 8.5MM*32CM C1713,3389.0,,948.92,2914.54,83
LOCAL,27801313,HC SAFE T-TUBE CL STD10-14MM,328.0,,91.84,282.08,83
LOCAL,27801314,HC SAVI APP TRAY 6-10 C1728,5500.0,,1540.0,4730.0,83
LOCAL,27801315,HC SCRW MTRX NEURO L8699,615.0,,172.2,528.9,83
LOCAL,27801316,HC SD 1X8 TRIAL LEAD KIT 45 C1897,2724.0,,762.72,2342.64,83
LOCAL,27801317,HC SEPRAME FILM,671.0,,187.88,577.06,83
LOCAL,27801318,"HC SEPRAMESH RECTAN 6*8""",1706.0,,477.68,1467.16,83
LOCAL,27801319,HC SERI SURG SCAFFOLD10*25CM,5900.0,,1652.0,5074.0,83
LOCAL,27801320,HC SF TI 1/3 TUB-PLT WCOL10HC1713,186.0,,52.08,159.96,83
LOCAL,27801321,HC SF-CAN SCREW SS 4*10-50MM,50.0,,14.0,43.0,83
LOCAL,27801322,HC SF-CAN SCREW TI 4*10-50MMC1713,46.0,,12.88,39.56,83
LOCAL,27801323,HC SF-CAN SCREW SS FT4*10-60MM,50.0,,14.0,43.0,83
LOCAL,27801324,HC SF-CAN SCRWSS PT4*10-50MMC1713,42.0,,11.76,36.12,83
LOCAL,27801325,HC SF-CAN SCRWTI FT4*10-60MMC1713,46.0,,12.88,39.56,83
LOCAL,27801326,HC SF-COR SCRW SS2.7*10-55MMC1713,53.0,,14.84,45.58,83
LOCAL,27801327,HC SF-COR SCREW SS3.5*10-60MM,59.0,,16.52,50.74,83
LOCAL,27801328,HC SF-COR SCRW TI3.5*10-55MMC1713,59.0,,16.52,50.74,83
LOCAL,27801329,HC SF-LCK SCREW ST3.5*10-60MM,268.0,,75.04,230.48,83
LOCAL,27801330,HC SF-SHFT SCRWSS3.5*16-38MMC1713,49.0,,13.72,42.14,83
LOCAL,27801331,HC SF-SHFT SCRWTI3.5*16-38MMC1713,52.0,,14.56,44.72,83
LOCAL,27801332,HC SG LS-CLIP9-12MM3.5-5.0OPL8699,566.0,,158.48,486.76,83
LOCAL,27801333,HC SHEET DURAL NR 8*6*.060,255.0,,71.4,219.3,83
LOCAL,27801334,HC SHEET DURAL NR 8*6*.090,281.0,,78.68,241.66,83
LOCAL,27801336,HC SHEETING SILCON REINF.004E1399,420.0,,117.6,361.2,83
LOCAL,27801337,HC SHEETING SILCON REINF.007E1399,380.0,,106.4,326.8,83
LOCAL,27801338,HC SHT DURAL NR 8*6*.005-.20,350.0,,98.0,301.0,83
LOCAL,27801339,HC SHT SILICON NONREINF .060E1399,420.0,,117.6,361.2,83
LOCAL,27801341,HC SHUNT ASCITES PERCU L8612,2598.0,,727.44,2234.28,83
LOCAL,27801342,HC SHUNT BPCAROTD13CM*12-16FL8612,122.0,,34.16,104.92,83
LOCAL,27801343,HC SHUNT BPCAROTID1H13CM*10FL8612,130.0,,36.4,111.8,83
LOCAL,27801344,HC SHUNT CARDIAC PERITONEAL L8612,230.0,,64.4,197.8,83
LOCAL,27801345,HC SHUNT DEL REG LEV I 1.5 L8612,3671.0,,1027.88,3157.06,83
LOCAL,27801346,HC SHUNT DELTA CSF UNI RG L2,2333.0,,653.24,2006.38,83
LOCAL,27801347,HC SHUNT DELTA UNIT S-L 23CML6812,3134.0,,877.52,2695.24,83
LOCAL,27801348,HC SHUNT DELTA UNIT S-L I L8612,2891.0,,809.48,2486.26,83
LOCAL,27801349,HC SHUNT DELTA UNIT S-L II L8612,2652.0,,742.56,2280.72,83
LOCAL,27801350,HC SHUNT DENVER ASCITS S-VLVL8612,3266.0,,914.48,2808.76,83
LOCAL,27801351,HC SHUNT D-VLVE 26-40ML/MIN L8699,3266.0,,914.48,2808.76,83
LOCAL,27801352,HC SHUNT OB-PASS  9F*31CM,938.0,,262.64,806.68,83
LOCAL,27801353,HC SHUNT PERIT/VENO L8612,1360.0,,380.8,1169.6,83
LOCAL,27801354,HC SHUNT SM LEV 1 1.5 EA L8699,3213.0,,899.64,2763.18,83
LOCAL,27801355,HC SHUNT SPETZLER LUM L8612,1130.0,,316.4,971.8,83
LOCAL,27801356,HC SHUNT UNIT REG HIGH L6812,1510.0,,422.8,1298.6,83
LOCAL,27801357,HC SHUNT UNIT REG MED L6812,2353.0,,658.84,2023.58,83
LOCAL,27801358,HC SHUNT UNIT SM HIGH L6812,1478.0,,413.84,1271.08,83
LOCAL,27801359,HC SHUNT UNIT SM LOW L6812,2558.0,,716.24,2199.88,83
LOCAL,27801360,HC SHUNT UNIT SM MED L6812,2353.0,,658.84,2023.58,83
LOCAL,27801361,HC SHUNT UNTI REG LOW L6812,2558.0,,716.24,2199.88,83
LOCAL,27801362,HC SHUNT VP UNIT REG 1.5 23CM,1878.0,,525.84,1615.08,83
LOCAL,27801363,HC SHUNT VP UNIT RG 1.5 23CML8612,1878.0,,525.84,1615.08,83
LOCAL,27801364,HC SIEN CRS EXPSM VL12-700CCC1789,1050.0,,294.0,903.0,83
LOCAL,27801365,HC SIEN CRS EXPSMMG150-700CCC1789,1790.0,,501.2,1539.4,83
LOCAL,27801366,HC SIEN CRSEXPTXTMG150-700CCC1789,1990.0,,557.2,1711.4,83
LOCAL,27801367,HC SIEN EXP DD CHMB310-780CCC1789,2790.0,,781.2,2399.4,83
LOCAL,27801368,HC SIEN EXP FULLHGT300-800CCC1789,2390.0,,669.2,2055.4,83
LOCAL,27801369,HC SIEN EXP LOWHGT 320-840CCC1789,2390.0,,669.2,2055.4,83
LOCAL,27801370,HC SIEN EXP MODHGT180-830CC C1789,2390.0,,669.2,2055.4,83
LOCAL,27801371,HC SIEN GEL IMP TXT180-450CCC1789,1990.0,,557.2,1711.4,83
LOCAL,27801372,HC SIEN GELIMPTXTHI180-550CCC1789,1990.0,,557.2,1711.4,83
LOCAL,27801373,HC SIEN GELIMPTXTLO170-500CCC1789,1990.0,,557.2,1711.4,83
LOCAL,27801374,HC SIEN GELIMPTXTMD180-700CCC1789,1990.0,,557.2,1711.4,83
LOCAL,27801375,HC SIEN GELIMPTXTRD200-485CCC1789,1990.0,,557.2,1711.4,83
LOCAL,27801376,HC SIEN RCT EXPSM3V30-1000CCC1789,1050.0,,294.0,903.0,83
LOCAL,27801377,HC SIEN RCTEXPSMMG160-1000CCC1789,1100.0,,308.0,946.0,83
LOCAL,27801378,HC SILICON SHEETING NONREINF (PERMANENTLY IMPLANTABLE) .005,350.0,,98.0,301.0,83
LOCAL,27801379,HC SIN1X4STRET-COILEX20-40CMC1883,1558.0,,436.24,1339.88,83
LOCAL,27801380,HC SLING MALE ADVANCE XP (MULT SIZES),13700.0,,3836.0,11782.0,83
LOCAL,27801381,HC SM F T-PLT S-OBL 3H/3HEADC1713,466.0,,130.48,400.76,83
LOCAL,27801382,HC SM FR 1/3 TUBULAR PLTE 2HC1713,120.0,,33.6,103.2,83
LOCAL,27801383,HC SM FR 1/3 TUBULAR PLTE 3HC1713,124.0,,34.72,106.64,83
LOCAL,27801384,HC SM FR 1/3 TUBULAR PLTE 4HC1713,144.0,,40.32,123.84,83
LOCAL,27801385,HC SM FR 1/3 TUBULAR PLTE 5HC1713,144.0,,40.32,123.84,83
LOCAL,27801386,HC SM FR 3.5MM DCP SS PLT 6HC1713,322.0,,90.16,276.92,83
LOCAL,27801387,HC SM FR 3.5MM DCP SS PLT 7HC1713,334.0,,93.52,287.24,83
LOCAL,27801388,HC SM FR 3.5MM DCP SS PLT 8HC1713,350.0,,98.0,301.0,83
LOCAL,27801389,HC SM FR 3.5MM DCP SS PLT10HC1713,374.0,,104.72,321.64,83
LOCAL,27801390,HC SM FR 3.5MMLCP T-PLT 3HRAC1713,688.0,,192.64,591.68,83
LOCAL,27801391,HC SM FR 3.5MMLCP T-PLT 4HRAC1713,716.0,,200.48,615.76,83
LOCAL,27801392,HC SM FR 3.5MMLCP T-PLT 5HRAC1713,786.0,,220.08,675.96,83
LOCAL,27801393,HC SM FR 3.5MMLCP T-PLT 6HRAC1713,918.0,,257.04,789.48,83
LOCAL,27801394,HC SM FR 3.5MMLCP T-PLT 7HRAC1713,1150.0,,322.0,989.0,83
LOCAL,27801395,HC SM FR 4.0MM DCP TI PLT 6HC1713,358.0,,100.24,307.88,83
LOCAL,27801396,HC SM FR 4.0MM DCP TI PLT 8HC1713,384.0,,107.52,330.24,83
LOCAL,27801397,HC SM FR 4.0MM DCP TI PLT 9HC1713,400.0,,112.0,344.0,83
LOCAL,27801398,HC SM FR 4.0MM DCP TI PLT10HC1713,428.0,,119.84,368.08,83
LOCAL,27801399,HC SM FR CLOVERLEAF SS PLT3HC1713,652.0,,182.56,560.72,83
LOCAL,27801400,HC SM FR CLOVERLEAF SS PLT4HC1713,698.0,,195.44,600.28,83
LOCAL,27801401,HC SM FR CLOVERLEAF TI PLT3HC1713,732.0,,204.96,629.52,83
LOCAL,27801402,HC SM FR CLOVERLEAF TI PLT4HC1713,770.0,,215.6,662.2,83
LOCAL,27801403,HC SM FR LCP LCK REC PLT 10HC1713,1250.0,,350.0,1075.0,83
LOCAL,27801404,HC SM FR LCP LCK REC PLT 12HC1713,1358.0,,380.24,1167.88,83
LOCAL,27801405,HC SM FR LCP LCK REC PLTE 5HC1713,954.0,,267.12,820.44,83
LOCAL,27801406,HC SM FR LCP LCK REC PLTE 6HC1713,1104.0,,309.12,949.44,83
LOCAL,27801407,HC SM FR LCP LCK REC PLTE 7HC1713,1160.0,,324.8,997.6,83
LOCAL,27801408,HC SM FR LCP LCK REC PLTE 8HC1713,1210.0,,338.8,1040.6,83
LOCAL,27801409,HC SM FR LCP T-PLTE L/R 3H C1713,782.0,,218.96,672.52,83
LOCAL,27801410,HC SM FR LCP T-PLTE L/R 4H C1713,820.0,,229.6,705.2,83
LOCAL,27801411,HC SM FR LCP T-PLTE L/R 5H C1713,854.0,,239.12,734.44,83
LOCAL,27801412,HC SM FR LCP T-PLTE L/R 7H C1713,928.0,,259.84,798.08,83
LOCAL,27801413,HC SM FR SS 1/3TUB LCP PLT6HC1713,372.0,,104.16,319.92,83
LOCAL,27801414,HC SM FR SS 1/3TUB LCP PLT7HC1713,380.0,,106.4,326.8,83
LOCAL,27801415,HC SM FR SS 1/3TUB LCP PLT8HC1713,398.0,,111.44,342.28,83
LOCAL,27801416,HC SM FR SS 1/3TUB LCPPLT10HC1713,398.0,,111.44,342.28,83
LOCAL,27801417,HC SM FR SS 1/3TUB LCPPLT12HC1713,414.0,,115.92,356.04,83
LOCAL,27801418,HC SM FR SS1/3 TUB LCP PLT5HC1713,372.0,,104.16,319.92,83
LOCAL,27801419,HC SM FR TI 1/3 TUBULR PLT2HC1713,136.0,,38.08,116.96,83
LOCAL,27801420,HC SM FR TI 1/3 TUBULR PLT4HC1713,173.0,,48.44,148.78,83
LOCAL,27801421,HC SM FR TI 1/3 TUBULR PLT5HC1713,173.0,,48.44,148.78,83
LOCAL,27801422,HC SM FR TI 1/3 TUBULR PLT6HC171,180.0,,50.4,154.8,83
LOCAL,27801423,HC SM FR TI T-PLT SM 3H OBL C1713,522.0,,146.16,448.92,83
LOCAL,27801424,HC SM FR TI T-PLT SM 4H OBL C1713,550.0,,154.0,473.0,83
LOCAL,27801425,HC SM FR TI T-PLT SM 5H OBL C1713,576.0,,161.28,495.36,83
LOCAL,27801426,HC SM FR TI T-PLT SM 5HC1713,348.0,,97.44,299.28,83
LOCAL,27801427,HC SM FR TI TPLT SOBL5H3H HDC1713,508.0,,142.24,436.88,83
LOCAL,27801428,HC SM FR TI T-PLTE SM 3H C1713,304.0,,85.12,261.44,83
LOCAL,27801429,HC SM FR T-PLT SM 3H/3H HEADC1713,268.0,,75.04,230.48,83
LOCAL,27801430,HC SM FRAG SS WASHER,56.0,,15.68,48.16,83
LOCAL,27801431,HC SM FRAG TIT WASHER C1713,61.0,,17.08,52.46,83
LOCAL,27801432,HC SM FRG SHFT SCRW L8699,54.0,,15.12,46.44,83
LOCAL,27801433,HC SNARE - CAPTIVATOR,66.0,,18.48,56.76,83
LOCAL,27801434,HC SNARE-DUCKBILL RETRIEVLDV,64.0,,17.92,55.04,83
LOCAL,27801435,HC SNEX CAGE L8699,18962.0,,5309.36,16307.32,83
LOCAL,27801436,HC SNYMESH SPNE TRANS L8699,2946.0,,824.88,2533.56,83
LOCAL,27801437,HC SNYNMESH 12-15X32 L8699,6125.0,,1715.0,5267.5,83
LOCAL,27801438,HC SP THRCANTI LS5.5X22-54MML8699,1089.0,,304.92,936.54,83
LOCAL,27801439,HC SPHINCTERTOME TRPLLMN.035,363.0,,101.64,312.18,83
LOCAL,27801440,HC SPINE CAN SCRW3.5*10-12MML8699,148.0,,41.44,127.28,83
LOCAL,27801441,HC SPN CLK'X 3-D HD L8699,1152.0,,322.56,990.72,83
LOCAL,27801442,HC SPN CLK'X LC 3-D HD L8699,504.0,,141.12,433.44,83
LOCAL,27801443,HC SPN CLKX MNPDSCR4.2X25-40L8699,1759.0,,492.52,1512.74,83
LOCAL,27801444,HC SPN CLKX MNPDSCR5.2X25-55L8699,1759.0,,492.52,1512.74,83
LOCAL,27801445,HC SPN CLKX MNPDSCR6.2X25-50L8699,1759.0,,492.52,1512.74,83
LOCAL,27801446,HC SPN CLKX MNPDSCR6.2X55-65L8699,1759.0,,492.52,1512.74,83
LOCAL,27801447,HC SPN CLKX MNPDSCR7X25-100ML8699,1759.0,,492.52,1512.74,83
LOCAL,27801448,HC SPN CLKX MNPDSCR8X25-100ML8699,1759.0,,492.52,1512.74,83
LOCAL,27801449,HC SPN CLKX MNPDSCRX35-100MML8699,1759.0,,492.52,1512.74,83
LOCAL,27801450,HC SPN CORTX SCRW3.2X20-22MML8699,151.0,,42.28,129.86,83
LOCAL,27801451,HC SPN CRVCSCRSDF4.5X12-20MML8699,616.0,,172.48,529.76,83
LOCAL,27801452,HC SPHINCTERTOME CRVCSCRSDFXV4X12-20MM,525.0,,147.0,451.5,83
LOCAL,27801453,HC SPN CVCSCRSTFXV4.5X12-20ML8699,506.0,,141.68,435.16,83
LOCAL,27801454,HC SPN CVCSCRSTFXVANG4X12-20L8699,460.0,,128.8,395.6,83
LOCAL,27801455,HC SPN ROD TAPRD L8699,2425.0,,679.0,2085.5,83
LOCAL,27801456,HC SPN THOR L-PLTE 64MM L8699,6537.0,,1830.36,5621.82,83
LOCAL,27801457,HC SPN THOR L-PLTE 67MM L8699,6807.0,,1905.96,5854.02,83
LOCAL,27801458,HC SPN THOR L-PLTE 70-79MM L8699,7139.0,,1998.92,6139.54,83
LOCAL,27801459,HC SPN THOR L-PLTE 94MM L8699,7708.0,,2158.24,6628.88,83
LOCAL,27801460,HC SPN THOR L-PLTE 97MM L8699,7768.0,,2175.04,6680.48,83
LOCAL,27801461,HC SPN THOR TI LP 100-109MM L8699,7771.0,,2175.88,6683.06,83
LOCAL,27801462,HC SPN THOR TI LP 40-61MM L8699,6056.0,,1695.68,5208.16,83
LOCAL,27801463,HC SPN THOR TI LP 82-91MM L8699,7073.0,,1980.44,6082.78,83
LOCAL,27801464,HC SPN TIVCTRAPL4LVL60-100MML8699,3600.0,,1008.0,3096.0,83
LOCAL,27801465,HC SPN TIVECTRAPL1LVL14-26MML8699,2870.0,,803.6,2468.2,83
LOCAL,27801466,HC SPHINCTERTOME TIVECTRAPL2LVL28-46MM,3080.0,,862.4,2648.8,83
LOCAL,27801467,HC SPN TIVECTRAPL3LVL45-69MML8699,3288.0,,920.64,2827.68,83
LOCAL,27801468,HC SPNCNSCRW3.5X10-24MMSTRLKL8699,342.0,,95.76,294.12,83
LOCAL,27801469,HC SPNTAP4-4.5CANBNSCR.220MML8699,402.0,,112.56,345.72,83
LOCAL,27801470,HC SPRAY CATHETER - OLYMPUS,338.0,,94.64,290.68,83
LOCAL,27801471,"HC ST LIN LD 0.014""S 50-70CM",2000.0,,560.0,1720.0,83
LOCAL,27801473,HC STEINMAN PIN 2-2.4MM L8699,14.0,,3.92,12.04,83
LOCAL,27801474,HC STEINMAN PIN 5/32 (4.0MM)L8699,18.0,,5.04,15.48,83
LOCAL,27801475,HC STEINMAN PINTHRD3.2-3.6MM,31.0,,8.68,26.66,83
LOCAL,27801476,HC STENT BILIARY DOUBLE PIGTAIL W INTRODUCER 10X5-9CM,230.0,,64.4,197.8,83
LOCAL,27801477,HC STENT BILRY UCNI TAEWOONG,1980.0,,554.4,1702.8,83
LOCAL,27801478,HC STENT CB PRELOADEDC2625,270.0,,75.6,232.2,83
LOCAL,27801479,HC STENT ESOPH UCNI TAEWOONGC1876,3060.0,,856.8,2631.6,83
LOCAL,27801480,HC STENT INSERT KIT-OLYMPUS (MULT SIZES),144.0,,40.32,123.84,83
LOCAL,27801481,HC STENT INTRODUCR SYS-OASIS,134.0,,37.52,115.24,83
LOCAL,27801482,HC STENT PANCREATIC,110.0,,30.8,94.6,83
LOCAL,27801484,HC STNT ENDOMAXX ESOPHAGL FCC1876,4800.0,,1344.0,4128.0,83
LOCAL,27801485,HC STNT ESOPH IIWL18F*20*100C1874,3660.0,,1024.8,3147.6,83
LOCAL,27801486,HC STR KF-STEM W/OBODY9-13MMC1713,6650.0,,1862.0,5719.0,83
LOCAL,27801487,HC STR K-TIBAL INSERT10-13MM,2722.0,,762.16,2340.92,83
LOCAL,27801488,HC STR K-TIBIAL BASEPLAT S-LC1713,7202.0,,2016.56,6193.72,83
LOCAL,27801489,HC STR KT-INSERT M/L 10-16MMC1776,2749.0,,769.72,2364.14,83
LOCAL,27801490,HC STRK SLD-FEMORAL COM 65MMC1776,17171.0,,4807.88,14767.06,83
LOCAL,27801491,HC STRUT INCUS KARTSH2.7-5MM,670.0,,187.6,576.2,83
LOCAL,27801492,HC STRYKER CN SCREW6.5*40-120MM,640.0,,179.2,550.4,83
LOCAL,27801493,HC STRY KS-TIBIAL COM10-13MMC1776,2722.0,,762.16,2340.92,83
LOCAL,27801494,HC STRYACETAB SHELL54MMHMSPHC1713,2750.0,,770.0,2365.0,83
LOCAL,27801495,HC STRYKER BONE CEMT W/TOBRAMY,455.0,,127.4,391.3,83
LOCAL,27801496,HC STRYKER EXTEN PIECE40-100MM,7092.0,,1985.76,6099.12,83
LOCAL,27801497,HC STRYKER FTL-SCREW 4*22-60MM,488.0,,136.64,419.68,83
LOCAL,27801498,HC STRYK H-ACETAB SHELL 54MMC1776,4003.0,,1120.84,3442.58,83
LOCAL,27801499,HC STRYKER HL-NAIL 9*250-280MM,4016.0,,1124.48,3453.76,83
LOCAL,27801500,HC STRYK HSS-ACET SHELL 54MMC1776,4376.0,,1225.28,3763.36,83
LOCAL,27801501,HC STRYKER HUMERAL HEAD40-44MM,8421.0,,2357.88,7242.06,83
LOCAL,27801502,HC STRYK HYDROSET BONE 10CC L8699,6690.0,,1873.2,5753.4,83
LOCAL,27801503,HC STRYK KF-STEM EXT 10-11MMC1776,2697.0,,755.16,2319.42,83
LOCAL,27801504,HC STRYKER KNEE TIBIAL BEARING,6990.0,,1957.2,6011.4,83
LOCAL,27801505,HC STRYKER KSR-FEMOR COMP 65MM,17171.0,,4807.88,14767.06,83
LOCAL,27801506,HC STRYK K-TIBIAL COMP XS/XLC1776,6990.0,,1957.2,6011.4,83
LOCAL,27801507,HC STRYKER LSD-FEMOR COMP 65MM,17018.0,,4765.04,14635.48,83
LOCAL,27801508,HC STRYKER M/F H-BODY 40-140MM,6538.0,,1830.64,5622.68,83
LOCAL,27801509,HC STRYK TIBIAL NAIL10*330MMC1713,4024.0,,1126.72,3460.64,83
LOCAL,27801510,HC STRYKER ACETAB SHELL 54MMC1776,4003.0,,1120.84,3442.58,83
LOCAL,27801511,HC STRYKER BONE PLUG SM-LG,294.0,,82.32,252.84,83
LOCAL,27801512,HC STRYKER CHFL-STEM 11-13MM,12001.0,,3360.28,10320.86,83
LOCAL,27801513,HC STRYKER CHFL-STEM11*203MMC1776,9335.0,,2613.8,8028.1,83
LOCAL,27801514,HC STRYKER CL HIP STEM #4 C1776,3850.0,,1078.0,3311.0,83
LOCAL,27801515,HC STRYKER CLH-STEM #5-#7,3850.0,,1078.0,3311.0,83
LOCAL,27801516,HC STRYKER DH-AXLE PIN C1713,1035.0,,289.8,890.1,83
LOCAL,27801517,HC STRYKER DSK-AXLE,2445.0,,684.6,2102.7,83
LOCAL,27801518,HC STRYKER EON H-STEM #5-#6 C1776,7010.0,,1962.8,6028.6,83
LOCAL,27801519,HC STRYKER FEM COMP PROX STD,10915.0,,3056.2,9386.9,83
LOCAL,27801520,HC STRYKER HC-SCREW 16-60MM,294.0,,82.32,252.84,83
LOCAL,27801521,HC STRYKER HGP-SCREW 20-60MMC1713,305.0,,85.4,262.3,83
LOCAL,27801522,HC STRYKER HGRA-SHELL48-56MMC1776,6041.0,,1691.48,5195.26,83
LOCAL,27801523,HC STRYKER HIP C-TAPER HEAD C1776,2142.0,,599.76,1842.12,83
LOCAL,27801524,HC STRYKER HIP F-HEAD28MMS-L,1430.0,,400.4,1229.8,83
LOCAL,27801525,HC STRYKER HIP U-HEAD42-58MM,1650.0,,462.0,1419.0,83
LOCAL,27801526,HC STRYKER HL-SCREW5*35-65MM,502.0,,140.56,431.72,83
LOCAL,27801527,HC STRYKER HOHS-SHOULDER SYSC1776,3315.0,,928.2,2850.9,83
LOCAL,27801528,HC STRYKER HUD-SPACER 9-15MM,315.0,,88.2,270.9,83
LOCAL,27801529,HC STRYKER HUM S-SEC 7-9MM C1776,8608.0,,2410.24,7402.88,83
LOCAL,27801530,HC STRYKER HUM STEM 11*115MMC1776,8608.0,,2410.24,7402.88,83
LOCAL,27801531,HC STRYKER IH-STEM 50*100MM C1776,5709.0,,1598.52,4909.74,83
LOCAL,27801532,HC STRYKER KA-PATELLA 11MM C1776,1594.0,,446.32,1370.84,83
LOCAL,27801533,HC STRYKER K-BMPR STD 10MM C1776,1478.0,,413.84,1271.08,83
LOCAL,27801534,HC STRYKER KCL-PIECE 80-90MMC1776,10361.0,,2901.08,8910.46,83
LOCAL,27801535,HC STRYKER K-FEMORAL COMP C1776,11861.0,,3321.08,10200.46,83
LOCAL,27801536,HC STRYKER KF-STEM 9-15MM,9179.0,,2570.12,7893.94,83
LOCAL,27801537,HC STRYKER KF-STEM EXT 15MM C1776,2448.0,,685.44,2105.28,83
LOCAL,27801538,HC STRYKER KNEE BUMPER,1466.0,,410.48,1260.76,83
LOCAL,27801539,HC STRYKER KNEE TIBIAL SLVE L8699,1226.0,,343.28,1054.36,83
LOCAL,27801540,HC STRYKER K-PROX TIBIA 80MMC1776,17473.0,,4892.44,15026.78,83
LOCAL,27801541,HC STRYKER KS-PATELLA 27*8MMC1776,1594.0,,446.32,1370.84,83
LOCAL,27801542,HC STRYKER K-TIBIAL COM XS-M,3615.0,,1012.2,3108.9,83
LOCAL,27801543,HC STRYKER LG H-STEM #5-#7 C1776,10267.0,,2874.76,8829.62,83
LOCAL,27801544,HC STRYKER LHGA-SHELL 52MM C1776,7248.0,,2029.44,6233.28,83
LOCAL,27801545,HC STRYKER LK-TIBIAL BEARINGC1776,6336.0,,1774.08,5448.96,83
LOCAL,27801546,HC STRYKER M-HUM STM 9*115MM,8421.0,,2357.88,7242.06,83
LOCAL,27801547,HC STRYKER RL-SCREW 6.5*85MMC1713,642.0,,179.76,552.12,83
LOCAL,27801548,HC STRYKER RR-NAIL 9*360MM C1713,5258.0,,1472.24,4521.88,83
LOCAL,27801549,HC STRYKER SH-HEAD 45*18MM C1776,2932.0,,820.96,2521.52,83
LOCAL,27801550,HC STRYKER SL-ULNA/ELBOW COMC1776,5651.0,,1582.28,4859.86,83
LOCAL,27801551,HC STRYKER SM FEMORAL BUSHNG,738.0,,206.64,634.68,83
LOCAL,27801552,HC STRYKER SS CANN WASHER A4649,80.0,,22.4,68.8,83
LOCAL,27801553,HC STRYKR K-PS F-EXT 11-12MMC1776,1981.0,,554.68,1703.66,83
LOCAL,27801554,HC STRYKR KRS-FMORL COMP65MMC1776,17018.0,,4765.04,14635.48,83
LOCAL,27801555,HC STYK HUMER I-STEM 25*75MMC1776,5709.0,,1598.52,4909.74,83
LOCAL,27801556,HC STYKER HUMERAL IA-SCREW C1713,983.0,,275.24,845.38,83
LOCAL,27801557,HC STYKER K-TIBIAL ROT COMP C1776,7046.0,,1972.88,6059.56,83
LOCAL,27801558,HC SUBCOM1X8PER LDKIT46-60CMC1778,4864.0,,1361.92,4183.04,83
LOCAL,27801559,HC SUBCOMP 1X8 TRL LD KI 45CC1897,2724.0,,762.72,2342.64,83
LOCAL,27801560,HC SUG LG A-CLIP PERMAN 14MML8699,550.0,,154.0,473.0,83
LOCAL,27801561,HC SUG LG A-CLIP PERMANENT L8699,540.0,,151.2,464.4,83
LOCAL,27801562,HC SUG STD A-CLIP TEMPORARY L8699,594.0,,166.32,510.84,83
LOCAL,27801563,HC SUGITA A-CLIP MINI 4-6MM L8699,594.0,,166.32,510.84,83
LOCAL,27801564,HC SUGITA LSA-CLIP 9MM 3.5OPL8699,560.0,,156.8,481.6,83
LOCAL,27801565,HC SUGITA STD A-CLIP 6-10MM L8699,594.0,,166.32,510.84,83
LOCAL,27801566,HC SUMMIT MFAB-SCREW 4*18MM C1713,2040.0,,571.2,1754.4,83
LOCAL,27801567,HC SV-OMNI FLSH CATH 5F*65CMC1887,28.0,,7.84,24.08,83
LOCAL,27801568,HC SYN CE-SCREW 4.35*12-14MMC1713,444.0,,124.32,381.84,83
LOCAL,27801569,HC SYN3.5TRNSVBARW/CLMP5-6MML8699,722.0,,202.16,620.92,83
LOCAL,27801570,HC SYNCX PF-SCREW3.5*18-50MML8699,2824.0,,790.72,2428.64,83
LOCAL,27801571,HC SYNERGY 8 CONT EXT 20-40 C1883,1362.0,,381.36,1171.32,83
LOCAL,27801572,HC SYNEX CAGE 0-5DG 23-32MML8699,15518.0,,4345.04,13345.48,83
LOCAL,27801573,HC SYNEX CAGE 0-5DG 26-40MM L8699,17240.0,,4827.2,14826.4,83
LOCAL,27801574,HC SYNEX CAGE -5DG L8699,14176.0,,3969.28,12191.36,83
LOCAL,27801575,HC SYNEX CAGE 6 L8699,19656.0,,5503.68,16904.16,83
LOCAL,27801576,HC SYNEX CAGE -6DG L8699,18674.0,,5228.72,16059.64,83
LOCAL,27801577,HC SYNEX CAGE ENDPLT L8699,14922.0,,4178.16,12832.92,83
LOCAL,27801578,HC SYNEX CAGE0-NG5DG223-31MML8699,14743.0,,4128.04,12678.98,83
LOCAL,27801579,HC SYNEX CAGE0-NG5DG26-40M L8699,16378.0,,4585.84,14085.08,83
LOCAL,27801580,HC SYNEX CAGE0-NG5DG31-56MML8699,18014.0,,5043.92,15492.04,83
LOCAL,27801581,HC SYNH 4.0MMTRANSV BAR SHRT,739.0,,206.92,635.54,83
LOCAL,27801582,HC SYNMESH 15X88 L8699,8904.0,,2493.12,7657.44,83
LOCAL,27801583,HC SYNMESH 17-26X88 L8699,13354.0,,3739.12,11484.44,83
LOCAL,27801584,HC SYNMESH 17X32 L8699,8968.0,,2511.04,7712.48,83
LOCAL,27801585,HC SYNMESH 22-26X64 L8699,11405.0,,3193.4,9808.3,83
LOCAL,27801586,HC SYNMESH E-RING L8699,373.0,,104.44,320.78,83
LOCAL,27801587,HC SYNMESH E-RNG ANT L8699,1129.0,,316.12,970.94,83
LOCAL,27801588,HC SYNMESH L8699,5600.0,,1568.0,4816.0,83
LOCAL,27801589,HC SYNMESH STD RING 17-26MM L8699,481.0,,134.68,413.66,83
LOCAL,27801590,HC SYNMESH STD SCREW 3.0MM L8699,73.0,,20.44,62.78,83
LOCAL,27801591,HC SYNMESH TI STPL L8699,3010.0,,842.8,2588.6,83
LOCAL,27801592,HC SYNPOR TPLT FNFXTN H1.5MM,2250.0,,630.0,1935.0,83
LOCAL,27801593,HC SYNTH 3.5MM TRNSV BAR LNGL8699,773.0,,216.44,664.78,83
LOCAL,27801594,HC SYNTH 4.0MMTRANSV BAR LNGL8699,739.0,,206.92,635.54,83
LOCAL,27801595,HC SYNTHES CP-SCREW 3.5*8-50MM,2558.0,,716.24,2199.88,83
LOCAL,27801596,HC SYNTH CP-SCREW 4.5*8-50MML8699,2826.0,,791.28,2430.36,83
LOCAL,27801597,HC SYNTH CRV ROD 3.5*40-80MML8699,378.0,,105.84,325.08,83
LOCAL,27801598,HC SYNTHES OC-SCREW 4.5*4-18MM,426.0,,119.28,366.36,83
LOCAL,27801599,HC LG FRAGCRTSCSS4.5X36-38MMC1713,46.0,,12.88,39.56,83
LOCAL,27801600,HC SYNTHES 3.5MM TRNSV BAR L8699,773.0,,216.44,664.78,83
LOCAL,27801601,HC SYNTHES CE-SCREW4*12-16MMC1713,321.0,,89.88,276.06,83
LOCAL,27801602,HC SYNTHES CP-SCREW 4*8-50MML8699,2558.0,,716.24,2199.88,83
LOCAL,27801603,HC SYNTHES CRVROD 4*80MM L8699,463.0,,129.64,398.18,83
LOCAL,27801604,HC SYNTHES CSL-PLTE 5H 30MM L8699,1717.0,,480.76,1476.62,83
LOCAL,27801605,HC SYNTHES CSL-PLTE 5H 36MM L8699,1859.0,,520.52,1598.74,83
LOCAL,27801606,HC SYNTHES CSL-PLTE 8H 45MM L8699,1925.0,,539.0,1655.5,83
LOCAL,27801607,HC SYNTHES CSL-PLTE5H24-26MML8699,1665.0,,466.2,1431.9,83
LOCAL,27801608,HC SYNTHES CSL-PLTE8H39-42MML8699,1859.0,,520.52,1598.74,83
LOCAL,27801609,HC SYNTHES CSL-PLTE8H48-54MML8699,1859.0,,520.52,1598.74,83
LOCAL,27801610,HC SYNTHES CSL-PLTE8H57-63MML8699,1951.0,,546.28,1677.86,83
LOCAL,27801611,HC SYNTHES CSL-PLTE9H66-88MML8699,2108.0,,590.24,1812.88,83
LOCAL,27801612,HC SYNTHES DCP B-PLT4.5MM 6HL8699,608.0,,170.24,522.88,83
LOCAL,27801613,HC SYNTHES DCP B-PLT4.5MM 7HL8699,658.0,,184.24,565.88,83
LOCAL,27801614,HC SYNTHES DCP B-PLT4.5MM 8HL8699,732.0,,204.96,629.52,83
LOCAL,27801615,HC SYNTHES DCP B-PLT4.5MM 9HL8699,732.0,,204.96,629.52,83
LOCAL,27801616,HC SYNTHES DCP B-PLT4.5MM10HL8699,732.0,,204.96,629.52,83
LOCAL,27801617,HC SYNTHES DCP B-PLT4.5MM11HL8699,788.0,,220.64,677.68,83
LOCAL,27801618,HC SYNTHES DCP B-PLT4.5MM12HL8699,788.0,,220.64,677.68,83
LOCAL,27801619,HC SYNTHES DCP B-PLT4.5MM14HL8699,788.0,,220.64,677.68,83
LOCAL,27801620,HC SYNTHES DCP N-PLT4.5MM 4HL8699,398.0,,111.44,342.28,83
LOCAL,27801621,HC SYNTHES DCP N-PLT4.5MM 5HL8699,398.0,,111.44,342.28,83
LOCAL,27801622,HC SYNTHES DCP N-PLT4.5MM 6HL8699,448.0,,125.44,385.28,83
LOCAL,27801623,HC SYNTHES DCP N-PLT4.5MM 7HL8699,448.0,,125.44,385.28,83
LOCAL,27801624,HC SYNTHES DCP N-PLT4.5MM 8HL8699,448.0,,125.44,385.28,83
LOCAL,27801625,HC SYNTHES DCP N-PLT4.5MM 9HL8699,448.0,,125.44,385.28,83
LOCAL,27801626,HC SYNTHES DCP N-PLT4.5MM10HL8699,520.0,,145.6,447.2,83
LOCAL,27801627,HC SYNTHES DCP N-PLT4.5MM11HL8699,582.0,,162.96,500.52,83
LOCAL,27801628,HC SYNTHES DCP N-PLT4.5MM12HL8699,582.0,,162.96,500.52,83
LOCAL,27801629,HC SYNTHES HOOK LAM S-L FRNTL8699,1199.0,,335.72,1031.14,83
LOCAL,27801630,HC SYNTHES HOOK LAM THOR FRTL8699,1199.0,,335.72,1031.14,83
LOCAL,27801631,HC SYNTHES HOOK LAM THOR LFTL8699,1045.0,,292.6,898.7,83
LOCAL,27801632,HC SYNTHES HOOK LAMI S-L LFTL8699,1045.0,,292.6,898.7,83
LOCAL,27801633,HC SYNTHES HOOK LAMI S-L RT L8699,1045.0,,292.6,898.7,83
LOCAL,27801634,HC SYNTHES HOOK LAMI THOR RTL8699,1045.0,,292.6,898.7,83
LOCAL,27801635,HC SYNTHES HOOK PED FRNT L8699,1199.0,,335.72,1031.14,83
LOCAL,27801636,HC SYNTHES HOOK PED LFT L8699,1045.0,,292.6,898.7,83
LOCAL,27801637,HC SYNTHES HOOK PED RT L8699,1045.0,,292.6,898.7,83
LOCAL,27801638,HC SYNTHES HOOK TRAN FRT LFTL8699,1199.0,,335.72,1031.14,83
LOCAL,27801639,HC SYNTHES HOOK TRAN FRT RT L8699,1045.0,,292.6,898.7,83
LOCAL,27801640,HC SYNTHES HOOK TRANS LFT L8699,1045.0,,292.6,898.7,83
LOCAL,27801641,HC SYNTHES HOOK TRANS RT L8699,1199.0,,335.72,1031.14,83
LOCAL,27801642,HC SYNTHES L-PLTE 5H 33MM L8699,1721.0,,481.88,1480.06,83
LOCAL,27801643,HC SYNTHES OC-SCREW 5*4-18MM,426.0,,119.28,366.36,83
LOCAL,27801644,HC SYNTHES PB-PROD 3.5*240MM,912.0,,255.36,784.32,83
LOCAL,27801645,HC SYNTHES PC ROD 5.5*80MM C1713,1512.0,,423.36,1300.32,83
LOCAL,27801646,HC SYNTHES SO T-CONN 33-38MM,3050.0,,854.0,2623.0,83
LOCAL,27801647,HC SYNTHES SO T-CONN 38-47MM,3050.0,,854.0,2623.0,83
LOCAL,27801648,HC SYNTHES SO T-CONN 47-62MM,3050.0,,854.0,2623.0,83
LOCAL,27801649,HC SYNTHES SSCRW 7X35MM C1713,512.0,,143.36,440.32,83
LOCAL,27801650,HC SYNTHES TCONN CLMP BDY L8699,568.0,,159.04,488.48,83
LOCAL,27801651,HC SYNTHES TCONN COLLAR 6MM L8699,293.0,,82.04,251.98,83
LOCAL,27801652,HC SYNTHES TI CSL-SCREW1.8MMC1713,65.0,,18.2,55.9,83
LOCAL,27801653,HC SYNTHES TI HD RD120-240MML8699,2082.0,,582.96,1790.52,83
LOCAL,27801654,HC SYNTHES TI H-ROD5.5*200MM,750.0,,210.0,645.0,83
LOCAL,27801655,HC SYNTHES TI H-ROD5.5*300MM,507.0,,141.96,436.02,83
LOCAL,27801656,HC SYNTHES TI H-ROD5.5*400MM,450.0,,126.0,387.0,83
LOCAL,27801657,HC SYNTHES TI MB-SCREW 5*30MM,1500.0,,420.0,1290.0,83
LOCAL,27801658,HC SYNTHES TI MB-SCREW 5*35MM,1500.0,,420.0,1290.0,83
LOCAL,27801659,HC SYNTHES TI MB-SCREW 5*40MM,1500.0,,420.0,1290.0,83
LOCAL,27801660,HC SYNTHES TI MB-SCREW 5*45MM,1500.0,,420.0,1290.0,83
LOCAL,27801661,HC SYNTHES TI MB-SCREW 6*40MM,1500.0,,420.0,1290.0,83
LOCAL,27801662,HC SYNTHES TI MB-SCREW 6*45MM,1500.0,,420.0,1290.0,83
LOCAL,27801663,HC SYNTHES TI MB-SCREW 6*50MM,1500.0,,420.0,1290.0,83
LOCAL,27801664,HC SYNTHES TI MB-SCREW 7*50MM,1500.0,,420.0,1290.0,83
LOCAL,27801665,HC SYNTHES TI MTRX LOCK CAP,450.0,,126.0,387.0,83
LOCAL,27801666,HC SYNTHES TI MTRX PLY HEAD,1700.0,,476.0,1462.0,83
LOCAL,27801667,HC SYNTHES TI P-CONN 6MM L8699,1157.0,,323.96,995.02,83
LOCAL,27801668,HC SYNTHES TI ROD 3.5X80MM L8699,309.0,,86.52,265.74,83
LOCAL,27801669,HC SYNTHES TI ROD 4*120MM,504.0,,141.12,433.44,83
LOCAL,27801670,HC SYNTHES TI ROD 4*80MM,357.0,,99.96,307.02,83
LOCAL,27801671,HC SYNTHES US TI CLMP L8699,1936.0,,542.08,1664.96,83
LOCAL,27801672,HC SYNTHES US TI HLF RNG L8699,382.0,,106.96,328.52,83
LOCAL,27801673,HC SYNTHES USH-ROD 6X50MM L8699,296.0,,82.88,254.56,83
LOCAL,27801674,HC SYNTHES USH-ROD 6X75MM L8699,444.0,,124.32,381.84,83
LOCAL,27801675,HC SYNTHES USS06X75MM L8699,444.0,,124.32,381.84,83
LOCAL,27801676,HC SYNTHES USS-ROD 6X50MM L8699,296.0,,82.88,254.56,83
LOCAL,27801677,HC SYNTHESUSH-ROD6X100-500MML8699,578.0,,161.84,497.08,83
LOCAL,27801678,HC SYNTHESUSS-ROD6X100-150MML8699,578.0,,161.84,497.08,83
LOCAL,27801679,HC TALON RETRIVL DVC-US ENDOC1773,260.0,,72.8,223.6,83
LOCAL,27801680,HC T-BRO STENT CVR8-10MM*4CMC1874,3780.0,,1058.4,3250.8,83
LOCAL,27801681,HC T-BRO STENT N-CVR14MM*3CMC1876,3500.0,,980.0,3010.0,83
LOCAL,27801682,HC THYRPLSTY .75CM*40CM*.6MMC1878,852.0,,238.56,732.72,83
LOCAL,27801683,HC TI 1MMCBL W/SNG CRMP470MML8699,729.0,,204.12,626.94,83
LOCAL,27801684,HC TI ANT/THO LK PLT63-103MML8699,3674.0,,1028.72,3159.64,83
LOCAL,27801685,HC TI ASL-SCREWS 7.5*30-55MML8699,825.0,,231.0,709.5,83
LOCAL,27801686,HC TI BLU SD LCK SCRW2*5-8MMC1713,173.0,,48.44,148.78,83
LOCAL,27801687,HC TI BLU ST LCKSCRW2*5-18MMC1713,161.0,,45.08,138.46,83
LOCAL,27801688,HC TI CAN PLY SCREW 3.504.0,3361.0,,941.08,2890.46,83
LOCAL,27801689,HC TI CAN PLY SCREW 4.5,3485.0,,975.8,2997.1,83
LOCAL,27801690,HC TI CONTOUR MESH,15207.0,,4257.96,13078.02,83
LOCAL,27801691,HC TI CRANI SCRW SD1.5*4-6MMC1713,89.0,,24.92,76.54,83
LOCAL,27801692,HC TI GLD ST CRTXSCR2*4-24MMC1713,84.0,,23.52,72.24,83
LOCAL,27801693,HC TI HUMERAL END CAPT25 0MML8699,402.0,,112.56,345.72,83
LOCAL,27801694,HC TI K-WIRE 2*150MM L8699,40.0,,11.2,34.4,83
LOCAL,27801695,HC TI LAMINA HOOK L8699,2049.0,,573.72,1762.14,83
LOCAL,27801696,HC TI LCK SCRW,282.0,,78.96,242.52,83
LOCAL,27801697,HC TI MTXNEURO EMG SCREW 3-5MM,138.0,,38.64,118.68,83
LOCAL,27801698,HC TI MTXNEURO SD SCREW 3-5MM,138.0,,38.64,118.68,83
LOCAL,27801699,HC TI OCC CLAMP L8699,1616.0,,452.48,1389.76,83
LOCAL,27801700,HC TI OCC PLT  LAT/MD,8406.0,,2353.68,7229.16,83
LOCAL,27801701,HC TI OCC PLT 50-60,11442.0,,3203.76,9840.12,83
LOCAL,27801702,HC TI OCC PLT/ROD L8699,3153.0,,882.84,2711.58,83
LOCAL,27801703,HC TI OARA CIBB K8699,1378.0,,385.84,1185.08,83
LOCAL,27801704,HC TI PARA O-ROD CON L8699,1007.0,,281.96,866.02,83
LOCAL,27801705,HC TI PARA O-ROD CONN 4MM LGL8699,1300.0,,364.0,1118.0,83
LOCAL,27801706,HC TI PARA O-ROD CONN 4MM SML8699,1239.0,,346.92,1065.54,83
LOCAL,27801707,HC TI PARA O-ROD CONN3 5/5M L8699,1252.0,,350.56,1076.72,83
LOCAL,27801708,HC TI PARA O-ROD CONN3 5/6MML8699,1317.0,,368.76,1132.62,83
LOCAL,27801709,HC TI PREBNT ROD,1245.0,,348.6,1070.7,83
LOCAL,27801710,HC TI ROD,801.0,,224.28,688.86,83
LOCAL,27801711,HC TI SLV SD CRTXSCRW2*4-8MMC1713,91.0,,25.48,78.26,83
LOCAL,27801712,HC TI STRML LCK STAR PLT,1171.0,,327.88,1007.06,83
LOCAL,27801713,HC TI STRNL LCK STAR PLT L8699,1290.0,,361.2,1109.4,83
LOCAL,27801714,HC TI STRNL LCK STR L8699,2803.0,,784.84,2410.58,83
LOCAL,27801715,HC TI STRNL LCK STR PL,1463.0,,409.64,1258.18,83
LOCAL,27801716,HC TI STRNL LCK STR PLT,2109.0,,590.52,1813.74,83
LOCAL,27801717,HC TI TEAL EMG SCW2.4*5-18MMC1713,90.0,,25.2,77.4,83
LOCAL,27801718,HC TI TOP LOAD L-HOOK L8699,2178.0,,609.84,1873.08,83
LOCAL,27801719,HC TI TOP LOAD TRANSCON L8699,3418.0,,957.04,2939.48,83
LOCAL,27801720,HC TI TRANCON LCK,234.0,,65.52,201.24,83
LOCAL,27801721,HC TI TRANCON LCK SCRW,420.0,,117.6,361.2,83
LOCAL,27801722,HC TI TRANSCON 60MM,3135.0,,877.8,2696.1,83
LOCAL,27801723,HC TI TRANSCONN 60-75 L8699,2258.0,,632.24,1941.88,83
LOCAL,27801724,HC TISSUE MARKER IMPLANTABL,59.0,,16.52,50.74,83
LOCAL,27801725,HC TORP GOLDENBERGC1776,791.0,,221.48,680.26,83
LOCAL,27801726,HC TRACBRNCH STNTCV12-20X4-8C1874,3780.0,,1058.4,3250.8,83
LOCAL,27801727,HC TRACBRNCH STNTNC8-20X2-80C1876,3500.0,,980.0,3010.0,83
LOCAL,27801728,HC TRACH/BRONCH STENT ALL SZC1874,2984.0,,835.52,2566.24,83
LOCAL,27801729,HC TRANSITION ROD 3/4/3MMC1776,1070.0,,299.6,920.2,83
LOCAL,27801731,HC TRNSGST-JEJN FDTUB-KMCLRK,504.0,,141.12,433.44,83
LOCAL,27801732,HC TVT TENSION FV-TAPE C1771,1890.0,,529.2,1625.4,83
LOCAL,27801733,HC ULTRAFLEX ESOPH UNCVD C1876,3990.0,,1117.2,3431.4,83
LOCAL,27801734,HC UN SPN CRVRODSFT6*45-85MML8699,497.0,,139.16,427.42,83
LOCAL,27801735,HC UNIV SPINE AXON LOCK SCREW,236.0,,66.08,202.96,83
LOCAL,27801736,HC UNIV SPINE BAR L8699,1099.0,,307.72,945.14,83
LOCAL,27801737,HC UNIV SPINE COLL HOOK L8699,296.0,,82.88,254.56,83
LOCAL,27801738,HC UNIV SPINE NUT 11MM L8699,120.0,,33.6,103.2,83
LOCAL,27801739,HC UNIV SPINE OPEN BAR L8699,1174.0,,328.72,1009.64,83
LOCAL,27801740,HC UNIV SPINE SCREW,1395.0,,390.6,1199.7,83
LOCAL,27801741,HC UNIV SPNE CAN T-SCRW L8699,65.0,,18.2,55.9,83
LOCAL,27801742,HC UNIV SPNE SCRW 3.5 L8699,2032.0,,568.96,1747.52,83
LOCAL,27801743,HC UNIV SPNE SCRW BLNT L8699,1106.0,,309.68,951.16,83
LOCAL,27801744,HC UNIV SPNE SCRW L8699,1306.0,,365.68,1123.16,83
LOCAL,27801745,HC UNIV SPNE TRANSCON L8699,9714.0,,2719.92,8354.04,83
LOCAL,27801746,HC UROLUME E-PROSTH1.5-2.5CMC1813,9440.0,,2643.2,8118.4,83
LOCAL,27801747,HC US EXT BLDHK LMNA S-LGL/RL8699,1005.0,,281.4,864.3,83
LOCAL,27801748,HC US EXT BLDHKLMNA FRNTS-LGL8699,1152.0,,322.56,990.72,83
LOCAL,27801749,HC US OP TRANSVERSE BAR 15MML8699,1129.0,,316.12,970.94,83
LOCAL,27801750,HC US PEDIC HK W/O BEVEL L/RL8699,1005.0,,281.4,864.3,83
LOCAL,27801751,HC US PEDIC HK WO BEVEL FRNTL8699,1152.0,,322.56,990.72,83
LOCAL,27801752,HC US RECOPLAMIHK6.5-11MML/RL8699,1005.0,,281.4,864.3,83
LOCAL,27801753,HC US TB EXT BLDHKLMNAS-LL/RL8699,1005.0,,281.4,864.3,83
LOCAL,27801754,HC US TB EXTBLDHKLMNAFRTS-LGL8699,1152.0,,322.56,990.72,83
LOCAL,27801755,HC US TB HK LAMINA FRNT S-LGL8699,1152.0,,322.56,990.72,83
LOCAL,27801756,HC US TB HOOK LAMINASM-LGL/RL8699,1005.0,,281.4,864.3,83
LOCAL,27801757,HC US TI WASHR 16MM/5-7MM ODL8699,65.0,,18.2,55.9,83
LOCAL,27801758,HC US TRNSCONN6*15-30.5MM LPL8699,2317.0,,648.76,1992.62,83
LOCAL,27801759,HC US TRNSCONTI6*31.5-83MMLPL8699,2502.0,,700.56,2151.72,83
LOCAL,27801760,HC U-SPIN TI STAPLSSM5.2-8MML8699,801.0,,224.28,688.86,83
LOCAL,27801761,HC U-SPINE ROD SOFT 6*500MM L8699,562.0,,157.36,483.32,83
LOCAL,27801762,HC U-SPINE TI ROD 3.5*120MM L8699,418.0,,117.04,359.48,83
LOCAL,27801763,HC U-SPINE TI STAPLS 5.2-8MML8699,816.0,,228.48,701.76,83
LOCAL,27801764,HC VAGINAL STENT 9.5-14CM,1650.0,,462.0,1419.0,83
LOCAL,27801765,HC VALVE DELTA REG LEVEL 1,3026.0,,847.28,2602.36,83
LOCAL,27801766,HC VALVE DELTA REG LVL I 1.5L8699,2547.0,,713.16,2190.42,83
LOCAL,27801767,HC VALVE DELTA SML LO CSF1.5L8699,1377.0,,385.56,1184.22,83
LOCAL,27801768,HC VALVE DELTA SML LVL I 1.5L8699,2547.0,,713.16,2190.42,83
LOCAL,27801769,HC VALVE M-PURPOSE HI PRESS,1843.0,,516.04,1584.98,83
LOCAL,27801770,HC VASC RR/TW GRFT10MM*30CM C1768,1326.0,,371.28,1140.36,83
LOCAL,27801771,HC VASCLAR ACC PORT 9.6F C1788,750.0,,210.0,645.0,83
LOCAL,27801772,HC VASCULAR PORT SGL C1788,660.0,,184.8,567.6,83
LOCAL,27801773,HC VISIGLIDE GUIDEWIRE,338.0,,94.64,290.68,83
LOCAL,27801774,HC VIT SF-GRFT20CC25*100*4MMC1763,6320.0,,1769.6,5435.2,83
LOCAL,27801775,HC VLVE FLUSH MISHLER DC HP L8699,1239.0,,346.92,1065.54,83
LOCAL,27801776,HC VP FLUSH VLVE LO/MD MUTIPL8699,2241.0,,627.48,1927.26,83
LOCAL,27801777,HC VP SHUNT UNI RG L1-L2,2891.0,,809.48,2486.26,83
LOCAL,27801778,HC VP STRATA NSC VALVE REG,7258.0,,2032.24,6241.88,83
LOCAL,27801779,HC WALLFLEX  DUODENAL,5290.0,,1481.2,4549.4,83
LOCAL,27801780,HC WALLFLEX BILIARY COVERED,5906.0,,1653.68,5079.16,83
LOCAL,27801781,HC WALLFLEX BILIARY PARTIALLY COVERED,5688.0,,1592.64,4891.68,83
LOCAL,27801782,HC WALLFLEX BILIARY UNCOVD,5688.0,,1592.64,4891.68,83
LOCAL,27801783,HC WALLFLEX COLONIC,5290.0,,1481.2,4549.4,83
LOCAL,27801784,HC WALLFLEX ESOPHAGEAL PARTIALLY COVERED,5296.0,,1482.88,4554.56,83
LOCAL,27801785,HC WALLFLEX ESOPHAGEAL FULLY COVERED,5643.0,,1580.04,4852.98,83
LOCAL,27801786,HC WISCONSIN WIRE E1399,57.0,,15.96,49.02,83
LOCAL,27801787,HC WM OSTEOS RESOB BEAD 25CCC1713,2510.0,,702.8,2158.6,83
LOCAL,27801788,HC PORT PERITONEAL TITANIUM W/O SURECUFF,410.0,,114.8,352.6,83
LOCAL,27801789,HC EYELID WGHT GLD THN 1.6 L8610,662.0,,185.36,569.32,83
LOCAL,27801790,HC PORT VORTEX CV CATH,850.0,,238.0,731.0,83
LOCAL,27801791,HC S&N CRB-SCREW 6.4*80-110MM,966.0,,270.48,830.76,83
LOCAL,27801793,HC S&N LP SCREW 5*50-67.5MM,6524.0,,1826.72,5610.64,83
LOCAL,27801794,HC S&NPRXFMRL-PLT6H4.5*180MMC1713,4460.0,,1248.8,3835.6,83
LOCAL,27801795,HC S&N CL-SCREW 5.7*25-75MM C1713,764.0,,213.92,657.04,83
LOCAL,27801796,HC S&NT25CTXSCREW4.5*26-28MMC1713,72.0,,20.16,61.92,83
LOCAL,27801797,HC S&N TA-NAIL11.5MM*36CM LTC1713,5280.0,,1478.4,4540.8,83
LOCAL,27801798,HC S&N LAG SCREW 90MM C1713,986.0,,276.08,847.96,83
LOCAL,27801799,HC S&N TA-NAIL 13MM*42CM C1713,5280.0,,1478.4,4540.8,83
LOCAL,27801800,HC CLIK ANCHOR,675.0,,189.0,580.5,83
LOCAL,27801801,HC S&N CHS CMP SCREWS 19MM C1713,174.0,,48.72,149.64,83
LOCAL,27801802,HC S&N CB-SCREW 4.5*34-40MM C1713,74.0,,20.72,63.64,83
LOCAL,27801803,HC S&N CLS PLTE 3SLT 130DG C1713,1558.0,,436.24,1339.88,83
LOCAL,27801804,HC ALLERGAN410LMBIM190-320CCC1789,2190.0,,613.2,1883.4,83
LOCAL,27801805,HC ALLERGAN410LLBIM240-300CCC1789,2190.0,,613.2,1883.4,83
LOCAL,27801806,HC ALLERGAN 410ML BIMP 285CCC1789,2190.0,,613.2,1883.4,83
LOCAL,27801807,HC ART TISS EXP HP225-850CC,3600.0,,1008.0,3096.0,83
LOCAL,27801808,HC ALLERGAN 410FL BIMP 320CC,2190.0,,613.2,1883.4,83
LOCAL,27801809,HC ALLERGAN410LFBIM175-595CCC1789,2190.0,,613.2,1883.4,83
LOCAL,27801810,HC ALLERGAN 410FXBIM185-495CC,2190.0,,613.2,1883.4,83
LOCAL,27801811,HC ALLERGAN 410MXBIM165-445CC,2190.0,,613.2,1883.4,83
LOCAL,27801812,HC ALLERGAN410LXBIM195-405CCC1789,2190.0,,613.2,1883.4,83
LOCAL,27801815,HC 1-STEP CENTESIS CATH SGL 5FX10CM,65.0,,18.2,55.9,83
LOCAL,27801816,HC EAGLE EYE PLATINUM ST,1450.0,,406.0,1247.0,83
LOCAL,27801818,HC LEAD RELIANCE 4SITE BOST,1000.0,,280.0,860.0,83
LOCAL,27801819,HC CATH GUIDE ACUITY LEAD,800.0,,224.0,688.0,83
LOCAL,27801820,HC CATH GUIDE SLITTER ADJ,61.0,,17.08,52.46,83
LOCAL,27801821,HC SPYSCOPE DIGITAL ACCESS DELIVERY CATHETER,5900.0,,1652.0,5074.0,83
LOCAL,27801822,HC J-TUBE TTP BSCI,340.0,,95.2,292.4,83
LOCAL,27801823,HC TRANSGASTRIC JEJUNAL TUBE,418.0,,117.04,359.48,83
LOCAL,27801824,HC FUSION BILIARY CATH COOK,230.0,,64.4,197.8,83
LOCAL,27801826,HC BP SUTRLBE GRAFT 6X8CM,829.0,,232.12,712.94,83
LOCAL,27801828,HC TRAY 5FR DUAL LUMEN PICC CATH 3CG,348.0,,97.44,299.28,83
LOCAL,27801829,HC CATHETER KIT ARTERIAL CHLORAPREP 20GX5CM,138.0,,38.64,118.68,83
LOCAL,27801830,HC TRAY 4FR SINGLE LUMEN PICC CATH 3CG,398.0,,111.44,342.28,83
LOCAL,27801831,HC CATH PICC POWERPICC TRIPLE LUMEN TRAY 5F,402.0,,112.56,345.72,83
LOCAL,27801832,HC CATH PUDENZ PERIT HIGH,338.0,,94.64,290.68,83
LOCAL,27801833,HC BP SUTRLBE GRAFT 4X5 CM,642.0,,179.76,552.12,83
LOCAL,27801834,HC BP SUTRLBE GRAFT 8X12 CM,1367.0,,382.76,1175.62,83
LOCAL,27801835,HC LEAD ICD SPRINT QUATTRO SECURE SNGL-COIL 6935M-55,9660.0,,2704.8,8307.6,83
LOCAL,27801836,HC STENT BILIARY EXPRESS SD 5X19X90CM,2435.0,,681.8,2094.1,83
LOCAL,27801837,HC CATH BALLOON DILAT PTCA MONORAIL NC,340.0,,95.2,292.4,83
LOCAL,27801838,HC CATH PTA STERLING (MULT SIZES),822.0,,230.16,706.92,83
LOCAL,27801839,HC GUIDEWIRE SPARTACORE 5CM 014X190,196.0,,54.88,168.56,83
LOCAL,27801840,HC CATH ANGIO GUIDE RSC RESS MACH 1 7 FR X 55 CM,212.0,,59.36,182.32,83
LOCAL,27801842,HC RU-106 RUTHENIUM BRACHYTHERAPY SOURCE NON-STRANDED,7028.0,,42.136,6044.08,84
LOCAL,27801843,HC JUVEDERM ULTRA PLUS XC HYALURONIC FACIAL FILLER/1CC SYRINGE,698.0,,195.44,600.28,83
LOCAL,27801845,HC FX LCK SCREW 4.75*15-30MM,358.0,,100.24,307.88,83
LOCAL,27801846,HC  M-RGX AUGMENT SM-LG,7696.0,,2154.88,6618.56,83
LOCAL,27801847,HC GLENOSPHERE 41MM,3408.0,,954.24,2930.88,83
LOCAL,27801848,HC HMRL TRAY CO 44MM,3757.0,,1051.96,3231.02,83
LOCAL,27801849,HC TIB B-PLTE SHRT 67MM,7526.0,,2107.28,6472.36,83
LOCAL,27801850,HC OSS REINF YOKE,2380.0,,666.4,2046.8,83
LOCAL,27801851,HC NM-TIBIAL SHRT 75MM,7526.0,,2107.28,6472.36,83
LOCAL,27801852,HC PATELLA STD 31X8MM,2036.0,,570.08,1750.96,83
LOCAL,27801853,HC TUMOR BODY 61MM,9668.0,,2707.04,8314.48,83
LOCAL,27801854,HC IC SEGMENT 60MM,14430.0,,4040.4,12409.8,83
LOCAL,27801855,HC  MOD STEM 8X100MM,7666.0,,2146.48,6592.76,83
LOCAL,27801856,HC GLNSPH MINI B-PLTE 25MM,4222.0,,1182.16,3630.92,83
LOCAL,27801857,HC HUM NAIL 8*260MM,4174.0,,1168.72,3589.64,83
LOCAL,27801858,HC E1 44-41 RTNV +3 HMRL BRG,3392.0,,949.76,2917.12,83
LOCAL,27801859,HC PIN FIXATION OS 40X1.3,1442.0,,403.76,1240.12,83
LOCAL,27801860,"HC RS-STEINMANN PIN 9""",286.0,,80.08,245.96,83
LOCAL,27801861,HC SGMT HIP FLT/CRV WASHER 4MM,3948.0,,1105.44,3395.28,83
LOCAL,27801862,HC SGMT STR FL- STEM 10-12*130MM,7944.0,,2224.32,6831.84,83
LOCAL,27801863,HC SGMT PRX TIB WASHER KT,6154.0,,1723.12,5292.44,83
LOCAL,27801864,HC SGMT PRX TIBIA SZ 1,17682.0,,4950.96,15206.52,83
LOCAL,27801865,HC SGMT ART SURFACE SZ C 12MM,3972.0,,1112.16,3415.92,83
LOCAL,27801866,HC SGMT PRX FEM BODY 38MM,12824.0,,3590.72,11028.64,83
LOCAL,27801867,HC SGMT FEM/TIB M/F 45MM,7149.0,,2001.72,6148.14,83
LOCAL,27801868,HC SGMT TM COLLAR 30MM,4965.0,,1390.2,4269.9,83
LOCAL,27801869,HC VERRATA FFR PRESSURE GUIDEWIRE,1300.0,,364.0,1118.0,83
LOCAL,27801870,HC BALL NOSE GDE WIRE 2MM,606.0,,169.68,521.16,83
LOCAL,27801871,HC EXP PLY SCREW 7*40-55MM,3144.0,,880.32,2703.84,83
LOCAL,27801872,HC EC PLY SCREW 8*65-90MM,3144.0,,880.32,2703.84,83
LOCAL,27801873,HC SHRT EXP SET SCREW,384.0,,107.52,330.24,83
LOCAL,27801874,HC EXP SET SCREW 6.35MM,568.0,,159.04,488.48,83
LOCAL,27801875,HC TI STR ROD 6.35*450MM,1440.0,,403.2,1238.4,83
LOCAL,27801876,HC OPN SD CONN 6.35X6.35MM,2936.0,,822.08,2524.96,83
LOCAL,27801877,HC EXP 6.35 COCR ROD W/HE 4,2152.0,,602.56,1850.72,83
LOCAL,27801878,HC CLD ILIAC CONN 6.35*20MM,2720.0,,761.6,2339.2,83
LOCAL,27801879,HC MIS SNG INR SET SCREW,684.0,,191.52,588.24,83
LOCAL,27801880,HC CANN XT-SCREW 6X45MM,5339.0,,1494.92,4591.54,83
LOCAL,27801881,HC SF CRS CONN MD A6-A7,3712.0,,1039.36,3192.32,83
LOCAL,27801882,HC GMRS EXT PIECE 30MM,6799.0,,1903.72,5847.14,83
LOCAL,27801883,HC D/M VIT CBL/SLVE 2MM,825.0,,231.0,709.5,83
LOCAL,27801884,HC HRHK FEM BUSHING,713.0,,199.64,613.18,83
LOCAL,27801885,HC HRHK TIB INSERT 16MM,2722.0,,762.16,2340.92,83
LOCAL,27801886,HC LNG NAIL LFT 11*380MM,6698.0,,1875.44,5760.28,83
LOCAL,27801887,HC  ALL POLY TIBIA 11MM SM,3615.0,,1012.2,3108.9,83
LOCAL,27801888,HC LNG NAIL LFT 13*420MM,5992.0,,1677.76,5153.12,83
LOCAL,27801889,HC  X3 POLY INSERT 36MM 10DG,2750.0,,770.0,2365.0,83
LOCAL,27801890,HC TRIDENT CLSTR SHELL 60MM,2750.0,,770.0,2365.0,83
LOCAL,27801891,HC LAG SCREW 10.5*90-110MM,1578.0,,441.84,1357.08,83
LOCAL,27801892,HC GDE WIRE BT 3*1000MM,570.0,,159.6,490.2,83
LOCAL,27801893,HC GDE WIRE ST 2.2*800MM,570.0,,159.6,490.2,83
LOCAL,27801894,HC K-WIRE 3.2X450MM,372.0,,104.16,319.92,83
LOCAL,27801895,HC K-WIRE 3*285MM,358.0,,100.24,307.88,83
LOCAL,27801896,HC T2 REC K-WIRE 3.2*400MM,371.0,,103.88,319.06,83
LOCAL,27801897,HC SILICONE STENT (9-20) X (20-80),700.0,,196.0,602.0,83
LOCAL,27801898,HC Y-SILICONE STENT (14-10-10 - 18-14-14) X (110-50-50),1700.0,,476.0,1462.0,83
LOCAL,27801899,HC AERO FULLY COVERED STENT (10-20) X (20-80),4000.0,,1120.0,3440.0,83
LOCAL,27801900,HC AEROMINI (8-14)  X (15-20),4800.0,,1344.0,4128.0,83
LOCAL,27801901,HC SPIRATION VALVE IN CARTRIDGE 5-7 MM HUD,5300.0,,1484.0,4558.0,83
LOCAL,27801902,HC ULTRAFLEX PARTIALLY COVERED STENT (12-20) X (20-80),6250.0,,1750.0,5375.0,83
LOCAL,27801903,HC MAGNETIC SEED MULT SIZES,979.0,,274.12,841.94,83
LOCAL,27801904,HC GUIDEWIRE 0.18X150CM,121.0,,33.88,104.06,83
LOCAL,27801905,HC CARDIOMEMS GUIDEWIRE,750.0,,210.0,645.0,83
LOCAL,27801906,HC CARDIOMEMS PA SENSOR DELIVERY SYSTEM,36000.0,,10080.0,30960.0,83
LOCAL,27801907,"HC TD CATHETER 5FR, 4 LUMEN, HEP COATED",78.0,,21.84,67.08,83
LOCAL,27801908,HC GMRS EXT PIECE 30MM,6799.0,,1903.72,5847.14,83
LOCAL,27801909,HC D/M VIT CBL/SLVE 2MM,825.0,,231.0,709.5,83
LOCAL,27801910,HC HRHK FEM BRUSING,713.0,,199.64,613.18,83
LOCAL,27801911,HC HRHK TIB INSERT 16MM,2722.0,,762.16,2340.92,83
LOCAL,27801912,HC LNG NAIL LFT 11*380MM,6698.0,,1875.44,5760.28,83
LOCAL,27801913,HC ALL POLY TIBIA 11MM SM,3615.0,,1012.2,3108.9,83
LOCAL,27801914,HC LNG NAIL LFT 13*420MM,5992.0,,1677.76,5153.12,83
LOCAL,27801915,HC X3 POLY INSERT 36M 10DG,2750.0,,770.0,2365.0,83
LOCAL,27801916,HC TRIDENT CLSTR SHELL 60MM,2750.0,,770.0,2365.0,83
LOCAL,27801917,HC LAG SCREW 10.5*90-110MM,1578.0,,441.84,1357.08,83
LOCAL,27801918,HC GDWIRE BT 3*1000MM,499.0,,139.72,429.14,83
LOCAL,27801919,HC GDWIRE BST 2.2*800MM,469.0,,131.32,403.34,83
LOCAL,27801920,HC K-WIRE 3.2X450MM,372.0,,104.16,319.92,83
LOCAL,27801921,HC K-WIRE 3.*285MM,358.0,,100.24,307.88,83
LOCAL,27801922,HC T2 REC K-WIRE 3.2*400MM,424.0,,118.72,364.64,83
LOCAL,27801923,HC GLIDESHEATH SLENDER FLEX 5-6F 10-21,138.0,,38.64,118.68,83
LOCAL,27801924,HC CATHETER ANGIOPLASTY BALLOON DILATATION PTA OTW STERLING,378.0,,105.84,325.08,83
LOCAL,27801925,HC CATHETER DRUG COATED PTA BALLOON - LUTONIX,3300.0,,924.0,2838.0,83
LOCAL,27801926,HC STENT GRAFT ENDOVASCULAR,11000.0,,3080.0,9460.0,83
LOCAL,27801927,HC STENT BILIARY PROTEGE GPS 10X80MMX080CM,1911.0,,535.08,1643.46,83
LOCAL,27801928,HC MARKER TISSUE ATEC TRIMARK,70.0,,19.6,60.2,83
LOCAL,27801929,HC HICKMAN 10FR TRIPLE LUMEN CATHETER,530.0,,148.4,455.8,83
LOCAL,27801930,HC PROLARYN/RADIESSE GEL - FOR VOCAL CORD MEDIALIZATION,1430.0,,400.4,1229.8,83
LOCAL,27801931,HC JAGWIRE/JAG HINI BILIARY GUIDEWIRE,349.0,,97.72,300.14,83
LOCAL,27801932,HC EXTRACTOR PRO RX BALLOON,379.0,,106.12,325.94,83
LOCAL,27801933,HC EXTRACTOR PRO XL BALLOON,295.0,,82.6,253.7,83
LOCAL,27801934,HC SPIRATION VALVE IN CARTRIDGE 9MM HUD,6900.0,,1932.0,5934.0,83
LOCAL,27801935,HC EXTRA SM - MED OVAL SNARE,70.0,,19.6,60.2,83
LOCAL,27801936,HC GUIDEWIRE MAXXWIRE SUPER STIFF,200.0,,56.0,172.0,83
LOCAL,27801937,HC EUS BALLOON,56.0,,15.68,48.16,83
LOCAL,27801938,HC SNARE MASTER SOFT 10-25MM,19.0,,5.32,16.34,83
LOCAL,27801939,HC LEAD INGEVITY MRI ACTIV,1100.0,,308.0,946.0,83
LOCAL,27801940,HC LEAD ICD RELIANCE 59CM,7800.0,,2184.0,6708.0,83
LOCAL,27801941,HC DEPLOYMENT CATHETER & LOADER HUD (FOR IBV SPIRATION VALVE SYSTEM),2000.0,,560.0,1720.0,83
LOCAL,27801942,HC TENDRIL MRI LEAD 46 CM,1387.0,,388.36,1192.82,83
LOCAL,27801943,HC RETRIEVAL SET C,660.0,,184.8,567.6,83
LOCAL,27801944,HC RETRIEVAL SET D,1340.0,,375.2,1152.4,83
LOCAL,27801945,HC GUIDEWIRE CHOICE PT EXTRA SUP .014X182CM,196.0,,54.88,168.56,83
LOCAL,27801946,HC PINNACLE SHEATH 5FR X 45CM,186.0,,52.08,159.96,83
LOCAL,27801947,HC SAFESHEATH II FR 23CM,126.0,,35.28,108.36,83
LOCAL,27801948,HC GUIDEWIRE HI-TORQUE WHIPSER .014X190CM,230.0,,64.4,197.8,83
LOCAL,27801949,HC PERICARDIOCENTESIS KIT 6F 60CM,200.0,,56.0,172.0,83
LOCAL,27801950,HC BONASTENT TRACHEOBRONCH COATED 18/20MM,4990.0,,1397.2,4291.4,83
LOCAL,27801951,HC STENT TRACHEOBRONCHL AERO COVERED,4000.0,,1120.0,3440.0,83
LOCAL,27801952,HC WHOLEY WIRE INT J GUIDEWIRE,144.0,,40.32,123.84,83
LOCAL,27801953,HC CATH BALLOON DILAT PTCA MONORAIL,310.0,,86.8,266.6,83
LOCAL,27801954,HC STENT CORONARY REBEL MONO,1740.0,,487.2,1496.4,83
LOCAL,27801955,HC LEAD ATTAIN PERFORMA MRI,9347.0,,2617.16,8038.42,83
LOCAL,27801956,HC GDWIRE MANDREL 018X60,62.0,,17.36,53.32,83
LOCAL,27801957,HC CATH EXPORT AP 6F,1300.0,,364.0,1118.0,83
LOCAL,27801958,HC LEAD CAPSUREFIX NOVUS 5076-65,1249.0,,349.72,1074.14,83
LOCAL,27801959,HC MESH VENTRALIGHT ST ELLIPSE 10X13/12X14,5863.0,,1641.64,5042.18,83
LOCAL,27801960,HC MESH VENTRALIGHT ST 8X10,4408.0,,1234.24,3790.88,83
LOCAL,27801961,HC PORT LOW PROFILE TITANIUM DIGNITY 6.6F,750.0,,210.0,645.0,83
LOCAL,27801962,HC CATHETER CODMAN BACTISEAL ANTIB IMPRENATED KIT,1732.0,,484.96,1489.52,83
LOCAL,27801963,HC VALVE CODMAN CERTAS PROGRAMMABLE CSF,8898.0,,2491.44,7652.28,83
LOCAL,27801964,HC VALVE CODMAN CERTAS PROG W/SIPONGUARD CSF,10792.0,,3021.76,9281.12,83
LOCAL,27801965,HC DURASEAL EXACT SPINE SEALANT SYS 5ML,1791.0,,501.48,1540.26,83
LOCAL,27801966,HC POWERPORT CLEARVUE ISP 6-8F & SLIM 6-8F (MULT SIZES),844.0,,236.32,725.84,83
LOCAL,27801967,HC BIOZORB TISSUE MARKER A,1900.0,,532.0,1634.0,83
LOCAL,27801968,HC CATH GUID ATTAIN COMMAND 6250V,597.0,,167.16,513.42,83
LOCAL,27801969,HC  LEAD ICD SINGLE COIL FIX4 RELIANCE,7800.0,,2184.0,6708.0,83
LOCAL,27801971,HC CROSSCATH SUPPORT CATHETER,377.0,,105.56,324.22,83
LOCAL,27801972,HC FLEXOR RAABE GUIDING SHEATH,111.0,,31.08,95.46,83
LOCAL,27801973,HC FLEXOR ANSEL GUIDING SHEATH,117.0,,32.76,100.62,83
LOCAL,27801974,HC HI FLEXOR ANSEL GUIDING SHEATH,138.0,,38.64,118.68,83
LOCAL,27801975,HC PERFORMER INTRODUCER,224.0,,62.72,192.64,83
LOCAL,27801976,HC COOK ACCESS PLUS LUER-LOCK HIGH-VOL INFUS INTRODUCER SET,201.0,,56.28,172.86,83
LOCAL,27801977,HC CHECK FLO INTRODUCER XL,718.0,,201.04,617.48,83
LOCAL,27801978,HC ENDOVASCULAR SHEATH JCDS-EDS,360.0,,100.8,309.6,83
LOCAL,27801979,HC CATHETER - DRAINAGE MULTI MAC-LOC,273.0,,76.44,234.78,83
LOCAL,27801980,HC ZILVER PTX DRUG-ELUTING PERIPHERAL STENT,359.0,,100.52,308.74,83
LOCAL,27801981,HC ZENITH ALPHA THORACIC ENDOVASCULAR GRAFT,31930.0,,8940.4,27459.8,83
LOCAL,27801982,HC ZENITH FLEX AAA ENDOVASCULAR GRAFT,17424.0,,4878.72,14984.64,83
LOCAL,27801983,HC ZENITH SPIRAL-Z AAA ILIAC LEG GRAFT,6356.0,,1779.68,5466.16,83
LOCAL,27801984,HC THROMBOLYSIS CATH E,6193.0,,1734.04,5325.98,83
LOCAL,27801985,HC CATHETER - BALLOON I,645.0,,180.6,554.7,83
LOCAL,27801986,HC CATHETER - BALLOON J,822.0,,230.16,706.92,83
LOCAL,27801987,HC CATHETER - BALLOON K,1732.0,,484.96,1489.52,83
LOCAL,27801988,HC WALLSTENT F,2768.0,,775.04,2380.48,83
LOCAL,27801989,HC WALLSTENT G,4225.0,,1183.0,3633.5,83
LOCAL,27801990,HC GUIDEWIRE I,200.0,,56.0,172.0,83
LOCAL,27801991,HC GUIDEWIRE J,765.0,,214.2,657.9,83
LOCAL,27801992,HC COVERED STENT H,5100.0,,1428.0,4386.0,83
LOCAL,27801993,HC AMPLATZ EXTRA STIFF GUIDEWIRE .035X80CM,61.0,,17.08,52.46,83
LOCAL,27801994,HC RELIANCE ACTIVE SINGLE COIL LEAD 59CM,7800.0,,2184.0,6708.0,83
LOCAL,27801995,HC ENDOVASCULAR SHEATH H,22.0,,6.16,18.92,83
LOCAL,27801996,HC MICROCATHETER EMBOLIZATION GUIDING A,1069.0,,299.32,919.34,83
LOCAL,27801997,HC MICROCATHETER EMBOLIZATION GUIDING B,1350.0,,378.0,1161.0,83
LOCAL,27801998,HC WALLSTENT H,3800.0,,1064.0,3268.0,83
LOCAL,27801999,HC PINNACLE DESTINATION GUIDE SHEATH 7-9FFX45-90CM W DIL,180.0,,50.4,154.8,83
LOCAL,27802000,HC RADIOPAQUE MARKER INTRODUCER SHEATHS 7-9FX10-25CM,180.0,,50.4,154.8,83
LOCAL,27802001,HC GLIDEWIRE STIFF SHAFT STRAIGHT TIP .035DM 150-260CM LONG 3CM FLEX TIP,138.0,,38.64,118.68,83
LOCAL,27802002,HC TUBE FEEDING JEJUNAL 12-24FR,255.0,,71.4,219.3,83
LOCAL,27802004,HC CONFIRM RX INSERT CARDIAC MONITOR DM3500,9450.0,,2646.0,8127.0,83
LOCAL,27802005,HC IPG W1SRO1 AZURE XT SR MRI,10309.0,,2886.52,8865.74,83
LOCAL,27802006,HC SHEATH 12FX12CM FAST CATH,46.0,,12.88,39.56,83
LOCAL,27802007,HC MICROCATHETER GUIDING REBAR 18,824.0,,230.72,708.64,83
LOCAL,27802008,HC MICROCATHETER GUIDING ECHELON 10/14,1690.0,,473.2,1453.4,83
LOCAL,27802009,HC MICROCATHETER GUIDING ECHELON 45 DEG,1638.0,,458.64,1408.68,83
LOCAL,27802010,HC CATHETER - BALLOON L,727.0,,203.56,625.22,83
LOCAL,27802011,HC PORT PERITONEAL TITANIUM W/ 2 SURECUFF TISSUE INGROWTH CUFFS,364.0,,101.92,313.04,83
LOCAL,27802012,HC SCREW CANNULATED SS ANSIS III 6.5-8MM DIA 85-150MML,440.0,,123.2,378.4,83
LOCAL,27802013,HC SCREW CANNULATED TITANIUM ANSIS III 6.5-8MM DIA 85-150MML,440.0,,123.2,378.4,83
LOCAL,27802014,HC WASHER ORTHOPEDIC SS ANSIS III FOR 4.0-7MM/8 SCREW,156.0,,43.68,134.16,83
LOCAL,27802015,HC WASHER ORTHOPEDIC TITANIUM ANSIS III FOR 4.0-7MM/8 SCREW,77.0,,21.56,66.22,83
LOCAL,27802016,HC CATHETER BALLOON PTANGIO PACIFIC PLUS,744.0,,208.32,639.84,83
LOCAL,27802017,HC VIABAHN VBX ENDOPROSTHESIS STENT EXPANDABLE (MULT SIZES),5890.0,,1649.2,5065.4,83
LOCAL,27802018,HC CATH PICC POWERPICC DOUBLE LUMEN TRAY 5F,506.0,,141.68,435.16,83
LOCAL,27802019,HC ALLERGAN INSPIRA BREAST IMPLANT SRLP/SRM/SRX,1830.0,,512.4,1573.8,83
LOCAL,27802020,HC ALLERGAN INSPIRA BREAST IMPLANT SCLP/SCM/SCF/SCX CHV,2190.0,,613.2,1883.4,83
LOCAL,27802021,HC AXIOS STENT 10-20X10,10790.0,,3021.2,9279.4,83
LOCAL,27802022,HC BARRX 360 EXPRESS RFA BALLOON CATH,4940.0,,1383.2,4248.4,83
LOCAL,27802023,"HC PLATE, MATRIX, NEURO ULP, TI, STRAIGHT,12MM",134.0,,37.52,115.24,83
LOCAL,27802024,"HC PLATE, MATRIX, NEURO ULP, TI, STRAIGHT,24MM",153.0,,42.84,131.58,83
LOCAL,27802025,"HC PLATE, MATRIX, NEURO, ULP, STRUT, TI, 2X3 HOLE",851.0,,238.28,731.86,83
LOCAL,27802026,"HC PLATE, MATIX, NEURO, ULP, TI, BOX, 14MMX14MM",491.0,,137.48,422.26,83
LOCAL,27802027,"HC PLATE, MATRIX, NEURO, ULP, BOX, 10MMX16MM",468.0,,131.04,402.48,83
LOCAL,27802028,"HC SCREW, CORTEX, TI, SELF TAPPING, 2.4MMX20MM",157.0,,43.96,135.02,83
LOCAL,27802029,"HC COVER, MATRIX, NEURO ULP, BURR HOLE, TI, 17MM",508.0,,142.24,436.88,83
LOCAL,27802030,HC NEUROMOD TEST STIMULATION LEAD KIT MODEL 309201,225.0,,63.0,193.5,83
LOCAL,27802031,HC NEUROMOD TEST STIMULATION LEAD KIT MODEL 306001,138.0,,38.64,118.68,83
LOCAL,27802032,HC HANAROSTENT BIL UNCOVERED (MULT SIZES),1920.0,,537.6,1651.2,83
LOCAL,27802033,HC GRAFT VASC PROPATEN STD WALL 6MMX40CM,2114.0,,591.92,1818.04,83
LOCAL,27802034,HC GRAFT VASC STD WALL 4-6MMX50CM,1072.0,,300.16,921.92,83
LOCAL,27802035,HC GRAFT VASC ACUSEAL 6MMX50CM,3158.0,,884.24,2715.88,83
LOCAL,27802037,HC DUMON HOURGLASS TRACHEAL STENT,1350.0,,378.0,1161.0,83
LOCAL,27802038,HC EPIC BILIARY METAL STENT (MULT SIZES),4790.0,,1341.2,4119.4,83
LOCAL,27802039,HC QUANTUM TTC BILIARY BALLOON DILATOR,549.0,,153.72,472.14,83
LOCAL,27802040,HC HANAROSTENT ESOPHAGAEL STENT (FULLY COVERED),2880.0,,806.4,2476.8,83
LOCAL,27802041,HC POWERFLOW IMPL APHERESIS IV PORT (MULT SIZES),1250.0,,350.0,1075.0,83
LOCAL,27802043,HC BREAST TISSUE EXPANDER LH/TH CPX4 W/SUTURE TABS (MULT SIZES),3390.0,,949.2,2915.4,83
LOCAL,27802044,HC EVOLUTION BILIARY CONTROLLED RELEASE STENT-UNCOVERED,3036.0,,850.08,2610.96,83
LOCAL,27802045,"HC BREAST EXPANDER, CPX MED HIGH (MULT SIZES)",3390.0,,949.2,2915.4,83
LOCAL,27802046,"HC BREAST EXPANDER, TEXT ULTRA HIGH (MULT SIZES)",3750.0,,1050.0,3225.0,83
LOCAL,27802047,HC TRI-EX TRIPLE LMN EXTRACTION BALLOON (MULT SIZES),370.0,,103.6,318.2,83
LOCAL,27802048,HC SFX CROSS CONNECTOR,3712.0,,1039.36,3192.32,83
LOCAL,27802049,HC SCREW MIS SINGLE INNER SET,684.0,,191.52,588.24,83
LOCAL,27802050,HC HANARO COLONIC STENT,4230.0,,1184.4,3637.8,83
LOCAL,27802051,HC BARD SOFT MESH 12X12,443.0,,124.04,380.98,83
LOCAL,27802052,HC BIONARC ENH FIDUCIAL MARKER,55.0,,15.4,47.3,83
LOCAL,27802053,HC PROGREAT ALPHA 2FR PERIPHERAL MICROCATHETER,1450.0,,406.0,1247.0,83
LOCAL,27802054,HC STIMULAN RAPID CURE 10CC,3000.0,,840.0,2580.0,83
LOCAL,27802055,HC SCREW 2.0 TI LOCK MANDIBLE SELF TAPPING (MULT SIZES),210.0,,58.8,180.6,83
LOCAL,27802056,HC SCREW TI MATRIX MIDFACE (MULT SIZES),157.0,,43.96,135.02,83
LOCAL,27802057,HC QUADRA ALLURE MP BI-V GENERATOR,22962.0,,6429.36,19747.32,83
LOCAL,27802058,HC AVANCE NERVE GRAFT 1-3MM X 50MM,10700.0,,146.211,9202.0,84
LOCAL,27802059,HC AVANCE NERVE GRAFT 1-2MM X 70MM,13594.0,,146.211,11690.84,84
LOCAL,27802060,HC AXOGUARD NERVE CONNECTOR 2-4MM X 15MM,3458.0,,968.24,2973.88,83
LOCAL,27802061,HC AVANCE NERVE GRAFT 3-4MM X 70MM,14894.0,,146.211,12808.84,84
LOCAL,27802062,HC AXOGUARD NERVE PROTECTOR 7MM X 40MM,5476.0,,1533.28,4709.36,83
LOCAL,27802063,HC ACHILLES TENDON TISSUE,4211.0,,1179.08,3621.46,83
LOCAL,27802064,HC SPINEJACK SYSTEM,7497.0,,2099.16,6447.42,83
LOCAL,27802065,HC ALLERGAN SMOOTH ROUND GEL BREAST IMPLANT (MULT SIZES),2190.0,,613.2,1883.4,83
LOCAL,27802066,HC FIDUCIAL MARKER KV BIOMARC,141.0,,39.48,121.26,83
LOCAL,27802067,HC 2.0MM TI MATRIXMANDIBLE SCREW SELF-TAPPING (MULT SIZES),138.0,,38.64,118.68,83
LOCAL,27802068,HC DURATA TACHY MRI LEAD,8019.0,,2245.32,6896.34,83
LOCAL,27802069,HC 1.5MM TI MATRIXRIB STR PLATE 24 HOLES (MULT SIZE LENGTH),2668.0,,747.04,2294.48,83
LOCAL,27802070,HC 1.5MM TI MATRIXRIB STR PLATE 30 HOLES (MULT SIZE LENGTH),3176.0,,889.28,2731.36,83
LOCAL,27802071,HC TEMPLATE FOR MATRIXRIB LOCKING PLATE (MULT SIZES),201.0,,56.28,172.86,83
LOCAL,27802072,HC SCREW TI STERNAL LOCKING SELFDRILLING (MULT SIZES),286.0,,80.08,245.96,83
LOCAL,27802073,HC SCREW TI MATRIXRIB L/N SELFDRILLING (MULT SIZES),358.0,,100.24,307.88,83
LOCAL,27802074,HC BREAST TISSUE EXPANDER NATRELLE 133S (MULT SIZES),3190.0,,893.2,2743.4,83
LOCAL,27802075,HC INTRACRANIAL VASCULAR STENT SYSTEM (NF ATLAS/FG WINGSPAN) (MULT SIZES),15200.0,,4256.0,13072.0,83
LOCAL,27802076,HC BALLOON GUIDE CATHETER (FLWGT/MERCI) (MULT SIZES),2435.0,,681.8,2094.1,83
LOCAL,27802077,HC SURPASS FLOW DIVERTER INTRACRANIAL STENT DELIVERY SYSTEM A,29700.0,,8316.0,25542.0,83
LOCAL,27802078,HC SURPASS FLOW DIVERTER INTRACRANIAL STENT DELIVERY SYSTEM B,32300.0,,9044.0,27778.0,83
LOCAL,27802079,HC HD MRI LINE MARKER,673.0,,188.44,578.78,83
LOCAL,27802080,HC GATEWAY PTANGIO NEURO BALLOON CATH,2500.0,,700.0,2150.0,83
LOCAL,27802081,HC OCCLUSION CATHETER C (TRANSFORM/SCEPTER),3400.0,,952.0,2924.0,83
LOCAL,27802082,HC ECHO FX FEMORAL STEM,4000.0,,1120.0,3440.0,83
LOCAL,27802083,HC SOFTCLIP STAPES INCUS PROSTH (MULT SIZES),600.0,,168.0,516.0,83
LOCAL,27802084,HC BILIARY ENDOPROSTHESIS (VIABIL),5600.0,,1568.0,4816.0,83
LOCAL,27802085,HC BIOZORB TISSUE MARKER B,2400.0,,672.0,2064.0,83
LOCAL,27802086,HC EUS FNF PRELOADED NEEDLE W FIDUCIAL 19G,660.0,,184.8,567.6,83
LOCAL,27802087,HC DECELLULARIZED DERMIS - SOFT TISSUE/SQ CM,54.0,,15.12,146.211,84
LOCAL,27802090,HC VENOUS - WALLSTENT D (VICI),4600.0,,1288.0,3956.0,83
LOCAL,27802091,HC TITAN TOUCH ZERO DEGREE CYLINDERS/PUMP SET SCROTAL,16694.0,,4674.32,14356.84,83
LOCAL,27802093,HC AMBIODISK AMNIOTIC MEMBRANE - 12MM OPHTHALMIC,1190.0,,333.2,1023.4,83
LOCAL,27802095,HC ENDURAGEN PATCH COLLAGEN MATRIX 4X1CM,908.0,,146.211,780.88,84
LOCAL,27802096,HC TUTOPLAST PERICARDIUM 2X7CM,2292.0,,641.76,1971.12,83
LOCAL,27802097,HC TUTOPLAST PERICARDIUM 2X12CM,2668.0,,747.04,2294.48,83
LOCAL,27802098,HC TUTOPLAST PERICARDIUM 4X7CM,4690.0,,1313.2,4033.4,83
LOCAL,27802099,HC TUTOPLAST PERICARDIUM 6X6CM,5546.0,,1552.88,4769.56,83
LOCAL,27802100,HC ALLOSYNC 5CC DBM PUTTY,1640.0,,459.2,1410.4,83
LOCAL,27802101,HC ALLOSYNC 10CC DBM PUTTY,2590.0,,725.2,2227.4,83
LOCAL,27802102,HC ALLOSYNC 5CC DBM GEL,1600.0,,448.0,1376.0,83
LOCAL,27802103,HC ALLOSYNC 10CC DBM GEL,2400.0,,672.0,2064.0,83
LOCAL,27802104,HC TUTOPLAST-SUSPEND FASCIA LATA 6X8CM,6302.0,,1764.56,5419.72,83
LOCAL,27802105,HC TUTOPLAST-SUSPEND FASCIA LATA 2X24,5802.0,,1624.56,4989.72,83
LOCAL,27802106,HC ARTHROFLEX DECELL DERMIS 4X7CM /SQ CM,282.0,,78.96,242.52,83
LOCAL,27802107,HC FEMORAL POPLITEAL ARTERY,13000.0,,3640.0,11180.0,83
LOCAL,27802108,HC AMNIOGUARD OPHTHALMIC GRAFT,867.0,,242.76,745.62,83
LOCAL,27802109,HC MICROCATHETER EMBOLIZATION GUIDING C,1125.0,,315.0,967.5,83
LOCAL,27802110,HC MICROCATHETER EMBOLIZATION GUIDING D (MARATHON),1858.0,,520.24,1597.88,83
LOCAL,27802111,HC MICROCATHETER PROWLER PLUS,2260.0,,632.8,1943.6,83
LOCAL,27802112,HC STENT PRECISE PRO RX NITINOL STENT SYSTEM,3000.0,,840.0,2580.0,83
LOCAL,27802113,HC GUIDEWIRE NEUROVASC ASAHI CHIKAI,1474.0,,412.72,1267.64,83
LOCAL,27802114,HC CATHETER BENCHMARK GUIDING INTRACRANIAL ACCESS,1970.0,,551.6,1694.2,83
LOCAL,27802115,HC CATH CVC POWERLINE 5F SL EZ MICROINTRODUCER TRAY,1061.0,,297.08,912.46,83
LOCAL,27802116,HC CATH CVC POWERLINE 6F TL EZ MICROINTRODUCER TRAY,1197.0,,335.16,1029.42,83
LOCAL,27802117,HC THROMBOLYSIS CATH INDIGO CAT6,4790.0,,1341.2,4119.4,83
LOCAL,27802118,HC THROMBOLYSIS CATH INDIGO CATD,5500.0,,1540.0,4730.0,83
LOCAL,27802119,HC SHEATH NEURON MAX,1103.0,,308.84,948.58,83
LOCAL,27802120,HC MICROCATHETER DELIVERY VELOCITY,2150.0,,602.0,1849.0,83
LOCAL,27802121,HC BONE SUBSTITUTE YGAMMA-BSM MOLDABLE PUTTY,4640.0,,1299.2,3990.4,83
LOCAL,27802122,HC MESH GORE-TEX VASCULAR GRAFT THIN-WALLED REMOVABLE RINGED,2358.0,,660.24,2027.88,83
LOCAL,27802123,HC MESH GORE DUAL MESH BIOMATERIAL 30X20,5302.0,,1484.56,4559.72,83
LOCAL,27802124,HC MESH GORE DUAL MESH BIOMATERIAL 24X26,6912.0,,1935.36,5944.32,83
LOCAL,27802125,HC FIBERGRAFT BG MATRIX BIOACTIVE LARGE,4300.0,,1204.0,3698.0,83
LOCAL,27802126,HC FIBERGRAFT BG MATRIX BIOACTIVE MED,2520.0,,705.6,2167.2,83
LOCAL,27802127,HC TESTICULAR PROSTHESES TOROSA LARGE,3510.0,,982.8,3018.6,83
LOCAL,27802128,HC SCREW CANNULATED TITANIUM ANSIS III 5.0,304.0,,85.12,261.44,83
LOCAL,27802129,HC SCREW FIXOS HEADLESS COMPRESSION SCREW,612.0,,171.36,526.32,83
LOCAL,27802130,HC OCCLUSION CATHETER D,2000.0,,560.0,1720.0,83
LOCAL,27802131,HC OCCLUSION CATHETER E,2400.0,,672.0,2064.0,83
LOCAL,27802132,HC BALLOON KYPHOPLASTY KIT AVAFLEX,4600.0,,1288.0,3956.0,83
LOCAL,27802133,HC VERTAPLEX BONE CEMENT PRECISION SYSTEM KIT W/ HV CEMENT,1013.0,,283.64,871.18,83
LOCAL,27802134,HC VERTECEM II BONE CEMENT KIT,1080.0,,302.4,928.8,83
LOCAL,27802135,HC VERTIPLEX SPACER SPINAL SUPERION INDIR DECOMPRS SYST,19000.0,,5320.0,16340.0,83
LOCAL,27802136,HC AXS CATALYST 5 DISTAL ACCESS CATH,3300.0,,924.0,2838.0,83
LOCAL,27802137,HC GUIDEWIRE HITORQUE COMMAND,304.0,,85.12,261.44,83
LOCAL,27802138,HC SCREW MAXDRIVE DRILL FREE,138.0,,38.64,118.68,83
LOCAL,27802139,HC TRINAV INFUSION SYSTEM CATH,15500.0,,4340.0,13330.0,83
LOCAL,27802140,HC OVESCO OTSC SYSTEM SET 14/3A 14/6A 14/3T 14/6T,1220.0,,341.6,1049.2,83
LOCAL,27802141,HC OVESCO OTSC SYSTEM SET MINI 10/3A 10/3T,986.0,,276.08,847.96,83
LOCAL,27802142,HC OVESCO OTSC STENTFIX SYSTEM SET,1198.0,,335.44,1030.28,83
LOCAL,27802143,HC GRASPER REMOVE FB OVESCO,279.0,,78.12,239.94,83
LOCAL,27802144,HC CATHETER GUIDING ENVOY,1083.0,,303.24,931.38,83
LOCAL,27802145,HC GASTRIC OVERTUBE,1350.0,,378.0,1161.0,83
LOCAL,27802146,HC SCOUT DELIVERY NEEDLE/REFLECTOR MARKER-BREAST BIOPSY (MULT SIZES),1004.0,,281.12,863.44,83
LOCAL,27802147,HC TISSUE MARKER ULTRACLIP BREAST,138.0,,38.64,118.68,83
LOCAL,27802156,HC AXS CATALYST 7 DISTAL ACCESS CATH,4700.0,,1316.0,4042.0,83
LOCAL,27802157,HC CATHETER GUIDING INTUITIVE (15X/50X),80.0,,22.4,68.8,83
LOCAL,27802158,HC PROGEL PLEURAL AIR LEAK SEALANT KIT - 4ML,2331.0,,652.68,2004.66,83
LOCAL,27802159,HC VIABAHN VBX ENDOPROSTHESIS STENT EXPANDABLE B (MULT SIZES),6102.0,,1708.56,5247.72,83
LOCAL,27802163,HC MESH HERNIA OVITEX 20X16IN 2S PERM GRID,13056.0,,3655.68,11228.16,83
LOCAL,27802164,HC MESH HERNIA OVITEX 20X20IN 2S PERM GRID,16320.0,,4569.6,14035.2,83
LOCAL,27802165,HC MESH HERNIA OVITEX 30X25IN 2S PERM GRID,26000.0,,7280.0,22360.0,83
LOCAL,27802166,HC MESH HERNIA OVITEX 40X25IN 2S PERM GRID,35000.0,,9800.0,30100.0,83
LOCAL,27802167,HC MESH HERNIA OVITEX 20X16IN 1S PERM GRID,10368.0,,2903.04,8916.48,83
LOCAL,27802168,HC MESH HERNIA OVITEX 20X20IN 1S PERM GRID,12960.0,,3628.8,11145.6,83
LOCAL,27802169,HC MESH HERNIA OVITEX 25X30IN 1S PERM GRID,21000.0,,5880.0,18060.0,83
LOCAL,27802170,HC MESH HERNIA OVITEX 40X25IN 1S PERM GRID,27000.0,,7560.0,23220.0,83
LOCAL,27802171,HC DUREPAIR DURA REGENERATION MATRIX 3X3IN,1271.0,,146.211,1093.06,84
LOCAL,27802172,HC DUREPAIR DURA REGENERATION MATRIX 4X5IN,2360.0,,146.211,2029.6,84
LOCAL,27802173,HC DUREPAIR DURA REGENERATION MATRIX 5X8IN,6821.0,,146.211,5866.06,84
LOCAL,27802174,HC EUS FNF PRELOADED NEEDLE W FIDUCIAL 22G,1125.0,,315.0,967.5,83
LOCAL,27802175,HC ESOPHAGEAL STENT FC TAEWOONG NITI-S TTS,5470.0,,1531.6,4704.2,83
LOCAL,27802176,HC BILIARY STENT TAEWOONG NITI-S D ENDO,3150.0,,882.0,2709.0,83
LOCAL,27802225,HC CATH POWERPICC PROVENA TRAY SL/DL 4FR 3CG,417.0,,116.76,358.62,83
LOCAL,27802235,HC POWERPICC SV CATH W/ SHERLOCK TIP LOCATION SYSEM,907.0,,253.96,780.02,83
LOCAL,27802236,HC POWERPICC CATH 4F SL KIT 18G W/ GW 70CM,216.0,,60.48,185.76,83
LOCAL,27802237,HC POWERPICC CATH PROVENA FULL TRAY 5FR 3L W/ 3CG TLS,924.0,,258.72,794.64,83
LOCAL,27802238,HC POWERPICC CATH PROVENA 5F 3LM IR TRAY W/ NITINOL GW,304.0,,85.12,261.44,83
LOCAL,27802239,HC PNEUMOTHORAX SET WAYNE,949.0,,265.72,816.14,83
LOCAL,27802240,HC GUIDEWIRE J-TIP .02MMX60CM,50.0,,14.0,43.0,83
LOCAL,27802241,HC CATH POWERPICC PROVENA TRAY TL 5F 3CG,506.0,,141.68,435.16,83
LOCAL,27802247,HC CATH RADIAL ARTERY SET QUICKFLASH,38.0,,10.64,32.68,83
LOCAL,27802248,HC CATH HICKMAN 1LMN 9.6FR CUT DOWN,921.0,,257.88,792.06,83
LOCAL,27802249,HC MESH OVITEX LPR REINFORCED TISSUE MATRIX PERM POLYMER 9X9CM,2290.0,,641.2,1969.4,83
LOCAL,27802250,HC MESH OVITEX LPR REINFORCED TISSUE MATRIX PERM POLYMER 12X12CM,4072.0,,1140.16,3501.92,83
LOCAL,27802251,HC MESH OVITEX LPR REINFORCED TISSUE MATRIX PERM POLYMER 12X18CM,6108.0,,1710.24,5252.88,83
LOCAL,27802252,HC MESH OVITEX LPR REINFORCED TISSUE MATRIX PERM POLYMER 18X23CM,6362.0,,1781.36,5471.32,83
LOCAL,27802253,HC MESH OVITEX CORE TISSUE MATRIX PERM POLYMER 25X30CM,13000.0,,3640.0,11180.0,83
LOCAL,27802254,HC MESH OVITEX CORE TISSUE MATRIX PERM POLYMER 25X40CM,17000.0,,4760.0,14620.0,83
LOCAL,27802255,HC MESH OVITEX REINF RESORBABLE POLYMER GRID 20X20IN 1S,12960.0,,3628.8,11145.6,83
LOCAL,27802256,HC MESH OVITEX PRS-RESTELLA REINF SOFT TISSUE 20X20CM,15960.0,,4468.8,13725.6,83
LOCAL,27802257,HC MATRIX OVITEX PRS REINF SOFT TISSUE 2 LYR 20X16.5IN,12760.0,,3572.8,10973.6,83
LOCAL,27802258,HC MATRIX OVITEX PRS REINF SOFT TISSUE 2 LYR 20.5X20IN,15960.0,,4468.8,13725.6,83
LOCAL,27802259,HC MESH OVITEX PRS-RESTELLA REINF SOFT TISSUE 22X11CM,9148.0,,2561.44,7867.28,83
LOCAL,27802265,HC NOVA 10 FIDUCIAL IMPLANTABLE TISSUE MARKER (AMB),727.0,,203.56,625.22,83
LOCAL,27802266,"HC SURGIMEND MP RECTANGLE 10X15CM, 2.0MM /0.5SQCM",18.0,,5.04,15.48,83
LOCAL,27802267,"HC SURGIMEND RECTANGLE 10X15CM, 1.0MM /0.5SQCM",17.0,,4.76,14.62,83
LOCAL,27802268,"HC SURGIMEND RECTANGLE 10X15CM, 4.0MM /0.5SQCM",21.0,,5.88,18.06,83
LOCAL,27802269,"HC SURGIMEND RECTANGLE 13X25CM, 1.0MM /0.5SQCM",17.0,,4.76,14.62,83
LOCAL,27802270,HC ARTHROFLEX 4X7CM/SQ CM,283.0,,79.24,243.38,83
LOCAL,27802271,"HC DERMACELL 16X20CM, 0.75 - 1.50MM THICK/SQ CM",60.0,,16.8,146.211,84
LOCAL,27802272,"HC DERMACELL 8X16CM, 0.75 - 15.0MM THICK/SQ CM",59.0,,16.52,146.211,84
LOCAL,27802273,HC PERI-GUARD 8X14CM,1601.0,,448.28,1376.86,83
LOCAL,27802274,HC DBX MIX 20CC,5622.0,,1574.16,4834.92,83
LOCAL,27802275,HC CRYOVEIN - FEMORAL VEIN V060,9030.0,,2528.4,7765.8,83
LOCAL,27802276,HC PERI-GUARD PATCH 12X25CM,2354.0,,659.12,2024.44,83
LOCAL,27802277,HC FISTULA PLUG 7MM,6800.0,,1904.0,5848.0,83
LOCAL,27802285,HC STIMULATOR NERVE SPRINT ENDURA PNS SINGLE LEAD AMB,9800.0,,2744.0,8428.0,83
LOCAL,27802286,HC STIMULATOR NERVE SPRINT EXTENSA PNS DUAL LEAD SYSTEM AMB,15600.0,,4368.0,13416.0,83
LOCAL,27802287,HC SIRIUS MRI MARKER,138.0,,38.64,118.68,83
LOCAL,27802288,HC CATH BRACHY SEED HDR HAM 5-CHANNEL 28CM NUCLETRON,1125.0,,315.0,967.5,83
LOCAL,27802289,HC CATH BRACHY SEED HDR HAM 9-CHANNEL 28CM NUCLETRON,1592.0,,445.76,1369.12,83
LOCAL,27802290,HC CATH BRACHY SEED HDR HAM 12-CHANNEL 28CM NUCLETRON,1984.0,,555.52,1706.24,83
LOCAL,27802292,HC CATH GUIDING ENVOY MPD 6F X 100CM,1125.0,,315.0,967.5,83
LOCAL,27802297,HC BARRIGEL SPACER,6700.0,,1876.0,5762.0,83
LOCAL,27802307,HC DURAGEN PLUS 5X7IN,2836.0,,146.211,2438.96,84
LOCAL,27802310,HC ARTIA RECONSTRUCTIVE TISSUE MATRIX PERFORATED 16CM X 20CM,19758.0,,5532.24,16991.88,83
LOCAL,27802314,HC JUVEDERM FILLER- FOR VOCAL CORD MEDIALIZATION,833.0,,233.24,716.38,83
LOCAL,27803000,HC LEAD ADAPTOR BIPOLAR 40CM,860.0,,240.8,739.6,83
LOCAL,27803001,HC LEAD PACEMAKER POLYROX 4076-58CM,1248.0,,349.44,1073.28,83
LOCAL,27803002,HC GUIDEWIRE .035X1 150CM J FIX CORE,30.0,,8.4,25.8,83
LOCAL,27803003,HC TRUFREEZE PASSIVE VENTING CATHETER,3990.0,,1117.2,3431.4,83
LOCAL,27803004,HC PERICARDIOCENTESIS TRAY 5FR,363.0,,101.64,312.18,83
LOCAL,27803005,HC 5 FR RADIAL ARTERY SHEATH 13CM,73.0,,20.44,62.78,83
LOCAL,27803006,HC 5 FR X 11CM ARROW-FLEX SHEATH,630.0,,176.4,541.8,83
LOCAL,27803007,HC SPACEOAR,8858.0,,2480.24,7617.88,83
LOCAL,27803008,HC ICAST COVERED STENT,4779.0,,1338.12,4109.94,83
LOCAL,27803009,HC MENTOR MEMORYSHAPE TH/HP BREAST IMP 180-680CC,2190.0,,613.2,1883.4,83
LOCAL,27803010,HC MENTOR ARTOURA TISS EXP HP 300-850CC,3750.0,,1050.0,3225.0,83
LOCAL,27803011,HC MENTOR ARTOURA TISS EXP UHP 455-850CC,3600.0,,1008.0,3096.0,83
LOCAL,27803012,HC MR CONDITIONAL LEAD 4196-78,4391.0,,1229.48,3776.26,83
LOCAL,27803013,HC ATTAIN SELECT II  CATHETER 6248V,457.0,,127.96,393.02,83
LOCAL,27808,PR CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,1726.0,,187.46,1467.1,55
LOCAL,27808312,HC MENTOR MEMORYGEL XTRA SM/MP BREAST IMP 115-755C,1920.0,,537.6,1651.2,83
LOCAL,27808313,HC MENTOR MEMORYGEL XTRA SM/HP BREAST IMP 150-790CC,1920.0,,537.6,1651.2,83
LOCAL,27808314,"HC ELEOS SEGMENTAL STEM, 25MM COLLAR 9-13MM X 120MM",7689.0,,2152.92,6612.54,83
LOCAL,27808315,"HC ELEOS SEGMENTAL STEM, 25-32MM COLLAR 11-17MM X 152MM",8127.0,,2275.56,6989.22,83
LOCAL,27808316,"HC ELEOS SEGMENTAL STEM, 2/3 PLASMA, 25MM COLLAR 12-18MM X 152MM",9488.0,,2656.64,8159.68,83
LOCAL,27808317,"HC ELEOS SEGMENTAL STEM, 25-32MM COLLAR  14-18MM X 120MM",8993.0,,2518.04,7733.98,83
LOCAL,27808318,"HC ELEOS SEGMENTAL STEM, FULL PLASMA, 25-32MM COLLAR 12-22MM X 120MM",8993.0,,2518.04,7733.98,83
LOCAL,27808319,"HC ELEOS SEGMENTAL STEM, 2/3 PLASMA,  32MM COLLAR  12-16MM X 152MM",9488.0,,2656.64,8159.68,83
LOCAL,27808320,"HC ELEOS SEGMENTAL STEM, 2/3 PLASMA, 32MM COLLAR 12-22MM X 152MM",9818.0,,2749.04,8443.48,83
LOCAL,27808321,HC ELEOS MALE-FEMALE MIDSECTION 40-140MM,8127.0,,2275.56,6989.22,83
LOCAL,27808322,HC ELEOS MALE-MALE MIDSECTION 40-140MM,11715.0,,3280.2,10074.9,83
LOCAL,27808323,"HC ELEOS DISTAL FEMUR RIGHT/LEFT, SEGMENTAL 65MM",15758.0,,4412.24,13551.88,83
LOCAL,27808324,HC ELEOS DISTAL FEMUR AXIAL PIN ONE SIZE,5124.0,,1434.72,4406.64,83
LOCAL,27808325,HC ELEOS TIBIAL POLY SPACER 8-120MM,4975.0,,1393.0,4278.5,83
LOCAL,27808326,HC ELEOS TIBIAL HINGE COMPONENT W/ OR W/O ROTATIONAL STOP ONE SIZE,6765.0,,1894.2,5817.9,83
LOCAL,27808327,HC ELEOS TIBIAL BASEPLATE SIZE 1-5 60-80MM M/L,11757.0,,3291.96,10111.02,83
LOCAL,27808328,HC ELEOS PROXIMAL FEMUR 98MM RESECTION,14273.0,,3996.44,12274.78,83
LOCAL,27808329,HC ELEOS PROXIMAL TIBIA W/PLASMA 87MM RESECTION,14232.0,,3984.96,12239.52,83
LOCAL,27808330,HC ELEOS RESURFACING FEMUR AXIAL PIN  SIZE 2-4,6409.0,,1794.52,5511.74,83
LOCAL,27808331,"HC ELEOS RESURFACING FEMUR SIZE 2-4, LEFT 60-70MM M/L",14793.0,,4142.04,12721.98,83
LOCAL,27808332,"HC ELEOS RESURFACING FEMUR SIZE 2-4, RIGHT 60-70MM M/L",14347.0,,4017.16,12338.42,83
LOCAL,27808333,"HC TIBIAL AUGMENT, NONPOROUS, SIZE 1-5 X 5-15MM",3215.0,,900.2,2764.9,83
LOCAL,27808334,"HC ELEOS STEM EXTENSION10-15X65-100MM STRAIGHT, FLUTED 10-18X65-100MM",3193.0,,894.04,2745.98,83
LOCAL,27808335,"HC ELEOS STEM EXTENSION15X30MM STRAIGHT, BULLET-TIP 15X30MM",3193.0,,894.04,2745.98,83
LOCAL,27808336,"HC ELEOS STEM EXTENSION11-23X100-140MM STRAIGHT, SPLINED, SLOTTED",3193.0,,894.04,2745.98,83
LOCAL,27808337,HC CANCELLOUS BONE SCREW 6.5 DIAMETER 6.5MM X 60-80MM,669.0,,187.32,575.34,83
LOCAL,27808338,HC CANCELLOUS BONE SCREW 6.5MM X 15-55MM,669.0,,187.32,575.34,83
LOCAL,27808339,HC ELEOS MODULAR TIBIAL BASE STEM CA ONE SIZE,497.0,,139.16,427.42,83
LOCAL,27808340,"HC ELEOS RESURFACING PATELLA 29-35MM ALL-POLY, TRI-PEG",2127.0,,595.56,1829.22,83
LOCAL,27808341,"HC ELEOS RESURFACING PATELLA 38-41MM ALL-POLY, TRI-PEG",2065.0,,578.2,1775.9,83
LOCAL,27808342,HC GLADIATOR BIPOLAR 36-59MM OD X 22-36MM ID,6557.0,,1835.96,5639.02,83
LOCAL,27808343,"HC FEMORAL HEAD, SUPER FINISH36MM TAPER, -3.5 -+7MM 36MM, -3.5 - +7MM",4508.0,,1262.24,3876.88,83
LOCAL,27808344,"HC FEMORAL HEAD, 22.25-32MM   TAPER, -3.5 - +7MM 22.25-32MM, -3.5 - +7MM",3967.0,,1110.76,3411.62,83
LOCAL,27808345,HC CATH C315HIS02 RIGHTSITE CATHETER,499.0,,139.72,429.14,83
LOCAL,27808346,HC MR CONDITIONAL LEAD 4076-58 CM LEAD-BIPOLAR,1242.0,,347.76,1068.12,83
LOCAL,27808348,"HC BALLOON CATHETER, CORONARY VENOGRAM",180.0,,50.4,154.8,83
LOCAL,27810,PR CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ,2917.0,,328.5504,2508.76,55
LOCAL,27814,PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE,4698.0,,573.7304,4730.75,55
LOCAL,27816,PR CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,2294.0,,217.64,1949.9,55
LOCAL,27818,PR CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION,3348.0,,337.8976,2867.64,55
LOCAL,27822,PR OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP,5307.0,,652.6756,5518.91,55
LOCAL,27823,PR OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP,6271.0,,735.0524,6521.73,55
LOCAL,27829,PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION,3495.0,,410.57,3405.1,55
LOCAL,27840,PR CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,1842.0,,201.7,1565.7,55
LOCAL,27842,PR CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ,1894.0,,266.04,1736.4,55
LOCAL,27860,PR MANIPULATION ANKLE UNDER GENERAL ANESTHESIA,1051.0,,122.13,966.76,55
LOCAL,27870,PR ARTHRODESIS ANKLE OPEN,6547.0,,753.0108,6808.49,55
LOCAL,27880,PR AMPUTATION LEG THROUGH TIBIA&FIBULA,4974.0,,661.526,4837.21,55
LOCAL,27881,PR AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST,5693.0,,612.3428,5733.55,55
LOCAL,27882,PR AMPUTATION LEG THRU TIBIA&FIBULA OPEN CIRCULAR,3848.0,,436.5124,3942.58,55
LOCAL,27884,PR AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REV,3285.0,,372.49,2792.25,55
LOCAL,27886,PR AMP LEG THRU TIBIA&FIBULA RE-AMPUTATION,4769.0,,481.022,4802.86,55
LOCAL,27888,PR AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR&RESCJ NRV,4983.0,,422.74,5017.5,55
LOCAL,27892,PR DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NERVE,3060.0,,350.51,3082.28,55
LOCAL,27893,PR DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV,3168.0,,350.36,3082.28,55
LOCAL,27894,PR DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUS,4158.0,,467.49,4012.97,55
LOCAL,2789901,PR UNLISTED PROCEDURE LEG OR ANKLE (BONE GRAFT USING ALLOGRAFT),1879.0,,1127.4,3959.75,28
LOCAL,2789902,PR UNLISTED PROCEDURE LEG OR ANKLE (BONE RECONSTRUCTION USING CEMENTATION),1503.0,,901.8,3959.75,28
LOCAL,2789903,PR UNLISTED PROCEDURE LEG OR ANKLE - STANMORE BONE LENGTHENING,1285.0,,771.0,3959.75,28
LOCAL,27900001,HC KCI WOUND VAC DAILY USE,151.0,,42.28,129.86,83
LOCAL,28005,PR INCISION BONE CORTEX FOOT,2562.0,,408.49,2635.83,55
LOCAL,28020,PR ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,10826.0,,271.9888,9202.1,55
LOCAL,28022,PR ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT,2241.0,,236.06,2306.13,55
LOCAL,28024,PR ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT,1680.0,,213.51,1729.16,55
LOCAL,28039,PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>,3004.0,,251.574,2703.6,55
LOCAL,28041,PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>,3956.0,,336.9132,3560.4,55
LOCAL,28043,PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM,4521.0,,166.5,3842.85,55
LOCAL,28045,PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM,3137.0,,261.9056,2666.45,55
LOCAL,28046,PR RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM,11194.0,,500.11,11527.22,55
LOCAL,28047,PR RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>,9351.0,,774.1616,8415.9,55
LOCAL,28070,PR SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX,2000.0,,259.9368,2058.86,55
LOCAL,28072,PR SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH,1511.0,,244.9408,1502.5,55
LOCAL,28090,PR EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,1945.0,,232.392,2017.65,55
LOCAL,28092,PR EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA,1699.0,,181.05,1444.15,55
LOCAL,28100,PR EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS,3601.0,,315.514,3707.31,55
LOCAL,28102,PR EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT,4742.0,,463.312,4881.86,55
LOCAL,28103,PR EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT,4139.0,,289.6988,4117.73,55
LOCAL,28104,PR EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL,2802.0,,268.0512,2883.09,55
LOCAL,28106,PR EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT,3998.0,,318.7156,4117.73,55
LOCAL,28107,PR EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT,3998.0,,260.1852,4117.73,55
LOCAL,28108,PR EXC/CURTG CST/B9 TUM PHALANGES FOOT,2000.0,,217.6352,2058.86,55
LOCAL,28110,PR OSTECTOMY PRTL 5TH METAR HEAD SPX,2622.0,,222.3088,2470.97,55
LOCAL,28111,PR OSTECTOMY COMPLETE 1ST METATARSAL HEAD,3199.0,,238.786,3293.49,55
LOCAL,28112,PR OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4,2383.0,,235.842,2470.97,55
LOCAL,28113,PR OSTECTOMY COMPLETE 5TH METATARSAL HEAD,2402.0,,300.44,2470.97,55
LOCAL,28114,PR OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC,5377.0,,629.556,5354.07,55
LOCAL,28120,PR PARTIAL EXCISION BONE TALUS/CALCANEUS,3097.0,,345.5,3212.8,55
LOCAL,28122,PR PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS,2722.0,,329.7832,2800.67,55
LOCAL,28124,PR PARTICAL EXCISION BONE PHALANX TOE,1980.0,,252.31,2058.86,55
LOCAL,28150,PR PHALANGECTOMY TOE EACH TOE,2241.0,,210.266,2306.13,55
LOCAL,28160,PR HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE,2000.0,,201.1672,2058.86,55
LOCAL,28171,PR RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,3998.0,,569.99,4117.73,55
LOCAL,28173,PR RADICAL RESECTION TUMOR METATARSAL,3313.0,,469.84,3293.49,55
LOCAL,28175,PR RADICAL RESECTION TUMOR PHALANX OR TOE,2241.0,,350.1888,2306.13,55
LOCAL,28190,PR REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,1084.0,,75.76,1112.72,55
LOCAL,28192,PR REMOVAL FOREIGN BODY FOOT DEEP,1680.0,,207.3,1729.16,55
LOCAL,28193,PR REMOVAL FOREIGN BODY FOOT COMPLICATED,2642.0,,255.27,2718.24,55
LOCAL,28200,PR RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON,2495.0,,245.9252,2594.62,55
LOCAL,28202,PR RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON,3186.0,,323.3892,3278.03,55
LOCAL,28208,PR REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,1890.0,,228.17,1606.5,55
LOCAL,28210,PR RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON,1962.0,,315.2748,1809.87,55
LOCAL,28220,PR TENOLYSIS FLEXOR FOOT SINGLE TENDON,2648.0,,228.9512,2250.8,55
LOCAL,28222,PR TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS,2457.0,,277.3984,2527.63,55
LOCAL,28225,PR TENOLYSIS EXTENSOR FOOT SINGLE TENDON,1257.0,,192.3,1195.15,55
LOCAL,28226,PR TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON,1611.0,,256.04,1571.19,55
LOCAL,28285,PR CORRECTION HAMMERTOE,2286.0,,288.41,1981.59,55
LOCAL,28292,PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE,3545.0,,365.4424,3686.71,55
LOCAL,28295,PR CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT,4655.0,,448.8036,4189.5,55
LOCAL,28296,PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT,4465.0,,386.3448,4643.17,55
LOCAL,28297,PR CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS,3981.0,,448.316,4097.12,55
LOCAL,28298,PR CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT,3576.0,,379.9508,3482.38,55
LOCAL,28299,PR CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY,5000.0,,446.8348,5050.14,55
LOCAL,28306,PR OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,3391.0,,305.6792,2936.33,55
LOCAL,28307,PR OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE,3218.0,,392.4904,3310.67,55
LOCAL,28308,PR OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,2192.0,,291.9068,2254.62,55
LOCAL,28309,PR OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT,3330.0,,633.03,3330.3,55
LOCAL,28400,PR CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,1220.0,,161.44,1217.45,55
LOCAL,28405,PR CLOSED TX CALCANEAL FRACTURE W/MANIPULATION,1978.0,,281.51,1978.15,55
LOCAL,28415,PR OPEN TREATMENT CALCANEAL FRACTURE,5574.0,,810.92,4869.84,55
LOCAL,28420,PR OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT,5929.0,,899.79,5936.18,55
LOCAL,28430,PR CLOSED TX TALUS FRACTURE W/O MANIPULATION,1238.0,,153.41,1238.08,55
LOCAL,28435,PR CLOSED TX TALUS FRACTURE W/MANIPULATION,1676.0,,226.86,1675.94,55
LOCAL,28445,PR OPEN TREATMENT TALUS FRACTURE,5493.0,,610.6,4869.84,55
LOCAL,28450,PR TX TARSAL BONE FX XCP TALUS&CALCNS W/O MNPJ EACH,1125.0,,125.23,1123.01,55
LOCAL,28455,PR TX TARSAL BONE FX XCP TALUS&CALCN W/MNPJ EACH,1525.0,,174.3584,1523.11,55
LOCAL,28470,PR CLTX METATARSAL FRACTURE W/O MANIPULATION EACH,1169.0,,124.78,993.65,55
LOCAL,28475,PR CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH,1259.0,,173.43,1256.95,55
LOCAL,28476,PR PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH,2285.0,,224.37,2283.81,55
LOCAL,28485,PR OPEN TREATMENT METATARSAL FRACTURE EACH,4005.0,,340.15,3404.25,55
LOCAL,28490,PR CLTX FX GRT TOE PHLX/PHLG W/O MANJ,690.0,,64.5,586.5,55
LOCAL,28495,PR CLTX FX GRT TOE PHLX/PHLG W/MANJ,840.0,,87.03,837.97,55
LOCAL,28510,PR CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ,763.0,,63.74,648.55,55
LOCAL,28515,PR CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ,690.0,,82.64,628.49,55
LOCAL,28525,PR OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE,1599.0,,174.43,1600.38,55
LOCAL,28630,PR CLTX METATARSOPHLNGL JT DISLC W/O ANES,1273.0,,83.6096,1082.05,55
LOCAL,28635,PR CLTX METATARSOPHLNGL JT DISLC REQ ANES,1012.0,,98.3664,915.24,55
LOCAL,28800,PR AMPUTATION FOOT MIDTARSAL,3805.0,,393.2264,3805.21,55
LOCAL,28805,PR AMPUTATION FOOT TRANSMETARSAL,3805.0,,496.92,3686.71,55
LOCAL,28810,PR AMPUTATION METATARSAL W/TOE SINGLE,2563.0,,314.2904,2665.01,55
LOCAL,28820,PR AMPUTATION TOE METATARSOPHALANGEAL JOINT,1946.0,,131.0724,1978.15,55
LOCAL,28825,PR AMPUTATION TOE INTERPHALANGEAL JOINT,2135.0,,127.88,1814.75,55
LOCAL,2889901,PR RECONSTRUCTION OF FOOT/TOE WITH TISSUE MEND,1877.0,,1126.2,1931.79,28
LOCAL,2889902,PR RECONSTRUCTION OF FOOT/TOE WITH ALLOGRAFT,1879.0,,1127.4,1931.79,28
LOCAL,2889903,PR UNLISTED PX FOOT/TOES-CEMENTOPLASTY OF FOOT/TOES,1877.0,,1126.2,1931.79,28
LOCAL,29049,PR APPLICATION CAST FIGURE-OF-EIGHT,362.0,,41.82,358.87,55
LOCAL,29055,PR APPLICATION CAST SHOULDER SPICA,827.0,,97.16,721.2,55
LOCAL,29058,PR APPLICATION CAST PLASTER VELPEAU,432.0,,62.63,432.72,55
LOCAL,29065,PR APPLICATION CAST SHOULDER TO HAND LONG ARM,440.0,,51.152,394.95,55
LOCAL,29075,PR APPLICATION CAST ELBOW TO FINGER SHORT ARM,455.0,,46.06,386.75,55
LOCAL,29085,PR APPLICATION CAST HAND & LOWER FOREARM GAUNTLET,289.0,,44.64,286.76,55
LOCAL,29086,PR APPLICATION CAST FINGER,219.0,,36.892,221.51,55
LOCAL,29105,PR APPLICATION LONG ARM SPLINT SHOULDER TO HAND,421.0,,30.7372,357.85,55
LOCAL,29125,PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC,329.0,,30.2496,279.65,55
LOCAL,29126,PR APPLICATION SHORT ARM SPLINT DYNAMIC,310.0,,37.1312,286.76,55
LOCAL,29130,PR APPLICATION FINGER SPLINT STATIC,323.0,,20.82,274.55,55
LOCAL,29131,PR APPLICATION FINGER SPLINT DYNAMIC,267.0,,25.8244,254.14,55
LOCAL,29200,PR STRAPPING THORAX,234.0,,13.0364,198.9,55
LOCAL,29200008,HC LANCET DEVICE (SOFTCLIX),99.0,,27.72,85.14,83
LOCAL,29200046,HC WALKER GLIDE CAPS,38.0,,10.64,32.68,83
LOCAL,29200063,HC CANE UNI-POISE GUARDIAN,38.0,,10.64,32.68,83
LOCAL,29200064,HC CANE UNI-POISE YOUTH (GUARDIA,66.0,,18.48,56.76,83
LOCAL,29200065,HC CANE QUAD NARROW (GUARDIAN),68.0,,19.04,58.48,83
LOCAL,29200066,HC CRUTCH QUAD GAITER AID TALL AD,216.0,,60.48,185.76,83
LOCAL,29200067,HC CRUTCH FOREARM ADULT,110.0,,30.8,94.6,83
LOCAL,29200068,HC CRUTCH RED DOT ADULT,51.0,,14.28,43.86,83
LOCAL,29200069,HC CRUTCH RED DOT ADULT TALL,51.0,,14.28,43.86,83
LOCAL,29200070,HC CRUTCH RED DOT YOUTH,51.0,,14.28,43.86,83
LOCAL,29200071,HC CANE WALKER SIDESTEPPER,65.0,,18.2,55.9,83
LOCAL,29200072,HC WALKER ATTACHMENT PLATFORM,340.0,,95.2,292.4,83
LOCAL,29200073,HC WALKER RED DOT ADULT,138.0,,38.64,118.68,83
LOCAL,29200074,HC WALKER RED DOT YOUTH,138.0,,38.64,118.68,83
LOCAL,29200075,HC WALKER X-WIDE,152.0,,42.56,130.72,83
LOCAL,29200076,HC WALKR WHEELS ONLY FXD5IN(PAIR),62.0,,17.36,53.32,83
LOCAL,29240,PR STRAPPING SHOULDER,251.0,,12.954,213.35,55
LOCAL,29260,PR STRAPPING ELBOW/WRIST,201.0,,13.6255,170.85,55
LOCAL,29280,PR STRAPPING HAND/FINGER,208.0,,14.5084,176.8,55
LOCAL,29345,PR APPLICATION LONG LEG CAST THIGH-TOE,685.0,,74.2716,582.25,55
LOCAL,29358,PR APPLICATION LONG LEG CAST BRACE,1002.0,,77.2156,1007.96,55
LOCAL,29365,PR APPLICATION CYLINDER CAST THIGH TO ANKLE,469.0,,65.412,467.06,55
LOCAL,29405,PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE,473.0,,44.022,432.72,55
LOCAL,29425,PR APPLICATION SHORT LEG CAST WALKING/AMBULATORY,467.0,,40.5812,485.95,55
LOCAL,29505,PR APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES,414.0,,39.5968,358.87,55
LOCAL,29515,PR APPLICATION SHORT LEG SPLINT CALF TO FOOT,431.0,,37.3796,366.35,55
LOCAL,29580,PR STRAPPING UNNA BOOT,203.0,,19.182,200.91,55
LOCAL,29581,PR APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE&FOOT,306.0,,19.4304,275.4,55
LOCAL,29584,PR APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND&FNGR,216.0,,11.526,194.4,55
LOCAL,29700,PR REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,310.0,,24.5916,263.5,55
LOCAL,29705,PR REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,292.0,,33.442,248.2,55
LOCAL,29710,PR RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET,388.0,,56.35,329.8,55
LOCAL,29720,PR REPAIR SPICA BODY CAST/JACKET,257.0,,28.84,218.45,55
LOCAL,29730,PR WINDOWING CAST,216.0,,31.83,183.6,55
LOCAL,29740,PR WEDGING CAST EXCEPT CLUBFOOT CASTS,317.0,,47.28,269.45,55
LOCAL,29750,PR WEDGING CLUBFOOT CAST,363.0,,55.58,308.55,51
LOCAL,29800,PR ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX,3228.0,,333.94,3320.96,55
LOCAL,29804,PR ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL,5481.0,,443.6424,5644.26,55
LOCAL,29805,PR DIAGNOSTIC ARTHROSCOPY SHOULDER +- SYNOVIAL BX,4110.0,,356.3344,3493.5,55
LOCAL,29806,PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY,8149.0,,792.3592,6926.65,55
LOCAL,29807,PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION,6061.0,,773.9132,6303.66,53
LOCAL,29819,PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB,3832.0,,442.658,3985.51,55
LOCAL,29820,PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY,5157.0,,404.0456,4383.45,55
LOCAL,29821,PR SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY,4934.0,,448.5552,5130.84,55
LOCAL,29822,PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2,3960.0,,409.7036,4107.42,55
LOCAL,29823,PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+,4529.0,,446.8348,4710.14,55
LOCAL,29824,PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC,4872.0,,510.7748,4141.2,55
LOCAL,29825,PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS,4645.0,,442.9064,4830.34,55
LOCAL,29826,PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS,5110.0,,126.6472,5314.57,55
LOCAL,29827,PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR,5460.0,,798.5048,4914.0,55
LOCAL,29828,PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS,7083.0,,686.1176,6833.02,53
LOCAL,29830,PR ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX,2347.0,,347.7324,2414.32,55
LOCAL,29834,PR ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB,4280.0,,374.7804,4407.92,55
LOCAL,29835,PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL,4692.0,,386.8324,4830.34,55
LOCAL,29836,PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE,5570.0,,443.394,5735.27,55
LOCAL,29837,PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED,4280.0,,393.7232,4407.92,55
LOCAL,29838,PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE,5454.0,,449.5396,5615.07,55
LOCAL,29840,PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX,3187.0,,288.92,2708.95,55
LOCAL,29843,PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE,2934.0,,369.8676,3018.75,55
LOCAL,29844,PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL,7059.0,,380.19,6000.15,55
LOCAL,29845,PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE,4692.0,,443.6424,4830.34,55
LOCAL,29846,PR ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT,5357.0,,396.1796,4553.45,55
LOCAL,29847,PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY,5277.0,,411.9208,5433.05,55
LOCAL,29848,PR NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM,4225.0,,307.12,3591.25,55
LOCAL,29850,PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ,4164.0,,472.6592,4287.71,55
LOCAL,29851,PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ,4574.0,,698.6572,4710.14,55
LOCAL,29855,PR ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR,4457.0,,587.5028,4588.21,55
LOCAL,29856,PR ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR,4954.0,,744.8964,5101.66,55
LOCAL,29860,PR ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX,3492.0,,420.59,2968.2,55
LOCAL,29861,PR ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB,4105.0,,522.5784,4227.62,55
LOCAL,29862,PR ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG,6508.0,,609.8864,6700.31,55
LOCAL,29863,PR ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY,5277.0,,613.0788,5433.05,55
LOCAL,29866,PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST,8655.0,,790.878,7789.5,55
LOCAL,29867,PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT,10350.0,,957.858,9315.0,55
LOCAL,29868,PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT,14022.0,,1244.116,12619.8,55
LOCAL,29870,PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX,2202.0,,302.54,2264.91,55
LOCAL,29871,PR ARTHROSCOPY KNEE SURG INFECTION LAVAGE&DRAINAGE,3482.0,,390.2732,3621.46,55
LOCAL,29873,PR ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE,3502.0,,407.4864,3151.8,55
LOCAL,29874,PR ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY,4412.0,,404.7816,4588.21,55
LOCAL,29875,PR ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX,4354.0,,375.7648,4528.12,55
LOCAL,29876,PR ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2/>CMPRT,5196.0,,492.5772,5403.86,55
LOCAL,29877,PR ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG,4645.0,,468.7216,4830.34,55
LOCAL,29879,PR ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX,5341.0,,499.2196,5554.98,55
LOCAL,29880,PR ARTHRS KNEE SURG MENISCECTOMY MED&LAT W/SHAVING,6386.0,,424.4604,6641.93,55
LOCAL,29881,PR ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG,5284.0,,409.216,5494.87,55
LOCAL,29882,PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL,5719.0,,518.4016,5948.19,55
LOCAL,29883,PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL&LATERAL,7504.0,,630.292,7727.17,55
LOCAL,29884,PR ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ,4354.0,,467.7372,4528.12,55
LOCAL,29885,PR ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ,6449.0,,571.0256,6641.93,55
LOCAL,29886,PR ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION,5161.0,,482.0064,5314.57,55
LOCAL,29887,PR ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ,6156.0,,568.8176,6339.71,55
LOCAL,29888,PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,9368.0,,727.9224,9719.06,55
LOCAL,29889,PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,9439.0,,838.16,9719.06,55
LOCAL,29891,PR ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS&/TIB DRLG,5922.0,,507.0856,6097.6,55
LOCAL,29892,PR ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX,7035.0,,481.2704,7244.64,55
LOCAL,29893,PR ENDOSCOPIC PLANTAR FASCIOTOMY,2593.0,,330.7676,2204.05,55
LOCAL,29894,PR ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY,4516.0,,380.4384,4650.04,55
LOCAL,29895,PR ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL,4516.0,,345.0276,4650.04,55
LOCAL,29897,PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED,4224.0,,370.1068,4347.82,55
LOCAL,29898,PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,5878.0,,420.2744,6097.6,55
LOCAL,29899,PR ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS,5732.0,,745.6324,5158.8,55
LOCAL,29900,PR ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY,1725.0,,384.376,1724.1,55
LOCAL,29901,PR ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT,5887.0,,411.424,5003.95,55
LOCAL,29902,PR ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM,2481.0,,435.7672,2553.4,55
LOCAL,29904,PR ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY,4558.0,,484.4628,4468.26,55
LOCAL,29905,PR ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY,4824.0,,384.376,4730.75,55
LOCAL,29906,PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT,5079.0,,500.4524,4978.51,55
LOCAL,29907,PR ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS,6434.0,,659.8056,6308.06,55
LOCAL,29914,PR ARTHROSCOPY HIP W/FEMOROPLASTY,7176.0,,744.8964,6458.4,55
LOCAL,29915,PR ARTHROSCOPY HIP W/ACETABULOPLASTY,7650.0,,759.1564,6885.0,55
LOCAL,29916,PR ARTHROSCOPY HIP W/LABRAL REPAIR,7338.0,,760.1408,6604.2,55
LOCAL,3,Stem Cell Transplant- Tandem Auto to Auto 2nd Attempt,,,61875.0,61875.0,1
LOCAL,30000,PR DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH,642.0,,62.17,545.7,55
LOCAL,30000023,HC PARATHY CRYOPRES&THAW,3875.0,,61.226,3332.5,84
LOCAL,30000024,HC LIPID BATTERY,287.0,,11.25,246.82,84
LOCAL,30000028,HC AMIKACIN,330.0,,12.67,283.8,84
LOCAL,30000034,HC CARBAMEZAPINE,228.0,,12.24,196.08,84
LOCAL,30000035,HC REF CYCLOSPORINE A,86.0,,15.16,73.96,84
LOCAL,30000039,HC DIGOXIN,73.0,,11.16,62.78,84
LOCAL,30000040,HC VALPROIC ACID,138.0,,11.37,118.68,84
LOCAL,30000041,HC REF VALPROIC ACID FREE,58.0,,11.37,49.88,84
LOCAL,30000042,HC REF VALPROIC ACID TOTAL,58.0,,11.37,49.88,84
LOCAL,30000044,HC GENTAMICIN,105.0,,13.76,90.3,84
LOCAL,30000048,HC REF LAMOTRIGINE (LAMICTAL),70.0,,11.13,60.2,84
LOCAL,30000049,HC REF LIDOCAINE,200.0,,12.34,172.0,84
LOCAL,30000050,HC REF LEVETIRACETAM (KEPPRA),111.0,,11.13,95.46,84
LOCAL,30000051,HC REF MYCOPHENOLIC ACID,83.0,,15.16,71.38,84
LOCAL,30000055,HC REF OXCARBAZEPINE METABOLITES,75.0,,11.13,64.5,84
LOCAL,30000056,HC REF PHENOBARBITAL,79.0,,12.85,67.94,84
LOCAL,30000058,HC PHENYTOIN,219.0,,11.13,188.34,84
LOCAL,30000059,HC REF FREE DILANTIN,258.0,,11.56,221.88,84
LOCAL,30000064,HC TACROLIMUS,254.0,,11.53,218.44,84
LOCAL,30000065,HC REF TACROLIMUS,645.0,,11.53,554.7,84
LOCAL,30000067,HC REF TOPIRAMATE,85.0,,10.01,73.1,84
LOCAL,30000068,HC VANCOMYCIN,160.0,,11.37,137.6,84
LOCAL,30000069,HC REF ZONISAMIDE,79.0,,11.13,67.94,84
LOCAL,30000070,HC METHOTREXATE,176.0,,32.4,151.36,84
LOCAL,30000073,HC REF SULFAMETHOXAZOLE,125.0,,15.66,107.5,84
LOCAL,30000075,HC REF VORICONAZOLE,104.0,,22.77,89.44,84
LOCAL,30000081,HC URINALYSIS AUTO W MICROSCOPY,117.0,,2.66,100.62,84
LOCAL,30000083,HC ACETONE URINE,26.0,,2.92,22.36,84
LOCAL,30000086,HC SPECIFIC GRAVITY,36.0,,2.92,30.96,84
LOCAL,30000087,HC URINALYSIS ROUTINE,95.0,,1.89,81.7,84
LOCAL,30000090,HC VOL MEAS FOR TIMED COLL,67.0,,3.06,57.62,84
LOCAL,30000104,HC REF PT G20210A VARIANT,182.0,,50.96,156.52,84
LOCAL,30000105,HC REF FACTOR V LEIDEN MUTATION,192.0,,53.76,165.12,84
LOCAL,30000106,HC REF FANCONI ANEMIA MUTAT ANAL,464.0,,30.76,399.04,83
LOCAL,30000107,HC REF HEMOCHROMAT HFE GENE ANAL,476.0,,54.9,409.36,83
LOCAL,30000108,HC REF ALPHA GLOBIN CLUSTER LOCUS DEL/DUP,910.0,,170.02,782.6,83
LOCAL,30000111,HC REF ZYGOSITY TESTING,1774.0,,195.78,1525.64,83
LOCAL,30000112,HC REF ZYGOSITY DONOR,669.0,,187.32,575.34,83
LOCAL,30000113,HC REF METHYLENETETRAHYDROFOLATE REDUCTASE,413.0,,54.89,355.18,83
LOCAL,30000137,HC REF UGT1A1 TA REPEAT GENOTYPE,1364.0,,196.56,1173.04,83
LOCAL,30000141,HC REF DPYD FULL GENE SEQUENCING,1591.0,,445.48,1368.26,83
LOCAL,30000159,HC REF TPMT AND NUDT15 GENEOTYPE,1282.0,,358.96,1102.52,83
LOCAL,30000162,HC REF FRIEDREICH ATAXIA,892.0,,14.51,767.12,84
LOCAL,30000174,HC REF NF1 KNOWN MUTATION,580.0,,162.4,1680.0,83
LOCAL,30000175,HC REF NF2 MUTATION KNOWN,580.0,,162.4,498.8,83
LOCAL,30000209,HC REF TISSUE NF1 GENE SEQUENCE,1508.0,,422.24,1680.0,83
LOCAL,30000211,HC REF TISSUE NF1 GENE DEL/DUP,1508.0,,422.24,1296.88,83
LOCAL,30000212,HC REF TISSUE LOSS HTR CHROM17Q,754.0,,211.12,648.44,83
LOCAL,30000257,HC REF NF1 BIOPSY,6028.0,,1687.84,5184.08,83
LOCAL,30000258,HC REF RETINOBLASTOMA BILAT SCRN,5564.0,,1557.92,4785.04,83
LOCAL,30000259,HC REF RB1 RETINOBLAS UNLAT SCRN,8693.0,,2434.04,7475.98,83
LOCAL,30000273,HC REF FHL2 FULL GENE,1784.0,,499.52,1534.24,83
LOCAL,30000279,HC ROUTINE VENIPUNCTURE,57.0,,11.3625,49.02,82
LOCAL,30000282,HC REF CGH MICROARRAY ANALYSIS,1855.0,,519.4,1595.3,83
LOCAL,30001509,HC TISSUE OXYGEN SNGL DETERM,1212.0,,339.36,1042.32,83
LOCAL,30001510,HC TISSUE OXYGEN MULT DETERM,1537.0,,430.36,1321.82,83
LOCAL,30001511,HC MISC FLUID CELL,38.0,,3.96,32.68,84
LOCAL,30001512,HC CSF CELL COUNT,38.0,,3.96,32.68,84
LOCAL,30001513,"HC CELL COUNT & DIFF, MISC FLUID",53.0,,4.7,45.58,84
LOCAL,30001515,"HC EOSINOPHL COUNT 7 DIFF, URINE",53.0,,4.7,45.58,84
LOCAL,30001516,"HC CRYSTAL,SYNOVIAL",39.0,,6.16,33.54,84
LOCAL,30001531,HC REF LSD (LYSERGIC ACID DIETHYLAMIDE) SCREEN BLOOD,280.0,,52.2,240.8,84
LOCAL,30001535,HC BILIRUBIN DIRECT,101.0,,4.22,86.86,84
LOCAL,30001536,HC VIRAL PANEL,93.0,,16.43,79.98,84
LOCAL,30001541,HC HLA C1Q CI AB ID,1275.0,,271.95,1096.5,84
LOCAL,30001542,HC HLA C1Q CII AB ID,1113.0,,273.67,957.18,84
LOCAL,30001543,HC POC UHCG,105.0,,7.23,90.3,84
LOCAL,30001572,HC PH,262.0,,2.92,225.32,84
LOCAL,30001573,HC AMIKACIN PEAK,330.0,,12.67,283.8,84
LOCAL,30001574,HC AMIKACIN TROUGH,330.0,,12.67,283.8,84
LOCAL,30001577,HC GENTAMICIN PEAK,105.0,,13.76,90.3,84
LOCAL,30001578,HC GENTAMICIN TROUGH,105.0,,13.76,90.3,84
LOCAL,30001579,HC TOBRAMYCIN PEAK,124.0,,13.55,106.64,84
LOCAL,30001580,HC TOBRMYCIN TROUGH,124.0,,13.55,106.64,84
LOCAL,30001581,HC VANCOMYCIN PEAK,160.0,,11.37,137.6,84
LOCAL,30001582,HC VANCOMYCIN TROUGH,160.0,,11.37,137.6,84
LOCAL,30001585,HC CMV QUANTITATIVE PCR,433.0,,35.99,372.38,84
LOCAL,30001586,"HC REF MYELOPEROXIDASE AB, SERUM",48.0,,9.69,41.28,84
LOCAL,30001588,HC GIID MULT PCR PN,1650.0,,350.1,1419.0,84
LOCAL,30001591,HC POC CHEMO 10,84.0,,2.92,72.24,84
LOCAL,30001593,HC HSV PCR,172.0,,29.48,147.92,84
LOCAL,30001594,HC VZV PCR,172.0,,29.48,147.92,84
LOCAL,30001596,HC REF ZYGOSITY COMP ANALYSIS STR1,1227.0,,195.78,1055.22,83
LOCAL,30001597,HC REF ZYGOSITY ADD COMP ANALYSIS STR2,545.0,,152.6,468.7,83
LOCAL,30001600,"HC REF M-PROTEIN ISOTYPE,QUANTITATIVE",365.0,,54.2875,313.9,84
LOCAL,30001601,HC RESPIRATORY COV2 PANEL PCR,960.0,,268.8,825.6,84
LOCAL,30001605,HC OPTICAL GENOME MAPPING,5904.0,,1653.12,5077.44,83
LOCAL,30001607,HC PT RH PHENO,178.0,,6.51,153.08,85
LOCAL,30001608,HC ANTIGEN TESTING RBC UNITS,59.0,,5.33,421.1415,85
LOCAL,30001609,HC ELECTRONIC XM,101.0,,28.28,200.169,85
LOCAL,30001610,HC DTT,396.0,,37.83,340.56,85
LOCAL,30001611,"HC ANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUE",52.0,,12.2125,61.226,85
LOCAL,30001612,HC LISS XM,101.0,,28.28,200.169,85
LOCAL,30001613,HC DAT IGG C3,85.0,,4.53,73.1,85
LOCAL,30001614,HC PATIENT ABO PLUS RH,105.0,,2.51,156.3195,85
LOCAL,30001615,HC REF NEUROFILAMENT LIGHT CHAIN,1705.0,,14.51,1466.3,83
LOCAL,30001616,HC POC SPECIFIC GRAVITY,25.0,,2.92,21.5,84
LOCAL,30001617,HC REF ADAPTIVE - CLONOSEQ CLONALITY ID,4455.0,,1247.4,3831.3,84
LOCAL,30001618,HC REF ADAPTIVE - CLONOSEQ MRD,4455.0,,1247.4,3831.3,84
LOCAL,30001619,HC REF INSULIN-LIKE GROWTH FACTOR 2,193.0,,14.51,165.98,84
LOCAL,30001620,HC REF ALPHA GLOBIN CLUSTR LOCUS DEL/DUP,909.0,,170.02,781.74,83
LOCAL,30020,PR DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM,560.0,,63.24,573.52,55
LOCAL,30100,PR BIOPSY INTRANASAL,611.0,,50.6552,519.35,55
LOCAL,30100002,HC REF EVEROLIMUS,645.0,,11.53,554.7,84
LOCAL,30100003,HC REF SERUM LITHIUM,88.0,,5.55,75.68,84
LOCAL,30100004,HC REF PHENOBARBITAL,99.0,,12.85,85.14,84
LOCAL,30100005,HC RAPAMYCIN/SIROLIMUS,341.0,,11.53,293.26,84
LOCAL,30100007,HC REF THEOPHYLINE,97.0,,11.88,83.42,84
LOCAL,30100008,HC TOBRAMYCIN,124.0,,13.55,106.64,84
LOCAL,30100009,HC REF CIPROFLOXACIN,250.0,,15.66,215.0,84
LOCAL,30100010,HC REF CHROM MICROARRAY,4057.0,,974.4,3489.02,83
LOCAL,30100014,HC REF ALBUMIN SERUM REF LAB,18.0,,4.16,15.48,84
LOCAL,30100015,HC REF ALBUMIN CSF REF LAB,22.0,,6.16,18.92,84
LOCAL,30100021,HC ALPHA-1-FETOPROTEIN,216.0,,14.09,185.76,84
LOCAL,30100025,HC REF AMINO ACIDE URINE,371.0,,14.17,319.06,84
LOCAL,30100026,HC REF AMYLASE URINE,47.0,,5.44,40.42,84
LOCAL,30100029,HC REF ANGIO-1 CONVERT,65.0,,12.26,55.9,84
LOCAL,30100030,"HC REF ANGIOTENSIN CONVERT ENZYME, CSF",156.0,,12.26,134.16,84
LOCAL,30100034,HC REF ARSENIC BLOOD,34.0,,9.52,29.24,84
LOCAL,30100036,HC REF ARSENIC URINE,236.0,,15.93,202.96,84
LOCAL,30100037,HC REF VITAMIN C,85.0,,8.31,73.1,84
LOCAL,30100039,HC REF BETA 2 MICROGL CSF REFLAB,107.0,,13.59,92.02,84
LOCAL,30100040,"HC REF BETA-2 MICROGLOBULIN,URINE",107.0,,13.59,92.02,84
LOCAL,30100044,HC REF CADMIUM BLOOD,43.0,,12.04,36.98,84
LOCAL,30100045,"HC REF BICARBONATE, URINE",195.0,,4.1,167.7,84
LOCAL,30100046,HC REF CARNITINE,80.0,,14.17,68.8,84
LOCAL,30100047,"HC REF CAROTENE, BETA, SERUM",279.0,,7.74,239.94,84
LOCAL,30100051,HC REF 5-FLUCYTOSINE,478.0,,15.66,411.08,84
LOCAL,30100056,HC REF LEFLUNOMIDE METABOLITE,509.0,,32.4,437.74,84
LOCAL,30100059,HC REF STEPTOMYCIN LEVEL,327.0,,15.66,281.22,84
LOCAL,30100060,HC REF PORPHYRINS FRACT PLASMA,154.0,,20.24,132.44,84
LOCAL,30100061,HC CTX BETA CROSSLINKS SERUM,165.0,,15.69,141.9,84
LOCAL,30100062,"HC REF N-TELOPEPTIDE, CROSS-LINKED, URINE",84.0,,15.69,72.24,84
LOCAL,30100063,HC REF N-TELOPEPTIDE CROSS-LINKS,285.0,,15.69,245.1,84
LOCAL,30100064,HC CORTISOL,260.0,,13.69,223.6,84
LOCAL,30100065,HC REF DEXAMETHASONE,282.0,,15.66,242.52,84
LOCAL,30100069,HC REF LACOSAMIDE (VIMPAT),283.0,,22.77,243.38,84
LOCAL,30100070,HC REF CKMB CK TOTAL,85.0,,5.47,73.1,84
LOCAL,30100071,HC REF CKMB ISOENZYMES,22.0,,6.16,18.92,84
LOCAL,30100073,HC REF CRYOFIBRINOGEN,42.0,,11.76,36.12,84
LOCAL,30100074,HC REF CRYOGLOBULIN,38.0,,5.43,32.68,84
LOCAL,30100075,HC REF CYSTATIN C,95.0,,15.56,81.7,84
LOCAL,30100077,HC REF HEXOKINASE,193.0,,18.62,165.98,84
LOCAL,30100079,HC REF ADENOSINE DEAMINASE RBC,330.0,,6.8,283.8,84
LOCAL,30100081,HC REF THIOPURIN METHYLTRANSFERSASE RBC,443.0,,18.62,380.98,84
LOCAL,30100082,HC REF IEF CONFIRMS,153.0,,42.84,131.58,84
LOCAL,30100084,HC ESTRADIOL,167.0,,23.47,143.62,84
LOCAL,30100085,HC REF ETHYLENE GLYCOL,97.0,,12.52,83.42,84
LOCAL,30100086,HC REF THALASSEMIA FERRITN,122.0,,11.45,104.92,84
LOCAL,30100087,HC REF FLUORIDE URINE,227.0,,15.57,195.22,84
LOCAL,30100088,HC REF RBC FOLATE,85.0,,14.83,73.1,84
LOCAL,30100089,"HC REF IMMUNOGLOBULIN G, SERUM",25.0,,7.0,21.5,84
LOCAL,30100090,HC REF CELIAC IMMUNOGLOBULIN A,20.0,,5.6,17.2,84
LOCAL,30100091,"HC REF IMMUNOGLOBULIN G, CSF",25.0,,7.0,21.5,84
LOCAL,30100097,HC REF HEM ANEMIA G6PD ENZYME ACTIVITY,107.0,,8.15,92.02,84
LOCAL,30100102,HC REF GROWTH HORMONE,68.0,,14.0,58.48,84
LOCAL,30100103,HC REF HAPTOGLOBIN REF LAB,355.0,,10.57,305.3,84
LOCAL,30100106,HC REF PLATINUM,148.0,,18.45,127.28,84
LOCAL,30100108,HC REF THALASSEMIA HB VARIANT A2 & F QUANT,146.0,,10.81,125.56,84
LOCAL,30100109,"HC REF HB ELECT - HB VARIANT,A2 & F QUANTITATION",40.0,,10.81,34.4,84
LOCAL,30100110,HC REF HEM ANEMIA HEMOGLOB ELECTROPHORESIS,127.0,,10.81,109.22,84
LOCAL,30100111,HC REF THALASSEMIA HPLC HB VARIANT,162.0,,15.17,139.32,84
LOCAL,30100112,HC REF HB EVAL - HPLC HB VARIANT,47.0,,13.16,40.42,84
LOCAL,30100113,HC REF HEM ANEMIA HB VARIANT A2 & F QUANT,127.0,,15.17,109.22,84
LOCAL,30100114,HC REF HEMOGLOBIN-PLASMA,93.0,,6.14,79.98,84
LOCAL,30100115,HC REF HEMOGLOBIN STABILITY,390.0,,7.95,335.4,84
LOCAL,30100118,HC REF HOMOVANILLIC ACID HVA RANDOM URINE,294.0,,18.82,252.84,84
LOCAL,30100119,HC INSULIN,187.0,,9.6,160.82,84
LOCAL,30100120,HC REF IRON- URINE (TOTAL),79.0,,5.43,67.94,84
LOCAL,30100121,HC REF LACTIC ACID BF,43.0,,9.72,36.98,84
LOCAL,30100122,HC REF LEAD BLOOD,22.0,,6.16,18.92,84
LOCAL,30100127,HC REF MAGNESIUM-URINE,40.0,,5.63,34.4,84
LOCAL,30100128,HC REF BRODIFACOUM,550.0,,18.09,473.0,83
LOCAL,30100129,HC REF ACYCLOVIR,373.0,,18.09,320.78,83
LOCAL,30100130,HC REF THYMIDINE DETERMINATION,535.0,,20.25,460.1,84
LOCAL,30100131,HC REF HEMOGLOBIN VARIANT BY MASS SPEC,318.0,,20.25,273.48,84
LOCAL,30100132,HC REF VITAMIN B6 PA,133.0,,20.24,114.38,84
LOCAL,30100134,HC REF MERCURY BLOOD,29.0,,8.12,24.94,84
LOCAL,30100135,HC REF METANEPHRINE,83.0,,14.23,71.38,84
LOCAL,30100136,HC REF MYELIN BASIC PROT,64.0,,14.45,55.04,84
LOCAL,30100137,HC REF MYOGLOBIN URINE,75.0,,10.85,64.5,84
LOCAL,30100138,HC REF MYOGLOBIN,82.0,,10.85,70.52,84
LOCAL,30100146,HC OSTEOCALCIN,354.0,,25.07,304.44,84
LOCAL,30100148,HC PTH INTACT,511.0,,34.68,439.46,84
LOCAL,30100149,HC IO PTHI MS,595.0,,34.68,511.7,84
LOCAL,30100161,HC REF CALPROTECTIN,246.0,,16.49,211.56,84
LOCAL,30100162,HC REF ALKALINE PHOSPHATASE,34.0,,4.35,29.24,84
LOCAL,30100163,HC REF ALKALINE PHOSPHATASE ISOENZYMES,49.0,,12.42,42.14,84
LOCAL,30100164,HC REF HEM ANEMIA GLUCOSE PHOSPHATE ISOMERASE,117.0,,9.01,100.62,84
LOCAL,30100167,HC REF PREALBUMIN REF LAB,71.0,,12.26,61.06,84
LOCAL,30100168,HC REF PSA COMPLEXED,181.0,,15.45,155.66,84
LOCAL,30100169,HC PROSTA SPEC ANTIGEN,222.0,,15.45,190.92,84
LOCAL,30100170,HC FREE PROSTATE SPEC ANTIG,263.0,,15.45,226.18,84
LOCAL,30100171,HC REF MAG ANTIBODY IGM,274.0,,14.51,235.64,84
LOCAL,30100173,HC REF ANTIBODY WESTERN BLOT,105.0,,14.31,90.3,84
LOCAL,30100174,HC REF CRMP-5-IGG WESTERN BLOT,345.0,,24.54,296.7,84
LOCAL,30100177,HC REF VITAMIN B6 PLP,155.0,,23.6,133.3,84
LOCAL,30100178,HC REF HEMOLYTIC ANEMIA PK ENZYME ACTIVITY,105.0,,7.93,90.3,84
LOCAL,30100180,HC REF INSULIN-LIKE GROWTH FACTOR 1,142.0,,17.86,122.12,84
LOCAL,30100182,HC REF PORPHYRINS TOTAL,493.0,,6.8,423.98,84
LOCAL,30100184,HC REF TESTOSTERONE BIOAVAILABLE,30.0,,8.4,64.1,84
LOCAL,30100185,HC REF TESTOS FREE,30.0,,8.4,31.8375,84
LOCAL,30100186,HC REF TESTOST TL,31.0,,8.68,32.2625,84
LOCAL,30100187,HC REF THIAMIN B1,80.0,,17.83,68.8,84
LOCAL,30100190,HC REF VITAMIN E,75.0,,11.91,64.5,84
LOCAL,30100194,HC REF TRIGLYCERIDES REF LAB,28.0,,4.82,24.08,84
LOCAL,30100197,HC T3 TOTAL TRIIODOTHRONINE,165.0,,11.91,141.9,84
LOCAL,30100198,HC FREE TRIIODOTHYRONINE,162.0,,14.23,139.32,84
LOCAL,30100199,HC REF FREE T3,53.0,,14.23,45.58,84
LOCAL,30100200,HC POC CTNI,247.0,,10.47,212.42,84
LOCAL,30100201,HC REF VITAMIN A,74.0,,9.75,63.64,84
LOCAL,30100202,HC REF VITAMIN K,238.0,,11.52,204.68,84
LOCAL,30100207,HC C PEPTIDE,270.0,,17.48,232.2,84
LOCAL,30100215,HC CARBOHYD ANTIGEN CA 15-3,310.0,,17.48,266.6,84
LOCAL,30100217,HC REF BETA-2 TRANSFERRIN,183.0,,24.65,157.38,84
LOCAL,30100218,HC POC NMP22 BLADDER TUMOR,154.0,,18.3,132.44,84
LOCAL,30100219,HC IS & RT ANTI-A TITER,74.0,,4.35,200.169,85
LOCAL,30100220,HC IS & RT ANTI-B TITER,74.0,,4.35,200.169,85
LOCAL,30100221,HC REF FUNGITELL ASSAY,396.0,,10.06,340.56,84
LOCAL,30100223,HC REF PARANEO AUTO AB WB,144.0,,24.54,123.84,84
LOCAL,30100224,HC REF PARANEO CRMP-5 WB CSF,689.0,,24.54,592.54,84
LOCAL,30100225,HC REF PARANEO AA WB CSF,662.0,,24.54,569.32,84
LOCAL,30100226,HC REF AMPHIPHYSIN WB CSF,591.0,,24.54,508.26,84
LOCAL,30100227,HC REF PARANEO AMPHI WB,591.0,,24.54,508.26,84
LOCAL,30100228,HC REF CORTICOSTEROID-BINDING GLOBULIN,259.0,,15.12,222.74,84
LOCAL,30100230,HC REF ETHANO GC-FID,116.0,,9.42,99.76,83
LOCAL,30100234,HC REF TETRAHYDRO GC/MS,41.0,,11.48,35.26,84
LOCAL,30100237,HC REF PHENCYCLI GC/MS,185.0,,14.11,159.1,83
LOCAL,30100238,HC REF ALPHA 1 ANTI 24 HR FECES,81.0,,11.29,69.66,84
LOCAL,30100241,HC ACTH,583.0,,32.44,501.38,84
LOCAL,30100242,HC ALBUMIN FLUID,51.0,,6.54,43.86,84
LOCAL,30100243,HC ALBUMIN SERUM,49.0,,4.16,42.14,84
LOCAL,30100245,HC TRANSFERASE ALANINE AMINO ALT SGPT,53.0,,4.45,45.58,84
LOCAL,30100246,"HC AMMONIA, BLOOD",234.0,,12.24,201.24,84
LOCAL,30100247,HC AMYLASE,77.0,,5.44,66.22,84
LOCAL,30100248,HC AMYLASE FLUID,77.0,,5.44,66.22,84
LOCAL,30100250,HC TRANSFERASE ASPARTATE AMINO AST SGOT,112.0,,4.35,96.32,84
LOCAL,30100252,HC BETA-2 MICROGLOB,222.0,,13.59,190.92,84
LOCAL,30100254,HC BILIRUBIN FLUID,53.0,,4.22,45.58,84
LOCAL,30100255,HC BILIRUBIN TOTAL,53.0,,4.22,45.58,84
LOCAL,30100256,HC BLOOD GAS,194.0,,21.9,166.84,84
LOCAL,30100257,HC POC BLOOD GASSES,121.0,,21.9,104.06,84
LOCAL,30100258,HC POC BLOOD UREA NITRO-BUN,67.0,,3.32,57.62,84
LOCAL,30100260,HC BUSULFAN BY HPLC/MS/MS,544.0,,18.09,467.84,83
LOCAL,30100262,HC CALCITONIN,394.0,,22.5,338.84,84
LOCAL,30100263,HC CALCIUM TOTAL,49.0,,4.33,42.14,84
LOCAL,30100264,"HC CALCIUM, URINE",101.0,,5.07,86.86,84
LOCAL,30100265,HC CARBON DIOXIDE BICARBONATE,63.0,,4.1,54.18,84
LOCAL,30100266,HC CEA (EIA),183.0,,15.93,157.38,84
LOCAL,30100268,HC CHLORIDE,63.0,,3.86,54.18,84
LOCAL,30100270,HC CHLORIDE URINE,39.0,,4.83,33.54,84
LOCAL,30100271,HC CHLORIDE WB,73.0,,3.86,62.78,84
LOCAL,30100273,HC CHOLESTEROL,89.0,,3.65,76.54,84
LOCAL,30100274,HC CHOLESTEROL FLUID,89.0,,3.65,76.54,84
LOCAL,30100275,HC CKMB,122.0,,9.7,104.92,84
LOCAL,30100277,HC CPK,77.0,,5.47,66.22,84
LOCAL,30100278,HC CREATININE,36.0,,4.3,30.96,84
LOCAL,30100279,HC CREATININE CLEARAN,140.0,,7.95,120.4,84
LOCAL,30100280,HC CREATININE URINE,81.0,,4.35,69.66,84
LOCAL,30100281,"HC CREATININE,FLUID",87.0,,4.35,74.82,84
LOCAL,30100282,HC POC CREATININE,67.0,,4.3,57.62,84
LOCAL,30100283,HC CRYOCRIT,81.0,,5.43,69.66,84
LOCAL,30100284,HC ERYTHROPOEITIN EPO,148.0,,15.78,127.28,84
LOCAL,30100285,HC FECAL LACTOFERRIN,237.0,,16.55,203.82,84
LOCAL,30100286,HC FERRITIN,222.0,,11.45,190.92,84
LOCAL,30100287,HC FOLIC ACID,221.0,,12.35,190.06,84
LOCAL,30100288,HC FREE KAPPA,312.0,,14.51,268.32,84
LOCAL,30100289,HC FREE LAMBDA,312.0,,14.51,268.32,84
LOCAL,30100290,HC FREE T4,168.0,,7.58,144.48,84
LOCAL,30100291,HC FSH,216.0,,15.61,185.76,84
LOCAL,30100292,HC GAMMA GLUTANYL,134.0,,6.05,115.24,84
LOCAL,30100293,HC GLUC TOLERANCE,211.0,,10.81,181.46,84
LOCAL,30100294,HC POC GLUCOSE MONITORING,76.0,,3.3,65.36,84
LOCAL,30100295,HC GLUCOSE WB,44.0,,3.3,37.84,84
LOCAL,30100296,"HC GLUCOSE, BODY FLUID",53.0,,3.3,45.58,84
LOCAL,30100298,"HC GLUCOSE, QUANT BLOOD",44.0,,3.3,37.84,84
LOCAL,30100299,HC GTT-EA ADDTL>3 SPEC,50.0,,3.29,43.0,84
LOCAL,30100300,HC HAPTOGLOBIN,162.0,,10.57,139.32,84
LOCAL,30100301,HC HCG QUALITATIVE URINE,105.0,,7.23,90.3,84
LOCAL,30100302,HC HEMOGLOBIN A1C,114.0,,8.16,98.04,84
LOCAL,30100303,HC HI DNSITY LIPO PROT,99.0,,6.88,85.14,84
LOCAL,30100304,HC HOMOCYSTEINE SERUM,303.0,,15.05,260.58,84
LOCAL,30100305,HC IGE IMMUNOGLOBULIN E,216.0,,13.83,185.76,84
LOCAL,30100306,HC IMMUNOGLOBULIN-A,146.0,,7.81,125.56,84
LOCAL,30100307,HC IMMUNOGLOBULIN-M,149.0,,7.81,128.14,84
LOCAL,30100308,HC IMMUNOGLUBIN-G,142.0,,7.81,122.12,84
LOCAL,30100309,HC IONIZED CALCIUM,114.0,,11.49,98.04,84
LOCAL,30100310,HC LACTATE POINT OF CARE,66.0,,9.72,56.76,84
LOCAL,30100311,HC LACTATE WB,96.0,,9.72,82.56,84
LOCAL,30100313,HC LACTATE DEHYDROGENASE LDH,51.0,,5.07,43.86,84
LOCAL,30100314,HC LH,227.0,,15.56,195.22,84
LOCAL,30100316,HC LIPASE,122.0,,5.79,104.92,84
LOCAL,30100317,HC MAGNESIUM,112.0,,5.63,96.32,84
LOCAL,30100318,HC REF MYCOPLASMA IGG IGM CSF,388.0,,108.64,333.68,83
LOCAL,30100319,HC OCCULT BLOOD/STOOL,31.0,,3.68,26.66,84
LOCAL,30100320,"HC OSMOLALITY, BLOOD",90.0,,5.55,77.4,84
LOCAL,30100321,"HC OSMOLALITY, URINE",72.0,,5.73,61.92,84
LOCAL,30100324,HC PHOS UR 24,114.0,,4.86,98.04,84
LOCAL,30100325,HC PHOSPHATAS ALKALIN,51.0,,4.35,43.86,84
LOCAL,30100326,"HC PHOSPHOROUS,URINE",74.0,,4.86,63.64,84
LOCAL,30100327,HC PHOSPHORUS,40.0,,3.98,34.4,84
LOCAL,30100329,HC POC GLUCOSE WB,44.0,,3.3,37.84,84
LOCAL,30100330,HC POC PH GASTROCULT,7.0,,1.96,6.02,84
LOCAL,30100331,HC POC-ARTERIAL TCO2,58.0,,4.1,49.88,84
LOCAL,30100333,HC POC VENOU TCO2,58.0,,4.1,49.88,84
LOCAL,30100335,HC POINT OF CARE GASTROCULT,7.0,,1.96,6.65,84
LOCAL,30100336,HC POTASSIUM SERUM PLASMA/WHOLE BLOOD,63.0,,4.0,54.18,84
LOCAL,30100337,HC POTASSIUM WB,73.0,,4.0,62.78,84
LOCAL,30100338,"HC POTASSIUM, URINE",46.0,,3.97,39.56,84
LOCAL,30100339,HC PREALBUMIN,105.0,,12.26,90.3,84
LOCAL,30100340,HC PROLACTIN,134.0,,16.28,115.24,84
LOCAL,30100343,HC PROTEIN TOTAL,49.0,,3.08,42.14,84
LOCAL,30100344,HC PROTEIN TOTAL URINE,64.0,,3.08,55.04,84
LOCAL,30100345,"HC PROTEIN, BODY FLUID",35.0,,4.71,30.1,84
LOCAL,30100350,HC REF 5 HIAA QUANT.,69.0,,10.84,59.34,84
LOCAL,30100355,HC REF ACH RECEPTOR (MUSCLE) BINDING AB,95.0,,15.46,81.7,84
LOCAL,30100356,HC REF ACETYLCHOLINESTERASE RBC,93.0,,8.24,79.98,84
LOCAL,30100362,HC REF ALDOLASE,63.0,,8.16,54.18,84
LOCAL,30100363,HC REF ALDOSTERONE SERUM,78.0,,21.84,67.08,84
LOCAL,30100364,HC REF ALDOSTERONE URINE,87.0,,24.36,74.82,84
LOCAL,30100365,HC REF ALPHA-SUBUNIT PITUITARY TUMOR MKR,514.0,,11.86,442.04,84
LOCAL,30100367,HC REF ALPHA-1-ANTITRYPSIN,67.0,,11.29,57.62,84
LOCAL,30100368,HC REF ALUMINUM,70.0,,19.6,60.2,84
LOCAL,30100371,HC REF ANDROSTENEDIONE,79.0,,22.12,67.94,84
LOCAL,30100372,HC REF PROTHROMBIN AB IGG,375.0,,14.51,322.5,84
LOCAL,30100377,HC REF COPEPTIN PROAVP,250.0,,28.51,215.0,84
LOCAL,30100381,HC REF BETA-CROSS LAPS (B-CTX),66.0,,15.69,56.76,84
LOCAL,30100382,HC REF BETA-GLUCO LEUKOCYTE,166.0,,18.62,142.76,84
LOCAL,30100384,HC REF BIOTIN VITAMIN B 7,133.0,,14.33,114.38,84
LOCAL,30100385,HC REF BOMBESIN RIA,393.0,,15.46,337.98,84
LOCAL,30100386,HC REF BONE ALKALINE PHOSPHATASE,79.0,,12.42,67.94,84
LOCAL,30100387,HC REF BOTULINUM TOXIN TYPE A,323.0,,24.54,277.78,84
LOCAL,30100388,HC REF BROMINE TOTAL,255.0,,20.24,219.3,84
LOCAL,30100389,HC REF BUPIVACAINE (MARCAINE),257.0,,18.09,221.02,83
LOCAL,30100391,HC REF C1 ESTERASE INHIBITOR AG,76.0,,11.42,65.36,84
LOCAL,30100392,HC REF CADMIUM URINE,294.0,,19.86,252.84,84
LOCAL,30100394,HC REF CARBO DEF TRANS,99.0,,15.17,85.14,84
LOCAL,30100395,HC REF CARBOXYHEMOGLOBIN,67.0,,10.35,57.62,84
LOCAL,30100396,HC REF CATECHOLAMINE-PLASM,95.0,,21.21,81.7,84
LOCAL,30100397,HC REF CATECHOLAMINES FRAC,86.0,,21.21,73.96,84
LOCAL,30100399,HC REF CENTROMERE ANTIBODIES IGG,90.0,,9.69,77.4,84
LOCAL,30100400,HC REF CERULOPLASMIN,65.0,,9.02,55.9,84
LOCAL,30100403,HC REF CHYLOMICRON SCREEN,93.0,,26.04,79.98,84
LOCAL,30100405,HC REF COPPER - URINE,296.0,,10.42,254.56,84
LOCAL,30100406,HC REF COPPER SERUM,69.0,,10.42,59.34,84
LOCAL,30100408,HC REF CORTISOL FREE SERUM,152.0,,14.04,130.72,84
LOCAL,30100409,HC REF CORTISOL FREE URINE,80.0,,14.04,68.8,84
LOCAL,30100410,HC REF CORTISOL SALIVA,95.0,,13.69,81.7,84
LOCAL,30100416,HC REF 11 - DEOXYCORTICOSTERONE,400.0,,26.02,344.0,84
LOCAL,30100417,HC REF 11-DEOXYCORTISOL,90.0,,24.6,77.4,84
LOCAL,30100418,HC REF DHEA,57.0,,15.96,49.02,84
LOCAL,30100419,HC REF DHEA SULFATE,71.0,,18.67,61.06,84
LOCAL,30100420,HC REF DIBUCAINE NUMBER,47.0,,10.29,40.42,84
LOCAL,30100421,HC REF DIGITOXIN,180.0,,15.66,154.8,84
LOCAL,30100432,HC REF FECAL FAT QUAN,83.0,,14.11,71.38,84
LOCAL,30100437,HC REF FIBROBLAST GROW FACT 23,116.0,,14.51,99.76,84
LOCAL,30100442,HC REF FRUCTOSAMINE,72.0,,14.08,61.92,84
LOCAL,30100445,HC REF GASTRIN,71.0,,14.81,61.06,84
LOCAL,30100454,HC REF GLUCAGON,94.0,,12.0,80.84,84
LOCAL,30100455,HC REF GLUCOSE ENZYME ACTIVITY,82.0,,8.15,70.52,84
LOCAL,30100457,HC REF GLYCOMARK (TM),107.0,,9.69,92.02,84
LOCAL,30100458,HC REF GONADOTROP RELEASE HORMON,286.0,,14.44,245.96,84
LOCAL,30100459,HC REF GRANULOCYTE COLONY STIM FACTOR,1065.0,,14.51,915.9,84
LOCAL,30100460,HC REF GROWTH HORMON-REL HORM,286.0,,14.51,245.96,84
LOCAL,30100461,HC REF HEMOGLOBIN-FETAL,71.0,,15.17,61.06,84
LOCAL,30100462,HC REF HEMOQUANT FECES,109.0,,30.52,93.74,84
LOCAL,30100468,HC REF HUMAN PLACENTAL LACTOGEN,302.0,,16.98,259.72,84
LOCAL,30100469,"HC REF HOMOVANILLIC ACID, PEDI, URINE",70.0,,18.82,60.2,84
LOCAL,30100473,HC REF 17-HYDROXYPROGESTERONE,76.0,,21.28,65.36,84
LOCAL,30100474,HC REF IMMUNOGLOBULIN D (IGD),92.0,,7.81,79.12,84
LOCAL,30100475,HC REF IGA SUBCLASS IGA TOTAL,93.0,,11.42,79.98,84
LOCAL,30100482,HC REF IGG SUB 1,17.0,,4.76,14.62,84
LOCAL,30100483,HC REF IGG SUB 2,17.0,,4.76,14.62,84
LOCAL,30100484,HC REF IGG SUB 3,17.0,,4.76,14.62,84
LOCAL,30100485,HC REF IGG SUB 4,17.0,,4.76,14.62,84
LOCAL,30100490,HC REF IMMUNOGLOBULIN IGA CSF,34.0,,7.81,29.24,84
LOCAL,30100493,HC REF INHIBIN B,143.0,,14.51,122.98,84
LOCAL,30100496,HC REF INTERLEUKIN 1 BETA,286.0,,14.51,245.96,84
LOCAL,30100497,HC REF INTERLEUKIN 5,193.0,,14.51,165.98,84
LOCAL,30100498,HC REF IODINE 24H URINE,67.0,,18.76,57.62,84
LOCAL,30100499,HC REF IODINE/CREATININE RATIO,357.0,,20.25,307.02,84
LOCAL,30100502,HC REF ITRACONAZOLE,95.0,,22.77,81.7,84
LOCAL,30100503,"HC REF KAPPA TOTAL LIGHT CHAIN, RANDOM URINE",62.0,,11.42,53.32,84
LOCAL,30100504,HC REF LACTATE DEHYDROGENASE,38.0,,5.07,32.68,84
LOCAL,30100505,HC REF LACTIC ACID CSF,67.0,,9.72,57.62,84
LOCAL,30100506,"HC REF LAMBDA TOTAL LIGHT CHAIN, RANDOM URINE",63.0,,11.42,54.18,84
LOCAL,30100507,HC REF LDH ISOENZYME,39.0,,10.74,33.54,84
LOCAL,30100508,HC REF LEAD BLOOD,65.0,,10.17,55.9,84
LOCAL,30100509,HC REF LEAD URINE,151.0,,10.17,129.86,84
LOCAL,30100517,HC REF LIPOPRTEIN (A),353.0,,12.03,303.58,84
LOCAL,30100526,HC REF METHYLMALONIC ACID(SERUM),80.0,,17.82,68.8,84
LOCAL,30100534,HC REF MG U RD,36.0,,5.63,30.96,84
LOCAL,30100536,HC REF MITOCHANDRIAL AB,66.0,,18.48,56.76,84
LOCAL,30100537,HC REF MITOTANE (LYSODREN),194.0,,15.66,166.84,84
LOCAL,30100542,HC REF MYELOPEROX AB IGG,59.0,,9.69,50.74,84
LOCAL,30100550,HC REF NEURON SPEC ENOLASE,80.0,,14.51,68.8,84
LOCAL,30100551,HC REF NEUROTENSIN,321.0,,15.46,276.06,84
LOCAL,30100552,"HC REF VITAMIN B3, NIACIN",341.0,,14.33,293.26,84
LOCAL,30100560,"HC REF OLIGOCLONAL BANDS, SERUM",51.0,,14.28,43.86,84
LOCAL,30100562,HC REF OLIGOCLONAL BANDS CSF,52.0,,14.56,44.72,84
LOCAL,30100570,HC REF PANCREAT. POLYPEP,149.0,,15.46,128.14,84
LOCAL,30100581,HC REF POSACONAZOLE LEVEL,179.0,,22.77,153.94,84
LOCAL,30100586,HC REF PROGESTERONE SE,74.0,,17.52,63.64,84
LOCAL,30100587,HC REF PROINSULIN,85.0,,22.42,73.1,84
LOCAL,30100592,HC REF PROTEINASE 3,48.0,,9.69,41.28,84
LOCAL,30100593,HC REF PROTEINASE 3 AB (PR3),66.0,,9.69,56.76,84
LOCAL,30100595,HC REF PSA ULTRA,56.0,,15.45,48.16,84
LOCAL,30100596,HC REF PSEUDOCHOLINESTERASE,48.0,,6.61,41.28,84
LOCAL,30100597,HC REF PARATHYROID HORMONE RELATED PEPTIDE,84.0,,11.86,72.24,84
LOCAL,30100600,HC REF PYRUVATE CSF,81.0,,12.16,69.66,84
LOCAL,30100601,HC REF PYRUVATE KINASE RBC,92.0,,7.93,79.12,84
LOCAL,30100602,HC REF PYRUVIC ACID BLOOD,79.0,,12.16,67.94,84
LOCAL,30100604,"HC REF VANILLYLMANDELIC ACID, PEDI, URINE",49.0,,13.02,42.14,84
LOCAL,30100605,HC REF RENIN ACTIVITY,69.0,,18.47,59.34,84
LOCAL,30100607,HC REF RETINOL BINDING PROTEIN,234.0,,11.42,201.24,84
LOCAL,30100608,HC REF REVERSE T3,84.0,,13.24,72.24,84
LOCAL,30100611,HC REF SELENIUM (S),80.0,,21.45,68.8,84
LOCAL,30100613,HC REF SEROTONIN,85.0,,23.8,73.1,84
LOCAL,30100615,HC REF SEX HORMONE BINDING GLOBULIN,75.0,,18.25,64.5,84
LOCAL,30100616,HC REF STRIATED MUSCLE ANTIBODY,164.0,,10.12,141.04,84
LOCAL,30100620,HC REF SOLUBLE TRANSFERRIN RECEP,61.0,,17.08,52.46,84
LOCAL,30100621,HC REF SOMATOSTATIN,466.0,,15.36,400.76,84
LOCAL,30100622,HC REF STONE ANALYSIS,73.0,,10.84,62.78,84
LOCAL,30100623,HC REF STONE ANALYSIS KIDNEY,47.0,,10.84,40.42,84
LOCAL,30100625,HC REF T3 UPTAKE,162.0,,5.43,139.32,84
LOCAL,30100627,HC REF T4 FREE DIRECT DIALYSIS,81.0,,7.58,69.66,84
LOCAL,30100630,HC REF THYROID STIM IMMOGL,109.0,,30.52,93.74,84
LOCAL,30100632,"HC REF TISSUE TRANSGLUTAMINASE AB, IGA",44.0,,9.69,37.84,84
LOCAL,30100633,"HC REF TISSUE TRANSGLUTAMINASE AB, IGG",45.0,,9.69,38.7,84
LOCAL,30100634,HC REF TOTAL IGG,20.0,,5.6,17.2,84
LOCAL,30100639,HC REF TRYPTASE,100.0,,14.51,86.0,84
LOCAL,30100640,HC REF TISSUE TRANSGLUTAMINASE AB IGA,72.0,,9.69,61.92,84
LOCAL,30100645,HC REF URIC AC UR 24,74.0,,4.27,63.64,84
LOCAL,30100646,HC REF URIC ACID RAN UA,74.0,,4.27,63.64,84
LOCAL,30100648,HC REF VASCULAR ENDOTHELIAL GROWTH FACTOR,179.0,,14.51,153.94,84
LOCAL,30100650,HC REF VASOACTIVE INTESTINAL POLYPEPTIDE,114.0,,29.68,98.04,84
LOCAL,30100652,HC REF VITAMIN B2 (RIBOFLAVIN),90.0,,17.0,77.4,84
LOCAL,30100653,HC REF 1 25-DIHYDROXYVITAMIN D,77.0,,21.56,66.22,84
LOCAL,30100654,HC REF VMA RAN URINE,235.0,,13.02,202.1,84
LOCAL,30100655,"HC REF ZINC, SERUM",67.0,,9.57,57.62,84
LOCAL,30100657,HC SERUM ELECTROPHORES,161.0,,9.02,138.46,84
LOCAL,30100658,HC SERUM IRON,90.0,,5.43,77.4,84
LOCAL,30100659,HC SODIUM SERUM PLASMA OR WHOLE BLOOD,63.0,,4.04,54.18,84
LOCAL,30100660,HC SODIUM WB,73.0,,4.04,62.78,84
LOCAL,30100662,"HC SODIUM, URINE",51.0,,4.25,43.86,84
LOCAL,30100664,HC TESTOSTERONE PLASMA,148.0,,21.68,127.28,84
LOCAL,30100665,HC THYROGLOBULIN,249.0,,13.49,214.14,84
LOCAL,30100667,HC THYROID STIM HORMON,309.0,,14.11,265.74,84
LOCAL,30100668,HC THYROXINE (T4),124.0,,5.77,106.64,84
LOCAL,30100669,HC TOTAL PROTEIN CSF,49.0,,3.08,42.14,84
LOCAL,30100670,HC TRANSFERRIN,116.0,,10.72,99.76,84
LOCAL,30100671,HC TRIGLYCERIDE FLUID,103.0,,4.82,88.58,84
LOCAL,30100672,HC TRIGLYCERIDES,77.0,,4.82,66.22,84
LOCAL,30100673,HC TROPONIN I,129.0,,10.47,110.94,84
LOCAL,30100674,HC UREA NITROGEN,40.0,,4.67,34.4,84
LOCAL,30100675,HC UREA NITROGEN BUN,40.0,,3.32,34.4,84
LOCAL,30100677,HC UREA UR 24,76.0,,4.67,65.36,84
LOCAL,30100678,HC URIC ACID,55.0,,3.8,47.3,84
LOCAL,30100679,HC URICACID RAS,36.0,,3.8,30.96,84
LOCAL,30100680,HC URINE PROT ELECTROPHO,243.0,,14.98,208.98,84
LOCAL,30100681,HC VITAMIN B-12,116.0,,12.67,99.76,84
LOCAL,30100682,HC VITAMIN D - 25 OH,277.0,,24.86,238.22,84
LOCAL,30100683,"HC REF DRUG OF ABUSE QT,URINE",90.0,,25.2,77.675,84
LOCAL,30100684,HC REF URINE DRUG SCREEN 10,141.0,,39.48,121.26,84
LOCAL,30100685,HC REF DRUG SCREEN QL BLOOD,252.0,,52.2,216.72,84
LOCAL,30100686,HC REF HYPOGLYCEMICS AGENT SCREEN,206.0,,52.2,177.16,84
LOCAL,30100687,HC REF ALCOHOL BLOOD,594.0,,9.42,510.84,83
LOCAL,30100690,HC REF NICOTINE AND METABOLITES,353.0,,17.09,303.58,83
LOCAL,30100691,HC REF NICOTINE URINE QUANT,80.0,,17.09,68.8,83
LOCAL,30100692,HC REF AMPHETAMINES LC/MS/MS,52.0,,10.92,44.72,83
LOCAL,30100694,HC REF SALICYLATE,93.0,,15.66,79.98,84
LOCAL,30100695,HC REF ACETAMINOPHEN ASSAY,94.0,,15.66,80.84,84
LOCAL,30100698,HC REF BARBITURATES CONFIRMATION U,125.0,,9.16,107.5,83
LOCAL,30100700,HC REF COCAINE & METABOLITE CONFIRMATION U,102.0,,10.25,87.72,83
LOCAL,30100702,HC REF FENTANYL URINE,168.0,,12.81,144.48,83
LOCAL,30100703,HC REF METHADONE GC/MS (URINE),170.0,,11.02,146.2,83
LOCAL,30100705,HC REF METHYLENEDIOXYAMPH LC/MS (URINE),52.0,,8.5,44.72,83
LOCAL,30100709,HC REF CARBOXY-THC CONFIRMATION URINE,95.0,,11.27,81.7,83
LOCAL,30100714,HC REF OPIATES 1 OR MORE,39.0,,10.92,33.54,83
LOCAL,30100720,HC REF DIHYDROTESTOSTERONE,96.0,,24.6,82.56,84
LOCAL,30100722,HC POC UDS QUALITATIVE,198.0,,10.58,170.28,84
LOCAL,30100723,HC REF THYROXINE BINDING CAPACITY,96.0,,5.43,82.56,84
LOCAL,30100724,HC REF THYROXINE TOTAL S,103.0,,5.77,88.58,84
LOCAL,30100725,HC FECAL OCCULT BLOOD,448.0,,13.37,385.28,84
LOCAL,30100726,HC GLYHEB A1C,253.0,,8.16,217.58,84
LOCAL,30100727,"HC REF ETHYL GLUCURONIDE SCREEN, URINE",312.0,,52.2,268.32,84
LOCAL,30100734,HC REF ZIKA VIRUS QUANTATIVE REAL TIME RT-PCR,271.0,,35.99,233.06,84
LOCAL,30100736,HC REF DRUG SCR OXYCODONE (URINE),78.0,,21.84,77.675,84
LOCAL,30100737,HC REF OXYCODONE WITH METABOLITE CONF. URINE,102.0,,11.91,87.72,83
LOCAL,30100738,HC REF PROSTATE HEALTH INDEX (PHI),70.0,,15.45,60.2,84
LOCAL,30100739,HC REF PHI PSA FREE,87.0,,15.45,74.82,84
LOCAL,30100740,HC PROSTATE CANCER SCREENING (PSA),234.0,,24.1375,201.24,84
LOCAL,30100742,HC CYTOKINE EA ANALYTE QUANT NOS,524.0,,14.51,450.64,84
LOCAL,30100744,HC POC URINE PH,64.0,,3.01,55.04,84
LOCAL,30100745,HC REF PROSTATIC ACID PHASPHAT,66.0,,8.11,56.76,84
LOCAL,30100749,HC PROCALCITONIN (PCT),423.0,,22.86,363.78,84
LOCAL,30100750,HC MICROALBUMIN URINE 24 HR AND RANDOM (UMALB),191.0,,4.86,164.26,84
LOCAL,30100752,HC MYCOPHENOLIC ACID (MYCOPHEN),272.0,,15.16,233.92,84
LOCAL,30100753,HC BETA HCG TUMOR MARKER (BHCG T),192.0,,12.64,165.12,84
LOCAL,30100754,HC REF GLUCOSE RANDOM URINE,89.0,,3.3,76.54,84
LOCAL,30100755,HC REF GALACOSE URINE,744.0,,9.41,639.84,84
LOCAL,30100756,HC REF CARBOHYDRATE (REDUCING SUBSTANCE) URINE,114.0,,9.69,98.04,84
LOCAL,30100758,HC NT-PRO BNP,290.0,,32.98,249.4,84
LOCAL,30100759,HC BHCG STAT PREGNANCY,193.0,,12.64,165.98,84
LOCAL,30100760,HC TROPONIN T,179.0,,10.47,153.94,84
LOCAL,30100762,HC REF PAIN CLINIC DRUG IMMUNOASSAY PANEL U,207.0,,52.2,178.02,84
LOCAL,30100763,HC REF FIBRO TEST-ACTI TEST,569.0,,159.32,489.34,83
LOCAL,30100764,"HC REF ANTI-ENTEROCYTE, IMMUNOFLUOR ANTB 1ST STAIN",539.0,,150.92,463.54,85
LOCAL,30100765,"HC REF ANTI-ENTEROCYTE, IMMUNOFLUOR ANTB ADDL STAIN",417.0,,116.76,358.62,84
LOCAL,30100766,"HC REF TARGETED OPIOID SCREEN, URINE",53.0,,13.38,45.58,83
LOCAL,30100770,HC REF CHLORIDE BODY FLUID/CSF,85.0,,4.2,73.1,84
LOCAL,30100771,HC REF HEMOLYTIC ANEMIA GLUTATHIONE,160.0,,12.98,137.6,84
LOCAL,30100772,HC REF HEMOLYTIC ANEMIA RCB ENZYMES,1508.0,,9.37,1296.88,84
LOCAL,30100773,HC REF HEMOLYTIC ANEMIA UNSTABLE HGB,111.0,,7.95,95.46,84
LOCAL,30100775,HC REF TARGETED BENZODIAZEPINE SCREEN U,77.0,,19.35,66.22,83
LOCAL,30100777,"HC REF STONE ANALYSIS, GALL BLADDER",94.0,,10.84,80.84,84
LOCAL,30100781,HC REF ALBUMIN BODY FLUID,356.0,,6.54,306.16,84
LOCAL,30100782,HC REF AMYLASE BODY FLUID,94.0,,5.44,80.84,84
LOCAL,30100783,HC REF AMYLASE PANCREATIC CYST,510.0,,5.44,438.6,84
LOCAL,30100784,HC REF BILIRUBIN BODY FLUID,293.0,,4.22,251.98,84
LOCAL,30100785,HC REF CEA PANCREATIC CYST,489.0,,15.93,420.54,84
LOCAL,30100787,HC REF CHOLESTEROL BODY FLUID,512.0,,6.8,440.32,84
LOCAL,30100788,HC REF BETA-HUMAN CHORIONIC GONADOTROPIN QUANTITATIVE CSF,97.0,,12.64,83.42,84
LOCAL,30100789,HC REF CREATININE BODY FLUID,82.0,,4.35,70.52,84
LOCAL,30100790,HC REF GLUCOSE BODY FLUID,89.0,,3.3,76.54,84
LOCAL,30100791,HC REF LACTATE DEHYDROGENASE (LDH) BODY FLUID,91.0,,5.07,78.26,84
LOCAL,30100792,HC REF LIPASE BODY FLUID,82.0,,5.79,70.52,84
LOCAL,30100793,HC REF PROTEIN TOTAL BODY FLUID,82.0,,3.36,70.52,84
LOCAL,30100794,HC REF PARATHYROID HORMONE FNA,88.0,,24.64,75.68,84
LOCAL,30100795,HC REF SODIUM BODY FLUID,68.0,,4.08,58.48,84
LOCAL,30100796,HC REF TRIGLYCERIDES BODY FLUID,512.0,,4.82,440.32,84
LOCAL,30100797,HC REF UREA NITROGEN (BUN) BODY FLUID,110.0,,3.32,94.6,84
LOCAL,30100801,"HC REF M-PROTEIN STUDY,IMMUNOGLOBULIN A",78.0,,7.81,67.08,84
LOCAL,30100802,"HC REF M-PROTEIN STUDY,IMMUNOGLOBULIN M",78.0,,7.81,67.08,84
LOCAL,30100803,"HC REF M-PROTEIN STUDY,IMMUNOGLOBULIN G",79.0,,7.81,67.94,84
LOCAL,30100804,HC POC CARBOXYHEMOGLOBIN,55.0,,10.35,47.3,84
LOCAL,30100805,HC POC OXYGEN SATURATION,55.0,,8.21,47.3,84
LOCAL,30100806,HC POC METHEMOGLOBIN,57.0,,6.89,49.02,84
LOCAL,30100807,HC POC OXYHEMOGLOBIN,55.0,,8.21,47.3,84
LOCAL,30100808,HC REF CREATININE CONC URINE,77.0,,4.35,66.22,84
LOCAL,30100809,HC REF LAMBDA FREE LIGHT CHAIN,108.0,,14.51,92.88,84
LOCAL,30100810,HC REF KAPPA FREE LIGHT CHAIN,108.0,,14.51,92.88,84
LOCAL,30100811,HC REF IMMUNOGLOBULIN E (IGE),365.0,,13.83,313.9,84
LOCAL,30100812,HC PHENYTOIN LEVEL RANDOM,198.0,,11.13,170.28,84
LOCAL,30100813,HC PHENYTOIN LEVEL TROUGH,198.0,,11.13,170.28,84
LOCAL,30100814,HC PHENYTOIN LEVEL PEAK,198.0,,11.13,170.28,84
LOCAL,30100815,HC REF THYROGLOBULIN FNA NEEDLE WASH,678.0,,13.49,583.08,84
LOCAL,30100816,HC REF BILE ACIDS TOTAL SERUM,192.0,,14.38,165.12,84
LOCAL,30100817,HC REF NASH-FIBROTEST,969.0,,271.32,833.34,83
LOCAL,30100818,HC REF TARGETED STIMULANT SCREEN U,31.0,,7.75,26.66,83
LOCAL,30100821,HC REF PH BODY FLUID,62.0,,3.01,53.32,84
LOCAL,30100822,HC REF SPECIFIC GRAVITY BODY FLUID,58.0,,2.76,49.88,84
LOCAL,30100824,"HC REF CREATININE, RANDOM URINE",37.0,,4.35,31.82,84
LOCAL,30100825,"HC REF ETHYL GLUCURONIDE CONFIRMATION, URINE",409.0,,11.31,351.74,83
LOCAL,30100826,HC REF ISOELECTRIC FOCUSING,159.0,,44.52,136.74,84
LOCAL,30100827,HC REF AGNA-1 IMMUNOBLOT,239.0,,24.54,205.54,84
LOCAL,30100828,"HC REF AMPHIPHYSIN IMMUNOBLOT, SERUM",239.0,,24.54,205.54,84
LOCAL,30100829,HC REF ANTI NEURONAL NUC AB-1 IMMUNOBLOT,239.0,,24.54,205.54,84
LOCAL,30100830,"HC REF PCA-TR IMMUNOBLOT, SERUM",239.0,,24.54,205.54,84
LOCAL,30100831,"HC REF PCA-1 IMMUNOBLOT, SERUM",239.0,,24.54,205.54,84
LOCAL,30100832,HC REF TITIN ANTIBODY,286.0,,9.69,245.96,84
LOCAL,30100834,HC COMPREHEN METABOLIC PANEL,787.0,,8.87,676.82,84
LOCAL,30100835,HC RENAL FUNCTION PANEL,510.0,,7.29,438.6,84
LOCAL,30100836,HC METABOLIC PANEL TOTAL CALCIUM,420.0,,7.11,361.2,84
LOCAL,30100837,HC HEPATIC FUNCTION PANEL,468.0,,6.86,402.48,84
LOCAL,30100838,HC ELECTROLYTE PANEL,250.0,,5.89,215.0,84
LOCAL,30100839,HC LIPID PANEL,265.0,,11.25,227.9,84
LOCAL,30100840,HC METABOLIC PANEL IONIZED CA,487.0,,11.53,418.82,84
LOCAL,30100841,HC CORE BETA HYDROXYBUTYRATE BHB,215.0,,6.86,184.9,84
LOCAL,30100842,"HC REF PCA-1 IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
LOCAL,30100843,"HC REF PCA-TR IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
LOCAL,30100844,"HC REF ANNA-1 IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
LOCAL,30100845,"HC REF ANNA-2 IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
LOCAL,30100846,"HC REF CRMP-5-IGG WESTERN BLOT, CSF",490.0,,24.54,421.4,84
LOCAL,30100847,"HC REF AMPHIPHYSIN IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
LOCAL,30100848,"HC REF AGNA-1 IMMUNOBLOT, CSF",239.0,,24.54,205.54,84
LOCAL,30100850,HC REF HEM ANEMIA ENZYME ACTIVITY IN RBC'S,221.0,,18.62,190.06,84
LOCAL,30100851,HC REF HEM ANEMIA HB STABILITY,106.0,,7.95,91.16,84
LOCAL,30100852,HC REF HEM ANEMIA PYRIMIDINE 5' NUCLEOTIDASE,121.0,,9.37,104.06,84
LOCAL,30100853,HC REF BENZODIAZEPINES 13 OR MORE,75.0,,19.35,64.5,83
LOCAL,30100854,HC REF ANTIEPILEPTICS 1-3,16.0,,4.2,13.76,83
LOCAL,30100856,"HC REF MELANOCYTE STIMULATING HORMONE, ALPHA",477.0,,15.46,410.22,84
LOCAL,30100857,HC REF HEM ANEMIA HPLC HB VARIANT,184.0,,15.17,158.24,84
LOCAL,30100859,HC REF ANTI NEURONAL NUC AB-2 IMMUNOBLOT,239.0,,24.54,205.54,84
LOCAL,30100900,HC REF LIPOPROTEIN(A),353.0,,12.03,303.58,84
LOCAL,30100901,"HC REF CREATININE, RAN UA",41.0,,4.35,35.26,84
LOCAL,30100902,"HC REF PAN ELASTASE, STOOL",182.0,,19.29,156.52,84
LOCAL,30100903,HC REF VEDOLIZUMAB ON,586.0,,32.4,503.96,84
LOCAL,30100905,HC CYTOKINE PANEL 7 IMMUNOASSAY QUANT NOS,2072.0,,14.51,1781.92,84
LOCAL,30100906,"HC REF ALDOSTERONE, 24-HOUR URINE",841.0,,34.23,723.26,84
LOCAL,30100907,"HC REF POTASSIUM, BODY FLUID",66.0,,18.48,56.76,83
LOCAL,30100908,"HC REF BILE ACIDS, FRAC AND TOT, 48 HR, FECES",590.0,,20.24,507.4,84
LOCAL,30100909,"HC REF CARCINOEMBRYONIC ANTIGEN (CEA), BODY FLUID",74.0,,15.93,63.64,84
LOCAL,30100910,HC HLA CYTOKIN INTERLEUKIN-6,513.0,,14.51,441.18,84
LOCAL,30100911,"HC REF TOTAL PROTEIN, SERUM",76.0,,3.08,65.36,84
LOCAL,30100912,"HC REF PROTEIN ELECTROPHORESIS, SERUM",77.0,,9.02,66.22,84
LOCAL,30100913,"HC REF CREATININE, URINE",78.0,,4.35,67.08,84
LOCAL,30100914,"HC REF TOTAL PROTEIN, URINE",78.0,,3.08,67.08,84
LOCAL,30100915,"HC REF ELECTROPHORSIS, 24-HOUR URINE",79.0,,14.98,67.94,84
LOCAL,30100916,"HC REF CYTOKINE PANEL, INTERLEUKIN 6",58.0,,14.51,49.88,84
LOCAL,30100917,HC REF HB ELECTROPHORESIS SUMMARY INTERP,170.0,,10.81,146.2,84
LOCAL,30100918,HC DRUG TEST PRESUMPTIVE DIRECT OPTICAL OBSERVATION,177.0,,10.58,152.22,84
LOCAL,30100919,HC REF CXCL9,945.0,,14.51,812.7,84
LOCAL,30100920,HC GENERAL HEALTH PANEL,1228.0,,202.63,1056.08,84
LOCAL,30100921,HC REF ECULIZUMAB,579.0,,15.66,497.94,84
LOCAL,30100922,HC REF CORTICOTROPIN RELEASING FACTOR,557.0,,15.46,479.02,84
LOCAL,30100923,HC REF OXYCODONE,32.0,,8.96,27.52,83
LOCAL,30100924,"HC REF OPIOIDS AND OPIATE ANALOGS 1 OR 2,URINE",31.0,,8.68,26.66,83
LOCAL,30100925,"HC REF HMG COA REDUCTASE AB,S",480.0,,11.86,412.8,84
LOCAL,30100926,HC REF VEDOLIZUMAB ANTIBODY,198.0,,11.86,170.28,84
LOCAL,30100927,HC REF VEDOLIZUMAB QUANTITATION,541.0,,32.4,465.26,84
LOCAL,30100928,HC REF TRIGLYCERIDES BODY FLUID WITH REFLEX,65.0,,4.82,55.9,84
LOCAL,30100929,HC REF THIOPURINES METABOLITES,632.0,,15.66,543.52,84
LOCAL,30100930,HC REF INFLIXIMAB ANTIBODIES,396.0,,11.86,340.56,84
LOCAL,30100931,HC REF INFLIXIMAB QUANTITATIVE,1080.0,,32.4,928.8,84
LOCAL,30100932,"HC REF BETA-TRACE PROTEIN, BODY FLUID",182.0,,11.42,156.52,84
LOCAL,30100933,"HC REF HEPATITIS B VIRUS CORE-RELATED AG, QUANT",647.0,,11.86,556.42,84
LOCAL,30100934,"HC REF INTERLEUKIN 1 BETA, SERUM",194.0,,14.51,166.84,84
LOCAL,30110,PR EXCISION NASAL POLYP SIMPLE,911.0,,94.27,901.5,55
LOCAL,30115,PR EXCISION NASAL POLYP EXTENSIVE,2618.0,,228.47,2225.3,55
LOCAL,30117,PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR,2145.0,,195.11,1823.25,55
LOCAL,30118,PR EXCISION/DESTRUCTION INTRANASAL LESION XTRNL,3978.0,,527.252,4093.67,55
LOCAL,30120,PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA,5010.0,,311.8248,4911.05,55
LOCAL,30124,PR EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS,1592.0,,139.65,1636.45,55
LOCAL,30125,PR EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG,5960.0,,415.55,6138.8,55
LOCAL,30130,PR EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE,2141.0,,158.62,2129.26,55
LOCAL,30140,PR SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL,2038.0,,131.0724,3027.33,55
LOCAL,30150,PR RHINECTOMY PARTIAL,3531.0,,562.8,3001.35,55
LOCAL,30160,PR RHINECTOMY TOTAL,4117.0,,605.9488,4093.67,55
LOCAL,30200,PR INJECTION TURBINATE THERAPEUTIC,261.0,,36.16,224.95,55
LOCAL,30200001,HC REF BULLOUS PEMPHIGOID 230 IGG AB,131.0,,9.69,112.66,84
LOCAL,30200003,HC REF GLIADIN AB IGA,91.0,,10.12,78.26,84
LOCAL,30200004,HC REF GLIADIN AB IGG,91.0,,10.12,78.26,84
LOCAL,30200005,HC REF HISTONE AB,73.0,,9.69,62.78,84
LOCAL,30200007,HC REF GLIADIN DEAMIDATED AB IGA,170.0,,10.12,146.2,84
LOCAL,30200008,HC REF GLIADIN DEAMIDATED AB IGG,352.0,,10.12,302.72,84
LOCAL,30200014,HC REF MYOMARKER IMMUNOASSAY NON AB,38.0,,9.69,32.68,84
LOCAL,30200019,HC REF BULLOUS PEMPHIGOID 180 IGG AB,130.0,,9.69,111.8,84
LOCAL,30200020,HC REF DESMOGLEIN IGG ANTIBODY,131.0,,9.69,112.66,84
LOCAL,30200022,HC REF PARIETAL CELL ANTIBODY IGG,80.0,,9.69,68.8,84
LOCAL,30200023,HC REF THYROTROPIN RECEPTOR AB,81.0,,14.51,69.66,84
LOCAL,30200024,HC REF ACHR GANGLIONIC NEURONAL AB,221.0,,15.46,190.06,84
LOCAL,30200025,HC REF MUSK ANTIBODY QUANTITATIV,1535.0,,15.46,1320.1,84
LOCAL,30200028,HC REF MG LES EVAL P/Q-TYPE CA CHAN AB,123.0,,10.12,105.78,84
LOCAL,30200030,HC REF MG LES ACHR MUSCLE BINDING ANTIBODY,187.0,,15.46,160.82,84
LOCAL,30200033,HC REF PROCOLLAGEN I INTACT N-TERMINAL,409.0,,15.46,351.74,84
LOCAL,30200035,HC REF MELATONIN,496.0,,18.09,426.56,83
LOCAL,30200036,HC REF PANCREASTATIN,727.0,,15.46,625.22,84
LOCAL,30200037,HC REF NEUROKININ A,636.0,,15.46,546.96,84
LOCAL,30200039,HC REF IGF,153.0,,15.46,131.58,84
LOCAL,30200050,HC REF GLOMERULAR BASEMENT MEMBRANE AB'S IGG,84.0,,9.69,72.24,84
LOCAL,30200051,HC REF RNA POLYMERASE III AB IGG,416.0,,9.69,357.76,84
LOCAL,30200052,HC REF INTERLEUKIN 2 RECEPTOR,193.0,,14.51,165.98,84
LOCAL,30200053,HC REF IGF BINDING PROTEIN 3,77.0,,14.51,66.22,84
LOCAL,30200058,HC REF HUMAN ANTI-MOUSE AB (HAMA),561.0,,14.51,482.46,84
LOCAL,30200064,HC REF ANTIMULLERIAN HORMONE (AMH),417.0,,32.44,358.62,84
LOCAL,30200067,"HC REF 14-3-3 PROTEIN, TAU CSF",478.0,,133.84,411.08,83
LOCAL,30200070,"HC REF ANTI-C1Q ANTIBODIES, IGG",475.0,,14.51,408.5,84
LOCAL,30200071,HC REF GALECTIN 3,294.0,,55.3125,252.84,84
LOCAL,30200072,HC REF ADIPONECTIN,239.0,,14.51,205.54,84
LOCAL,30200079,HC REF INTERLEUKIN - 2,295.0,,14.51,253.7,84
LOCAL,30200080,HC REF GANGLIOSIDE GQ1B AB IGG,689.0,,9.69,592.54,84
LOCAL,30200081,HC REF SUBSTANCE P,364.0,,14.51,313.04,84
LOCAL,30200109,HC REF SEROTONIN RELEASE ASSAY,795.0,,20.24,683.7,84
LOCAL,30200110,HC REF DRUG DEPENDENT PLATELET AB 1 DRUG,714.0,,15.43,614.04,84
LOCAL,30200111,HC REF DRUG DEPENDENT PLATELET AB EA ADD DRUG,157.0,,15.43,135.02,84
LOCAL,30200112,HC REF HEPARIN PF4 ANTIBODY (IGG),250.0,,15.43,215.0,84
LOCAL,30200114,HC REF COLD AGGLUTININ TITER,98.0,,6.77,84.28,84
LOCAL,30200116,HC REF PM-SCL ANTIBODY,144.0,,15.06,123.84,84
LOCAL,30200117,HC REF AENA SS-A/RO ANTIBOD IGG,91.0,,15.06,78.26,84
LOCAL,30200118,HC REF AENA S-B/LA ANTIBODY IGG,90.0,,15.06,77.4,84
LOCAL,30200119,HC REF AENA SMITH ANTIBODY IGG,90.0,,15.06,77.4,84
LOCAL,30200120,HC REF RNP ANTIBODIES IGG (U1RNP),75.0,,15.06,64.5,84
LOCAL,30200121,HC REF AENA SCL ANTIBODY IGG,90.0,,15.06,77.4,84
LOCAL,30200122,HC REF AENA POLYMOSITS (JO-1)AB,90.0,,15.06,77.4,84
LOCAL,30200123,HC REF MYOMARKER NUCLEAR AG AB,59.0,,15.06,50.74,84
LOCAL,30200124,HC REF MYELIN IGG ANTIBODY,295.0,,10.12,253.7,84
LOCAL,30200125,HC REF ANCA-INFLAMMATORY,40.0,,10.12,34.4,84
LOCAL,30200127,"HC REF NMO/AQP4 FACS,CSF",670.0,,31.69,576.2,84
LOCAL,30200128,HC REF NMO/AQP4 FACS,670.0,,31.69,576.2,84
LOCAL,30200129,HC REF NMDA RECEPTOR AB CBA CSF,869.0,,10.12,747.34,84
LOCAL,30200130,"HC REF NMDA-R ANTIBODY CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200132,HC REF NEURONAL (HU) AB,143.0,,10.12,122.98,84
LOCAL,30200134,HC REF ENDOMYSIAL IGA AB,91.0,,10.16,78.26,84
LOCAL,30200136,HC REF ANTIBODY WESTERN TITER,36.0,,10.08,30.96,84
LOCAL,30200138,HC REF BREAST CARCINOMA AG CA 27.29,80.0,,17.48,68.8,84
LOCAL,30200139,HC REF HE4 HUMAN EPIDIDYMIS PROTEIN 4,318.0,,17.48,273.48,84
LOCAL,30200140,HC REF ALPHA FETOPROTEIN CSF,95.0,,17.48,81.7,84
LOCAL,30200142,"HC REF CIRCULATING IMMUNE COMPLEX, C1Q BINDING",195.0,,20.47,167.7,84
LOCAL,30200143,HC REF IMMUNOFIXATION CROGLOBULIN,341.0,,18.77,293.26,84
LOCAL,30200144,HC REF IA-2 AUTOANTIBODIES,139.0,,19.8,119.54,84
LOCAL,30200145,HC REF LIVER/KIDNEY MICROSOME TYPE 1 ANTIBODIES,77.0,,12.22,66.22,84
LOCAL,30200148,HC REF CRYPTOCOCCUS ANTIGEN UR,68.0,,9.69,58.48,84
LOCAL,30200149,HC REF T-SPOT TB,148.0,,41.44,127.28,84
LOCAL,30200150,HC SKIN TEST TB INTRADERMAL,31.0,,8.68,33.9825,85
LOCAL,30200151,HC REF REAGIN TEST THERAPY RESP,99.0,,3.59,85.14,84
LOCAL,30200152,HC REF BLASTOMYCE ANTIBODY,99.0,,10.84,85.14,84
LOCAL,30200153,HC REF BRUCELLA ABORTUS AB,59.0,,7.5,50.74,84
LOCAL,30200157,HC REF BRUCELLA AGGLUTINATION,420.0,,7.5,361.2,84
LOCAL,30200158,HC REF COCCI AB IGG CF,32.0,,8.96,27.52,84
LOCAL,30200159,HC REF COCCI AB IGG ID,32.0,,8.96,27.52,84
LOCAL,30200160,HC REF COCCI AB IGM ID,32.0,,8.96,27.52,84
LOCAL,30200161,HC REF Q FEVER AB TITER,31.0,,8.68,26.66,84
LOCAL,30200169,HC REF DIPTHERIA TOXOID IGG AB,203.0,,12.59,174.58,84
LOCAL,30200171,HC REF EBV EARLY AG,69.0,,11.02,59.34,84
LOCAL,30200173,HC REF EBV EBNA CSF,69.0,,12.84,59.34,84
LOCAL,30200174,HC REF EBV AB PANEL CSF 2,109.0,,15.24,93.74,84
LOCAL,30200175,HC REF EBV CAG IGG,69.0,,15.24,59.34,84
LOCAL,30200176,HC REF EBV CAG IGM,69.0,,15.24,59.34,84
LOCAL,30200178,HC REF ECHINOCOCCUS IGG,198.0,,10.93,170.28,84
LOCAL,30200179,HC REF ECHINO AB IGG WB,371.0,,10.93,319.06,84
LOCAL,30200182,HC REF HEPATITIS DELTA IGM AB,368.0,,14.41,316.48,84
LOCAL,30200183,HC REF HSV TYPE 1 IGG,66.0,,11.08,56.76,84
LOCAL,30200184,HC REF HSV TYPE 2 IGG,66.0,,16.25,56.76,84
LOCAL,30200185,HC REF HISTOPLASMA CF CSF,96.0,,11.58,82.56,84
LOCAL,30200186,HC REF HEPATITIS BE AB,69.0,,9.72,59.34,84
LOCAL,30200187,HC REF LYMPHOCYTIC CHORIONM IGG,78.0,,10.81,67.08,84
LOCAL,30200188,HC REF LYMPHOCYTIC CHORIONM IGM,78.0,,10.81,67.08,84
LOCAL,30200191,HC REF MUMPS IGG AB,78.0,,10.96,67.08,84
LOCAL,30200192,HC REF MUMPS ANTIBODY PANEL IGM,43.0,,10.96,36.98,84
LOCAL,30200193,HC REF M PNEUMONIAE ANTIBODY,274.0,,11.12,235.64,84
LOCAL,30200195,HC REF MYCOPLASM PNE AB IGM IFA,107.0,,11.12,92.02,84
LOCAL,30200203,HC REF SPOTTED FEVER GROUP IGG AND IGM,48.0,,13.44,41.28,84
LOCAL,30200204,HC REF ROCKY MOUNTAIN SPOTTED FEVER,44.0,,12.32,37.84,84
LOCAL,30200205,HC REF TYPHUS FEVER ANTIBODY,44.0,,12.32,37.84,84
LOCAL,30200211,HC REF RUBELLA IGG AB,68.0,,12.09,58.48,84
LOCAL,30200212,HC REF RUBEOLLA MEASLES AB IGG,69.0,,10.82,59.34,84
LOCAL,30200213,HC REF RUBEOLA VIRUS IGM AB,26.0,,7.28,22.36,84
LOCAL,30200214,HC REF SALMONELLA TOTAL AB,44.0,,11.08,37.84,84
LOCAL,30200215,HC REF TETANUS TOXOID IGG AB,419.0,,12.59,360.34,84
LOCAL,30200216,HC REF TOXOPLASMA IGG AB,40.0,,11.2,34.4,84
LOCAL,30200217,HC REF TOXOPLASMA IGM AB,40.0,,11.2,34.4,84
LOCAL,30200218,HC REF VARICELLA IGG,70.0,,10.82,60.2,84
LOCAL,30200219,HC REF VARICELLA IGM AB PANEL,42.0,,10.82,36.12,84
LOCAL,30200222,HC REF HEPATITIS E IGM AB,204.0,,10.82,175.44,84
LOCAL,30200223,HC REF HEPATITIS E IGG AB,204.0,,10.82,175.44,84
LOCAL,30200224,HC REF HUMAN HERPVIRUS 7 IGG AB,132.0,,10.82,113.52,84
LOCAL,30200225,HC REF HUMAN HERPVIRUS 7 IGM AB,132.0,,10.82,113.52,84
LOCAL,30200232,HC REF HEPATITIS E IGM AB CONFIRMATION,359.0,,10.82,308.74,84
LOCAL,30200235,HC REF CELIAC HLA-DQ TYPING,257.0,,71.96,221.02,84
LOCAL,30200236,HC REF NMDA R AB CBA CSF,1135.0,,10.12,976.1,84
LOCAL,30200243,HC REF NMDA R AB CBA SERUM,460.0,,10.12,395.6,84
LOCAL,30200244,"HC REF AMPA-R AB CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200245,HC REF GABA BR AB CBA SERUM,1023.0,,10.12,879.78,84
LOCAL,30200246,"HC REF NMDA-R ANTIBODY IF TITER ASSAY, SERUM",216.0,,10.12,185.76,84
LOCAL,30200247,"HC REF AMPA-R AB IF TITER ASSAY, SERUM",216.0,,10.12,185.76,84
LOCAL,30200248,"HC REF GABA-B-R AB IF TITER ASSAY, SERUM",216.0,,10.12,185.76,84
LOCAL,30200249,HC REF PARANEO ACH REC MOD AB,79.0,,15.46,67.94,84
LOCAL,30200260,HC REF PARANEO ANTI-GLIAL NUCLEAR AB TYPE 1,94.0,,10.12,80.84,84
LOCAL,30200263,HC REF PARANEO STRIATIONAL AB,29.0,,8.12,24.94,84
LOCAL,30200264,HC REF PARANEOPLASTIC AMPHIPHYSIN AB,93.0,,10.12,79.98,84
LOCAL,30200265,HC REF PARANEO ANTI-NEURON NUCLEAR AB TYPE 1,94.0,,10.12,80.84,84
LOCAL,30200266,HC REF PARANEO ANTI-NEURON NUCLEAR AB TYPE 2,94.0,,10.12,80.84,84
LOCAL,30200267,HC REF PARANEO ANTI-NEURON NUCLEAR AB TYPE 3,94.0,,10.12,80.84,84
LOCAL,30200268,HC REF PARANEO CRMP-5-IGG,93.0,,10.12,79.98,84
LOCAL,30200269,HC REF PARANEO PCA-1,94.0,,10.12,80.84,84
LOCAL,30200270,HC REF PARANEO PCA-2,94.0,,10.12,80.84,84
LOCAL,30200271,HC REF PARANEO PCA-TR,94.0,,10.12,80.84,84
LOCAL,30200272,HC REF PARANEO ACH REC MUSCLE BINDING,95.0,,15.46,81.7,84
LOCAL,30200273,HC REF PARANEO ACHR GANGLIONIC NEURONAL AB,143.0,,15.46,122.98,84
LOCAL,30200274,HC REF PARANEO N/TYPE CA CH AB,31.0,,8.68,26.66,84
LOCAL,30200275,HC REF PARANEO P/Q-TYPE CA CH AB,112.0,,10.12,96.32,84
LOCAL,30200276,HC REF PARANEOPLASTIC NEURONAL (V-G) K+ CH AB,171.0,,15.46,147.06,84
LOCAL,30200281,HC REF GHRELIN TOTAL,773.0,,14.51,664.78,84
LOCAL,30200282,HC ABSOLUTE CD4 & CD8 CELLS,706.0,,39.46,607.16,84
LOCAL,30200283,HC REF ADENOVIRUS AB,87.0,,10.81,74.82,84
LOCAL,30200284,HC ANTINUCL ANTIBODY,309.0,,9.37,265.74,84
LOCAL,30200285,HC REF BARTONELLA AB PANEL,263.0,,8.55,226.18,84
LOCAL,30200286,HC B-CELLS TOTAL COUNT,351.0,,31.69,301.86,84
LOCAL,30200287,HC C REACTIVE PROTEIN,146.0,,4.35,125.56,84
LOCAL,30200289,HC CA ANTIGEN 125,295.0,,17.48,253.7,84
LOCAL,30200290,HC CA19-9,193.0,,17.48,165.98,84
LOCAL,30200291,HC REF CALIF ENCEPH AB,168.0,,11.08,144.48,84
LOCAL,30200292,HC CD34 TOTAL COUNT,316.0,,65.34,271.76,84
LOCAL,30200293,HC CHAGAS AB,275.0,,12.59,236.5,84
LOCAL,30200294,HC REF CHLAMYDIA AB,124.0,,9.93,106.64,84
LOCAL,30200295,HC CMV ANTIBODY,109.0,,12.09,93.74,84
LOCAL,30200296,HC REF CMV IGG AB CSF,81.0,,12.09,69.66,84
LOCAL,30200297,HC REF CMV IGM AB CSF,81.0,,14.15,69.66,84
LOCAL,30200298,HC CMV IGM TITER,187.0,,14.15,160.82,84
LOCAL,30200299,HC CMV-IGG TITER,138.0,,12.09,118.68,84
LOCAL,30200300,HC REF COCCIDIOIDES AB,43.0,,9.63,36.98,84
LOCAL,30200301,HC COLD AGGLUTIN.TITER,71.0,,6.77,61.06,84
LOCAL,30200302,HC REF  COXIELLA AB PANEL,126.0,,10.18,108.36,84
LOCAL,30200303,HC REF COXSACKIE A AB,124.0,,10.95,106.64,84
LOCAL,30200304,HC REF COXSACKIE B AB,124.0,,10.95,106.64,84
LOCAL,30200305,HC REF CYSTICERCUS AB REF PANEL,157.0,,10.93,135.02,84
LOCAL,30200306,HC REF CYSTICERUS CSF,136.0,,10.93,116.96,84
LOCAL,30200307,HC DONOR CMV AB,109.0,,12.09,93.74,84
LOCAL,30200308,HC DONOR HEP B CORE AB,211.0,,10.12,181.46,84
LOCAL,30200309,HC DONOR HEP C AB,273.0,,11.99,234.78,84
LOCAL,30200310,HC DONOR HIV 1/HIV2 AB,295.0,,11.52,253.7,84
LOCAL,30200311,HC DONOR HTLV I/II AB,152.0,,10.82,130.72,84
LOCAL,30200312,HC DONOR RPR QUAL,117.0,,3.59,100.62,84
LOCAL,30200314,HC EBV EBNA TITER,250.0,,12.84,215.0,84
LOCAL,30200315,HC EBV VCA IGG TITER,353.0,,15.24,303.58,84
LOCAL,30200316,HC EBV VCA IGM TITER,253.0,,15.24,217.58,84
LOCAL,30200317,HC REF ECHINOCOCCUS AB,171.0,,10.93,147.06,84
LOCAL,30200318,HC REF ECHOVIRUS AB,123.0,,10.95,105.78,84
LOCAL,30200319,HC REF EHRLICHIA AB PANEL,215.0,,8.55,184.9,84
LOCAL,30200320,HC REF ENTEROVIRUS PANEL,257.0,,10.95,221.02,84
LOCAL,30200321,HC REF EQUINE ENCEPH AB,168.0,,11.08,144.48,84
LOCAL,30200322,HC REF FEBRILE AGGLUTINA,307.0,,5.86,264.02,84
LOCAL,30200323,HC REF HELICOBACTER PYLORI AB,209.0,,14.15,179.74,84
LOCAL,30200325,HC HEPATITIS B CORE AB,211.0,,10.12,181.46,84
LOCAL,30200326,HC HEPATITIS C ANTIBODY,341.0,,11.99,293.26,84
LOCAL,30200327,HC HERPLEX SIMPLEX  8694,361.0,,12.09,310.46,84
LOCAL,30200328,HC REF HHV6 IGG AB,126.0,,10.82,108.36,84
LOCAL,30200329,HC REF HHV8 IGG AB,158.0,,10.82,135.88,84
LOCAL,30200330,HC HIV-1/HIV-2 ANTIBDY,295.0,,11.52,253.7,84
LOCAL,30200334,HC HLA CLASS 1 ANTIBODY PANEL,545.0,,80.24,468.7,84
LOCAL,30200335,HC HLA CLASS I ANTIBODY ID,852.0,,238.56,732.72,84
LOCAL,30200336,HC HLA CLASS II ANTIBODY ID,732.0,,204.96,629.52,84
LOCAL,30200337,HC HLA CLASS II ANTIBODY PANEL,485.0,,68.78,417.1,84
LOCAL,30200339,HC REF HSV-6 IGG/M AB CSF,215.0,,10.82,184.9,84
LOCAL,30200340,HC HTLV-1/11 AB,152.0,,10.82,130.72,84
LOCAL,30200341,HC IMMUNOFIXATION SERUM,314.0,,18.77,270.04,84
LOCAL,30200342,HC IMMUNOFIXATION URINE,314.0,,24.65,270.04,84
LOCAL,30200343,HC INDIRECT PLATE ANTIBODY,620.0,,10.47,533.2,84
LOCAL,30200344,HC REF LYME AB CSF,182.0,,14.31,156.52,84
LOCAL,30200345,HC REF LYME ANTIBODY CSF,382.0,,13.01,328.52,84
LOCAL,30200346,HC REF LYME SEROLOGY CSF,102.0,,14.31,87.72,84
LOCAL,30200347,HC REF MUMPS VIRUSAB IGG IGM CSF,116.0,,10.96,99.76,84
LOCAL,30200348,HC REF MYCOPLASMA AB,200.0,,11.12,172.0,84
LOCAL,30200349,"HC NATURAL KILLER CELLS,TOTAL COUNT",199.0,,31.69,171.14,84
LOCAL,30200350,HC REF PARVOVIRUS B19 AB,123.0,,12.63,105.78,84
LOCAL,30200351,HC REF AB SCREEN - 1,93.0,,10.12,79.98,84
LOCAL,30200352,HC REF AB SCREEN - 2,93.0,,10.12,79.98,84
LOCAL,30200353,HC REF AB TO HEP A VIRUS,70.0,,10.41,60.2,84
LOCAL,30200354,HC REF HEPATITIS A IGM AB,69.0,,9.46,59.34,84
LOCAL,30200355,HC REF AB TO HEP B COR IGM,46.0,,9.89,39.56,84
LOCAL,30200356,HC REF ADENOVIRUS AB,114.0,,10.81,98.04,84
LOCAL,30200357,HC REF ANAPLASMA PHAGO IGG,120.0,,8.55,103.2,84
LOCAL,30200358,HC REF ANCA-MYELOPEROXIDASE AB,29.0,,8.12,24.94,84
LOCAL,30200359,HC REF ANCA-PROTEINASE 3 AB,29.0,,8.12,24.94,84
LOCAL,30200360,HC REF ANTI BASEMENT MEMBR ZONE,71.0,,10.12,61.06,84
LOCAL,30200361,HC REF ANTI INTERCELLULA SUB IGG,70.0,,10.12,60.2,84
LOCAL,30200362,HC REF ANTICARDIOLIPIN IGA,30.0,,8.4,31.8125,84
LOCAL,30200363,HC REF ANTICARDIOLIPIN IGG,73.0,,20.44,62.78,84
LOCAL,30200364,HC REF ANTICARDIOLIPIN IGM,30.0,,8.4,31.8125,84
LOCAL,30200365,HC REF DOUBLE STRANDED DNA AB IGG,67.0,,11.54,57.62,84
LOCAL,30200366,HC REF ANTI-PHOS SERINE IGA,85.0,,13.5,73.1,84
LOCAL,30200367,HC REF PHOS SERINE PROTHRO IGG/IGM,222.0,,13.5,190.92,84
LOCAL,30200369,HC REF SMOOTH MUSCLE ANITBODY SCREEN,68.0,,10.12,58.48,84
LOCAL,30200370,HC REF ANTISTREP-O TITER,144.0,,6.13,123.84,84
LOCAL,30200372,HC REF ASPERGILLUS FLAVUS ANTIBODY,25.0,,7.0,21.5,84
LOCAL,30200373,HC REF ASPERGILLUS NIGER ANTIBODY,25.0,,7.0,21.5,84
LOCAL,30200374,HC REF ASPERGILLUS FUMIGATUS ANTIBODY,25.0,,7.0,21.5,84
LOCAL,30200375,"HC REF ASPERGILLUS FUMIGATUS,IGE",61.0,,4.38,52.46,84
LOCAL,30200376,HC REF ASPERGILLUS FUMIGATUS,87.0,,12.64,74.82,84
LOCAL,30200378,HC REF AUREOBASIDIUM PULLULANS,12.0,,3.36,15.3125,84
LOCAL,30200379,HC REF BARTONELLA HENSELAE IGG,24.0,,6.72,20.64,84
LOCAL,30200380,HC REF BARTONELLA HENSELAE IGM,24.0,,6.72,20.64,84
LOCAL,30200381,HC REF BARTONELLA QUINTANA IGG,24.0,,6.72,20.64,84
LOCAL,30200382,HC REF BARTONELLA QUINTANA IGM,24.0,,6.72,20.64,84
LOCAL,30200383,HC REF BETA 2 GLYCOPROTEIN IGA,60.0,,16.8,51.6,84
LOCAL,30200384,HC REF BETA 2 GLYCOPROTEIN IGG,88.0,,21.38,75.68,84
LOCAL,30200385,HC REF BETA 2 GLYCOPROTEIN IGM,60.0,,16.8,51.6,84
LOCAL,30200386,HC REF BLASTOMYCES AB BY CF,13.0,,3.64,16.125,84
LOCAL,30200387,HC REF BORDETELLA PERTUS FHA IGG,65.0,,11.08,55.9,84
LOCAL,30200388,HC REF BORDETELLA PERTUSS PT IGG,65.0,,11.08,55.9,84
LOCAL,30200389,HC REF BURK PSEUDO IGG,117.0,,10.82,100.62,84
LOCAL,30200390,HC REF BURK PSEUDO IGM,117.0,,10.82,100.62,84
LOCAL,30200391,HC REF C - REACTIVE PROT,39.0,,4.35,33.54,84
LOCAL,30200392,HC REF C1 ESTERASE,73.0,,10.08,62.78,84
LOCAL,30200393,HC REF C2 COMPL ANTIGEN SERUM,165.0,,10.08,141.9,84
LOCAL,30200394,HC REF C3 COMPLEMENT,67.0,,10.08,57.62,84
LOCAL,30200395,HC REF C4 COMPLEMENT,67.0,,10.08,57.62,84
LOCAL,30200396,HC REF CA 15-3,51.0,,14.28,43.86,84
LOCAL,30200397,HC REF CA 199-FLUID,104.0,,17.48,89.44,84
LOCAL,30200398,HC REF CA 72 - 4,90.0,,17.48,77.4,84
LOCAL,30200399,HC REF ARBOVIRUS PANEL - CALIF (LACROSSE) IGG AB,139.0,,11.08,119.54,84
LOCAL,30200400,HC REF ARBOVIRUS PANEL - CALIF (LACROSSE) AB IGM,139.0,,11.08,119.54,84
LOCAL,30200401,HC REF CAMPYLO JEJUNI AB,118.0,,11.02,101.48,84
LOCAL,30200402,HC REF CANDIDA ALBICANS AB IGA,45.0,,10.09,38.7,84
LOCAL,30200403,HC REF CANDIDA ALBICANS AB IGM,45.0,,10.09,38.7,84
LOCAL,30200404,HC REF CANDIDA ALBICANS AB  IGG,45.0,,10.09,38.7,84
LOCAL,30200405,HC REF CARDIO CRP,51.0,,10.88,43.86,84
LOCAL,30200406,HC REF CENTROM AB TITER,28.0,,7.84,24.08,84
LOCAL,30200407,HC REF CHAGAS RIPA,434.0,,10.41,373.24,84
LOCAL,30200408,HC REF CHLAMYDIA ANTIBODY IGG,22.0,,6.16,18.92,84
LOCAL,30200409,HC REF CHLAMYDIA ANTIBODY IGM,22.0,,6.16,18.92,84
LOCAL,30200410,HC REF CHLAM PSITT IGG,12.0,,3.36,14.775,84
LOCAL,30200411,HC REF CHLAM PSITT IGM,12.0,,3.36,15.85,84
LOCAL,30200412,HC REF CHLAM TRACH IGG,12.0,,3.36,14.775,84
LOCAL,30200413,HC REF CHLAM TRACH IGM,12.0,,3.36,15.85,84
LOCAL,30200414,HC REF CHLAMYDOPHILA PNEU IGA,5.0,,1.4,14.775,84
LOCAL,30200415,HC REF CHLAMYDOPHILA PSITTA IGA,5.0,,1.4,14.775,84
LOCAL,30200416,HC REF CHLAMYDOPHILA TRACH IGA,4.0,,1.12,14.775,84
LOCAL,30200417,HC REF CHROMOGRANIN A,72.0,,17.48,61.92,84
LOCAL,30200421,HC REF CMV IGG AVIDITY,341.0,,12.09,293.26,84
LOCAL,30200423,HC REF COCCIDIODES CF IGG CSF,145.0,,9.63,124.7,84
LOCAL,30200424,HC REF COCCIDIODES ID IGG CSF,145.0,,9.63,124.7,84
LOCAL,30200425,HC REF COCCIDIODES ID IGM CSF,145.0,,9.63,124.7,84
LOCAL,30200426,HC REF COCCIDIOIDES AB BY CF,13.0,,3.64,14.3375,84
LOCAL,30200427,HC REF COCCIDIOIDES AB BY ID,13.0,,3.64,14.3375,84
LOCAL,30200428,HC REF COCCIDIOIDES AB TITER,13.0,,3.64,14.3375,84
LOCAL,30200429,HC REF COMPLEMENT C1Q,379.0,,10.08,325.94,84
LOCAL,30200430,HC REF COMPLEMENT C3,9.0,,2.52,15.0,84
LOCAL,30200431,HC REF COMPLEMENT C4,9.0,,2.52,15.0,84
LOCAL,30200432,HC REF COMPLEMENT C5,81.0,,10.08,69.66,84
LOCAL,30200433,HC REF COMPLEMENT COMPONENT C2,74.0,,10.08,63.64,84
LOCAL,30200436,HC REF CRYPTOCOCCUS LATEX AGG,32.0,,8.96,27.52,84
LOCAL,30200438,HC REF CYCLIC CITRULLINATED PEPTIDE AB,68.0,,10.88,58.48,84
LOCAL,30200439,HC REF CYSTICERCUS AB IGG,141.0,,10.93,121.26,84
LOCAL,30200440,HC REF CYSTICERCUS IGG AB WB,150.0,,10.93,129.0,84
LOCAL,30200441,HC REF CYSTICERCUS IGG AB WB,108.0,,10.93,92.88,84
LOCAL,30200442,HC REF DENGUE FEVER VIRUS AB IGG,243.0,,10.82,208.98,84
LOCAL,30200443,HC REF DENGUE FEVER VIRUS AB IGM,243.0,,10.82,208.98,84
LOCAL,30200444,HC REF ANTI-DNASE B TITER,261.0,,11.13,224.46,84
LOCAL,30200445,HC REF ARBOVIRUS PANEL EAST EQUINE ENCEPH AB IGG,139.0,,11.08,119.54,84
LOCAL,30200446,HC REF ARBOVIRUS PANEL EAST EQUINE ENCEPH AB IGM,139.0,,11.08,119.54,84
LOCAL,30200449,HC REF ENDOMYSIUM AB TIT IGA,68.0,,10.12,58.48,84
LOCAL,30200450,HC REF ENRILCHIA CHAFFEENSIS ANTIBODY IGG,114.0,,8.55,98.04,84
LOCAL,30200451,HC REF ENTAMOEBA HISTOLYTICA ANTIBODY IGG,416.0,,10.41,357.76,84
LOCAL,30200453,HC REF FASCIOLA ANTIBODY,118.0,,10.93,101.48,84
LOCAL,30200454,HC REF FILARIA IGG4 ANTIBODY,200.0,,10.93,172.0,84
LOCAL,30200455,HC REF FRANCISELLA TULARENSIS AB,140.0,,5.86,120.4,84
LOCAL,30200456,HC REF TPPA,140.0,,11.12,120.4,84
LOCAL,30200459,HC REF GIARDIA LAMBLIA ANTIBODIES,98.0,,12.36,84.28,84
LOCAL,30200461,HC REF GIARDIA LAMBLIA IGG AB,114.0,,12.36,98.04,84
LOCAL,30200466,HC REF HAEMOPHILUS INFLUENZA TYPE B IGG,372.0,,13.31,319.92,84
LOCAL,30200467,HC REF HEPATITIS B SURFACE AB QT,44.0,,9.02,37.84,84
LOCAL,30200468,HC REF INFECTIOUS MONO TEST,154.0,,4.35,132.44,84
LOCAL,30200469,HC REF HHV8 AB IGG,182.0,,10.82,156.52,84
LOCAL,30200470,HC REF HISTOPLASMA AB BY ID,31.0,,8.68,26.66,84
LOCAL,30200471,HC REF HISTOPLASM AB SCREEN,14.0,,3.92,17.2375,84
LOCAL,30200472,HC REF HISTOPLASMA AB SCREEN,52.0,,11.58,44.72,84
LOCAL,30200474,HC REF HIV-1 AB IF,87.0,,16.25,74.82,84
LOCAL,30200478,HC REF HERPESVIRUS 6 ANTIBODY IGG,227.0,,10.82,195.22,84
LOCAL,30200479,HC REF HSV6 IGM,59.0,,10.82,50.74,84
LOCAL,30200480,HC REF HTLV I/II WESTER BLOT,161.0,,16.25,138.46,84
LOCAL,30200481,HC REF INFLUENZA A AB IGG  86710,21.0,,5.88,18.06,84
LOCAL,30200482,HC REF INFLUENZA A AB IGM  86710,21.0,,5.88,18.06,84
LOCAL,30200483,HC REF INFLUENZA B AB IGG  86710,21.0,,5.88,18.06,84
LOCAL,30200484,HC REF INFLUENZA B AB IGM  86710,21.0,,5.88,18.06,84
LOCAL,30200485,HC REF INHIBIN A,100.0,,13.1,86.0,84
LOCAL,30200486,HC REF INSULIN AUTOANTIBODIES,94.0,,17.98,80.84,84
LOCAL,30200487,HC REF INTRINSIC FACTOR,84.0,,12.67,72.24,84
LOCAL,30200488,HC REF JO 1 ANTIBODIES IGG,75.0,,15.06,64.5,84
LOCAL,30200489,HC REF LAB-HLA MAT-BLOOD PRO,423.0,,48.72,363.78,84
LOCAL,30200491,HC REF LEGIONELLA NON-PNEUMO,4.0,,1.12,19.125,84
LOCAL,30200492,HC REF LEGIONELLA PNEUMO 2-6 8,8.0,,2.24,19.125,84
LOCAL,30200493,HC REF LEGIONELLA PNEUMOPHILA 1,4.0,,1.12,19.125,84
LOCAL,30200494,HC REF LEISHMANIASIS (VISCERAL) AB,460.0,,10.29,395.6,84
LOCAL,30200495,HC REF LEPTOSPIRA IGM,255.0,,13.61,219.3,84
LOCAL,30200496,HC REF LISTERIA ANTIBODY,160.0,,10.82,137.6,84
LOCAL,30200497,HC REF LIVER CYTOSOL AUTO ABS,180.0,,12.22,154.8,84
LOCAL,30200498,HC REF LYME DIS AB.WBA IGM,48.0,,13.01,41.28,84
LOCAL,30200499,HC REF LYME DISEASE AB,70.0,,14.31,60.2,84
LOCAL,30200500,HC REF LYME IS ANTIB- WBA IGG,41.0,,11.48,35.26,84
LOCAL,30200501,"HC REF LYMPHOCYTE PROLIFERATION, MITOGEN",2154.0,,41.19,1852.44,84
LOCAL,30200503,HC REF MICROPOLYSPORA FAENI,27.0,,7.56,23.22,84
LOCAL,30200504,HC REF MICROPOLYSPORA FAENI,12.0,,3.36,15.3125,84
LOCAL,30200505,HC REF MITOCHONDRL  TITR,20.0,,5.6,17.2,84
LOCAL,30200507,HC REF MPR PLATELET AB,15.0,,4.2,22.9625,84
LOCAL,30200508,HC REF MUCOR IGE,41.0,,4.38,35.26,84
LOCAL,30200509,HC REF MYCELIAL ANTIBODY BY CF,30.0,,8.4,25.8,84
LOCAL,30200510,HC REF NEU AB SC CY% AB,70.0,,19.6,98.3125,84
LOCAL,30200511,HC REF NEUTROPHIL AB ID 1 LEUK,69.0,,12.64,59.34,84
LOCAL,30200512,HC REF NEUTROPHIL AB ID 2 LEUK,69.0,,12.64,59.34,84
LOCAL,30200513,HC REF NEUTROPHIL AB IMMUNOLOGY,70.0,,19.6,60.2,83
LOCAL,30200514,HC REF NEUTROPHIL AB QUICK 1,70.0,,19.6,60.2,84
LOCAL,30200515,HC REF NEUTROPHIL AB QUICK 2,70.0,,19.6,60.2,84
LOCAL,30200516,HC REF PARA NMO-IGG CSF,165.0,,10.12,141.9,84
LOCAL,30200518,HC REF PARVOVIRUS B19 AB IGG,38.0,,10.64,32.68,84
LOCAL,30200519,HC REF PARVOVIRUS B19 AB IGM,39.0,,10.92,33.54,84
LOCAL,30200523,HC REF PLATELET AB DIRECT&INDIR,245.0,,15.43,210.7,84
LOCAL,30200524,HC REF PLATELET HEPARIN AB,188.0,,15.43,161.68,84
LOCAL,30200525,HC REF PLT ANTIBODY ID BY FLOW,366.0,,15.43,314.76,84
LOCAL,30200526,HC REF PM - SCL ANTIBODY,32.0,,8.96,27.52,84
LOCAL,30200527,HC REF PURKINJE AB TITER,17.0,,4.76,15.0625,84
LOCAL,30200528,HC REF Q FEVER ANTIBODY IGG,46.0,,10.18,39.56,84
LOCAL,30200529,HC REF Q FEVER ANTIBODY IGM,47.0,,10.18,40.42,84
LOCAL,30200530,HC REF QUANTIFERIN-TB GOLD - QUEST DIAGNOSTICS,125.0,,35.0,107.5,84
LOCAL,30200531,HC REF RETICULIN IGA,74.0,,10.12,63.64,84
LOCAL,30200532,HC REF RETICULIN IGG,74.0,,10.12,63.64,84
LOCAL,30200535,HC REF S PNEUMO (1),4.0,,1.12,18.7375,84
LOCAL,30200536,HC REF S PNEUMO 12F(12),4.0,,1.12,18.7375,84
LOCAL,30200537,HC REF S PNEUMO 14(14),4.0,,1.12,18.7375,84
LOCAL,30200538,HC REF S PNEUMO 18C(56),4.0,,1.12,18.7375,84
LOCAL,30200539,HC REF S PNEUMO 19F(19),4.0,,1.12,18.7375,84
LOCAL,30200540,HC REF S PNEUMO 23F(23),4.0,,1.12,18.7375,84
LOCAL,30200541,HC REF S PNEUMO 3(3),4.0,,1.12,18.7375,84
LOCAL,30200542,HC REF S PNEUMO 33F(70),3.0,,0.84,18.7375,84
LOCAL,30200543,HC REF S PNEUMO 4(4),4.0,,1.12,18.7375,84
LOCAL,30200544,HC REF S PNEUMO 6B(26),4.0,,1.12,18.7375,84
LOCAL,30200545,HC REF S PNEUMO 7F(51),4.0,,1.12,18.7375,84
LOCAL,30200546,HC REF S PNEUMO 8(8),4.0,,1.12,18.7375,84
LOCAL,30200547,HC REF S PNEUMO 9(9),4.0,,1.12,18.7375,84
LOCAL,30200548,HC REF S PNEUMONIAE 10A(34),4.0,,1.12,18.7375,84
LOCAL,30200549,HC REF S PNEUMONIAE 11A(43),4.0,,1.12,18.7375,84
LOCAL,30200550,HC REF S PNEUMONIAE 15B(54),4.0,,1.12,18.7375,84
LOCAL,30200551,HC REF S PNEUMONIAE 17F(17),4.0,,1.12,18.7375,84
LOCAL,30200552,HC REF S PNEUMONIAE 19A(57),4.0,,1.12,18.7375,84
LOCAL,30200553,HC REF S PNEUMONIAE 2(2),4.0,,1.12,18.7375,84
LOCAL,30200554,HC REF S PNEUMONIAE 20(20),4.0,,1.12,18.7375,84
LOCAL,30200555,HC REF S PNEUMONIAE 22F(22),4.0,,1.12,18.7375,84
LOCAL,30200556,HC REF S PNEUMONIAE 5(5),4.0,,1.12,18.7375,84
LOCAL,30200557,HC REF SCHISTOSOMA IGG AB,165.0,,10.93,141.9,84
LOCAL,30200558,HC REF (SCLERODERMA) SCL 70 AB IGG,75.0,,15.06,64.5,84
LOCAL,30200559,"HC REF SS-A/RO ANTIBODIES, IGG",36.0,,10.08,30.96,84
LOCAL,30200560,"HC REF SS-B/LA ANTIBODIES, IGG",36.0,,10.08,30.96,84
LOCAL,30200561,HC REF SMITH ANTIBODIES IGG,74.0,,15.06,63.64,84
LOCAL,30200562,HC REF SOLUBLE MESOTHELIN RP,131.0,,17.48,112.66,84
LOCAL,30200564,HC REF ST LOUIS ENCEPH AB IGG,44.0,,11.08,37.84,84
LOCAL,30200565,HC REF ST LOUIS ENCEPH AB IGM,45.0,,11.08,38.7,84
LOCAL,30200566,"HC REF ARBOVIRUS PANEL, ST LOUIS ENCEPH AB IGG",139.0,,11.08,119.54,84
LOCAL,30200567,"HC REF ARBOVIRUS PANEL, ST LOUIS ENCEPH AB IGM",139.0,,11.08,119.54,84
LOCAL,30200568,HC REF STREPT PNEUMONIAE 9V(68),3.0,,0.84,18.7375,84
LOCAL,30200569,HC REF STRIATED AB TITER,28.0,,7.84,24.08,84
LOCAL,30200570,HC REF STRONGYLOIDES AB IGG,93.0,,10.93,79.98,84
LOCAL,30200571,HC REF TEICHOIC ACID AB,132.0,,11.8,113.52,84
LOCAL,30200572,HC REF THERMOACTINOMYCESCANDIDUS,12.0,,3.36,12.725,84
LOCAL,30200573,HC REF THERMOACTINOMYCESSUCCHARI,12.0,,3.36,12.725,84
LOCAL,30200574,HC REF THERMOACTINOMYCESVULGARIS,12.0,,3.36,12.725,84
LOCAL,30200575,HC REF THERMOACTINOMYCS VULGARIS,27.0,,7.56,23.22,84
LOCAL,30200576,HC REF THYMIDINE KINASE,79.0,,17.48,67.94,84
LOCAL,30200577,HC REF THYROID PERO AB,81.0,,12.22,69.66,84
LOCAL,30200578,HC REF TOTAL COMPLEMENT,70.0,,17.07,60.2,84
LOCAL,30200579,HC REF TOXOCARA ANTIBODY,149.0,,10.93,128.14,84
LOCAL,30200580,HC REF TRICHINELLA AB ELISA,74.0,,10.55,63.64,84
LOCAL,30200582,HC REF U1 SNRNP AB MAID 1,51.0,,14.28,43.86,84
LOCAL,30200583,HC REF VARICELLA IGM AB ONLY,50.0,,10.82,43.0,84
LOCAL,30200584,HC REF WEIL-FELIX DA,29.0,,5.86,24.94,84
LOCAL,30200585,"HC REF ARBOVIRUS PANEL, WEST EQUINE ENCEPH AB IGG",140.0,,11.08,120.4,84
LOCAL,30200586,"HC REF ARBOVIRUS PANEL, WEST EQUINE ENCEPH AB IGM",140.0,,11.08,120.4,84
LOCAL,30200587,"HC REF WEST NILE IGG, CSF",257.0,,12.09,221.02,84
LOCAL,30200588,"HC REF WEST NILE IGM, CSF",300.0,,14.15,258.0,84
LOCAL,30200589,HC REF YEAST ANTIBODY BY CF,30.0,,8.4,25.8,84
LOCAL,30200597,HC RHEUMATOID FACTOR,227.0,,5.16,195.22,84
LOCAL,30200598,HC REF RICKETTSIA AB,142.0,,16.25,122.12,84
LOCAL,30200599,HC ROTAVIRUS SCREEN,162.0,,15.31,139.32,84
LOCAL,30200600,HC REF RUBEOLA AB IGG IGM CSF,109.0,,10.82,93.74,84
LOCAL,30200601,"HC REF VDRL, CSF",63.0,,3.59,54.18,84
LOCAL,30200602,HC REF  ST LOUIS ENC AB,183.0,,11.08,157.38,84
LOCAL,30200603,HC REF  ST LOUIS ENCEP PANEL,168.0,,11.08,144.48,84
LOCAL,30200605,HC SYPHILIS TEST.QUAL,117.0,,3.59,100.62,84
LOCAL,30200607,HC T-CELLS TOTAL COUNT,351.0,,31.69,301.86,84
LOCAL,30200608,HC THYROGLOBULIN AB,221.0,,13.36,190.06,84
LOCAL,30200609,HC REF  TOXO-IGG TITER,115.0,,12.09,98.9,84
LOCAL,30200611,HC TPO AB,182.0,,12.22,156.52,84
LOCAL,30200612,HC TRALI HLA ANTIBODY ID,241.0,,12.64,207.26,84
LOCAL,30200613,HC TRALI HLA ANTIBODY SCREEN,364.0,,66.07,313.04,84
LOCAL,30200614,HC REF TRANSFERRIN IMMUNOFIXATION,566.0,,18.77,486.76,84
LOCAL,30200615,HC REF VARICELLA ZOSTER,127.0,,10.82,109.22,84
LOCAL,30200616,HC REF WEST NILE AB CSF IGG,83.0,,12.09,71.38,84
LOCAL,30200617,HC REF WEST NILE AB CSF IGM,83.0,,14.15,71.38,84
LOCAL,30200618,HC REF WESTERN EQUINE AB,168.0,,11.08,144.48,84
LOCAL,30200619,HC REF SYPHILIS AB BY TP-PA,129.0,,11.12,110.94,84
LOCAL,30200620,HC REF TRYPANOSOMA CRUIZ AB IGG,78.0,,10.41,67.08,84
LOCAL,30200621,HC REF TRYPANOSOMA CRUIZ AB IGM,132.0,,10.41,113.52,84
LOCAL,30200622,HC REF WEST NILE VIRUS AB IGG CSF,64.0,,12.09,55.04,84
LOCAL,30200623,HC REF WEST NILE VIRUS AB IGM CSF,64.0,,14.15,55.04,84
LOCAL,30200624,HC REF AB TO HUMAN LEUKO AG HLA QUAL,593.0,,53.92,509.98,84
LOCAL,30200625,HC REF LEUKOCYTE AB IDENTIFICATION,593.0,,12.64,509.98,84
LOCAL,30200626,HC REF TETANUS TOXOID IGG AB,203.0,,12.59,174.58,84
LOCAL,30200627,HC REF ANTINURON NUC AB TYPE 2 CSF,209.0,,10.12,179.74,84
LOCAL,30200628,HC REF ANTINURON NUC AB TYPE 1 CSF,209.0,,10.12,179.74,84
LOCAL,30200629,HC REF PURKINJE CELL AB TYPE 1 CSF,209.0,,10.12,179.74,84
LOCAL,30200630,HC REF AMPHIPHYSIN ANTIBODFY CSF,209.0,,10.12,179.74,84
LOCAL,30200631,HC REF PURKINJE CELL AB TYPE TR CSF,209.0,,10.12,179.74,84
LOCAL,30200632,HC REF PUNKINJE CELL AB TYPE 2 CSF,209.0,,10.12,179.74,84
LOCAL,30200633,HC REF ANTI NEURON NUC AB TYPE 3 CSF,209.0,,10.12,179.74,84
LOCAL,30200634,HC REF CRMP 5 IGG CSF,209.0,,10.12,179.74,84
LOCAL,30200635,HC REF GAD65 AB ASSAY CSF,343.0,,19.8,294.98,84
LOCAL,30200636,HC REF ANTI-GLAIL NUCL AB TYPE 2 CSF,209.0,,10.12,179.74,84
LOCAL,30200637,HC REF NMDA-R AB CBA CSF,209.0,,10.12,179.74,84
LOCAL,30200638,HC REF AMPA-R AB CBA CSF,209.0,,10.12,179.74,84
LOCAL,30200639,HC REF CABA-B-R AB CBA CSF,209.0,,10.12,179.74,84
LOCAL,30200640,HC REF VGKC-COMPLEX AB IPA CASF,234.0,,15.46,201.24,84
LOCAL,30200641,HC REF YERSINIA ANTIBODIES BY IMMUNOBLOT,133.0,,11.08,114.38,84
LOCAL,30200642,HC REF ANTI HMGCR AUTOANTIBODIES,489.0,,14.51,420.54,84
LOCAL,30200643,HC REF VWF COLLAGEN BIND ASSAY,325.0,,14.51,279.5,84
LOCAL,30200644,HC REF INTERLEUKIN 10,325.0,,14.51,279.5,84
LOCAL,30200645,HC REF VDRL SERUM,67.0,,3.59,57.62,84
LOCAL,30200646,"HC REF NATURAL KILLER CELLS,TOTAL COUNT",199.0,,31.69,171.14,84
LOCAL,30200647,HC REF NEOPTERIN,385.0,,14.51,331.1,84
LOCAL,30200648,HC REF VDRL TITER SERUM,104.0,,3.7,89.44,84
LOCAL,30200649,HC REF BLASTOMYCE AB BY ID,60.0,,10.84,51.6,84
LOCAL,30200651,"HC REF NMO/AQP4 TITER,CSF",182.0,,31.69,156.52,84
LOCAL,30200652,HC REF BRUCELLA ABORTUS AB IGM,46.0,,7.5,39.56,84
LOCAL,30200653,HC REF RMSF IGG,98.0,,16.25,84.28,84
LOCAL,30200654,HC REF RMSF IGM,98.0,,16.25,84.28,84
LOCAL,30200655,HC REF  R TYPHI IGG,98.0,,16.25,84.28,84
LOCAL,30200656,HC REF  R TYPHI IGM,98.0,,16.25,84.28,84
LOCAL,30200657,HC REF LYMPH CHORIOMENINGITIS IGG CSF,113.0,,10.81,97.18,84
LOCAL,30200658,HC REF LYMPH CHORIOMENINGITIS IGM CSF,113.0,,10.81,97.18,84
LOCAL,30200659,HC REF  RUBEOLA ANTIBODY IGG CSF,113.0,,10.82,97.18,84
LOCAL,30200660,HC REF RUBEOLA ANTIBODY IGM CSF,113.0,,10.82,97.18,84
LOCAL,30200661,HC REF MUMPS ANTIBODY IGG CSF,121.0,,10.96,104.06,84
LOCAL,30200662,HC REF MUMPS ANTIBODY IGM CSF,121.0,,10.96,104.06,84
LOCAL,30200663,HC REF HERPES SIMPLEX VIRUS 1 IGG CSF,116.0,,11.08,99.76,84
LOCAL,30200664,HC REF HERPES SIMPLEX VIRUS 2 IGG CSF,170.0,,16.25,146.2,84
LOCAL,30200665,HC REF  HERPES SIMPLEX VIRUS 1 IGM CSF,116.0,,11.08,99.76,84
LOCAL,30200666,HC REF HERPES SIMPLEX VIRUS 2 IGM CSF,170.0,,16.25,146.2,84
LOCAL,30200667,HC REF WEST NILE VIRUS AB IGM CSF,148.0,,14.15,127.28,84
LOCAL,30200668,HC REF WEST NILE VIRUS AB IGG CSF,126.0,,12.09,108.36,84
LOCAL,30200669,HC REF VARICELLA ZOSTER AB TOTAL CSF,113.0,,10.82,97.18,84
LOCAL,30200670,HC REF VARICELLA ZOSTER AB IGM CSF,113.0,,10.82,97.18,84
LOCAL,30200671,HC REF HERPES SIMPLEX 1 IGM TITER,95.0,,11.08,81.7,84
LOCAL,30200672,HC REF HERPES SIMPLEX 2 IGM TITER,95.0,,16.25,81.7,84
LOCAL,30200673,HC REF PHI PRO2 PSA,65.0,,17.48,55.9,84
LOCAL,30200674,HC REF CYTOKINE PANEL IMMUNOASSAY QUANT NOS NONLAB,51.0,,14.28,43.86,84
LOCAL,30200675,HC REF NMO/AQP4 TITER,171.0,,10.12,147.06,84
LOCAL,30200676,HC REF HIV 1/2 AG AND AB 4TH GENERATION SCREEN,114.0,,20.23,98.04,84
LOCAL,30200677,HC REF HEPATITIS DELTA AB TOTAL,143.0,,14.41,122.98,84
LOCAL,30200678,HC REF HEPATITIS E VIRUS BY QUANTITATIVE PCR,665.0,,35.99,571.9,84
LOCAL,30200679,HC RBC PRETREATMENT ENZYME,396.0,,63.12,340.56,85
LOCAL,30200680,HC HIV 1/2 AG AND AB 4TH GEN,105.0,,20.23,90.3,84
LOCAL,30200681,HC REF TROPONIN I QUANTITATIVE,69.0,,10.47,59.34,84
LOCAL,30200682,HC REF NATRIURETIC PEPTIDE BNP,106.0,,29.68,91.16,84
LOCAL,30200683,HC REF WEST EQUINE ENCEP AB CSF,127.0,,11.08,109.22,84
LOCAL,30200684,HC REF ST. LOUIS ENCEP AB CSF,127.0,,11.08,109.22,84
LOCAL,30200686,HC REF CALIF VIRUS (LAC) AB CSF,127.0,,11.08,109.22,84
LOCAL,30200687,HC REF EAST EQUINE ENCEP AB CSF,127.0,,11.08,109.22,84
LOCAL,30200688,HC REF CASPR2-IGG CBA CSF,569.0,,10.12,489.34,84
LOCAL,30200689,HC REF LGI1-IGG CBA CSF,569.0,,10.12,489.34,84
LOCAL,30200690,HC RHEUMATOID FACTOR (RF),345.0,,4.76,296.7,84
LOCAL,30200691,HC REF HIV-1 AB DIFFERENTIATION,193.0,,7.47,165.98,84
LOCAL,30200692,"HC REF RPR TITER, RESPONSE TO THERAPY",72.0,,3.7,61.92,84
LOCAL,30200693,HC REF MYOSITIS ANTI-SS-A 52KD,54.0,,15.06,46.44,84
LOCAL,30200694,HC HSV-1 ANTIBODY,642.0,,11.08,552.12,84
LOCAL,30200695,HC HSV-2 ANTIBODY,642.0,,16.25,552.12,84
LOCAL,30200696,"HC LEGIONELLA ANTIGEN, URINE",376.0,,13.5,323.36,84
LOCAL,30200697,HC STREP PNEUMO ANTIGEN URINE,296.0,,13.5,254.56,84
LOCAL,30200698,HC REF EHRLICHIA CHAFFEENSIS AB IGG,117.0,,8.55,100.62,84
LOCAL,30200699,HC REF MURINE TYPHUS AB IGG,465.0,,16.25,399.9,84
LOCAL,30200700,HC REF POLIO NEUTRALIZATION TEST VIRAL,247.0,,14.2,212.42,84
LOCAL,30200702,HC HEPATITIS B ANTIBODY SCREEN HIGH RISK,152.0,,23.75,130.72,84
LOCAL,30200703,HC REF CASPR2-IGG CBA SERUM,323.0,,12.09,277.78,84
LOCAL,30200704,HC REF LEGI1-IGG SERUM,568.0,,10.12,488.48,84
LOCAL,30200705,HC REF NMO/AQP4 FACS TITER,182.0,,31.69,156.52,84
LOCAL,30200706,HC  PLATELET PGD TEST,157.0,,43.96,135.02,84
LOCAL,30200707,"HC REF NATURAL KILLER CELLS, T-CELLS TOTAL COUNT",199.0,,31.69,171.14,84
LOCAL,30200708,HC REF NAT KILLER CELL MONONUCLEAR CELL AG,142.0,,22.5,122.12,84
LOCAL,30200709,HC REF ZINC TRANSPORTER 8 ANTIBODY,1061.0,,19.8,912.46,84
LOCAL,30200710,HC REF GAD65 ANTIBODY ASSAY,80.0,,19.8,68.8,84
LOCAL,30200711,HC REF ANTINUCLEAR ANTIBODIES HEP-2 SUBSTRATE IGG,79.0,,9.37,67.94,84
LOCAL,30200712,HC REF C4D COMPLEMENT,416.0,,10.08,357.76,84
LOCAL,30200713,HC REF CBB COMPLEMENT,464.0,,10.08,399.04,84
LOCAL,30200714,HC REF SC5B-9 COMPLEMENT,464.0,,10.08,399.04,84
LOCAL,30200715,HC REF FACTOR H COMPLEMENT ANTIGEN,416.0,,10.08,357.76,84
LOCAL,30200716,HC REF FACTOR B COMPLEMENT ANTIGEN,416.0,,10.08,357.76,84
LOCAL,30200717,HC REF ALT COMPLEMENT FUNCTION ACTIVITY,464.0,,10.08,399.04,84
LOCAL,30200718,HC REF COMPLEMENT TOTAL (CH50),786.0,,17.07,675.96,84
LOCAL,30200719,HC REF COMPLEMENT ANTIGEN,464.0,,10.08,399.04,84
LOCAL,30200720,"HC REF C1Q COMPLEMENT, FUNCTIONAL",597.0,,10.08,513.42,84
LOCAL,30200721,HC REF C3 COMPLEMENT FUNCTIONAL,515.0,,10.08,442.9,84
LOCAL,30200722,HC REF C5 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
LOCAL,30200723,HC REF C4 COMPLEMENT FUNCTIONAL,515.0,,10.08,442.9,84
LOCAL,30200724,HC REF C8 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
LOCAL,30200725,HC REF C7 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
LOCAL,30200726,HC REF C6 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
LOCAL,30200727,HC REF C5 COMPLEMENT ANTIGEN,527.0,,10.08,453.22,84
LOCAL,30200728,HC REF C9 COMPLEMENT FUNCTIONAL,136.0,,10.08,116.96,84
LOCAL,30200729,HC REF LEUK AD DEF MONONUCLEAR CELL AG,63.0,,17.64,54.18,84
LOCAL,30200730,HC REF C2 COMPLEMENT FUNCTIONAL,437.0,,10.08,375.82,84
LOCAL,30200731,HC REF BRUCELLA AB TOTAL AGGLUTINATION,44.0,,7.5,37.84,84
LOCAL,30200732,"HC REF HCV AB RFLX PCR, SERUM",83.0,,11.99,71.38,84
LOCAL,30200733,"HC REF HEPATITIS BC AB,IGG & IGM",72.0,,10.12,61.92,84
LOCAL,30200734,HC REF HTLV I/II AB,73.0,,10.82,62.78,84
LOCAL,30200735,HC REF HTLV I/II AB CONFIRMATION,736.0,,16.25,632.96,84
LOCAL,30200736,HC REF SMOOTH MUSCLE ANTIBODY TITER,71.0,,10.12,61.06,84
LOCAL,30200737,HC REF TAU PROTEIN IMMUNOASSAY QT CSF,478.0,,12.59,411.08,84
LOCAL,30200738,HC REF  IMMUNOFIXATION DELTA AND EPSILON,411.0,,18.77,353.46,84
LOCAL,30200739,HC REF MYOMARKER IMMUNOASSAY QUANT,43.0,,12.04,36.98,84
LOCAL,30200740,HC REF RPR SCREEN RESPONSE TO THERAPY,90.0,,3.59,77.4,84
LOCAL,30200741,HC REF STRIATED MUSCLE ANTIBODY TITER,148.0,,10.12,127.28,84
LOCAL,30200742,HC REF ACHR MODULATING FLOW CYTOMETRY,174.0,,10.12,149.64,84
LOCAL,30200743,"HC REF MGLUR1 ANTIBODY IFA, SERUM",443.0,,10.12,380.98,84
LOCAL,30200744,"HC REF MGLUR1 AB CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200745,"HC REF LGI1-IGG CBA, SERUM",511.0,,10.12,439.46,84
LOCAL,30200746,HC REF GAD65 ANTIBODY ASSAY,78.0,,19.8,67.08,84
LOCAL,30200747,"HC REF DPPX AB IFA TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200748,"HC REF DPPX AB IFA, SERUM",443.0,,10.12,380.98,84
LOCAL,30200749,"HC REF DPPX AB CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200750,"HC REF CASPR2-IGG CBA, SERUM",511.0,,10.12,439.46,84
LOCAL,30200751,HC HEP B SURFACE AB,174.0,,9.02,149.64,84
LOCAL,30200752,HC REF MGLUR1 ANTIBODY IFA TITER,216.0,,10.12,185.76,84
LOCAL,30200753,HC REF LRP4 AUTOANTIBODY,1898.0,,10.12,1632.28,84
LOCAL,30200754,HC REF HERPESVIRUS 8 IGG ANTIBODY,126.0,,10.82,108.36,84
LOCAL,30200755,HC REF HERPESVIRUS 7 ANTIBODY,278.0,,10.82,239.08,84
LOCAL,30200756,HC REF HIV-2 AB DIFFERENTIATION,294.0,,11.36,252.84,84
LOCAL,30200757,"HC REF NIF IFA TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200758,"HC REF LIGHT NIF CHAIN CBA, CSF",1023.0,,10.12,879.78,84
LOCAL,30200759,"HC REF NMDA-R AB IF TITER ASSAY, CSF",216.0,,10.12,185.76,84
LOCAL,30200760,"HC REF PARANEOPLASTIC AB SCREEN EACH AB, CSF",129.0,,10.12,110.94,84
LOCAL,30200761,"HC REF AMPA-R AB CBA, CSF",869.0,,10.12,747.34,84
LOCAL,30200762,"HC REF CASPR2-IGG CBA, CSF",591.0,,10.12,508.26,84
LOCAL,30200763,"HC REF MGLUR1 AB IFA, CSF",443.0,,10.12,380.98,84
LOCAL,30200764,"HC REF GFAP CBA, CSF",1023.0,,10.12,879.78,84
LOCAL,30200765,"HC REF IGLON5 CBA, CSF",869.0,,10.12,747.34,84
LOCAL,30200766,"HC REF GFAP IFA TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200767,"HC REF IGLON5 IFA TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200768,"HC REF MGLUR1 AB IFA TITER, CSF",224.0,,10.12,192.64,84
LOCAL,30200769,"HC REF MGLUR1 AB CBA, CSF",1023.0,,10.12,879.78,84
LOCAL,30200770,"HC REF NIF HEAVY CHAIN CBA, CSF",1023.0,,10.12,879.78,84
LOCAL,30200771,"HC REF GABA-B-R AB IF TITER ASSAY, CSF",216.0,,10.12,185.76,84
LOCAL,30200772,"HC REF AMPA-R AB IF TITER ASSAY, CSF",216.0,,10.12,185.76,84
LOCAL,30200773,"HC REF ALPHA INTERNEXIN CBA, CSF",1023.0,,10.12,879.78,84
LOCAL,30200774,"HC REF ENCEPH AUTOIMM/PARANEO GAD65 AB ASSAY, CSF",197.0,,19.8,169.42,84
LOCAL,30200775,"HC REF ENCEPH AUTOIMM/PARANEO AB SCRN, EA AB, CSF",106.0,,10.12,91.16,84
LOCAL,30200776,"HC REF DPPX AB CBA, CSF",869.0,,10.12,747.34,84
LOCAL,30200777,"HC REF DPPX AB IFA TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200778,"HC REF GAD65 AB ASSAY, CSF",531.0,,19.8,456.66,84
LOCAL,30200779,"HC REF GABA-B-R AB CBA, CSF",869.0,,10.12,747.34,84
LOCAL,30200780,"HC REF LGI1-IGG CBA, CSF",591.0,,10.12,508.26,84
LOCAL,30200781,"HC REF EBV EBNA IGG, SERUM",28.0,,7.84,24.08,84
LOCAL,30200782,HC REF GRANULOCYTE ANTIBODIES,134.0,,12.64,115.24,84
LOCAL,30200783,"HC REF SYPHILIS AB, RPR TITER",72.0,,3.7,61.92,84
LOCAL,30200784,"HC REF SYPHILIS AB, RPR SCREEN",90.0,,3.59,77.4,84
LOCAL,30200785,"HC REF SYPHILIS AB, TP-PA",125.0,,11.12,107.5,84
LOCAL,30200786,HC REF ANTI-TIF-1GAMMA ANTIBODY,250.0,,15.06,215.0,84
LOCAL,30200787,HC REF BLASTOMYCES ANTIBODY IMMUNODIFFUSION,499.0,,10.84,429.14,84
LOCAL,30200788,HC REF ENDOMYSIAL IGA AB TITER,300.0,,10.16,258.0,84
LOCAL,30200789,"HC REF GANGLIOSIDE AB PAN IMMUNOASSAY, EA AB",68.0,,9.69,58.48,84
LOCAL,30200790,"HC REF GANGLIOSIDE PAN AB TITER IMMUNOASSAY, EA AB",239.0,,14.51,205.54,84
LOCAL,30200791,HC REF SYPHILIS IGG,70.0,,11.12,60.2,84
LOCAL,30200792,"HC REF EBV VCA IGG/IGM, SERUM",33.0,,9.24,28.38,84
LOCAL,30200793,"HC REF HSV-1 ANTIBODY,SERUM",33.0,,9.24,28.38,84
LOCAL,30200794,"HC REF HSV-2 ANTIBODY, SERUM",49.0,,13.72,42.14,84
LOCAL,30200795,"HC REF AGNA-1 TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200796,"HC REF ANNA-2 TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200797,"HC REF ANNA-3 TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200798,"HC REF AMPHIPHYSIN AB TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200799,HC REF CRMP-5-IGG TITER. CSF,216.0,,10.12,185.76,84
LOCAL,30200800,"HC REF PCA-1 TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200801,"HC REF PCA-2 TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200802,"HC REF PCA-TR TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200803,"HC REF SPEPTIN-7 CBA, CSF",1023.0,,10.12,879.78,84
LOCAL,30200804,"HC REF NEUROCONDRIN CBA, CSF",1023.0,,10.12,879.78,84
LOCAL,30200805,"HC REF NEUROCHONDRIN IFA TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200806,"HC REF SEPTIN-7 IFA TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200807,"HC REF ANNA-1 TITER, CSF",216.0,,10.12,185.76,84
LOCAL,30200808,HC REF C1Q COMPLEMENT COMPONENT,379.0,,10.08,325.94,84
LOCAL,30200809,"HC REF RFLX VDRL TITER, CSF",80.0,,3.7,68.8,84
LOCAL,30200811,"HC REF PARANEOPLASTIC AUTOAB EVAL, EA ANTIBODY",141.0,,10.12,121.26,84
LOCAL,30200812,"HC REF AGNA-1 TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200813,"HC REF AMPHIPHYSIN AB TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200814,"HC REF ANNA-1 TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200817,HC REF ANNA-3 TITER,216.0,,10.12,185.76,84
LOCAL,30200818,"HC REF CRMP-5-IGG TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200819,"HC REF PCA-1 TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200820,"HC REF PCA-2 TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200821,"HC REF PCA-TR TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200822,"HC REF ANNA-2 TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200823,HC REF Q FEVER AB SCRN,125.0,,10.18,107.5,84
LOCAL,30200824,HC REF CMV IGM SERUM,45.0,,12.6,38.7,84
LOCAL,30200825,HC REF CMV IGG SERUM,38.0,,10.64,32.68,84
LOCAL,30200826,"HC REF TISSUE TRANSGLUTAMINASE AB, IGG",72.0,,9.69,61.92,84
LOCAL,30200827,HC REF DSDNA (CRITHIDIA LUCILIAE) AB IGG,84.0,,10.12,72.24,84
LOCAL,30200828,"HC REF ALPHA-FETOPROTEIN, BODY FLUID",69.0,,17.48,59.34,84
LOCAL,30200829,HC HEPATITIS B CORE IGM,149.0,,9.89,128.14,84
LOCAL,30200830,"HC REF HEP A VIRUS PANEL, HEPATITIS A ANTIBODY IGM",40.0,,9.46,34.4,84
LOCAL,30200831,"HC REF HEP A VIRUS PANEL, HEPATITIS A ANTIBODY TOTAL",40.0,,10.41,34.4,84
LOCAL,30200832,"HC REF CANCER ANTIGEN GI (CA 19-9), BODY FLUID",71.0,,17.48,61.06,84
LOCAL,30200833,"HC REF ENCEPH/PARANEO GAD65 AB, SERUM",261.0,,19.8,224.46,84
LOCAL,30200834,"HC REF ALPHA INTERNEXIN CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200835,"HC REF AMPA-R AB IF TITER ASSAY, SERUM",216.0,,10.12,185.76,84
LOCAL,30200836,"HC REF DPPX AB CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200837,HC REF DPPX AB IFA TITER,216.0,,10.12,185.76,84
LOCAL,30200838,"HC REF GABA-B-R AB IF TITER ASSAY, SERUM",216.0,,10.12,185.76,84
LOCAL,30200839,"HC REF GFAP CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200840,"HC REF GFAP IFA TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200841,"HC REF IGLON5 CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200842,"HC REF IGLON5 IFA TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200843,"HC REF MGLUR1 AB CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200844,"HC REF NIF HEAVY CHAIN CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200845,"HC REF MGLUR1 AB IFA TITER, SERUM",224.0,,10.12,192.64,84
LOCAL,30200846,"HC REF NIF IFA TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200847,"HC REF NIF LIGHT CHAIN CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200848,"HC REF NMDA-R AB IF TITER ASSAY, SERUM",216.0,,10.12,185.76,84
LOCAL,30200849,"HC REF NEUROCONDRIN CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200850,"HC REF NEUROCHONDRIN IFA TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200851,"HC REF SEPTIN-7 IFA TITER, SERUM",216.0,,10.12,185.76,84
LOCAL,30200852,"HC REF ENCEPH/PARANEO AB SCRN, EA AB, SERUM",127.0,,10.12,109.22,84
LOCAL,30200853,"HC REF SEPTIN-7 CBA, SERUM",1023.0,,10.12,879.78,84
LOCAL,30200854,"HC REF IMMUNOFIXATION, SERUM",352.0,,18.77,302.72,84
LOCAL,30200855,"HC REF IMMUNOFIXATION (IFE), URINE",285.0,,24.65,245.1,84
LOCAL,30200856,HC REF HIV-1 & HIV-2 ANTIGEN AND ANTIBODY SCREEN,90.0,,20.23,77.4,84
LOCAL,30200857,HC REF HIV-2 RNA QUALITATIVE,461.0,,29.48,396.46,84
LOCAL,30200858,"HC REF STREPTO PNEUMONIAE IGG AB'S, 23 SEROTYPES",130.0,,29.68,111.8,83
LOCAL,30200859,HC REF TRIM46 AB CBA,1136.0,,10.12,976.96,84
LOCAL,30200860,"HC REF PDE10A AB IFA TITER, SERUM",224.0,,10.12,192.64,84
LOCAL,30200861,HC REF TRIM46 AB IFA TITER,224.0,,10.12,192.64,84
LOCAL,30200862,"HC REF PDE10A AB IFA TITER, CSF",224.0,,10.12,192.64,84
LOCAL,30200863,"HC REF TRIM46 AB CBA, CSF",1136.0,,10.12,976.96,84
LOCAL,30200864,"HC REF TRIM46 AB IFA TITER, CSF",224.0,,10.12,192.64,84
LOCAL,30200865,HC REF ECULIZUMAB COMPLEMENT BLOCKAGE,199.0,,10.08,171.14,84
LOCAL,30200866,"HC REF TREPONEMA PALLIDUM (VDRL) TITER, CSF",80.0,,3.7,68.8,84
LOCAL,30200867,HC CELL SORTING - MAGNETIC ACTIVATED,1029.0,,288.12,884.94,83
LOCAL,30200868,HC CELL SORTING � FLUORESCENCE ACTIVATED,4242.0,,1187.76,3648.12,83
LOCAL,30200869,HC REF ANTIBODY ID PLATELET IMMUNOGL ASSAY XM,1055.0,,10.47,907.3,84
LOCAL,30200870,HC REF SC5B-9 COMPLEMENT,669.0,,10.08,575.34,84
LOCAL,30200871,HC ANTIBODY TREPONEMA PALLIDUM (SYPHILIS),184.0,,11.12,158.24,84
LOCAL,30210,PR DISPLACEMENT THERAPY PROETZ TYPE,365.0,,41.02,344.1,55
LOCAL,30220,PR INSERTION NASAL SEPTAL PROSTHESIS BUTTON,1235.0,,95.6616,1268.97,55
LOCAL,30300,PR REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,768.0,,47.01,652.8,55
LOCAL,30310,PR REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES,1474.0,,116.03,1514.52,55
LOCAL,30320,PR RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY,3181.0,,285.63,3274.6,55
LOCAL,30400,PR RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL TI,6393.0,,660.12,6581.83,50
LOCAL,30410,PR RHINP PRIM COMPLETE XTRNL PARTS,8309.0,,916.15,8556.55,50
LOCAL,30420,PR RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR,11022.0,,1077.3752,11352.07,50
LOCAL,30430,PR RHINOPLASTY SECONDARY MINOR REVISION,3373.0,,430.85,3372.53,50
LOCAL,30435,PR RHINOPLASTY SECONDARY INTERMEDIATE REVISION,5193.0,,709.75,5347.19,50
LOCAL,30450,PR RHINOPLASTY SECONDARY MAJOR REVISION,8270.0,,937.51,8515.33,50
LOCAL,30460,PR RHINP DFRM W/COLUM LNGTH TIP ONLY,4396.0,,601.23,4524.69,55
LOCAL,30462,PR RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT,11699.0,,1178.2072,12050.95,55
LOCAL,30465,PR REPAIR NASAL VESTIBULAR STENOSIS,7690.0,,762.358,7977.88,55
LOCAL,30500001,HC REF VWF ASSAY-RISTOCETIN COFACTOR,114.0,,19.27,98.04,84
LOCAL,30500002,HC REF VON WILLEBRAND FACTOR MULTIMER,227.0,,19.27,195.22,84
LOCAL,30500003,HC REF ADAMTS13 INHIBIT SCREEN,778.0,,10.81,669.08,84
LOCAL,30500004,HC REF ADAMTS13 INHIBITOR TITER,808.0,,10.81,694.88,84
LOCAL,30500006,HC REF ADAMTS13 ACTIVITY ASSAY,463.0,,25.92,398.18,84
LOCAL,30500007,HC REF VWF ACTIVITY,325.0,,25.92,279.5,84
LOCAL,30500008,HC REF TISSU PLASMINOGN ACTIVATR,177.0,,14.44,152.22,84
LOCAL,30500009,HC REF HEINZ INDUCED AC,89.0,,5.73,76.54,84
LOCAL,30500010,HC REF RBC OSMOTIC FRAGILITY,126.0,,11.22,108.36,84
LOCAL,30500011,HC REF HEM ANEMIA OSMOTIC FRAGILITY,142.0,,11.22,122.12,84
LOCAL,30500012,HC REF HGB S SCREEN (SICKLE SOLUBILITY),93.0,,4.63,79.98,84
LOCAL,30500013,HC POC ACT LOW RANGE,93.0,,3.6,79.98,84
LOCAL,30500014,HC POC ACT PLUS,83.0,,3.6,71.38,84
LOCAL,30500016,HC AT III,277.0,,9.95,238.22,84
LOCAL,30500017,HC AUTO CBC W/O DIFF,105.0,,5.43,90.3,84
LOCAL,30500019,HC BLEEDING TIME TEMPLATE,74.0,,4.05,63.64,84
LOCAL,30500020,HC CBC AUTOMATED,131.0,,6.53,112.66,84
LOCAL,30500021,HC D-DIMER QNT,95.0,,8.55,81.7,84
LOCAL,30500023,HC DONOR SICKLEDEX,146.0,,4.63,125.56,84
LOCAL,30500024,HC DRVVT,198.0,,8.05,170.28,84
LOCAL,30500025,HC FIBRIN SPLIT PROD,114.0,,5.79,98.04,84
LOCAL,30500026,HC FIBRINOGEN,50.0,,8.16,43.0,84
LOCAL,30500027,HC HEMATOCRIT,28.0,,1.99,24.08,84
LOCAL,30500029,HC HEMOGLOBIN,28.0,,1.99,24.08,84
LOCAL,30500030,HC HEPARIN ASSAY,349.0,,11.0,300.14,84
LOCAL,30500031,HC IMMATURE PLATLET FRCTION,111.0,,30.02,95.46,84
LOCAL,30500032,HC PARTIAL THROMBOPLASTIN TIME (PTT) PLASMA OR WHOLE BLOOD,89.0,,5.05,76.54,84
LOCAL,30500033,HC PLATELET COUNT,95.0,,3.76,81.7,84
LOCAL,30500035,HC POC HEMATOCRIT,38.0,,1.99,32.68,84
LOCAL,30500036,HC PROHROMBIN TIME,77.0,,3.31,66.22,84
LOCAL,30500037,HC PROTEIN C FUNC,278.0,,11.63,239.08,84
LOCAL,30500038,HC PROTHROMBIN TIME,105.0,,3.6,90.3,84
LOCAL,30500039,HC REF ACIDHEMOLYSIS,102.0,,7.45,87.72,84
LOCAL,30500040,HC REF ALPHA 2 ANTIPLASMIN,106.0,,6.48,91.16,84
LOCAL,30500041,HC REF ANTITHROMBIN ANTIGEN,114.0,,9.08,98.04,84
LOCAL,30500042,HC REF APTT(CIRC)MIX STUDY FRACT,12.0,,3.36,10.32,84
LOCAL,30500043,HC REF APTT(CIRC)MIXING STUDIES,56.0,,5.05,48.16,84
LOCAL,30500047,HC REF FACT 9 INH,141.0,,10.81,121.26,84
LOCAL,30500048,HC REF FACT X CHROMOGENIC,153.0,,15.04,131.58,84
LOCAL,30500049,HC REF FACTOR 13 FUNCTIONL ASSAY,372.0,,13.73,319.92,84
LOCAL,30500050,HC REF FACTOR 13 QUALITATIVE,219.0,,7.65,188.34,84
LOCAL,30500051,HC REF F8  INHIBITOR SCREEN,813.0,,10.81,699.18,84
LOCAL,30500052,HC REF FACTOR II ASSAY,157.0,,10.9,135.02,84
LOCAL,30500053,HC REF FACTOR IX ASSAY,157.0,,15.99,135.02,84
LOCAL,30500054,HC REF FACTOR V ASSAY,157.0,,14.83,135.02,84
LOCAL,30500055,HC REF FACTOR VII ASSAY,157.0,,15.04,135.02,84
LOCAL,30500056,HC REF FACTOR VIII ASSAY,157.0,,15.04,135.02,84
LOCAL,30500057,HC REF FACTOR VIII CHROMOGENIC,153.0,,15.04,131.58,84
LOCAL,30500058,HC REF FACTOR X ASSAY,113.0,,15.04,97.18,84
LOCAL,30500059,HC REF FACTOR XI ASSAY,224.0,,15.04,192.64,84
LOCAL,30500060,HC REF FACTOR XII ASSAY,308.0,,16.25,264.88,84
LOCAL,30500061,HC REF FIBRINOGEN ANTIGEN,205.0,,12.15,176.3,84
LOCAL,30500062,HC REF HEINZ STAIN,89.0,,3.53,76.54,84
LOCAL,30500063,HC REF HEPARIN ANTI-XA LWMH,151.0,,11.0,129.86,84
LOCAL,30500064,HC REF HEXAGONAL PHOSPHOLIPID,126.0,,15.1,108.36,84
LOCAL,30500065,HC REF LEUKOCYT AIK PHOSHAT SCOR,116.0,,7.22,99.76,84
LOCAL,30500066,HC REF LYSOZYME (MURAMIDASE),75.0,,15.75,64.5,84
LOCAL,30500068,HC REF P A I - 1,153.0,,14.44,131.58,84
LOCAL,30500069,HC REF PLASMINOGEN,62.0,,5.49,53.32,84
LOCAL,30500070,HC REF PLASMINOGN AG (VAR HEMO),106.0,,8.55,91.16,84
LOCAL,30500071,"HC REF PLATELET AGGREGATION,EACH AGENT",57.0,,15.96,49.02,84
LOCAL,30500072,HC REF PLATELT FUNCTION ANALYSIS,57.0,,15.96,49.02,84
LOCAL,30500073,HC REF PLATELET FUNCTION SCREEN,65.0,,18.2,55.9,84
LOCAL,30500074,HC REF PLT FUNCTION PLATELET CT,15.0,,3.76,12.9,84
LOCAL,30500075,HC REF PREKAL,152.0,,15.9,130.72,84
LOCAL,30500076,HC REF PROTEIN C ANTIGEN,176.0,,10.09,151.36,84
LOCAL,30500077,HC REF PROTEIN S FUNCTIONAL,122.0,,12.87,104.92,84
LOCAL,30500078,HC REF PROTEIN S ANTIGEN TOTAL,393.0,,9.75,337.98,84
LOCAL,30500079,HC REF PT (CIRC) MIXING STUDIES,41.0,,3.6,35.26,84
LOCAL,30500080,HC REF PT(CIRC)MIX STUDY FRACT,12.0,,3.31,10.32,84
LOCAL,30500081,HC REF REPTILASE TIME,95.0,,8.27,81.7,84
LOCAL,30500082,HC REF RISTOCETIN AG PLATELET CT,35.0,,3.76,30.1,84
LOCAL,30500083,HC REF RISTOCETIN PLATELET AGG,44.0,,12.32,37.84,84
LOCAL,30500085,HC REF TISU THRMBO INHIB VR HEMO,73.0,,8.09,62.78,84
LOCAL,30500086,HC REF VISCOSITY BODY FLUID,49.0,,9.8,42.14,84
LOCAL,30500087,HC REF VISCOSITY SERUM,110.0,,9.8,94.6,84
LOCAL,30500088,HC REF VWF ANTIGEN,145.0,,19.27,124.7,84
LOCAL,30500089,HC RETIC AUTO,105.0,,3.35,90.3,84
LOCAL,30500091,HC RVVT UNDILUTED,73.0,,14.69,62.78,84
LOCAL,30500092,HC SEDIMENTATION RATE,63.0,,3.59,54.18,84
LOCAL,30500093,HC SICKLEDEX,146.0,,4.63,125.56,84
LOCAL,30500094,HC DIFFERENTIAL MANUAL,83.0,,3.19,71.38,84
LOCAL,30500095,HC SMEAR REVIEW,8.0,,2.24,6.88,84
LOCAL,30500096,HC TEG ASSAY,676.0,,32.74,581.36,84
LOCAL,30500097,HC THROM TIME 1:1 MIX,49.0,,3.31,42.14,84
LOCAL,30500098,HC THROMBIN TIME,59.0,,4.85,50.74,84
LOCAL,30500099,HC AUTO WBC W/O DIFF,104.0,,2.13,89.44,84
LOCAL,30500100,"HC PARTIAL THROMBOPLASTIN TIME (PTT) SUBSTITUTION PLASMA FRACT, EACH",89.0,,5.43,76.54,84
LOCAL,30500101,HC REF ANTI XA RIVAROXABAN,172.0,,11.0,147.92,84
LOCAL,30500113,HC PROTHROMBIN TIME-KATY,105.0,,3.6,90.3,84
LOCAL,30500115,HC REF INHIBITOR SCREEN,971.0,,10.81,835.06,84
LOCAL,30500116,HC REF PROTEIN S AG FREE,114.0,,12.87,98.04,84
LOCAL,30500117,HC REF INHIBITOR CURVE,971.0,,10.81,835.06,84
LOCAL,30500119,HC REF INHIBITOR BETHESDA,400.0,,10.81,344.0,84
LOCAL,30500120,HC REF SPEC COAG INTERPRETATION,91.0,,13.0,78.26,84
LOCAL,30500121,HC REF FACTOR 13 1:1 MIX,139.0,,7.65,119.54,84
LOCAL,30500122,HC OXIMETRY TOTAL HEMOGLOBIN,55.0,,1.99,47.3,84
LOCAL,30500123,HC P2Y12 PLATELET FUNCTION,549.0,,20.92,472.14,84
LOCAL,30500124,HC REF PLATELET COUNT FOR PLT AGGREGATION,17.0,,3.76,14.62,84
LOCAL,30500125,HC REF ACTIVATED PROTEIN C RESISTANCE,721.0,,12.87,620.06,84
LOCAL,30500126,HC TEG 6S - PLATELET MAPPING ADP + AA,780.0,,20.92,670.8,84
LOCAL,30500127,HC TEG 6S GLOBAL HEMOSTASIS,609.0,,32.74,523.74,84
LOCAL,30500128,HC TEG 6S HEMOSTASIS WITH LYSIS,609.0,,32.74,523.74,84
LOCAL,30500129,HC REF FIBRINOGEN DEGRADATION SPLIT PRODUCTS,99.0,,5.79,85.14,84
LOCAL,30500130,HC DIFFERENTIAL AUTOMATED,130.0,,5.43,111.8,84
LOCAL,30500131,HC REF ANTI XA APIXABAN,276.0,,11.0,237.36,84
LOCAL,30520,PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF,5932.0,,405.72,6169.72,55
LOCAL,30540,PR REPAIR CHOANAL ATRESIA INTRANASAL,4795.0,,465.33,4936.8,55
LOCAL,30545,PR REPAIR CHOANAL ATRESIA TRANSPALATINE,7192.0,,713.28,7404.34,55
LOCAL,30560,PR LYSIS INTRANASAL SYNECHIA,862.0,,56.7,732.7,55
LOCAL,30580,PR REPAIR FISTULA OROMAXILLARY,3966.0,,340.354,4114.3,55
LOCAL,30600,PR REPAIR FISTULA ORONASAL,3979.0,,284.28,4093.67,55
LOCAL,30600001,HC REF HSV 1 AB IGG,97.0,,11.08,83.42,84
LOCAL,30600002,HC REF HSV 1 AB IGM,97.0,,11.08,83.42,84
LOCAL,30600003,HC REF HSV 2 AB IGG,97.0,,16.25,83.42,84
LOCAL,30600004,HC REF  HSV 2 AB IGM,97.0,,16.25,83.42,84
LOCAL,30600005,HC REF MUMPS AB CSF,151.0,,10.96,129.86,84
LOCAL,30600006,HC REF RUBEOLA AB CSF,150.0,,10.82,129.0,84
LOCAL,30600007,HC REF ISOSPORA BILL GROUP 1,69.0,,5.61,59.34,84
LOCAL,30600008,HC VIRAL RESPIRATORY AG,63.0,,5.61,54.18,84
LOCAL,30600009,HC REF SHIGELLA SEROTYPE,126.0,,4.35,108.36,84
LOCAL,30600010,HC REF ARTHROPOD IDENTIF BUG,47.0,,3.59,40.42,84
LOCAL,30600011,HC REF SCHISTOSOMA EXAM URINE,70.0,,7.48,60.2,84
LOCAL,30600015,HC REF SYNERGY 2 DRUG,97.0,,3.99,83.42,84
LOCAL,30600016,HC REF ANAEROBIC SENS 5 DRUGS,221.0,,7.27,190.06,84
LOCAL,30600017,HC REF MALARIA/BABESIA SMEAR,407.0,,5.03,350.02,84
LOCAL,30600018,HC REF FILARIA SMEAR,123.0,,5.03,105.78,84
LOCAL,30600019,HC REF ISOSPORA BILL GROUP 2,69.0,,4.89,59.34,84
LOCAL,30600020,HC REF  FUNGAL SMEAR KOH,72.0,,4.89,61.92,84
LOCAL,30600021,HC REF KOH FUNGAL SMEAR PREPARAT,90.0,,3.59,77.4,84
LOCAL,30600022,HC VIRAL RESP AG ADENOVIRUS,55.0,,12.12,47.3,84
LOCAL,30600023,HC VIRAL RESP AG INFLUENZA B,55.0,,10.29,47.3,84
LOCAL,30600024,HC VIRAL RESP AG INFLUENZA A,55.0,,13.5,47.3,84
LOCAL,30600025,HC VIRAL RESP AG RSV,55.0,,11.27,47.3,84
LOCAL,30600026,HC VIRAL RESP AG HUMAN META,55.0,,13.52,47.3,84
LOCAL,30600027,HC VIRAL RESP AG PARA INFLU,55.0,,10.06,47.3,84
LOCAL,30600028,HC REF CRYPTOSPORIDIUM ANTIGEN,120.0,,11.61,103.2,84
LOCAL,30600029,HC REF HBSAG CONFIRMATION,41.0,,8.68,35.26,84
LOCAL,30600030,HC REF HEPATITS B SURF AG NEUT,65.0,,8.68,55.9,84
LOCAL,30600031,HC REF HEPATITIS BE ANTIGEN,70.0,,9.69,60.2,84
LOCAL,30600032,HC REF HEPATITIS D ANTIGEN,295.0,,15.42,253.7,84
LOCAL,30600033,HC REF  HISTOPLASMA ANTIGEN,176.0,,11.13,151.36,84
LOCAL,30600034,HC REF HISTOPLASMA ANTIGEN,174.0,,11.13,149.64,84
LOCAL,30600035,HC REF HIV1 P24 ANTIGEN DETECT,167.0,,20.21,143.62,84
LOCAL,30600036,HC REF MVISTA COCCIDIODES AGURIN,187.0,,10.06,160.82,84
LOCAL,30600037,HC REF LYME DISEASE PCR CSF,155.0,,29.48,133.3,84
LOCAL,30600038,HC REF CHLAMYDIA NAA,49.0,,13.72,43.8625,84
LOCAL,30600039,HC CD TOX PCR,357.0,,31.31,307.02,84
LOCAL,30600040,HC REF ENTEROVIRUS PCR PLASM,132.0,,29.48,113.52,84
LOCAL,30600041,HC REF HSV PCR DERMAL,93.0,,26.04,79.98,84
LOCAL,30600042,HC HHV6 QUAL REFLEX QUANT,411.0,,29.48,353.46,84
LOCAL,30600043,HC REF HIV-1 RNA QUALITATIVE,461.0,,29.48,396.46,84
LOCAL,30600044,HC REF HIV-1 RNA DETECTION AND QUANTIFICATION,188.0,,52.64,161.68,84
LOCAL,30600045,HC MYCOPLASMA PNEUM DNA PCR,379.0,,29.48,325.94,84
LOCAL,30600046,HC REF N GONORRHOEA NAA,49.0,,13.72,43.8625,84
LOCAL,30600047,HC REF ANPLASM PHAGOCYTPHIL QUAL,292.0,,29.48,251.12,84
LOCAL,30600048,HC REF RICKETTSIA DNA PCR,292.0,,29.48,251.12,84
LOCAL,30600049,HC MYCOPLASM GENITALIUM PCR,259.0,,29.48,222.74,84
LOCAL,30600050,HC JC POLYOMA QUAL PCR CSF,414.0,,29.48,356.04,84
LOCAL,30600051,HC HHV8 QUAL REFLEX QUANT,408.0,,29.48,350.88,84
LOCAL,30600052,HC CHIKUNGUNYA QUAL PCR,563.0,,29.48,484.18,84
LOCAL,30600053,HC DENGUE VIRUS RNA PCR,563.0,,29.48,484.18,84
LOCAL,30600054,HC LEGIONELLA MOL DETEC PCR,197.0,,29.48,169.42,84
LOCAL,30600055,HC EHRLICHIA ANAPLASMA,197.0,,29.48,169.42,84
LOCAL,30600056,HC REF VZV PCR DERMAL,93.0,,26.04,79.98,84
LOCAL,30600057,HC REF PNEUMOCYSTIS QUANT PCR,511.0,,35.99,439.46,84
LOCAL,30600058,HC BABESIA MICROTI BLOOD,249.0,,29.48,214.14,84
LOCAL,30600059,HC REF JC QUANT PCR CSF,505.0,,35.99,434.3,84
LOCAL,30600060,HC REF BK QUANT PCR CSF,505.0,,35.99,434.3,84
LOCAL,30600061,HC REF HIV DRUG SUSEPTIBILITY,306.0,,85.68,263.16,84
LOCAL,30600062,HC REF HBV INFECT AGENT DRUG SUS,27.0,,7.56,162.9375,84
LOCAL,30600063,HC REF HIV-1 GENOTYPE DRUG RESIS,2601.0,,728.28,2236.86,84
LOCAL,30600065,HC REF GENOSURE PRIME HIV1,75.0,,21.0,160.9125,84
LOCAL,30600066,HC REF HCV GENO REV TRANS&PROTEA,486.0,,136.08,417.96,84
LOCAL,30600067,HC REF HCV DRUG SUSC PHEN PREDIC,280.0,,78.4,240.8,84
LOCAL,30600068,"HC REF HISTOPLASMA ANTIGEN, QUANT, URINE",170.0,,11.13,146.2,84
LOCAL,30600069,HC REF HISTOPLASMA AG REFLEX,109.0,,11.13,93.74,84
LOCAL,30600070,HC REF 1 DRUG SUSCEPTIBILTY,165.0,,7.27,141.9,84
LOCAL,30600071,HC REF  3 DRUG SUSCEPTIBILTY,251.0,,7.27,215.86,84
LOCAL,30600072,HC REF  4 DRUG SUS PANEL AERO,275.0,,7.27,236.5,84
LOCAL,30600073,"HC ACID FAST,CRYPT",146.0,,5.03,125.56,84
LOCAL,30600074,HC REF ACYCLO SUS 1,415.0,,16.97,356.9,84
LOCAL,30600076,HC REF ADENOVIRUS QUANT PCR,505.0,,35.99,434.3,84
LOCAL,30600077,HC ADENOUIRUS DNA RT PCR,487.0,,29.48,418.82,84
LOCAL,30600078,HC ADENOVIRUS AG,105.0,,16.43,90.3,84
LOCAL,30600079,HC REF ADENOVIRUS AG,127.0,,10.06,109.22,84
LOCAL,30600080,HC ADENOVIRUS PCR QUAL,276.0,,29.48,237.36,84
LOCAL,30600081,HC ADENOVIURS DNA PC REFLEX,477.0,,29.48,410.22,84
LOCAL,30600085,HC AFB IR,237.0,,12.27,203.82,84
LOCAL,30600086,HC AFB SEQUENCING,546.0,,96.9,469.56,84
LOCAL,30600087,HC REF ANAEROBE SUSCEP MIC,227.0,,3.99,195.22,84
LOCAL,30600088,HC ANTIBIOT SUSCP-AUTO,149.0,,7.27,128.14,84
LOCAL,30600089,HC REF PHENOTYPE HSV CPE,415.0,,21.9,356.9,84
LOCAL,30600090,HC REF ANTIVIRAL FOSCAR,453.0,,16.97,389.58,84
LOCAL,30600091,HC ASPERG IMMUNOASSAY,455.0,,10.06,391.3,84
LOCAL,30600094,HC BACT SEQUENCING,440.0,,96.9,378.4,84
LOCAL,30600095,HC BACTERIAL AG DETECTION,105.0,,10.06,90.3,84
LOCAL,30600096,HC BACTERIAL ID SPEC,189.0,,7.24,162.54,84
LOCAL,30600097,HC BARTONELLA PCR,267.0,,29.48,229.62,84
LOCAL,30600098,HC BARTONELLA QUAL PCR,428.0,,29.48,368.08,84
LOCAL,30600099,HC BINAXNOW MALARIA,88.0,,13.5,75.68,84
LOCAL,30600100,HC BK VIRUS PCR,440.0,,29.48,378.4,84
LOCAL,30600101,HC REF BK QUANT PCR,501.0,,35.99,430.86,84
LOCAL,30600103,HC BLOOD CULT DONOR,81.0,,8.67,69.66,84
LOCAL,30600104,HC BMT NAT HIV-1/HCV/HBV,410.0,,58.97,352.6,84
LOCAL,30600105,HC REF  BORDETELLA DNA,319.0,,29.48,274.34,84
LOCAL,30600106,HC REF BORDETELLA PERTUSS CULTUR,190.0,,5.57,163.4,84
LOCAL,30600107,HC REF  BORDETELLA PERTUSSIS DFA,160.0,,10.06,137.6,84
LOCAL,30600108,HC REF ACTINO SUSCEPTIBILITY,811.0,,7.27,697.46,84
LOCAL,30600109,HC CALCOFLOUR ST,163.0,,4.53,140.18,84
LOCAL,30600110,HC CHLAMYDIA CULTURE,162.0,,16.46,139.32,84
LOCAL,30600111,HC REF CHLAMYDIA GENPROBE,157.0,,19.11,135.02,84
LOCAL,30600112,HC CHLAMYDOPHILA DNA,410.0,,29.48,352.6,84
LOCAL,30600113,HC CLO TEST SCREEN,131.0,,5.57,112.66,84
LOCAL,30600114,HC CLOS DIFF TOX,161.0,,10.06,138.46,84
LOCAL,30600115,HC CMV AG,105.0,,16.43,90.3,84
LOCAL,30600117,HC REF CMV QUANT PCR,505.0,,35.99,434.3,84
LOCAL,30600118,HC CMV DNA RT PCR REFLEX,482.0,,29.48,414.52,84
LOCAL,30600119,HC REF CMV RESISTANCE PANEL,1245.0,,216.26,1070.7,84
LOCAL,30600120,HC CMV PCR,353.0,,29.48,303.58,84
LOCAL,30600122,HC REF CRTOTI GURDUA DFA1,44.0,,5.61,37.84,84
LOCAL,30600123,HC REF CRYPTO GIRDIA DFA2,44.0,,11.43,37.84,84
LOCAL,30600124,HC REF CRYPTO GIRDIA DFA3,44.0,,10.06,37.84,84
LOCAL,30600125,HC REF CRYPTO/ISOPORA,67.0,,5.03,57.62,84
LOCAL,30600126,HC CRYPTOCOCC ANTIGEN,162.0,,11.27,139.32,84
LOCAL,30600127,HC CULT LEGIONELLA SCREEN,82.0,,5.57,70.52,84
LOCAL,30600128,HC CULTURE ACID,249.0,,12.27,214.14,84
LOCAL,30600129,HC CULTURE FUNGUS,83.0,,7.06,71.38,84
LOCAL,30600130,HC CULTURE FUNGUS SKIN,118.0,,6.48,101.48,84
LOCAL,30600131,HC CULTURE ROUTINE EACH,95.0,,7.24,81.7,84
LOCAL,30600132,"HC CULTURE, ANAEROB",82.0,,7.95,70.52,84
LOCAL,30600133,"HC CULTURE, BLOOD",165.0,,8.67,141.9,84
LOCAL,30600134,HC REF CYCLOSPORA SPEC STAIN,165.0,,5.03,141.9,84
LOCAL,30600135,HC DHIV-1 BY NAT,253.0,,58.97,217.58,84
LOCAL,30600136,HC DONOR DHIV-1 BY NAT,253.0,,58.97,217.58,84
LOCAL,30600137,HC DONOR HEP B SURF AG,152.0,,8.68,130.72,84
LOCAL,30600138,HC REF E.COLI 0157:H7 TYPING,82.0,,4.35,70.52,84
LOCAL,30600140,HC EBV PCR,290.0,,29.48,249.4,84
LOCAL,30600141,HC EBV VIRAL LOAD QUANTPCR,463.0,,35.99,398.18,84
LOCAL,30600143,HC EBVLMP AMPLIFICATION,357.0,,29.48,307.02,84
LOCAL,30600144,HC EHRLICHIA PCR,408.0,,29.48,350.88,84
LOCAL,30600145,HC REF ENTAMOEBA HISTO ANTIGEN,115.0,,10.06,98.9,84
LOCAL,30600146,HC REF ENTAMOEBA HISTORLYTIC ANT,160.0,,10.06,137.6,84
LOCAL,30600147,HC ENTEROVIRUS ANTIGEN PANEL,105.0,,21.9,90.3,84
LOCAL,30600148,HC ENTEROVIRUS RNA,263.0,,29.48,226.18,84
LOCAL,30600149,HC ENTEROVIRUS RNA PCR,490.0,,29.48,421.4,84
LOCAL,30600150,HC GRADIENT STRIP MULTI-DRUG PANEL,165.0,,3.99,141.9,84
LOCAL,30600151,HC SINGLE GRADIENT STRIP,73.0,,3.99,62.78,84
LOCAL,30600152,HC REF FASTIDIOUS GMR SUSCEP 1,195.0,,7.27,167.7,84
LOCAL,30600153,HC REF FASTIDIOUS GMR SUSCEP 2,195.0,,3.99,167.7,84
LOCAL,30600154,HC FUNGAL SENS,655.0,,7.27,563.3,84
LOCAL,30600155,HC GANCICLOVIR ID #2,275.0,,16.97,236.5,84
LOCAL,30600156,HC GANCICLOVIRID #1,275.0,,21.9,236.5,84
LOCAL,30600157,HC REF GC GENPROBE,157.0,,22.58,135.02,84
LOCAL,30600158,HC REF GIARDIA LAMBLIA ANTIGEN,140.0,,10.06,120.4,84
LOCAL,30600159,HC GRAM NEG ID AEROBIC,149.0,,6.79,128.14,84
LOCAL,30600160,HC GRAM POS ID AEROBIC,149.0,,6.79,128.14,84
LOCAL,30600161,HC H. PYLORI AG EIA,217.0,,12.08,186.62,84
LOCAL,30600162,HC HEPAT B SURF ANTIG,152.0,,8.68,130.72,84
LOCAL,30600163,HC HERPES VIRUS AG,105.0,,16.43,90.3,84
LOCAL,30600164,HC HHV 8 QUANT PCR,547.0,,35.99,470.42,84
LOCAL,30600165,HC HHV PCR,501.0,,29.48,430.86,84
LOCAL,30600166,HC REF HHV8 PCR,566.0,,29.48,486.76,84
LOCAL,30600167,HC REF HISTO AND BLASTO PCR,563.0,,29.48,484.18,84
LOCAL,30600168,HC REF HSV DNA PCR,376.0,,29.48,323.36,84
LOCAL,30600169,HC HSV TYPE 1&2 QUANT RT PCR,547.0,,35.99,470.42,84
LOCAL,30600170,HC HSV/V2V DFA,165.0,,10.06,141.9,84
LOCAL,30600171,HC REF HTLV I/II DNA PCR,321.0,,29.48,276.06,84
LOCAL,30600172,HC HV 7 DNA QUANT PCR,432.0,,35.99,371.52,84
LOCAL,30600173,HC REF HHV6 QUANT PCR,483.0,,35.08,415.38,84
LOCAL,30600174,HC INDIA INK SMEAR,35.0,,4.89,30.1,84
LOCAL,30600175,HC INFLUENZA A AG,105.0,,16.43,90.3,84
LOCAL,30600176,HC INFLUENZA A H1N1 PCR,621.0,,80.47,534.06,84
LOCAL,30600177,HC INFLUENZA B AG,105.0,,16.43,90.3,84
LOCAL,30600178,HC IR FUNGUL CULTURE,81.0,,7.06,69.66,84
LOCAL,30600179,HC JC POLYOMA PCR,450.0,,29.48,387.0,84
LOCAL,30600180,HC JC QUAL RFLEX-JC QUAN PCR,408.0,,29.48,350.88,84
LOCAL,30600181,HC JC VIRUS CSF PCR,574.0,,35.99,493.64,84
LOCAL,30600182,HC JC VIRUS QUANT PCR,475.0,,35.99,408.5,84
LOCAL,30600183,HC KOH PREP,101.0,,4.89,86.86,84
LOCAL,30600184,HC REF LEPTO SPIRA SCREEN,106.0,,5.57,91.16,84
LOCAL,30600185,HC REF LEPTOSPIRA FM ID,106.0,,4.53,91.16,84
LOCAL,30600186,HC LYME QUAL DNA CSF,418.0,,29.48,359.48,84
LOCAL,30600187,HC REF MTB1LN ETHAMBUTOL,289.0,,5.58,248.54,84
LOCAL,30600188,HC METAPNEUMO VIRUS,520.0,,29.48,447.2,84
LOCAL,30600189,HC MYCOPLASMA PNEU,146.0,,12.93,125.56,84
LOCAL,30600190,HC REF MICROSPORIDIA,120.0,,5.03,103.2,84
LOCAL,30600191,HC MKANASASII SUSCEPTIBILITY,311.0,,7.27,267.46,84
LOCAL,30600192,HC REF MOLD DNA PROBE REFLAB,241.0,,25.23,207.26,84
LOCAL,30600193,HC REF MOLD ID REF LAB,157.0,,8.67,135.02,84
LOCAL,30600194,HC MOLD IDENTIFIC,83.0,,8.67,71.38,84
LOCAL,30600195,HC REF MOLD SEQ REF LAB,181.0,,50.68,155.66,84
LOCAL,30600196,HC REF MOLD SUSCEP 5 DRUG,327.0,,5.58,281.22,84
LOCAL,30600197,HC REF MOLD SUSCEPTIBILITY,311.0,,5.58,267.46,84
LOCAL,30600198,"HC REF MTB PCR, VARIABLE",328.0,,35.01,282.08,84
LOCAL,30600199,HC MTL PCR,324.0,,35.01,278.64,84
LOCAL,30600200,HC REF MYCOPLASMA CUTLURE COMP,388.0,,12.93,333.68,84
LOCAL,30600201,HC MYCOPLASMA PCR,450.0,,29.48,387.0,84
LOCAL,30600202,HC MYCOPLASMA PCR,222.0,,29.48,190.92,84
LOCAL,30600203,HC NEG ANAEROBIC,165.0,,6.79,141.9,84
LOCAL,30600204,HC REF NOROVIRUS AG,133.0,,10.06,114.38,84
LOCAL,30600205,HC REF NORWALK VIRUS AG EIA,194.0,,10.06,166.84,84
LOCAL,30600206,HC REF NOROVIRUS PCR,426.0,,29.48,366.36,84
LOCAL,30600207,"HC REF OAP CONCENTRATE, STOOL",29.0,,7.48,24.94,84
LOCAL,30600208,HC PARA FLU 1 AG,105.0,,16.43,90.3,84
LOCAL,30600209,HC PARA FLU 2 AG,105.0,,16.43,90.3,84
LOCAL,30600210,HC PARA FLU 3 AG,105.0,,16.43,90.3,84
LOCAL,30600211,HC REF PARASITE IDENT WORM PARID,63.0,,3.62,54.18,84
LOCAL,30600212,HC PARECHOVIRUS RNA QUAL,263.0,,29.48,226.18,84
LOCAL,30600213,HC REF PARVOVIRUS PCR,483.0,,35.99,415.38,84
LOCAL,30600215,HC PNEUMOCYSTIS DFA,191.0,,10.06,164.26,84
LOCAL,30600216,HC POS ANAEROBIC,165.0,,6.79,141.9,84
LOCAL,30600217,HC QUAN BLD CULTURE,160.0,,8.67,137.6,84
LOCAL,30600218,HC QUANTITATIVE URINE CUL,83.0,,6.78,71.38,84
LOCAL,30600219,HC REF RAPID GROWER AFB SUS,703.0,,7.27,604.58,84
LOCAL,30600220,HC REF BLASTOMYCES ANTIGEN SERUM,289.0,,10.06,248.54,84
LOCAL,30600221,HC REF CRYPTOCOCCUS AG,62.0,,11.27,53.32,84
LOCAL,30600222,HC REF CRYPTOCOCCUS AG EIA,14.0,,3.92,16.775,84
LOCAL,30600223,HC REF HCV RNA BY PCR,278.0,,29.48,239.08,84
LOCAL,30600224,HC REF HCV RNA PCR QNT,224.0,,35.99,192.64,84
LOCAL,30600225,HC REF HEP B VIR DNA QUANT,141.0,,35.99,121.26,84
LOCAL,30600226,HC REF HEP C-QUANT,315.0,,35.99,270.9,84
LOCAL,30600227,HC REF HEP G RNA QL RT-PCR,282.0,,32.98,242.52,84
LOCAL,30600228,HC REF HEPTITIS C GENOTYPE,328.0,,91.84,321.8125,84
LOCAL,30600229,HC REF HTLV I/II DNAQUAL,267.0,,29.48,229.62,84
LOCAL,30600230,HC REF LEGIONELLA AG UR,65.0,,10.06,55.9,84
LOCAL,30600231,"HC REF LYME DISEASE,B. BURGDORFERI PCR,FLUID",63.0,,17.64,54.18,84
LOCAL,30600232,"HC REF LYME DISEASE, B. BURGDORFERI PCR, BLOOD",62.0,,17.36,53.32,84
LOCAL,30600233,HC REF MALARIA PCR,266.0,,29.48,228.76,84
LOCAL,30600236,HC RESP MULT PCR PN BORDATE,74.0,,20.72,63.64,84
LOCAL,30600237,HC RESP MULT PCR PN CHL PNEU,74.0,,20.72,63.64,84
LOCAL,30600238,HC RESP MULT PCR PN MYC PNEU,74.0,,20.72,63.64,84
LOCAL,30600239,HC RESP MULT PN VIRUS12 25,1294.0,,350.1,1112.84,84
LOCAL,30600240,HC RSV AG,105.0,,16.43,90.3,84
LOCAL,30600241,HC RSV-DFA,269.0,,11.27,231.34,84
LOCAL,30600242,HC REF SALM/SHIGA TYPING,82.0,,4.35,70.52,84
LOCAL,30600243,HC REF SALMONELLA SEROTYPING,228.0,,4.35,196.08,84
LOCAL,30600244,HC REF SHIGA TOXIN PCR,151.0,,29.48,129.86,84
LOCAL,30600245,HC REF SLOW GROWER SUS,545.0,,7.27,468.7,84
LOCAL,30600246,"HC SMEAR, LEGIONELLA",230.0,,4.53,197.8,84
LOCAL,30600247,"HC SMEARS, ACID FAST",39.0,,4.53,33.54,84
LOCAL,30600248,"HC SMEARS, FUNGUS",59.0,,3.59,50.74,84
LOCAL,30600249,"HC SMEARS, GRAM ST",59.0,,3.59,50.74,84
LOCAL,30600250,HC STAPH ID,154.0,,6.79,132.44,84
LOCAL,30600251,HC STOOL ADD PATHOGENS,67.0,,7.93,57.62,84
LOCAL,30600252,HC STOOL CULTURE,67.0,,7.93,57.62,84
LOCAL,30600253,HC STOOL VRE,67.0,,7.93,57.62,84
LOCAL,30600254,HC REF AEROBIC MIC,363.0,,7.27,312.18,84
LOCAL,30600255,HC REF SUSCEPTIBILITY 2 DRUGS,241.0,,7.27,207.26,84
LOCAL,30600256,HC REF SUSEPT MTB COMPLX SEC LIN,242.0,,7.27,208.12,84
LOCAL,30600257,HC REF B DIVERGENS PCR,321.0,,29.48,276.06,84
LOCAL,30600258,HC TOXOPLASMA PCR,353.0,,29.48,303.58,84
LOCAL,30600259,HC REF TOXOPLASMA PCR,505.0,,35.99,434.3,84
LOCAL,30600260,"HC REF TROPHOWHIP PCR, BLD",477.0,,29.48,410.22,84
LOCAL,30600261,HC REF VZV DNA PCR,273.0,,29.48,234.78,84
LOCAL,30600262,HC VITEK MS AFB ID,270.0,,6.79,232.2,84
LOCAL,30600263,HC VITEK MS GRAM NEG ORG ID,270.0,,6.79,232.2,84
LOCAL,30600264,HC VITEK MS GRAM POS ORG ID,270.0,,6.79,232.2,84
LOCAL,30600265,HC VITEK MS YEAST ID,270.0,,8.67,232.2,84
LOCAL,30600266,HC VTK MS ANA GRAM NE ORG ID,270.0,,6.79,232.2,84
LOCAL,30600267,HC VTK MS ANA GRAM POS ORG,270.0,,6.79,232.2,84
LOCAL,30600268,HC VZV AG,105.0,,16.43,90.3,84
LOCAL,30600269,HC VZV PCR,353.0,,29.48,303.58,84
LOCAL,30600270,HC WEST NILE VIRUS BY NAT EA,181.0,,29.48,155.66,84
LOCAL,30600271,"HC REF WNV QUAL PCR, CSF",170.0,,29.48,146.2,84
LOCAL,30600272,HC YEAST IDENTIF,83.0,,8.67,71.38,84
LOCAL,30600274,HC REF MICROSPORIDIA PCR,398.0,,29.48,342.28,84
LOCAL,30600275,HC REF FOSCARNET TIS CULTURE DEFI ID,785.0,,16.97,675.1,84
LOCAL,30600276,HC REF CHAGAS DISEAS PCR,425.0,,29.48,365.5,84
LOCAL,30600277,HC REF HEP C RNA GENO 1 NS3 DRUG RESISTANCE,1432.0,,216.26,1231.52,84
LOCAL,30600278,HC REF ACYCLOUIR TIS CULTURE DEFI ID,785.0,,16.97,675.1,84
LOCAL,30600279,HC REF TIS CULTURE INO OBSER & ID,80.0,,21.9,68.8,84
LOCAL,30600280,HC REF FOSCARNET TIS CULTURE DEFI ID,785.0,,16.97,675.1,84
LOCAL,30600281,HC REF EPSTEIN BARR VIRUS QUANT PCR,339.0,,35.99,291.54,84
LOCAL,30600282,HC REF COCCIDIOIDES QUANT ANTIGEN,248.0,,10.06,213.28,84
LOCAL,30600283,HC MENING/ENCEPH MULTI-PANEL PCR,1548.0,,433.44,1331.28,84
LOCAL,30600284,HC REF FUNGITELL BETA-D GLUCAN ASSAY,223.0,,10.06,191.78,84
LOCAL,30600285,HC REF ENTEROVIRUS QUANT & QUAL RT QPCR & PCR,400.0,,29.48,344.0,84
LOCAL,30600286,HC REF HHV7 QUANT PCR,282.0,,35.99,242.52,84
LOCAL,30600287,HC REF DETECT AGENT NOS DNA AMP,63.0,,17.64,54.18,84
LOCAL,30600288,HC REF HEPATITIS C GENO RESOLUTION REFLEX,205.0,,57.4,321.8125,84
LOCAL,30600289,HC REF HEP C RNA GENO 3 NS5A DRUG RESISTANCE,1418.0,,216.26,1219.48,84
LOCAL,30600290,HC REF EHRLICHIA/ANAPLASMA PCR,45.0,,12.6,43.8625,84
LOCAL,30600292,HC REF JC VIRUS QUANT PLASMA,386.0,,35.99,331.96,84
LOCAL,30600293,HC ACCELERATE PHENO ID,371.0,,16.84,319.06,84
LOCAL,30600295,HC REF GI 23 PATHOGEN PANEL VIRACOR,909.0,,254.52,781.74,84
LOCAL,30600296,HC REF RESP PANEL-VIRACOR,568.0,,159.04,488.48,84
LOCAL,30600297,HC REF HEP C RNA GENO 1 NS5A DRUG RESISTANCE,1418.0,,216.26,1219.48,84
LOCAL,30600298,HC REF CHLAM PNEUM PCR VIRACOR,341.0,,29.48,293.26,84
LOCAL,30600299,HC REF MYCOP PNEUM PCR VIRACOR,341.0,,29.48,293.26,84
LOCAL,30600300,HC REF COVID19 PCR VIRACOR,739.0,,43.1,635.54,84
LOCAL,30600301,HC 2019-NCOV COVID-19,456.0,,43.1,392.16,84
LOCAL,30600302,HC REF COVID 19 IGG VIRACOR,114.0,,31.92,98.04,84
LOCAL,30600303,HC REF COVID 19 IGM VIRACOR,114.0,,31.92,98.04,84
LOCAL,30600305,HC REF BLASTOMYCES ANTIGEN URINE,270.0,,10.06,232.2,84
LOCAL,30600306,"HC REF ADENO QUAL PCR, OCULAR",148.0,,29.48,127.28,84
LOCAL,30600307,HC REF HBS ANTIGEN,70.0,,8.68,60.2,84
LOCAL,30600308,HC REF HBS ANTIGEN CONFIRMATION,467.0,,8.68,401.62,84
LOCAL,30600309,HC REF HCV RNA DETECT/QUANT,224.0,,35.99,192.64,84
LOCAL,30600311,HC INFLUENZA A/B/COVID-19,488.0,,119.81,419.68,84
LOCAL,30600312,HC REF MENINGITIS PCR-MAYO,1079.0,,302.12,927.94,84
LOCAL,30600314,HC BCID GRAM POSITIVE,119.0,,29.48,102.34,84
LOCAL,30600315,HC BCID GRAM NEGATIVE,94.0,,26.32,80.84,84
LOCAL,30600316,HC BCID YEAST,189.0,,29.48,162.54,84
LOCAL,30600317,"HC REF H PYL QUAL PCR, FECES",170.0,,29.48,146.2,84
LOCAL,30600318,HC REF CLAR RESISTANCE-M,97.0,,27.16,83.42,84
LOCAL,30600319,HC REF H PYLORI-M,97.0,,27.16,83.42,84
LOCAL,30600321,HC REF CANDIDA AMPLIFIED PROBE,209.0,,58.52,179.74,84
LOCAL,30600322,HC REF BVAB2 AMPLIFIED PROBE,105.0,,29.4,90.3,84
LOCAL,30600323,HC REF A.VAGINAE AMPLIF PROBE,105.0,,29.4,90.3,84
LOCAL,30600324,HC REF MEGASP AMPLIFIED PROBE,105.0,,29.4,90.3,84
LOCAL,30600325,HC REF T VAG  AMPLIFIED PROBE,105.0,,29.4,90.3,84
LOCAL,30600326,HC HEP B SURFACE AG CONFIRMATION,900.0,,8.68,774.0,84
LOCAL,30600327,HC REF WNV WB PCR-MAYO,170.0,,29.48,146.2,84
LOCAL,30600328,HC REF WNV URINE PCR-MAYO,170.0,,29.48,146.2,84
LOCAL,30600329,HC REF ASPER GALACTOMANNAN,250.0,,10.06,215.0,84
LOCAL,30600330,HC REF LETERMOVIR RESISTANCE,2273.0,,216.26,1954.78,84
LOCAL,30600331,HC BLD CULTURE AFB,372.0,,9.07,319.92,84
LOCAL,30600332,HC BLD CULTURE FUNGUS,238.0,,17.19,204.68,84
LOCAL,30600333,HC REF MONKEYPOX PCR MAYO,205.0,,29.48,176.3,84
LOCAL,30600334,HC EBV QUANT PCR,427.0,,35.99,367.22,84
LOCAL,30600335,HC REF EBV PCR,284.0,,35.99,244.24,84
LOCAL,30600336,"HC REF POLIOVIRUS PCR, QUANT",250.0,,29.48,215.0,84
LOCAL,30600337,HC REF RFLX AEROBIC SUSCEPT,97.0,,3.99,83.42,84
LOCAL,30600338,HC REF RFLX AEROBIC BETA LAC,88.0,,3.99,75.68,84
LOCAL,30600339,HC REF RFLX AER H PYLORI PCR,1057.0,,29.48,909.02,84
LOCAL,30600340,HC REF RFLX AEROBIC MALDI-TOF,139.0,,6.79,119.54,84
LOCAL,30600341,HC REF RFLX AEROBIC MECA PCR,1508.0,,29.48,1296.88,84
LOCAL,30600342,HC REF MTB1LN RIFAMPIN,289.0,,5.58,248.54,84
LOCAL,30600343,HC REF MTB1LN ISONIAZID,289.0,,5.58,248.54,84
LOCAL,30600344,HC REF MTB 2L PANEL,628.0,,7.27,540.08,84
LOCAL,30600345,HC REF ANAEROBE SUSCEPT PANEL,353.0,,7.27,303.58,84
LOCAL,30600346,"HC REF BART QUAL PCR, BLOOD",284.0,,58.97,244.24,84
LOCAL,30600347,"HC REF BART QUAL PCR, NON-BLD",284.0,,58.97,244.24,84
LOCAL,30600348,HC REF CYCLOSPORA CONC EXAM,185.0,,5.61,159.1,84
LOCAL,30600350,"HC REF FILARIA CONC EXAM, BLD",88.0,,5.61,75.68,84
LOCAL,30600351,"HC REF FILARIA WET MOUNT, BLD",76.0,,4.89,65.36,84
LOCAL,30600352,"HC REF RFLX FILARIA ID, BLD",487.0,,5.03,418.82,84
LOCAL,30600353,"HC REF RFLX HCV PCR, SERUM",224.0,,35.99,192.64,84
LOCAL,30600354,HC REF RFLX MTB CONCENTRATE,131.0,,5.61,112.66,84
LOCAL,30600356,"HC REF OAP SPEC STAIN, STOOL",59.0,,15.1,50.74,84
LOCAL,30600357,"HC REF SCHIST CINC, URINE",32.0,,5.61,27.52,84
LOCAL,30600358,"HC REF SCHIST SMEAR, URINE",28.0,,4.89,24.08,84
LOCAL,30600359,"HC REF TROPHO WHIP PCR, NONBLD",477.0,,29.48,410.22,84
LOCAL,30600360,HC REF B DUNCANI PCR,321.0,,29.48,276.06,84
LOCAL,30600361,HC REF B MICROTI PCR,321.0,,29.48,276.06,84
LOCAL,30600362,"HC REF C AURIS PCR, SCREEN",1034.0,,29.48,889.24,84
LOCAL,30600363,"HC REF JC VIRUS PCR, SERUM",386.0,,35.99,331.96,84
LOCAL,30600364,HC REF MTB PZA SUSCEPT,291.0,,5.58,250.26,84
LOCAL,30600365,HC REF MTB PZA RFLX CONFIRM,813.0,,96.9,699.18,84
LOCAL,30600366,HC REF ACTINO MIC RFLX,363.0,,7.27,312.18,84
LOCAL,30600367,HC REF NON TB DNA DETECT,865.0,,40.52,743.9,84
LOCAL,30600368,HC REF TB CMPLX DNA DETECT,573.0,,35.01,492.78,84
LOCAL,30600369,HC REF BACT DNA DETECT,780.0,,58.97,670.8,84
LOCAL,30600370,HC REF ENTEROBAC DNA DET RFLX,916.0,,58.97,787.76,84
LOCAL,30600371,HC REF 16S RNA SEQ RFLX,2861.0,,58.97,2460.46,84
LOCAL,30600372,HC REF FUNG DNA DETECT,1273.0,,58.97,1094.78,84
LOCAL,30600373,HC REF FUNG NEX GEN ITS RFLX,2861.0,,58.97,2460.46,84
LOCAL,30600374,HC REF RFLX ANA IDENTIFICATION,157.0,,6.79,135.02,84
LOCAL,30600375,HC REF RFLX ANA PCR ID,1314.0,,29.48,1130.04,84
LOCAL,30600376,HC REF RFLX ANA SUS AGENT,88.0,,3.99,75.68,84
LOCAL,30600377,HC REF RFLX ANA COMM KIT,125.0,,6.79,107.5,84
LOCAL,30600378,HC REF RFLX ANA MALDI-TOF,116.0,,6.79,99.76,84
LOCAL,30600379,HC REF RFLX ANA BAC ID GID,135.0,,6.79,116.1,84
LOCAL,30600380,HC REF RFLX ANA AER SEQ ID,408.0,,96.9,350.88,84
LOCAL,30600381,HC REF RFLX ANA ADD REFR1 ID,158.0,,6.79,135.88,84
LOCAL,30600382,HC REF RFLX ANA SER AG SAL1 ID,97.0,,4.35,83.42,84
LOCAL,30600383,HC REF RFLX ANA SER AG SHIG ID,97.0,,4.35,83.42,84
LOCAL,30600384,HC REF RFLX ANA SER AG MTH4 ID,143.0,,4.35,122.98,84
LOCAL,30600385,HC REF RFLX ANA STAPH ID,84.0,,6.79,72.24,84
LOCAL,30600386,HC REF RFLX ANA STREP ID,84.0,,6.79,72.24,84
LOCAL,30600387,HC REF RFLX ANA REFER ID,1050.0,,6.79,903.0,84
LOCAL,30600388,HC REF RFLX ANA SEQ ID,343.0,,6.79,294.98,84
LOCAL,30600389,HC REF RFLX ANA SER AGG EC1 ID,97.0,,4.35,83.42,84
LOCAL,30600390,HC REF PARASITE ARTHRO PARID,152.0,,3.59,130.72,84
LOCAL,30600391,"HC STREPTOCOCCUS GROUP A DETECTION, NUCLEIC ACID AMPLIFICATION",275.0,,13.89,236.5,84
LOCAL,30600392,"HC REF HEPATITIS C GENOTYPIC DRUG RESISTANCE, GENOTYPE",1207.0,,216.26,1038.02,84
LOCAL,30600393,"HC REF HEPATITIS C GENOTYPIC DRUG RESISTANCE, PHENOTYPE",611.0,,109.49,525.46,84
LOCAL,30600394,"HC KIRBY-BAUER DISK, PER PLATE",178.0,,6.28,153.08,84
LOCAL,30600396,HC REF COCCIDIOIDES PCR,1096.0,,29.48,942.56,84
LOCAL,30600397,HC STREP A NA DETECTION,302.0,,29.48,259.72,84
LOCAL,30600398,"HC REF HISTOPLASMA/BLASTOMYCES ANTIGEN,URINE",386.0,,10.06,331.96,84
LOCAL,30600399,HC HBV QUANTITATIVE PCR,368.0,,35.99,316.48,84
LOCAL,30600400,HC HCV QUANTITATIVE PCR,389.0,,35.99,334.54,84
LOCAL,30600401,"HC REF LYME DISEASE PCR, BLOOD",62.0,,17.36,53.32,84
LOCAL,30600402,HC REF HBV QUANTITATIVE NUCLEIC ACID AMPLIFICATION TEST,250.0,,35.99,215.0,84
LOCAL,30600403,HC REF HCV QUANTITATIVE NUCLEIC ACID AMPLIFICATION TEST,250.0,,35.99,215.0,84
LOCAL,30600404,"HC REF HEPATITIS B SURFACE ANTIGEN,QUANT MONITORING",724.0,,21.27,622.64,84
LOCAL,30600405,"HC REF LYME DISEASE PCR,FLUID",62.0,,17.36,53.32,84
LOCAL,30600406,HC STD CARBAPENEMASE ENZYME DETECTION,275.0,,77.0,236.5,83
LOCAL,30600408,HC MRSA NA DETECTION PCR,281.0,,29.48,241.66,84
LOCAL,30620,PR SEPTAL/OTHER INTRANASAL DERMATOPLASTY,6759.0,,429.22,6959.61,55
LOCAL,30630,PR REPAIR NASAL SEPTAL PERFORATIONS,4915.0,,435.14,5058.73,55
LOCAL,30801,PR ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC,722.0,,48.79,740.1,55
LOCAL,30802,PR ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,1363.0,,93.64,1399.47,55
LOCAL,30900003,HC BCR/ABL1 MAJR BKP QUANT,2289.0,,137.73,1968.54,83
LOCAL,30900005,HC BCR/ABL1 MINR BKP QUANT,2289.0,,121.67,1968.54,83
LOCAL,30900009,HC FLT3 ITD,703.0,,139.03,604.58,83
LOCAL,30900010,HC IGH GENE REARRANGE AMP METH,1371.0,,166.31,1179.06,83
LOCAL,30900015,HC MST W/NK CELL SORT,1588.0,,219.06,1365.68,83
LOCAL,30900021,HC MICROSATELLITE INSTABILITY,1305.0,,292.79,1122.3,83
LOCAL,30900022,HC NPM1 EXON 12,1320.0,,207.08,1135.2,83
LOCAL,30900024,HC PML/RARALPHA (T(15/17)),2084.0,,174.14,1792.24,83
LOCAL,30900025,HC TCRB GENE REARRANGE AMP METH,1345.0,,175.49,1156.7,83
LOCAL,30900026,HC TCRG GENE REARRANGE,1345.0,,169.26,1156.7,83
LOCAL,30900027,HC HLA-ABC DRB1/3/4/5&DQB1,2771.0,,337.78,2383.06,84
LOCAL,30900028,HC HLA-ABD DRB1 LOW RES,2472.0,,339.8,2125.92,84
LOCAL,30900029,HC HLA-ABC LOW RESOLUTION 81372,2142.0,,339.02,1842.12,84
LOCAL,30900030,HC HLA CI SNGL LOCUS LOW RES,1479.0,,107.04,1271.94,84
LOCAL,30900031,HC HLA-DRB1/3/4/5 & DQB1,2142.0,,185.42,1842.12,84
LOCAL,30900032,HC HLA CLASS II TYPING SNGL,1479.0,,102.66,1271.94,84
LOCAL,30900033,HC HLA-ABC DRB1 HIG RES,2771.0,,290.28,2383.06,84
LOCAL,30900034,HC HLA-ABC HIGH RES,2376.0,,281.72,2043.36,84
LOCAL,30900035,HC HLA-CI SNGL LOCUS HI RES,1575.0,,148.89,1354.5,84
LOCAL,30900036,HC HLA CII SNGL LOCUS HI RES,1571.0,,103.89,1351.06,84
LOCAL,30900038,HC FIP1L1,1437.0,,115.08,1235.82,83
LOCAL,30900045,HC RUNX1/RUNX1T1 (T(8/21)),2085.0,,115.08,1793.1,83
LOCAL,30900046,HC RT CBFB/MYH11 (INV(16)),2085.0,,115.08,1793.1,83
LOCAL,30900047,HC RT CCND1(BCL1)/IGH MTC,1465.0,,410.2,1259.9,83
LOCAL,30900052,HC ABL1 FULL GENE,3316.0,,252.0,2851.76,83
LOCAL,30900054,HC CTNNB1 EXON 3,2694.0,,155.57,2316.84,83
LOCAL,30900058,HC IDH1 EXON 4,2694.0,,162.33,2316.84,83
LOCAL,30900060,HC IDH2 EXON 4,2694.0,,248.46,2316.84,83
LOCAL,30900074,HC CLL CGH,7116.0,,1992.48,6119.76,83
LOCAL,30900081,HC FLT3 D835,703.0,,69.72,604.58,83
LOCAL,30900083,HC GNAS EXON 8,2694.0,,754.32,2316.84,83
LOCAL,30900084,HC MLH1 PROMOTER METHYLATION ANALYSIS,1899.0,,161.55,1633.14,83
LOCAL,30900087,HC IGH/BCL2 (T(14;18)) MBR,1465.0,,174.14,1259.9,83
LOCAL,30900096,HC CALR MUTATION INITIAL,3277.0,,102.17,2818.22,83
LOCAL,30900097,HC CALR MUTATION FOLLOWUP,1770.0,,102.17,1522.2,83
LOCAL,30900098,HC CSF3R SANGER EXONS 14&17,2912.0,,815.36,2504.32,83
LOCAL,30900108,HC MGMT PROMOTER METHYLATION,3082.0,,104.7,2650.52,83
LOCAL,30900111,HC MST PRE & DONOR STUDY,1433.0,,195.78,1232.38,83
LOCAL,30900112,HC MST POST,1812.0,,174.27,1558.32,83
LOCAL,30900114,HC MST W/ M CELL SORT,1143.0,,219.06,982.98,83
LOCAL,30900115,HC MST W/ T CELL SORT,1143.0,,219.06,982.98,83
LOCAL,30900116,HC BCR/ABL ALT BKP QUAL,2085.0,,180.28,1793.1,83
LOCAL,30900123,HC MACRODISSECTION,202.0,,56.52,173.72,84
LOCAL,30900124,HC TP53 NGS FULL GENE,3380.0,,539.15,2906.8,83
LOCAL,30900125,HC IGH SOMATIC HYPERMUT NGS,4202.0,,247.4,3613.72,83
LOCAL,30900126,HC JAK2 DDPCR,2210.0,,76.99,1900.6,83
LOCAL,30900134,HC KIT MCD D816V DDPCR,2004.0,,104.89,1723.44,83
LOCAL,30900137,HC TGFB POLYMORPHISM ANALYSIS FOR RADIATION-INDUCED FIBROSIS,859.0,,240.52,738.74,83
LOCAL,30900138,HC ABL1 KINASE DOMAIN MUTATION ASSAY BY NGS,3002.0,,252.0,2581.72,83
LOCAL,30900139,HC REF NRAS GENE ANALYSIS,602.0,,168.56,517.72,83
LOCAL,30900140,"HC REF KRAS GENE ANALYSIS, ADDITIONAL VARIANT",301.0,,84.28,258.86,84
LOCAL,30900141,HC REF BRAF GENE ANALYSIS,875.0,,147.34,752.5,83
LOCAL,30900143,"HC REF SEDATIVE HYPNOTICS, NON BENZODIAZEPINES",34.0,,8.82,29.24,83
LOCAL,30900160,HC FLT3-ITD FOLLOW UP MRD MUTATION ANALYSIS,4051.0,,139.03,3483.86,83
LOCAL,30900161,HC NPM1 MUTATION ANALYSIS,5963.0,,207.08,5128.18,83
LOCAL,30900169,HC HPV CFDNA GENOTYPING,3488.0,,976.64,2999.68,83
LOCAL,30900170,"HC REF UPMC PANCREASEQ NGS PANEL, TS",1705.0,,477.4,1466.3,83
LOCAL,30900171,HC REF COMPELTE �SARCOMA PANEL MAYO,3885.0,,753.37,3341.1,83
LOCAL,30900172,HC REF COMPLETE ENDOMETRIAL PANEL MAYO,2310.0,,646.8,1986.6,83
LOCAL,30900173,HC REF GIST PANEL MAYO,1838.0,,514.64,1580.68,83
LOCAL,30900175,HC BCR/ABL1 ALT BKP QUAL,3099.0,,180.28,2665.14,83
LOCAL,30900176,HC BCR/ABL1 ALT BKP QUAL (COMBINED TEST),1550.0,,180.28,1333.0,83
LOCAL,30900177,HC ABL1 KINASE DOMAIN MUT ASSAY (COMBINED TEST),1549.0,,252.0,1332.14,83
LOCAL,30901,PR CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,649.0,,41.5564,551.65,55
LOCAL,30903,PR CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,909.0,,56.5616,772.65,55
LOCAL,30905,PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST,1240.0,,77.7124,1275.84,55
LOCAL,30906,PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ,1157.0,,97.382,1188.27,55
LOCAL,30915,PR LIGATION ARTERIES ETHMOIDAL,4375.0,,388.58,4504.09,55
LOCAL,30920,PR LIGATION ARTERIES INT MAXILLARY TRANSANTRAL,6759.0,,644.86,6959.61,55
LOCAL,30930,PR FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC,802.0,,62.61,822.51,55
LOCAL,3099901,PR UNLISTED PROCEDURE NASAL SURG MIDDLE OR SUPERIOR TURBINECTOMY,2484.0,,322.83,2111.4,28
LOCAL,31000,PR LAVAGE CANNULATION MAXILLARY SINUS,455.0,,49.28,386.75,55
LOCAL,31000001,HC REF HBA1/HBA2 GENE SEQ,284.0,,79.52,244.24,83
LOCAL,31000009,HC REF IL28B POLYMORPHISM GENO,704.0,,53.73,605.44,83
LOCAL,31000010,HC REF HUMAN PLATELET AG 1 GENO,545.0,,102.66,468.7,83
LOCAL,31000013,HC REF EWSR1-FLI1,890.0,,115.08,765.4,83
LOCAL,31000014,HC REF EWSR1/WT1,1569.0,,115.08,1349.34,83
LOCAL,31000018,HC REF PAX3/FOXO1,1569.0,,115.08,1349.34,83
LOCAL,31000021,HC REF BETA GLOBIN GENE SEQUENCING,1250.0,,272.65,1075.0,83
LOCAL,31000025,HC REF BETA GLOBIN CLUSTER LOCUS DUP/DEL,1602.0,,170.02,1377.72,83
LOCAL,31000027,HC REF ALPHA GLOBIN GENE SEQUENCING,1250.0,,350.0,1075.0,83
LOCAL,31000043,HC REF SPED1 NEXT GEN GENE SEQUENCE,909.0,,253.13,781.74,83
LOCAL,31000047,HC REF SPRED1 GENE SEQUENCE,754.0,,211.12,648.44,83
LOCAL,31000048,HC REF SPRED1 GENE SEQUENCE,928.0,,253.13,798.08,83
LOCAL,31000049,HC REF CAPN3 DNA SEQUENCE,382.0,,106.96,328.52,83
LOCAL,31000050,HC REF LMNA A/C GENE SEQUENCE,382.0,,106.96,328.52,83
LOCAL,31000054,HC REF NF1 NEXT GEN GENE SEQUENCE,1136.0,,318.08,1680.0,83
LOCAL,31000055,HC REF NF1 FULL GENE SEQUENCE,696.0,,194.88,1680.0,83
LOCAL,31000056,HC REF FUS/CREB3L2,2695.0,,754.6,2317.7,83
LOCAL,31000057,HC REF ASPSCR1/TFE3,1569.0,,439.32,1349.34,83
LOCAL,31000065,HC REF RETINOBLAST UNIL TUMR BLD,3035.0,,849.8,2610.1,83
LOCAL,31000066,HC REF INI1/SMARCB1 UNKNOWN,1856.0,,519.68,1596.16,83
LOCAL,31000067,HC REF INI1/SMARCB1 KNOWN,580.0,,162.4,498.8,83
LOCAL,31000068,HC REF SPRED1 MUTATION KNOWN,580.0,,162.4,498.8,83
LOCAL,31000075,HC REF SGCA DELETION ANALYSIS,1725.0,,483.0,1483.5,83
LOCAL,31000078,HC REF NF1 COPY NUMBER ANALYSIS MLPA,1137.0,,318.36,977.82,83
LOCAL,31000079,HC REF NF1 GENE MICROSATE MARKR,539.0,,150.92,463.54,83
LOCAL,31000080,HC REF SPRED1 COPY NUMBER ANALYSIS MLPA,909.0,,254.52,781.74,83
LOCAL,31000081,HC REF NF1 GENE DEL/DUP,696.0,,194.88,598.56,83
LOCAL,31000082,HC REF NF1 GENE MICROSATE MARKR,696.0,,194.88,598.56,83
LOCAL,31000083,HC REF SPRED1 GENE DEL/DUP,464.0,,129.92,399.04,83
LOCAL,31000084,HC REF NF2 GENE MICROSATE MARKR,638.0,,178.64,548.68,83
LOCAL,31000085,HC REF NF2 GENE MICROSATE MARKR,618.0,,173.04,531.48,83
LOCAL,31000086,HC REF SPRED1 GENE DEL/DUP,754.0,,211.12,648.44,83
LOCAL,31000087,HC REF ALPHA-1-ANTITRYPSIN TOTAL,46.0,,11.29,39.56,84
LOCAL,31000088,HC REF ALPHA-1 ANTITRYPSIN TOTAL,39.0,,10.92,33.54,84
LOCAL,31000090,HC REF IMMUNO ASSAY MULT STEP,1044.0,,9.69,897.84,84
LOCAL,31000092,HC REF IMMUNO QUANT,261.0,,14.51,224.46,84
LOCAL,31000094,HC REF APOLIPOPROTEIN E GENOTYPING,1809.0,,115.08,1555.74,83
LOCAL,31000097,HC BONE MARROW STUDY,567.0,,81.02,946.5995,85
LOCAL,31000098,HC STERILITY CULTURE,193.0,,8.67,165.98,84
LOCAL,31000099,HC SMEAR WET MOUNT SAL/INK,33.0,,4.89,28.38,84
LOCAL,31000100,HC SMEAR WET MOUNT SAL/INK,33.0,,4.89,28.38,84
LOCAL,31000101,HC MULTIPLEX IHC,475.0,,133.0,421.1415,85
LOCAL,31000103,HC TISSUE EXAM FOR FUNGI,238.0,,3.59,204.68,84
LOCAL,31000104,HC HPV >=5 SEP REPRT HI RISK TYPES POOL RESULT,263.0,,58.97,226.18,84
LOCAL,31000105,HC HPV <=4 SEP REPRT HI RISK TYPES,262.0,,29.48,225.32,84
LOCAL,31000107,HC EBV QPCR BM QUAL,412.0,,29.48,354.32,84
LOCAL,31000108,HC REF HBV DRUG RESIST INNO-LIPA,388.0,,108.64,333.68,84
LOCAL,31000109,HC REF HEPATIS B VIRUS GENOTYPE,439.0,,122.92,377.54,84
LOCAL,31000110,"HC REF HEPATITIS A VIRUS PCR, QUANT",250.0,,29.48,215.0,84
LOCAL,31000111,HC CARBAPENEMASE DETECTION PER ENZYME,54.0,,3.99,46.44,84
LOCAL,31000117,HC FLOW CYTOMETRY FIRST MARKER,358.0,,100.24,421.1415,85
LOCAL,31000119,HC FLOW CYTOMETRY ADD'L MARKER,295.0,,39.93,253.7,84
LOCAL,31000123,HC REF FANCONI LYMPHOCYTE,482.0,,97.85,414.52,84
LOCAL,31000124,HC REF SKIN/TISSUE CULTURE,539.0,,97.85,463.54,84
LOCAL,31000125,HC REF SKIN/TISSUE CULTURE,696.0,,97.85,598.56,84
LOCAL,31000126,HC REF SKIN/TISSUE CULTURE,638.0,,97.85,548.68,84
LOCAL,31000127,HC REF SKIN/TISSUE CULTURE,618.0,,97.85,531.48,84
LOCAL,31000128,HC REF SKIN/SOLID TISSUE BIOPSY,306.0,,85.68,263.16,84
LOCAL,31000130,"HC CG TISSUE CUL NEOP, BM, BLOOD",985.0,,120.75,847.1,84
LOCAL,31000143,HC REF CRYO BIOCHEM STUDIES,235.0,,10.98,202.1,84
LOCAL,31000144,HC REF FANCONI CLASTOGEN STRESS,482.0,,134.96,414.52,84
LOCAL,31000153,"HC MOL CG DNA PROBE, EA",756.0,,17.99,650.16,84
LOCAL,31000171,HC REF LAB DNA PROBE,444.0,,17.99,381.84,84
LOCAL,31000172,HC FISH ANALYSIS REV 2,407.0,,35.6,350.02,84
LOCAL,31000173,HC FISH ANALYSIS REV CG,228.0,,43.0,196.08,84
LOCAL,31000175,HC REF LAB MOL CYTO INTERP,444.0,,57.02,381.84,84
LOCAL,31000177,HC SPECIMEN-GROSS ONLY,104.0,,28.06,89.44,85
LOCAL,31000182,HC GROSS & MICRO LVL II,166.0,,43.884,142.76,85
LOCAL,31000183,HC GROSS & MICRO LVL III,196.0,,54.88,168.56,85
LOCAL,31000184,HC REF LAB GROSS & MICRO LVL 4,191.0,,53.48,164.26,85
LOCAL,31000185,HC GROSS & MICRO LVL IV,404.0,,61.226,347.44,85
LOCAL,31000186,HC REF LAB GROSS & MICRO LVL 5,520.0,,145.6,447.2,84
LOCAL,31000187,HC GROSS & MICRO LVL V,559.0,,156.52,480.74,84
LOCAL,31000188,HC REF LAB GROSS & MICRO,241.0,,67.48,421.1415,84
LOCAL,31000189,HC GROSS & MICRO LVL VI,726.0,,203.28,946.5995,84
LOCAL,31000190,HC DECALCIFICATION,101.0,,28.28,86.86,83
LOCAL,31000191,HC REF LAB SPECIAL STAINS - MICROORGANISM,275.0,,61.226,236.5,85
LOCAL,31000239,HC REF LAB SPECIAL STAINS,90.0,,25.2,156.3195,85
LOCAL,31000245,HC REF PATH CONS OUTSIDE SLIDE,396.0,,43.884,340.56,85
LOCAL,31000247,HC REF PATH CON W/COMP RV  HIST,364.0,,61.226,313.04,85
LOCAL,31000248,HC REF PATH CONSULT W/SLIDE PREP,396.0,,110.88,340.56,85
LOCAL,31000249,HC FROZ SECT 1ST SLIDE,161.0,,45.08,200.169,85
LOCAL,31000250,HC INTRAOP PATH CONSULT 1ST,132.0,,36.96,200.169,85
LOCAL,31000251,HC FROZ SEC AD'L SLIDE,49.0,,13.72,92.5,84
LOCAL,31000252,HC INTRAOP PATH CONSULT ADD,115.0,,32.2,98.9,84
LOCAL,31000253,HC TOUCH PREPSCREEN/INTERP,296.0,,82.88,946.5995,85
LOCAL,31000254,HC TOUCH PREP EXAM ADD SITE,234.0,,65.52,201.24,84
LOCAL,31000256,HC IHC 1ST ANTIBODY,287.0,,80.36,246.82,83
LOCAL,31000257,HC ESTROGEN RECEPTOR,656.0,,183.68,564.16,83
LOCAL,31000258,HC PROGESTERONE RECEPTOR,656.0,,183.68,564.16,83
LOCAL,31000259,HC BRAF - IHC,487.0,,136.36,418.82,83
LOCAL,31000260,HC TISS/CELL PATH MKR 1ST AB,249.0,,69.72,214.14,83
LOCAL,31000261,HC PROGESTERONE RECEPTOR 1HC ADD,656.0,,153.55,564.16,84
LOCAL,31000262,HC IHC EA ADDITION ANTIBODY,287.0,,80.36,246.82,84
LOCAL,31000263,HC BRAF - IHC ADD,487.0,,136.36,418.82,84
LOCAL,31000264,HC ESTROGEN REC 1HC ADD,656.0,,153.55,564.16,84
LOCAL,31000265,HC TISS/CELL PATH MAKR EAADD,249.0,,69.72,214.14,84
LOCAL,31000271,HC REF LAB IMMUNOFLOURESCENCE INTIAL AB,300.0,,84.0,258.0,85
LOCAL,31000277,HC REF LAB UT ELECTRON MICRO NON-CARDIAC TISSUE,1982.0,,554.96,1704.52,85
LOCAL,31000278,HC ESTROGEN RECP IMMUNOHIST,679.0,,190.12,583.94,85
LOCAL,31000279,HC PROGEST RECP IMMUNOHISTO,679.0,,190.12,583.94,85
LOCAL,31000280,HC HER2/NEU IMMUNOHISTO,234.0,,65.52,204.02,85
LOCAL,31000281,HC KI67 IMMUNOHIST,234.0,,65.52,204.02,85
LOCAL,31000282,HC COMPUTER ASST QUANT IHC,313.0,,87.64,421.1415,85
LOCAL,31000283,HC EXM/SELECT TISSMOLEC ANLY,249.0,,69.72,214.14,83
LOCAL,31000285,HC TISS INSITU HYBRIDIZATION,505.0,,141.4,434.3,85
LOCAL,31000287,HC FISH HER2NEW SITU HYBRID,1673.0,,200.169,1438.78,85
LOCAL,31000290,HC MDX MICRODISSECTION,357.0,,99.96,341.17,84
LOCAL,31000292,HC FISH UROVYSION,2999.0,,200.169,2579.14,85
LOCAL,31000293,HC FISH HER2NEU AUTO,2022.0,,200.169,1738.92,85
LOCAL,31000300,HC REF FIBROBLAST TISSUE CULTURE SKIN BIOPSY,1035.0,,118.21,890.1,84
LOCAL,31000301,HC REF FIBROBLAST CELL CRYOPRESERVATION STORAGE,96.0,,10.98,82.56,84
LOCAL,31000309,HC REF CHROMOSOME CONGE METAPHASE<15,285.0,,79.8,245.1,84
LOCAL,31000310,HC REF CHROMOSOME CON METAPHASE 15-19,285.0,,79.8,245.1,84
LOCAL,31000311,HC REF CHROMOSOME CONGE METAPHASE 20+,247.0,,69.16,212.42,84
LOCAL,31000312,HC REF CHROMOSOME COUNT CONG.ADDITIONAL,45.0,,12.6,38.7,84
LOCAL,31000313,HC REF CHROMOSOME CONGE KARYOTYPES >2,65.0,,18.2,55.9,84
LOCAL,31000316,HC REF GAMMA GLOBIN FULL GENE SEQUENCING,1250.0,,350.0,1075.0,83
LOCAL,31000317,HC REF CELL CRYOPRSERVE STORAGE,79.0,,10.98,67.94,84
LOCAL,31000329,HC SPECIAL STAIN GROUP I MICRO-ORG_BASE,143.0,,40.04,190.89,85
LOCAL,31000330,HC SPECIAL STAIN GROUP I MICRO-ORG_EXT,507.0,,61.226,436.02,85
LOCAL,31000331,HC SPECIAL STAIN GROUP II_OTHER _BASE,164.0,,45.92,156.3195,85
LOCAL,31000332,HC SPECIAL STAIN GROUP II_OTHER _EXT,507.0,,140.65,436.02,85
LOCAL,31000333,HC SPECIAL STAIN ENZYME GRPIII_OTHER _BASE,81.0,,22.68,946.5995,85
LOCAL,31000334,HC SPECIAL STAIN ENZYME GRPIII_OTHER _EXT,183.0,,51.24,946.5995,85
LOCAL,31000337,HC IMMUNOFLUORESCENT 1ST STAIN,737.0,,200.169,633.82,85
LOCAL,31000339,HC REF LAB MORPHOMETRIC ANALYSIS,393.0,,110.04,337.98,85
LOCAL,31000340,HC REF LAB INITIAL IHC,218.0,,61.04,187.48,83
LOCAL,31000341,HC REF LAB ADDITIONAL IHC,316.0,,88.48,271.76,84
LOCAL,31000342,HC REF LAB NERVE TEASING,648.0,,181.44,946.5995,85
LOCAL,31000343,HC REF LAB ELECTRON MICRO CARDIAC TISSUE,1530.0,,428.4,1315.8,85
LOCAL,31000344,HC REF LAB SPECIAL STAINS FROZEN SECTION,220.0,,61.6,189.2,84
LOCAL,31000345,HC REF LAB ENZYME HISTOCHEMISTRY GROUP III,239.0,,66.92,946.5995,85
LOCAL,31000346,HC REF LAB IMMUNOFLOURESCENCE ADDL STAIN,200.0,,56.0,193.17,84
LOCAL,31000347,"HC REF HLH, HEMOPHAG LYMPHOHISTIO GENE SEQ",9134.0,,2557.52,7855.24,83
LOCAL,31000348,HC EA ADDITION TISS INSITU HYBRIDIZATION,505.0,,141.4,434.3,84
LOCAL,31000349,HC REF AMPIP MAYO,398.0,,111.44,342.28,85
LOCAL,31000351,HC REF COPPER TISSUE MAYO,672.0,,10.42,577.92,84
LOCAL,31000352,HC REF CMAPT MAYO,6985.0,,1955.8,6007.1,83
LOCAL,31000354,HC REF MGMT MAYO,1800.0,,104.7,1548.0,83
LOCAL,31000355,HC REF MTBT MAYO,985.0,,35.01,847.1,84
LOCAL,31000356,HC REF SARCP MAYO,5994.0,,1678.32,5154.84,83
LOCAL,31000359,HC REF THSIF MAYO,368.0,,103.04,316.48,85
LOCAL,31000360,HC CONSULTATION & REPORT ON REFERRED SLIDES PREPARED ELSEWHERE,214.0,,43.884,184.04,85
LOCAL,31000361,HC REF CXCR4 MUTATION IN B-CELL LYMPHOMA,1766.0,,494.48,1518.76,83
LOCAL,31000362,HC REF MYD88 L265P GENE MUTATION ANALYSIS,1591.0,,445.48,1368.26,83
LOCAL,31000363,HC REF IGH SOMATIC HYPERMUTATION IN B-CLL,2254.0,,247.4,1938.44,83
LOCAL,31000364,"HC REF KRAS GENE ANALYSIS, EXON 2",301.0,,84.28,258.86,83
LOCAL,31000365,HC VANTANA FOLR1-2.1 RXDX ASSAY,354.0,,99.12,304.44,85
LOCAL,31000366,HC REF IGH SOMATIC HYPERMUTATION IN B-CLL,2254.0,,247.4,1938.44,83
LOCAL,31000367,HC REF MPL EXON 10 MUTATION DETECTION,1588.0,,444.64,1365.68,83
LOCAL,31000368,HC REF CXCR4 MUTATION IN B-CELL LYMPHOMA,1766.0,,494.48,1518.76,83
LOCAL,31000369,HC REF MYD88 L265P GENE MUTATION ANALYSIS,1591.0,,445.48,1368.26,83
LOCAL,31000370,HC IHC FUSARIUM ASSAY,211.0,,59.08,181.46,83
LOCAL,31001606,HC REF MPL EXON 10 MUTATION DETECTION,1588.0,,444.64,1365.68,83
LOCAL,31001607,HC REF CELIAC ASSOCIATED HLA-DQ TYPING,506.0,,102.66,435.16,84
LOCAL,31001608,HC DIGITIZATION OF GLASS MICROSCOPE SLIDES FOR BONE MARROW SMEAR,597.0,,167.16,513.42,83
LOCAL,31001609,HC REF DNA GENOTYPE,676.0,,155.57,581.36,83
LOCAL,31001610,HC XRAY EXAM SURG SPECIMEN,326.0,,42.78,641.9875,85
LOCAL,31001611,HC REF VHL GENE ERYTHROCYTOSIS MUTATIONS,2159.0,,230.86,1856.74,83
LOCAL,31001612,HC REF BPGM FULL GENE SEQUENCING,1521.0,,425.88,1308.06,83
LOCAL,31001613,HC REF HEREDITARY ERYTHROCYTOSIS MUTATIONS,1889.0,,528.92,1624.54,83
LOCAL,31001614,HC REF USP6 MAYO,472.0,,17.99,405.92,84
LOCAL,31001615,HC REF COMPLETE PDGFB PANEL MAYO,670.0,,17.99,576.2,84
LOCAL,31001616,HC REF COMPLETE ESTUF PANEL MAYO,707.0,,17.99,608.02,84
LOCAL,31001617,HC REF NR4A3 REARRANGEMENT MAYO,584.0,,17.99,502.24,84
LOCAL,31001618,HC REF DLL3 SP347 IHC MAYO,899.0,,200.169,773.14,85
LOCAL,31001619,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL II,10.0,,2.8,8.6,83
LOCAL,31001620,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL III,11.0,,3.08,9.46,83
LOCAL,31001621,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL IV,11.0,,3.08,9.46,83
LOCAL,31001622,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL V,30.0,,8.4,25.8,83
LOCAL,31001623,HC DIGITIZATION OF GLASS MICROSCOPE SLIDE LEVEL VI,96.0,,26.88,82.56,83
LOCAL,31001624,HC REF DSAC MAYO,484.0,,18.62,416.24,84
LOCAL,31001625,HC REF UBA1 MUTATION,3036.0,,155.57,2610.96,83
LOCAL,31001626,"HC PML STAIN (POD) MANUAL,INITIAL",2783.0,,200.169,2393.38,85
LOCAL,31001627,"HC PML STAIN (POD) MANUAL,SECONDARY",2782.0,,193.17,2392.52,84
LOCAL,31001628,"HC PML STAIN (POD) AUTOMATED,INITIAL",3917.0,,200.169,3368.62,85
LOCAL,31001629,"HC PML STAIN (POD) AUTOMATED,SECONDARY",3916.0,,193.17,3367.76,84
LOCAL,31001630,HC REF KIT D816V MUTATION BY DDPCR QUANTITATIVE,646.0,,104.89,555.56,83
LOCAL,31001631,HC REF AHUS/TMA/C3G GENE LEVEL 5,6192.0,,230.86,5325.12,83
LOCAL,31001632,HC REF AHUS/TMA/C3G UNLISTED,1.0,,0.28,0.86,83
LOCAL,31002,PR LAVAGE CANNULATION SPHENOID SINUS,894.0,,72.41,759.9,55
LOCAL,31020,PR SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL,2005.0,,182.15,2062.3,55
LOCAL,31030,PR SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS,4116.0,,381.1744,4270.55,55
LOCAL,31032,PR SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS,4953.0,,441.6736,4928.21,55
LOCAL,31040,PR PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH,9588.0,,563.54,9947.44,55
LOCAL,31050,PR SINUSOTOMY SPHENOID W/WO BIOPSY,7142.0,,364.82,7105.56,55
LOCAL,31051,PR SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP,6699.0,,490.63,6896.08,55
LOCAL,31070,PR SINUSOTOMY FRONTAL EXTERNAL SIMPLE,3167.0,,294.28,3284.91,55
LOCAL,31075,PR SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL,5615.0,,615.0476,5584.16,55
LOCAL,31080,PR SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC,6901.0,,672.05,7105.56,55
LOCAL,31081,PR SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC,6901.0,,753.69,7105.56,55
LOCAL,31084,PR SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC,8280.0,,897.1196,8527.37,55
LOCAL,31085,PR SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC,7655.0,,924.1676,7881.71,55
LOCAL,31086,PR SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC,7655.0,,767.5,7881.71,55
LOCAL,31087,PR SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC,7655.0,,767.44,7881.71,55
LOCAL,31090,PR SINUSOT UNI 3/> PARANSL SINUSES,9566.0,,701.09,9853.0,55
LOCAL,31100001,HC CYTOLOGY-BRUSH,243.0,,43.884,208.98,85
LOCAL,31100002,HC CYTOP CONC SMEAR INTERP,206.0,,43.884,177.16,85
LOCAL,31100005,HC CONV PAP DIAGNOSTIC,157.0,,15.28,135.02,84
LOCAL,31100006,HC FNA IMMED ASSESS,321.0,,89.88,276.06,85
LOCAL,31100007,HC S FNA INTERP/REPORT,291.0,,61.226,284.34,85
LOCAL,31100009,HC FNA ADDITIONAL PASS,126.0,,35.28,108.36,84
LOCAL,31100010,"HC REF HEM ANEMIA BAND 3 FLUORESCENCE STAINING, RBC",804.0,,132.06,691.44,85
LOCAL,31100011,HC REF HEMOGLOBIN F RED CELL DISTRIBUTION,689.0,,132.06,592.54,85
LOCAL,31100012,HC REF FLOW CYTOMETRY RBC,18.0,,5.04,421.1415,85
LOCAL,31100013,HC REF FLOW CYTOMETRY WBC,18.0,,5.04,421.1415,85
LOCAL,31100014,HC REF FLOW CYTO ADD MK WBC 1,13.0,,3.64,39.93,84
LOCAL,31100015,HC REF FLOW CYTOMETRY ADD MK RBC,12.0,,3.36,39.93,84
LOCAL,31100017,HC CYTOP CONC SMEAR INTERP 88108,206.0,,43.884,177.16,85
LOCAL,31100018,HC FNA ADDL PASS 88177,126.0,,35.28,108.36,84
LOCAL,31100019,HC FNA IMMED ASSESS 88172,321.0,,89.88,276.06,85
LOCAL,31100020,HC FNA INTERP 88173,202.0,,56.56,284.34,85
LOCAL,31100023,"HC CHROMOSOME ANALYSIS, 20-25 CELLS",1755.0,,121.47,1509.3,84
LOCAL,31100024,"HC CG TISSUE CUL NEOP, SOLID TUMOR",1037.0,,123.92,891.82,84
LOCAL,31100025,HC FISH UROVYSION DNA PROBES,2685.0,,200.169,2309.1,85
LOCAL,31100028,"HC PAP, LIQUID",147.0,,17.02,126.42,84
LOCAL,31100032,HC REF DNA CON CELL CYCLE ANALY,179.0,,50.12,283.62,85
LOCAL,31100033,HC REF EXON ARRAY INT AND REP,408.0,,57.02,350.88,84
LOCAL,31100034,HC REF EXON ARRAY MOL CYTOGENET,41.0,,11.48,35.26,84
LOCAL,31100035,HC REF FLOW CYTO ADD MK WBC 2,33.0,,9.24,39.93,84
LOCAL,31100042,HC REF NEUTROPHIL OX BURST,134.0,,37.52,421.1415,85
LOCAL,31100043,HC REF TISSUE CLUTURE LYMPHOCYTE,170.0,,47.6,146.2,84
LOCAL,31100044,HC REF TISSUE CULTURE NF1,754.0,,118.21,648.44,84
LOCAL,31100048,"HC SCREEN PAP, CONV",154.0,,15.28,132.44,84
LOCAL,31100051,HC CYTOPATH CELL ENHANCE TECH NGYN,154.0,,43.12,132.44,85
LOCAL,31100052,HC REF PLATELET GLYCO FLOW CYTO TC 1 MKR,541.0,,132.06,465.26,85
LOCAL,31100053,HC REF PLATELET GLYCO FLOW CYTO TC ADD ON,210.0,,39.93,180.6,84
LOCAL,31100054,"HC REF DNA PROBE, EACH ADDITIONAL",471.0,,17.99,405.06,84
LOCAL,31100055,HC REF INTERPHASE SITU HYBRID ANAL 100 - 300 CELLS,111.0,,31.08,95.46,84
LOCAL,31200,PR ETHMOIDECTOMY INTRANASAL ANTERIOR,3623.0,,311.34,3729.64,55
LOCAL,31200001,HC REF CONGO RED STAIN,92.0,,25.76,156.3195,85
LOCAL,31200002,HC REF AMYL PROT MCRO LASER CAPT,603.0,,168.84,518.58,84
LOCAL,31200009,HC OUTSIDE SLIDE PREP,311.0,,61.226,267.46,85
LOCAL,31200011,HC REF ACGH WHILE GENOME,1597.0,,61.226,1373.42,84
LOCAL,31200012,HC REF ANTI-RETINAL ANTIB IHC,380.0,,106.4,326.8,83
LOCAL,31200017,HC REF MAYO MAMLF,1025.0,,17.99,881.5,84
LOCAL,31200018,HC REF MAYO SGTF,1767.0,,17.99,1519.62,84
LOCAL,31200019,HC REF MAYO SGTF,1369.0,,57.02,1177.34,84
LOCAL,31200020,HC REF MAYO MAMLF,794.0,,57.02,682.84,84
LOCAL,31201,PR ETHMOIDECTOMY INTRANASAL TOTAL,4832.0,,497.57,4974.57,55
LOCAL,31205,PR ETHMOIDECTOMY EXTRANASAL TOTAL,5843.0,,586.83,5542.96,55
LOCAL,31225,PR MAXILLECTOMY W/O ORBITAL EXENTERATION,11738.0,,1276.47,11013.78,55
LOCAL,31230,PR MAXILLECTOMY W/ORBITAL EXENTERATION,13080.0,,1432.63,12933.56,55
LOCAL,31231,PR NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,1091.0,,47.4628,1394.32,55
LOCAL,31233,PR NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY,1901.0,,99.8476,1971.29,55
LOCAL,31235,PR NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY,2046.0,,117.5484,2103.51,55
LOCAL,31237,PR NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX,2746.0,,117.7968,3547.64,55
LOCAL,31238,PR NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE,2211.0,,123.2064,2299.25,55
LOCAL,31239,PR NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY,5220.0,,447.0832,5190.94,55
LOCAL,31240,PR NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION,2496.0,,117.0608,2596.33,55
LOCAL,31241,PR NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART,4503.0,,326.3332,4052.7,55
LOCAL,31253,PR NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL,4670.0,,365.93,4203.0,55
LOCAL,31254,PR NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY,4486.0,,178.296,4665.49,55
LOCAL,31255,PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY,4571.0,,236.8172,6370.62,55
LOCAL,31256,PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY,3538.0,,132.0568,3679.85,55
LOCAL,31257,PR NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY,4434.0,,326.5816,3990.6,55
LOCAL,31259,PR NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL,4751.0,,345.0276,4275.9,55
LOCAL,31267,PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS,5305.0,,194.7732,5517.2,55
LOCAL,31276,PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS,5305.0,,277.15,5517.2,55
LOCAL,31287,PR NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY,4433.0,,147.5496,4598.53,55
LOCAL,31288,PR NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS,4876.0,,171.6536,5058.73,55
LOCAL,31290,PR NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID,5743.0,,842.03,5912.14,55
LOCAL,31291,PR NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID,9004.0,,903.2652,7653.4,55
LOCAL,31292,PR NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN,5917.0,,729.6428,5254.48,55
LOCAL,31293,PR NASAL/SINUS NDSC SURG MEDIAL&INF ORB WALL DCMPRN,5743.0,,792.3592,5912.14,55
LOCAL,31294,PR NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN,8771.0,,904.498,9032.2,55
LOCAL,31295,PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS,3207.0,,115.828,2886.3,55
LOCAL,31296,PR NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS,2351.0,,131.5692,2115.9,55
LOCAL,31297,PR NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS,1347.0,,105.7448,1212.3,55
LOCAL,31298,PR NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS,9789.0,,187.634,8810.1,55
LOCAL,3129901,PR UNLISTED PROCEDURE SINUS SURGERY  ENDOSCOPIC SEPTECTOMY,5991.0,,3468.64,5092.35,28
LOCAL,3129902,PR UNLISTED PROCEDURE SINUS SURGERY TRANSNASAL ENDOSCOPIC RESECTION OF INTRAORBITAL MASS,5967.0,,3468.64,5071.95,28
LOCAL,3129903,PR UNLISTED PROCEDURE SINUS SURGERY ENDOSCOPIC MEDIAL MAXILLECTOMY,6212.0,,3468.64,5280.2,28
LOCAL,3129904,PR UNLISTED PROCEDURE SINUS SURGERY ENDOSCOPIC REMOVAL MAXILLARY SINUS TUMOR,12504.0,,3468.64,10628.4,28
LOCAL,3129905,"PR ANTERIOR CRANIOFACIAL APPROACH; EXTRADURAL, LATERAL RHINOTOMY, ETHMOIDECTOMY, SPHENOIDECTOMY, WITHOUT MAXILLECTOMY OR ORBITAL EXENTERATION",10808.0,,3468.64,9186.8,28
LOCAL,3129906,PR UNLISTED PROCEDURE SINUS SURGERY INTRAORAL BIOPSY OF MAXILLARY SINUS,4151.0,,2490.6,3528.35,28
LOCAL,3129907,PR UNLISTED PROCEDURE SINUS SURGERY ENDOSCOPIC NASAL LYSIS OF INTRANASAL SYNECHIA,862.0,,517.2,3468.64,28
LOCAL,3129908,PR UNLISTED PROCEDURE SINUS SURGERY ENDOSCOPIC ENDONASAL APPROACH TO PTERYGOMAXILLARY SPACE,9659.0,,3468.64,8210.15,28
LOCAL,3129909,"PR ANTERIOR CRANIOFACIAL APPROACH; EXTRADURAL, INCLUDING LATERAL RHINOTOMY, ORBITAL EXENTERATION, ETHMOIDECTOMY, SPHENOIDECTOMY AND/OR MAXILLECTOMY",12883.0,,3468.64,10950.55,28
LOCAL,3129910,"PR ANTERIOR CRANIOFACIAL APPROACH; EXTRADURAL, INCLUDING UNILATERAL OR BIFRONTAL CRANIOTOMY, ELEVATION OF FRONTAL LOBE(S), OSTEOTOMY OF BASE OF ANTERIOR CRANIAL FOSSA",13251.0,,3468.64,11263.35,28
LOCAL,3129911,"PR ANTERIOR CRANIOFACIAL APPROACH; INTRADURAL, INCLUDING UNILATERAL OR BIFRONTAL CRANIOTOMY, ELEVATION OR RESECTION OF FRONTAL LOBE, OSTEOTOMY OF BASE OF ANTERIOR CRANIAL FOSSA",16223.0,,3468.64,13789.55,28
LOCAL,3129912,"PR ANTERIOR ORBITOCRANIAL APPROACH, EXTRADURAL, INCLUDING SUPRAORBITAL RIDGE OSTEOTOMY AND ELEVATION OF FRONTAL AND/OR TEMPORAL LOBE(S); WITHOUT ORBITAL EXENTERATION",13304.0,,3468.64,11308.4,28
LOCAL,3129913,"PR ANTERIOR ORBITOCRANIAL APPROACH, EXTRADURAL, INCLUDING SUPRAORBITAL RIDGE OSTEOTOMY AND ELEVATION OF FRONTAL AND/OR TEMPORAL LOBE(S); WITH ORBITAL EXENTERATION",17305.0,,3468.64,14709.25,28
LOCAL,3129914,"PR ANTERIOR BICORONAL, TRANSZYGOMATIC AND/OR LEFORT I OSTEOTOMY APPROACH,  WITH OR WITHOUT INTERNAL FIXATION, WITHOUT BONE GRAFT",9203.0,,3468.64,7822.55,28
LOCAL,3129915,"PR INFRATEMPORAL PRE-AURICULAR APPROACH TO MIDDLE FOSSA W/O DISARTICULATION OF MANDIBLE, INCLUD PAROTIDECTOMY, CRANIOTOMY, DECOMPRESSION AND/OR MOBILIZATION OF THE FACIAL NERVE AND/OR PETROUS CAROTID ",10759.0,,3468.64,9145.15,28
LOCAL,3129916,"PR INFRATEMPORAL POST-AURICULAR APPROACH TO MIDDLE FOSSA INCLUDING MASTOIDECTOMY, RESECTION OF SIGMOID SINUS, W/O DECOMPRESSION AND/OR MOBILIZATION OF AUDITORY CANAL CONTENTS OR PETROUS CAROTID ARTERY",16638.0,,3468.64,14142.3,28
LOCAL,3129917,"PR ORBITOCRANIAL ZYGOMATIC APPROACH TO MIDDLE FOSSA  INCLUDING OSTEOTOMY OF ZYGOMA, CRANIOTOMY, EXTRA- OR INTRADURAL ELEVATION OF TEMPORAL LOBE",18073.0,,3468.64,15362.05,28
LOCAL,3129918,"PR TRANSTEMPORAL APPROACH TO POSTERIOR FOSSA, JUGULAR FORAMEN OR MIDLINE SKULL BASE, INCLUDING MASTOIDECTOMY, DECOMPRESSION OF SIGMOID SINUS AND/OR FACIAL NERVE, W/O MOBILIZATION",12295.0,,3468.64,10450.75,28
LOCAL,3129919,"PR TRANSCOCHLEAR APPROACH TO POSTERIOR FOSSA, JUGULAR FORAMEN OR MIDLINE SKULL BASE, INCLUDING LABYRINTHECTOMY, DECOMPRESSION, WITH OR WITHOUT MOBILIZATION OF FACIAL NERVE AND/OR PETROUS CAROTID ARTER",13251.0,,3468.64,11263.35,28
LOCAL,3129920,"PR TRANSCONDYLAR (FAR LATERAL) APPROACH TO POSTERIOR FOSSA, JUGULAR FORAMEN OR MIDLINE SKULL BASE, INCLUDING OCCIPITAL CONDYLECTOMY, MASTOIDECTOMY, RESECTION OF C1-C3 VERTEBRAL BODY(S), DECOMPRESSION ",17079.0,,3468.64,14517.15,28
LOCAL,3129921,"PR TRANSPETROSAL APPROACH TO POSTERIOR FOSSA, CLIVUS OR FORAMEN MAGNUM, INCLUDING LIGATION OF SUPERIOR PETROSAL SINUS AND/OR SIGMOID SINUS",11043.0,,3468.64,9386.55,28
LOCAL,3129922,PR PB ENDOSCOPIC MAXILLECTOMY,6016.0,,3468.64,5113.6,28
LOCAL,3129923,PR UNLISTED PROCEDURE NASOPHARYNGEAL BIOPSY OF PREVERTEBRAL TISSUE,1174.0,,704.4,3468.64,28
LOCAL,3129924,"PR UNLISTED PROCEDURE, ACCESSORY SINUSES, NASAL ENDOSCOPY W/NASOPHARYT",1313.0,,787.8,3468.64,28
LOCAL,31300,PR LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY,6220.0,,837.3,6403.25,55
LOCAL,31360,PR LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION,10487.0,,1185.32,8913.95,55
LOCAL,31365,PR LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION,12434.0,,1676.8,12804.77,55
LOCAL,31367,PR LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ,8687.0,,1261.87,8642.41,55
LOCAL,31368,PR LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ,12434.0,,1766.22,12804.77,55
LOCAL,31370,PR PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL,8687.0,,1246.6,8642.41,55
LOCAL,31375,PR PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL,6841.0,,1124.84,7043.74,55
LOCAL,31380,PR PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL,6841.0,,1215.27,7043.74,55
LOCAL,31382,PR PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL,7057.0,,1181.92,7057.76,55
LOCAL,31390,PR PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ,10880.0,,1833.03,11204.39,55
LOCAL,31395,PR PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ,14297.0,,2155.42,14726.27,55
LOCAL,31400,PR ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH,5598.0,,586.41,5762.75,55
LOCAL,31400002,HC PROSTATE BIOPSY ANY METHOD,404.0,,61.226,347.44,85
LOCAL,31420,PR EPIGLOTTIDECTOMY,4666.0,,589.14,4802.86,55
LOCAL,31500,PR INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,1694.0,,102.5524,1439.9,55
LOCAL,31502,PR TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,523.0,,25.576,544.34,55
LOCAL,31505,PR LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,533.0,,33.52,554.64,55
LOCAL,31510,PR LARYNGOSCOPY INDIRECT W/BIOPSY,1478.0,,76.42,1517.95,55
LOCAL,31511,PR LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY,1661.0,,97.62,1727.46,55
LOCAL,31512,PR LARYNGOSCOPY INDIRECT W/REMOVAL LESION,2014.0,,95.4132,2070.89,55
LOCAL,31513,PR LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION,2779.0,,96.646,2761.17,55
LOCAL,31515,PR LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION,1046.0,,81.65,1037.16,55
LOCAL,31520,PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN,875.0,,118.983,898.07,51
LOCAL,31525,PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,1530.0,,117.7968,1517.95,55
LOCAL,31526,PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE,1760.0,,115.3404,1830.49,55
LOCAL,31527,PR LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR,3317.0,,142.876,3449.74,55
LOCAL,31528,PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN,1991.0,,105.9932,2070.89,55
LOCAL,31529,PR LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ,1661.0,,118.2844,1727.46,55
LOCAL,31530,PR LARYNGOSCOPY W/FOREIGN BODY REMOVAL,2140.0,,145.8292,2203.1,55
LOCAL,31531,PR LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE,2583.0,,154.6796,2656.42,55
LOCAL,31535,PR LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY,2335.0,,138.6992,2208.26,55
LOCAL,31536,PR LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE,2561.0,,153.9436,2656.42,55
LOCAL,31540,PR LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT,2561.0,,176.5664,2656.42,55
LOCAL,31541,PR LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP,3062.0,,192.556,3176.72,55
LOCAL,31545,PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP,3233.0,,264.6104,2909.7,55
LOCAL,31546,PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT,5177.0,,400.8532,4659.3,55
LOCAL,31551,PR LARYNGOPLASTY LARYNGEAL STEN W/O STENT < 12 YRS,11675.0,,1198.6496,10507.5,51
LOCAL,31552,PR LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS >,11131.0,,1101.9668,10017.9,55
LOCAL,31553,PR LARYNGOPLASTY LARYNGEAL STEN W/STENT < 12 YRS,11947.0,,1305.296,10752.3,51
LOCAL,31554,PR LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS >,11947.0,,1243.6192,10752.3,55
LOCAL,31560,PR LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY,2851.0,,228.2152,2934.6,55
LOCAL,31561,PR LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE,4133.0,,249.6052,3693.59,55
LOCAL,31570,PR LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC,2323.0,,167.9644,2416.02,55
LOCAL,31571,PR LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE,2789.0,,182.2244,2900.26,55
LOCAL,31572,PR LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI,1689.0,,132.5536,1520.1,55
LOCAL,31573,PR LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI,1344.0,,109.434,1209.6,55
LOCAL,31574,PR LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI,2172.0,,109.9308,2083.13,55
LOCAL,31575,PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC,816.0,,50.6552,726.36,55
LOCAL,31576,PR LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES),1544.0,,88.044,1588.36,55
LOCAL,31577,PR LARYNGOSCOPY FLX RMVL FOREIGN BODY(S),2348.0,,98.118,2416.02,55
LOCAL,31578,PR LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER,2683.0,,109.9308,2761.17,55
LOCAL,31579,PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY,1769.0,,88.044,1864.83,55
LOCAL,31580,PR LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION,6681.0,,861.06,6880.61,55
LOCAL,31584,PR LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS,6368.0,,1031.92,6556.08,55
LOCAL,31587,PR LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT,6033.0,,611.31,6212.65,55
LOCAL,31590,PR LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE,7372.0,,411.71,7591.52,55
LOCAL,31591,PR LARYNGOPLASTY MEDIALIZATION UNLIATERAL,7898.0,,816.2148,7108.2,55
LOCAL,31592,PR CRICOTRACHEAL RESECTION,14688.0,,1280.7504,13219.2,55
LOCAL,3159901,PR UNLISTED PROCEDURE LARYNX SURG TRANSORAL LASER PARTIAL SUPRAGLOTTIC LARYNGECTOMY,8393.0,,3468.64,7134.05,28
LOCAL,3159902,"PR UNLISTED PROCEDURE LARYNX SURG TRANSORAL LASER ANTERIOR, LATERAL, VERTICAL PARTIAL",6841.0,,3468.64,5814.85,28
LOCAL,3159903,PR UNLISTED PROCEDURE LARYNX SURG LASER ABLATION OF GLOTTIC STENOSIS,4442.0,,2665.2,3775.7,28
LOCAL,3159904,"PR LAYRYNGOPLASTY, NOT OTHERWISE SPECIFIED",6389.0,,3468.64,5430.65,28
LOCAL,3159905,PR RE-SUSPEND LARYNX - PEXY THYROID CARTILAGE TO MANDIBLE,5598.0,,3358.8,4758.3,28
LOCAL,31600,PR TRACHEOSTOMY PLANNED SEPARATE PROCEDURE,2480.0,,223.054,2239.16,55
LOCAL,31601,PR TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX,2555.0,,312.93,2558.55,51
LOCAL,31603,PR TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,2536.0,,233.8732,2558.55,55
LOCAL,31605,PR TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,2315.0,,240.7548,1967.75,55
LOCAL,31610,PR TRACHEOSTOMY FENESTRATION W/SKIN FLAPS,6734.0,,505.83,5723.9,55
LOCAL,31611,PR CONSTJ TRACHEOESOPHAGEAL FSTL&INSJ SP PROSTH,3999.0,,398.636,4158.93,55
LOCAL,31612,PR TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR&/NJX,533.0,,35.1624,453.05,55
LOCAL,31613,PR TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION,2589.0,,215.77,2200.65,55
LOCAL,31614,PR TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION,3832.0,,451.72,3837.83,55
LOCAL,31615,PR TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC,1232.0,,85.0908,1281.0,55
LOCAL,31622,PR BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX,1554.0,,95.91,1615.85,55
LOCAL,31623,PR BRNCHSC BRUSHING/PROTECTED BRUSHINGS,1631.0,,95.174,1696.54,55
LOCAL,31624,PR BRNCHSC W/BRNCL ALVEOLAR LAVAGE,1641.0,,96.3976,1696.54,55
LOCAL,31625,PR BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES,1746.0,,112.6356,1727.46,55
LOCAL,31626,PR BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT,1051.0,,142.14,945.9,55
LOCAL,31627,PR BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION,1480.0,,69.3496,1332.0,55
LOCAL,31628,PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE,1907.0,,126.6472,1919.78,55
LOCAL,31629,PR BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON,2158.0,,134.5224,2239.16,55
LOCAL,31630,PR BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX,2032.0,,143.1244,2048.56,55
LOCAL,31631,PR BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT,2644.0,,163.0424,2558.55,55
LOCAL,31632,PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE,805.0,,35.1624,1117.37,55
LOCAL,31633,PR BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE,1032.0,,45.2456,1117.37,55
LOCAL,31634,PR BRONCHOSCOPY BALLOON OCCLUSION,2115.0,,135.5068,1903.5,55
LOCAL,31635,PR BRONCHOSCOPY W/REMOVAL FOREIGN BODY,3076.0,,126.6472,3199.05,55
LOCAL,31636,PR BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS,2384.0,,155.9124,2145.6,55
LOCAL,31637,PR BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED,1114.0,,54.5928,1002.6,55
LOCAL,31638,PR BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS,2705.0,,177.0632,2434.5,55
LOCAL,31640,PR BRONCHOSCOPY W/EXCISION TUMOR,3076.0,,178.0476,3199.05,55
LOCAL,31641,PR BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC,3923.0,,182.9604,4158.93,55
LOCAL,31643,PR BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL,2238.0,,121.9736,1902.3,55
LOCAL,31645,PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST,1713.0,,106.2416,1727.46,55
LOCAL,31646,PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ,1661.0,,102.5524,1727.46,55
LOCAL,31647,PR BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE,2234.0,,147.798,2010.6,55
LOCAL,31648,PR BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL,2192.0,,142.6368,1972.8,55
LOCAL,31649,PR BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL,723.0,,47.9504,650.7,55
LOCAL,31651,PR BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE,762.0,,54.5928,685.8,55
LOCAL,31652,PR BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX,2624.0,,158.6172,2361.6,55
LOCAL,31653,PR BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX,7084.0,,175.8304,6375.6,55
LOCAL,31654,PR BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES,767.0,,48.1988,690.3,55
LOCAL,31660,PR BRONCHOSCOPIC THERMOPLASTY ONE LOBE,2140.0,,136.482,1926.0,51
LOCAL,31661,PR BRONCHOSCOPIC THERMOPLASTY 2/> LOBES,2267.0,,144.1088,2040.3,51
LOCAL,31717,PR CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY,567.0,,76.728,481.95,55
LOCAL,31720,PR CATHETER ASPIRATION NASOTRACHEAL SPX,351.0,,35.1624,321.11,55
LOCAL,31725,PR CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX,640.0,,57.0492,642.21,55
LOCAL,31730,PR TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER,1029.0,,107.962,874.65,55
LOCAL,31750,PR TRACHEOPLASTY CERVICAL,6383.0,,707.08,6396.38,55
LOCAL,31755,PR TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE,7658.0,,946.24,7675.65,55
LOCAL,31760,PR TRACHEOPLASTY INTRATHORACIC,7658.0,,1002.616,7675.65,55
LOCAL,31766,PR CARINAL RECONSTRUCTION,8486.0,,1289.3616,8508.47,55
LOCAL,31770,PR BRONCHOPLASTY GRAFT REPAIR,8486.0,,964.988,8508.47,55
LOCAL,31775,PR BRONCHOPLASTY EXCISION STENOSIS & ANASTOMOSIS,8486.0,,1016.8852,8508.47,55
LOCAL,31780,PR EXCISION TRACHEAL STENOSIS&ANASTOMOSIS CERVICA,7978.0,,884.8192,7996.76,55
LOCAL,31781,PR EXC TRACHEAL STENOSIS&ANAST CERVICOTHORACIC,8934.0,,1059.426,8954.92,55
LOCAL,31785,PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL,7597.0,,792.3592,7356.25,55
LOCAL,31786,PR EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC,8615.0,,1047.8708,8635.54,55
LOCAL,31800,PR SUTURE TRACHEAL WOUND/INJURY CERVICAL,4407.0,,404.37,4158.93,55
LOCAL,31805,PR SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC,5744.0,,598.8188,5757.61,55
LOCAL,31820,PR SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR,2032.0,,247.3972,1919.78,55
LOCAL,31825,PR SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR,2555.0,,361.5048,2558.55,55
LOCAL,31830,PR REVISION TRACHEOSTOMY SCAR,1917.0,,264.84,1919.78,55
LOCAL,3189901,PR BRONCHOSCOPY W/ABLATION EBUS GUIDED,4339.0,,2603.4,5151.44,28
LOCAL,3189902,"PR UNLISTED PROCEDURE TRACHAE, BRONI; BRONCHOPLASTY EXCISION & ANASTOMOSIS",8486.0,,5091.6,7213.1,28
LOCAL,3189903,PR UNLISTED PROCEDURE MESH PLACEMENT FOR RIGID SUPPORT OF TRACHEA,5773.0,,3463.8,5151.44,28
LOCAL,3189904,"PR UNLISTED PROCEDURE TRACHEA, BRONCHI, TRACHEOBRONCHIAL EXCHANGE OF TRACH",484.0,,290.4,5151.44,28
LOCAL,3189905,"PR UNLISTED PROCEDURE TRACHEA, BRONCHI, INJECTION RADIOENHANCER",2152.0,,1291.2,5151.44,28
LOCAL,31900092,HC LEUKEMIA MUTATION PANEL DNA V1,8372.0,,2344.16,7199.92,83
LOCAL,31900143,HC SOLID TUMOR GENOMIC ASSAY - FUSIONS 2018,4357.0,,1219.96,3747.02,83
LOCAL,31900150,HC REF TELOMERE LENGTH ASSAY,910.0,,61.226,782.6,85
LOCAL,31900181,HC ENDLYMPHOMA MUTATION ASSAY V1,6996.0,,1958.88,6016.56,83
LOCAL,31900200,HC ENDLEUKEMIA TRANSLOCATION ASSAY (RNA) V1,5695.0,,1594.6,4897.7,83
LOCAL,31900201,HC SOLID TUMOR MAPP V1 PANEL,5201.0,,1456.28,4472.86,83
LOCAL,31900212,HC LBP MAPP V2,9140.0,,1004.5,7860.4,83
LOCAL,31900244,HC FOCUSED LIQUID BIOPSY PANEL,7386.0,,1004.5,6351.96,83
LOCAL,31900263,HC STP MAPP V1 (TUMOR ONLY),6201.0,,1736.28,5332.86,83
LOCAL,31900264,HC EARLY LBP MAPP V2,9140.0,,1004.5,7860.4,83
LOCAL,32000010,HC MYELOGRAM POSTERIOR,645.0,,57.48,554.7,84
LOCAL,32000011,"HC MAND, COMP 3VIEWS",295.0,,39.09,253.7,85
LOCAL,32000013,HC ZYGOMATIC ARCHES,292.0,,32.08,251.12,85
LOCAL,32000014,"HC FACIAL BONES, COMP",375.0,,47.45,322.5,85
LOCAL,32000015,"HC NASAL BONES, COM",272.0,,37.76,233.92,85
LOCAL,32000016,"HC ORBITS, COMPLETE",363.0,,48.11,312.18,85
LOCAL,32000017,"HC SINUSES, PARANASAL",289.0,,37.76,248.54,85
LOCAL,32000018,"HC SKULL,LESS THAN4 VWS",312.0,,36.09,268.32,85
LOCAL,32000019,HC SKULL COMPLETE,510.0,,44.78,438.6,85
LOCAL,32000020,HC RAD EXM TEETH SNGL VIEW,98.0,,13.03,102.2465,85
LOCAL,32000021,HC RAD EX TEETH <FULL MOUTH,130.0,,36.4,280.3355,85
LOCAL,32000022,"HC RADIOL EXAM,FULL MOUTH",218.0,,53.46,280.3355,85
LOCAL,32000023,HC RAD EX TMJ OP&CLO MO BIL,434.0,,53.13,373.24,85
LOCAL,32000024,HC ORTHOPANTOGRAM,338.0,,18.38,290.68,85
LOCAL,32000025,"HC NECK, LAT SOFT TISS",353.0,,31.41,303.58,85
LOCAL,32000031,"HC RIBS, UNILATERAL",233.0,,36.75,200.38,85
LOCAL,32000032,HC CHEST W/RIB DETAIL,254.0,,42.44,218.44,85
LOCAL,32000033,"HC RIBS, BILATERAL",497.0,,44.1,427.42,85
LOCAL,32000034,HC STERNUM,358.0,,33.75,307.88,85
LOCAL,32000035,HC STERNOCLAVICULAR,353.0,,41.44,303.58,85
LOCAL,32000036,"HC SPINE,SINGLE VIEW",267.0,,24.39,229.62,85
LOCAL,32000037,HC SPINE CERV 2 OR 3 VIEWS,405.0,,39.76,348.3,85
LOCAL,32000038,HC SPINE CERVICAL 4 OR 5 VWS,551.0,,53.8,473.86,85
LOCAL,32000039,HC SPINE THORACIC 2 VIEWS,387.0,,33.08,332.82,85
LOCAL,32000040,"HC SPINE,THORACOLUMBAR 2 VIEWS",315.0,,34.75,270.9,85
LOCAL,32000042,"HC SPINE,LUMBOSACRAL,2 OR 3 VIEWS",350.0,,40.1,301.0,85
LOCAL,32000043,"HC SPINE,LUMBOSACRAL,MINIMUM4VIEW",657.0,,52.13,565.02,85
LOCAL,32000044,"HC PELVIS,ONE OR TWO VIEWS",385.0,,28.06,331.1,85
LOCAL,32000045,HC RAD EXAM SACROIL JOINT<3,231.0,,33.41,198.66,85
LOCAL,32000046,HC SACROILIAC JOINTS,422.0,,39.43,362.92,85
LOCAL,32000047,HC SACRUM AND COCCYX,387.0,,32.75,332.82,85
LOCAL,32000048,HC MYELOGRAPHY CERVICAL,2609.0,,112.26,2243.74,85
LOCAL,32000049,HC MYELOGRAPHY THORACI,2955.0,,107.93,2541.3,85
LOCAL,32000050,HC MYELOGRAPHY LUMBAR,2526.0,,109.26,2172.36,85
LOCAL,32000051,HC MYLEOGRAPHY 2OR>REG,3788.0,,153.04,3257.68,85
LOCAL,32000053,HC DISCOGRAPHY CERV/THOR,4628.0,,132.31,3980.08,85
LOCAL,32000056,HC DISCOGRAPHY LUMBER,4775.0,,111.6,4106.5,85
LOCAL,32000057,HC CLAVICLE,328.0,,32.75,282.08,85
LOCAL,32000058,HC SCAPULA,341.0,,24.06,293.26,85
LOCAL,32000059,HC SHOULDER 1 VIEW,285.0,,21.71,245.1,85
LOCAL,32000060,HC SHOULDER COMPLET MIN 2VWS,356.0,,35.09,306.16,85
LOCAL,32000061,HC ARTHROGRAPHY SHOULDR RS&I,1295.0,,131.99,1113.7,85
LOCAL,32000062,HC ACROMIOCLAVIC,311.0,,29.08,267.46,85
LOCAL,32000063,HC HUMERUS,328.0,,32.08,282.08,85
LOCAL,32000064,HC ELBOW TWO VIEWS,319.0,,29.4,274.34,85
LOCAL,32000065,HC FOREARM TWO VIEWS,484.0,,29.4,416.24,85
LOCAL,32000066,HC WRIST,337.0,,41.44,289.82,85
LOCAL,32000067,HC HAND,302.0,,37.43,259.72,85
LOCAL,32000068,HC FINGER(S),237.0,,38.43,203.82,85
LOCAL,32000075,HC KNEE ONE OR TWO VIEWS,300.0,,34.41,258.0,85
LOCAL,32000076,HC TIBIA & FIBULA TWO VIEWS,346.0,,31.74,297.56,85
LOCAL,32000077,HC RAD EXAM ANKLE 2 VIEWS,243.0,,32.41,208.98,85
LOCAL,32000078,HC ANKLE COMPLETE MIN 3 VWS,313.0,,36.75,269.18,85
LOCAL,32000079,HC RAD EXAM FOOT 2 VIEWS,237.0,,28.74,203.82,85
LOCAL,32000080,HC FOOT 3VWS MIN,342.0,,34.41,294.12,85
LOCAL,32000081,HC OS CALCIS (HEEL),289.0,,28.74,248.54,85
LOCAL,32000082,HC TOE,225.0,,29.4,193.5,85
LOCAL,32000085,"HC RAD EX COMP ACUTE ABD >2+VIEW ABD W/S/E/D, 1 VIEW CHEST",580.0,,50.13,498.8,85
LOCAL,32000086,HC PERITONEOGRAM RS&I,292.0,,81.04,641.9875,85
LOCAL,32000087,HC RAD EX ESOPHAGUS INL SCOT/DELAY IMGES SINGLE CONTRAST STUDY,641.0,,97.56,551.26,85
LOCAL,32000088,"HC RAD EX SWALLOW FUNCJ W/CINERADIOGRAPY/VIDRADIOG, CONTRAST STUDY",690.0,,124.96,593.4,85
LOCAL,32000089,HC FB REMOVAL ESOPH RAD S&I,802.0,,224.56,689.72,84
LOCAL,32000090,HC RAD EX UPPER GI TRACT SINGLE CONTRAST STUDY,669.0,,122.96,575.34,85
LOCAL,32000091,HC RAD UPPER GI SCOUT ABD RAD/DELAY IMGES DOUBLE CONTRAST W/GLUCAGON,878.0,,139.34,755.08,85
LOCAL,32000093,HC RAD EX SMALL INTESTINE MULT IMG SINGLE CONTRAST STUDY,790.0,,121.96,679.4,85
LOCAL,32000094,HC RAD EX COLON SINGLE CONTRAST STUDY,881.0,,153.7,757.66,85
LOCAL,32000095,HC RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY W/GLUCAGON,1040.0,,175.06,894.4,85
LOCAL,32000097,HC CHLANG/PNCR ADDSETIO RS&I,1939.0,,85.52,1667.54,84
LOCAL,32000101,HC END CTH-BIL DUCT S&I,210.0,,58.8,495.39,84
LOCAL,32000102,HC ENDO CATH PANCR DUCT S&I,476.0,,133.28,409.36,84
LOCAL,32000103,"HC FLUORO MON,ENDO CATH",183.0,,51.24,493.5,84
LOCAL,32000104,HC LONG GI TUBE INSERT RS&I,586.0,,164.08,503.96,84
LOCAL,32000105,HC PERC PLACE ENTEROCL RS&I,889.0,,248.92,764.54,84
LOCAL,32000106,HC ILUM DIL STRCT/OBSTR RS&I,1082.0,,302.96,930.52,84
LOCAL,32000107,HC PERCUTAN TRANSHEP DI,2065.0,,416.9,1775.9,84
LOCAL,32000108,HC PYELOGRAM W/WO KUB & TOMOGRAPHY,1231.0,,135.33,1058.66,85
LOCAL,32000109,HC RETROGRAD URETEROPYELOGRM,1231.0,,78.19,1058.66,85
LOCAL,32000110,HC URETEROPYELO/CONDUIT S&I,1095.0,,135.99,941.7,85
LOCAL,32000111,HC CYSTOGRAPHY S&I,995.0,,41.44,855.7,85
LOCAL,32000112,HC RETROGRAD URETHROGRAM S&I,189.0,,52.92,280.3355,85
LOCAL,32000113,"HC URETHROCYSTOG,VOIDING S&I",792.0,,104.25,681.12,85
LOCAL,32000116,HC DILATION NEPHROSTOMY/URETER/URETHRA RAD S&I,1250.0,,119.63,2456.009,85
LOCAL,32000117,HC HYSTEROSALPNGOGRAPHY RS&I,1251.0,,66.83,1075.86,85
LOCAL,32000118,HC AORTOGRAPHY THOR RS&I,3639.0,,120.95,6537.7615,85
LOCAL,32000119,HC S/I ABDOMIN AORTOGRAM,3639.0,,126.64,3709.7505,85
LOCAL,32000120,HC S/I ABD AORTOGRAM W/LLRO,7521.0,,157.04,6468.06,85
LOCAL,32000122,HC ANGIOSPINAL SEL RS&I,6002.0,,250.94,6537.7615,85
LOCAL,32000123,HC ANGIOEXTUNILAT RS&I,3639.0,,150.36,3709.7505,85
LOCAL,32000124,HC ANGIOEXTBILAT RS&I,3885.0,,163.05,3709.7505,85
LOCAL,32000125,HC VISC ANGIO SELEC RS&I,7718.0,,170.08,6637.48,85
LOCAL,32000126,HC ADREN ANGIO UNI SEL RS&I,3709.0,,153.7,3709.7505,85
LOCAL,32000127,HC ADREN ANGIOBILSEL RS&I,4636.0,,172.75,3986.96,85
LOCAL,32000128,HC PELVIC ANGIO SELEC RS&I,3709.0,,143.68,6537.7615,85
LOCAL,32000129,HC PULM ANGIO UNISEL RS&I,4011.0,,129.98,3709.7505,85
LOCAL,32000130,HC PULM ANGIO BILSEL RS&I,5013.0,,147.69,4311.18,85
LOCAL,32000131,HC ANGIO PULM NONSEL RS&I,198.0,,55.44,3709.7505,85
LOCAL,32000132,HC ANGIO INT MAMMARY RS&I,3292.0,,165.4,3709.7505,85
LOCAL,32000133,HC ANGIO SELECTIVE EA ADD'L,3081.0,,165.22,2649.66,84
LOCAL,32000135,HC LYMPHEXTUNILATRS&I,1504.0,,284.65,1293.44,85
LOCAL,32000136,HC LYMPHANGIOEXTBIL RS&I,154.0,,43.12,1849.4875,85
LOCAL,32000137,HC LYMPH UNILAT PEL/ABD RS&I,1048.0,,293.44,3709.7505,85
LOCAL,32000138,HC LYMPHBILATPEL/ABD RS&I,1699.0,,146.54,3709.7505,85
LOCAL,32000140,HC SPLENOPORTOGRAM - S&I,193.0,,54.04,3709.7505,85
LOCAL,32000141,HC VENOG EXT UNI RS&I,1153.0,,107.93,1849.4875,85
LOCAL,32000142,HC VENOG EXT BILAT RS&I,1177.0,,133.65,1849.4875,85
LOCAL,32000143,HC S/I VENOG INFER VENACAVA,3639.0,,114.28,3709.7505,85
LOCAL,32000144,HC VENOG CAVAL SUP RS&I,1177.0,,118.95,1849.4875,85
LOCAL,32000145,HC S/I VENOG RENAL UNIATERAL,3639.0,,119.63,3709.7505,85
LOCAL,32000146,HC S/I VENOG RENAL BILATERAL,4548.0,,148.35,3911.28,85
LOCAL,32000147,HC VENOGADRENUNISEL RS&I,3333.0,,128.64,3709.7505,85
LOCAL,32000149,HC JUGULAR OR SINUS VENOGRAM,263.0,,73.64,3709.7505,85
LOCAL,32000150,HC VENOGRAPH SUPSAG SINUS SI,212.0,,59.36,3709.7505,85
LOCAL,32000151,HC VENOGRAPHY EPIDURAL,210.0,,58.8,737.0235,85
LOCAL,32000152,HC PERC TRANS PORTW/HEM S&I,4841.0,,136.66,4163.26,85
LOCAL,32000153,HC PERC TRAN PORT W/OHEMS&I,3547.0,,137.66,3709.7505,85
LOCAL,32000154,HC VENOGHEPATW/HEMO RS&I,3639.0,,123.63,3709.7505,85
LOCAL,32000155,HC VENOHEPATW/O HEMO RS&I,3639.0,,124.3,3709.7505,85
LOCAL,32000156,HC VENOUS SAMP THRU CAT RS&I,3639.0,,105.25,6537.7615,85
LOCAL,32000157,HC TRANS THERAPYEMBOLI RS&I,192.0,,53.76,3067.44,84
LOCAL,32000159,HC F/UP ANGIO  INFUS/EMBOL,1200.0,,133.71,3709.7505,85
LOCAL,32000160,HC MC RMV PC OBST CV VA RS&I,2021.0,,385.02,1738.06,84
LOCAL,32000161,HC MC RMV IL OBST CV DL RS&I75902,854.0,,149.07,734.44,84
LOCAL,32000167,HC ENDO RPR DS THRAORT WSBCL,4562.0,,1262.95,3923.32,84
LOCAL,32000168,HC ENDO RPR DS THRAORTWOSBCL,4304.0,,953.77,3701.44,84
LOCAL,32000169,HC PLC PRX PROSTH THRAC EXTN,4434.0,,632.44,3813.24,84
LOCAL,32000170,HC PLC DSTL EXTEN - DELAYED,4562.0,,662.86,3923.32,84
LOCAL,32000175,HC TRANSCATH BIOPSY RS&I,3534.0,,989.52,3039.24,84
LOCAL,32000179,HC  PERC TUBE/DRAIN CATH RS&I,1271.0,,162.96,1093.06,84
LOCAL,32000180,HC RAD GUIDEPERC DRAIN/SPEC,1762.0,,190.64,1515.32,84
LOCAL,32000181,HC FLUOROS (SEP) UP TO 1 HR,495.0,,42.78,425.7,85
LOCAL,32000182,"HC SINOGRAM, FISTULA S&I",971.0,,59.81,835.06,85
LOCAL,32000183,HC 3D RNDR WO POPRC INDWKSTA,193.0,,42.76,165.98,84
LOCAL,32000184,HC 3D RNDR RQ POPRC INDWKSTA,1254.0,,133.69,1078.44,84
LOCAL,32000185,HC IR UNLISTED FLUORO PROCED,371.0,,86.58,319.06,84
LOCAL,32000186,HC FLUORO DIR PUNCT SCLRTHRP,454.0,,86.58,390.44,84
LOCAL,32000187,HC DEXA BODY COMP 1/> SITES,547.0,,86.58,470.42,84
LOCAL,32000190,HC FLUORO GUI CVC PLACE/REM,1252.0,,167.85,1076.72,84
LOCAL,32000191,HC FLUORO GUIDED NDL PLACE,1277.0,,196.97,1098.22,84
LOCAL,32000192,HC FLURO GUID/NDL LOC SPINE,953.0,,179.24,819.58,84
LOCAL,32000193,HC MAMMOGRAPHY DUCT/GA,668.0,,54.13,574.48,85
LOCAL,32000194,HC MAMMOGRAPHY DUCT/GA MULT,789.0,,69.5,678.54,85
LOCAL,32000195,HC WRIST BONE AGE,356.0,,26.06,306.16,85
LOCAL,32000196,HC BONE LENGTH STUDY,531.0,,45.44,456.66,85
LOCAL,32000197,HC BONE SURVEY LMTD,723.0,,65.49,621.78,85
LOCAL,32000198,HC BONE SURVEY COMPL,1142.0,,99.9,982.12,85
LOCAL,32000199,HC BONE SURVEY INF,400.0,,104.75,344.0,84
LOCAL,32000200,HC BONE DENSITY (DEXA),657.0,,39.09,565.02,85
LOCAL,32000201,HC DXA APPENDICULAR,312.0,,31.74,268.32,85
LOCAL,32000202,HC L HRT CATH W/ILIAC ARTER,5787.0,,23.32,4976.82,84
LOCAL,32000227,"HC UPPER EXTREMITY INFANT,MIN2VWS",264.0,,73.92,227.04,84
LOCAL,32000228,"HC LOWER EXTREM, INF",297.0,,83.16,255.42,84
LOCAL,32000229,"HC KNEE, 3 VIEWS",371.0,,41.1,319.06,85
LOCAL,32000231,HC U/S SOFT TISS HEAD &NECK,911.0,,104.75,783.46,85
LOCAL,32000232,HC ULTRASOUND CHEST,642.0,,57.14,552.12,85
LOCAL,32000233,HC U/S PEL LMTD (FETAL),126.0,,35.28,137.98,85
LOCAL,32000234,HC SONOHYSTEROGRAPHY,251.0,,70.28,280.3355,85
LOCAL,32000235,HC DEXA STUDY W/ VFA,826.0,,53.46,710.36,85
LOCAL,32000236,HC DXA VRTB FRACTUR ASSESSMT,826.0,,33.75,710.36,85
LOCAL,32000237,HC RADIOLOGIC EXAM SPINE ENTIRE THORACIC&LUMBAR INCL SKULL/CERVICAL/SACRALSPINE 1 VIEW,577.0,,42.78,496.22,85
LOCAL,32000239,HC RADIOLOGIC EXAM SPINE ENTIRE THORACIC&LUMBAR INCL SKULL/CERVICAL/SACRALSPINE 2 OR 3 VIEWS,650.0,,70.5,559.0,85
LOCAL,32000240,HC RADIOLOGIC EXAM SPINE ENTIRE THORACIC&LUMBAR INCL SKULL/CERVICAL/SACRALSPINE 4 OR 5 VIEWS,779.0,,79.53,669.94,85
LOCAL,32000241,HC RADIOLOGIC EXAM SPINE ENTIRE THORACIC&LUMBAR INCL SKULL/CERVICAL/SACRALSPINE MIN 6 VIEWS,802.0,,98.9,689.72,85
LOCAL,32000242,HC RADIOLOGIC EXAM HIP UNILATERAL WITH PELVIS  1 VIEW,379.0,,33.08,325.94,85
LOCAL,32000243,HC RADIOLOGIC EXAM HIP UNILATERAL WITH PELVIS  2 OR 3 VIEWS,420.0,,47.78,361.2,85
LOCAL,32000244,HC RADIOLOGIC EXAM HIP UNILATERAL WITH PELVIS  MIN 4 VIEWS,520.0,,60.14,447.2,85
LOCAL,32000245,HC RADIOLOGIC EXAM HIP BILATERAL WITH PELVIS 2 VIEWS,513.0,,41.44,441.18,85
LOCAL,32000246,HC RADIOLOGIC EXAM HIP BILATERAL WITH PELVIS 3-4 VIEWS,578.0,,54.13,497.08,85
LOCAL,32000247,HC RADIOLOGIC EXAM HIP BILATERAL WITH PELVIS MIN 5 VIEWS,641.0,,62.15,551.26,85
LOCAL,32000248,HC RADIOLOGIC EXAM FEMUR 1 VIEW,390.0,,29.4,335.4,85
LOCAL,32000249,HC RADIOLOGIC EXAM FEMUR MIN 2 VIEWS,432.0,,35.75,371.52,85
LOCAL,32000250,HC DRAIN BLADDER BY NEEDLE,9311.0,,36.54,8007.46,85
LOCAL,32000251,"HC RADIOLOGIC EXAM, KNEE, BOTH KNEES, STANDING ANTEROPOSTERIOR",369.0,,40.1,317.34,85
LOCAL,32000252,"HC X-RAY MANDIBLE, COMPLETE MIN 4 VIEWS",411.0,,43.78,353.46,85
LOCAL,32000253,HC X-RAY EXAM CHEST SINGLE VIEW,564.0,,25.73,485.04,85
LOCAL,32000254,HC X-RAY EXAM CHEST 2 VIEWS,591.0,,33.75,508.26,85
LOCAL,32000255,HC X-RAY EXAM CHEST >= 4  VIEWS,616.0,,45.78,529.76,85
LOCAL,32000256,HC X-RAY EXAM ABDOMEN 1 VIEW,565.0,,30.4,485.9,85
LOCAL,32000257,HC X-RAY EXAM ABDOMEN 2 VIEWS,587.0,,36.75,504.82,85
LOCAL,32000258,HC X-RAY EXAM ABDOMEN >= 3 VIEWS,616.0,,43.1,529.76,85
LOCAL,32000259,"HC X-RAY PELVIS COMPLETE, MIN 3 VIEWS",505.0,,42.44,434.3,85
LOCAL,32000260,HC INJ PROCEDURE MYELOGRAPHY/CT LUMBAR,2526.0,,164.64,2172.36,84
LOCAL,32000261,HC SPINE THORACIC 3 VIEWS,452.0,,39.76,388.72,85
LOCAL,32000262,HC SPINE THORACIC 4 VIEWS,561.0,,44.78,482.46,85
LOCAL,32000263,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,452.0,,82.53,388.72,84
LOCAL,32000264,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,1393.0,,280.3355,1197.98,85
LOCAL,32000265,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,1046.0,,122.8315,899.56,85
LOCAL,32000266,HC X-RAY XM ESOPHAGUS DOUBLE CONTRAST,797.0,,109.93,685.42,85
LOCAL,32000290,HC ANATOMIC MODEL 3D PRINTED 1ST COMPNT ANATOMIC STRUCTURE,6683.0,,1871.24,5747.38,83
LOCAL,32000291,HC ANATOMIC MODEL 3D PRINTED EA ADDL COMPONENT,1336.0,,374.08,1148.96,83
LOCAL,32000292,HC ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE,5530.0,,1548.4,4755.8,83
LOCAL,32000293,HC ANATOMIC GUIDE 3D PRINTED EA ADDL ANATOMIC GUIDE,1106.0,,309.68,951.16,83
LOCAL,32000294,"HC UNLISTED PX FLUOROSCOPIC, ADDITIONAL VENOGRAPHY AFTER INITIAL EXAM",3909.0,,86.58,3361.74,84
LOCAL,32000295,HC X-RAY EYE FOR FOREIGN BODY,470.0,,32.75,404.2,85
LOCAL,32000296,HC MRI SAFETY IMPLANT INITIAL 15 MINUTES,93.0,,18.79,79.98,85
LOCAL,32000297,HC MRI SAFETY IMPLANT EA ADDL 30 MINUTES,186.0,,48.98,159.96,84
LOCAL,32000298,HC MRI SAFETY MEDICAL PHYSICS EXAM CUSTOMIZATION PLNG & MNTR,387.0,,108.36,384.9,85
LOCAL,32000299,"HC TRABECULAR BONE SCORE,TECHNICAL CALCULATION ONLY",67.0,,18.76,102.2465,84
LOCAL,32000300,HC 3D ANAT SEG IMAGING PREOP,4086.0,,151.179,3513.96,84
LOCAL,32000301,HC PRE 3D MDL W/CCTA AND/OR MRI,4086.0,,1008.941,3513.96,84
LOCAL,32035,PR THORACOSTOMY W/RIB RESECTION EMPYEMA,5962.0,,520.67,5067.7,55
LOCAL,32036,PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA,6879.0,,564.87,5847.15,55
LOCAL,32096,PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL,6951.0,,583.326,6255.9,55
LOCAL,32097,PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL,6951.0,,584.3104,6255.9,55
LOCAL,32098,PR THORACOTOMY W/BIOPSY OF PLEURA,6754.0,,552.5796,6078.6,55
LOCAL,32100,PR THORACOTOMY WITH EXPLORATION,7596.0,,591.928,6456.6,55
LOCAL,32110,PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,9165.0,,847.93,7790.25,55
LOCAL,32120,PR THORACOTOMY POSTOPERATIVE COMPLICATIONS,9491.0,,637.9188,8067.35,55
LOCAL,32124,PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS,7338.0,,673.578,6237.3,55
LOCAL,32140,PR THORCOM W/REMOVAL OF CYST,9170.0,,723.2488,7794.5,55
LOCAL,32141,PR THORACOTOMY W/RESECTION BULLAE,9491.0,,942.02,8067.35,55
LOCAL,32150,PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP,8713.0,,743.176,7406.05,55
LOCAL,32151,PR THORCOM W/RMVL IPUL FB,8713.0,,733.8288,7406.05,55
LOCAL,32160,PR THORACOTOMY W/CARDIAC MASSAGE,9491.0,,583.5652,8067.35,55
LOCAL,32200,PR PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST,5962.0,,703.83,5067.7,55
LOCAL,32215,PR PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX,8070.0,,587.5028,6859.5,55
LOCAL,32220,PR DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE,8796.0,,1166.1552,7545.14,55
LOCAL,32225,PR DECORTICATION PULMONARY PARTIAL SEPARATE PROC,6598.0,,725.9536,5623.66,55
LOCAL,32310,PR PLEURECTOMY PARIETAL SEPARATE PROCEDURE,9472.0,,671.1216,8051.2,55
LOCAL,32320,PR DECORTICATION & PARIETAL PLEURECTOMY,11390.0,,1169.596,9681.5,55
LOCAL,32400,PR BIOPSY PLEURA PERCUTANEOUS NEEDLE,1081.0,,60.4992,918.85,55
LOCAL,32408,PR CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG,1937.0,,109.6824,1743.3,55
LOCAL,32440,PR REMOVAL OF LUNG PNEUMONECTOMY,12338.0,,1141.076,10487.3,55
LOCAL,32442,PR REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA,15313.0,,1484.23,13016.05,55
LOCAL,32445,PR REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL,20658.0,,1546.57,17559.3,55
LOCAL,32480,PR RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT,10925.0,,1075.6548,9286.25,55
LOCAL,32482,PR RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC,11865.0,,1149.678,10085.25,55
LOCAL,32484,PR RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY,11498.0,,1041.2284,9773.3,55
LOCAL,32486,PR RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY,14710.0,,1360.59,12503.5,55
LOCAL,32488,PR RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC,15375.0,,1460.71,13068.75,55
LOCAL,32491,PR RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG,10906.0,,1072.95,11231.88,50
LOCAL,32501,PR RESCJ&BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY,3658.0,,175.5912,3109.3,55
LOCAL,32503,PR RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ,16638.0,,1303.3824,15768.32,55
LOCAL,32504,PR RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ,17884.0,,1484.1348,18290.08,55
LOCAL,32505,PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL,8238.0,,678.9876,7414.2,55
LOCAL,32506,PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL,1571.0,,112.6356,1413.9,55
LOCAL,32507,PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE,1571.0,,112.3872,1413.9,55
LOCAL,32540,PR EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY,9170.0,,884.51,7794.5,55
LOCAL,32550,PR INSERTION INDWELLING TUNNELED PLEURAL CATHETER,5189.0,,147.5496,5396.75,55
LOCAL,32551,PR TUBE THORACOSTOMY INCLUDES WATER SEAL,1732.0,,112.8748,1796.87,55
LOCAL,32552,PR RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF,1478.0,,114.5952,1330.2,55
LOCAL,32553,PR PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT,3013.0,,126.1596,2711.7,55
LOCAL,32554,PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,1237.0,,64.1884,1189.14,55
LOCAL,32555,PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,1427.0,,78.6968,1284.3,55
LOCAL,32556,PR PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,1473.0,,90.0036,1325.7,55
LOCAL,32557,PR PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING,2145.0,,107.4652,1930.5,55
LOCAL,32560,PR INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS,1107.0,,55.0896,1151.72,55
LOCAL,32561,PR INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY,749.0,,48.6956,674.1,55
LOCAL,32562,PR INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY,636.0,,43.5252,572.4,55
LOCAL,32601,PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX,2733.0,,223.5416,2323.05,55
LOCAL,32604,PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX,4129.0,,347.2356,3509.65,55
LOCAL,32606,PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX,3801.0,,334.2084,3230.85,55
LOCAL,32607,PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL,2668.0,,223.054,2401.2,55
LOCAL,32608,PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL,3301.0,,274.206,2970.9,55
LOCAL,32609,PR THORACOSCOPY WITH BIOPSYIES OF PLEURA,2399.0,,185.6744,2159.1,55
LOCAL,32650,PR THORACOSCOPY W/PLEURODESIS,5949.0,,489.1364,6186.89,55
LOCAL,32651,PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION,7441.0,,797.7688,6411.82,55
LOCAL,32652,PR THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS,8516.0,,1174.35,7238.6,55
LOCAL,32653,PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT,8068.0,,770.7116,6857.8,55
LOCAL,32654,PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE,8254.0,,813.48,7015.9,55
LOCAL,32655,PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX,8713.0,,697.6728,7406.05,55
LOCAL,32656,PR THORACOSCOPY W/PARIETAL PLEURECTOMY,8254.0,,586.7668,7015.9,55
LOCAL,32658,PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC,9004.0,,522.5784,8072.32,55
LOCAL,32659,PR THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC,7617.0,,537.0868,7921.21,55
LOCAL,32661,PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS,11390.0,,583.326,9681.5,55
LOCAL,32662,PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS,9402.0,,652.4272,8676.76,55
LOCAL,32663,PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE,12338.0,,1015.404,10487.3,55
LOCAL,32664,PR THORACOSCOPY W/THORACIC SYMPATHECTOMY,10270.0,,618.9852,8729.5,55
LOCAL,32665,PR THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE,10089.0,,895.1508,8575.65,55
LOCAL,32666,PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT,7294.0,,634.9656,6564.6,55
LOCAL,32667,PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL,1510.0,,112.8748,1359.0,55
LOCAL,32668,PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN,1448.0,,112.8748,1303.2,55
LOCAL,32669,PR THORACOSCOPY W/SEGMENTECTOMY,12306.0,,975.0712,11075.4,55
LOCAL,32670,PR THORACOSCOPY W/BILOBECTOMY,14919.0,,1160.994,13427.1,55
LOCAL,32671,PR THORACOSCOPY W/PNEUMONECTOMY,16131.0,,1284.9364,14517.9,55
LOCAL,32672,PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL,12584.0,,1101.7276,11325.6,55
LOCAL,32673,PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL,11052.0,,883.8348,9946.8,55
LOCAL,32674,PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY,2158.0,,155.1764,1942.2,55
LOCAL,32701,PR THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE,2019.0,,168.3935,1817.1,47
LOCAL,32800,PR REPAIR LUNG HERNIA THROUGH CHEST WALL,7338.0,,687.838,6237.3,55
LOCAL,32810,PR CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA,5073.0,,637.73,4312.05,55
LOCAL,32815,PR OPEN CLOSURE MAJOR BRONCHIAL FISTULA,15734.0,,1269.63,13373.9,55
LOCAL,32820,PR MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC,11330.0,,971.8788,9630.5,55
LOCAL,32851,PR LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS,27846.0,,2150.83,23669.1,55
LOCAL,32852,PR LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS,21949.0,,2329.78,20664.15,55
LOCAL,32853,PR LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS,49628.0,,2674.78,42183.8,55
LOCAL,32854,PR LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS,41481.0,,2854.18,35258.85,55
LOCAL,32900,PR RESECTION RIBS EXTRAPLEURAL ALL STAGES,6645.0,,929.86,5648.25,55
LOCAL,32905,PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL,8254.0,,970.8944,7015.9,55
LOCAL,32906,PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL,12838.0,,1196.4048,10912.3,55
LOCAL,32940,PR PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX,5503.0,,897.6072,4677.55,55
LOCAL,32960,PR PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR,806.0,,65.6604,685.1,55
LOCAL,32994,PR ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION,5263.0,,336.0135,4736.7,47
LOCAL,32997,PR TOTAL LUNG LAVAGE UNILATERAL,2364.0,,242.972,2431.49,55
LOCAL,32998,PR ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY,5067.0,,336.226,4306.95,47
LOCAL,3299901,"PR UNLISTED PROCEDURE CHEST SURGERY, LUNG TUMOR COIL MARKER PLACEMNT",2561.0,,1536.6,2987.83,28
LOCAL,3299902,"PR UNLISTED PROCEDURE CHEST SURGERY, VACCINE INJECTION- CHEST",335.0,,201.0,2987.83,28
LOCAL,3299903,"PR UNLISTED PROCEDURE CHEST SURGERY, CLIP PLCMT CHESTWALL (AFT MASTECT)",813.0,,487.8,2987.83,28
LOCAL,3299904,"PR UNLISTED PROCEDURE CHEST SURGERY, OPEN TALC SCLEROTHERAPY",1177.0,,706.2,2987.83,28
LOCAL,3299905,"PR UNLISTED PROCEDURE CHEST SURGERY, REMOVAL OF DENVER CATHETER",253.0,,151.8,2987.83,28
LOCAL,3299906,"PR RFA,LUNG",5605.0,,2987.83,4764.25,28
LOCAL,3299907,PR LUNG CRYO-ABLATION,5605.0,,2987.83,4764.25,28
LOCAL,3299908,PR THORACOSCOPIC/ROBOTIC - NEUROLYSIS OF THE PHRENIC NERVE,6069.0,,2987.83,5158.65,28
LOCAL,3299909,PR THORACOSCOPIC ROBOTIC RESECTION AND REPAIR OF PORTION OF BRONCHUS (BRONCHOPLASTY),3535.0,,2121.0,3004.75,28
LOCAL,3299910,PR UNLISTED PROCEDURE LUNGS AND PLEURA (THORASCOSPIC SLEEVE LOBECTOMY),14213.0,,2987.83,12081.05,28
LOCAL,3299911,"PR UNLISTED PROCEDURE LUNGS & PLEURA, THORACOTOMY WITH RESECTION OF PLEURAL TUMOR",7960.0,,2987.83,6766.0,28
LOCAL,3299912,PR UNLISTED PX DECLOT PLEURAL CATHETER,437.0,,262.2,2987.83,28
LOCAL,3299913,"PR UNLISTED PROCEDURE LUNGS AND PLEURA, THORACOSCOPIC RESECTION OF PLEURAL NODULES/MASS",2538.0,,1522.8,2987.83,28
LOCAL,33016,PR PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,2315.0,,168.7004,2083.5,55
LOCAL,33017,PR PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY,2535.0,,177.0632,2281.5,55
LOCAL,33020,PR PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,7481.0,,598.0828,7442.11,55
LOCAL,33025,PR CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX,7314.0,,557.75,7606.97,55
LOCAL,33030,PR PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS,8985.0,,1365.84,8683.61,55
LOCAL,33031,PR PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS,15789.0,,1162.8,15711.91,55
LOCAL,33050,PR RESECTION PERICARDIAL CYST/TUMOR,8031.0,,729.1552,8269.79,55
LOCAL,33100001,HC CHEMADM SUBCU/IM NONHORM,502.0,,84.594,431.72,85
LOCAL,33100002,HC CHEM ADM SUBCU HORM,482.0,,55.65,414.52,85
LOCAL,33100003,HC CHEM-INTRALES-UP TO 7 LESIONS,530.0,,45.13,455.8,85
LOCAL,33100004,HC CHEM-INTRALES > 7 LESIONS,557.0,,70.36,479.02,85
LOCAL,33100005,HC CHEMO INJ VIA SUBCU RESV,1433.0,,66.69,1232.38,85
LOCAL,33100006,HC CHEM ADM IVP-INIT,537.0,,150.36,461.82,85
LOCAL,33100007,HC CHEM ADM-IVP-EA ADD,537.0,,84.594,461.82,85
LOCAL,33100008,HC CHEMO INTRA-ART-PUSH,530.0,,148.4,455.8,85
LOCAL,33100009,HC CHEMO INTRACAV-THORACENTESIS,1433.0,,212.67,1232.38,85
LOCAL,33100010,HC CHEMO ADMIN VIAPORT/CATH,781.0,,33.82,671.66,85
LOCAL,33100011,HC CHEMO INTO CNS W/SPIN PUNC,1505.0,,121.34,1294.3,85
LOCAL,33100012,HC VELCADE INJ SUBCU/IM,502.0,,84.594,431.72,85
LOCAL,33120,PR EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP,17934.0,,1505.5248,18605.3,55
LOCAL,33130,PR RESECTION EXTERNAL CARDIAC TUMOR,12466.0,,985.6512,12402.97,55
LOCAL,33206,PR INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL,6601.0,,331.2552,6865.16,55
LOCAL,33207,PR INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR,6601.0,,347.7324,6865.16,55
LOCAL,33208,PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT,7156.0,,376.7492,7442.11,55
LOCAL,33210,PR INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH,2942.0,,116.564,3059.95,55
LOCAL,33213,PR INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS,3500.0,,244.6924,3640.35,55
LOCAL,33214,PR UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS,7892.0,,348.9652,8187.37,55
LOCAL,33215,PR RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE,2727.0,,225.7588,2454.3,55
LOCAL,33217,PR INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,4653.0,,268.548,3955.05,55
LOCAL,33222,PR RELOCATION OF SKIN POCKET FOR PACEMAKER,3182.0,,250.3504,3308.94,55
LOCAL,33223,PR RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR,2625.0,,298.3008,2730.26,55
LOCAL,33224,PR INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN,4249.0,,371.588,3824.1,55
LOCAL,33225,PR INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN,3915.0,,335.9288,3523.5,55
LOCAL,33226,PR RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD,4279.0,,353.6296,3851.1,55
LOCAL,33227,PR REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD,2910.0,,246.9004,2619.0,55
LOCAL,33228,PR REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS,3060.0,,257.7288,2754.0,55
LOCAL,33229,PR REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD,3117.0,,272.4764,2805.3,55
LOCAL,33233,PR REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY,1829.0,,170.6692,1902.6,55
LOCAL,33234,PR RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR,2629.0,,327.62,2563.71,55
LOCAL,33235,PR RMVL TRANSVNS PM ELTRD DUAL LEAD SYS,2711.0,,387.6,2812.69,55
LOCAL,33241,PR REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY,2176.0,,156.6484,1935.22,55
LOCAL,33244,PR RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ,7395.0,,613.2,6285.75,55
LOCAL,33249,PR INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR,7992.0,,663.9824,8187.37,55
LOCAL,33258,PR ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTENSIV W/O BYP,6097.0,,469.706,5781.89,55
LOCAL,33259,PR ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTEN W/BYPASS,7147.0,,612.0944,7432.8,55
LOCAL,33262,PR RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD,3260.0,,271.492,2934.0,55
LOCAL,33263,PR RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD,3370.0,,281.8236,3033.0,55
LOCAL,33264,PR RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD,3418.0,,293.8756,3076.2,55
LOCAL,33285,PR INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,998.0,,63.6916,898.2,55
LOCAL,33286,PR REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,779.0,,62.7072,701.1,55
LOCAL,33289,PR TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR,3180.0,,255.34,2862.0,47
LOCAL,33300,PR REPAIR CARDIAC WOUND W/O BYPASS,11334.0,,1089.07,9633.9,55
LOCAL,33300004,HC XRT-SIM SIMPLE,1443.0,,157.918,1240.98,85
LOCAL,33300005,HC XRT-SIM INTERMED,2185.0,,439.921,1879.1,85
LOCAL,33300006,HC XRT- SIM COMPLEX,3026.0,,439.921,2602.36,85
LOCAL,33300007,HC 4D CT MOTION MGMT SMULATN,1311.0,,367.08,1127.46,84
LOCAL,33300008,HC FUSION RECONSTRUCTION,6543.0,,819.37,5626.98,85
LOCAL,33300009,HC XRT-DOSIM CALC,891.0,,112.65,766.26,85
LOCAL,33300010,HC XRT-IMRT TX PLAN,10147.0,,1626.2265,8726.42,85
LOCAL,33300014,HC SPECIAL TELE PORT PLAN,1684.0,,160.89,1448.24,85
LOCAL,33300018,HC SPECIAL DOSIMETRY,1007.0,,111.35,866.02,85
LOCAL,33300019,HC XRT-DEVICE SIMPLE,700.0,,67.33,602.0,85
LOCAL,33300020,HC XRT-DEVICE INTERME,1059.0,,157.918,910.74,85
LOCAL,33300021,HC XRT-DEVICE COMPLEX,1358.0,,214.11,1167.88,85
LOCAL,33300022,HC XRT-MED PHYSICS QA,1011.0,,151.99,869.46,85
LOCAL,33300023,HC MLC FOR IMRT/PLAN,4989.0,,439.921,4290.54,85
LOCAL,33300024,HC XRT - PHYSICS CONSLT,1431.0,,157.918,1230.66,85
LOCAL,33300025,HC SRS GAMMA KNIFE,71624.0,,3428.07,61596.64,85
LOCAL,33300026,HC SRS STEREO RADSRG SGL SES,31182.0,,1612.55,26816.52,85
LOCAL,33300027,HC SBRT STEREO BDY RAD TXDEL,18191.0,,1684.55,15644.26,85
LOCAL,33300041,HC PORT FILMS,327.0,,25.54,281.22,84
LOCAL,33300044,HC SPCL TMT PROCD,3582.0,,243.35,3080.52,85
LOCAL,33300046,HC XRT-INTRACAV APP INTERM,2329.0,,649.1865,2002.94,85
LOCAL,33300047,HC XRT-INTRACAV APP COMPLEX,2709.0,,758.52,2329.74,85
LOCAL,33300050,HC INTERSTIT RAD APPLC CMPLX,2567.0,,718.76,2207.62,85
LOCAL,33300054,HC XRT-SURFACE APP,124.0,,34.72,227.27,85
LOCAL,33300055,HC SPVS/HAND/LOAD RAD SOURC,116.0,,30.83,99.76,84
LOCAL,33300061,HC CT FOR XRT FIELD PLACMNT,846.0,,203.58,727.56,84
LOCAL,33300062,HC CT PLACEMENT OF RA,767.0,,203.58,659.62,84
LOCAL,33300063,HC 3D RECON TUMOR VOL,6543.0,,819.37,5626.98,85
LOCAL,33300064,HC STEREO RECNSTR TUMR VOLUM,6543.0,,819.37,5626.98,85
LOCAL,33300068,HC AQUAPLAST TX DEV,1358.0,,214.11,1167.88,85
LOCAL,33300076,HC VACLOCK TX DEV,1358.0,,214.11,1167.88,85
LOCAL,33300078,HC FRACTION GAMMA KNIFE <= 5 TX DELV,18191.0,,1684.55,15644.26,85
LOCAL,33300079,HC TELTHRPY ISODOS PLAN SMPL,3900.0,,252.97,3354.0,85
LOCAL,33300080,HC TELTHRPY ISODOS PLAN CMPLX,4129.0,,439.921,3550.94,85
LOCAL,33300081,HC BRACHY ISODOSE PLAN SIMPL,2363.0,,419.01,2032.18,85
LOCAL,33300082,HC BRACHY ISODOS PLAN INTRMD,3283.0,,439.921,2823.38,85
LOCAL,33300083,HC BRACHY ISODOSE PLAN CMPLX,4287.0,,439.921,3686.82,85
LOCAL,33300086,HC T* CT BASED IGRT GUIDANCE,877.0,,230.67,754.22,84
LOCAL,33300087,HC T* BAT IGRT GUIDANCE,877.0,,230.67,754.22,84
LOCAL,33300088,HC T* KV BASED IGRT GUIDANCE,877.0,,230.67,754.22,84
LOCAL,33300089,HC CT XRT FIELD PLACEMNT 4D,846.0,,203.58,727.56,84
LOCAL,33300092,HC XRT-DR REMOTE INTER 12+CH,9148.0,,818.294,7867.28,85
LOCAL,33300094,HC XRT-INTER11+COM SUP/RADIO,2567.0,,718.76,2207.62,85
LOCAL,33300095,HC XRT-DR REMOTE INTER2-12CH,8146.0,,818.294,7005.56,85
LOCAL,33300096,HC XRT-DR REMOTE INTER 1CH,6394.0,,592.13,5498.84,85
LOCAL,33300097,HC APERTURE DEVICE COMPLEX,1358.0,,214.11,1167.88,85
LOCAL,33300098,HC COMPENSATOR DEVICE COMPLEX,1358.0,,214.11,1167.88,85
LOCAL,33300099,HC PROTON TX DEL SIMPLE W/O COMPENSATION,4531.0,,649.1865,3896.66,85
LOCAL,33300100,HC PROTON TX DEL SIMPLE W/ COMPENSATION,5331.0,,1468.3315,4584.66,85
LOCAL,33300101,HC PROTON TX DEL INTERMEDIATE,6380.0,,1468.3315,5486.8,85
LOCAL,33300102,HC PROTON TX DEL COMPLEX,7535.0,,1368.24,6480.1,85
LOCAL,33300103,HC INSERTION UTERINE TANDEM&/VAGINAL OVOIDS,6775.0,,563.88,5877.42,85
LOCAL,33300104,HC T*MR BASED IGRT GUIDANCE,877.0,,230.67,754.22,84
LOCAL,33300105,HC XRT LEVEL 1 SINGLE/MULTI ELECTRON OR 2D SINGLE INCL IMG,2713.0,,119.876,2333.18,85
LOCAL,33300106,HC XRT LEVEL 2 SINGLE ISOCENTER 3D INCL IMG,4178.0,,453.1575,3593.08,85
LOCAL,33300107,HC XRT LEVEL 2 SINGLE ISOCENTER IMRT INCL IMG,4178.0,,453.1575,3593.08,85
LOCAL,33300108,HC XRT LEVEL 3 2D INCL IMG,4730.0,,649.1865,4067.8,85
LOCAL,33300109,HC XRT LEVEL 3 3D INCL IMG,4730.0,,649.1865,4067.8,85
LOCAL,33300110,HC XRT LEVEL 3 IMRT INCL IMG,4730.0,,649.1865,4067.8,85
LOCAL,33315,PR CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP,20599.0,,1221.42,17509.15,55
LOCAL,33320,PR SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP,11641.0,,774.4008,9894.85,55
LOCAL,33330,PR INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS,16995.0,,1026.9684,14445.75,55
LOCAL,33500003,HC CHEM ADM-IV-1HR-INIT,1212.0,,203.39,1042.32,85
LOCAL,33500004,HC CHEM ADM-IV EA ADD HR,120.0,,33.6,103.2,85
LOCAL,33500005,HC CHEM ADM IV PUMP >8HRS,923.0,,200.23,793.78,85
LOCAL,33500006,HC CHEMADM IV EA ADD SQ 1HR,396.0,,84.594,340.56,85
LOCAL,33500008,HC INTRART CHEMOADM INFTO1HR,999.0,,245.34,859.14,85
LOCAL,33500014,HC REFILL MAINT PORT PUMP-CHEMO,570.0,,159.6,490.2,85
LOCAL,33500015,HC REFILL MAINT IMPLT PUMP-CHEMO,826.0,,185.15,710.36,85
LOCAL,33500018,HC CHEMO EXTEND IV INFUS W/PUMP,1223.0,,342.44,1051.78,85
LOCAL,33500019,HC CHEMO EXTEND IV INFUS W/PUMP NO F/U,1223.0,,342.44,1051.78,85
LOCAL,33500020,"HC UNLISTED CHEMO PX, CONCURRENT ADMIN",1212.0,,0.68,1042.32,85
LOCAL,33500021,HC CHEMO IV INF REQ POST MONITORING,1982.0,,203.39,1704.52,85
LOCAL,33511,PR CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS,21310.0,,1530.3648,18113.5,55
LOCAL,33600,PR CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH,23484.0,,1242.8832,19961.4,55
LOCAL,33602,PR CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH,23484.0,,1206.7364,19961.4,55
LOCAL,33606,PR ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX,14420.0,,1285.424,12257.0,55
LOCAL,33608,PR RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT,28530.0,,1301.4136,24250.5,55
LOCAL,33610,PR RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT,28221.0,,1283.952,23987.85,55
LOCAL,33611,PR RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR,30807.0,,1406.174,26185.95,55
LOCAL,33612,PR RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ,29251.0,,1443.5536,24863.35,55
LOCAL,33615,PR RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX,28737.0,,1442.0816,24426.45,55
LOCAL,33617,PR RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX,29352.0,,1561.838,24949.2,55
LOCAL,33619,PR RPR 1 VNTRC W/O/F OBSTRCJ&AORTIC ARCH HYPOPLAS,32856.0,,1983.5936,27927.6,55
LOCAL,33620,PR APPLICATION RIGHT & LEFT PULMONARY ARTERY BAND,6997.0,,1189.0264,6297.3,55
LOCAL,33621,PR TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT,6348.0,,672.0968,5713.2,55
LOCAL,33622,PR RECONSTRUCTION COMPLEX CARDIAC ANOMALY,32628.0,,2469.0408,29365.2,55
LOCAL,33641,PR RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH,16479.0,,1182.1448,14007.15,55
LOCAL,33645,PR DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG,19569.0,,1249.2772,16633.65,55
LOCAL,33647,PR RPR ATRIAL & VENTRIC SEPTAL DFCT DIR/PATCH CLS,25750.0,,1310.264,21887.5,55
LOCAL,33660,PR RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR,22143.0,,1266.242,18821.55,55
LOCAL,33665,PR RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR,23689.0,,1379.126,20135.65,55
LOCAL,33670,PR RPR COMPL AV CANAL W/WO PROSTC VALVE,27809.0,,1419.698,23637.65,55
LOCAL,33675,PR CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS,19242.0,,1420.6824,18875.14,55
LOCAL,33676,PR CLOSURE MULTIPLE VSD W/RESECTION,19778.0,,1458.798,19401.32,55
LOCAL,33677,PR CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND,20583.0,,1514.3752,20189.98,55
LOCAL,33681,PR CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH,23484.0,,1333.632,19961.4,55
LOCAL,33684,PR CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ,23689.0,,1361.6644,20135.65,55
LOCAL,33688,PR CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND,23689.0,,1356.494,20135.65,55
LOCAL,33690,PR BANDING PULMONARY ARTERY,9787.0,,871.5436,8318.95,55
LOCAL,33692,PR COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA,22659.0,,1408.3912,19260.15,55
LOCAL,33694,PR COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH,25234.0,,1406.174,21448.9,55
LOCAL,33697,PR COMPLETE REPAIR TOF W/PULMONARY ATRESIA,26367.0,,1481.1816,22411.95,55
LOCAL,33702,PR RPR SINUS VALSALVA FISTULA,20599.0,,1119.1892,17509.15,55
LOCAL,33710,PR RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT,26778.0,,1478.9644,22761.3,55
LOCAL,33720,PR RPR SINUS VALSALVA ANEURYSM,24204.0,,1119.6768,20573.4,55
LOCAL,33724,PR REPAIR ISOLATED PARTIAL PULM VENOUS RETURN,14779.0,,1109.5936,14496.41,55
LOCAL,33726,PR REPAIR PULMONARY VENOUS STENOSIS,19868.0,,1464.2076,19490.85,55
LOCAL,33730,PR COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN,24204.0,,1448.2272,20573.4,55
LOCAL,33732,PR RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB,23895.0,,1192.4672,20310.75,55
LOCAL,33735,PR ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART,15450.0,,939.9088,13132.5,55
LOCAL,33736,PR ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS,19469.0,,1019.3416,16548.65,55
LOCAL,33750,PR SHUNT SUBCLAVIAN TO PULMONARY ARTERY,12877.0,,913.5968,10945.45,55
LOCAL,33755,PR SHUNT ASCENDING AORTA TO PULMONARY ARTERY,14420.0,,954.914,12257.0,55
LOCAL,33762,PR SHUNT DESCENDING AORTA TO PULMONARY ARTERY,12877.0,,927.6084,10945.45,55
LOCAL,33764,PR SHUNT CENTRAL W/PROSTHETIC GRAFT,15450.0,,954.914,13132.5,55
LOCAL,33766,PR SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG,11950.0,,964.252,10157.5,55
LOCAL,33767,PR SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS,15142.0,,1028.4404,12870.7,55
LOCAL,33768,PR ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA,4288.0,,299.0368,4204.56,55
LOCAL,33770,PR RPR TGA W/VSD&SUBPULM STEN W/O SURG ENLGMNT VSD,29251.0,,1524.4584,24863.35,55
LOCAL,33771,PR RPR TGA W/VSD&SUBPULM STEN W/SURG ENLGMNT VSD,29664.0,,1567.496,25214.4,55
LOCAL,33774,PR RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP,25750.0,,1301.9012,21887.5,55
LOCAL,33775,PR RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND,29869.0,,1340.2652,25388.65,55
LOCAL,33776,PR RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD,30897.0,,1416.5056,26262.45,55
LOCAL,33777,PR RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC,30897.0,,1365.3536,26262.45,55
LOCAL,33778,PR RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION,30897.0,,1695.376,26262.45,55
LOCAL,33779,PR RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND,31928.0,,1673.2408,27138.8,55
LOCAL,33780,PR RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD,37077.0,,1704.9716,31515.45,55
LOCAL,33781,PR RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ,37077.0,,1663.9028,31515.45,55
LOCAL,33782,PR A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ,32189.0,,2322.4756,28970.1,55
LOCAL,33783,PR A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA,34869.0,,2509.622,31382.1,55
LOCAL,33786,PR TOTAL REPAIR TRUNCUS ARTERIOSUS,28118.0,,1641.2708,23900.3,55
LOCAL,33788,PR REIMPLANTATION ANOMALOUS PULMONARY ARTERY,16995.0,,1107.6248,14445.75,55
LOCAL,33800,PR AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX,11950.0,,713.1656,10157.5,55
LOCAL,33802,PR DIVISION ABERRANT VESSEL VASCULAR RING,11334.0,,787.1888,9633.9,55
LOCAL,33803,PR DIVISION ABERRANT VESSEL W/REANASTOMOSIS,14420.0,,832.9312,12257.0,55
LOCAL,33814,PR OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS,22558.0,,1103.448,19174.3,53
LOCAL,33820,PR REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION,10304.0,,700.8744,8758.4,55
LOCAL,33822,PR REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS,12360.0,,775.6888,10506.0,51
LOCAL,33824,PR REPAIR PDA BY DIVISION 18 YEARS & OLDER,14420.0,,856.5384,12257.0,55
LOCAL,33840,PR EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS,14420.0,,898.5916,12257.0,55
LOCAL,33845,PR EXCISION COARCTATION AORTA W/WO PDA W/GRAFT,20599.0,,967.2052,17509.15,55
LOCAL,33851,PR EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC,22659.0,,922.4472,19260.15,55
LOCAL,33852,PR RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS,19057.0,,1013.4352,16198.45,55
LOCAL,33853,PR RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS,25338.0,,1325.0208,21537.3,55
LOCAL,33863,PR AS-AORT GRF W/CARD BYP & AORTIC ROOT RPLCMT,27168.0,,2261.728,23092.8,55
LOCAL,33864,PR ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL,32146.0,,2311.8956,31536.65,55
LOCAL,33875,PR DESCENDING THORACIC AORTA GRAFT W/WO BYPASS,20599.0,,1972.526,17509.15,55
LOCAL,33877,PR RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS,25611.0,,2589.7908,21769.35,55
LOCAL,33880,PR EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA,16677.0,,1169.2855,17344.42,55
LOCAL,33881,PR EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA,15003.0,,981.342,14717.19,55
LOCAL,33883,PR DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN,10717.0,,798.2564,10511.4,55
LOCAL,33886,PR DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART,9111.0,,690.7912,8935.3,55
LOCAL,33910,PR PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS,18540.0,,1300.45,15759.0,55
LOCAL,33915,PR PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS,13805.0,,991.3092,11734.25,55
LOCAL,33916,PR PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS,18540.0,,1457.54,15759.0,55
LOCAL,33917,PR RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT,23174.0,,1055.9852,19697.9,55
LOCAL,33920,PR RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT,27602.0,,1306.8232,23461.7,55
LOCAL,33922,PR TRANSECTION PULMONARY ARTERY W/CARD BYPASS,18540.0,,1005.8176,15759.0,55
LOCAL,33924,PR LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART,3711.0,,205.0956,3154.35,55
LOCAL,33925,PR RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS,15806.0,,1237.9612,15504.62,55
LOCAL,33926,PR RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS,22503.0,,1739.398,22075.16,55
LOCAL,33935,PR HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC,42293.0,,3541.2548,35949.05,50
LOCAL,33945,PR HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY,33400.0,,3172.32,28390.0,50
LOCAL,33946,PR ECMO/ECLS INITIATION VENO-VENOUS,3235.0,,222.5572,2911.5,55
LOCAL,33947,PR ECMO/ECLS INITIATION VENO-ARTERIAL,3412.0,,246.1644,3070.8,55
LOCAL,33948,PR ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS,2353.0,,171.1568,2117.7,55
LOCAL,33949,PR ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL,2288.0,,165.9956,2059.2,55
LOCAL,33951,PR ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ,4394.0,,318.8996,3954.6,51
LOCAL,33952,PR ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ,4051.0,,306.912,3645.9,55
LOCAL,33953,PR ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN,4913.0,,355.5708,4421.7,51
LOCAL,33954,PR ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN,4913.0,,341.3384,4421.7,55
LOCAL,33955,PR ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS,8623.0,,622.0488,7760.7,51
LOCAL,33956,PR ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER,8623.0,,600.0424,7760.7,55
LOCAL,33957,PR ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS,1894.0,,138.6624,1704.6,51
LOCAL,33958,PR ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER,1894.0,,132.0568,1704.6,55
LOCAL,33959,PR ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS,2412.0,,175.5912,2170.8,51
LOCAL,33962,PR ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER,2412.0,,167.2284,2170.8,55
LOCAL,33963,PR ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS,4852.0,,351.1732,4366.8,51
LOCAL,33964,PR ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER,5121.0,,353.142,4608.9,55
LOCAL,33965,PR ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS,1894.0,,138.6624,1704.6,51
LOCAL,33966,PR ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER,2428.0,,169.4364,2185.2,55
LOCAL,33967,PR INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ,2253.0,,185.1776,1915.05,55
LOCAL,33968,PR REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ,308.0,,24.3432,261.8,55
LOCAL,33969,PR ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS,2815.0,,205.022,2533.5,51
LOCAL,33970,PR INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN,4277.0,,254.2788,4437.1,55
LOCAL,33971,PR RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF,7728.0,,485.17,6568.8,55
LOCAL,33973,PR INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA,6851.0,,359.7844,5823.35,55
LOCAL,33974,PR RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA,7210.0,,635.53,6128.5,55
LOCAL,33975,PR INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE,13597.0,,931.546,11557.45,55
LOCAL,33976,PR INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR,16326.0,,1133.9368,13877.1,55
LOCAL,33977,PR REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE,11950.0,,806.6192,10157.5,55
LOCAL,33978,PR REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR,14318.0,,954.1688,12170.3,55
LOCAL,33979,PR INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC,16860.0,,1395.3548,14331.0,55
LOCAL,33980,PR RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC,16056.0,,1278.5424,13647.6,55
LOCAL,33984,PR ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER,2945.0,,203.872,2650.5,55
LOCAL,33985,PR ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS,5332.0,,386.2988,4798.8,51
LOCAL,33986,PR ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER,5391.0,,376.0132,4851.9,55
LOCAL,33987,PR ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS,2179.0,,148.7824,1961.1,55
LOCAL,33988,PR INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS,8086.0,,555.7812,7277.4,55
LOCAL,33989,PR RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS,5121.0,,353.142,4608.9,55
LOCAL,33990,PR INSJ PERQ VAD W/RS&I L HRT ARTERIAL ACCESS ONLY,3633.0,,259.2008,3269.7,53
LOCAL,33991,PR INSJ PERQ VAD W/RS&I L HRT ARTERIAL&VEN ACCESS,5978.0,,326.3332,5380.2,55
LOCAL,33992,PR REMOVAL PERQ LEFT HRT VAD ARTL/ARTL&VEN SEP INSJ,1932.0,,134.5224,1738.8,53
LOCAL,33993,PR REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ,1719.0,,119.2688,1547.1,55
LOCAL,34001,PR EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART,4369.0,,656.8524,4495.5,55
LOCAL,34051,PR EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY,4831.0,,718.336,4974.57,55
LOCAL,34101,PR EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART,3875.0,,430.1184,3855.0,55
LOCAL,34111,PR EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC,7245.0,,431.5904,7461.01,55
LOCAL,34151,PR EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART,7863.0,,973.51,7708.27,55
LOCAL,34201,PR EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART,6195.0,,624.76,6423.86,55
LOCAL,34203,PR EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC,6612.0,,680.9564,5781.64,55
LOCAL,34401,PR THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC,8348.0,,690.31,7095.8,55
LOCAL,34421,PR THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC,4390.0,,499.2196,4366.71,55
LOCAL,34451,PR THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL&LEG,8336.0,,851.92,7388.9,55
LOCAL,34471,PR THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC,4369.0,,431.74,4495.5,55
LOCAL,34490,PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN,5256.0,,469.9544,4495.5,55
LOCAL,34501,PR VALVULOPLASTY FEMORAL VEIN,4057.0,,587.86,4176.1,55
LOCAL,34502,PR RECONSTRUCTION VENA CAVA ANY METHOD,11795.0,,1107.1372,11176.91,55
LOCAL,34510,PR VENOUS VALVE TRANSPOSITION ANY VEIN DONOR,4928.0,,711.89,5075.89,55
LOCAL,34520,PR CROSS-OVER VEIN GRAFT VENOUS SYSTEM,5178.0,,711.206,5331.75,55
LOCAL,34530,PR SAPHENOPOPLITEAL VEIN ANASTOMOSIS,4991.0,,676.7704,5139.43,55
LOCAL,34701,PR EVASC RPR DPLMNT AORTO-AORTIC NDGFT,13141.0,,887.2848,11826.9,55
LOCAL,34702,PR EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT,20252.0,,1323.788,18226.8,55
LOCAL,34703,PR EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT,13761.0,,986.6356,12384.9,55
LOCAL,34704,PR EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT,25313.0,,1641.5192,22781.7,55
LOCAL,34705,PR EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT,15885.0,,1094.3492,14296.5,55
LOCAL,34706,PR EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT,24281.0,,1630.4516,21852.9,55
LOCAL,34707,PR EVASC RPR DPLMNT ILIO-ILIAC NDGFT,12973.0,,836.6204,11675.7,55
LOCAL,34708,PR EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT,21251.0,,1302.1496,19125.9,55
LOCAL,34709,PR PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR,3492.0,,230.92,3142.8,55
LOCAL,34710,PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL,8097.0,,570.2896,7287.3,55
LOCAL,34711,PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL,3239.0,,210.5052,2915.1,55
LOCAL,34712,PR TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I,6988.0,,471.4264,6289.2,55
LOCAL,34713,PR PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT,1345.0,,88.2832,1210.5,55
LOCAL,34714,PR OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH,2726.0,,193.0436,2453.4,55
LOCAL,34715,PR OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI,3377.0,,214.4428,3039.3,55
LOCAL,34716,PR OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ,3864.0,,266.8276,3477.6,55
LOCAL,34717,PR EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,4923.0,,316.7468,4430.7,55
LOCAL,34718,PR EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,13681.0,,885.0676,12312.9,55
LOCAL,34808,PR EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE,2327.0,,144.8448,2312.99,55
LOCAL,34812,PR OPN FEM ART EXPOS DLVR EVASC PROSTH UNI,2658.0,,147.3104,2764.61,55
LOCAL,34813,PR PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR,2248.0,,168.7004,2312.99,55
LOCAL,34820,PR OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI,3870.0,,240.7548,3983.78,55
LOCAL,34830,PR OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH,10292.0,,1263.5372,10599.96,55
LOCAL,34831,PR OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH,11538.0,,1381.5824,11882.66,55
LOCAL,34832,PR OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH,11538.0,,1357.9752,11882.66,55
LOCAL,34833,PR OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP,4208.0,,280.6,3787.2,55
LOCAL,34834,PR OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI,2080.0,,92.7084,1872.0,55
LOCAL,35000001,HC BANNER IMAGE PROCESSING,26.0,,7.28,1881.0,83
LOCAL,35000003,HC CTA CHEST(NONCOR)W&WO CNT,4164.0,,175.06,3581.04,85
LOCAL,35000004,HC CT C-SPINE W&W/O CON,4087.0,,175.06,3514.82,85
LOCAL,35000005,HC CT ANGIO PELVIS W&WO CON,4082.0,,175.06,3510.52,85
LOCAL,35000006,HC CT ANGIO AB&PLVS W&WO CON,7103.0,,366.42,6108.58,85
LOCAL,35000007,HC CT ANGIO ABD W&WO CON,4503.0,,175.06,3872.58,85
LOCAL,35000008,HC CT HRT WO CON W/QT CA TST,1004.0,,86.58,1881.0,85
LOCAL,35000009,HC CT HT W/CN 3DPP ST/MORPHL,3332.0,,175.06,2865.52,85
LOCAL,35000010,HC CTA HRT W/EVL CRDSTRMRP3D,3885.0,,175.06,3341.1,85
LOCAL,35000011,HC CT LIMITED STUDY,1060.0,,86.58,1881.0,85
LOCAL,35000013,HC CT GUID FOR NDLE PLC RS&I,2481.0,,237.74,2133.66,84
LOCAL,35000014,HC CT GUIDE&MON VIS TISS ABL,2177.0,,609.56,1881.0,84
LOCAL,35000022,HC CT:3D LOCAL STEREOTACTIC,2443.0,,376.25,2100.98,84
LOCAL,35000024,HC INTRAOP CT LOCAL STEREOTACTIC GUIDANCE,2443.0,,376.25,2100.98,84
LOCAL,35000026,HC COMPUTED TOMOGRAPHY THORAX LW DOSE LUNG CA SCR W/O CONTRAST,1470.0,,104.75,1881.0,84
LOCAL,35001,PR DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY,8152.0,,809.0756,8393.42,55
LOCAL,35002,PR DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY,8420.0,,816.9508,8671.6,55
LOCAL,35005,PR DIR RPR ANEURYSM VERTEBRAL ARTERY,8420.0,,715.6312,8671.6,55
LOCAL,35011,PR DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION,6424.0,,727.1864,6681.43,55
LOCAL,35013,PR DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS,6811.0,,913.8452,7066.06,55
LOCAL,35021,PR DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY,8751.0,,909.6592,8704.22,55
LOCAL,35022,PR DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN,7798.0,,1039.508,8029.39,55
LOCAL,35045,PR DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY,5875.0,,699.154,6047.79,55
LOCAL,35081,PR DIR RPR ANEURYSM ABDOMINAL AORTA,10267.0,,1241.6504,10277.14,55
LOCAL,35082,PR DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA,13927.0,,1551.5156,11837.95,55
LOCAL,35091,PR DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS,11476.0,,1276.5736,11819.13,55
LOCAL,35092,PR DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS,12476.0,,1852.7696,12847.7,55
LOCAL,35100001,HC CT HEAD OR BRAIN W/O,2422.0,,104.75,2082.92,85
LOCAL,35100002,HC CT HEAD OR BRAIN WITH,3406.0,,152.36,2929.16,85
LOCAL,35100003,HC CT HEAD OR BRAIN W/O&W,3599.0,,175.06,3095.14,85
LOCAL,35100004,HC CT ORB SEL POST W/0,3084.0,,104.75,2652.24,85
LOCAL,35100005,HC CT ORB SEL POST WITH,3413.0,,175.06,2935.18,85
LOCAL,35100006,HC CT ORB SEL POS W/O&W,3753.0,,175.06,3227.58,85
LOCAL,35100007,HC CT MAXILLOFAC W/CON,3702.0,,156.38,3183.72,85
LOCAL,35100008,HC CT MAXILLOFAC W&W/O,4072.0,,175.06,3501.92,85
LOCAL,35100009,HC CT SOFT TIS NCK W/O CONTR,3142.0,,104.75,2702.12,85
LOCAL,35100010,HC CT SOFT TIS NCK W/ CONTR,3701.0,,175.06,3182.86,85
LOCAL,35100011,HC CT SFT TIS NCK W&WO CONTR,3935.0,,175.06,3384.1,85
LOCAL,35100012,HC CTA HEAD W&W/O CONTRAST,4240.0,,175.06,3646.4,85
LOCAL,35100013,HC CTA NECK W&W/O CONTRAST,4095.0,,175.06,3521.7,85
LOCAL,35100014,HC CT PERFUSION W/CONT CBF,3565.0,,998.2,3065.9,83
LOCAL,35100015,HC CT MAXILLOFAC W/O,3045.0,,104.75,2618.7,85
LOCAL,35100016,HC CTA H&N C+ W/NONCONTRAST IMG,5485.0,,409.8945,4717.1,84
LOCAL,35100017,HC CT CERE PRFU ALYS C+W/CT/CTA,398.0,,111.44,1881.0,83
LOCAL,35102,PR DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS,10263.0,,1345.6748,10569.05,55
LOCAL,35103,PR DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS,10292.0,,1593.3204,10599.96,55
LOCAL,35111,PR DIR RPR ANEURYSM SPLENIC ARTERY,6762.0,,953.6812,6963.04,55
LOCAL,35112,PR DIR RPR RUPTD ANEURYSM SPLENIC ARTERY,7174.0,,972.02,7388.9,55
LOCAL,35121,PR DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC,8694.0,,1133.2008,8953.2,55
LOCAL,35122,PR DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN,8420.0,,1354.5344,8671.6,55
LOCAL,35131,PR DIR RPR ANEURYSM & GRAFT ILIAC ARTERY,8420.0,,989.3404,8671.6,55
LOCAL,35132,PR DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY,8734.0,,1171.8132,8992.7,55
LOCAL,35141,PR DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY,7676.0,,785.22,7388.9,55
LOCAL,35142,PR DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART,7174.0,,948.2716,7388.9,55
LOCAL,35151,PR DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY,8407.0,,889.4928,7388.9,55
LOCAL,35152,PR DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY,7174.0,,864.92,7388.9,55
LOCAL,35180,PR REPAIR CONGENITAL AV FISTULA HEAD & NECK,7486.0,,564.144,7708.27,55
LOCAL,35182,PR REPAIR CONGENITAL AV FISTULA THORAX & ABDOMEN,6864.0,,923.49,7066.06,55
LOCAL,35184,PR REPAIR CONGENITAL AV FISTULA EXTREMITIES,7486.0,,692.76,7708.27,55
LOCAL,35188,PR RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD & NECK,7245.0,,741.9,7461.01,55
LOCAL,35189,PR RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX&ABDOMEN,6864.0,,991.6,7066.06,55
LOCAL,35190,PR RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES,7245.0,,551.1076,7461.01,55
LOCAL,35200001,HC CT THORAX DIAGNOSTIC W/O CONTRAST,3125.0,,104.75,2687.5,85
LOCAL,35200002,HC CT THORAX DIAGNOSTIC W/CONTRAST,3704.0,,171.74,3185.44,85
LOCAL,35200003,HC CT THORAX DIAGNOSTIC W&W/O CONTRAST,4371.0,,175.06,3759.06,85
LOCAL,35200004,HC CT C-SPINE W/O CONTR,3407.0,,104.75,2930.02,85
LOCAL,35200005,HC CT C-SPINE W/CONTRAST,3749.0,,173.41,3224.14,85
LOCAL,35200006,HC CT T-SPINE W/O,3408.0,,104.75,2930.88,85
LOCAL,35200007,HC CT T-SPINE W/CON,3885.0,,174.75,3341.1,85
LOCAL,35200008,HC CT T-SPINE W&W/O,4087.0,,175.06,3514.82,85
LOCAL,35200009,HC CT L-SPINE W/O,3408.0,,104.75,2930.88,85
LOCAL,35200010,HC CT L-SPINE W/CON,3885.0,,173.75,3341.1,85
LOCAL,35200011,HC CT L-SPINE W&W/O,4498.0,,175.06,3868.28,85
LOCAL,35200012,HC CT PELVIS W/O CONTRAST,3035.0,,104.75,2610.1,85
LOCAL,35200013,HC CT PELVIS W/CONTRAST,3606.0,,175.06,3101.16,85
LOCAL,35200014,HC CT PELVIS W&W/O CONT,3725.0,,175.06,3203.5,85
LOCAL,35200015,HC CT SCAN EXTREM W/O,2843.0,,104.75,2444.98,85
LOCAL,35200016,HC CT EXTREMITY W/CONTRAST,3123.0,,206.49,2685.78,85
LOCAL,35200017,HC CT SCAN EXT W&WO,3277.0,,175.06,2818.22,85
LOCAL,35200018,HC CTA UPR EXTREMITY W&W/O,2970.0,,175.06,2554.2,85
LOCAL,35200019,HC CT LOWER EXT W/O,2754.0,,104.75,2368.44,85
LOCAL,35200020,HC CT LOWER EXT W/CON,3173.0,,171.41,2728.78,85
LOCAL,35200021,HC CT LOWER EXT W&W/O,3315.0,,175.06,2850.9,85
LOCAL,35200022,HC CTA LOWER EXTRMITY W&W/O,3447.0,,175.06,2964.42,85
LOCAL,35200023,HC CT ABDOMEN W/O CONTRAST,2857.0,,104.75,2457.02,85
LOCAL,35200024,HC CT ABDOMEN  W/CONTRAST,3884.0,,175.06,3340.24,85
LOCAL,35200025,HC CT ABDOMEN W&W/O CNTRAST,4628.0,,175.06,3980.08,85
LOCAL,35200026,HC CT ABD & PELVIS W/O CNTRST,5606.0,,188.11,4821.16,85
LOCAL,35200027,HC CT ABD & PELVIS W/CONTRST,6866.0,,312.08,5904.76,85
LOCAL,35200028,HC CT ABD &PELVIS WO&WCNTRST,7944.0,,350.18,6831.84,85
LOCAL,35200029,HC CT COLONOGRAPHYDIAG WOCON,2488.0,,104.75,2139.68,85
LOCAL,35200030,HC CT COLONOGRAPHYDIAG W/CON,2483.0,,175.06,2135.38,85
LOCAL,35200032,HC CT COLONOGRAPHY SCREENING,2578.0,,280.3355,2217.08,85
LOCAL,35200033,HC CTA ABDOMNAL AORTA W&W/O,4643.0,,175.06,3992.98,85
LOCAL,35200034,HC INTRAOP CT C-SPINE W/O CONTRAST,3407.0,,104.75,2930.02,85
LOCAL,35200035,HC INTRAOP CT T-SPINE W/O CONTRAST,3408.0,,104.75,2930.88,85
LOCAL,35200036,HC INTRAOP CT L-SPINE W/O CONTRAST,3408.0,,104.75,2930.88,85
LOCAL,35200037,HC INTRAOP CT PELVIS W/O CONTRAST,3035.0,,104.75,2610.1,85
LOCAL,35201,PR REPAIR BLOOD VESSEL DIRECT NECK,8371.0,,674.8016,7708.27,55
LOCAL,35206,PR REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY,6267.0,,568.3208,6231.53,55
LOCAL,35207,PR REPAIR BLOOD VESSEL DIRECT HAND FINGER,11821.0,,558.486,10047.85,55
LOCAL,35211,PR RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS,10292.0,,1002.616,10599.96,55
LOCAL,35216,PR RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS,12654.0,,974.78,10755.9,55
LOCAL,35221,PR REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL,9126.0,,924.94,8992.7,55
LOCAL,35226,PR REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY,5685.0,,599.3064,5912.14,55
LOCAL,35231,PR REPAIR BLOOD VESSEL W/VEIN GRAFT NECK,8813.0,,893.59,8348.77,55
LOCAL,35236,PR REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY,8028.0,,718.5844,8348.77,55
LOCAL,35241,PR RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP,11538.0,,1035.5704,11882.66,55
LOCAL,35246,PR RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP,8715.0,,1126.0708,8671.6,55
LOCAL,35251,PR REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL,9287.0,,894.92,8671.6,55
LOCAL,35256,PR REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY,8392.0,,734.3164,8348.77,55
LOCAL,35261,PR REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK,10261.0,,703.8276,8721.85,55
LOCAL,35266,PR RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY,8049.0,,620.2088,8348.77,55
LOCAL,35271,PR RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP,11538.0,,1000.408,11882.66,55
LOCAL,35276,PR RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP,8715.0,,988.1,8671.6,55
LOCAL,35281,PR RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL,9153.0,,1167.8756,8671.6,55
LOCAL,35286,PR RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY,8028.0,,668.9044,8348.77,55
LOCAL,35301,PR TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC,8125.0,,811.7804,8082.61,55
LOCAL,35302,PR TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY,10762.0,,803.666,11192.13,55
LOCAL,35303,PR TEAEC W/GRAFT POPLITEAL ARTERY,12619.0,,888.2692,12376.95,55
LOCAL,35304,PR TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY,13156.0,,912.364,12903.14,55
LOCAL,35305,PR TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL,12619.0,,877.9376,12376.95,55
LOCAL,35306,PR TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART,4965.0,,318.9548,4868.12,55
LOCAL,35311,PR TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC,8107.0,,1119.4284,8348.77,55
LOCAL,35321,PR TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL,7772.0,,644.3128,8082.61,55
LOCAL,35331,PR TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA,9362.0,,1049.0944,9313.81,55
LOCAL,35341,PR TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL,8758.0,,992.5328,7708.27,55
LOCAL,35351,PR TEAEC W/WO PATCH GRAFT ILIAC,8445.0,,921.7112,7708.27,55
LOCAL,35355,PR TEAEC W/WO PATCH GRAFT ILIOFEMORAL,7772.0,,738.0056,8082.61,55
LOCAL,35361,PR TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC,9045.0,,1091.6444,9313.81,55
LOCAL,35363,PR TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL,11347.0,,1163.6988,10277.14,55
LOCAL,35371,PR TEAEC W/WO PATCH GRAFT COMMON FEMORAL,6248.0,,585.534,6216.07,55
LOCAL,35372,PR TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL,6177.0,,700.626,6423.86,55
LOCAL,35390,PR ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO,1382.0,,113.6108,1361.7,55
LOCAL,35400,PR ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ,1267.0,,105.4964,1313.61,55
LOCAL,35500,PR HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX,3466.0,,227.2308,3604.29,55
LOCAL,35501,PR BYPASS W/VEIN COMMON-IPSILATERAL CAROTID,8573.0,,1045.902,8827.87,55
LOCAL,35506,PR BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID,8573.0,,913.3484,8827.87,55
LOCAL,35508,PR BYPASS W/VEIN CAROTID-VERTEBRAL,9644.0,,952.9452,9931.98,55
LOCAL,35509,PR BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID,8573.0,,1011.7148,8827.87,55
LOCAL,35510,PR BYPASS W/VEIN CAROTID-BRACHIAL,9921.0,,881.6268,9731.33,55
LOCAL,35511,PR BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN,8573.0,,803.1784,8827.87,55
LOCAL,35512,PR BYPASS W/VEIN SUBCLAVIAN-BRACHIAL,9921.0,,863.9168,9731.33,55
LOCAL,35515,PR BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL,9644.0,,952.9452,9931.98,55
LOCAL,35516,PR BYPASS W/VEIN SUBCLAVIAN-AXILLARY,8573.0,,874.736,8827.87,55
LOCAL,35518,PR BYPASS W/VEIN AXILLARY-AXILLARY,9999.0,,819.1588,10299.46,55
LOCAL,35521,PR BYPASS W/VEIN AXILLARY-FEMORAL,8573.0,,881.13,8827.87,55
LOCAL,35522,PR BYPASS W/VEIN AXILLARY-BRACHIAL,9630.0,,838.5892,8981.91,55
LOCAL,35523,PR BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL,12861.0,,909.4108,12614.91,55
LOCAL,35525,PR BYPASS W/VEIN BRACHIAL-BRACHIAL,9158.0,,813.2616,8981.91,55
LOCAL,35526,PR BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE,9501.0,,1098.46,9784.32,55
LOCAL,35531,PR BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC,9857.0,,1397.3236,10151.78,55
LOCAL,35533,PR BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL,12501.0,,1080.5768,12875.18,55
LOCAL,35535,PR BYPASS W/VEIN HEPATORENAL,20359.0,,1363.6332,18323.1,55
LOCAL,35536,PR BYPASS W/VEIN SPLENORENAL,9501.0,,1211.8976,9784.32,55
LOCAL,35537,PR BYPASS W/VEIN AORTOILIAC,22394.0,,1492.7368,21968.45,55
LOCAL,35538,PR BYPASS W/VEIN AORTOBI-ILIAC,25114.0,,1673.0016,24636.17,55
LOCAL,35539,PR BYPASS W/VEIN AORTOFEMORAL,23591.0,,1569.7132,23142.25,55
LOCAL,35540,PR BYPASS W/VEIN AORTOBIFEMORAL,26390.0,,1749.7296,25888.46,55
LOCAL,35556,PR BYPASS W/VEIN FEMORAL-POPLITEAL,9197.0,,999.9112,9564.51,55
LOCAL,35558,PR BYPASS W/VEIN FEMORAL-FEMORAL,8573.0,,885.316,8827.87,55
LOCAL,35560,PR BYPASS W/VEIN AORTORENAL,10715.0,,1221.7324,11034.4,55
LOCAL,35563,PR BYPASS W/VEIN ILIOILIAC,8930.0,,778.48,9197.05,55
LOCAL,35565,PR BYPASS W/VEIN ILIOFEMORAL,8930.0,,939.6604,9197.05,55
LOCAL,35566,PR BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL,10636.0,,1191.9796,11034.4,55
LOCAL,35570,PR BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL,15539.0,,1056.2244,13985.1,55
LOCAL,35571,PR BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL,10636.0,,949.4952,11034.4,55
LOCAL,35572,PR HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX,3598.0,,245.6768,3238.2,55
LOCAL,35583,PR IN-SITU VEIN BYPASS FEMORAL-POPLITEAL,9692.0,,1035.322,10079.66,55
LOCAL,35585,PR IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART,11744.0,,1196.8924,11549.54,55
LOCAL,35587,PR IN-SITU VEIN BYP POP-TIBL PRONEAL,8930.0,,979.0088,9197.05,55
LOCAL,35600,PR OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB,3821.0,,133.2896,3973.47,55
LOCAL,35601,PR BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD,8504.0,,1006.5536,8462.11,55
LOCAL,35606,PR BPG OTH/THN VEIN CAROTID-SUBCLAVIAN,8216.0,,842.2784,8462.11,55
LOCAL,35612,PR BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN,8216.0,,750.5452,8462.11,55
LOCAL,35616,PR BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY,8216.0,,790.142,8462.11,55
LOCAL,35621,PR BPG OTH/THN VEIN AXILLARY-FEMORAL,8874.0,,787.6856,8827.87,55
LOCAL,35623,PR BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL,11144.0,,821.52,11477.41,55
LOCAL,35626,PR BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID,10435.0,,1144.756,9049.37,55
LOCAL,35631,PR BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL,12921.0,,1325.2692,10982.85,55
LOCAL,35632,PR BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC,19289.0,,1294.2836,17360.1,55
LOCAL,35633,PR BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC,20886.0,,1421.1792,18797.4,55
LOCAL,35634,PR BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL,18860.0,,1266.9872,16974.0,55
LOCAL,35636,PR BPG OTH/THN VEIN SPLENORENAL,8788.0,,1143.7808,9049.37,55
LOCAL,35637,PR BPG OTH/THN VEIN AORTOILIAC,17659.0,,1188.778,17322.34,55
LOCAL,35638,PR BPG OTH/THN VEIN AORTOBI-ILIAC,17954.0,,1244.6036,17611.81,55
LOCAL,35642,PR BPG OTH/THN VEIN CAROTID-VERTEBRAL,8930.0,,709.9732,9197.05,55
LOCAL,35645,PR BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL,8930.0,,680.2204,9197.05,55
LOCAL,35646,PR BPG OTH/THN VEIN AORTOBIFEMORAL,12341.0,,1223.2136,12803.06,55
LOCAL,35647,PR BPG OTH/THN VEIN AORTOFEMORAL,10571.0,,1113.0344,10519.25,55
LOCAL,35650,PR BPG OTH/THN VEIN AXILLARY-AXILLARY,8930.0,,733.0928,9197.05,55
LOCAL,35654,PR BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL,11330.0,,978.0244,9630.5,55
LOCAL,35656,PR BPG OTH/THN VEIN FEMORAL-POPLITEAL,8930.0,,771.2084,9197.05,55
LOCAL,35661,PR BPG OTH/THN VEIN FEMORAL-FEMORAL,8488.0,,778.09,8827.87,55
LOCAL,35663,PR BPG OTH/THN VEIN ILIOILIAC,9390.0,,874.0,9343.01,55
LOCAL,35665,PR BPG OTH/THN VEIN ILIOFEMORAL,7840.0,,842.03,6664.0,55
LOCAL,35666,PR BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART,8887.0,,925.888,9197.05,55
LOCAL,35671,PR BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART,10715.0,,815.9664,11034.4,55
LOCAL,35681,PR BYPASS COMPOSITE GRAFT PROSTHETIC & VEIN,1559.0,,57.0492,1620.98,55
LOCAL,35682,PR BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS,3314.0,,251.8224,3410.26,55
LOCAL,35683,PR BYP AUTOG COMPOSIT 3/> SEG FROM 2/> LOCATION,3805.0,,292.6428,3915.1,55
LOCAL,35685,PR PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT,2146.0,,141.6524,2208.26,55
LOCAL,35686,PR CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO,2493.0,,114.8436,2280.38,55
LOCAL,35691,PR TRPOS&/RIMPLTJ VERTEBRAL CAROTID ART,8573.0,,679.7236,8827.87,55
LOCAL,35693,PR TRPOS&/RIMPLTJ VERTEBRAL SUBCLAVIAN ART,8573.0,,600.7876,8827.87,55
LOCAL,35694,PR TRPOS&/RIMPLTJ SUBCLAVIAN CAROTID ART,8573.0,,709.4764,8827.87,55
LOCAL,35695,PR TRPOS&/RIMPLTJ CAROTID SUBCLAVIAN ART,8573.0,,736.5336,8827.87,55
LOCAL,35697,PR RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART,4330.0,,105.0088,4491.57,55
LOCAL,35700,PR ROPRTJ > 1 MO AFTER ORIGINAL OPRATION,1636.0,,108.4496,1701.7,55
LOCAL,35701,PR EXPLORATION N/FLWD SURG NECK ARTERY,4157.0,,321.172,4193.28,55
LOCAL,35702,PR EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY,3923.0,,298.0524,3530.7,55
LOCAL,35703,PR EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY,3972.0,,301.0056,3574.8,55
LOCAL,35800,PR EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK,4070.0,,413.64,4047.31,55
LOCAL,35820,PR EXPL PO HEMRRG THROMBOSIS/INFCTJ CH,11140.0,,687.97,9469.0,55
LOCAL,35840,PR EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD,4646.0,,575.96,4783.98,55
LOCAL,35860,PR EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR,3920.0,,395.34,3897.92,55
LOCAL,35870,PR RPR GRF-ENTERIC FSTL,12857.0,,895.8868,13242.65,55
LOCAL,35875,PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL,4493.0,,426.1808,4672.37,55
LOCAL,35876,PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF,6804.0,,676.7704,5783.4,55
LOCAL,35879,PR REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP,10715.0,,662.262,11034.4,55
LOCAL,35881,PR REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS,11144.0,,735.0524,11477.41,55
LOCAL,35883,PR REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF,12378.0,,859.2432,12140.24,53
LOCAL,35884,PR REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF,13181.0,,888.5084,12928.89,55
LOCAL,35901,PR EXCISION INFECTED NECK GRAFT,4438.0,,343.3072,4413.07,55
LOCAL,35903,PR EXCISION INFECTED GRAFT EXTREMITY,4365.0,,407.9832,4413.07,55
LOCAL,35905,PR EXCISION INFECTED GRAFT THORAX,9520.0,,821.12,8092.0,55
LOCAL,35907,PR EXCISION INFECTED GRAFT ABDOMEN,14258.0,,851.77,12119.3,55
LOCAL,36000,PR INTRODUCTION NEEDLE/INTRACATHETER VEIN,251.0,,6.6424,261.0,48
LOCAL,36000177,HC OR 1 HR,7733.0,,2165.24,6650.38,83
LOCAL,36000178,HC OR EACH � HR 1.5 � 8,2477.0,,693.56,2130.22,83
LOCAL,36000179,HC OR EACH � HR 8.5 � 24,1456.0,,407.68,1252.16,83
LOCAL,36000180,HC ROBOTIC PROCEDURE,11913.0,,3335.64,10245.18,83
LOCAL,36000181,HC BRAIN SUITE,35626.0,,9975.28,30638.36,83
LOCAL,36000182,HC BIPLANE SUITE,13757.0,,3851.96,11831.02,83
LOCAL,36000183,HC IOCT SUITE,33077.0,,9261.56,28446.22,83
LOCAL,36000184,HC 2 PANEL PROCEDURE,1865.0,,522.2,1603.9,83
LOCAL,36000185,HC 3 PANEL PROCEDURE,3719.0,,1041.32,3198.34,83
LOCAL,36000186,HC 4 PANEL PROCEDURE,5574.0,,1560.72,4793.64,83
LOCAL,36000187,HC 5 + PANEL PROCEDURE,7427.0,,2079.56,6387.22,83
LOCAL,36000188,HC ENDO ROBOTIC PROCEDURE,15767.0,,4414.76,13559.62,83
LOCAL,36000189,HC IR PANEL PROCEDURE,1673.0,,468.44,1438.78,83
LOCAL,36000190,HC HISTOSONICS PROCEDURE,37114.0,,10391.92,31918.04,83
LOCAL,36002,PR INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM,1087.0,,75.256,923.95,53
LOCAL,36005,PR NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,743.0,,34.6748,1294.24,53
LOCAL,36010,PR INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA,1323.0,,77.7124,1313.61,55
LOCAL,36011,PR SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,1762.0,,112.1388,1497.7,55
LOCAL,36012,PR SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,1890.0,,123.9424,1751.49,55
LOCAL,36013,PR INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,1405.0,,89.7644,1461.3,55
LOCAL,36014,PR SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,1684.0,,108.698,1751.49,55
LOCAL,36015,PR SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART,1965.0,,122.4704,2043.4,55
LOCAL,36100,PR INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY,1674.0,,110.6668,1605.54,55
LOCAL,36100001,HC REM TIS W/O INS PROSTHSIS,6931.0,,815.2,5960.66,85
LOCAL,36100002,HC BIOPSY BREAST OPEN INCIS,5734.0,,458.88,4931.24,85
LOCAL,36100003,HC MASTOPEXY,8558.0,,1608.09,7801.5885,85
LOCAL,36100004,HC REMOVAL MAMMARY IMPLANT,9174.0,,963.66,7889.64,85
LOCAL,36100005,HC EXPLR PENTRAT WND NECK SP,2123.0,,594.44,1825.78,85
LOCAL,36100006,HC EXPLR PENTRAT WND CHST SP,5976.0,,431.47,5139.36,85
LOCAL,36100007,HC WOUND EXPL ABD/FLANK/BACK,5995.0,,526.86,5155.7,85
LOCAL,36100008,HC EXPLR PNTRT WND EXTRMTYSP,3519.0,,257.6,3026.34,85
LOCAL,36100009,HC EXSN TISS TUM NECK/THOR,6181.0,,486.45,5315.66,85
LOCAL,36100010,HC REMOVAL OF FOREIGN BODY,314.0,,87.92,1940.4755,85
LOCAL,36100011,HC REMOVAL FOREIGN BODY DEEP,948.0,,265.44,3412.7745,85
LOCAL,36100012,HC REMOV FOREIGN BODY&FT SQ,2239.0,,138.98,1925.54,85
LOCAL,36100013,HC BRONCH W/PLACE FIDUC MRK,4574.0,,388.64,8291.868,85
LOCAL,36100014,HC BRONCH W/IMAGE GUIDE NAV,3267.0,,189.3,2809.62,84
LOCAL,36100015,HC BRONCH REMOV EA ADD LOBE,3053.0,,130.02,2625.58,85
LOCAL,36100016,HC BRONCH INSERT EA ADD LOBE,3466.0,,148.63,2980.76,84
LOCAL,36100017,HC CATH ASPIRA NASOTRACHEAL,320.0,,89.6,275.2,85
LOCAL,36100019,HC REMOV/REPL PULSE MULTLEAD,32396.0,,750.74,27860.56,85
LOCAL,36100020,HC PLMNT BRONCHIAL INIT LOBE,7769.0,,401.59,8291.868,85
LOCAL,36100021,HC BRONCH REMOV INIT LOBE,6565.0,,387.87,5645.9,85
LOCAL,36100022,HC SM INTES ENDO W/O ILEUM,6969.0,,526.72,7132.7485,85
LOCAL,36100024,HC IMP NEUROSTM SACRAL NRV,17239.0,,609.19,14825.54,85
LOCAL,36100025,HC CLBDY DSTRW/CYCLOPHOTCOAG,1629.0,,456.12,2793.327,85
LOCAL,36100026,HC IRIDOTOMY/ECTMY LASR1+SSN,1398.0,,153.38,1202.28,85
LOCAL,36100027,HC DISCIS 2' CATARACT LSRSRG,1370.0,,208.33,1178.2,85
LOCAL,36100028,HC INTRAVITRL INJ PHARM AGNT,880.0,,48.45,756.8,85
LOCAL,36100029,HC BONE RFA PERC W/CT GUIDNC,8107.0,,733.04,20600.6285,85
LOCAL,36100030,HC REMOVE & REPLACE INDWELL URETERAL STENT TRANSURETHRAL,6304.0,,423.64,5421.44,85
LOCAL,36100031,HC CHANGE G-TUBE TO G-J PERC,3880.0,,286.33,3336.8,85
LOCAL,36100032,HC CONTRAST INJ EXISTING CVC,617.0,,69.62,530.62,85
LOCAL,36100034,HC FEM/POP REVSC UNI INI VSL,14715.0,,895.2,12654.9,84
LOCAL,36100035,HC FIX G/COLON TUBE W/DEVICE,1433.0,,100.45,1232.38,85
LOCAL,36100036,HC FLUORO EXAM G/COLON TUBE,563.0,,59.57,484.18,85
LOCAL,36100037,HC FM/POP RVSC UNI VSL WATHR,21693.0,,1200.83,18655.98,84
LOCAL,36100038,HC FM/POP RVSC UNI VSL WSTNT,31237.0,,1044.21,26863.82,84
LOCAL,36100039,HC FM/POP RVSCUNI WSTNT&ATHR,54097.0,,1437.66,46523.42,84
LOCAL,36100040,HC IABP INSERT BALLOON PUMP,5250.0,,522.08,4515.0,84
LOCAL,36100041,HC ILIAC REVASC UNI ADD VESL,14962.0,,371.8,12867.32,84
LOCAL,36100042,HC ILIAC REVASC UNI INIT VSL,14715.0,,803.98,12654.9,84
LOCAL,36100043,HC ILIAC REVSC UNI ADD WSTNT,14715.0,,427.07,12654.9,84
LOCAL,36100044,HC ILIAC REVSC UNI INIW/STNT,14962.0,,992.22,12867.32,84
LOCAL,36100045,HC INSERTION IVC FILTR RS&I,11980.0,,434.87,10302.8,85
LOCAL,36100046,HC INSERTION OF TIPS,21923.0,,1586.39,21537.9935,85
LOCAL,36100047,HC INT URETERAL STENT REMOVL,5316.0,,444.22,4571.76,85
LOCAL,36100048,HC IP CATH PLCMNT INC IMAGNG,8448.0,,392.42,7265.28,85
LOCAL,36100049,HC MCH VEN THROMBECT W/FLUOR,10708.0,,2998.24,9208.88,83
LOCAL,36100050,HC NASOGASTRIC TUBE PLACMNT,760.0,,79.51,653.6,85
LOCAL,36100051,HC NPHRSTMY TUBE RMV W/FLURO,1603.0,,104.82,1378.58,85
LOCAL,36100052,HC PLACE CECOSTOMY TUBE PERC,4324.0,,403.23,3718.64,85
LOCAL,36100053,HC PLACE DUOD/JEJ TUBE PERC,2531.0,,477.21,2254.5405,85
LOCAL,36100054,HC PLACE GASTROSTOMY TUB PRC,3646.0,,397.05,3135.56,85
LOCAL,36100055,HC PRC TRNS MCH THROMBECTOMY,10707.0,,2997.96,9208.02,83
LOCAL,36100056,HC REMOV STNT VIA TRANSURETH,2011.0,,321.64,2456.009,85
LOCAL,36100057,HC REPLACE DUOD/JEJ TUBE PRC,1472.0,,173.4,1265.92,85
LOCAL,36100058,HC REPLACE G/C TUBE PERC,1472.0,,128.42,1265.92,85
LOCAL,36100059,HC REPLACE G-J TUBE PERC,1472.0,,266.64,1265.92,85
LOCAL,36100060,HC REPOSITION IVC FILTR RS&I,7899.0,,700.84,6793.14,85
LOCAL,36100061,HC RETRVL(RMV) IVC FLTR RS&I,8032.0,,685.36,6907.52,85
LOCAL,36100062,HC REVISION OF TIPS,16453.0,,728.16,14149.58,85
LOCAL,36100063,HC RMV/RPLC EXT URETERL STNT,4244.0,,162.47,3649.84,85
LOCAL,36100064,HC RMV/RPLC INT URETERL STNT,6304.0,,491.81,5421.44,85
LOCAL,36100065,HC RNL ANG SELCTHPLC BILRS&I,7864.0,,718.35,6763.04,85
LOCAL,36100066,HC SECND THROMBART THRMBCTMY,10530.0,,2948.4,9055.8,83
LOCAL,36100067,HC SUB TX VEN THROMB W/FLUOR,10442.0,,1544.74,8980.12,83
LOCAL,36100068,HC SUBSQ VESSLS THROMBECTOMY,10440.0,,2923.2,8978.4,83
LOCAL,36100069,HC TB/PR RVSUN ADVSLWSTN&ATH,14715.0,,725.71,12654.9,84
LOCAL,36100070,HC TIB/PER RVSC UNI ADDL VSL,14715.0,,398.77,12654.9,84
LOCAL,36100071,HC TIB/PER RVSC UNI INIT VSL,14962.0,,1087.27,12867.32,84
LOCAL,36100072,HC TIB/PER RVSC UNI VS WSTNT,31237.0,,1390.95,26863.82,84
LOCAL,36100073,HC TIB/PER RVSC UNI W/ATHRCT,31237.0,,1386.03,26863.82,84
LOCAL,36100074,HC TIB/PER RVSCUN AD VSLWSTN,14715.0,,563.84,12654.9,84
LOCAL,36100075,HC TIB/PER RVSCUNI WSTN&ATHR,54097.0,,1461.44,46523.42,84
LOCAL,36100076,HC TIB/PER RVSUN ADL VSWATHR,27494.0,,642.69,23644.84,84
LOCAL,36100077,HC TRANSLM PERIPH RENAL ATHR,24856.0,,6959.68,21376.16,83
LOCAL,36100078,HC TRANSLUM PERIPH VISC ATHR,24856.0,,6959.68,21376.16,83
LOCAL,36100079,HC TRNSLM PERI ABDAORTA ATHR,24856.0,,6959.68,21376.16,83
LOCAL,36100080,HC TRNSLM PERI BRCHOCPH ATHR,24856.0,,6959.68,21376.16,83
LOCAL,36100081,HC TRNSLM PRIPH ILIAC ATHERC,24856.0,,6959.68,21376.16,83
LOCAL,36100082,HC ASPIRAT &INJ TX BONE CYST,2886.0,,135.66,2481.96,85
LOCAL,36100083,HC CMPAST NVG PROC MSK IMGLS,4065.0,,1138.2,3495.9,83
LOCAL,36100084,HC MUSCULOSKELTL GEN LOCALIZ,13022.0,,289.8115,11198.92,83
LOCAL,36100085,"HC ENDOSCOPY,DIAGNOSTIC",655.0,,68.14,563.3,85
LOCAL,36100086,HC ENDOSCOPY BIOPSY,5711.0,,321.59,4911.46,85
LOCAL,36100087,HC ENDOTRACHEAL INTUBATION,926.0,,87.58,796.36,85
LOCAL,36100088,HC TRACHSTMY-TUBE CHG,990.0,,70.08,851.4,85
LOCAL,36100089,HC LARYNGSCPY INDIRECT,493.0,,56.2,423.98,85
LOCAL,36100090,HC DIRECT LARYNGOSCOPY DX,5121.0,,321.87,4404.06,85
LOCAL,36100091,HC LARYNGOSCOPY DIR INJ VOCALCORD TX,4228.0,,460.44,4380.465,85
LOCAL,36100092,HC LARYNGOSCOPY FLEXIBLE DIAGNOSTIC,689.0,,68.14,592.54,85
LOCAL,36100093,HC LARYNGOSCOPY FLEXIBLE W/ BIOPSY(IES),522.0,,146.16,2091.2175,85
LOCAL,36100094,HC LARYNGSCPY STRBSCPY,1955.0,,104.65,1681.3,85
LOCAL,36100095,HC TRACHEOESPH PROSTH (TEP),5445.0,,886.62,4682.7,85
LOCAL,36100097,HC BRONCH DIAGNOS,4113.0,,262.14,3537.18,85
LOCAL,36100098,HC BRONCH W/BRUSHING,3506.0,,258.18,3015.16,85
LOCAL,36100099,HC BRONCH W/LAVAGE,3855.0,,261.68,3315.3,85
LOCAL,36100100,HC BRONCHOSCOPY W/BX,3644.0,,306.27,3133.84,85
LOCAL,36100101,HC BRONCH W/TRANS BIO,3879.0,,343.71,4380.465,85
LOCAL,36100102,HC BRONC W/TRAN NDL ASP,4108.0,,365.86,4380.465,85
LOCAL,36100103,HC BRONCH W/TRACH,8987.0,,391.15,7728.82,85
LOCAL,36100104,HC BRONCHOSCOPY W/STENT,7172.0,,445.5,8291.868,85
LOCAL,36100105,HC BRONCH W/TNSBRNC LUNG BXS,3173.0,,95.57,2728.78,84
LOCAL,36100106,HC BRONCH TRNSBRNC NDLASP BX,3519.0,,123.34,3026.34,84
LOCAL,36100107,HC BRONCH W/BALLOON AIR LEAK,7370.0,,368.71,8291.868,85
LOCAL,36100108,HC BRONCH W/REM FOREIGN,4472.0,,345.45,3845.92,85
LOCAL,36100109,HC BRONCH W/PLAC BRNCH STENT,8914.0,,425.13,8291.868,85
LOCAL,36100110,HC BRONCH EAADD BRNCUS STNTD,2850.0,,148.63,2451.0,84
LOCAL,36100111,HC BRONC RVS TR/BRNC PRVSTNT,5933.0,,482.21,8291.868,85
LOCAL,36100112,HC BRONCH W/EXC TUMOR,5911.0,,484.84,5083.46,85
LOCAL,36100113,HC BRONCH W/DESTRUCT,6451.0,,498.62,5547.86,85
LOCAL,36100114,HC BRONCH W/CATH PLACE,3845.0,,330.33,3306.7,85
LOCAL,36100115,HC THERAPEUTIC BRONCHOSCOPY INITIAL,3707.0,,289.03,3188.02,85
LOCAL,36100116,HC BRNC W/TXASP BRNC TRE SUB,3061.0,,155.59,2632.46,85
LOCAL,36100119,HC EXCIS BEN LES TRACH CRVCL,12995.0,,2167.01,11175.7,85
LOCAL,36100120,"HC BIOPSY, PLEURA",3272.0,,165.06,2813.92,85
LOCAL,36100122,HC PLEURAL DRAINAGE W/O IMAG,4101.0,,248.17,3526.86,85
LOCAL,36100123,HC  PLEURAL DRAINAGE W/IMAGE,5029.0,,292.96,4324.94,85
LOCAL,36100124,HC CHEMICAL PLEURODESIS,862.0,,152.25,741.32,85
LOCAL,36100125,"HC THORACOS, DIAGW/OBIOPSY",7880.0,,626.36,7102.9405,85
LOCAL,36100126,HC THORAW/BIOPSY LUNG INFILT,9802.0,,625.06,12489.0805,85
LOCAL,36100127,HC THORAW/BIOPSY LUNG NODULE,9802.0,,769.96,12489.0805,85
LOCAL,36100128,HC THORAW/BIOPSY LUNG PLEURA,9802.0,,517.46,8429.72,85
LOCAL,36100129,HC THORACOS W/PLEURODESIS,9511.0,,1361.61,8179.46,84
LOCAL,36100130,"HC ABLATION PULMONARY TUMOR PERQ INCLU IMG RADIOFREQUENCY, UNI",17293.0,,859.0,14871.98,85
LOCAL,36100131,HC RFA LUNG,16020.0,,737.0235,13777.2,83
LOCAL,36100132,HC CRYOABLATION LUNG,15218.0,,737.0235,13087.48,83
LOCAL,36100133,HC LUNG TUMOR COIL MRK PLCMT,15218.0,,737.0235,13087.48,83
LOCAL,36100140,HC PM/AICD  LEAD REVISION,6731.0,,626.14,5788.66,85
LOCAL,36100143,HC AICD POCKET REVISION,5526.0,,709.01,4752.36,85
LOCAL,36100145,HC LV LEAD PLACEM W/NW GENRT,27654.0,,929.15,23782.44,84
LOCAL,36100146,HC REPOSITION EXIST LV LEAD,6602.0,,986.61,5677.72,85
LOCAL,36100147,HC REMOVE PM GENERATOR,5786.0,,468.63,9722.8245,85
LOCAL,36100148,HC REMOVE SINGLE PM LEAD,4364.0,,974.29,4390.585,85
LOCAL,36100149,HC REMOVE DUAL PM LEAD,5390.0,,1280.14,4635.4,85
LOCAL,36100150,HC AICD GENERATOR REMOVAL,7323.0,,432.46,6297.78,85
LOCAL,36100151,HC AICD LEADS REMOVAL,6342.0,,1737.81,5454.12,85
LOCAL,36100154,HC EV RPR DTA IC LSC INT EP,25119.0,,3622.79,21602.34,84
LOCAL,36100155,HC EVRP DTA WO LSC IN EP DTA,20201.0,,3111.44,17372.86,84
LOCAL,36100156,HC PLC PEP EVRP DTA INT EXT,18512.0,,2254.28,15920.32,84
LOCAL,36100157,HC PLC PR EPRST RPR DTA EAAD,10667.0,,804.28,9173.62,84
LOCAL,36100158,HC PLC DEP DLY AFT EVRP DTA,18512.0,,1947.07,15920.32,84
LOCAL,36100166,HC EV PLC ILIACART OCCL DVC,5233.0,,412.12,4500.38,84
LOCAL,36100167,HC OP FMA EXP DL EVP GRN UNI,8774.0,,418.59,7545.64,84
LOCAL,36100168,HC PLC FM-FM PGRFT EV AA RPR,5233.0,,477.58,4500.38,84
LOCAL,36100169,HC IA XP DLV EP/OCC EVTX UNI,13165.0,,685.37,11321.9,84
LOCAL,36100172,HC RP IAA+RP ARTRM-F EVR TBP,25119.0,,3592.35,21602.34,84
LOCAL,36100173,HC RPIAA+RP ARTRM-F EVR ABIP,25119.0,,3924.74,21602.34,84
LOCAL,36100174,HC RPIAA+RP ARTRM-F EVR ABFP,25119.0,,3862.66,21602.34,84
LOCAL,36100175,"HC OPEN ILIAC ART EXPOS W/CRTJ CONDUIT, UNI",15208.0,,800.11,13078.88,84
LOCAL,36100176,"HC OPEN BRACH ART EXPOS DPLMNT AORTIC/ILIAC PROSTHESIS, UNI",5233.0,,262.98,4500.38,84
LOCAL,36100178,HC RPR BLDVS WGFT OTVN LWEXT,16020.0,,1882.62,13777.2,85
LOCAL,36100179,HC THRMBENDARTRCTRMY PGF IFM,16020.0,,2090.0,13777.2,84
LOCAL,36100180,HC THRMBENDARTRCTRMY PGF CFM,13165.0,,1653.88,11321.9,84
LOCAL,36100181,HC THRMBENDARTRCTRMY PGF DFM,16020.0,,1983.32,13777.2,85
LOCAL,36100188,HC INJ PRC TX EXT PSDOANEURY,1971.0,,223.75,1695.06,84
LOCAL,36100189,HC VENOGRAM,2955.0,,827.4,2541.3,83
LOCAL,36100190,HC INTRO CATH  SUP VENA CAVA,3412.0,,217.04,2934.32,84
LOCAL,36100191,HC SEL VENOUS 1ST ORDER,3848.0,,310.11,3309.28,84
LOCAL,36100192,HC SEL VENOUS 2ND ORDER,4592.0,,345.32,3949.12,84
LOCAL,36100193,HC INTRO CTH RTHRT/MN PULART,9233.0,,248.31,7940.38,84
LOCAL,36100194,HC SELCTHPLC LT/RT PULM ART,5049.0,,299.93,4342.14,84
LOCAL,36100195,HC SLCTHPLC SGMT/SBSG PLMART,5264.0,,336.74,4527.04,84
LOCAL,36100196,HC INTR ND/ITRCTH CTD/VTBART,3181.0,,309.06,2735.66,84
LOCAL,36100198,HC INTRO NEEDLE OR INTRACATHER UPPER/LOWER EXTREMITY ARTERY,3023.0,,178.83,2599.78,84
LOCAL,36100199,HC INTRO CATH AORTA,4367.0,,281.16,3755.62,84
LOCAL,36100200,HC CATH PLAC EA1ST THOR/BRAC,4007.0,,420.3,3446.02,84
LOCAL,36100201,HC SEL THORAC BRACH/CEP 2ND,6289.0,,547.74,5408.54,84
LOCAL,36100202,HC SEL THORAC BRACH/CEP 3RD,6511.0,,675.21,5599.46,84
LOCAL,36100203,HC SEL THORAC BRACH/CEP >3,3887.0,,105.81,3342.82,84
LOCAL,36100204,HC NSCP TA ANGECC/V/ICV RS&I,7521.0,,404.17,6468.06,85
LOCAL,36100205,HC SEL ABD PEL EXTREM RENALS,4444.0,,469.99,3821.84,84
LOCAL,36100206,HC SEL ABD PEL EXTR RENAL 2,5265.0,,508.09,4527.9,84
LOCAL,36100207,HC SCP AR IN3RD+ A/PV/LXTABR,6164.0,,593.28,5301.04,84
LOCAL,36100208,HC SEL ABD PEL EXTR REN >3,3589.0,,94.4,3086.54,84
LOCAL,36100209,HC S/I 1ST RENAL UNILATERAL,7864.0,,510.18,6763.04,85
LOCAL,36100210,HC INJ S/M SCLR SLN SPV L/TK,627.0,,175.56,539.22,85
LOCAL,36100211,HC INJECTION SCLEROSANT SINGLE INCOMPETENT VEIN,2886.0,,70.6,2481.96,85
LOCAL,36100212,"HC INJECT SCLEROSANT, MULT INCOMPETENT VEIN",2886.0,,116.28,2481.96,85
LOCAL,36100213,HC EVABL IPV XT G PRF 1ST VN,8774.0,,560.97,7545.64,85
LOCAL,36100214,HC EVA IPV XT 2&SQV SRF EAAC,6139.0,,268.77,5279.54,84
LOCAL,36100216,HC EVABL IV XT LSR2+VN SE SA,5498.0,,273.69,4728.28,84
LOCAL,36100217,HC PRC PRTL VN CATH ANY MTHD,7157.0,,636.62,6155.02,84
LOCAL,36100218,HC VNS CTH SL ORGAN BLD SMPL,4592.0,,364.75,3949.12,84
LOCAL,36100219,HC INS TN CVC WO PRT/PMP<5YR,4935.0,,1381.8,6537.7615,84
LOCAL,36100220,HC INS TN CVC WO PRT/PM 5YR+,4935.0,,513.48,4244.1,85
LOCAL,36100221,HC INS TN CVAD W SCPRT 5YRS+,8774.0,,663.7,7545.64,85
LOCAL,36100222,HC INS TN CVAD W SUBCU PUMP,8774.0,,729.77,7545.64,85
LOCAL,36100223,HC INS TN CVAD 2C/2AS WOSCPP,8921.0,,682.29,7672.06,85
LOCAL,36100224,HC INS TN CVAD 2C/2AS W/SCP,8774.0,,716.11,7545.64,85
LOCAL,36100225,HC INSERT PICD W/PORT <5YRS,6289.0,,1118.22,5408.54,84
LOCAL,36100226,HC INS PICC W/ PORT 5YRS>,6604.0,,632.19,5679.44,85
LOCAL,36100227,HC MECH RMV ILMN OBSTMT CVD,2807.0,,89.43,2414.02,85
LOCAL,36100228,HC ARTERIAL LINE FOR BP MON,780.0,,87.14,670.8,84
LOCAL,36100230,HC THROMBOLYSIS CEREB-IV INF,804.0,,225.12,2135.0,85
LOCAL,36100231,HC TC RTR PC IVSC FBD W RS&I,7672.0,,597.28,6597.92,85
LOCAL,36100232,HC TRANSCATHETER BIOPSY,7546.0,,418.46,6537.7615,85
LOCAL,36100234,HC TCTX AI-THR OCR WRS&I IND,9787.0,,773.52,8416.82,85
LOCAL,36100235,HC TCTX VI-THR ANY WRS&I IND,9625.0,,671.48,8277.5,85
LOCAL,36100236,HC TCTX AVI-TB OCR WRS&I CNT,8774.0,,459.19,7545.64,85
LOCAL,36100237,HC TCT AVI-TR OC RSI CD SESS,8774.0,,243.14,7545.64,85
LOCAL,36100238,HC TRNSCTH ARTERY STENT INIT,33627.0,,886.64,28919.22,85
LOCAL,36100239,HC TRNSCTH ARTERY STENT ADDL,17362.0,,425.9,14931.32,84
LOCAL,36100240,HC TRNSCTH VENOUS STENT INIT,33627.0,,613.9,28919.22,85
LOCAL,36100241,HC TRNSCTH VENOUS STENT ADDL,17653.0,,300.83,15181.58,84
LOCAL,36100242,HC EMB VEIN WIMG NOTUMR/HEMR,31453.0,,843.89,27049.58,85
LOCAL,36100243,HC EMB ARTRY WIMG NOTUMR/HMR,32790.0,,942.37,28199.4,85
LOCAL,36100244,HC EMB ORGAN/TUMORHAE/TACE,31453.0,,1092.15,27049.58,85
LOCAL,36100245,HC EMB VASCGI BLEED/LYMEXT,32790.0,,1288.85,28199.4,85
LOCAL,36100248,HC LYMPHNOD IRRV ELCTRPR ABL,13708.0,,518.3395,11788.88,83
LOCAL,36100249,HC DILAT ESOPHAG OVR GDWIRE,1637.0,,172.84,2254.5405,85
LOCAL,36100250,HC GAST FEED TUBE REPOS DUOD,2113.0,,110.15,1817.18,85
LOCAL,36100251,HC INTRODUCT LONG GI TUBE,1489.0,,37.54,1280.54,85
LOCAL,36100252,"HC BIOPSY, LIVER",4065.0,,172.48,3495.9,85
LOCAL,36100254,HC ABLAT 1+ LIVR TUMR PRC RF,15367.0,,1443.15,13215.62,85
LOCAL,36100255,HC CRYOABLATION LIVER,13708.0,,831.9905,11788.88,83
LOCAL,36100256,HC CHOLECYSTOSTMY PC CPWRS&I,6870.0,,648.85,5908.2,85
LOCAL,36100263,HC BILIARY ENDOSCOPY INTRAOP,3804.0,,334.67,3271.44,84
LOCAL,36100264,HC BILIARY ENDO PERC T-TUBE DX W/COLLECT SPEC BRUSH,3804.0,,550.11,7606.146,85
LOCAL,36100265,HC BILENDO VIA T-TB W/BX S/M,5579.0,,552.02,7606.146,85
LOCAL,36100266,HC BILENDO VIA T-TB RMV CALC,10667.0,,889.5,12489.0805,85
LOCAL,36100267,HC BILENDO V T-TB DIL WO STN,10232.0,,657.96,8799.52,85
LOCAL,36100268,HC BILENDO V T-TB DIL W/ STN,14450.0,,745.5,12489.0805,85
LOCAL,36100269,HC PLACMNT CHOLEDOCHAL STENT,5487.0,,1536.36,4718.82,84
LOCAL,36100270,HC BIOPSY PANCREAS PRCU NDL,3899.0,,462.54,3353.14,85
LOCAL,36100271,HC PANCREAS IRRV ELCTRPR ABL,13708.0,,831.9905,11788.88,83
LOCAL,36100272,HC BX ABD/RTPRITNL MASS PCND,3272.0,,162.19,2813.92,85
LOCAL,36100273,HC INJ AIR/CNTRST PRITNLCVTY,1225.0,,177.57,1053.5,84
LOCAL,36100274,HC DRAIN VISCRAL/ORG W IMG,5781.0,,380.02,4971.66,85
LOCAL,36100275,HC DRAIN IP PERIT/RTRO W IMG,5309.0,,380.02,4565.74,85
LOCAL,36100276,HC DRAIN TRNSVAG/RECTL W IMG,5781.0,,404.28,4971.66,85
LOCAL,36100277,HC INS MRK RTX IA/IP/RTP S/M,3391.0,,296.23,2916.26,85
LOCAL,36100278,HC INSRT TUNNEL IP CATH PORT,7165.0,,852.48,6537.7615,85
LOCAL,36100279,HC IP CATH REMOVL INC IMAGNG,7218.0,,453.27,6207.48,85
LOCAL,36100280,HC XCHG PRV AB/CYS DRNCTH GD,3154.0,,138.46,2712.44,85
LOCAL,36100281,HC CNTR INJ AB/CYS VIA PPCTH,1225.0,,73.13,1053.5,84
LOCAL,36100282,HC ABLATION ABDOMINAL UNLISTED,13708.0,,1065.6245,11788.88,83
LOCAL,36100283,HC RENAL BX PRC TROCAR/NEEDL,4065.0,,248.56,3495.9,85
LOCAL,36100284,HC ASP/INJ RENLCYST/PLV NDLP,2550.0,,185.13,2193.0,85
LOCAL,36100289,HC MANOMTRY NPHR IDW URTRCTH,1316.0,,227.0,1131.76,85
LOCAL,36100291,HC RNLENDO ESTNPH W/URTR CTH,9625.0,,622.25,8277.5,85
LOCAL,36100292,HC ABLAT 1+ RNLTMR PC UNI RF,16020.0,,1888.85,13777.2,83
LOCAL,36100293,HC ABLAT 1+ RNLTMR P/UNI CRY,16020.0,,896.38,13777.2,85
LOCAL,36100294,HC CHG URTROS TB/EXT USTN IL,4072.0,,153.65,3501.92,85
LOCAL,36100295,HC PERCUTANOUS URETEROPLASTY,10667.0,,293.549,9173.62,83
LOCAL,36100296,HC BIOPSY OF TESTIS NEEDLE,3272.0,,148.7,3412.7745,85
LOCAL,36100297,HC PLC NDL PLVC/GENITL-RADIO,4569.0,,911.56,5877.42,85
LOCAL,36100298,HC BIOPSY OVARY UNILT/BILAT,3272.0,,891.2,3803.326,85
LOCAL,36100299,HC TC PERM OCCLU/EMBOL P CNS,24922.0,,2427.7,21537.9935,85
LOCAL,36100300,HC TC PRM OCLU/EMBL P NCNSHN,24922.0,,1861.06,21432.92,85
LOCAL,36100301,HC ASP NUCLP IVTDSC/PVTIS DX,5935.0,,257.6,5104.1,85
LOCAL,36100302,HC BIOPSY SPINAL CORD PC NDL,3272.0,,486.45,2813.92,85
LOCAL,36100303,HC REMOVE FB CORNEA W/SLIT,563.0,,98.27,484.18,85
LOCAL,36100304,HC PLC AMNIOTC MEMB OCULR RT,3808.0,,85.72,3274.88,85
LOCAL,36100305,HC OCULR SF RCNS AMNMB TRNSP,9270.0,,1158.05,7972.2,85
LOCAL,36100306,HC DESTR RETINOPATHYPHOT0,1261.0,,142.3,1084.46,85
LOCAL,36100307,HC THERMOTX CHOROID VASCLES,10439.0,,2711.4815,8977.54,83
LOCAL,36100308,HC CHEMODNV EXTRAOCUL MUSCL,702.0,,102.16,603.72,85
LOCAL,36100309,HC RETROBULAR INJ MED,1071.0,,26.3,921.06,85
LOCAL,36100310,HC RETROBULBAR INJ ALCOHOL,908.0,,34.88,780.88,85
LOCAL,36100311,HC INJ TX AGNT TENON'S CAPSL,818.0,,19.38,703.48,85
LOCAL,36100312,HC SEVERING OF TARSORRHAPHY,2078.0,,170.54,1787.08,85
LOCAL,36100313,HC EXC CHALAZION SINGLE,763.0,,62.02,656.18,85
LOCAL,36100314,HC EXC CHALAZION MX SAME,1690.0,,74.75,1453.4,85
LOCAL,36100315,HC EXC CHALAZ MULT DIF LID,756.0,,96.34,650.16,85
LOCAL,36100316,HC BIOPSY EYELID,1093.0,,108.29,939.98,85
LOCAL,36100317,HC COR TRICH EPIL FORCP,1085.0,,43.44,933.1,85
LOCAL,36100318,HC EXC LES EYELID,1964.0,,169.43,1689.04,85
LOCAL,36100319,HC TEMP CLOS EYELID SUTURE,1748.0,,187.78,1503.28,85
LOCAL,36100320,HC TARSORRHAPHY CONSTRUCT,3808.0,,698.3,3274.88,85
LOCAL,36100321,HC BROW LIFT,4334.0,,698.3,3727.24,85
LOCAL,36100322,HC CRR LAGOPHT UP EYELD LOAD,4839.0,,698.3,4161.54,85
LOCAL,36100323,HC REPAIR ECTROPION SUTURE,3642.0,,647.32,3132.12,85
LOCAL,36100324,HC EXC/RPR EYELID 1/4 LID,4601.0,,698.3,3956.86,85
LOCAL,36100325,HC EXC/RPR EYELID >1/4 LID,5063.0,,698.3,4354.18,85
LOCAL,36100326,HC BIOPSY OF CONJUNCTIVA,1400.0,,108.53,2793.327,85
LOCAL,36100327,HC INC/DRAIN LACRIMAL SAC,3420.0,,204.59,2941.2,85
LOCAL,36100328,HC SNIP INC LACRIMAL PUNCT,723.0,,54.26,621.78,85
LOCAL,36100329,HC CLO LACR PUNC CAUT/LASER,1204.0,,108.29,1035.44,85
LOCAL,36100330,HC CLOSE LACR PUNCT PLUG,1014.0,,78.62,872.04,85
LOCAL,36100331,HC PROBE NASOLACR DUCT,1128.0,,108.29,970.08,85
LOCAL,36100332,HC SACRL AUG PC UNI NJ 1+NDL,8814.0,,2467.92,7580.04,83
LOCAL,36100333,HC SACRL AUG PC BIL NJ 1+NDL,8962.0,,2509.36,7707.32,83
LOCAL,36100334,HC ARTH BRACH-CEPH TRK/BRNCH,24856.0,,6959.68,21376.16,83
LOCAL,36100337,HC PLACMNT CLOSE VEIN/ARTERY,1481.0,,414.68,1273.66,83
LOCAL,36100338,HC RFA ABD PERITONM OMENTUM,13708.0,,1065.6245,11788.88,83
LOCAL,36100339,HC REPAIR ENTROPION SUTURE,3673.0,,612.95,3158.78,85
LOCAL,36100340,HC S/I 1-2+ RENAL UNILATERAL,7864.0,,693.72,6763.04,85
LOCAL,36100341,HC S/I 1-2+ RENAL BILATERAL,7734.0,,837.08,6651.24,85
LOCAL,36100342,HC  REM TUNN PLEUR CAT W/CUFF,1651.0,,223.75,1419.86,85
LOCAL,36100343,HC INS/RPL PM S/LD ART W/GEN,26193.0,,914.51,22525.98,85
LOCAL,36100344,HC INS/RPL PM S/LD VEN W/GEN,18672.0,,963.14,16057.92,85
LOCAL,36100345,HC INS/RPL PM D/LD A&V W/GEN,24849.0,,1042.87,21370.14,85
LOCAL,36100346,HC TEMPORARY PM SINGLE,8561.0,,323.92,9722.8245,85
LOCAL,36100347,HC UPGRADE PM SYS SNGL-DUAL,35345.0,,963.75,30396.7,85
LOCAL,36100348,HC PM/AICD SNGL LD REPLACE,12978.0,,747.37,11161.08,85
LOCAL,36100350,HC PM POCKET REVISION,4364.0,,691.15,3753.04,85
LOCAL,36100351,HC REM/REPL PM GEN SGL,19044.0,,684.09,16377.84,85
LOCAL,36100352,HC REM/REPL PM GEN DUAL,27525.0,,714.05,23671.5,85
LOCAL,36100353,HC AICD GENERATOR REPLACEMNT,17080.0,,742.6,26134.164,85
LOCAL,36100354,HC AICD INS/REP LD GENERATOR,23964.0,,1836.12,36879.0395,85
LOCAL,36100355,HC REMV&REPL CVD MULTI LEAD,24405.0,,813.01,36879.0395,85
LOCAL,36100356,HC CARDIOPULMONARY RESUSCITATION,1175.0,,253.69,1010.5,85
LOCAL,36100359,HC AXILLARY SEED PLACEMENT,7308.0,,518.3395,6284.88,83
LOCAL,36100360,HC CT BIOPSY VAGINAL CUFF,3272.0,,237.5325,2813.92,83
LOCAL,36100361,HC INJ CHOLANGIOGRAPHYPERCUTANEOUSCOMPLETE DIA PX IMG GUIDANCE S&I EXISTING ACCESS,1817.0,,137.56,4206.6425,85
LOCAL,36100362,HC INJ CHOLANGIOGRAPHYPERCUTANEOUSCOMPLETE DIA PX IMG GUIDANCE S&I NEW ACCESS,2887.0,,412.42,4206.6425,85
LOCAL,36100363,HC PLACEMENT BILIARY DRAINAGE CATHPERCT INCL DIA CHOLANGIOGR IMG GUID S&I EXTERNAL,10263.0,,512.33,8826.18,85
LOCAL,36100364,HC PLACEMENT BILIARY DRAINAGE CATHPERCT INCL DIA CHOLANGIOGR IMG GUID S&I INTERNAL-EXTERNAL,10677.0,,716.93,9182.22,85
LOCAL,36100365,HC CONVERSION EXT BILI DRAIN CATH TO IN-EXTERNAL BILI DRAIN CATHPERCUTDIA CHOLANG IMG GUID S&I,9324.0,,380.63,8018.64,85
LOCAL,36100366,HC EXCHANGE BILIARY DRAINGE CATHPERCUTINCL DIA CHOLANGIOGRAPHY IMG GUID S&I,8879.0,,256.63,7635.94,85
LOCAL,36100367,HC REMOVAL BILIARY DRAINGE CATHPERCUTREQ FLUOROSCOPIC GUIDINCL DIA CHOLANG IMG GUID S&I,8642.0,,188.02,7432.12,85
LOCAL,36100368,HC PLCMT STENT BILE DUCTPERCUT DIA CHOLIMG GUID BALL DIALCATH EXCH/REM S&I EA STE EXIST ACCE,9481.0,,455.99,8153.66,85
LOCAL,36100369,HC PLCT STE BDUCTPERC DIA CHOLIMG G BAL DILC EXC/REM S&I EA STENEW A WO/PLCT SEP BIL DRA CAT,10573.0,,829.55,9092.78,85
LOCAL,36100370,HC PLCT STE BDUCTPERC DIA CHOLIMG G BAL DILC EXC/REM S&I EA STENEW A W/PLCT SEP BIL DRA CAT,11485.0,,854.21,9877.1,85
LOCAL,36100371,HC REMOVE CALCULI/DEBRIS FR BILIARY DUCTGALLBLADERPERCT INCL DESCT ANY METHODIMG GUID S&I,4521.0,,304.47,3888.06,84
LOCAL,36100372,HC INJ ANTEGRADE NEPHROSTOGRAM &OR URETEROGRAMCOMPL DIA PX IMG GUID S&I NEW ACCESS,2949.0,,301.21,2536.14,85
LOCAL,36100373,HC INJ ANTEGRADE NEPHROSTOGRAM &OR URETEROGRAMCOMPL DIA PX IMG GUID S&I EXIST ACCESS,2449.0,,130.04,2106.14,85
LOCAL,36100374,HC PLCMT NEPHROSTOMY CATH PERCUT INCL DIA NEPHROSTOGRAM/URETEROGRAM IMG GUID S&I,8608.0,,398.77,7402.88,85
LOCAL,36100375,HC PLCMT NEPHROSTOMY CATH PERCUT INCL DIA NEPHROSTOGRAM/URETEROGRAM IMG GUID S&I NEW ACCESS,10108.0,,495.79,8692.88,85
LOCAL,36100376,HC CONVERT NEPHR CATHPERCUT INCL DIA NEPHRGRAM/UREGRAM IMG GUID S&I PRE-EXST NEPHR TRACT,9092.0,,372.73,7819.12,85
LOCAL,36100377,HC EXCHANGE NEPHROSTOMY CATH PERCUT INCL DIA NEPHROSTOGRAM/URETEROGRAM IMG GUID S&I.,8247.0,,195.12,7092.42,85
LOCAL,36100378,HC ENDOLUMINAL BIOPSY URETER/RENAL PELVIS NON-ENDOSCOPIC INCL IMG GUID S&I,9324.0,,275.03,8018.64,84
LOCAL,36100379,HC PLCMT URETER STENTPERCUT INCL DIA NEPHRGRAM/UREGRAM IMG GUID S&I PRE-EXST NEPHR TRACT,9478.0,,396.8,8151.08,85
LOCAL,36100380,HC PLCMT URET STENTPERCUT INCL DIA NEPHRGRAM/UREGRAM IMG GUID S&I NEW ACCESS WO SEP NEPHR CATH,10436.0,,517.92,8974.96,85
LOCAL,36100381,HC PLCMT URET STENTPERCUT INCL DIA NEPHRGRAM/UREGRAM IMG GUID S&I NEW ACCESS W SEP NEPHR CATH,10420.0,,665.11,8961.2,85
LOCAL,36100382,HC PLCMT SOFT TISSUE LOCALIZATION DEVICE(S) PERCUTANEOUS INCL IMAGING GUIDANCE 1ST LESION,6585.0,,165.4,5663.1,85
LOCAL,36100383,HC PLCMT SOFT TISSUE LOCALIZATION DEVICE(S) PERCUTANEOUS INCL IMAGING GUIDANCE EA ADD LESION,3089.0,,84.06,2656.54,84
LOCAL,36100384,HC URETERAL EMBOLIZATION OR OCCLUSION INCL IMAGING GUIDANCE S&I,10259.0,,350.06,8822.74,84
LOCAL,36100385,HC BALLOON DILATION URETERAL STRICTURE INCL IMAGING GUIDANCE S&I,9693.0,,352.71,8335.98,84
LOCAL,36100386,"HC INJ CHOLANGIOGRAPHY,PERCUTANEOUS,COMPLETE DIA PX IMG GUIDANCE S&I, EXISTING ACCESS",1817.0,,137.56,4206.6425,85
LOCAL,36100387,"HC INJ CHOLANGIOGRAPHY,PERCUTANEOUS,COMPLETE DIA PX IMG GUIDANCE S&I, NEW ACCESS",2887.0,,412.42,4206.6425,85
LOCAL,36100388,HC INSERTION TUNNELED CENTRAL VENOUS CATH W/SUBCUTANEOUS PORT< 5 YRS AGE,9776.0,,1118.22,8407.36,84
LOCAL,36100389,HC MECHANICAL REMOVAL TUNNELED CENTRAL VENOUS CATH,9429.0,,355.67,8108.94,85
LOCAL,36100390,HC CRYOABLATION ADRENAL GLAND,13252.0,,3710.56,11396.72,83
LOCAL,36100391,"HC PLMT ACCESS THRU BILIARY TREE & SMALL BOWEL INCL CHOLANGIO, IMAGING, S & I, NEW ACCESS",10070.0,,653.57,8660.2,85
LOCAL,36100392,"HC BALLON DILATION BILIARY DUCT(S), AMPULLA, PERCUTANEOUS, INCL IMG GUIDANCE  S & I, EA DUCT",6767.0,,264.05,5819.62,84
LOCAL,36100393,"HC ENDOLUMINAL BIOPSY BILIARY TREE, PERCUT, ANY METH INCL IMG GUIDANCE, S & I SINGLE OR MULT",6790.0,,278.65,5839.4,84
LOCAL,36100394,HC CRYOBLATION HEMIC OR LYMPHATIC SYSTEM,8166.0,,518.3395,7022.76,83
LOCAL,36100395,HC AV FISTULA REV OPEN W/O THROMBECT AUTOGENOUS OR NONAUTOGEN DIALYS GRFT,11897.0,,1534.75,10231.42,85
LOCAL,36100396,HC AV FISTULA REV OPEN W/ THROMBECT AUTOGENOUS OR NONAUTOGEN DIALYS GRFT,12364.0,,1637.98,10633.04,85
LOCAL,36100397,"HC SCLEROTHERAPY FLUID COLLECTION, PERCUTANEOUS INCL CONTRAST INJ, DX, IMAG GUID, RAD S & I",7378.0,,234.45,6345.08,85
LOCAL,36100398,HC CRYOABLATION SOFT TISSUE,8561.0,,235.727,7362.46,84
LOCAL,36100399,"HC PERCUTANEOUS SKELETAL FIXATION OF POSTERIOR PELVIC BONE FRACTURE/ DISLOCATION, UNILATERAL",14010.0,,1789.19,12048.6,84
LOCAL,36100400,HC CEMENTOPLASTY OF PELVIS OR HIP,7590.0,,289.8115,6527.4,83
LOCAL,36100417,"HC TRLUML BALO ANGIOP OPEN OR PERCT, S&I  PERFORM ANGIOP W/SAME ARTERY, INITIAL  ARTERY",11395.0,,695.07,9799.7,85
LOCAL,36100418,"HC TRLUML BALO ANGIOP OPEN OR PERCT, S&I PERFORM ANGIOP W/SAME ARTERY, EA ADDL ARTERY",10442.0,,346.89,8980.12,84
LOCAL,36100419,"HC TRLUML BALO ANGIOP OPEN OR PERCT, S&I  PERFORM ANGIOP W/SAME VEIN, INITIAL VEIN",11586.0,,587.52,9963.96,85
LOCAL,36100420,"HC TRLUML BALO ANGIOP OPEN OR PERCT, S&I  PERFORM ANGIOP W/SAME VEIN, EA ADDL VEIN",10442.0,,290.2,8980.12,84
LOCAL,36100421,HC PERCUTANEOUS SKELETAL FIX PROX/NECK FEMUR FX,16874.0,,1852.38,14511.64,85
LOCAL,36100422,"HC REINFORCE HIP BONES W/WO METHYL, FEMORAL NECK/PROX FEMUR",17021.0,,2034.68,14638.06,85
LOCAL,36100423,"HC ABLATION SPLEEN NODE, RADIOFREQUENCY",13701.0,,518.3395,11782.86,83
LOCAL,36100427,"HC THORACOSCOPY W/THERAPEUTIC WEDGE RESECTION, INITIAL UNILATERAL",25495.0,,1773.4,21925.7,84
LOCAL,36100428,HC THORACOSCOPY WITH LOBECTOMY SINGLE LOBE,30819.0,,2846.3,26504.34,84
LOCAL,36100429,HC THORACOSCOPY WITH MEDIASTINAL & REGIONAL LYMPHDENECTOMY,29103.0,,437.99,25028.58,84
LOCAL,36100430,HC CREATION ARTERIOVENOUS FISTULA XCP DIR ARVEN ANASTOMOSIS; AUTOGRAFT,13397.0,,1610.69,11521.42,85
LOCAL,36100431,HC LAPAROSCOPIC PROCEDURE LIVER,45341.0,,7102.9405,38993.26,83
LOCAL,36100432,HC HEPATECTOMY RESECTION OF LIVER; PARTIAL LOPECTOMY,63860.0,,4802.27,54919.6,84
LOCAL,36100433,HC EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY,60579.0,,1580.12,52097.94,84
LOCAL,36100434,HC ENTEROLYSIS FREEING INTESTINAL ADHESION,77061.0,,2245.9,66272.46,84
LOCAL,36100435,HC CREATION ARTERIOVENOUS FISTULA XCP DIR ARVEN ANAST; NONAUTOGENOUS GRAFT,13397.0,,1352.63,11521.42,85
LOCAL,36100436,"HC THRMBOECTOMY OPEN ARTERIOVENOUS FISTULA W/O REVISION, AUTO/NONAUTO DIALYSIS GRAFT",12999.0,,1252.48,11179.14,85
LOCAL,36100437,"HC ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM CEPHALIC VEIN TRANSPOSITION",12999.0,,1398.96,11179.14,85
LOCAL,36100438,"HC ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM BASILIC VEIN TRANSPOSITION",13098.0,,1483.36,11264.28,85
LOCAL,36100439,"HC ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM FOREARM VEIN TRANSPOSITION",13147.0,,1474.0,11306.42,85
LOCAL,36100440,HC ENDOVASCULAR VISCERAL AORTA REPAIR W/FENEST ENDOGRAFT S&I; INCL 1 VIS ART ENDOPROSTHESIS,18711.0,,2925.25,16091.46,84
LOCAL,36100441,HC ENDOVAS VIS AOR REPAIR & INFRARENAL ABDOM AORTA W/FENEST ENDOGRAFT S&I;  INCL 1 VIS ART ENDO,18711.0,,3982.1,16091.46,84
LOCAL,36100442,"HC EMBOLECTOMY OR THROMBECTOMY W/WO CATH CRTD SUBCLA/INNOMINATE ART, NECK INCISION",11074.0,,1864.16,9523.64,84
LOCAL,36100443,"HC EMBOLECTOMY OR THROMBECTOMY W/WO CATH; AXILLARY, BRACHIAL, INNOMINATE, SUBCLAVIAN ARTERY",11074.0,,1210.52,9523.64,85
LOCAL,36100444,"HC EMBOLECTOMY OR THROMBECTOMY W/WO CATH FEMOROPOPLITEAL, AORTOILLIAC ARTERY, LEG INCISION",11372.0,,2075.99,9779.92,85
LOCAL,36100445,"HC EMBOLECTOMY OR THROMBECTOMY, W/WO CATH; POPLITEAL-TIBIO-PERONEAL ARTERY, LEG INCISION",11223.0,,1927.0,9651.78,85
LOCAL,36100446,"HC THROMBECTOMY DIRECT W/CATH VENA CAVA, ILIAC FEMOROPOPLITEAL VEIN LEG INCISION",12999.0,,1417.33,11179.14,85
LOCAL,36100447,"HC THROMBECTOMY, DIRECT W/CATH; AXILLARY & SUBCLAVIAN VEIN, ARM INCISION",12469.0,,1118.22,10723.34,85
LOCAL,36100448,HC INTRO CATH DIALYSIS CIRCUIT DX ANGIOGARPHY FLUOR GUID S&I W/ IMG DOCUMENT,10283.0,,332.64,8843.38,85
LOCAL,36100449,"HC INTRO CATH DIALYSIS CIRCUIT DX ANGIOP FLUOR GUID S&I W/ IMG DOC, TRLUML BALO",10876.0,,474.35,9353.36,85
LOCAL,36100450,"HC INTRO CATH DIALYSIS CIRCUIT DX ANGIOGARPHY FLUOR GUID S&I W/ IMG DOC, W/TCAT PLMT IV STENT",11175.0,,625.86,13563.3645,85
LOCAL,36100451,"HC PERQ THRMBC/NFS THROMB DIALYSIS CIRCUIT IMG, S&I, DX ANGRPH, FLUOR GUID",11362.0,,727.96,9771.32,85
LOCAL,36100452,"HC PERQ THRMBC/NFS THROMB DIALYSIS CIRCUIT IMG, S&I, DX ANGRPH, FLUOR GUID W/TRLUML BALO ANGIOP",11664.0,,871.22,13563.3645,85
LOCAL,36100453,"HC PERQ THRMBC/NFS THROMB DIALYSIS CIRCUIT IMG, S&I, DX ANGRPH, FLUOR GUID W/TCAT PLMT IV STENT",11664.0,,1008.0,21537.9935,85
LOCAL,36100454,HC TRANSLUMINAL BALLOON ANGIOGRAPY CENTRAL DIALYSIS SEG W/IMG S&I,10876.0,,288.78,9353.36,84
LOCAL,36100455,"HC EXCISION TUMOR SOFT TISSUE ABDOMINAL WALL, SUBFASCIAL < 5CM",11619.0,,815.2,9992.34,85
LOCAL,36100456,"HC EXCISION TUMOR SOFT TISSUE PELVIS & HIP, SUBFASCIAL < 5CM",11619.0,,815.2,9992.34,85
LOCAL,36100457,"HC ARTERIOVENOUS ANASTOMOSIS, OPEN; DIRECT, ANY SITE",13469.0,,1118.22,11583.34,85
LOCAL,36100458,"HC EVASC RPR DPLMNT AORTO-AORTIC NDGF, S & I",29424.0,,2501.99,25304.64,84
LOCAL,36100459,"HC EVASC RPR DPLMNT AORTO-AORTIC NDGFT RUPTURE, S & I",29424.0,,3745.16,25304.64,84
LOCAL,36100460,"HC EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT, S & I",29424.0,,2781.27,25304.64,84
LOCAL,36100461,"HC EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RUPTURE, S & I",29424.0,,4641.2,25304.64,84
LOCAL,36100462,"HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT, S & I",29424.0,,3093.2,25304.64,84
LOCAL,36100463,"HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RUPTURE, S & I",29424.0,,4617.81,25304.64,84
LOCAL,36100464,"HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT, S & I",29424.0,,2351.22,25304.64,84
LOCAL,36100465,"HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT RUPTURE, S & I",29424.0,,3703.17,25304.64,84
LOCAL,36100466,HC PLACEMENT XTN PROSTH FOR ENDOVASCULAR REPAIR S & I,14437.0,,653.01,12415.82,84
LOCAL,36100467,HC DLYD PLACEMENT XTN PROSTH FOR EVASC REPAIR 1ST VSL,14437.0,,1612.6,12415.82,84
LOCAL,36100468,HC DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL,9538.0,,597.65,8202.68,84
LOCAL,36100470,"HC ABLATION THERAPY REDUCT OR ERAD >= 1 PULM TUMOR(S) W/IMG, UNI; CRYOABLATION",17515.0,,4904.2,15062.9,83
LOCAL,36100471,HC PERQ ACCESS & CLOSURE FEML ART FOR DELIVERY NDGFT THRU LARGE SHEATH =>12 FRENCH,10742.0,,249.66,9238.12,84
LOCAL,36100472,"HC OPEN FEMORAL ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH, UNI",11225.0,,545.97,9653.5,84
LOCAL,36100473,HC OPEN AXILLARY/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI,10927.0,,606.58,9397.22,84
LOCAL,36100474,HC OPEN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ UNI,11225.0,,753.15,9653.5,84
LOCAL,36100475,HC TRANSCATHETER DLVR ENHNCD FIXATION DEVICES ENDOGRAFT RS&I,15080.0,,1325.15,12968.8,84
LOCAL,36100476,HC PERCUTANEOUS SKELETAL FIXATION FEMORAL FX DISTAL END,11105.0,,1379.08,9550.3,85
LOCAL,36100477,HC RAD EXAM HIP ARTHROGRAPHY R S& I,1655.0,,129.31,1423.3,85
LOCAL,36100478,HC LYMPH NODE ETHANOL ABLATION,8771.0,,518.3395,7543.06,83
LOCAL,36100479,HC INJ SACROILIAC JOINT ARTHRGRPHY&/ANES/STEROID W/ IMG GUIDANCE FLUR/CT,2463.0,,164.46,2118.18,84
LOCAL,36100480,HC RECONSTRUCTION WITH CEMENTATION OF HUMERUS OR ELBOW,5314.0,,289.8115,4570.04,83
LOCAL,36100481,HC LIGATN ANGIOACCESS AV FISTULA,8185.0,,759.66,7039.1,85
LOCAL,36100482,HC UNLISTED PROCEDURE FEMUR/KNEE; CEMENTOPLASTY,5314.0,,289.8115,4570.04,83
LOCAL,36100483,HC UNLISTED PROCEDURE SHOULDER; CEMENTOPLASTY,5314.0,,289.8115,4570.04,83
LOCAL,36100484,HC BYPASS GRAFT OTH/THN VEIN FEMORAL-FEMORAL,9363.0,,2197.23,8052.18,84
LOCAL,36100485,HC MUSCLE MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LOWER EXTR,8918.0,,1457.62,7669.48,85
LOCAL,36100486,HC I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION,6282.0,,815.2,5402.52,85
LOCAL,36100487,HC UNLISTED PROC ENTEROCUTANEOUS FISTULA PLUG PLACEMENT,6980.0,,1065.6245,6002.8,83
LOCAL,36100488,HC PERQ DILATION EXST TRACT ENDOUROLOGIC PX W/IMG GUID RAD S&I,16453.0,,292.84,14149.58,85
LOCAL,36100489,HC PERQ DILATION EXST TRACT NEW ACCESS RENAL COLTJ SYS RAD S&I,16901.0,,484.64,14534.86,85
LOCAL,36100490,HC ENDOVENOUS CATHETER DIR CHEM ABLTJ INCMPTNT EXTR VEIN,8495.0,,2378.6,7305.7,83
LOCAL,36100491,"HC INSERT PICC W/O SUBQ PORT/PMP, IMG GUIDANCE, RS&I < 5YRS",4135.0,,223.75,3556.1,84
LOCAL,36100492,"HC INSERT PICC W/O SUBQ PORT/PMP & IMG GUIDANCE, RS&I = OR > 5YRS",4418.0,,163.46,3799.48,85
LOCAL,36100493,HC FINE NEEDLE ASPIRATION BX W/US GUIDANCE 1ST LESION,3028.0,,144.92,2604.08,85
LOCAL,36100494,HC FINE NEEDLE ASPIRATION BX W/US GUIDANCE EA ADDL,916.0,,99.05,787.76,84
LOCAL,36100495,HC FINE NEEDLE ASPIRATION BX W/FLUOR GUIDANCE 1ST LESION,3061.0,,178.43,2632.46,85
LOCAL,36100496,HC FINE NEEDLE ASPIRATION BX W/FLUOR GUIDANCE EA ADDL,959.0,,103.07,824.74,84
LOCAL,36100497,HC FINE NEEDLE ASPIRATION BX W/CT GUIDANCE 1ST LESION,3959.0,,214.32,3404.74,85
LOCAL,36100498,HC FINE NEEDLE ASPIRATION BX W/CT GUIDANCE EA ADDL,1259.0,,144.43,1082.74,84
LOCAL,36100502,"HC EVASC PRLNG ADMN RX AGNT ART, IMG GUIDANCE, 1ST VAS TERRITORY",4841.0,,1217.25,4163.26,84
LOCAL,36100503,"HC EVASC PRLNG ADMN RX AGNT ART, IMG GUIDANCE, EA ADD'L VAS TERRITORY",3154.0,,520.33,2712.44,84
LOCAL,36100504,HC UNLISTED PROC PERCUTANEOUS CT-GUIDED BIOPSY UTERUS,3139.0,,237.5325,2699.54,83
LOCAL,36100505,HC INSERTION STABLJ DEV W/O DCMPRN OR FUSION LUMBAR SINGLE LEVEL,11715.0,,3280.2,10074.9,83
LOCAL,36100506,HC INSERTION STABLJ DEV W/O DCMPRN OR FUSION LUMBAR SECOND LEVEL,3515.0,,984.2,3022.9,83
LOCAL,36100507,HC INSERTION PERITONEAL-VENOUS SHUNT,6957.0,,1613.59,5983.02,84
LOCAL,36100508,HC REVISION PERITONEAL-VENOUS SHUNT,5761.0,,1151.54,4954.46,85
LOCAL,36100509,HC INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT,3309.0,,77.24,2845.74,84
LOCAL,36100510,HC LIGATION PERITONEAL-VENOUS SHUNT,4460.0,,889.79,3835.6,84
LOCAL,36100511,HC REMOVAL PERITONEAL-VENOUS SHUNT,5426.0,,944.3,4666.36,85
LOCAL,36100512,HC REPAIR BLOOD VESSEL DIRECT; UPR EXTREM,11881.0,,1606.22,10217.66,85
LOCAL,36100513,HC ART BYPASS FEM-ANT-POST TIBIAL/PERONEAL,12631.0,,2609.62,10862.66,84
LOCAL,36100514,HC REOPERATION BYPASS GRAFT,10287.0,,307.95,8846.82,84
LOCAL,36100515,HC DIR RPR ANEURYSM ABDOMINAL AORTA,12985.0,,3518.95,11167.1,84
LOCAL,36100516,HC CYSTO W URET CATH & BRUSH BX,7925.0,,330.55,6815.5,85
LOCAL,36100517,HC INJECTION AA&/STRD NERVES NRVTG SACROILIAC JOINT W/IMG,3207.0,,161.9,2758.02,85
LOCAL,36100518,HC INJECTION AA&/STRD GENICULAR NERVE BRANCHES W/IMG,3207.0,,139.81,2758.02,83
LOCAL,36100519,HC EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,18271.0,,898.94,15713.06,84
LOCAL,36100520,HC EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,18271.0,,2510.65,15713.06,84
LOCAL,36100521,HC PERICARDIOCENTESIS W/IMAGING,5347.0,,446.27,4598.42,85
LOCAL,36100522,HC PRCRD DRG 6YR+ W/O CGEN CAR,5203.0,,499.4,4474.58,84
LOCAL,36100523,HC EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK,7648.0,,1201.64,13563.3645,85
LOCAL,36100524,HC RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY,11850.0,,1758.39,10191.0,85
LOCAL,36100525,HC BIOPSY OF NERVE,3207.0,,403.91,2758.02,85
LOCAL,36100526,HC MICROWAVE ABLATION ADRENAL,13252.0,,3710.56,11396.72,83
LOCAL,36100527,HC TRANSCATHETER IV STENT CRV CRTD ART EMBOLIC PROTECJ,8417.0,,2010.66,7238.62,84
LOCAL,36100528,HC TRANSCATHETER IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ,8018.0,,2245.04,6895.48,83
LOCAL,36100529,HC PUDENDAL NERVE CRYOABLATION,8166.0,,360.64,7022.76,83
LOCAL,36100530,HC RPLCMT CATH CTR VAD SUBQ PORT/PMP,3324.0,,410.25,3709.7505,85
LOCAL,36100531,HC ABLATION MAL BREAST TUMOR PERQ CRYOTHERAPY UNILATERAL,8726.0,,2443.28,7504.36,83
LOCAL,36100533,"HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN, RS&I",35056.0,,9815.68,30148.16,83
LOCAL,36100534,"HC CORE NDL BX LNG/MED PERQ, IMG",5796.0,,299.08,4984.56,85
LOCAL,36100535,HC BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS,5534.0,,1549.52,4759.24,83
LOCAL,36100536,HC DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY,12985.0,,2220.31,11167.1,84
LOCAL,36100538,"HC  BYPASS GRAFT OTH/THN VEIN, FEMORAL-POPLITEAL",9363.0,,2178.31,8052.18,84
LOCAL,36100539,HC THROMBOENDARTERECTOMY W/GRAFT SUPERFICIAL FEMORAL ARTERY,16020.0,,2270.19,13777.2,84
LOCAL,36100540,HC REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL,11881.0,,3003.59,10217.66,84
LOCAL,36100541,HC STEREOTACTIC BX ASPIR/EXC BURR HOLE(S) INTRACRANIAL LESION W/CT&MRI,5084.0,,1423.52,4372.24,84
LOCAL,36100542,HC PERC ART TRLUM MECH THRMBEC &/OR INFUS INTRACRANIAL INC ANGIO FLR GD/INJ,10530.0,,1748.21,9055.8,84
LOCAL,36100543,HC UNLISTED PX ENDOCRINE SYSTEM RFA,7971.0,,2231.88,7102.9405,83
LOCAL,36100544,HC REPAIR BLOOD VESSEL W/ VEIN GRAFT LOWER EXTREMITY,11621.0,,2054.41,9994.06,85
LOCAL,36100545,HC GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL,3367.0,,942.76,2895.62,84
LOCAL,36100546,"HC TRANSCATH PLCMT SBSQ REMOVAL CEPD INCL ARTL ACCESS, CATH, IMG RS&I PERQ",8278.0,,268.93,7119.08,84
LOCAL,36100547,"HC DESTRUCTION RETINAL LESION 1/+ SESSIONS,  PHOTOCOAGULATION",1856.0,,208.33,1596.16,85
LOCAL,36100548,HC UNLISTED PX PANCREAS CRYOABLATION,17515.0,,831.9905,15062.9,83
LOCAL,36100549,"HC UNLISTED PX, TRACHEA, BRONCHI; INJECTION OF RADIO ENHANCER",2998.0,,234.5195,2578.28,83
LOCAL,36100550,HC TRANSCATH INTRACRANIAL BALLOON ANGIOPLASTY W/STENT,8452.0,,2366.56,7268.72,83
LOCAL,36100551,HC UNLISTED PX PERC IMAGE GUIDED THYROID CYST ETHANOL ABLATION,8771.0,,2455.88,7543.06,83
LOCAL,36100552,HC UNLISTED PX UROLOGY - PERCUTANEOUS BIOPSY OF URETER,9044.0,,293.549,7777.84,83
LOCAL,36100553,HC UNLISTED PX PERCUTANEOUS NERVE BIOPSY,8006.0,,360.64,6885.16,83
LOCAL,36100554,"HC UNLISTED PX, SPINE ETHANOL ABLATION",9390.0,,289.8115,8075.4,83
LOCAL,36100555,"HC UNLISTED PX, MALE GENITAL SYSTEM, BIOPSY OF SEMINAL VESICLE",5843.0,,293.549,5024.98,83
LOCAL,36100556,"HC UNLISTED PX ABDOMEN, PERITONEUM & OMENTUM (IP CATHETER REPOSITIONING)",3830.0,,1065.6245,3293.8,83
LOCAL,36100557,HC UNLISTED PX FOOT/TOES-CEMENTOPLASTY OF FOOT/TOES,4273.0,,289.8115,3674.78,83
LOCAL,36100558,HC PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX,4870.0,,340.77,4188.2,85
LOCAL,36100559,HC IRE ABLTJ 1+TUM ORGAN PERQ,6978.0,,1953.84,12489.0805,84
LOCAL,36100560,"HC UNLISTED PX, STOMACH, PERC GASTROSTOMY PLACEMENT, CT GUIDANCE",4003.0,,1065.6245,3442.58,83
LOCAL,36100561,"HC UNLISTED PX, FIDUCIAL MARKER PLACEMENT IN LIVER",4393.0,,831.9905,3777.98,83
LOCAL,36100562,HC VASCULAR EMBOLIZATION/OCCLUSION WITH PRESSURE CATHETER,6864.0,,1921.92,21537.9935,84
LOCAL,36100563,"HC UNLISTED PX NERVOUS SYSTEM, IMAGE-GUIDED TARLOV CYST ASPIRATION AND FIBRIN EMBOLIZATION",9859.0,,360.64,8478.74,83
LOCAL,36100564,"HC UNLISTED PX BILIARY TRACT EMBOLIZATION, BILIARY DUCT STUMP",11407.0,,1065.6245,9810.02,83
LOCAL,36100566,HC ASPIRATION AND/OR INJECTION THYROID CYST,2310.0,,59.52,1986.6,85
LOCAL,36100567,HC PERQ AV FISTULA CREATION UPPER EXTREMITY SEP ACCESS SITES,8101.0,,1939.15,21537.9935,84
LOCAL,36100568,HC PLANNING OF TARGET LESION AND IMAGE GUIDED PERC ABLATION,5851.0,,1638.28,5031.86,83
LOCAL,36100569,"HC IR ABLATION, PERC, CRYO W/IMAGE GUIDANCE, NERVE (CRYONEUROLYSIS)",6009.0,,1682.52,5167.74,83
LOCAL,36100570,"HC UNLISTED PX, STOMACH, TRANSESOPHAGEAL GASTROSTOMY PLACEMENT",6345.0,,1065.6245,5456.7,83
LOCAL,36100571,HC BRONCHOSCOPY NON-THERML TRANSBRONCH ABLATN OF LESION(S) BY PULSE ELCT FIELD,4396.0,,1230.88,20125.575,84
LOCAL,36100572,HC UNLISTED PROCEDURE LEG/ANKLE-CEMENTOPLASTY OF LOWER LEG OR ANKLE,4971.0,,289.8115,4275.06,83
LOCAL,36100573,"HC UNLISTED PROCEDURE, BREAST, CT-GUIDED BREAST BIOPSY",5449.0,,1525.72,4686.14,83
LOCAL,36100575,"HC BIOPSY, PROSTATE, TRANSRECTAL, US-GUIDE (SEXTANT, US-LOCALIZED DISCRETE LESION)",8837.0,,2474.36,7599.82,84
LOCAL,36100576,"HC BIOPSY, PROSTATE, TRANSRECTAL, US-GUIDE (SEXTANT) W MRI-FUSION GUIDE, 1ST TARGET LESION",8837.0,,2474.36,7599.82,84
LOCAL,36100579,"HC TRANSRECTAL PROSTATE BIOPSY, MRI US FUSION BX, 1ST LESION",8837.0,,2474.36,7599.82,84
LOCAL,36100581,HC PROSTATE BIOPSY CT OR MRI (SEXTNT) W BX 1ST LESION W BX OF ADDL LESIONS,13441.0,,3763.48,11559.26,84
LOCAL,36100582,HC PROSTATE BX CT OR MRI 1ST TARGETED LESION,13441.0,,3763.48,11559.26,84
LOCAL,36100583,HC PROSTATE BX CT OR MRI EA ADDL LESION,2025.0,,567.0,1741.5,83
LOCAL,36100585,HC REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,2845.0,,796.6,2446.7,83
LOCAL,36100586,HC REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,3154.0,,883.12,2712.44,83
LOCAL,36100587,HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,4542.0,,1271.76,13563.3645,84
LOCAL,36100588,HC REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,2845.0,,796.6,2446.7,83
LOCAL,36100589,HC REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,5055.0,,1415.4,13563.3645,84
LOCAL,36100590,HC REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,3102.0,,868.56,2667.72,83
LOCAL,36100591,HC REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,4542.0,,1271.76,6687.066,84
LOCAL,36100592,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,5055.0,,1415.4,6687.066,84
LOCAL,36100597,HC IR HISTOTRIPSY MALIGNANT HEPATOCELLULAR TISSUE W IMAGE GUIDE,61516.0,,17224.48,52903.76,83
LOCAL,36100598,"HC UNLISTED PX, VASCULAR SURGERY, LIVER HEMOFILTRATION",12008.0,,737.0235,10326.88,83
LOCAL,36140,PR INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,1057.0,,63.94,1095.54,55
LOCAL,36160,PR INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR,1760.0,,88.5316,1825.33,55
LOCAL,36200,PR INTRODUCTION CATHETER AORTA,1578.0,,99.5992,1641.6,55
LOCAL,36200001,"HC BLD DERIVED HARVEST, AUTO",4482.0,,161.49,3854.52,85
LOCAL,36200002,HC NON-THERAP LEUKAPHERSIS,4282.0,,518.3395,3682.52,83
LOCAL,36200003,HC MNC THERAPEUTIC T CELL COLLECTION AUTO,4282.0,,518.3395,3682.52,83
LOCAL,36200004,HC TXPREP CRO/STOR,10295.0,,89.01,8853.7,85
LOCAL,36200005,HC TXPREP THAWING,3984.0,,56.3,3426.24,85
LOCAL,36200006,HC TXPREP WASHING,7499.0,,23.33,6449.14,85
LOCAL,36200007,HC TXPREP TUMORCELL DEP,40668.0,,142.05,34974.48,85
LOCAL,36200008,HC TXPREP RBC REMOVAL,6435.0,,93.83,5534.1,85
LOCAL,36200009,HC TXPREP PLASMA DEPL,6859.0,,80.28,5898.74,85
LOCAL,36200010,HC TXPREP CELL CONCEN,7637.0,,93.83,6567.82,85
LOCAL,36200011,HC AUTOLOGOUS DLI,5354.0,,518.3395,4604.44,83
LOCAL,36200012,HC TXPREP MANIP HANDLG,1689.0,,472.92,1452.54,83
LOCAL,36200013,HC BONE MARROW TRANSPL ALLO PER DONOR,6820.0,,472.72,73903.048,85
LOCAL,36200014,HC BONE MARR STEM CELL AUTO,5336.0,,349.5,4588.96,85
LOCAL,36200015,HC HPC BOOST,5532.0,,242.53,4757.52,85
LOCAL,36200016,HC PERIPH STEM CELL ALLO DLI,5306.0,,247.05,4563.16,85
LOCAL,36200017,HC AUTO CAR-T CELLS HARVESTING PER COLLECTION,4482.0,,1254.96,3854.52,83
LOCAL,36200018,HC AUTO CAR-T CELLS IV ADMINISTRATION,5336.0,,388.079,4588.96,84
LOCAL,36200019,HC AUTO CAR-T CELLS PREP & CRYO,10295.0,,2882.6,8853.7,83
LOCAL,36200023,HC AUTO CAR-T CELLS THAWING & MANIP HANDLING,5673.0,,1588.44,4878.78,83
LOCAL,36200024,HC AUTO CAR-T CELLS PREP - FRESH TRANSFER,1689.0,,472.92,1452.54,83
LOCAL,36200025,"HC BLD DERIVED HARVEST, OTHER CELLULAR THERAPY",4482.0,,518.3395,3854.52,83
LOCAL,36200026,HC TXPREP CRYO/STOR - OTHER CELLULAR THERAPY,10295.0,,518.3395,8853.7,83
LOCAL,36200027,HC TXPREP THAWING - OTHER CELLULAR THERAPY,3984.0,,518.3395,3426.24,83
LOCAL,36200028,HC TXPREP MANIP HANDLG - OTHER CELLULAR THERAPY,1689.0,,472.92,1452.54,83
LOCAL,36200029,"HC ADMINISTRATION, OTHER CELLULAR THERAPY",5336.0,,518.3395,4588.96,83
LOCAL,36200030,HC AUTO TXPREP TCELL DEP,37236.0,,156.64,32022.96,85
LOCAL,36200031,HC PREP & HANDLING TIL THERAPY,364.0,,101.92,313.04,83
LOCAL,36200032,HC AUTO FRESH CAR-T CELLS PREP & MANIP HANDLING,1689.0,,472.92,1452.54,83
LOCAL,36215,PR SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH,3087.0,,152.4716,2623.95,55
LOCAL,36216,PR SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH,2583.0,,194.2764,2263.2,55
LOCAL,36217,PR SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH,3553.0,,237.5624,3020.05,55
LOCAL,36218,PR SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH,561.0,,37.3796,583.83,55
LOCAL,36221,PR NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART,2100.0,,143.1244,1890.0,55
LOCAL,36222,PR SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART,2964.0,,205.344,2667.6,55
LOCAL,36223,PR SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,3000.0,,236.578,2700.0,55
LOCAL,36224,PR SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART,3388.0,,266.3308,3049.2,55
LOCAL,36225,PR SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,3000.0,,234.3608,2700.0,55
LOCAL,36226,PR SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY,5984.0,,264.6104,5385.6,55
LOCAL,36227,PR SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,1193.0,,87.0596,1073.7,55
LOCAL,36228,PR SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT,2405.0,,178.5352,2164.5,55
LOCAL,36245,PR SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,2324.0,,168.9488,1975.4,55
LOCAL,36246,PR SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH,2383.0,,180.2556,2043.4,55
LOCAL,36247,PR SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,3155.0,,213.9552,2681.75,55
LOCAL,36248,PR SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,584.0,,34.6748,496.4,55
LOCAL,36251,PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN,3057.0,,183.9448,2751.3,55
LOCAL,36252,PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL,3628.0,,255.76,3265.2,55
LOCAL,36253,PR SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I,4046.0,,253.0552,3641.4,55
LOCAL,36254,PR SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I,4123.0,,297.5648,3710.7,55
LOCAL,36260,PR INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM,4253.0,,482.9908,4378.73,55
LOCAL,36261,PR REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP,2128.0,,247.72,2189.36,55
LOCAL,36262,PR REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP,1775.0,,195.67,1825.33,55
LOCAL,3629902,PR VASCULAR INJECTION PROCEDURE,455.0,,273.0,3468.64,28
LOCAL,36400,PR VNPNXR <3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN,188.0,,8.52,175.14,51
LOCAL,36405,PR VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN,259.0,,11.0585,262.73,51
LOCAL,36406,PR VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN,190.0,,6.664,194.04,51
LOCAL,36410,PR VNPNXR 3 YEARS/> PHYS/QHP SKILL DX/THER PURPOSES,187.0,,6.6424,158.95,55
LOCAL,36420,PR VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR,360.0,,36.4044,367.46,51
LOCAL,36425,PR VENIPUNCTURE CUTDOWN AGE 1 YR/>,405.0,,25.14,344.25,55
LOCAL,36430,PR TRANSFUSION BLOOD/BLOOD COMPONENTS,274.0,,28.7684,285.06,50
LOCAL,36440,PR PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER,583.0,,36.601,497.97,51
LOCAL,36450,PR BLOOD EXCHANGE TRANSFUSION NEWBORN,1760.0,,124.9585,1773.81,51
LOCAL,36455,PR BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN,1760.0,,90.7488,1773.81,55
LOCAL,36460,PR TRANSFUSION INTRAUTERINE FETAL,3518.0,,251.574,3547.64,55
LOCAL,36468,PR INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK,286.0,,26.53,243.1,40
LOCAL,36470,PR INJECTION SCLEROSANT SINGLE INCMPTNT VEIN,434.0,,28.0324,368.9,55
LOCAL,36471,PR INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS,749.0,,54.8412,638.77,55
LOCAL,36473,PR ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN,3793.0,,130.088,3413.7,55
LOCAL,36474,PR ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS,953.0,,64.676,857.7,55
LOCAL,36475,PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,7532.0,,199.9344,6778.8,55
LOCAL,36476,PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS,1427.0,,96.3976,1284.3,55
LOCAL,36478,PR ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN,3843.0,,199.686,3843.27,55
LOCAL,36479,PR ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS,2343.0,,97.382,2108.7,55
LOCAL,36481,PR PRQ PORTAL VEIN CATHETERIZATION ANY METHOD,3503.0,,234.3608,3121.78,55
LOCAL,36500,PR VEN CATHJ SLCTV ORGAN BLD SAMPLING,1314.0,,105.72,1136.75,55
LOCAL,36510,PR CATHJ UMBILICAL VEIN DX/THER NB,531.0,,39.27,534.04,51
LOCAL,36511,PR THERAPEUTIC APHERESIS WHITE BLOOD CELLS,1179.0,,79.1844,1061.1,55
LOCAL,36512,PR THERAPEUTIC APHERESIS RED BLOOD CELLS,562.0,,74.5875,505.8,55
LOCAL,36513,PR THERAPEUTIC APHERESIS PLATELETS,1264.0,,76.728,1137.6,55
LOCAL,36514,PR THERAPEUTIC APHERESIS PLASMA PHERESIS,975.0,,67.3808,877.5,55
LOCAL,36516,PR THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION,1099.0,,61.7228,989.1,55
LOCAL,36522,PR PHOTOPHERESIS EXTRACORPOREAL,1484.0,,68.1105,1347.97,55
LOCAL,36555,PR INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,2322.0,,64.2988,2415.05,51
LOCAL,36556,PR INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>,1990.0,,60.9868,2069.17,55
LOCAL,36557,PR INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR,4734.0,,245.824,4484.21,51
LOCAL,36558,PR INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>,4222.0,,188.1308,4138.33,55
LOCAL,36560,PR INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR,5322.0,,294.8876,4523.7,51
LOCAL,36561,PR INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,3392.0,,241.2516,3225.79,55
LOCAL,36563,PR INSJ TUNNELED CTR VAD W/SUBQ PUMP,4828.0,,265.3464,4103.8,55
LOCAL,36565,PR INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP,3103.0,,243.708,3227.01,55
LOCAL,36566,PR INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT,4956.0,,259.2008,4212.6,55
LOCAL,36568,PR INSERTION PICC W/O IMG GDN < 5 YR,1995.0,,69.9752,2069.17,51
LOCAL,36569,PR INSERTION PICC W/O IMG GDN 5 YR/>,1658.0,,67.6292,1724.5,55
LOCAL,36570,PR INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR,2917.0,,255.3736,2860.28,51
LOCAL,36571,PR INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,3286.0,,227.2308,2850.47,55
LOCAL,36572,PR INSERTION PICC W/RS&I < 5 YR,1025.0,,61.456,922.5,51
LOCAL,36573,PR INSERTION PICC W/RS&I 5 YR/>,958.0,,60.7384,862.2,55
LOCAL,36575,PR RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,372.0,,24.104,360.61,55
LOCAL,36576,PR RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,1760.0,,133.2896,1724.5,55
LOCAL,36578,PR RPLCMT CATH CTR VAD SUBQ PORT/PMP,3316.0,,148.0464,3449.02,55
LOCAL,36580,PR RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP,1658.0,,47.4628,1724.5,55
LOCAL,36581,PR RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP,3325.0,,132.3052,3449.02,55
LOCAL,36582,PR RPLCMT COMPL TUN CTR VAD W/SUBQ PORT,3308.0,,208.2972,2811.8,55
LOCAL,36583,PR RPLCMT COMPL TUN CTR VAD W/SUBQ PMP,2881.0,,240.2672,2823.48,55
LOCAL,36584,PR COMPLETE REPLACEMENT PICC RS&I,1327.0,,42.3016,1379.85,55
LOCAL,36585,PR RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT,2976.0,,204.3596,2580.63,55
LOCAL,36589,PR RMVL TUN CVC W/O SUBQ PORT/PMP,1251.0,,99.3508,1111.24,55
LOCAL,36590,PR RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,1915.0,,138.2116,1724.5,55
LOCAL,36593,PR DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH,995.0,,24.3432,1035.2,50
LOCAL,36595,PR MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS,2205.0,,130.088,1934.25,55
LOCAL,36596,PR MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN,995.0,,31.97,1035.2,55
LOCAL,36597,PR RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE,796.0,,44.022,827.91,55
LOCAL,36598,PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,416.0,,25.8244,400.35,48
LOCAL,36620,PR ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,659.0,,32.2184,560.15,55
LOCAL,36625,PR ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN,683.0,,76.4796,580.55,55
LOCAL,36640,PR ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN,989.0,,84.594,983.93,55
LOCAL,36660,PR CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY,661.0,,49.8355,657.67,51
LOCAL,36680,PR PLACEMENT NEEDLE INTRAOSSEOUS INFUSION,666.0,,43.286,566.1,55
LOCAL,36800,PR INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN,1348.0,,87.2988,1306.76,55
LOCAL,36810,PR INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL,2955.0,,151.7356,3073.69,55
LOCAL,36815,PR INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR,2074.0,,97.6304,2151.59,55
LOCAL,36818,PR ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS,5305.0,,496.5148,4774.5,55
LOCAL,36819,PR ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS,5257.0,,525.5316,5453.67,55
LOCAL,36820,PR ARVEN ANAST OPN F/ARM VEIN TRPOS,5199.0,,520.858,5407.3,55
LOCAL,36821,PR ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT,4789.0,,476.1,4763.37,55
LOCAL,36823,PR INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL,10697.0,,1028.928,10491.78,55
LOCAL,36825,PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF,5911.0,,571.5224,6147.39,55
LOCAL,36830,PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF,5964.0,,479.7892,6185.16,55
LOCAL,36831,PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF,4210.0,,443.8908,4378.73,55
LOCAL,36832,PR REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF,5168.0,,516.67,5139.43,55
LOCAL,36833,PR REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF,4705.0,,581.3572,4878.43,55
LOCAL,36835,PR INSERTION THOMAS SHUNT SEPARATE PROCEDURE,7461.0,,351.1,7682.52,55
LOCAL,36837,PR PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES,5154.0,,332.7272,4638.6,53
LOCAL,36838,PR DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS,10150.0,,820.1432,9954.55,55
LOCAL,36860,PR XTRNL CANNULA DECLTNG SPX W/O BALO CATH,1122.0,,80.4172,1152.22,55
LOCAL,36861,PR XTRNL CANNULA DECLTNG SPX W/BALO CATH,1719.0,,101.0712,1766.95,55
LOCAL,36901,PR INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I,1809.0,,120.75,1628.1,55
LOCAL,36902,PR INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP,2677.0,,171.6536,2409.3,55
LOCAL,36903,PR INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT,8221.0,,225.5104,7398.9,55
LOCAL,36904,PR PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH,4209.0,,263.8744,3788.1,55
LOCAL,36905,PR PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP,5050.0,,317.2344,4545.0,55
LOCAL,36906,PR PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT,5775.0,,365.6816,5197.5,55
LOCAL,36907,PR TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I,1615.0,,104.7604,1453.5,55
LOCAL,36908,PR STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR,2356.0,,147.798,2120.4,55
LOCAL,36909,PR DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I,2284.0,,144.1088,2055.6,55
LOCAL,37000001,HC ANESTHESIA BUNDLE 1 BASE,2124.0,,594.72,1826.64,83
LOCAL,37000002,HC ANESTHESIA BUNDLE 1 30 MIN EA,249.0,,69.72,214.14,83
LOCAL,37000003,HC ANESTHESIA BUNDLE 2 BASE,1691.0,,473.48,1454.26,83
LOCAL,37000004,HC ANESTHESIA BUNDLE 2 30 MIN EA,217.0,,60.76,186.62,83
LOCAL,37000032,HC ABORTED CASE,1424.0,,398.72,1224.64,83
LOCAL,37000033,HC MOD SEDATION OTHER  PHYS/QHP < 5YRS; INITIAL 15MIN,525.0,,147.0,451.5,83
LOCAL,37000034,HC MOD SEDATION OTHER  PHYS/QHP 5/>YRS; INITIAL 15MIN,525.0,,119.96,451.5,84
LOCAL,37000035,HC MOD SEDATION OTHER  PHYS/QHP EA ADD'L 15 MIN,312.0,,87.36,268.32,84
LOCAL,37000036,"HC MOD SEDATION SAME PHYS/QHP <5 YRS, INITIAL 15MIN",525.0,,147.0,451.5,83
LOCAL,37000037,"HC MOD SEDATION SAME PHYS/QHP 5/>YRS, INITIAL 15MIN",525.0,,19.49,451.5,84
LOCAL,37000038,HC MOD SEDATION SAME PHYS/QHP EA ADD'L 15MIN,312.0,,18.62,268.32,84
LOCAL,37000039,"HC MOD SED GI ENDO SAME PHYS 5/>YRS, INITIAL 15MIN",525.0,,10.01,451.5,84
LOCAL,37140,PR VENOUS ANASTOMOSIS OPEN PORTOCAVAL,11562.0,,1348.29,11908.43,55
LOCAL,37145,PR VENOUS ANASTOMOSIS OPEN RENOPORTAL,11562.0,,1332.24,11908.43,55
LOCAL,37160,PR VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC,11562.0,,1355.35,11908.43,55
LOCAL,37180,PR VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL,11562.0,,1286.16,11908.43,55
LOCAL,37181,PR VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL,11562.0,,1449.96,11908.43,55
LOCAL,37182,PR INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT,6335.0,,584.062,5701.5,55
LOCAL,37183,PR REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS),4885.0,,268.2996,4396.5,55
LOCAL,37184,PR PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,5558.0,,308.6324,4724.3,55
LOCAL,37185,PR PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ,1818.0,,116.8124,1724.5,55
LOCAL,37186,PR SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL,2648.0,,173.8616,2585.53,55
LOCAL,37187,PR PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,4312.0,,281.0876,4220.5,55
LOCAL,37188,PR PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX,4286.0,,201.1672,3643.1,55
LOCAL,37191,PR INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,4140.0,,158.8656,3726.0,55
LOCAL,37192,PR REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,3716.0,,246.4128,3344.4,55
LOCAL,37193,PR RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,3985.0,,248.1332,3586.5,55
LOCAL,37195,PR THROMBOLYSIS CEREBRAL IV INFUSION,1923.0,,191.99,2198.36,48
LOCAL,37197,PR PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING,3802.0,,214.9304,3421.8,55
LOCAL,37200,PR TRANSCATHETER BIOPSY,2668.0,,153.7044,2768.04,55
LOCAL,37211,PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,3712.0,,276.414,3340.8,55
LOCAL,37212,PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,3677.0,,241.7392,3309.3,55
LOCAL,37213,PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX,2518.0,,165.2596,2266.2,55
LOCAL,37214,PR CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL,1371.0,,87.5472,1233.9,55
LOCAL,37215,PR TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ,9219.0,,713.414,8297.1,50
LOCAL,37216,PR TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ,9430.0,,713.1656,8487.0,50
LOCAL,37217,PR TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE,10336.0,,777.6024,9302.4,55
LOCAL,37218,PR TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,8368.0,,593.4092,7531.2,55
LOCAL,37236,PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL,4926.0,,316.25,4433.4,55
LOCAL,37237,PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL,2239.0,,150.2544,2015.1,55
LOCAL,37238,PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,3178.0,,218.868,2860.2,55
LOCAL,37239,PR OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL,2404.0,,107.4652,2163.6,55
LOCAL,37241,PR VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,5147.0,,307.648,4632.3,55
LOCAL,37242,PR VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,5500.0,,341.09,4950.0,55
LOCAL,37243,PR VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,9659.0,,401.0924,8693.1,55
LOCAL,37244,PR VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,9659.0,,473.892,8693.1,55
LOCAL,37246,PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART,4701.0,,248.8692,4230.9,55
LOCAL,37247,PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART,1905.0,,123.2064,1714.5,55
LOCAL,37248,PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,3326.0,,212.2256,2993.4,55
LOCAL,37249,PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,1647.0,,104.0244,1482.3,55
LOCAL,37252,PR INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,3027.0,,63.94,2724.3,55
LOCAL,37253,PR INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,799.0,,50.6552,719.1,55
LOCAL,37255,PR REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,1774.0,,123.7345,1596.6,33
LOCAL,37257,PR REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,2300.0,,159.8425,2070.0,33
LOCAL,37258,PR REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,5173.0,,365.0325,4655.7,33
LOCAL,37259,PR REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,2365.0,,165.444,2128.5,33
LOCAL,37260,PR REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,7502.0,,527.6545,6751.8,33
LOCAL,37261,PR REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,2512.0,,175.78,2260.8,33
LOCAL,37263,PR REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,4582.0,,323.7225,4123.8,33
LOCAL,37265,PR REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,6207.0,,437.682,5586.3,33
LOCAL,37400000,HC ACUPUNCTURE,276.0,,77.28,237.36,83
LOCAL,37400001,HC ACUPUNCTURE WITH ESTIM,354.0,,99.12,304.44,83
LOCAL,37565,PR LIGATION INTERNAL JUGULAR VEIN,3733.0,,281.37,3841.26,55
LOCAL,37600,PR LIGATION EXTERNAL CAROTID ARTERY,3837.0,,325.16,3456.62,55
LOCAL,37605,PR LIGATION INTERNAL/COMMON CAROTID ARTERY,3477.0,,401.3,3456.62,55
LOCAL,37606,PR LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION,3733.0,,401.02,3841.26,55
LOCAL,37607,PR LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA,2416.0,,270.756,2053.6,55
LOCAL,37609,PR LIGATION/BIOPSY TEMPORAL ARTERY,1548.0,,150.0152,1536.85,55
LOCAL,37615,PR LIGATION MAJOR ARTERY NECK,3694.0,,377.7336,3841.26,55
LOCAL,37616,PR LIGATION MAJOR ARTERY CHEST,5793.0,,650.35,5762.75,55
LOCAL,37617,PR LIGATION MAJOR ARTERY ABDOMEN,8627.0,,784.99,7332.95,55
LOCAL,37618,PR LIGATION MAJOR ARTERY EXTREMITY,3090.0,,284.5284,3073.69,55
LOCAL,37619,PR LIGATION OF INFERIOR VENA CAVA,15161.0,,1263.0496,13644.9,53
LOCAL,37650,PR LIGATION OF FEMORAL VEIN,2320.0,,298.97,2306.13,55
LOCAL,37660,PR LIGATION OF COMMON ILIAC VEIN,4603.0,,537.64,4604.18,55
LOCAL,37700,PR LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ,2911.0,,178.0476,2996.42,55
LOCAL,37718,PR LIG DIV & STRIPPING SHORT SAPHENOUS VEIN,3625.0,,284.0408,3553.27,55
LOCAL,37722,PR LIG DIV&STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW,5489.0,,336.6648,4665.65,55
LOCAL,37735,PR LIG&DIV&COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC,6528.0,,419.7868,6720.91,55
LOCAL,37760,PR LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG,4551.0,,415.8492,4686.1,55
LOCAL,37761,PR LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG,4939.0,,391.7544,4445.1,55
LOCAL,37765,PR STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS,3590.0,,195.7484,3733.58,55
LOCAL,37766,PR STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS,4387.0,,239.5312,4562.71,55
LOCAL,37780,PR LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX,1874.0,,170.6692,1592.9,55
LOCAL,37785,PR LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG,2018.0,,152.01,2074.31,55
LOCAL,37788,PR PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT,10295.0,,991.899,10601.67,47
LOCAL,37790,PR PENILE VENOUS OCCLUSIVE PROCEDURE,3880.0,,388.008,3994.09,47
LOCAL,3779902,"PR UNLISTED PROCEDURE VASCULAR SURGERY, RESECTION AND RECONSTRUCTION OF VENA CAVA",5761.0,,3456.6,5781.64,28
LOCAL,3779903,"PR UNLISTED PROCEDURE VASCULAR SURGERY, EN BLOC RESECT & RECON OF SUPERIOR MESENTERIC VEIN/PORTA VEIN CONFLUENC",11562.0,,5781.64,9827.7,28
LOCAL,3779904,"PR UNLISTED PROCEDURE VASCULAR SURGERY, RT RENAL VEIN THROMBECTOMY",4212.0,,2527.2,5781.64,28
LOCAL,3779905,"PR UNLISTED PROCEDURE VASCULAR SURGERY, PORTAL VEIN THROMBECTOMY & RECONSTRUCTION OF MAIN PORTAL VEIN",7863.0,,4717.8,6683.55,28
LOCAL,3779908,"PR UNLISTED PROCEDURE VASCULAR SURGERY, LAPAROSCOPIC LIPASES OF MEDIAN ARCUATE LIGAMENT",4859.0,,2915.4,5781.64,28
LOCAL,3779909,PR UNLISTED PROCEDURE VASCULAR SURGERY (LAPAROSCOPIC CONTROL OF RIGHT  HEPATIC ARTERY),8689.0,,5213.4,7385.65,28
LOCAL,3779910,"PR UNLISTED PROCEDURE VASCULAR, ROBOTIC LAPAROSCOPIC LITIGATION, MAJOR ARTERY; ABDOMEN",8994.0,,5396.4,7644.9,28
LOCAL,3779911,"PR UNLISTED PX, VASCULAR SURGERY, LIVER HEMOFILTRATION",710.0,,426.0,5781.64,28
LOCAL,38000002,HC BAG RBC,29.0,,2.54,24.94,84
LOCAL,38000003,HC BAG WBC,29.0,,2.13,24.94,84
LOCAL,38000004,HC BAG PLATELET,95.0,,3.76,81.7,84
LOCAL,38100,PR SPLENECTOMY TOTAL SEPARATE PROCEDURE,9992.0,,728.39,8493.2,55
LOCAL,38101,PR SPLENECTOMY PARTIAL SEPARATE PROCEDURE,10468.0,,687.45,8897.8,55
LOCAL,38102,PR SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX,3743.0,,191.084,4169.24,55
LOCAL,38115,PR RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT,13321.0,,720.09,11322.85,55
LOCAL,38120,PR LAPAROSCOPIC SURGICAL SPLENECTOMY,10834.0,,777.6024,9208.9,55
LOCAL,3812901,PR LAPAROSCOPIC SPLENIC CYST RESECTION,15727.0,,3468.64,13367.95,28
LOCAL,3812902,PR UNLISTED PROCEDURE LAPAROSCOPIC SPLENORRHAPHY,12870.0,,3468.64,10939.5,28
LOCAL,38200,PR INJECTION PROCEDURE SPLENOPORTOGRAPY,1981.0,,94.1896,1683.85,55
LOCAL,38204,PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ,503.0,,75.8455,452.7,40
LOCAL,38205,PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC,883.0,,59.568,794.7,42
LOCAL,38206,PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL,1180.0,,58.548,1062.0,50
LOCAL,38207,PR TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR,1400.0,,33.3795,1260.0,42
LOCAL,38208,PR TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR,883.0,,21.4625,794.7,42
LOCAL,38209,PR TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR,666.0,,9.163,599.4,42
LOCAL,38210,PR TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL,2469.0,,59.619,2222.1,42
LOCAL,38211,PR TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ,2230.0,,54.094,2007.0,42
LOCAL,38212,PR TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL,1479.0,,35.4875,1331.1,42
LOCAL,38213,PR TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ,898.0,,9.163,808.2,42
LOCAL,38214,PR TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ,1278.0,,30.4215,1150.2,42
LOCAL,38215,PR TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM,1479.0,,35.4875,1331.1,42
LOCAL,38220,PR DIAGNOSTIC BONE MARROW ASPIRATIONS,817.0,,48.2715,694.45,55
LOCAL,38221,PR DIAGNOSTIC BONE MARROW BIOPSIES,848.0,,50.4985,720.8,55
LOCAL,38222,PR DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,906.0,,54.7315,815.4,55
LOCAL,38225,PR CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY,2546.0,,71.3184,2291.4,48
LOCAL,38227,PR CAR-T THERAPY RECEIPT & PREPJ CAR-T CELLS F/ADMN,853.0,,29.852,767.7,40
LOCAL,38228,PR CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION,5119.0,,129.6004,4607.1,55
LOCAL,38230,PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC,4056.0,,148.0464,4207.01,55
LOCAL,38232,PR BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS,3705.0,,139.6975,3334.5,55
LOCAL,38240,PR TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR,5119.0,,136.86,4351.15,50
LOCAL,38241,PR TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR,3445.0,,128.3676,3496.12,50
LOCAL,38242,PR ALLOGENEIC LYMPHOCYTE INFUSIONS,1219.0,,90.988,1097.1,55
LOCAL,38243,PR TRNSPLJ HEMATOPOIETIC CELL BOOST,3520.0,,88.111,3168.0,55
LOCAL,38300,PR DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL,844.0,,67.3,717.4,55
LOCAL,38305,PR DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV,1643.0,,212.06,1613.59,55
LOCAL,38308,PR LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS,2328.0,,270.21,1978.8,55
LOCAL,38380,PR SUTR&/LIG THORACIC DUCT CERVICAL APPROACH,6022.0,,390.82,5118.7,55
LOCAL,38381,PR SUTR&/LIG THORACIC DUCT THORACIC APPROACH,11631.0,,585.2948,9886.35,55
LOCAL,38382,PR SUTR&/LIG THORACIC DUCT ABDOMINAL APPROACH,10234.0,,496.28,8698.9,55
LOCAL,38500,PR BX/EXC LYMPH NODE OPEN SUPERFICIAL,2101.0,,147.72,1785.85,55
LOCAL,38505,PR BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,1320.0,,62.468,1122.0,55
LOCAL,38510,PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE,3349.0,,220.53,2846.65,55
LOCAL,38520,PR BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD,3013.0,,268.14,2951.77,55
LOCAL,38525,PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE,4098.0,,240.83,3483.3,55
LOCAL,38530,PR BX/EXC LYMPH NODE OPEN INT MAMMARY NODE,4623.0,,307.27,3929.55,55
LOCAL,38531,PR OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES,3493.0,,329.5348,3143.7,55
LOCAL,38542,PR DISSECTION DEEP JUGULAR NODE,4242.0,,332.37,3605.7,55
LOCAL,38550,PR EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ,3492.0,,325.78,2968.2,55
LOCAL,38555,PR EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ,9306.0,,705.94,7910.1,55
LOCAL,38562,PR LMTD LMPHADEC STAGING SPX PEL&PARA-AORTIC,6682.0,,517.9048,6949.29,55
LOCAL,38564,PR LMTD LMPHADEC STAGING SPX RPR AORTIC&/SPLENIC,7575.0,,515.4484,7878.28,55
LOCAL,38570,PR LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT,9550.0,,377.4852,8117.5,55
LOCAL,38571,PR LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY,10585.0,,481.5096,8997.25,55
LOCAL,38572,PR LAPS BI TOT PEL LMPHADEC & PRI-AORTIC LYMPH BX 1,8646.0,,662.262,8803.81,55
LOCAL,38573,PR LAPS W/BI TOT PEL LMPHADEC & OMNTC LYMPH BX,11085.0,,860.2276,9976.5,55
LOCAL,3858901,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, LAPAROSCOPIC GROIN DISSECTION-BILATERAL",12213.0,,3468.64,10381.05,28
LOCAL,3858902,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, LAPAROSCOPIC GROIN DISSECTION-UNILATERAL",6109.0,,3468.64,5192.65,28
LOCAL,3858903,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, LAPAROSCOPIC EXTRAPERITONEAL LYMPH NODE DISSECTION",10381.0,,3468.64,8823.85,28
LOCAL,3858904,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, ROBOTIC-ASSISTED GASTRIC LYMPHADENECTOMY",9887.0,,3468.64,8403.95,28
LOCAL,3858905,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, VATS RADICAL LYMPH NODE DISSECTION OF MEDIASTIMUM",2968.0,,1780.8,3468.64,28
LOCAL,3858906,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, ROBOTIC ASSISTED INTERNAL MAMMARY LYMPHADENECTOMY",2084.0,,1250.4,3468.64,28
LOCAL,3858907,"PR LAP,LYMPHATIC SYSTEM,OTHER PROC, LAPAROSCOPIC PELVIC AND PERIAORTIC LYMPH NODE SAMPLING",8724.0,,3468.64,7415.4,28
LOCAL,3858908,"PR UNLISTED PROCEDURE LAPAROSCOPY, LYMPHATIC SYSTEM (LAPAROSCOPIC RETROPERITONEAL TRANSABDOMINAL LYMPHADENECTOMY)",16995.0,,3468.64,14445.75,28
LOCAL,3858909,"PR UNLISTED PX LYMPH SYS, SUPERFICIAL, VIDEOSCOPIC, INGUINOFEMORAL LYE",7642.0,,3468.64,6495.7,28
LOCAL,3858910,"PR UNLISTED PX LYMPH SYS, SUPERFICIAL, INGUINOFEMORAL W/PELVIC LYMPHAY",12294.0,,3468.64,10449.9,28
LOCAL,38700,PR SUPRAHYOID LYMPHADENECTOMY,7587.0,,582.93,6448.95,55
LOCAL,38720,PR CERVICAL LYMPHADENECTOMY,12165.0,,957.52,10656.63,55
LOCAL,38724,PR CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ,15170.0,,963.76,12894.5,55
LOCAL,38740,PR AXILLARY LYMPHADENECTOMY SUPERFICIAL,4622.0,,390.11,3928.7,55
LOCAL,38745,PR AXILLARY LYMPHADENECTOMY COMPLETE,7465.0,,595.95,6345.25,55
LOCAL,38746,PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC,2968.0,,153.9436,2522.8,55
LOCAL,38747,PR ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC,2883.0,,193.5404,2678.76,55
LOCAL,38760,PR INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX,6442.0,,523.08,5475.7,55
LOCAL,38765,PR INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC,12504.0,,961.0596,10628.4,55
LOCAL,38770,PR PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR&OBTURATOR,8107.0,,587.2544,8431.2,55
LOCAL,38780,PR RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC&RNL,13397.0,,761.6128,13898.59,55
LOCAL,38790,PR INJECTION PROCEDURE LYMPHANGIOGRAPHY,1008.0,,59.7632,2850.43,55
LOCAL,38792,PR INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,1664.0,,23.6072,1414.4,55
LOCAL,38794,PR CANNULATION THORACIC DUCT,1747.0,,203.872,1484.95,55
LOCAL,38900,PR INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION,1780.0,,99.8476,1602.0,55
LOCAL,3899901,"PR BLOOD/LYMPH SYSTEM PROCEDURE, VACCINE INJECTION-LYMPHATIC SYSTM",335.0,,201.0,10946.82,28
LOCAL,3899902,"PR BLOOD/LYMPH SYSTEM PROCEDURE, IMAG GUID CLIP PLC FLW LYMPHNOD BX",813.0,,487.8,10946.82,28
LOCAL,3899903,"PR BLOOD/LYMPH SYSTEM PROCEDURE, IMAG GUID SEED PLC FLW LYMPHNOD BX",813.0,,487.8,10946.82,28
LOCAL,3899904,"PR BLOOD/LYMPH SYSTEM PROCEDURE, LYMPHATIC BYPASS, FIRST ANASTOMOSIS",10630.0,,6378.0,10946.82,28
LOCAL,3899905,"PR BLOOD/LYMPH SYSTEM PROCEDURE, LYMPHATIC BYPASS, EACH ADDITIONAL ANASTOMOSIS",629.0,,377.4,10946.82,28
LOCAL,3899906,"PR BLOOD/LYMPH SYSTEM PROCEDURE, VIDEO ASSISTED THORASCOPIC LIGATION OF THORACIC DUCT",11411.0,,6846.6,10946.82,28
LOCAL,3899907,"PR BLOOD/LYMPH SYSTEM PROCEDURE, LIGATION OF LYMPHATIC CHANNEL",5818.0,,3490.8,10946.82,28
LOCAL,3899908,"PR BLOOD/LYMPH SYSTEM PROCEDURE, RADICAL LYMPH NODE DISSECTION OF MEDIASTINUM, OPEN",2968.0,,1780.8,10946.82,28
LOCAL,3899909,"PR BLOOD/LYMPH SYSTEM PROCEDURE, INTRAOPERATIVE ID OF SENTINAL LYMPH NODE(S)",1780.0,,1068.0,10946.82,28
LOCAL,3899910,PR ABLATION OF THE SPLEEN,3802.0,,2281.2,10946.82,28
LOCAL,3899911,PR LYMPHOSCINTIGRAPHY W/ ICG,584.0,,350.4,10946.82,28
LOCAL,3899916,PR LYMPH NODE ETHANOL ABLATION,1324.0,,794.4,10946.82,28
LOCAL,3899917,PR MNC THERAPEUTIC T CELL COLLECTION,2559.0,,1535.4,10946.82,28
LOCAL,3899918,PR CRYOABLATION - LYMPH NODE,3844.0,,2306.4,10946.82,28
LOCAL,3899919,"PR ADMINISTRATION, OTHER CELLULAR THERAPY",3822.0,,2293.2,10946.82,28
LOCAL,3899920,"PR CELL HARVEST, OTHER CELLULAR THERAPY",2559.0,,1535.4,10946.82,28
LOCAL,3899921,"PR TRANS PREP CELLS, CRYO & STOR OTHER CELLULAR THERAPY",1353.0,,811.8,10946.82,28
LOCAL,3899922,"PR TRANS PREP CELLS,THAW OTHER CELLULAR THERAPY",853.0,,511.8,10946.82,28
LOCAL,3899923,"PR UNLISTED PX LYMPH NODE TRANSFER WITH NO ANASTOMOSIS, LYMPHEDEMA",3714.0,,2228.4,10946.82,28
LOCAL,3899924,"PR UNLISTED PROCEDURE,HEMIC OR LYMPHATIC SYSTEM,PHOTODYNAMIC IMMUNOTHS",266.0,,159.6,10946.82,28
LOCAL,39000,PR MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR,5002.0,,352.406,4251.7,55
LOCAL,39000001,HC CRYOPRECIP PROC,136.0,,38.08,116.96,84
LOCAL,39000002,HC PLASMA FRZN APHERE,335.0,,93.8,288.1,84
LOCAL,39000003,HC PLASMA FROZEN PROC,199.0,,55.72,171.14,84
LOCAL,39000004,HC PLASMA SGL DONOR,189.0,,52.92,162.54,84
LOCAL,39000006,HC RED BLD CELLS FROZ,937.0,,262.36,805.82,84
LOCAL,39000007,HC PLATELETS IRRADIATED,343.0,,96.04,451.9155,84
LOCAL,39000010,HC PLATELETS PHER IRR EA,1430.0,,400.4,1229.8,84
LOCAL,39000011,HC PLATEL PHERESIS LEUK IRR,1905.0,,533.4,1638.3,84
LOCAL,39000012,HC RED CELLS IRRAD,561.0,,157.08,482.46,84
LOCAL,39000013,HC RED CELLS LEUKOR IRRAD,647.0,,181.16,556.42,84
LOCAL,39000016,HC GRANULOCYTE PHERESIS EACH UNIT,7471.0,,2091.88,6425.06,83
LOCAL,39000017,HC ABO,109.0,,2.51,156.3195,85
LOCAL,39000018,HC ABO TYPE BLD.PROD,101.0,,2.51,156.3195,85
LOCAL,39000019,HC AUTOLOGUS RBC PROCESSING,460.0,,128.8,395.6,85
LOCAL,39000020,HC BLD.TYPE RBC AG,64.0,,3.22,421.1415,85
LOCAL,39000021,"HC BLOOD, SPLIT UNIT",226.0,,63.28,200.169,85
LOCAL,39000022,HC COOMBS DIRECT STUDY,89.0,,4.53,76.54,85
LOCAL,39000023,"HC CROSSMATCH, IS",106.0,,29.68,200.169,85
LOCAL,39000024,"HC CROSSMATCH,AHG",99.0,,27.72,200.169,85
LOCAL,39000025,HC DONOR ABO,101.0,,2.51,156.3195,85
LOCAL,39000026,HC DONOR INDIR COOMBS,42.0,,4.8,200.169,85
LOCAL,39000027,HC DONOR RH,52.0,,2.51,44.72,85
LOCAL,39000028,HC ELUTION,148.0,,41.44,200.169,84
LOCAL,39000029,HC FFP THAW,33.0,,9.24,200.169,85
LOCAL,39000030,HC INDIRECT COOMBS,53.0,,4.8,200.169,85
LOCAL,39000031,"HC IRRAD BLD PROD,EA UNIT",36.0,,10.08,67.46,85
LOCAL,39000032,HC PLASMA REDUCTION,168.0,,47.04,200.169,85
LOCAL,39000033,HC POOLING BLD COMP,39.0,,10.92,259.15,85
LOCAL,39000034,HC RBC AB.IDEN,359.0,,100.52,421.1415,84
LOCAL,39000035,HC RBC ANTIGENS EA,56.0,,3.22,421.1415,85
LOCAL,39000036,HC REF AB ID RBC REF LAB,37.0,,10.36,421.1415,84
LOCAL,39000037,HC REF AB SCRN,37.0,,10.36,61.226,85
LOCAL,39000038,HC REF ABO,37.0,,2.51,156.3195,85
LOCAL,39000039,HC REF DAT REF LAB,38.0,,4.53,69.3105,85
LOCAL,39000040,HC REF ELUTION,37.0,,10.36,200.169,84
LOCAL,39000041,HC REF ISOAGGLUTIN TIT ANTI-B B,106.0,,4.35,200.169,85
LOCAL,39000042,HC REF ISOAGGLUTININ TIER ANTI A,106.0,,4.35,200.169,85
LOCAL,39000043,HC REF RH (D),37.0,,2.51,43.884,85
LOCAL,39000044,HC BLOOD TYPING SEROLOGIC RH (D),56.0,,2.51,48.16,85
LOCAL,39000045,HC RED CELLS IRRAD & TESTING,562.0,,157.36,483.32,84
LOCAL,39000046,HC RED CELLS LEUKOR IRRAD & TESTING,647.0,,181.16,556.42,84
LOCAL,39000047,HC RED CELLS LEUKOR IRRAD PLASMA REDUCTION & TESTING,617.0,,172.76,530.62,84
LOCAL,39000048,HC RED BLD CELLS FROZ & TESTING,937.0,,262.36,805.82,84
LOCAL,39000049,HC PLATELETS PHER IRR EA & TESTING,1431.0,,400.68,1230.66,84
LOCAL,39000050,HC PLATEL PHERESIS LEUK IRR & TESTING,1905.0,,533.4,1638.3,84
LOCAL,39000051,HC PLATEL PHERESIS LEUK IRR PLASMA REDUCTION & TESTING,1817.0,,508.76,1562.62,84
LOCAL,39000052,HC PLATELETS E2903 & TESTING,345.0,,96.6,451.9155,84
LOCAL,39000053,HC PLATELETS E2904 & TESTING,345.0,,96.6,451.9155,84
LOCAL,39000054,HC PLATELETS E2905 & TESTING,345.0,,96.6,451.9155,84
LOCAL,39000055,HC PLATELETS IRRADIATED PREPOOLED LR E6210 & TESTING,345.0,,96.6,296.7,84
LOCAL,39000056,HC PLATELETS IRRADIATED PREPOOLED LR PR E9913 & TESTING,345.0,,96.6,451.9155,84
LOCAL,39000057,HC PLASMA FROZEN PROC FFP & TESTING,200.0,,56.0,172.0,84
LOCAL,39000058,HC PLASMA SGL DONOR FFP APH & TESTING,190.0,,53.2,163.4,84
LOCAL,39000059,HC PLASMA FROZEN PROC CCP IR & TESTING,190.0,,53.2,163.4,84
LOCAL,39000060,HC PLASMA SGL DONOR CCP APH IR & TESTING,190.0,,53.2,163.4,84
LOCAL,39000061,HC CRYOPRECIP PROC & TESTING,129.0,,36.12,110.94,84
LOCAL,39000062,HC CRYOPRECIP PROC POOLED &  TESTING,129.0,,36.12,110.94,84
LOCAL,39000063,HC CRYOPRECIP PROC PREPOOLED & TESTING,136.0,,38.08,116.96,84
LOCAL,39000064,HC GRANULOCYTE PHERESIS EACH UNIT & TESTING,7471.0,,2091.88,6425.06,83
LOCAL,39000065,HC GRANULOCYTE PHERESIS EACH UNIT IRR & TESTING,7471.0,,2091.88,6425.06,83
LOCAL,39000066,HC DONOR ABO RH,98.0,,2.51,156.3195,85
LOCAL,39000067,"HC PLATELETS IRR LR PRE POOLED, EA UNIT - EA794 6 UNITS",304.0,,85.12,261.44,84
LOCAL,39000068,"HC PLATELETS IRR LR PRE POOLED, EA UNIT- EA793 5 UNITS",400.0,,112.0,344.0,84
LOCAL,39000069,"HC PLATELETS IRR LR PRE POOLED, EA UNIT - EA796 LOW YIELD",1653.0,,218.0285,1421.58,84
LOCAL,39000070,"HC PLATELETS IRR LR PRE POOLED, EA UNIT - EA792 4 UNITS",448.0,,125.44,385.28,84
LOCAL,39000071,HC PLATELETS PHERESIS PATH REDU,3102.0,,698.5445,2667.72,84
LOCAL,39000072,"HC PLATELETS IRR LR PRE POOLED, 5 UNITS",494.0,,138.32,424.84,84
LOCAL,39000073,HC WASHING OF BLOOD PRODUCTS,361.0,,33.9825,310.46,84
LOCAL,39000074,HC WASHED RED BLOOD CELL UNIT,1538.0,,423.867,1322.68,84
LOCAL,39000075,HC PLATELET PHERESIS LEUK IRR + WASHING & TESTING,1817.0,,508.76,1562.62,84
LOCAL,39000076,"HC WASHED RED BLD CELL UNIT, ABO LEUKOREDU",1538.0,,423.867,1322.68,84
LOCAL,39000077,HC WHOLE BLOOD LEUKOREDUCED IRR,1777.0,,97.2325,1528.22,84
LOCAL,39000078,HC WHOLE BLOOD IRRADIATED,1584.0,,218.316,1362.24,84
LOCAL,39010,PR MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR,10350.0,,572.746,8797.5,55
LOCAL,39100002,HC BLOOD ADMINISTRATION,1492.0,,30.73,1283.12,85
LOCAL,39100003,HC EXCHG TRANSFS BLD NOT NB,1467.0,,164.3,1261.62,85
LOCAL,39100004,HC TRANSFUSE BLD/BLD COMP (ANESTH),1492.0,,30.73,1283.12,85
LOCAL,39200,PR RESECTION OF MEDIASTINAL CYST,11631.0,,631.028,9886.35,55
LOCAL,39220,PR RESECTION MEDIASTINAL TUMOR,13241.0,,824.8168,11254.85,55
LOCAL,39401,PR MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY,3084.0,,222.8056,2775.6,55
LOCAL,39402,PR MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES,3789.0,,290.9224,3410.1,55
LOCAL,3949901,"PR UNLISTED PROCEDURE MEDIASTINAL ED, TRACHEOTOMY",5002.0,,3001.2,4251.7,28
LOCAL,39501,PR REPAIR LACERATION DIAPHRAGM ANY APPROACH,10468.0,,621.4416,8897.8,55
LOCAL,39503,PR RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ,20821.0,,1937.89,20829.6,51
LOCAL,39540,PR RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT,13260.0,,632.7576,11271.0,55
LOCAL,39541,PR RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC,8392.0,,682.6768,7969.29,55
LOCAL,39545,PR IMBRICATION DIAPHRAGM EVENTRATION,11429.0,,652.1788,10193.0,55
LOCAL,39560,PR RESCJ DIAPHRAGM W/SIMPLE REPAIR,4869.0,,587.0152,4138.65,55
LOCAL,39561,PR RESCJ DIAPHRAGM W/COMPLEX REPAIR,7198.0,,914.5812,6118.3,55
LOCAL,3959901,"PR UNLISTED PROCEDURE DIAPHRAGM SURG, VATS DIAPHRAGM PLICATION",12793.0,,3434.3,10874.05,28
LOCAL,3959902,"PR VATS/LAPAROSCOPIC, RESECTION OF DIAPHRAGM WITH SIMPLE REPAIR",4704.0,,2822.4,3998.4,28
LOCAL,3959903,"PR UNLISTED PROCEDURE DIAPHRAGM SURG, RELEASE OF MEDIAN ACRUATE LIGAMENT COMPRESSION OF CELIAC ARTERY",6349.0,,3434.3,5396.65,28
LOCAL,3959904,"PR UNLISTED PROCEDURE DIAPHRAGM SURG, VIDEO-ASSISTED THORACOSCOPY W PRIMARY REPAIR OF DIAPHRAGMATIC HERNIA",13260.0,,3434.3,11271.0,28
LOCAL,3959905,PR UNLISTED PX DIAPHRAGM THORACOSCOPIC RESECTION OF DIAPHRAGM WITH COMPLEX REPAIR,6954.0,,3434.3,5910.9,28
LOCAL,4,Stem Cell Transplant- Single- Auto Breast,,,84360.0,84360.0,1
LOCAL,40100003,HC MAMMO BRST LCDV PLC 1STLS,4003.0,,193.04,3442.58,85
LOCAL,40100004,HC MAMMO BRST LCDV PLC ADDLS,1601.0,,96.84,1376.86,84
LOCAL,40100007,HC DIAGNST BREAST TOMOSYNTHS,182.0,,47.45,156.52,83
LOCAL,40100008,"HC DIAGNOSTIC MAMMOGRAPHY INCL CAD, UNILATERAL",537.0,,150.36,461.82,84
LOCAL,40100009,"HC DIAGNOSTIC MAMMOGRAPHY INCL CAD, BILATERAL",771.0,,215.88,663.06,84
LOCAL,40200001,HC NASA IMAGE PROCESSING,26.0,,7.28,22.36,83
LOCAL,40200002,HC U/S BRST LCDV PLC 1ST LES,3833.0,,165.4,3296.38,85
LOCAL,40200003,HC U/S BRST LCDV PLC ADD LES,1534.0,,83.16,1319.24,84
LOCAL,40200004,HC OPHTH US ECHO DX A-SCAN,571.0,,57.14,491.06,85
LOCAL,40200005,HC OPHTH US DX CONT B-SCAN,635.0,,48.11,546.1,85
LOCAL,40200006,HC OPHTH US-DX ANT SEG,441.0,,75.18,379.26,85
LOCAL,40200007,HC OPHTH US CORNEAL PACYMTRY,64.0,,11.36,55.04,85
LOCAL,40200008,HC OPHTH BIOMETRY A-SCAN,501.0,,68.16,430.86,85
LOCAL,40200010,HC U/S ABD COMPL,1238.0,,104.75,1064.68,85
LOCAL,40200011,HC U/S ABDOMEN LIMITED,795.0,,87.21,683.7,85
LOCAL,40200012,HC US RETROPERITONEAL COMPLETE,812.0,,104.75,698.32,85
LOCAL,40200013,HC US RETROPERITONEAL LTD,719.0,,59.81,618.34,85
LOCAL,40200014,"HC U/S PREG 1ST TRI,SGI",519.0,,104.75,446.34,85
LOCAL,40200015,"HC U/S PREG AFTER 1ST TRI,SGL",519.0,,104.75,446.34,85
LOCAL,40200016,HC TRANSVAGINAL US OBSTETRIC,668.0,,92.89,574.48,85
LOCAL,40200017,HC U/S TRANSVAGINAL,872.0,,104.75,749.92,85
LOCAL,40200018,HC U/S PELVIC,1082.0,,96.28,930.52,85
LOCAL,40200019,HC U/S TESTICULAR,894.0,,100.24,768.84,85
LOCAL,40200020,HC PLANNING ULTRASOUND,582.0,,104.75,500.52,85
LOCAL,40200021,HC US COMPETE JOINT REAL-TIME W/ IMG DOCUMENT,774.0,,92.25,665.64,85
LOCAL,40200022,HC US LIMITED JOINT/OTHER NONVAS EXTREMITY STRUCTURE(S) REAL-TIME W/ IMG DOCUMENT,593.0,,30.35,509.98,85
LOCAL,40200024,HC U/S GUID ENDOMYCAR BX,1155.0,,260.5,993.3,84
LOCAL,40200025,HC US GUIDANC FR ARTERY REPR,1133.0,,253.69,974.38,85
LOCAL,40200026,HC U/S GUID FOR VASC ACCESS,1039.0,,65.78,893.54,84
LOCAL,40200027,HC US GUID&MN PRNCML TIS ABL,849.0,,237.72,730.14,84
LOCAL,40200028,HC  ULTRASOUND GUIDANCE NEEDLE PLACMNT,1409.0,,99.19,1211.74,84
LOCAL,40200029,HC U/S GD INTRST RADLMNT APP,1860.0,,161.36,1599.6,84
LOCAL,40200030,HC US GUIDANCE INTRAOPERATIV,1252.0,,325.18,1076.72,84
LOCAL,40200031,HC US TRANSPLANTED KIDNEY DUPLEX DOPPLER WITH IMG DOCUMENTATION,979.0,,104.75,841.94,85
LOCAL,40200033,HC U/S PELVIS LIMITED,627.0,,50.79,539.22,85
LOCAL,40200034,HC PROSTATES STAG U/S,756.0,,104.75,650.16,85
LOCAL,40200035,HC U/S BREAST UNILATCOMPLET,1401.0,,102.91,1204.86,85
LOCAL,40200036,HC U/S BREAST UNILAT LIMITED,1124.0,,85.2,966.64,85
LOCAL,40200039,HC US INTRAVASCULAR NONCORONARY VESSEL S&I EA ADD'L,1423.0,,141.32,1223.78,84
LOCAL,40200040,HC US INTRAVASCULAR NONCORONARY VESSEL S&I INITIAL,2118.0,,177.95,1821.48,84
LOCAL,40200042,HC ULTRASOUND ELASTOGRAPHY PARENCHYMA,1390.0,,104.59,1195.4,85
LOCAL,40200043,HC ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION,1390.0,,93.56,1195.4,85
LOCAL,40200044,HC ULTRASOUND ELASTOGRAPHY EA ADDL TARGET LESION,349.0,,61.81,300.14,84
LOCAL,40200045,HC ULTRASOUND TARGET DYNAMIC MICROBUBBLE 1ST LESION,1776.0,,175.06,1527.36,85
LOCAL,40200046,HC ULTRASOUND TARGET DYNAMIC MICROBUBBLE EA ADD'L LESION,495.0,,138.6,425.7,84
LOCAL,40300003,HC SCREEN BREAST TOMOSYNTHS,180.0,,50.4,154.8,83
LOCAL,40300004,"HC SCREENING MAMMOGRAPHY INCL CAD, BILATERAL",595.0,,166.6,511.7,84
LOCAL,40400001,HC MYOCRD IMG POSI EMIS TOMO PET METAB EVAL  SINGLE STUDY,6970.0,,1521.0935,5994.2,85
LOCAL,40400002,"HC MYOCRD IMG POSI EMIS TOMO PET PERFUS SINGLE STUDY, REST/STRESS",3230.0,,904.4,4896.0,85
LOCAL,40400003,"HC MYOCRD IMG POSI EMIS TOMO PET PERFUS MULT STUDIES, REST/STRESS",8185.0,,1680.058,7039.1,85
LOCAL,40400004,HC PET BRAIN METABOLIC EVAL,8814.0,,1458.59,7580.04,85
LOCAL,40400005,HC PET LIMITED AREA,8109.0,,1305.48,6973.74,85
LOCAL,40400006,HC PET SKULL BAS TO MIDTHIGH,8715.0,,1458.59,7494.9,85
LOCAL,40400007,HC PET  WHOLE BODY,9291.0,,1458.59,7990.26,85
LOCAL,40400008,HC PET/CT LIMITED AREA,8109.0,,1458.59,6973.74,85
LOCAL,40400009,HC PET CT SKUL BAS TOMDTHIGH,9085.0,,1458.59,7813.1,85
LOCAL,40400010,HC PET CT WHOLE BODY,9085.0,,1458.59,7813.1,85
LOCAL,40400014,HC MELANOMA NON COVEREDPET WB,9213.0,,2579.64,7923.18,83
LOCAL,40400015,HC PET NOT OTHERWISE SPECIFD,8836.0,,469.6945,7598.96,84
LOCAL,40490,PR BIOPSY OF LIP,430.0,,49.1725,391.52,55
LOCAL,40500,PR VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT,3345.0,,276.1656,3442.88,55
LOCAL,40510,PR EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR,3449.0,,259.9368,3549.35,55
LOCAL,40520,PR EXC LIP V-EXC W/PRIM DIR LINR CLSR,3166.0,,265.5948,2840.16,55
LOCAL,40525,PR EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP,6785.0,,410.1912,5767.25,55
LOCAL,40527,PR EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP,6707.0,,467.2496,6671.12,55
LOCAL,40530,PR RESCJ LIP > ONE-FOURTH W/O RCNSTJ,2857.0,,301.99,2840.16,55
LOCAL,40650,PR REPAIR LIP FULL THICKNESS VERMILION ONLY,1986.0,,236.578,1775.52,55
LOCAL,40652,PR REPAIR LIP FULL THICKNESS <HALF VERTICAL HEIGHT,2275.0,,269.5324,2342.18,55
LOCAL,40654,PR RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX,3217.0,,317.7312,3336.42,55
LOCAL,40700,PR PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI,7582.0,,695.62,7807.86,55
LOCAL,40701,PR PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX,8716.0,,878.186,8977.26,55
LOCAL,40702,PR PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS,7582.0,,723.48,7807.86,55
LOCAL,40720,PR PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT & RECL,6443.0,,757.436,6635.05,55
LOCAL,40761,PR PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP,9095.0,,795.064,9367.05,55
LOCAL,40800,PR DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,475.0,,60.48,437.96,55
LOCAL,40801,PR DRG ABSC CST HMTMA VESTIBULE MOUTH COMP,1863.0,,134.3,1916.35,55
LOCAL,40804,PR RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,636.0,,57.06,568.38,55
LOCAL,40805,PR RMVL EMBEDDED FB VESTIBULE MOUTH COMP,1715.0,,146.0776,1703.41,55
LOCAL,40806,PR INCISION LABIAL FRENUM FRENOTOMY,831.0,,21.68,853.41,55
LOCAL,40808,PR BIOPSY VESTIBULE MOUTH,650.0,,55.42,568.38,55
LOCAL,40810,PR EXC LES MUCOSA & SBMCSL VESTIBULE MOUTH W/O RPR,717.0,,80.15,709.18,55
LOCAL,40812,PR EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR,1011.0,,120.71,887.77,55
LOCAL,40814,PR EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR,2141.0,,209.5208,2129.26,55
LOCAL,40816,PR EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC,2938.0,,222.81,2769.76,55
LOCAL,40818,PR EXC MUCOSA VESTIBULE MOUTH AS DON GRF,1139.0,,149.82,1172.81,55
LOCAL,40819,PR EXC FRENUM LABIAL/BUCCAL,969.0,,115.16,994.23,55
LOCAL,40820,PR DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS,1100.0,,56.66,935.0,55
LOCAL,40830,PR CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<,776.0,,75.51,659.6,55
LOCAL,40831,PR CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,1381.0,,142.0,1420.08,55
LOCAL,40840,PR VESTIBULOPLASTY ANTERIOR,2760.0,,469.2184,2840.16,50
LOCAL,40842,PR VESTIBULOPLASTY POSTERIOR UNILATERAL,2298.0,,477.785,2298.15,50
LOCAL,40843,PR VESTIBULOPLASTY POSTERIOR BILATERAL,3033.0,,643.3284,3123.49,50
LOCAL,40844,PR VESTIBULOPLASTY ENTIRE ARCH,4827.0,,870.5592,4969.42,50
LOCAL,40845,PR VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG,6438.0,,890.974,6032.34,50
LOCAL,4089901,"PR UNLISTED PROCEDURE MOUTH SURGERY, INTRAORAL LASER HAIR REMOVAL",1992.0,,1195.2,3468.64,28
LOCAL,41000,PR INTRAORAL I&D TONGUE/FLOOR LINGUAL,634.0,,65.35,613.02,55
LOCAL,41000001,HC MECHANICAL VENT INITIAL,3160.0,,144.9,2717.6,85
LOCAL,41000002,HC MECHANICAL VENT SUBSEQ,2780.0,,101.89,2390.8,85
LOCAL,41000004,HC PENTAMIDINE AERSL INHALATION PNEUM/PROPH,457.0,,87.27,393.02,85
LOCAL,41000005,HC CPAP/BIPAP THERAPY,1218.0,,58.89,1047.48,85
LOCAL,41000006,HC OSCILLATORY PEP INITIAL,340.0,,12.69,292.4,85
LOCAL,41000010,HC 02 THERAPY INITIAL,385.0,,107.8,331.1,84
LOCAL,41000011,HC O2 THERAPY SUBSEQUENT,224.0,,62.72,192.64,84
LOCAL,41000012,HC AEROSOL THERAPY INITIAL,422.0,,118.16,362.92,84
LOCAL,41000013,HC AEROSOL THERAPY SUBSEQ,365.0,,102.2,313.9,84
LOCAL,41000014,HC CONT MEDIC AEROSOL,582.0,,151.179,500.52,84
LOCAL,41000015,HC MIXED GASES INIT,622.0,,151.179,534.92,84
LOCAL,41000016,HC MIXED GASES SUBSEQ,502.0,,140.56,431.72,84
LOCAL,41000023,HC HIGH FREQ VENT INITIAL,3160.0,,144.9,2717.6,85
LOCAL,41000026,HC HIGH FREQ VENTILATION,2780.0,,101.89,2390.8,85
LOCAL,41000029,HC BREATHING EX SUBSEQUENT,253.0,,12.69,257.278,85
LOCAL,41000030,HC OSCILLATORY PEP SUBSEQUENT,253.0,,12.69,257.278,85
LOCAL,41000032,HC POS. PRESS BREATHING SUB,253.0,,12.69,257.278,85
LOCAL,41000033,HC SPAG AEROSOL SUBSEQUENT,253.0,,12.69,257.278,85
LOCAL,41000034,HC UPDRAFT NEB/SPUTUM IND,251.0,,12.69,257.278,85
LOCAL,41000035,HC UPDRAFT NEBULIZER SUBSEQU,253.0,,12.69,257.278,85
LOCAL,41000038,HC POS PRESS BREATHING INITIAL,355.0,,28.5,305.3,85
LOCAL,41000039,HC SPAG AEROSOL INITIAL,355.0,,28.5,305.3,85
LOCAL,41000040,HC UPDRAFT NEBULIZER INITIAL,355.0,,28.5,305.3,85
LOCAL,41000041,HC PPD TREATMENT INITIAL,338.0,,39.42,290.68,85
LOCAL,41000042,HC PPD TREATMENT SUBSEQUENT,133.0,,37.24,156.3195,85
LOCAL,41000043,HC HIGH FLOW OXYGEN INITIAL,676.0,,151.179,581.36,84
LOCAL,41000044,HC HIGH FLOW OXYGEN SUBSEQUENT,391.0,,109.48,336.26,84
LOCAL,41005,PR INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,703.0,,59.34,692.02,55
LOCAL,41006,PR INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD,1864.0,,131.16,1918.06,55
LOCAL,41007,PR INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,1864.0,,163.7876,1918.06,55
LOCAL,41008,PR INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,1864.0,,136.53,1918.06,55
LOCAL,41009,PR INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE,1864.0,,211.4896,1918.06,55
LOCAL,41010,PR INCISION LINGUAL FRENUM FRENOTOMY,882.0,,44.33,904.93,55
LOCAL,41015,PR XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL,1941.0,,147.35,1995.32,55
LOCAL,41016,PR XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENT,1505.0,,251.45,1535.13,55
LOCAL,41017,PR XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB,1909.0,,168.96,1962.7,55
LOCAL,41018,PR XTRORAL I&D FLOOR MASTICATOR SPACE,2157.0,,289.05,1995.32,55
LOCAL,41019,PR PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT,4909.0,,353.6,4647.34,47
LOCAL,41100,PR BIOPSY TONGUE ANTERIOR TWO-THIRDS,811.0,,76.24,689.35,55
LOCAL,41105,PR BIOPSY TONGUE POSTERIOR ONE-THIRD,928.0,,79.1,788.8,55
LOCAL,41108,PR BIOPSY FLOOR MOUTH,709.0,,61.32,602.65,55
LOCAL,41110,PR EXCISION LESION TONGUE W/O CLOSURE,698.0,,91.53,692.02,55
LOCAL,41112,PR EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS,1699.0,,164.89,1687.96,55
LOCAL,41113,PR EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD,2009.0,,195.5092,1995.32,55
LOCAL,41114,PR EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP,2279.0,,460.6072,2277.38,55
LOCAL,41115,PR EXCISION LINGUAL FRENUM FRENECTOMY,1237.0,,108.698,1227.76,55
LOCAL,41116,PR EXCISION LESION FLOOR MOUTH,2317.0,,160.8344,2300.97,55
LOCAL,41120,PR GLOSSECTOMY <ONE-HALF TONGUE,4496.0,,552.68,4143.48,55
LOCAL,41130,PR GLOSSECTOMY HEMIGLOSSECTOMY,7126.0,,660.35,6442.73,55
LOCAL,41135,PR GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ,11172.0,,1365.39,11506.61,55
LOCAL,41140,PR GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ,10474.0,,1445.83,8902.9,55
LOCAL,41145,PR GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ,13104.0,,1723.5,13038.31,55
LOCAL,41150,PR GLSSC COMPOSIT W/RESCJ FLOOR & MANDIBULAR RESCJ,12998.0,,1376.65,11887.82,55
LOCAL,41153,PR GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ,14180.0,,1612.74,13038.31,55
LOCAL,41155,PR GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ & RAD NECK,16951.0,,1915.3,15723.92,55
LOCAL,41250,PR RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONG,1341.0,,94.21,1139.85,55
LOCAL,41251,PR RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE,662.0,,136.2428,613.02,55
LOCAL,41252,PR RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX,2683.0,,154.6796,2761.17,55
LOCAL,41510,PR SUTURE TONGUE LIP MICROGNATHIA,2683.0,,199.19,2761.17,55
LOCAL,41512,PR TONGUE BASE SUSPENSION PERMANENT SUTURE TQ,3619.0,,536.01,3257.1,47
LOCAL,41520,PR FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY,1792.0,,182.48,1842.51,55
LOCAL,41530,PR SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION,2350.0,,311.9925,2115.0,47
LOCAL,4159902,"PR UNLISTED PROCEDURE TONGUE AND MOUTH SURG, TRANSORAL ROBOTIC SURGERY CENTRAL TONGUE BASE RESECTION",11504.0,,417.27,9778.4,28
LOCAL,4159903,"PR UNLISTED PROCEDURE TONGUE AND MOUTH SURG, LASER ABLATION OF LEUKOPLAKIA OF THE TONGUE",2350.0,,417.27,1997.5,28
LOCAL,41800,PR DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,767.0,,58.91,651.95,55
LOCAL,41805,PR RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS,674.0,,66.11,692.02,55
LOCAL,41806,PR RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE,876.0,,136.64,874.24,55
LOCAL,41820,PR GINGIVECTOMY EXC GINGIVA EACH QUADRANT,1476.0,,67.9236,1535.13,48
LOCAL,41821,PR OPRCULECTOMY EXC PRICORONAL TISSUE,782.0,,26.6156,803.63,48
LOCAL,41822,PR EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS,973.0,,149.5184,827.05,50
LOCAL,41823,PR EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS,1776.0,,225.31,1765.24,50
LOCAL,41825,PR EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR,743.0,,90.252,767.56,55
LOCAL,41826,PR EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR,1298.0,,140.37,1342.81,55
LOCAL,41827,PR EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR,2125.0,,213.4584,2110.37,55
LOCAL,41828,PR EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC,2163.0,,164.2752,2223.7,50
LOCAL,41830,PR ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY,2154.0,,229.54,1842.51,50
LOCAL,41850,PR DESTRUCTION LESION DENTOALVEOLAR STRUCTURES,775.0,,23.15,767.56,48
LOCAL,41870,PR PERIODONTAL MUCOSAL GRAFTING,1864.0,,109.9124,1918.06,44
LOCAL,41872,PR GINGIVOPLASTY EACH QUADRANT SPECIFY,2237.0,,177.01,2300.97,50
LOCAL,41874,PR ALVEOLOPLASTY EACH QUADRANT SPECIFY,1722.0,,180.504,1610.69,50
LOCAL,4189901,"PR DENTAL SURGERY PROCEDURE, EXTRACTION, IMPACTION",7166.0,,4299.6,8365.94,28
LOCAL,4189902,"PR DENTAL SURGERY PROCEDURE, EXTRACTION TOOTH, COMMERCIAL PAYORS",181.0,,108.6,8365.94,28
LOCAL,4189903,"PR UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES (RECEMENTATION OF DENTAL CROWN)",116.0,,69.6,8365.94,28
LOCAL,4189904,PR UNLISTED PROCEDURE PERIODONTAL SCALING AND ROOT PLANING UA (4 OR MORE TEETH PER QUADRANT),285.0,,171.0,8365.94,28
LOCAL,4189905,PR UNLISTED PROCEDURE PERIODONTAL SCALING AND ROOT PLANING UA (1 TO 3 TEETH PER QUADRANT),170.0,,102.0,8365.94,28
LOCAL,42000,PR DRAINAGE ABSCESS PALATE UVULA,703.0,,58.02,692.02,55
LOCAL,42000012,HC MOTION MEASUR&RPRT TRUNK,154.0,,12.26,132.44,84
LOCAL,42000015,HC MECHANICAL TRACTION,65.0,,18.2,55.9,84
LOCAL,42000018,HC ELEC STIM(MANUAL) 15MIN,100.0,,22.71,86.0,84
LOCAL,42000019,HC CONTRAST BATH 15MIN,75.0,,21.0,64.5,84
LOCAL,42000022,HC THER EXER 15MIN,136.0,,38.08,116.96,84
LOCAL,42000023,HC NEUROMS REEDUC EX 15MIN,136.0,,38.08,116.96,84
LOCAL,42000024,HC GAIT TRAINING 15MIN,136.0,,38.08,116.96,84
LOCAL,42000025,HC THERAPEU MASSAGE 15MIN,138.0,,38.64,118.68,84
LOCAL,42000026,HC MANUAL THERAPY 15MIN,197.0,,42.57,169.42,84
LOCAL,42000027,HC GROUP THERAPY,88.0,,24.64,75.68,84
LOCAL,42000028,HC THERAP ACTIVITIES 15MIN,153.0,,42.84,131.58,84
LOCAL,42000030,HC SENSORY INTEG 15MIN,144.0,,40.32,123.84,83
LOCAL,42000031,HC SELF CARE HOME TRN 15 MIN,153.0,,42.84,131.58,84
LOCAL,42000032,HC COMM/WK REINTEGR 15MIN,114.0,,31.92,98.04,83
LOCAL,42000033,HC W/C MGT/PROP TRAIN 15MIN,114.0,,31.92,98.04,84
LOCAL,42000034,HC PHYSICAL PERF TEST 15MIN,134.0,,37.52,115.24,84
LOCAL,42000036,HC ORTH MGMT & TRAIN INITIAL ENCTR 15 MIN,126.0,,35.28,108.36,84
LOCAL,42000038,HC ORTH/PROST MGMT & TRAIN SBSQ ENCTR 15 MIN,125.0,,35.0,107.5,84
LOCAL,42000039,HC ELEC STIMULATION(UNATT'D),100.0,,19.44,86.0,84
LOCAL,42000043,HC CHEMODENRV ECC GLAND OTH,696.0,,57.86,598.56,83
LOCAL,42000044,HC INJ ANS AG PLANTAR DIGIT,887.0,,17.99,762.82,85
LOCAL,42000046,HC MOTION MEASUR&RPRT HAND,154.0,,8.59,132.44,84
LOCAL,42000047,HC EMG LARYNX,382.0,,106.96,328.52,85
LOCAL,42000048,HC CHEMODENRV SALVI GLANDS,669.0,,67.55,575.34,85
LOCAL,42000049,HC CHEMODENRV MUS LRYN EMG,1202.0,,74.47,1033.72,85
LOCAL,42000050,HC CHEMODENRV ECC GLAND AXIL,659.0,,50.66,566.74,85
LOCAL,42000051,HC PT EVAL LOW COMPLEX 20 MIN,339.0,,94.92,291.54,84
LOCAL,42000052,HC PT EVAL MOD COMPLEX 30 MIN,461.0,,129.08,396.46,84
LOCAL,42000053,HC PT EVAL HIGH COMPLEX 45 MIN,651.0,,158.23,559.86,84
LOCAL,42000054,HC PT RE-EVAL EST PLAN CARE,201.0,,56.28,172.86,84
LOCAL,42000055,HC PROST TRAINING INITIAL ENCTR 15 MIN,161.0,,45.08,138.46,84
LOCAL,42000058,"HC APPLICATION MULT LAYER COMPRESSION SYSTEM UPP ARM,FOREARM,HAND/FINGERS",466.0,,30.26,400.76,85
LOCAL,42100,PR BIOPSY PALATE UVULA,838.0,,66.58,767.56,55
LOCAL,42104,PR EXC LESION PALATE UVULA W/O CLOSURE,1073.0,,100.3352,1112.72,55
LOCAL,42106,PR EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE,1381.0,,118.7812,1420.08,55
LOCAL,42107,PR EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE,3191.0,,239.5312,2712.35,55
LOCAL,42120,PR RESCJ PALATE/EXTENSIVE RESCJ LESION,4088.0,,437.97,4064.49,55
LOCAL,42140,PR UVULECTOMY EXCISION UVULA,2154.0,,96.31,1830.9,55
LOCAL,42145,PR PALATOPHARYNGOPLASTY,6979.0,,511.2716,6942.43,55
LOCAL,42160,PR DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM,725.0,,104.512,616.25,55
LOCAL,42180,PR REPAIR LACERATION PALATE <2 CM,822.0,,139.4352,843.13,55
LOCAL,42182,PR REPAIR LACERATION PALATE >2 CM/COMPLEX,2015.0,,191.82,2072.59,55
LOCAL,42200,PR PALATOP CL PALATE SOFT&/HARD PALATE ONLY,8714.0,,613.64,8973.82,55
LOCAL,42205,PR PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE,9161.0,,646.02,9435.73,55
LOCAL,42210,PR PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE,11544.0,,794.5672,11887.82,55
LOCAL,42215,PR PALATOPLASTY CLEFT PALATE MAJOR REVJ,11172.0,,520.122,11506.61,55
LOCAL,42220,PR PALATOPLASTY CLEFT PALATE SEC LNGTH PX,8566.0,,410.31,8820.99,55
LOCAL,42225,PR PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP,7449.0,,542.92,7670.5,55
LOCAL,42226,PR LENGTHENING PALATE & PHARYNGEAL FLAP,9309.0,,577.94,9586.84,55
LOCAL,42227,PR LENGTHENING PALATE W/ISLAND FLAP,9309.0,,527.27,9586.84,55
LOCAL,42235,PR REPAIR ANTERIOR PALATE W/VOMER FLAP,6779.0,,425.63,6978.48,55
LOCAL,42260,PR REPAIR NASOLABIAL FISTULA,3668.0,,430.51,3774.3,55
LOCAL,42280,PR MAXILLARY IMPRESJ PALATAL PROSTHESIS,674.0,,80.1688,692.02,55
LOCAL,42281,PR INSJ PIN-RETAINED PALATAL PROSTHESIS,1342.0,,109.12,1380.59,55
LOCAL,42300,PR DRAINAGE ABSCESS PAROTID SIMPLE,585.0,,91.79,537.47,55
LOCAL,42305,PR DRAINAGE ABSCESS PAROTID COMPLICATED,1979.0,,257.59,1682.15,55
LOCAL,42310,PR DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL,703.0,,83.18,692.02,55
LOCAL,42320,PR DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL,772.0,,133.538,767.56,55
LOCAL,42330,PR SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL,1139.0,,104.36,1131.59,55
LOCAL,42335,PR SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL,2461.0,,186.11,2532.79,55
LOCAL,42340,PR SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL,3698.0,,257.4804,3836.1,55
LOCAL,42400,PR BIOPSY SALIVARY GLAND NEEDLE,463.0,,38.8516,461.91,55
LOCAL,42405,PR BIOPSY SALIVARY GLAND INCISIONAL,1216.0,,152.8,1033.6,55
LOCAL,42408,PR EXC SUBLINGUAL SALIVARY CYST RANULA,1864.0,,251.06,1918.06,55
LOCAL,42409,PR MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA,1931.0,,173.6224,1918.06,55
LOCAL,42410,PR EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ,3332.0,,468.4824,3145.81,55
LOCAL,42415,PR EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NR,7365.0,,784.484,7287.57,55
LOCAL,42420,PR EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NR,7745.0,,877.2016,8055.15,55
LOCAL,42425,PR EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL,5399.0,,622.426,5369.52,55
LOCAL,42426,PR EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ,11544.0,,996.958,11887.82,55
LOCAL,42440,PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND,4798.0,,310.1044,5867.5,55
LOCAL,42450,PR EXISION OF SUBLINGUAL GLAND,2702.0,,257.71,2685.61,55
LOCAL,42500,PR PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM,3087.0,,257.4804,3068.54,55
LOCAL,42505,PR PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP,4425.0,,341.826,4601.96,55
LOCAL,42507,PR PAROTID DUCT DIVERSION BILATERAL WILKE PX,4844.0,,354.0,4986.6,55
LOCAL,42509,PR PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS,7077.0,,606.4364,7287.57,55
LOCAL,42510,PR PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS,5959.0,,451.7568,6137.08,55
LOCAL,42550,PR INJECTION PROCEDURE SIALOGRAPHY,1362.0,,44.2612,1157.7,55
LOCAL,42600,PR CLOSURE SALIVARY FISTULA,3727.0,,266.0824,3836.1,55
LOCAL,42650,PR DILATION SALIVARY DUCT,426.0,,36.49,362.1,55
LOCAL,42660,PR DILAT&CATHJ SALIVARY DUCT W/WO INJECTION,396.0,,51.34,345.15,55
LOCAL,42665,PR LIGATION SALIVARY DUCT INTRAORAL,787.0,,148.96,736.24,55
LOCAL,4269901,PR UNLISTED PROCEDURE SALIVARY SURG SIALENDOSCOPY W/DIL STENT PAROTID,4003.0,,2401.8,3468.64,28
LOCAL,4269902,PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOS W/DIL STENT DUCT SUBMAN,4753.0,,2851.8,4040.05,28
LOCAL,4269903,"PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOSCOPY W/DILAT/STENTING/STEROID INJ OF DUCT,PAROTID GLD",4378.0,,2626.8,3721.3,28
LOCAL,4269904,PR UNLISTED PROCEDURE SALIVARY SURG  SIALEN W/DIL STENT STER INJ SUBMAN,5129.0,,3077.4,4359.65,28
LOCAL,4269905,"PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOSCOPY DIAG,PAROTID GLAND",3253.0,,1951.8,3468.64,28
LOCAL,4269906,"PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOSCOPY DIAG,SUBMANDIBULAR GLAND",3753.0,,2251.8,3468.64,28
LOCAL,4269907,"PR UNLISTED PROCEDURE SALIVARY SURG  STEROID INJECTION, INTRADUCTAL",377.0,,226.2,3468.64,28
LOCAL,4269908,PR UNLISTED PROCEDURE SALIVARY SURG  EXCISION OF PREAURICULAR CYST,1484.0,,890.4,3468.64,28
LOCAL,4269909,PR SIALOLITHTOMY; SUBMANDIBULAR (SUBMAXILLARY),4081.0,,2448.6,3468.85,28
LOCAL,4269910,"PR UNLISTED PROCEDURE SALIVARY SURG  SIALENDOSCOPY, LIALOLITHOTOMY; PARTOID",6979.0,,3468.64,5932.15,28
LOCAL,4269911,PR UNLISTED PROCEDURE SALIVARY SURG  PLACEMENT OF SALIVARY BYPASS TUBE,1335.0,,801.0,3468.64,28
LOCAL,42700,PR I&D ABSCESS PERITONSILLAR,922.0,,78.4,783.7,55
LOCAL,42720,PR I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR,1456.0,,227.3,1415.4,55
LOCAL,42725,PR I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR,3600.0,,476.11,3060.0,55
LOCAL,42800,PR BIOPSY OROPHARYNX,658.0,,67.35,559.3,55
LOCAL,42804,PR BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE,2543.0,,76.17,2161.55,55
LOCAL,42806,PR BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION,905.0,,97.15,928.99,55
LOCAL,42808,PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD,2289.0,,123.694,1945.65,55
LOCAL,42809,PR REMOVAL FOREIGN BODY PHARYNX,649.0,,82.12,664.54,55
LOCAL,42810,PR EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TIS,1484.0,,211.4896,1526.54,55
LOCAL,42815,PR EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX,3805.0,,400.6048,3782.89,55
LOCAL,42820,PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12,1873.0,,227.18,1924.93,51
LOCAL,42821,PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/>,2069.0,,227.2308,2057.15,55
LOCAL,42825,PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12,1807.0,,197.32,1857.95,51
LOCAL,42826,PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>,1891.0,,191.3232,1957.54,55
LOCAL,42830,PR ADENOIDECTOMY PRIMARY <AGE 12,1356.0,,145.37,1394.32,51
LOCAL,42831,PR ADENOIDECTOMY PRIMARY AGE 12/>,1421.0,,164.25,1461.3,55
LOCAL,42835,PR ADENOIDECTOMY SECONDARY<AGE 12,1148.0,,129.94,1177.97,51
LOCAL,42836,PR ADENOIDECTOMY SECONDARY AGE 12/>,1356.0,,183.7056,1394.32,55
LOCAL,42842,PR RADICAL RESECTION TONSIL W/O CLOSURE,8760.0,,498.03,8958.36,55
LOCAL,42844,PR RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP,12004.0,,814.54,11944.49,55
LOCAL,42845,PR RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP,11597.0,,1391.83,11944.49,55
LOCAL,42860,PR EXCISION TONSIL TAGS,1163.0,,133.43,1195.15,55
LOCAL,42870,PR EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX,2167.0,,241.98,2003.06,55
LOCAL,42890,PR LIMITED PHARYNGECTOMY,4781.0,,705.54,4685.25,55
LOCAL,42892,PR RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR,9160.0,,861.11,7786.0,55
LOCAL,42894,PR RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS,14025.0,,1253.04,11921.25,55
LOCAL,42900,PR SUTURE PHARYNX WOUND/INJURY,2340.0,,245.9252,1989.0,55
LOCAL,42950,PR PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX,4851.0,,564.82,4644.89,55
LOCAL,42953,PR PHARYNGOESOPHAGEAL REPAIR,6115.0,,501.76,5840.02,55
LOCAL,42955,PR PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING,4267.0,,339.0,3626.95,55
LOCAL,42960,PR CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE,845.0,,107.23,837.97,55
LOCAL,42961,PR CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ,2390.0,,226.54,2031.5,55
LOCAL,42962,PR CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,1868.0,,385.112,1866.71,55
LOCAL,42970,PR CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS,1401.0,,195.29,1399.09,55
LOCAL,42971,PR CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION,1648.0,,287.37,1646.1,55
LOCAL,42972,PR CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,1871.0,,377.246,1869.64,55
LOCAL,4299902,"PR UNLISTED PROCEDURE THROAT SURGERY, NECK EXPLORATION, DEBRIDEMENT OF PHARYNGOCUTANEOUS FISTULA",7143.0,,70.41,6071.55,28
LOCAL,4299903,"PR UNLISTED PROCEDURE THROAT SURGERY, CONTROL OF OROPHARAYNGEAL BLEEDING W ENDOSCOPE",3086.0,,70.41,2623.1,28
LOCAL,43000003,HC APPL HAND/FOREARM CAST,538.0,,48.73,462.68,85
LOCAL,43000009,HC STRAPPING SHOULDER,448.0,,35.08,385.28,85
LOCAL,43000010,HC STRAPPING ELBOW/WRIST,474.0,,37.28,407.64,85
LOCAL,43000011,HC STRAPPING HAND/FINGER,474.0,,40.39,407.64,85
LOCAL,43000016,HC PARAFFIN BATH,73.0,,9.08,62.78,84
LOCAL,43000017,HC ELEC STIM(MANUAL) 15MIN,100.0,,22.71,86.0,84
LOCAL,43000018,HC THER EXER 15MIN,136.0,,38.08,116.96,84
LOCAL,43000019,HC NEUROMS REEDUC EX 15MIN,136.0,,38.08,116.96,84
LOCAL,43000020,HC MANUAL THERAPY 15MIN,197.0,,42.57,169.42,84
LOCAL,43000021,HC GROUP THERAPY,88.0,,24.64,75.68,84
LOCAL,43000022,HC THERAP ACTIVITIES 15MIN,153.0,,42.84,131.58,84
LOCAL,43000023,HC TX INTV COGNITIVE FUNCTION/STRATEGY DIRECT INITIAL 15 MIN - OT,142.0,,34.81,122.12,84
LOCAL,43000024,HC SENSORY INTEG 15MIN,144.0,,40.32,123.84,83
LOCAL,43000025,HC SELF CARE HOME TRN 15 MIN,153.0,,42.84,131.58,84
LOCAL,43000026,HC W/C MGT/PROP TRAIN 15MIN,114.0,,31.92,98.04,84
LOCAL,43000027,HC PHYSICAL PERF TEST 15MIN,134.0,,37.52,115.24,84
LOCAL,43000028,HC ORTH MGMT & TRAIN INITIAL ENCTR 15 MIN,126.0,,35.28,108.36,84
LOCAL,43000029,HC PROST TRAINING INITIAL ENCTR 15 MIN,161.0,,45.08,138.46,84
LOCAL,43000030,HC ORTH/PROST MGMT & TRAIN SBSQ ENCTR 15 MIN,125.0,,35.0,107.5,84
LOCAL,43000032,HC COMM/WK REINTEGR 15MIN,75.0,,21.0,64.5,83
LOCAL,43000033,HC OT EVAL LOW COMPLEX 30 MIN,353.0,,98.84,303.58,84
LOCAL,43000034,HC OT EVAL MOD COMPLEX 45 MIN,461.0,,129.08,396.46,84
LOCAL,43000035,HC OT EVAL HIGH COMPLEX 60 MIN,587.0,,159.79,504.82,84
LOCAL,43000036,HC OT RE-EVAL EST PLAN CARE,201.0,,56.28,172.86,84
LOCAL,43000038,HC TX INTV COGNITIVE FUNCTION/STRATEGY DIRECT EA ADDL 15 MIN - OT,163.0,,33.24,140.18,84
LOCAL,43020,PR ESOPHAGOTOMY CERVICAL APPR W/RMVL FB,3997.0,,420.7712,4116.0,55
LOCAL,43030,PR CRICOPHARYNGEAL MYOTOMY,4429.0,,389.7856,4116.0,55
LOCAL,43045,PR ESOPHAGOTOMY THORACIC APPR W/RMVL FB,5596.0,,954.1688,5761.03,55
LOCAL,43100,PR EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR,4434.0,,473.3952,4409.64,55
LOCAL,43101,PR EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR,5915.0,,735.7976,5731.84,55
LOCAL,43107,PR TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY,23311.0,,1742.56,19814.35,55
LOCAL,43108,PR TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ,13937.0,,2002.65,13941.41,55
LOCAL,43112,PR TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY,27767.0,,1777.96,23601.95,55
LOCAL,43113,PR TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ,13808.0,,2034.18,13814.29,55
LOCAL,43116,PR PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF,15449.0,,1915.93,15455.89,55
LOCAL,43117,PR PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY,26782.0,,1880.9,22764.7,55
LOCAL,43118,PR PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ,12786.0,,1973.74,13168.8,55
LOCAL,43121,PR PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY,23955.0,,1708.27,20361.75,55
LOCAL,43122,PR PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL,10847.0,,1705.93,11170.05,55
LOCAL,43123,PR PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ,13977.0,,1973.74,13983.34,55
LOCAL,43124,PR TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY,20979.0,,1699.64,17832.15,55
LOCAL,43130,PR DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR,5033.0,,587.9996,4409.64,55
LOCAL,43135,PR DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR,5761.0,,934.03,5731.84,55
LOCAL,43180,PR ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH,4834.0,,404.5424,4350.6,55
LOCAL,43191,PR ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH,1053.0,,114.5952,947.7,55
LOCAL,43192,PR ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL,1590.0,,125.1752,1431.0,55
LOCAL,43193,PR ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY,1646.0,,124.6784,1481.4,55
LOCAL,43194,PR ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY,1589.0,,139.6836,1430.1,55
LOCAL,43195,PR ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION,1653.0,,136.2428,1487.7,55
LOCAL,43196,PR ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION,1735.0,,144.1088,1561.5,55
LOCAL,43197,PR ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC,922.0,,60.0024,829.8,55
LOCAL,43198,PR ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY,979.0,,71.5668,881.1,55
LOCAL,43200,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC,1245.0,,64.4276,1294.73,55
LOCAL,43201,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ,1018.0,,75.7436,916.2,55
LOCAL,43202,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY,1357.0,,75.256,1411.49,55
LOCAL,43204,PR ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES,1886.0,,98.118,1940.38,55
LOCAL,43205,PR ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES,1886.0,,102.5524,1940.38,55
LOCAL,43206,PR ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY,1310.0,,96.3976,1179.0,55
LOCAL,43211,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN,2138.0,,170.1816,1924.2,55
LOCAL,43212,PR ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT,1853.0,,137.2272,1667.7,55
LOCAL,43213,PR ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER,2401.0,,188.8668,2160.9,55
LOCAL,43214,PR ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM,1716.0,,141.404,1544.4,55
LOCAL,43215,PR ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY,1810.0,,103.04,1882.01,55
LOCAL,43216,PR ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS,2000.0,,97.1428,2058.86,55
LOCAL,43217,PR ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE,2000.0,,116.3248,2058.86,55
LOCAL,43220,PR ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM,1527.0,,86.0752,1588.36,55
LOCAL,43226,PR ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION,1648.0,,95.174,1411.49,55
LOCAL,43227,PR ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL,1886.0,,120.0048,1940.38,55
LOCAL,43229,PR ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION,2132.0,,142.876,1918.8,55
LOCAL,43231,PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM,1505.0,,114.1076,1559.17,55
LOCAL,43232,PR ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX,1979.0,,144.3572,1823.61,55
LOCAL,43233,PR EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER,2057.0,,166.4924,1851.3,55
LOCAL,43235,PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC,1511.0,,89.2676,1294.73,55
LOCAL,43236,PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION,1462.0,,100.832,1315.8,55
LOCAL,43237,PR ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS,2163.0,,141.8916,1838.55,55
LOCAL,43238,PR EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS,2025.0,,168.2128,1907.26,55
LOCAL,43239,PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE,1511.0,,100.832,1500.78,55
LOCAL,43240,PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST,2029.0,,283.7924,1940.38,55
LOCAL,43241,PR EGD INTRALUMINAL TUBE/CATHETER INSERTION,1583.0,,103.5368,1646.74,55
LOCAL,43242,PR EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY,2200.0,,190.3388,1870.0,55
LOCAL,43243,PR EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES,2043.0,,172.3896,2117.24,55
LOCAL,43244,PR EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES,2060.0,,177.5508,2000.47,55
LOCAL,43245,PR EGD DILATION GASTRIC/DUODENAL STRICTURE,1776.0,,127.6316,1765.24,55
LOCAL,43246,PR EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE,2488.0,,145.5808,2587.74,55
LOCAL,43247,PR EGD FLEXIBLE FOREIGN BODY REMOVAL,1776.0,,128.3676,1765.24,55
LOCAL,43248,PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS,1634.0,,120.75,1559.17,55
LOCAL,43249,PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM,1716.0,,111.6512,1705.13,55
LOCAL,43250,PR EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS,1872.0,,123.694,1940.38,55
LOCAL,43251,PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH,1875.0,,142.14,1940.38,55
LOCAL,43252,PR EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY,2294.0,,122.222,2064.6,55
LOCAL,43253,PR EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER,2459.0,,190.0996,2213.1,55
LOCAL,43254,PR EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION,2571.0,,195.5092,2313.9,55
LOCAL,43255,PR EGD TRANSORAL CONTROL BLEEDING ANY METHOD,2070.0,,145.0932,2058.86,55
LOCAL,43257,PR EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD,2300.0,,179.146,2070.0,47
LOCAL,43259,PR EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM,1714.0,,163.5392,1559.17,55
LOCAL,43260,PR ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING,2105.0,,233.6248,2175.63,55
LOCAL,43261,PR ERCP W/BIOPSY SINGLE/MULTIPLE,2447.0,,245.18,2440.08,55
LOCAL,43262,PR ERCP W/SPHINCTEROTOMY/PAPILLOTOMY,3279.0,,258.2164,3410.26,55
LOCAL,43263,PR ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI,2856.0,,258.704,2939.76,55
LOCAL,43264,PR ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT,3581.0,,263.3776,3703.89,55
LOCAL,43265,PR ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD,3347.0,,313.306,3470.37,55
LOCAL,43266,PR EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION,2221.0,,157.8812,1998.9,55
LOCAL,43270,PR EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE,2307.0,,162.5548,2076.3,55
LOCAL,43273,PR ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC,1148.0,,86.0752,1033.2,55
LOCAL,43274,PR ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT,4644.0,,334.696,4179.6,55
LOCAL,43275,PR ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT,3515.0,,272.2372,3163.5,55
LOCAL,43276,PR ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE,4840.0,,348.4684,4356.0,55
LOCAL,43277,PR ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA,3536.0,,273.7092,3182.4,55
LOCAL,43278,PR ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE,4375.0,,313.306,3937.5,55
LOCAL,43279,PR LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED,11334.0,,943.8464,10200.6,55
LOCAL,43280,PR LAPS SURG ESOPG/GSTR FUNDOPLASTY,8498.0,,794.8156,8815.83,55
LOCAL,43281,PR LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH,14185.0,,1129.76,12766.5,55
LOCAL,43282,PR LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH,15507.0,,1272.3968,13956.3,55
LOCAL,43283,PR LAPS ESOPHAGEAL LENGTHENING ADDL,1445.0,,114.8436,1300.5,55
LOCAL,43284,PR LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL,5502.0,,561.6885,4951.8,47
LOCAL,43285,PR REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE,5686.0,,577.2945,5117.4,47
LOCAL,43287,PR ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ,33829.0,,2584.6296,30446.1,55
LOCAL,43288,PR ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ,38611.0,,2725.7852,34749.9,55
LOCAL,4328901,"PR LAP,ESOPHAGUS,OTHER PROC, MIS IVOR ESOPHAGOGASTRECTOMY",12938.0,,3288.33,10997.3,28
LOCAL,4328902,PR TOTAL/NEAR TOTAL ESOPHAGECTOMY W/THORACOTOMY W/PHARYNGOGASTROSTOMY OR CERVICAL ESOPHAGOGASTROSTOMY W/WO PYLOROPLAST,10388.0,,3288.33,8829.8,28
LOCAL,4328903,PR UNLISTED PROCEDURE LAPOROSCOPIC EXCISION OF LESION OF ESOPHAGUS,5713.0,,3288.33,4856.05,28
LOCAL,43300,PR ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL,6486.0,,466.0168,6677.98,55
LOCAL,43305,PR ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL,9511.0,,810.06,9796.33,55
LOCAL,43310,PR ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL,10809.0,,1079.344,11130.55,55
LOCAL,43312,PR ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL,12276.0,,1152.3828,12645.07,55
LOCAL,43313,PR ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL,12968.0,,2137.5464,13355.99,55
LOCAL,43314,PR ESPHGP CGEN DFCT THRC APPR W/RPR FSTL,14741.0,,2286.8164,15183.02,55
LOCAL,43320,PR EGST W/WO VAGOTOMY&PYLOROPLASTY TABDL/TTHRC AP,8646.0,,926.57,8905.14,55
LOCAL,43325,PR ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH,9944.0,,937.95,10239.36,55
LOCAL,43327,PR ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY,7047.0,,602.508,6342.3,55
LOCAL,43328,PR ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY,10509.0,,817.19,9458.1,55
LOCAL,43330,PR ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH,7567.0,,927.83,7792.42,55
LOCAL,43331,PR ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH,10233.0,,978.0244,8698.05,55
LOCAL,43332,PR RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH,9930.0,,845.2316,8937.0,55
LOCAL,43333,PR LAPT RPR PARAESOPH HIATAL HERNIA W/MESH,10942.0,,925.888,9847.8,55
LOCAL,43334,PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH,11278.0,,903.0168,10150.2,55
LOCAL,43335,PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH,12223.0,,969.91,11000.7,55
LOCAL,43336,PR RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH,13160.0,,1053.5196,11844.0,55
LOCAL,43337,PR RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH,14098.0,,1122.1332,12688.2,55
LOCAL,43338,PR ESOPHAGUS LENGTHENING,1130.0,,82.6252,1017.0,55
LOCAL,43340,PR ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR,9944.0,,963.68,10239.36,55
LOCAL,43341,PR ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR,11240.0,,870.59,11575.3,55
LOCAL,43351,PR ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR,6920.0,,774.84,7124.45,55
LOCAL,43352,PR ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR,5190.0,,702.3,5343.76,55
LOCAL,43360,PR GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH,16326.0,,1637.094,14513.33,55
LOCAL,43361,PR GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT,17551.0,,1957.69,18076.41,55
LOCAL,43400,PR LIGATION DIRECT ESOPHAGEAL VARICES,8646.0,,910.74,8905.14,55
LOCAL,43405,PR LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J,5114.0,,1037.64,5115.26,55
LOCAL,43410,PR SUTR ESOPHGL WND/INJ CRV APPR,7025.0,,664.62,5971.25,55
LOCAL,43415,PR SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR,9709.0,,1009.59,8547.97,55
LOCAL,43420,PR CLSR ESOPHAGOSTOMY/FSTL CRV APPR,5660.0,,556.88,5343.76,55
LOCAL,43425,PR CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR,7003.0,,882.59,7212.02,55
LOCAL,43450,PR DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS,779.0,,58.282,662.15,55
LOCAL,43453,PR DILATION ESOPHAGUS GUIDE WIRE,1199.0,,63.4432,1159.08,55
LOCAL,43460,PR ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE,1819.0,,153.9436,1869.97,55
LOCAL,43496,PR FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS,14390.0,,1417.44,14319.29,48
LOCAL,43497,PR TRANSORAL LOWER ESOPHAGEAL MYOTOMY,7153.0,,631.499,6437.7,45
LOCAL,4349901,"PR UNLISTED PROCEDURE ESOPHAGUS SURG, ENDOSCOP MUCOSAL RESECT CAP TECHNIQUE & MUCOSAL RESECT-SUCTION TECHNIQUE",1945.0,,1167.0,6439.31,28
LOCAL,4349902,"PR UNLISTED PROCEDURE ESOPHAGUS SURG, ZENKER'S DIVERTICULOTOMY VIA A TRANSORAL APPROACH",4283.0,,2569.8,6439.31,28
LOCAL,4349903,PR HYBRID IVOR LEWIS WITH LYMPH NODE DISSECTION,21285.0,,6439.31,18092.25,28
LOCAL,4349904,"PR UNLISTED PROCEDURE ESOPHAGUS SURG, GASTRIC LEAK REPAIR W OTSC",2000.0,,1200.0,6439.31,28
LOCAL,4349905,"PR UNLISTED PROCEDURE, STOMACH, CHROMOSCOPY OF ESOPHAGUS",1648.0,,988.8,6439.31,28
LOCAL,4349906,PR UNLISTED PX ENDOSCOPIC TRACHEOESOPHAGEAL FISTULA REPAIR,10635.0,,6381.0,9039.75,28
LOCAL,4349907,PR UNLISTED PX EGD FLX TRANSORAL ABLATN TUMOR/PLYP/LES VIA BAND/CLIP,2218.0,,1330.8,6439.31,28
LOCAL,4349908,"PR UNLISTED PROCEDURE ESOPHAGUS, EGD W/ ESD IN ESOPHAGUS/STOMACH",6469.0,,3881.4,6439.31,28
LOCAL,4349909,"PR UNLISTED PROCEDURE ESOPHAGUS, EGD W/ FTRD IN ESOPHAGUS/STOMACH",2271.0,,1362.6,6439.31,28
LOCAL,4349910,"PR UNLISTED PROCEDURE ESOPHAGUS, ENDOVAC SPONGE PLACEMENT",202.0,,121.2,6439.31,28
LOCAL,4349911,"PR UNLISTED PROCEDURE ESOPHAGUS, EGD OVESCO CLIP PLCMT TO CLOSE DUODENAL PERFORATION",2078.0,,1246.8,6439.31,28
LOCAL,43500,PR GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL,4740.0,,491.97,4753.07,55
LOCAL,43501,PR GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER,6555.0,,797.37,6576.68,55
LOCAL,43502,PR GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC,6555.0,,866.27,6576.68,55
LOCAL,43510,PR GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE,4399.0,,593.45,4198.43,55
LOCAL,43520,PR PYLOROMYOTOMY CUTTING PYLORIC MUSC,4740.0,,401.92,4753.07,55
LOCAL,43605,PR BIOPSY STOMACH LAPAROTOMY,5724.0,,509.8,5546.39,55
LOCAL,43610,PR EXC LOCAL ULCER/BENIGN TUMOR STOMACH,6039.0,,657.73,6099.3,55
LOCAL,43611,PR EXC LOCAL MALIGNANT TUMOR STOMACH,8957.0,,730.13,7613.45,55
LOCAL,43620,PR GSTRCT TOT W/ESOPHAGOENTEROSTOMY,11054.0,,1282.13,11091.05,55
LOCAL,43621,PR GSTRCT TOT W/ROUX-EN-Y RCNSTJ,15272.0,,1297.32,14655.86,55
LOCAL,43622,PR GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE,15988.0,,1336.73,16039.89,55
LOCAL,43631,PR GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY,8175.0,,1069.0124,7921.21,55
LOCAL,43632,PR GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY,9158.0,,1081.67,7921.21,55
LOCAL,43633,PR GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ,10961.0,,1094.52,10455.71,55
LOCAL,43634,PR GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH,12832.0,,1494.49,12871.75,55
LOCAL,43635,PR VAGOTOMY PFRMD W/PRTL DSTL GSTRCT,2864.0,,82.1376,2970.67,55
LOCAL,43640,PR VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV,7621.0,,853.96,7644.74,55
LOCAL,43641,PR VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL,9084.0,,859.94,9111.19,55
LOCAL,43644,PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM,15148.0,,1280.9988,13633.2,55
LOCAL,43645,PR LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ,15349.0,,1360.9284,13814.1,55
LOCAL,43651,PR LAPS SURG TRNSXJ VAGUS NRV TRUNCAL,5529.0,,488.4004,5546.39,55
LOCAL,43652,PR LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV,8687.0,,568.3208,8714.53,55
LOCAL,43653,PR LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX,4758.0,,429.87,4832.05,55
LOCAL,4365901,"PR LAP,STOMACH,OTHER,W/O TUBE, LAPAROSCOPIC PARTIAL GASTRECTOM",6082.0,,3649.2,5169.7,28
LOCAL,4365902,"PR LAP,STOMACH,OTHER,W/O TUBE, LAPAROSCOPIC-ASSISTED GASTROJEJUNOSTOMY",7959.0,,4775.4,6765.15,28
LOCAL,4365903,"PR LAP,STOMACH,OTHER,W/O TUBE, LAPAROSCOPIC GASTROSTOMY(STAMM)",4819.0,,2891.4,5120.53,28
LOCAL,4365904,"PR LAP,STOMACH,OTHER,W/O TUBE, LAPAROSCOPIC PYLOROPLASTY",5529.0,,3317.4,5120.53,28
LOCAL,4365905,PR LAPAROSCOPIC ASSISTED COMPLETE GASTRECTOMY WITH ROUX-EN-Y RECONSTRUCTION,14755.0,,5120.53,12541.75,28
LOCAL,4365906,PR LAPAROSCOPIC GASTRECTOMY WITH GASTROJEJUNOSTOMY,8867.0,,5120.53,7536.95,28
LOCAL,4365907,"PR DIAGNOSTIC LAPAROSCOPY, OMENTAL PATCH REPAIR OF PERFORATED DUODENAL ULCER",7701.0,,4620.6,6545.85,28
LOCAL,4365908,PR LAPAROSCOPIC GASTRECTOMY PARTIAL DISTAL W/ROUX-EN-Y RECONSTRUCTION AND VAGOTOMY,19772.0,,5120.53,16806.2,28
LOCAL,4365909,"PR UNLISTED PROCEDURE LAPAROSCOPY PROCEDURE, STOMACH, ROBOTIC GASTROJEJUNOSTOMY",12655.0,,5120.53,10756.75,28
LOCAL,4365910,PR UNLISTED PROCEDURE LAPAROSCOPIC TOTAL GASTRECTOMY WITH ESOPHAGOJEJUNOSTOMY,11054.0,,5120.53,9395.9,28
LOCAL,4365911,PR UNLISTED PROCEDURE LAPAROSCOPIC PARTIAL GASTRECTOMY MALIGNANT TUMOR,8653.0,,5120.53,7355.05,28
LOCAL,4365912,"PR UNLISTED PX LAPAROSCOPY PROCEDURE STOMACH, CLOSURE GASTROCOLIC FISTULA",7233.0,,4339.8,6148.05,28
LOCAL,4365913,PR UNLISTED PX LAPAROSCOPIC EXCISION OF BENIGN TUMOR OF STOMACH,9535.0,,5120.53,8104.75,28
LOCAL,43752,PR NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE,455.0,,29.0168,386.75,55
LOCAL,43753,PR GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE,266.0,,15.7412,239.4,55
LOCAL,43754,PR GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN,465.0,,28.0324,418.5,55
LOCAL,43755,PR GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC,481.0,,43.7736,432.9,55
LOCAL,43756,PR DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN,577.0,,37.3796,519.3,55
LOCAL,43757,PR DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN,743.0,,56.3132,668.7,55
LOCAL,43761,PR REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO,866.0,,75.992,793.32,55
LOCAL,43762,PR PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,670.0,,27.2964,603.0,55
LOCAL,43763,PR PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,796.0,,64.1884,716.4,55
LOCAL,43770,PR LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE,13425.0,,833.1796,11411.25,55
LOCAL,43771,PR LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE,10449.0,,944.8308,10248.92,55
LOCAL,43772,PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE,8321.0,,702.5948,7884.16,55
LOCAL,43773,PR LAPS GASTRIC RESTRICTIVE PX REMOVE&RPLCMT DEVICE,10449.0,,944.8308,10248.92,55
LOCAL,43774,PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT,8735.0,,710.7092,7884.16,55
LOCAL,43775,PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY,11108.0,,812.2772,9997.2,55
LOCAL,43800,PR PYLOROPLASTY,10154.0,,585.52,8630.9,55
LOCAL,43810,PR GASTRODUODENOSTOMY,5923.0,,634.28,5943.06,55
LOCAL,43820,PR GASTROJEJUNOSTOMY W/O VAGOTOMY,7901.0,,680.49,6715.85,55
LOCAL,43825,PR GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE,7107.0,,878.26,6040.95,55
LOCAL,43830,PR GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX,4783.0,,459.54,4832.05,55
LOCAL,43831,PR GASTROSTOMY OPEN NEONATAL FOR FEEDING,4819.0,,418.41,4832.05,51
LOCAL,43832,PR GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE,5333.0,,657.77,5546.39,55
LOCAL,43840,PR GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ,6132.0,,666.76,5943.06,55
LOCAL,43842,PR GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP,10896.0,,848.424,10933.08,50
LOCAL,43843,PR GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP,12238.0,,949.0076,12279.33,55
LOCAL,43846,PR GSTR RSTCV PX W/BYP SHORT LIMB 150 CM/<ROUX-EN-Y,13754.0,,1169.84,13783.54,55
LOCAL,43847,PR GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ,13739.0,,1236.7,13783.54,55
LOCAL,43848,PR REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE,15192.0,,1294.22,12913.2,55
LOCAL,43860,PR REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY,11228.0,,1052.2,9543.8,55
LOCAL,43865,PR REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY,9084.0,,1168.93,9111.19,55
LOCAL,43870,PR CLOSURE GASTROSTOMY SURGICAL,3911.0,,447.65,3961.46,55
LOCAL,43880,PR CLOSURE GASTROCOLIC FISTULA,7233.0,,910.04,6148.05,55
LOCAL,43887,PR GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY,2141.0,,248.8692,1926.9,55
LOCAL,4399901,"PR UNLISTED PROCEDURE STOMACH, REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY",8038.0,,3468.64,6832.3,28
LOCAL,4399902,"PR UNLISTED PROCEDURE STOMACH SURGERY, UPPER GASTROINTESTINAL ENDOSCOPY FOR GERD",1459.0,,875.4,3468.64,28
LOCAL,4399903,PR SURGICAL GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY,8591.0,,3468.64,7302.35,28
LOCAL,4399904,PR EXCISION OF GASTROCUTANEOUS FISTULA,6493.0,,3468.64,5519.05,28
LOCAL,4399905,PR UNLISTED PROCEDURE STOMACH (STAINING CHROMOSCOPY W/METHYLENE BLUE),1459.0,,875.4,3468.64,28
LOCAL,4399906,PR UNLISTED PROCEDURE REPLACEMNT GASTROJEJUNOSTOMY TUBE ENDOSCOPIC W/FLUORO,1535.0,,921.0,3468.64,28
LOCAL,4399908,PR UNLISTED PX REPLACEMNT GASTROJEJUNOSTOMY TUBE ENDOSCOPIC W/O FLUORO,1578.0,,946.8,3468.64,28
LOCAL,4399909,PR UNLISTED PROCEDURE EGD VIA GASTROSTOMY SITE W/INSRT GW & PASS ESOPHAG DILATOR,1606.0,,963.6,3468.64,28
LOCAL,4399910,"PR UNLISTED PX EGD VIA GASTROSTOMY SITE, BIOPSY SINGLE/MULTIPLE",1406.0,,843.6,3468.64,28
LOCAL,4399911,"PR UNLISTED PX STOMACH, CONTRAST INJECTION VIA GASTROSTOMY TUBE",2405.0,,1443.0,3468.64,28
LOCAL,4399912,"PR UNLISTED PX STOMACH, ENDOVAC SPONGE PLACEMENT",202.0,,121.2,3468.64,28
LOCAL,4399913,PR UNLISTED PROCEDURE STOMACH - ENDOSCOPIC CLOSURE OF GASTRO-CUTANEOUS FISTULA,6965.0,,3468.64,5920.25,28
LOCAL,4399914,"PR UNLISTED PROCEDURE STOMACH, PERCUTANEOUS GASTROSTOMY TUBE PLACEMENT USING CT GUIDANCE",2294.0,,1376.4,3468.64,28
LOCAL,4399915,PR UNLISTED PROCEDURE STOMACH (G-POEM),7679.0,,3468.64,6527.15,28
LOCAL,4399916,"PR UNLISTED PROCEDURE STOMACH, TRANSESOPHAGEAL GASTROSTOMY PLACEMENT",2178.0,,1306.8,3468.64,28
LOCAL,44000001,HC TX SPEECH/LANG/VOICE/COMMUN/AU,489.0,,120.45,420.54,84
LOCAL,44000002,HC TX SPCH/LNG/VOC/CM/AU-MOD-GP2+,442.0,,38.36,380.12,84
LOCAL,44000003,HC NASAL FUNCTION STUDIES,977.0,,43.27,840.22,85
LOCAL,44000004,HC LARYNGEAL STUDIES,817.0,,62.42,702.62,85
LOCAL,44000005,HC EVAL SPEECH SOUND PRODUC,808.0,,176.24,694.88,84
LOCAL,44000006,HC EVAL SND PR LNG CMPRH/XPR,861.0,,241.08,740.46,84
LOCAL,44000007,HC BEHV&QUAL ANLY VOIC/RESON,692.0,,173.64,595.12,84
LOCAL,44000008,HC TREATMENT DYSPHAGIA,519.0,,133.47,446.34,84
LOCAL,44000009,HC EVAL OF PATIENT FOR PRESCRIPTI,873.0,,114.4,750.78,84
LOCAL,44000012,HC ADAPT & TRAIN SPCH GEN DEVICES,647.0,,162.89,556.42,84
LOCAL,44000018,HC DVLOPMNTL TST LNG MTR LTD,602.0,,168.56,517.72,83
LOCAL,44000020,HC STND COGNITIV TESTING/HR,489.0,,136.92,420.54,84
LOCAL,44000022,HC MANUAL THERAPY 15MIN,197.0,,42.57,169.42,84
LOCAL,44000023,HC TX INTV COGNITIVE FUNCTION/STRATEGY DIRECT INITIAL 15 MIN - SPEECH,163.0,,34.81,140.18,84
LOCAL,44000025,HC TX INTV COGNITIVE FUNCTION/STRATEGY DIRECT EA ADDL 15 MIN - SPEECH,163.0,,33.24,140.18,84
LOCAL,44000026,HC DEVELOPMENTAL TEST ADMIN PHYS/QHP 1ST HR,439.0,,122.92,377.54,85
LOCAL,44000027,HC DEVELOPMENTAL TEST ADMIN PHYS/QHP EA ADDL 30MIN,219.0,,61.32,188.34,84
LOCAL,44005,PR ENTEROLSS FRING INTSTINAL ADHESION SPX,5726.0,,741.49,5067.31,55
LOCAL,44010,PR DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL,5657.0,,591.61,5431.34,55
LOCAL,44015,PR TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD,2809.0,,103.04,2498.45,55
LOCAL,44020,PR ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL,5926.0,,666.54,5431.34,55
LOCAL,44021,PR ENTEROTOMY SM INT OTH/THN DUO DCMPRN,5316.0,,635.92,4706.71,55
LOCAL,44025,PR COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL,5926.0,,669.87,5431.34,55
LOCAL,44050,PR RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,6643.0,,649.37,5646.55,55
LOCAL,44055,PR CORRJ MALROTATION BANDS&/RDCTJ VOLVULUS,8538.0,,694.95,7257.3,55
LOCAL,44100,PR BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS,873.0,,77.464,796.75,55
LOCAL,44110,PR EXC 1/> SMALL/LARGE LESIONS INTESTINE ENTEROTOM,5399.0,,604.74,4778.82,55
LOCAL,44111,PR EXC 1/> SM/LG LESIONS INTESTNE MULT ENTEROTOMIE,8178.0,,720.7924,7241.21,55
LOCAL,44120,PR ENTRC RESCJ SMALL INTESTINE 1 RESCJ & ANAST,7523.0,,809.76,6660.82,55
LOCAL,44121,PR ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ & ANA,3203.0,,175.8304,3331.26,55
LOCAL,44125,PR ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY,7609.0,,865.6372,7023.13,55
LOCAL,44126,PR ENTRC RESCJ ATRESIA RESCJ & ANAST W/O TAPRING,8730.0,,1816.3652,8337.08,55
LOCAL,44127,PR ENTRC RESCJ ATRESIA RESCJ & ANAST SGM W/TAPRING,9654.0,,2096.4776,9656.29,55
LOCAL,44128,PR ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS,4368.0,,177.5508,4000.96,55
LOCAL,44130,PR ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX,8334.0,,715.39,7083.9,55
LOCAL,44139,PR MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT,1076.0,,87.5472,914.6,55
LOCAL,44140,PR COLECTOMY PARTIAL W/ANASTOMOSIS,7863.0,,988.1076,7627.57,55
LOCAL,44141,PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY,9856.0,,1054.84,8755.74,55
LOCAL,44143,PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT,9050.0,,1089.77,9003.01,55
LOCAL,44144,PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA,8995.0,,1042.13,8305.84,55
LOCAL,44145,PR COLECTOMY PRTL W/COLOPROCTOSTOMY,9630.0,,1210.4256,9581.69,55
LOCAL,44146,PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY,12467.0,,1314.67,10596.95,55
LOCAL,44147,PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH,11855.0,,1158.17,10076.75,55
LOCAL,44150,PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS,9805.0,,1219.64,9463.21,55
LOCAL,44151,PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST,13822.0,,1003.91,11748.7,55
LOCAL,44155,PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY,13081.0,,1391.21,11583.89,55
LOCAL,44156,PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST,17377.0,,1141.27,14770.45,55
LOCAL,44157,PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST,19038.0,,1607.0928,18675.21,55
LOCAL,44158,PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR,22870.0,,1647.1772,19439.5,55
LOCAL,44160,PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS,8995.0,,914.0844,7646.47,55
LOCAL,44180,PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE,8000.0,,679.236,7578.76,55
LOCAL,44186,PR LAPAROSCOPY SURGICAL JEJUNOSTOMY,5495.0,,482.494,5135.5,55
LOCAL,44187,PR LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE,8474.0,,801.2096,8372.32,55
LOCAL,44188,PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY,9008.0,,892.1976,9255.42,55
LOCAL,44202,PR LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ & ANA,8809.0,,1020.5744,9039.06,55
LOCAL,44203,PR LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS,3211.0,,175.0944,3331.26,55
LOCAL,44204,PR LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS,8178.0,,1126.3192,7241.21,55
LOCAL,4420401,PR ROBOT ASSISTED PARTIAL COLECTOMY,10630.0,,1126.3192,9035.5,55
LOCAL,44205,PR LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM,8649.0,,977.776,7964.13,55
LOCAL,4420501,PR ROBOT ASSISTED RIGHT COLECTOMY WITH TI RESECTION,10780.0,,977.776,9163.0,55
LOCAL,44206,PR LAPS COLECTOMY PRTL W/END CLST & CLSR DSTL SGM,9479.0,,1275.8376,8531.1,55
LOCAL,4420601,PR ROBOT ASSISTED HARTMANN PROCEDURE,11905.0,,1275.8376,10714.5,55
LOCAL,44207,PR LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST,9930.0,,1324.0364,8937.0,55
LOCAL,4420701,PR ROBOT ASSISTED COLECTOMY WITH COLOANAL ANAST,12414.0,,1324.0364,11172.6,55
LOCAL,44208,PR LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST,11273.0,,1441.5848,10145.7,55
LOCAL,4420801,PR ROBOT ASSISTED COLECTOMY WITH COLOANAL ANAST AND COLOSTOMY,15581.0,,1441.5848,14022.9,55
LOCAL,44210,PR LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS,11465.0,,1295.0196,10318.5,55
LOCAL,4421001,PR ROBOT ASSISTED TAC/ILEOSTOMY,14400.0,,1295.0196,12960.0,55
LOCAL,44211,PR LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS,17005.0,,1541.92,15304.5,55
LOCAL,4421101,PR ROBOT ASSISTED TAC/PROCTECTOMY/ILEOSTOMY WITH POUCH ANAST,25447.0,,1541.92,22902.3,55
LOCAL,44212,PR LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY,13953.0,,1478.716,12557.7,55
LOCAL,4421201,PR ROBOT ASSISTED TAC/PROCTECTOMY/ILEOSTOMY,17083.0,,1478.716,15374.7,55
LOCAL,44213,PR LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY,1884.0,,135.5068,1839.8,55
LOCAL,44227,PR LAPS CLSR NTRSTM LG/SM INT W/RESCJ & ANASTOMOSIS,13620.0,,1214.1056,13928.52,55
LOCAL,4423801,"PR UNLISTED PROCEDURE LAPAROSCOPY PROC,INTESTINE, LAPAROSCOPIC CORRECTION MALROTATION",8249.0,,4949.4,7424.1,28
LOCAL,4423802,"PR UNLISTED PROCEDURE LAPAROSCOPY, INTESTINE, FULL THICKNESS EXCISION TRANSVERSE COLON POLYP SITE",5215.0,,3129.0,4693.5,28
LOCAL,4423803,"PR UNLISTED PROCEDURE LAPAROSCOPY,INTESTINE, FULL THICKNESS EXCISION W/DIRECT REPAIR",6780.0,,4068.0,6102.0,28
LOCAL,4423805,PR UNLISTED PROCEDURE LAPAROSCOPIC INTESTINE-EXCEPT RECTUM-PARACOLOSTOMY HERNIA,4943.0,,2965.8,4448.7,28
LOCAL,4423806,"PR UNLISTED PROCEDURE LAPAROSCOPIC, ROBOTIC SUTURE OF LARGE INTESTINE W/O COLOSTOMY",5449.0,,3269.4,4904.1,28
LOCAL,4423807,PR UNLISTED PX LAPAROSCOPIC ROBOTIC CLOSURE OF ENTEROVESICAL FISTULA:W/INTESTINE AND/OR BLADDER RESECTION,7991.0,,4794.6,7191.9,28
LOCAL,4423808,PR UNLISTED PX LAPAROSCOPIC SPLENIC FLEXURE MOBILIZATION,5772.0,,3463.2,5194.8,28
LOCAL,4423809,PR UNLISTED PX LAPAROSCOPIC ROBOTIC DUODENOJEJUNOSTOMY BYPASS,8237.0,,4942.2,7413.3,28
LOCAL,4423810,"PR UNLISTED PX,  LAPAROSCOPY INTESTINE (LAPAROSCOPIC REVISION OF PRIO)",5350.0,,3210.0,4815.0,28
LOCAL,44300,PR PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN,4262.0,,505.68,4340.96,55
LOCAL,44310,PR ILEOSTOMY/JEJUNOSTOMY NON-TUBE,5411.0,,662.47,5611.64,55
LOCAL,44312,PR REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX,3358.0,,288.27,2854.3,55
LOCAL,44314,PR REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX,6018.0,,585.58,5985.99,55
LOCAL,44316,PR CONTINENT ILEOSTOMY KOCK PROCEDURE SPX,9084.0,,817.54,9353.3,55
LOCAL,44320,PR COLOSTOMY/SKIN LEVEL CECOSTOMY,7793.0,,681.5,6624.05,55
LOCAL,44322,PR COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX,4943.0,,717.74,5087.91,55
LOCAL,44340,PR REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX,2643.0,,233.49,2246.55,55
LOCAL,44345,PR REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX,5573.0,,528.05,4737.05,55
LOCAL,44346,PR REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX,5116.0,,633.64,5087.91,55
LOCAL,44360,PR ENDOSCOPY UPPER SMALL INTESTINE,2014.0,,104.512,2094.92,55
LOCAL,44361,PR ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY,2158.0,,115.092,2244.31,55
LOCAL,44363,PR ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY,2183.0,,138.9476,2244.31,55
LOCAL,44364,PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE,2445.0,,148.0464,2543.1,55
LOCAL,44365,PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY,2445.0,,132.3052,2543.1,55
LOCAL,44366,PR ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING,2878.0,,173.6224,2992.99,55
LOCAL,44369,PR ENTEROSCOPY > 2ND PRTN ABLTJ LESION,2445.0,,177.7992,2543.1,55
LOCAL,44370,PR ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT,3029.0,,193.5404,3142.38,55
LOCAL,44372,PR ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE,2108.0,,173.6224,2094.92,55
LOCAL,44373,PR ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE,2014.0,,138.6992,2094.92,55
LOCAL,44376,PR ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX,2335.0,,205.344,2319.87,55
LOCAL,44377,PR ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE,2473.0,,216.66,2543.1,55
LOCAL,44378,PR ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING,3381.0,,278.1344,3516.73,55
LOCAL,44379,PR ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT,3379.0,,296.5804,3478.94,55
LOCAL,44380,PR ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD,1583.0,,42.0532,1646.74,55
LOCAL,44381,PR ILEOSCOPY STOMA W/BALLOON DILATION,1133.0,,61.9712,1019.7,55
LOCAL,44382,PR ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE,2087.0,,54.1052,2170.47,55
LOCAL,44384,PR ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT,1617.0,,118.9915,1455.3,47
LOCAL,44385,PR NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX,1907.0,,53.3692,1983.31,55
LOCAL,44386,PR NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE,2231.0,,65.1728,2319.87,55
LOCAL,44388,PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX,2373.0,,113.6108,2244.31,55
LOCAL,44389,PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE,2518.0,,124.6784,2618.65,55
LOCAL,44390,PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY,2545.0,,152.4716,2618.65,55
LOCAL,44391,PR COLONOSCOPY STOMA CONTROL BLEEDING,3490.0,,167.2284,3592.27,55
LOCAL,44392,PR COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS,2951.0,,145.3416,3068.54,55
LOCAL,44394,PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE,2951.0,,163.5392,3068.54,55
LOCAL,44400001,HC EVAL VOICE PROSTHESIS FIT,1058.0,,195.54,909.88,84
LOCAL,44400002,"HC EVAL SPCH GEN DEV, ADDL 30MIN",460.0,,76.74,395.6,84
LOCAL,44400003,HC EVAL ORAL & PHARYN SWALLOW,861.0,,110.78,740.46,84
LOCAL,44400004,HC MOTION FLUORO EVAL SWALLOW,973.0,,145.75,836.78,84
LOCAL,44400005,HC FLEX ENDO EVAL SWALLOWING BY CINE OR VIDEO RECORDING,1037.0,,104.42,891.82,84
LOCAL,44400006,HC FLEX ENDO EVAL SWALLOW & LARYNGEAL SENSORY TEST BY CINE/VIDEO RECORD,851.0,,156.57,731.86,84
LOCAL,44400007,HC AST APHASIA W/I&R PER HR,742.0,,152.23,638.12,84
LOCAL,44401,PR COLONOSCOPY STOMA ABLATION LESION,2853.0,,186.779,2567.7,47
LOCAL,44402,PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT,2676.0,,200.787,2408.4,47
LOCAL,44403,PR COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ,2965.0,,220.3492,2668.5,55
LOCAL,44404,PR COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION,1749.0,,124.6784,1574.1,55
LOCAL,44405,PR COLONOSCOPY STOMA W/BALLOON DILATION,1679.0,,133.0412,1511.1,55
LOCAL,44406,PR COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM,2379.0,,166.244,2141.1,55
LOCAL,44407,PR COLONOSCOPY STOMA W/US GID NDL ASPIR/BX,2731.0,,199.1984,2457.9,55
LOCAL,44408,PR COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION,2731.0,,167.716,2457.9,55
LOCAL,44500,PR INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE,304.0,,13.7724,315.95,55
LOCAL,44602,PR ENTERORRHAPHY SINGLE PERFORATION,5685.0,,621.65,5611.64,55
LOCAL,44603,PR ENTERORRHAPHY MULTIPLE PERFORATIONS,15156.0,,780.89,12882.6,55
LOCAL,44604,PR SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY,5449.0,,737.92,5611.64,55
LOCAL,44605,PR SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY,6393.0,,832.34,6360.32,55
LOCAL,44615,PR INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ,6539.0,,695.41,6732.95,55
LOCAL,44620,PR CLOSURE ENTEROSTOMY LG/SMALL INTESTINE,4734.0,,560.56,4114.3,55
LOCAL,44625,PR CLSR NTRSTM LG/SM RESCJ & ANAST OTH/THN CLRCT,6777.0,,742.1916,5834.88,55
LOCAL,44626,PR CLSR NTRSTM LG/SM RESCJ & COLORECTAL ANASTOMOSIS,6709.0,,1122.74,6416.98,55
LOCAL,44640,PR CLOSURE INTESTINAL CUTANEOUS FISTULA,6720.0,,698.06,5712.0,55
LOCAL,44650,PR CLSR ENTEROENTERIC/ENTEROCOLIC FSTL,5267.0,,739.98,5237.3,55
LOCAL,44660,PR CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ,5088.0,,742.47,5237.3,55
LOCAL,44661,PR CLSR ENTEROVES FSTL W/INTESTINE&/BLADDER RESCJ,7991.0,,1045.19,8230.29,55
LOCAL,44680,PR INTESTINAL PLICATION SEPARATE PROCEDURE,9957.0,,794.5672,8463.45,55
LOCAL,44700,PR EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS,4815.0,,735.7976,4957.41,55
LOCAL,44701,PR INTRAOPERATIVE COLONIC LAVAGE,891.0,,123.694,801.9,55
LOCAL,44705,PR PREPARE FECAL MICROBIOTA FOR INSTILLATION,776.0,,54.094,698.4,42
LOCAL,44720,PR BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA,2498.0,,199.4376,2248.2,55
LOCAL,44721,PR BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA,3497.0,,279.1188,3147.3,55
LOCAL,4479901,"PR UNLISTED PROCEDURE INTESTINE SURG, RESECTION OF ILEUM W/ ILEAL RECTAL ANASTOMOSIS",7270.0,,3863.58,6179.5,28
LOCAL,4479902,PR UNLISTED PROCEDURE ENTEROCUTANEOUS FISTULA PLUG PLACEMENT,3594.0,,2156.4,3863.58,28
LOCAL,4479903,"PR UNLISTED PROCEDURE SMALL INTESTIN, DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBTANCE",2001.0,,1200.6,3863.58,28
LOCAL,4479904,PR UNLISTED PX SMALL INTESTINE - RETROGRADE ENTEROSCOPY WITH/WITHOUT ILEUM,3030.0,,1818.0,3863.58,28
LOCAL,4479905,"PR UNLISTED PROCEDURE SMALL INTESTINE, RESECTION OF POLYP FROM POUCH",1197.0,,718.2,3863.58,28
LOCAL,4479906,PR UNLISTED PROCEDURE SMALL INTESTINE (DOUBLE BALLOON ENDOSCOPY WITH RETROGRADE BIOPSY OF J-POUCH),2078.0,,1246.8,3863.58,28
LOCAL,4479907,PR UNLISTED PROCEDURE SMALL INTESTINE RETROGRADE DOUBLE-BALLOON ENDOSCOPY WM,1555.0,,933.0,3863.58,28
LOCAL,4479908,PR UNLISTED PROCEDURE SMALL INTESTINE RETROGRADE DOUBLE-BALLOON ENDOSCOPY W,3041.0,,1824.6,3863.58,28
LOCAL,44800,PR EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT,4359.0,,540.19,4488.62,55
LOCAL,44820,PR EXCISION LESION MESENTERY SEPARATE PROCEDURE,3762.0,,536.66,3741.67,55
LOCAL,44850,PR SUTURE MESENTERY SEPARATE PROCEDURE,6712.0,,507.45,5705.2,55
LOCAL,44900,PR INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN,3441.0,,430.83,3578.53,55
LOCAL,44950,PR APPENDECTOMY,4184.0,,452.23,4090.24,55
LOCAL,44955,PR APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX,1196.0,,60.9868,2215.12,55
LOCAL,44960,PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS,4915.0,,553.37,5111.94,55
LOCAL,44970,PR LAPAROSCOPIC APPENDECTOMY,3994.0,,447.0832,4090.24,55
LOCAL,45000,PR TRANSRECTAL DRAINAGE OF PELVIC ABSCESS,2234.0,,192.5,1898.9,55
LOCAL,45000001,"HC INIT TMT,1ST DEGREE BURN",403.0,,92.25,346.58,85
LOCAL,45000002,"HC NASAL HEMORHAGE,POST,INIT",574.0,,46.68,493.64,85
LOCAL,45000003,"HC NASAL HEMORHAGE,POST,SUBS",631.0,,87.58,542.66,85
LOCAL,45000004,HC TRACHEO CRICOTHYROID,3685.0,,87.58,3169.1,85
LOCAL,45000006,HC DIFF INTRAV ACCESS >3YRS,270.0,,18.11,232.2,84
LOCAL,45000007,"HC REMOVE FB,EXT CONJUC,SUPF",563.0,,56.75,484.18,85
LOCAL,45000008,"HC REMOVE FB, CORNEA,WO SLIT",618.0,,82.41,531.48,85
LOCAL,45000009,"HC REMOVE FB,AUDIT CANAL",269.0,,75.32,231.34,85
LOCAL,45000020,HC APPL FINGER CAST,297.0,,42.36,255.42,85
LOCAL,45000021,HC APPL SHOUL/HAND CAST,515.0,,49.28,442.9,85
LOCAL,45000022,HC APPL ELBOW/FINGER CAST,538.0,,45.13,462.68,85
LOCAL,45000023,HC APPL LONG ARM SPLINT,534.0,,40.14,459.24,85
LOCAL,45000024,HC APPL SHORT ARM SPL STA,590.0,,81.61,507.4,85
LOCAL,45000025,HC APPL SHORT ARM SPL DYN,590.0,,99.47,507.4,85
LOCAL,45000026,HC APPL FINGER SPL STA,615.0,,58.98,528.9,85
LOCAL,45000027,HC APPL FINGER SPLINT DYN,594.0,,69.3105,510.84,85
LOCAL,45000028,HC APPL OF LONG LEG CAST,448.0,,63.67,385.28,85
LOCAL,45000029,HC APPL SHORT LEG CAST,476.0,,39.03,409.36,85
LOCAL,45000030,HC APPL LONG LEG SPLINT,326.0,,48.45,280.36,85
LOCAL,45000031,HC APPL SHORT LEG SPLINT,391.0,,34.33,336.26,85
LOCAL,45005,PR I&D SUBMUCOSAL ABSCESS RECTUM,1173.0,,107.89,1193.42,55
LOCAL,45020,PR I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC,1883.0,,242.32,1918.06,55
LOCAL,45100,PR BX ANORECTAL WALL ANAL APPROACH,2016.0,,181.95,1713.6,55
LOCAL,45108,PR ANORECTAL MYOMECTOMY,4179.0,,245.94,4176.1,55
LOCAL,45110,PR PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST,11241.0,,1330.182,11075.61,55
LOCAL,45111,PR PRCTECT PRTL RESCJ RECTUM TABDL APPR,10250.0,,800.4736,8946.35,55
LOCAL,45112,PR PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX,13758.0,,1323.788,11694.3,55
LOCAL,45113,PR PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR,13368.0,,1360.9284,12085.29,55
LOCAL,45114,PR PRCTECT PRTL W/ANAST ABDL & TRANSSAC APPROACH,12531.0,,1304.52,12528.32,55
LOCAL,45116,PR PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY,8773.0,,1051.62,8946.35,55
LOCAL,45119,PR PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM,12711.0,,1371.0116,11929.02,55
LOCAL,45120,PR PRCTECT COMPL W/PULL-THRU PX & ANASTOMOSIS,12531.0,,1180.6636,12528.32,55
LOCAL,45121,PR PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS,11241.0,,1217.16,11075.61,55
LOCAL,45123,PR PRCTECT PRTL W/O ANAST PRNL APPR,7351.0,,816.9508,7241.21,55
LOCAL,45126,PR PELVIC EXENTERATION COLORECTAL MALIGNANCY,21398.0,,2006.4648,21084.86,55
LOCAL,45130,PR EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH,6884.0,,767.14,7071.22,55
LOCAL,45135,PR EXC RCT PROCIDENTIA W/ANAST ABDL & PRNL APPROACH,11695.0,,950.4796,11929.02,55
LOCAL,45136,PR EXC ILEOANAL RSVR W/ILEOSTOMY,7520.0,,1303.87,7668.79,55
LOCAL,45150,PR DIVISION STRICTURE RECTUM,3243.0,,299.54,2982.69,55
LOCAL,45160,PR EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL,7520.0,,683.39,7517.68,55
LOCAL,45171,PR EXC RCT TUM NOT INCL MUSCULARIS PROPRIA,4778.0,,457.1664,4300.2,55
LOCAL,45172,PR EXC RCT TUM INCL MUSCULARIS PROPRIA,6454.0,,608.6536,5808.6,55
LOCAL,45190,PR DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH,6546.0,,448.46,5564.1,55
LOCAL,45300,PR PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX,450.0,,35.4108,382.5,55
LOCAL,45303,PR PROCTOSGMDSC RIGID W/DILATION,1613.0,,48.76,1371.05,55
LOCAL,45305,PR PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE,569.0,,53.6084,483.65,55
LOCAL,45307,PR PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY,556.0,,74.0232,508.29,55
LOCAL,45308,PR PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY,520.0,,62.468,508.29,55
LOCAL,45309,PR PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ,646.0,,66.1572,549.1,55
LOCAL,45315,PR PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE,829.0,,77.9608,813.93,55
LOCAL,45317,PR PROCTOSGMDSC RIGID CONTROL BLEEDING,1119.0,,81.4016,951.15,55
LOCAL,45320,PR PROCTOSGMDSC RIGID ABLATION LESION,11658.0,,77.2156,9909.3,55
LOCAL,45321,PR PROCTOSGMDSC RIGID DCMPRN VOLVULUS,674.0,,76.2312,662.83,55
LOCAL,45327,PR PROCTOSGMDSC RIGID TNDSC STENT PLMT,348.0,,86.0752,346.69,55
LOCAL,45330,PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD,684.0,,41.5564,581.4,55
LOCAL,45331,PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE,723.0,,52.8724,702.3,55
LOCAL,45332,PR SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY,892.0,,76.9764,879.18,55
LOCAL,45333,PR SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS,1467.0,,68.862,1521.4,55
LOCAL,45334,PR SIGMOIDOSCOPY FLX CONTROL BLEEDING,1266.0,,85.5784,1317.05,55
LOCAL,45335,PR SGMDSC FLX DIRED SBMCSL NJX ANY SBST,1551.0,,48.9348,1395.9,55
LOCAL,45337,PR SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE,1182.0,,83.122,1229.49,55
LOCAL,45338,PR SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ,1532.0,,87.5472,1521.4,55
LOCAL,45340,PR SIGMOIDOSCOPY FLX TNDSC BALO DILAT,1327.0,,57.2976,1194.3,55
LOCAL,45341,PR SIGMOIDOSCOPY FLX NDSC US XM,935.0,,90.252,794.75,55
LOCAL,45342,PR SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX,1179.0,,123.9424,1002.15,55
LOCAL,45346,PR SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES,3206.0,,116.564,2885.4,55
LOCAL,45347,PR SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT,1508.0,,111.8904,1357.2,55
LOCAL,45349,PR SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION,1951.0,,143.6212,1755.9,55
LOCAL,45350,PR SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S),3149.0,,73.7748,2834.1,55
LOCAL,45378,PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD,1917.0,,134.0256,1657.04,55
LOCAL,45379,PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S),1997.0,,172.8864,1933.51,55
LOCAL,45380,PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE,2112.0,,145.5808,1821.9,55
LOCAL,45381,PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST,2489.0,,145.3416,2240.1,55
LOCAL,45382,PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD,2226.0,,187.3948,2209.97,55
LOCAL,45384,PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS,2363.0,,165.7472,2347.34,55
LOCAL,45385,PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ,2363.0,,184.1932,2347.34,55
LOCAL,45386,PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT,2301.0,,153.7044,2070.9,55
LOCAL,45388,PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES,2650.0,,195.9968,2385.0,55
LOCAL,45389,PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT,2976.0,,209.7692,2678.4,55
LOCAL,45390,PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION,3348.0,,240.7548,3013.2,55
LOCAL,45391,PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX,2527.0,,186.6496,2274.3,55
LOCAL,45392,PR COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL,3362.0,,220.3492,3025.8,55
LOCAL,45393,PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION,2594.0,,182.2244,2334.6,55
LOCAL,45395,PR LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY,16226.0,,1431.2624,16030.8,55
LOCAL,4539501,PR ROBOT ASSISTED PROCTECTOMY/APR,18289.0,,1431.2624,16030.8,55
LOCAL,45397,PR LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR,18856.0,,1548.5624,17870.61,55
LOCAL,4539701,PR ROBOT ASSISTED PROCTECTOMY/J-POUCH,24513.0,,1548.5624,20836.05,55
LOCAL,45398,PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S),2328.0,,170.9176,2095.2,55
LOCAL,45399,PR UNLISTED PROCEDURE COLON,2309.0,,1385.4,2078.1,28
LOCAL,4539901,PR UNLISTED PROCEDURE COLON (STAINING CHROMOSCOPY W/METHYLENE BLUE),1613.0,,967.8,1451.7,28
LOCAL,4539902,PR UNLISTED PROCEDURE COLON - COLONOSCOPY FOR FECAL MICROBIOTA TRANSPLANT,1404.0,,842.4,1263.6,28
LOCAL,4539903,"PR UNLISTED PX COLON, ENDOSCOPIC COLO/RECTAL FISTULA REPAIR",11933.0,,7159.8,10739.7,28
LOCAL,4539904,"PR UNLISTED PX COLON, COLONOSCOPY W/ LIGATURE POLYP",3602.0,,2161.2,3241.8,28
LOCAL,4539906,"PR UNLISTED PROCEDURE COLON, FLEXIBLE SIGMOIDOSCOPY W/ ESD IN COLON/RECTUM",6469.0,,3881.4,5822.1,28
LOCAL,4539907,"PR UNLISTED PROCEDURE COLON, COLONOSCOPY W/ ESD IN COLON/RECTUM",6469.0,,3881.4,5822.1,28
LOCAL,4539908,"PR UNLISTED PROCEDURE COLON, FLEXIBLE SIGMOIDOSCOPY W/ FTRD IN COLON/RECTUM",2271.0,,1362.6,2043.9,28
LOCAL,4539909,"PR UNLISTED PROCEDURE COLON, COLONOSCOPY W/ FTRD IN COLON/RECTUM",2271.0,,1362.6,2043.9,28
LOCAL,45400,PR LAPAROSCOPY PROCTOPEXY PROLAPSE,9282.0,,830.4748,9492.15,55
LOCAL,45402,PR LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ,13416.0,,1110.3296,13160.71,55
LOCAL,4549901,PR UNLISTED PROCEDURE ROBO LAPARSCOP TOT PROCTECTOMY-HAND SEWN COLOANAL RECONSTRUCT-NATURAL ORIFICE SPEC EXTRAC,16343.0,,9805.8,14708.7,28
LOCAL,4549902,PR ROBOTIC SUTURE CLOSURE OF RECTAL WALL DEFECT,5095.0,,3057.0,4585.5,28
LOCAL,4549903,"PR UNLISTED PROCEDURE LAPAROSCOPY PROC, RECTUM; ROBOTIC TOTAL PELVIC EXENTERATION",20673.0,,12403.8,18605.7,28
LOCAL,4549904,"PR UNLISTED PROCEDURE LAPAROSCOPY,  ROBOTIC PRCTECT CMBN ADBONINOPRNL PULL-THRU",18665.0,,11199.0,16798.5,28
LOCAL,4549905,"PR UNLISTED PROCEDURE LAPARSCOPIC  EXPLORATION, RETROPERITONEAL W/WO BIOPSY",8847.0,,5308.2,7962.3,28
LOCAL,4549906,"PR UNLISTED PROCEDURE LAP/ROBOTIC EXCISION OF RECTAL TUMOR, FULL THICKNESS",6469.0,,3881.4,5822.1,28
LOCAL,45500,PR PROCTOPLASTY STENOSIS,2953.0,,423.476,3037.63,55
LOCAL,45505,PR PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE,3358.0,,427.67,3492.67,55
LOCAL,45520,PR PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE,219.0,,30.0012,221.51,55
LOCAL,45540,PR PROCTOPEXY ABDOMINAL APPROACH,4981.0,,770.4724,4969.42,55
LOCAL,45541,PR PROCTOPEXY PERINEAL APPROACH,4828.0,,691.2788,4969.42,55
LOCAL,45550,PR PROCTOPEXY W/SIGMOID RESCJ ABDL APPR,6635.0,,999.2,5798.8,55
LOCAL,45560,PR REPAIR RECTOCELE SEPARATE PROCEDURE,3012.0,,439.01,2560.2,55
LOCAL,45562,PR EXPL RPR & PRESACRAL DRG RECTAL INJURY,5095.0,,680.4,5247.61,55
LOCAL,45563,PR EXPL RPR & PRESACRAL DRG RECTAL INJ W/COLOSTOMY,5830.0,,1055.04,5798.8,55
LOCAL,45600001,"HC LEVEL 1 VISIT, EC TYPE B",521.0,,87.331,448.06,84
LOCAL,45600002,"HC LEVEL 2 VISIT, EC TYPE B",692.0,,109.135,595.12,84
LOCAL,45600003,"HC LEVEL 3 VISIT, EC TYPE B",925.0,,201.9515,795.5,84
LOCAL,45600004,"HC LEVEL 4 VISIT, EC TYPE B",1232.0,,310.5345,1059.52,84
LOCAL,45600005,"HC LEVEL 5 VISIT, EC TYPE B",1643.0,,460.04,1412.98,84
LOCAL,45800,PR CLOSURE RECTOVESICAL FISTULA,5095.0,,784.37,5247.61,55
LOCAL,45805,PR CLSR RECTOVESICAL FISTULA W/COLOSTOMY,5632.0,,974.29,5798.8,55
LOCAL,45820,PR CLOSURE RECTOURETHRAL FISTULA,5095.0,,764.61,5247.61,55
LOCAL,45825,PR CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY,5632.0,,875.84,5798.8,55
LOCAL,45900,PR RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE,664.0,,76.51,662.29,55
LOCAL,45905,PR DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL,1162.0,,74.6,987.7,55
LOCAL,45910,PR DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL,1293.0,,90.29,1099.05,55
LOCAL,45915,PR RMVL FECAL IMPACTION/FB SPX UNDER ANES,1340.0,,92.7,1139.0,55
LOCAL,45990,PR ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX,959.0,,77.7124,945.65,55
LOCAL,4599901,"PR UNLISTED PROCEDURE RECTUM, ANO-VAGINAL FISTULA REPAIR W/ PLUG",5121.0,,3072.6,9581.69,28
LOCAL,46000002,HC SPIROMETRY W/DILATORS,771.0,,61.38,663.06,85
LOCAL,46000003,HC BRONCHOPROVOCATION,1250.0,,99.46,1075.0,85
LOCAL,46000004,HC BREATHING EXERCISES,161.0,,39.98,151.179,85
LOCAL,46000005,HC MAXIMUM VOLUNTARY VENTILATION,222.0,,23.85,190.92,85
LOCAL,46000006,HC PULMONARY STRESS TESTING,728.0,,53.94,626.08,85
LOCAL,46000007,HC PULMONARY STRESS COMPLEX,991.0,,244.4,852.26,85
LOCAL,46000008,HC INDIRECT CALORIM,757.0,,75.62,651.02,85
LOCAL,46000010,HC PLETHSMOGRAP LUNG VOLUMES,645.0,,88.14,554.7,85
LOCAL,46000011,HC GAS DILUTION LUNG VOLUMES,622.0,,70.25,534.92,85
LOCAL,46000012,HC AIRWAY RESISTANCE OSCILL,645.0,,69.73,554.7,85
LOCAL,46000013,HC SINGLE BRTH DIFFUS,652.0,,88.93,560.72,84
LOCAL,46000014,HC PULSE OXIMETRY,129.0,,4.37,110.94,84
LOCAL,46000015,HC PULSE OXIMETRY MULT DETER,145.0,,6.45,124.7,84
LOCAL,46000016,HC PULSE OXIMETRY OVERNITE,451.0,,39.73,387.86,85
LOCAL,46000021,HC SPIROMERTY W/O DILATORS,553.0,,43.16,475.58,85
LOCAL,46000022,HC PATIENT-INITIATED SPIROMETRIC RECORDING,474.0,,50.13,407.64,85
LOCAL,46020,PR PLACEMENT SETON,1096.0,,86.0752,931.6,55
LOCAL,46030,PR REMOVAL ANAL SETON OTHER MARKER,503.0,,51.57,427.55,55
LOCAL,46040,PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX,1617.0,,212.92,1433.82,55
LOCAL,46045,PR I&D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES,1572.0,,201.03,1603.81,55
LOCAL,46050,PR I&D PERIANAL ABSCESS SUPERFICIAL,945.0,,58.45,803.25,55
LOCAL,46060,PR I&D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON,3577.0,,361.9924,3557.92,55
LOCAL,46070,PR INCISION ANAL SEPTUM INFANT,704.0,,136.74,703.5,55
LOCAL,46080,PR SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX,1542.0,,116.8124,1584.93,55
LOCAL,46083,PR INCISION THROMBOSED HEMORRHOID EXTERNAL,651.0,,64.19,553.35,55
LOCAL,46200,PR FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED,2648.0,,232.35,2250.8,55
LOCAL,46220,PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS,1137.0,,70.64,966.45,55
LOCAL,46221,PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS,1326.0,,68.67,1127.1,55
LOCAL,46230,PR EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS,905.0,,106.4,769.25,55
LOCAL,46250,PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP,2356.0,,236.8172,2002.6,55
LOCAL,46255,PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP,2749.0,,263.626,2450.36,55
LOCAL,46257,PR HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO,2530.0,,309.3684,2603.21,55
LOCAL,46258,PR HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY,2678.0,,359.7844,2756.02,55
LOCAL,46260,PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO,3777.0,,358.064,3210.45,55
LOCAL,46261,PR HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSU,3275.0,,396.1796,3168.14,55
LOCAL,46262,PR HRHC 2/> COL/GRP W/FSTULECTMY INCL FSSRECTMY,3273.0,,436.0156,3367.33,55
LOCAL,46270,PR SURG TX ANAL FISTULA SUBQ,2809.0,,183.69,2387.65,55
LOCAL,46275,PR SURG TX ANAL FISTULA INTERSPHINCTERIC,3004.0,,314.5296,2694.2,55
LOCAL,46280,PR TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON,3139.0,,357.3188,3123.49,55
LOCAL,46285,PR SURG TX ANAL FISTULA 2ND STAGE,7039.0,,210.02,5983.15,55
LOCAL,46288,PR CLSR ANAL FSTL W/RCT ADVMNT FLAP,2975.0,,357.0,3061.67,55
LOCAL,46320,PR EXC THROMBOSED HEMORRHOID XTRNL,607.0,,73.85,515.95,55
LOCAL,46500,PR INJECTION SCLEROSING SOLUTION HEMORRHOIDS,1195.0,,59.71,1015.75,55
LOCAL,46505,PR CHEMODENERVATION INTERNAL ANAL SPHINCTER,1763.0,,185.6744,1503.73,55
LOCAL,46600,PR ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,342.0,,24.71,290.7,55
LOCAL,46601,PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,744.0,,75.123,669.6,47
LOCAL,46604,PR ANOSCOPY W/DILATION,1500.0,,48.6956,1275.0,55
LOCAL,46606,PR ANOSCOPY W/BX SINGLE/MULTIPLE,674.0,,37.61,572.9,55
LOCAL,46607,PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX,795.0,,99.7475,715.5,47
LOCAL,46608,PR ANOSCOPY W/RMVL FOREIGN BODY,429.0,,62.468,364.65,55
LOCAL,46610,PR ANOSCOPY W/RMVL LESION CAUTERY,1016.0,,59.018,863.6,55
LOCAL,46611,PR ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ,752.0,,59.2664,639.2,55
LOCAL,46612,PR ANOSC RMVL MULT TUMORS CAUTERY/SNARE,879.0,,70.334,747.15,55
LOCAL,46614,PR ANOSCOPY CONTROL BLEEDING,850.0,,47.4628,722.5,55
LOCAL,46615,PR ANOSCOPY ABLATION LESION,847.0,,66.6448,719.95,55
LOCAL,46700,PR ANOPLASTY PLASTIC OPERATION STRICTURE ADULT,4400.0,,459.32,3740.0,51
LOCAL,46705,PR ANOPLASTY PLASTIC OPERATION STRICTURE INFANT,5144.0,,356.44,4372.4,55
LOCAL,46706,PR REPAIR ANAL FISTULA W/FIBRIN GLUE,1793.0,,134.0256,1613.7,55
LOCAL,46707,PR REPAIR ANORECTAL FISTULA PLUG,3546.0,,375.2772,3191.4,55
LOCAL,46710,PR RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR,8574.0,,820.8792,8409.12,55
LOCAL,46712,PR RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR,18218.0,,1630.9484,17870.61,55
LOCAL,46715,PR RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK,4476.0,,364.31,3804.6,55
LOCAL,46716,PR RPR LW IMPERFORATE ANUS W/TRPOS FISTULA,5591.0,,606.66,4752.35,55
LOCAL,46730,PR RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR,11180.0,,1077.63,9503.0,55
LOCAL,46735,PR RPR HI IMPRF ANUS W/O FISTULA CMBN APPR,12299.0,,1301.34,10454.15,55
LOCAL,46740,PR RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR,13415.0,,1155.99,11402.75,55
LOCAL,46742,PR RPR HI IMPRF ANUS W/FSTL TABDL & SACROPRNL,14758.0,,1571.49,12544.3,55
LOCAL,46744,PR RPR CLOACAL ANOMALY SACROPERINEAL,17480.0,,1761.41,14858.0,55
LOCAL,46746,PR RPR CLOACAL ANOMALY CMBN ABDL&SACROPRNL,20067.0,,1938.91,17056.95,55
LOCAL,46748,PR RPR CLOACAL ANOMALY CMBN ABDL & SACROPRNL W/GRF,22191.0,,2148.16,18862.35,55
LOCAL,46750,PR SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT,5673.0,,480.02,4822.05,55
LOCAL,46751,PR SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD,5591.0,,419.76,4752.35,51
LOCAL,46753,PR GRAFT THIERSCH RCT INCONTINENCE &/PROLAPSE,3916.0,,390.78,3328.6,55
LOCAL,46754,PR RMVL THIERSCH WIRE/SUTURE ANAL CANAL,898.0,,104.7,763.3,55
LOCAL,46760,PR SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT,7829.0,,610.48,6654.65,55
LOCAL,46761,PR SPHNCTROP ANAL LEVATOR MUSC IMBRCJ,8474.0,,595.04,7801.01,55
LOCAL,46900,PR DSTRJ LESION ANUS SIMPLE CHEMICAL,1109.0,,70.66,942.65,55
LOCAL,46910,PR DSTRJ LESION ANUS SMPL ELTRDSICCATION,1125.0,,77.93,956.25,55
LOCAL,46916,PR DSTRJ LESION ANUS SIMPLE CRYOSURGERY,1011.0,,77.99,859.35,55
LOCAL,46917,PR DSTRJ LESION ANUS SIMPLE LASER SURG,1503.0,,95.91,1560.88,55
LOCAL,46922,PR DSTRJ LESION ANUS SIMPLE SURG EXCISION,1125.0,,102.5524,1054.32,55
LOCAL,46924,PR DSTRJ LESION ANUS EXTENSIVE,3099.0,,134.274,2634.15,55
LOCAL,46930,PR DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY,983.0,,112.6356,884.7,55
LOCAL,46940,PR CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST,758.0,,87.73,644.3,55
LOCAL,46942,PR CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ,797.0,,77.54,677.45,55
LOCAL,46945,PR INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN,898.0,,87.57,792.7,55
LOCAL,46946,PR INT HRHC BY LIGATION 2+ HROID W/O IMG GDN,2494.0,,124.62,2119.9,55
LOCAL,46947,PR HEMORRHOIDOPEXY STAPLING,2580.0,,335.835,2322.0,47
LOCAL,46948,PR INT HRHC TRANSANAL HROID DARTLZJ 2+ W/US GDN,3049.0,,329.5348,2744.1,55
LOCAL,47000,PR BIOPSY LIVER NEEDLE PERCUTANEOUS,1245.0,,63.4432,1074.94,55
LOCAL,47001,PR BX LVR NDL DONE PURPOSE TM OTH MAJOR PX,613.0,,75.4952,580.4,55
LOCAL,47010,PR HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES,6167.0,,562.04,5241.95,55
LOCAL,47015,PR LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS,5055.0,,545.11,4955.7,55
LOCAL,47100,PR BIOPSY LIVER WEDGE,4620.0,,351.62,3927.0,55
LOCAL,47100001,HC BINOCULAR MICROSCOPY,294.0,,14.35,252.84,84
LOCAL,47100002,HC NASOPHRYNGOSCOPE  W/ENDOSCOPE,620.0,,59.95,533.2,85
LOCAL,47100003,HC BASIC VESTIBULAR EVALUAT,948.0,,167.88,815.28,85
LOCAL,47100008,HC OSCILLATING TRACK TEST W/REC,433.0,,26.56,372.38,85
LOCAL,47100009,HC SINUSOIDAL VERTI AXIS ROTAT,766.0,,151.179,658.76,85
LOCAL,47100010,HC TYMPNOMTRY RFLX THRSH MES,530.0,,34.21,455.8,85
LOCAL,47100011,HC SCREEN TEST PURE TONE AIR,99.0,,19.97,85.14,84
LOCAL,47100012,HC PUR TONE THRESHOLD AIR ONLY,206.0,,57.68,177.16,85
LOCAL,47100013,HC PURE TON AUDIOMTRY AIR&BN,324.0,,71.97,278.64,85
LOCAL,47100014,HC SPEECH RECOGNITN THRSHOLD(SRT),140.0,,39.2,120.4,85
LOCAL,47100015,HC SRT/SPEECH DISCRIMINATION,206.0,,57.68,177.16,85
LOCAL,47100016,HC COMP AUD THR EVL& SPCHRCG,520.0,,49.64,447.2,85
LOCAL,47100020,HC VISUL REINFRCMT AUDIOMETR,409.0,,57.5,351.74,85
LOCAL,47100021,HC CNDITIONING PLAY AUDIOMTR,482.0,,134.96,414.52,85
LOCAL,47100022,HC SELECT PICTURE AUDIOMETRY,324.0,,69.3105,278.64,85
LOCAL,47100025,HC EVOK OTOACOUST EMISS EOA,641.0,,33.9,551.26,85
LOCAL,47100026,HC DX OTOACOUST EMISS COMPRE,741.0,,52.21,637.26,85
LOCAL,47100027,HC TYMPANOMETRY,182.0,,16.96,156.52,85
LOCAL,47100028,HC CALORIC VESTIBULAR TEST  BITHERMAL-4 IRRIG,847.0,,62.64,728.42,85
LOCAL,47100029,HC CALORIC VESTIBULAR TEST  MONOTHERMAL-2 IRRIG,704.0,,35.43,605.44,85
LOCAL,47100031,HC ELECTROCOCHLEOGRAPHY (ECOG),762.0,,151.179,655.32,85
LOCAL,47100032,HC VESTIBULAR EVOKED MYOGENIC POTENTIAL (VEMP) - CERVICAL,793.0,,222.04,681.98,83
LOCAL,47100033,HC VESTIBULAR EVOKED MYOGENIC POTENTIAL (VEMP) - OCULAR,741.0,,207.48,637.26,83
LOCAL,47100034,HC VESTIBULAR EVOKED MYOGENIC POTENTIAL (VEMP) - CERVICAL & OCULAR,990.0,,277.2,851.4,83
LOCAL,47100037,HC THRESHOLD ESTIMATION MULT FREQUENCIES W/ I&R,1283.0,,177.25,1103.38,85
LOCAL,47100038,"HC AUDITORY EVOKED POTENTIAL, NEURODIAGNOSTIC I&R",1095.0,,131.34,941.7,85
LOCAL,47100039,HC COCHLEAR IMPLANT ACTIVATION W/ PROGRAMMING-DIAG ANALYSIS AGE 7+,608.0,,151.179,522.88,85
LOCAL,47100040,HC COCHLEAR IMPLANT SUBSEQUENT REPROGRAMMING AGE 7+,523.0,,102.74,449.78,85
LOCAL,47100041,HC COCHLEAR IMPLANT EVALUATION 1ST HOUR,583.0,,116.04,501.38,85
LOCAL,47100042,HC COCHLEAR IMPLANT EVALUATION EA ADD'L 15 MINUTES,148.0,,27.44,127.28,84
LOCAL,47100043,HC DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60,735.0,,103.26,632.1,85
LOCAL,47100044,HC DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL,68.0,,19.04,58.48,84
LOCAL,47100045,HC ANALYSIS COCHLEAR IMPLANT ON PATIENT LESS THAN AGE 7 WITH PROGRAMMING,864.0,,151.179,743.04,84
LOCAL,47100046,HC ANALYSIS COCHLEAR IMPLANT ON PATIENT LESS THAN AGE 7 SUBSQ REPROGRAMMING,605.0,,151.179,520.3,84
LOCAL,47120,PR HEPATECTOMY RESCJ PARTIAL LOBECTOMY,11884.0,,1151.89,10101.4,55
LOCAL,47122,PR HEPATECTOMY RESCJ TRISEGMENTECTOMY,18517.0,,1744.08,15739.45,55
LOCAL,47125,PR HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY,15906.0,,1629.02,13520.1,55
LOCAL,47130,PR HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY,17264.0,,1774.61,14674.4,55
LOCAL,47135,PR LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE,38252.0,,3972.1092,37466.45,50
LOCAL,47146,PR BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA,2874.0,,238.786,2586.6,55
LOCAL,47147,PR BKBENCH RCNSTJ LVR GRF ARTL ANAST EA,3497.0,,278.8704,3147.3,55
LOCAL,47300,PR MARSUPIALIZATION CST/ABSC LVR,6365.0,,593.8,6030.62,55
LOCAL,47350,PR MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ,6365.0,,666.86,5797.09,55
LOCAL,47360,PR MGMT LVR HEMRRG CPLX SUTR WND/INJ,9840.0,,944.14,8364.0,55
LOCAL,47361,PR MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR,10487.0,,1493.79,10490.21,55
LOCAL,47362,PR MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING,5926.0,,565.06,5037.1,55
LOCAL,47370,PR LAPS SURG ABLTJ 1/> LVR TUM RF,7546.0,,926.1364,6414.1,55
LOCAL,4737901,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS WEDGE",5799.0,,2546.53,4929.15,28
LOCAL,4737902,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS PARTIAL HEPATECTOMY",14352.0,,2546.53,12199.2,28
LOCAL,4737903,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS LEFT HEPATECTOMY",17235.0,,2546.53,14649.75,28
LOCAL,4737904,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS RIGHT HPATECTOMY",22090.0,,2546.53,18776.5,28
LOCAL,4737905,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS EXTENDED HEPATECTOMY",23255.0,,2546.53,19766.75,28
LOCAL,4737906,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS WEDGE W/ULTRASOUND",7033.0,,2546.53,5978.05,28
LOCAL,4737907,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS PARTIAL HEPATECTOMY W/ULTRASOUND",15588.0,,2546.53,13249.8,28
LOCAL,4737908,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, MIS LEFT HEPATECTOMY W/ULTRASOUND",23210.0,,2546.53,19728.5,28
LOCAL,4737911,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, LAPAROSCOPIC HEPATIC CYSTECTOMY",6569.0,,2546.53,5583.65,28
LOCAL,4737912,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, LAPAROSCOPIC HAND-ASSISTED RADIOFREQUENCY ABLATION OF LIVER",10808.0,,2546.53,9186.8,28
LOCAL,4737913,"PR UNLISTED PROCEDURE LAPAROSCOPY PROCEDURE, LIVER (LAPAROSCOPIC MARSUPIALIZATION OF CYST OR ABSCESS OF LIVER- UNROOFING CYST)",6148.0,,2546.53,5225.8,28
LOCAL,4737914,"PR UNLISTED PROCEDURE LAPAROSCOPIC PROC, LIVER, ROBOTIC EXCIS BILE DUCT TUMOR, EXTRAHEPATIC",8384.0,,2546.53,7126.4,28
LOCAL,47380,PR ABLTJ OPN 1/> LVR TUM RF,8667.0,,1066.8044,7998.48,55
LOCAL,47382,PR ABLTJ 1/> LVR TUM PRQ RF,6279.0,,528.9724,5771.34,55
LOCAL,47383,PR ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION,4698.0,,322.4048,4228.2,55
LOCAL,4739901,"PR UNLISTED PROCEDURE LIVER SURGERY, CRYOABLATION OF LIVER",5605.0,,3363.0,5937.9,28
LOCAL,4739902,"PR UNLISTED PROCEDURE LIVER SURGERY, FIDUCIAL MARKER PLACEMENT,LIVER",2050.0,,1230.0,5937.9,28
LOCAL,4739903,"PR UNLISTED PROCEDURE LIVER SURGERY, ABLATION LIVER LESION BY PERCU ETHANOL",5605.0,,3363.0,5937.9,28
LOCAL,4739904,"PR UNLISTED PROCEDURE LIVER SURGERY, BIOPSY OF LIVER, NEEDLE(TRU-CUT)",593.0,,355.8,5937.9,28
LOCAL,4739905,"PR UNLISTED PROCEDURE LIVER SURGERY, INJECTION OF ETHANOL FOR TREATMENT EFFECT OF A LIVER TUMOR",8313.0,,4987.8,7066.05,28
LOCAL,4739906,PR LIVER IRREVERSIBLE ELECTROPORATION ABLATION,5605.0,,3363.0,5937.9,28
LOCAL,4739907,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - 5 CM OR LESS",12681.0,,5937.9,10778.85,28
LOCAL,4739908,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - 5.1 CM TO 10 CM",16512.0,,5937.9,14035.2,28
LOCAL,4739909,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - 10.1 CM TO 20 CM",19597.0,,5937.9,16657.45,28
LOCAL,4739910,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - 20.1 CM TO 30 CM",23056.0,,5937.9,19597.6,28
LOCAL,4739911,"PR UNLISTED PX, LIVER, CYTOREDUCTIVE/ENUCLEATION - GREATER THAN 30 CM",28820.0,,5937.9,24497.0,28
LOCAL,47400,PR HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1,7191.0,,936.98,7191.79,55
LOCAL,47420,PR CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP,7456.0,,873.87,6337.6,55
LOCAL,47425,PR CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP,7398.0,,963.07,7617.28,55
LOCAL,47460,PR TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS,5693.0,,937.204,5860.63,55
LOCAL,47480,PR CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX,4556.0,,574.67,4689.54,55
LOCAL,47490,PR CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT,2872.0,,240.7548,2441.2,55
LOCAL,47531,PR NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS,988.0,,50.6552,889.2,55
LOCAL,47532,PR NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS,2411.0,,150.9996,2169.9,55
LOCAL,47533,PR PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL,3166.0,,187.8824,2849.4,55
LOCAL,47534,PR PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT,5455.0,,262.89,4909.5,55
LOCAL,47535,PR CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH,2928.0,,139.6836,2635.2,55
LOCAL,47536,PR EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I,2063.0,,94.1896,1856.7,55
LOCAL,47537,PR REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I,1001.0,,69.1012,900.9,55
LOCAL,47538,PR PLMT BILE DUCT STENT PRQ EXISTING ACCESS,4027.0,,167.2284,3624.3,55
LOCAL,47539,PR PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH,5850.0,,303.7104,5265.0,55
LOCAL,47540,PR PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH,8185.0,,312.8092,7366.5,55
LOCAL,47541,PR PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW,3793.0,,239.5312,3413.7,55
LOCAL,47542,PR BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT,1678.0,,96.646,1510.2,55
LOCAL,47543,PR ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT,1736.0,,102.0556,1562.4,55
LOCAL,47544,PR REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I,2350.0,,111.4028,2115.0,55
LOCAL,47550,PR BILIARY NDSC INTRAOPERATIVE,1265.0,,119.2688,1075.25,55
LOCAL,47552,PR BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH,1883.0,,200.1828,1600.55,55
LOCAL,47553,PR BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE,1785.0,,200.422,1655.32,55
LOCAL,47554,PR BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS,3051.0,,323.1408,2593.35,55
LOCAL,47555,PR BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT,2498.0,,238.786,2123.3,55
LOCAL,47556,PR BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT,2671.0,,270.5168,2270.35,55
LOCAL,47562,PR LAPAROSCOPY SURG CHOLECYSTECTOMY,5199.0,,489.8724,5170.34,55
LOCAL,47563,PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,5303.0,,532.4224,5515.48,55
LOCAL,47564,PR LAPS SURG CHOLECSTC W/EXPL COMMON DUCT,5892.0,,784.52,6066.68,55
LOCAL,47570,PR LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY,5023.0,,574.7148,5170.34,55
LOCAL,4757901,PR UNLISTED PROCEDURE ROBOTIC HEPATICOJEJUNOSTOMY ROUX-EN-Y,13947.0,,1150.49,11854.95,28
LOCAL,4757902,"PR UNLISTED PX LAPAROSCOPY, BILIARY TRACT, GALLBLADDER BIOPSY",3197.0,,1150.49,2717.45,28
LOCAL,4757903,"PR UNLISTED PROCEDURE LAPAROSCOPY PROCEDURE, BILIARY TRACT (LAP HEPATICODUODENOSTOMY)",30455.0,,1150.49,25886.75,28
LOCAL,47600,PR CHOLECYSTECTOMY,5199.0,,639.76,5170.34,55
LOCAL,47605,PR CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,5545.0,,693.89,5515.48,55
LOCAL,47610,PR CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT,6828.0,,844.88,6066.68,55
LOCAL,47612,PR CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY,9036.0,,939.4212,9306.94,55
LOCAL,47620,PR CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP,7243.0,,963.88,6896.08,55
LOCAL,47700,PR EXPL CONGENITAL ATRESIA BILE DUCTS,5023.0,,745.38,5170.34,55
LOCAL,47701,PR PORTOENETEROSTOMY,9238.0,,1153.82,9513.0,55
LOCAL,47711,PR EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC,8384.0,,1053.04,8341.9,55
LOCAL,47712,PR EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC,9079.0,,1230.26,9032.2,55
LOCAL,47715,PR EXCISION CHOLEDOCHAL CYST,6168.0,,795.35,6135.38,55
LOCAL,47720,PR CHOLECYSTOENTEROSTOMY DIRECT,5023.0,,763.65,5170.34,55
LOCAL,47721,PR CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY,6362.0,,937.35,6550.92,55
LOCAL,47740,PR CHOLECYSTOENTEROSTOMY ROUX-EN-Y,5443.0,,868.98,4626.55,55
LOCAL,47741,PR CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM,7276.0,,1088.9396,7239.51,55
LOCAL,47760,PR ANAST XTRHEPATC BILIARY DUCTS & GI TRACT,8495.0,,1111.22,7239.51,55
LOCAL,47765,PR ANAST INTRAHEPATC DUCTS & GI TRACT,9130.0,,1201.21,9133.28,55
LOCAL,47780,PR ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS & GI,13711.0,,1181.96,11654.35,55
LOCAL,47785,PR ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS & GI,14437.0,,1296.99,12271.45,55
LOCAL,47800,PR RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST,8351.0,,1094.81,7582.94,55
LOCAL,47801,PR PLACEMENT CHOLEDOCHAL STENT,4641.0,,580.41,4550.44,55
LOCAL,47900,PR SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY,6877.0,,1011.31,5845.45,55
LOCAL,47900001,HC HEARING AID ASSESSMENT,157.0,,43.96,135.02,83
LOCAL,47900002,HC HEARAID FIT/ORIENT/CHECK,234.0,,65.52,201.24,83
LOCAL,47900004,HC CONFRMTY EVAL/RL EAR MEAS,141.0,,39.48,121.26,83
LOCAL,4799901,"PR UNLISTED PROCEDURE BILE TRACT SURG, PERC LIVER COIL TUMOR MARKING",3599.0,,2159.4,3219.65,28
LOCAL,4799902,PR BILIARY TRACT(BILIARY TRACT RETRIEV),3599.0,,2159.4,3219.65,28
LOCAL,4799903,PR UNLISTED PROCEDURE BILIARY TRACT - ERCP W/ AMPULLECTOMY/PAPILLOTOMY,3314.0,,1988.4,3219.65,28
LOCAL,4799904,PR UNLISTED PX BILIARY TRACT- REMOVAL OF THROMBUS,1930.0,,1158.0,3219.65,28
LOCAL,4799905,"PR UNLISTED PX BILIARY TRACT, CHOLEDODUODENOSTOMY AND STENT PLACEMENT",4207.0,,2524.2,3575.95,28
LOCAL,4799906,"PR UNLISTED PX BILIARY TRACT, EMBOLIZATION OF BILIARY DUCT STUMP",972.0,,583.2,3219.65,28
LOCAL,4799907,"PR UNLISTED PROCEDURE BILIARY, EXCISION OF CYSTIC DUCT REMNANT",14532.0,,3219.65,12352.2,28
LOCAL,4799908,"PR UNLISTED PROCEDURE BILIARY TRACT, ERCP ANTEGRADE BILIARY STENT PLACEMENT",3741.0,,2244.6,3219.65,28
LOCAL,48000,PR PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS,8339.0,,718.61,7088.15,55
LOCAL,48000001,HC EXTERNAL CARDIOVERSION,1609.0,,169.65,1383.74,85
LOCAL,48000002,HC INTERNAL CARDIOVERSION,1436.0,,394.99,1234.96,85
LOCAL,48000012,HC ECHO/STESS IMAGING,1415.0,,151.179,1216.9,84
LOCAL,48000013,HC PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP,101.0,,28.28,105.52,85
LOCAL,48000014,HC  PROG DV EV IMP DV DL  PM,185.0,,43.8495,159.1,85
LOCAL,48000015,HC  PROG DV EV IMP DV ML  PM,196.0,,43.8495,168.56,85
LOCAL,48000016,HC  PROG DV EV IMP DV SL IPCD,213.0,,43.8495,183.18,85
LOCAL,48000017,HC  PROG DV EV IMP DV DL IPCD,220.0,,43.8495,189.2,85
LOCAL,48000018,HC  PROG DV EV IMP DV ML IPCD,240.0,,43.8495,206.4,85
LOCAL,48000019,HC  INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,101.0,,28.28,88.02,85
LOCAL,48000020,HC  INT DV EV S-D-M LPM CD,173.0,,43.8495,148.78,85
LOCAL,48000021,HC INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON,101.0,,28.28,86.86,85
LOCAL,48000022,HC  INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON,101.0,,28.28,86.86,85
LOCAL,48000023,HC INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR,152.0,,42.56,130.72,85
LOCAL,48000025,HC PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON,152.0,,42.56,130.72,85
LOCAL,48000026,HC PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,419.0,,70.79,360.34,84
LOCAL,48000027,HC PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,477.0,,81.79,410.22,84
LOCAL,48000028,HC REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW,250.0,,33.49,215.0,85
LOCAL,48000029,HC REM INTERROG ICPMS/SCRMS <30 D TECH REVIEW,250.0,,70.0,215.0,83
LOCAL,48000030,HC INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB (SICD),218.0,,43.8495,187.48,85
LOCAL,48000031,HC MYOCARDIAL STRAIN IMAGING QUAN ASSMT,655.0,,18.24,563.3,84
LOCAL,48000032,HC PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM,248.0,,43.8495,213.28,85
LOCAL,48000036,HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH,220.0,,61.6,189.2,83
LOCAL,48000037,HC REM INTERROG DEV EVAL ICPMS,251.0,,43.8495,215.86,85
LOCAL,48000038,HC REM INTERROG DEV EVAL SCRMS,251.0,,43.8495,215.86,85
LOCAL,48001,PR PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY,10980.0,,888.69,11305.69,55
LOCAL,48020,PR REMOVAL PANCREATIC CALCULUS,6026.0,,697.54,6205.77,55
LOCAL,48100,PR BIOPSY PANCREAS OPEN,4689.0,,490.63,4826.91,55
LOCAL,48100016,HC TRANSUTANEOUS EXT PACE,686.0,,1.78,776.549,85
LOCAL,48100017,HC THROMBOLY TX TRANSCATH IV,655.0,,89.26,563.3,84
LOCAL,48100018,HC ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL,5818.0,,768.35,5003.48,84
LOCAL,48100019,HC ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL,4955.0,,457.5,4261.3,84
LOCAL,48100020,HC RHC O2 SAT CARDIAC OUTPUT,12577.0,,1337.04,10816.22,85
LOCAL,48100021,HC R/LHC INCLUDE INTRAP INJ,18369.0,,1788.08,15797.34,85
LOCAL,48100022,HC CORONARY ANGIO (ONLY),14802.0,,1412.17,12729.72,85
LOCAL,48100023,HC CORONARY ANGIO GRAFTS,18614.0,,1574.35,16008.04,85
LOCAL,48100024,HC RHC CORONARY ANGIO,22882.0,,1758.18,19678.52,85
LOCAL,48100025,HC RHC CORONARY ANGIO GRAFTS,25440.0,,1916.81,21878.4,85
LOCAL,48100026,HC LHC WITH CORONARIES LV,22656.0,,1626.23,19484.16,85
LOCAL,48100027,HC LHC CORONAR CATH GRAFT LV,23616.0,,1750.97,20309.76,85
LOCAL,48100028,HC R/L CATH CORONARY ANGIO LV,27213.0,,1942.37,23403.18,85
LOCAL,48100029,HC R/L CAT CORON ANG GRAF LV,27463.0,,2143.24,23618.18,85
LOCAL,48100030,HC PHARMACOLOGIC ADM HEMOD,2186.0,,153.22,1879.96,84
LOCAL,48100031,HC INSERT SWAN GANZ,4296.0,,138.56,3694.56,85
LOCAL,48100032,HC ENDOMYOCARDIAL BIOPSY,8438.0,,1013.18,7256.68,85
LOCAL,48100040,HC INJ CARD CATH R/VENT ANGI,5460.0,,41.7,4695.6,84
LOCAL,48100041,HC AORTIC ROOT ANGIOGRAM,3048.0,,60.96,2621.28,84
LOCAL,48100042,HC PULMONARY ANGIOGRAM,5702.0,,75.01,4903.72,84
LOCAL,48100043,HC INTRA DOPP'R VES/COR INIT,2923.0,,574.32,2513.78,84
LOCAL,48100044,HC INTRA DOPP'RVES/COR ADD,2281.0,,428.78,1961.66,84
LOCAL,48100046,HC BUNDLE OF HIS RECORDING,2660.0,,703.15,9163.89,85
LOCAL,48100047,HC ATRIAL RECORDING,2660.0,,459.33,9163.89,85
LOCAL,48100048,HC VENTRICULAR RECORDING,2660.0,,416.5,2287.6,85
LOCAL,48100049,HC W/INT ATRIAL/VENT MAP 2D,10946.0,,971.04,9413.56,84
LOCAL,48100050,HC ATRIAL PACING,2660.0,,504.41,9163.89,85
LOCAL,48100051,HC VENTRICULAR PACING,2660.0,,617.87,9163.89,85
LOCAL,48100052,HC W/INT ARTL/VENT MAP 3-D,11526.0,,471.48,9912.36,84
LOCAL,48100056,HC EP W/O ATTM IND RA/RV/HIS,14488.0,,1854.94,12459.68,85
LOCAL,48100057,HC EP W/ATTEM IND RA/RV/HIS,14611.0,,2340.48,12565.46,85
LOCAL,48100058,HC W/CS/LA PACE & RECORD,12288.0,,908.34,10567.68,84
LOCAL,48100059,HC W/LV PACE & RECORD,18020.0,,1282.91,15497.2,84
LOCAL,48100060,HC W/PROGRAM STIMUL/PACE,6605.0,,583.4,5680.3,84
LOCAL,48100061,HC EP F/U W PACE&ATTEMP IND,12753.0,,747.1,10967.58,85
LOCAL,48100062,HC AICD LD EVA IMPLAN W/ODFT,4343.0,,1032.84,3734.98,84
LOCAL,48100063,HC AICD LD EVA IMPLANT W/DFT,6434.0,,1332.98,5533.24,84
LOCAL,48100064,HC AICD CHECK POST IMPLANT,2803.0,,530.03,2410.58,85
LOCAL,48100069,HC REMV&REPL CVD SINGL LEAD,24405.0,,749.46,26134.164,85
LOCAL,48100070,HC REMV&REPL CVD DUAL LEAD,24405.0,,779.29,26134.164,85
LOCAL,48100071,HC MEDICATION ADMIN & HEMODYNAMIC MEASURMENT (INOMAX),6678.0,,153.22,5743.08,84
LOCAL,48100074,HC INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,19422.0,,176.46,16702.92,85
LOCAL,48100075,HC REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,2576.0,,172.95,2215.36,85
LOCAL,48100076,HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR,34080.0,,672.77,33700.313,85
LOCAL,48100083,HC PHYSIOLOGIC EXERCISE W/HEMODYNAMIC MEAS (BICYCLE STRESS),3013.0,,343.1,2591.18,84
LOCAL,48100084,HC LHC INCL INTRAP INJ FOR LEFT VENTRICULOGRAPHY & IMG S&I,18577.0,,1400.5,15976.22,85
LOCAL,48100086,HC SELECTIVE PULMONARY ARTERIAL ANGIOGRAPHY UNILATERAL,1563.0,,437.64,1344.18,83
LOCAL,48100087,HC SELECTIVE PULMONARY ARTERIAL ANGIOGRAPHY BILATERAL,1768.0,,495.04,1520.48,83
LOCAL,48100088,HC CORONARY ANGIOGRAPHY W/FLOW RESRV MEASURMNT,5752.0,,1610.56,4946.72,83
LOCAL,48102,PR BIOPSY PANCREA PERCUTANEOUS NEEDLE,1578.0,,169.9332,1341.3,55
LOCAL,48105,PR RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS,13567.0,,2068.6844,11531.95,55
LOCAL,48120,PR EXCISION LESION PANCREAS,6238.0,,816.05,6205.77,55
LOCAL,48140,PR PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY,8500.0,,1149.21,7239.51,55
LOCAL,48145,PR PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY,8034.0,,1203.7832,8273.22,55
LOCAL,48146,PR PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX,9373.0,,1300.6,9652.1,55
LOCAL,48148,PR EXCISION AMPULLA VATER,8034.0,,791.41,8273.22,55
LOCAL,48150,PR PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY,15708.0,,2187.35,13788.7,55
LOCAL,48152,PR PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY,15794.0,,2074.95,13424.9,55
LOCAL,48153,PR PNCRTECT W/PANCREATOJEJUNOSTOMY,18917.0,,2184.43,16079.45,55
LOCAL,48154,PR PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY,12817.0,,2084.29,12753.25,55
LOCAL,48155,PR PANCREATECTOMY TOTAL,11779.0,,1341.0012,11719.54,55
LOCAL,48160,PR PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS,13723.0,,788.38,14133.85,48
LOCAL,48200001,HC EKG-STRESS TEST,812.0,,59.18,698.32,85
LOCAL,48200003,HC INTRACARDIAC ECG(ICE),4852.0,,597.39,4172.72,84
LOCAL,48300001,HC ECHO 2D MODE W/M-MODE,2862.0,,308.79,2461.32,85
LOCAL,48300002,HC TEE GUIDANCE,2283.0,,257.31,1963.38,85
LOCAL,48300003,HC ECHO STRESS W/PHY SUPV,2747.0,,365.01,2362.42,85
LOCAL,48300004,HC ECHO 2D MODE,2079.0,,135.33,1787.94,85
LOCAL,48300005,HC ECHO TRANS REAL-TIME FOLLUP,1421.0,,97.56,1222.06,85
LOCAL,48300006,HC TRANSEOPHAGEAL ECHO,2462.0,,232.89,2117.32,85
LOCAL,48300007,HC DOPPLER ECHOCARDIOGRAPHY,1188.0,,79.67,1021.68,84
LOCAL,48300008,HC DOPPLER ECHO FOLLUP/LIM STUDY,476.0,,39.29,409.36,84
LOCAL,48300009,HC COLOR FLOW DOPPLER STUDY,1081.0,,36.44,929.66,84
LOCAL,48300010,"HC 2D TTE W/CONTRAST, COMPLETE",2141.0,,599.48,1841.26,84
LOCAL,48300011,"HC 2D TTE W/CONTRAST, LIMITED",1421.0,,397.88,1222.06,84
LOCAL,48300012,"HC TTE  W/CONTRAST, DOPPLER",2925.0,,819.0,2515.5,84
LOCAL,48300013,"HC TTE STRESS W/CONTRAST, WITH ECG",2829.0,,792.12,2432.94,84
LOCAL,48400,PR INJECTION INTRAOPERATIVE PANCREATOGRAPHY,1074.0,,77.7124,1104.13,55
LOCAL,48500,PR MARSUPIALIZATION PANCREATIC CYST,5023.0,,745.34,5170.34,55
LOCAL,48510,PR EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN,6945.0,,678.83,6896.08,55
LOCAL,48520,PR INT ANAST PANCREATIC CYST GI TRACT DIRECT,5693.0,,812.2772,5860.63,55
LOCAL,48540,PR INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y,7274.0,,964.0128,6896.08,55
LOCAL,48545,PR PANCREATORRHAPHY INJURY,5892.0,,800.6,6066.68,55
LOCAL,48547,PR DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ,12050.0,,1145.28,12409.82,55
LOCAL,48548,PR PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST,9373.0,,1232.064,9191.65,55
LOCAL,48552,PR BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA,2151.0,,171.902,1935.9,55
LOCAL,48554,PR TRANSPLANTATION PANCREATIC ALLOGRAFT,21952.0,,1742.85,18659.2,50
LOCAL,48556,PR RMVL TRANSPLANTED PANCREATIC ALLOGRAFT,6842.0,,761.43,7045.47,47
LOCAL,4899901,"PR UNLISTED PROCEDURE PANCREAS SURGERY, ENDOSCOPIC ULTRASOUND; DUODENAL",948.0,,568.8,1013.11,28
LOCAL,4899902,"PR UNLISTED PROCEDURE PANCREAS SURGERY, LAPAROSCOPIC - DISTAL PANCREATECTOMY WITH SPLENECTOMY",12405.0,,1013.11,10544.25,28
LOCAL,4899903,"PR UNLISTED PROCEDURE PANCREAS SURGERY, ROBOTIC PYLORUS-SPARING WHIPPLE",23760.0,,1013.11,20196.0,28
LOCAL,4899904,"PR UNLISTED PROCEDURE PANCREAS SURGERY, MIS TRADITIONAL PD",19729.0,,1013.11,16769.65,28
LOCAL,4899905,"PR UNLISTED PROCEDURE PANCREAS SURGERY, MIS DISTAL PANCREATECTOMY",12405.0,,1013.11,10544.25,28
LOCAL,4899906,"PR UNLISTED PROCEDURE PANCREAS SURGERY, MIS TOTAL PANCREATECTOMY",14793.0,,1013.11,12574.05,28
LOCAL,4899907,"PR UNLISTED PROCEDURE ABLATION OF PANCREAS, FOR EXCISION OF LESION/TUMOR",10342.0,,1013.11,8790.7,28
LOCAL,4899908,"PR UNLISTED PROCEDURE PANCREAS SUR, LAPAROSCOPIC PANCREATICODUODENECTOMY(WHIPPLE)",15708.0,,1013.11,13351.8,28
LOCAL,4899909,PR UNLISTED PX PANCREAS (ENDOSCOPIC PANCREATIC NECROSECTOMY),2864.0,,1013.11,2434.4,28
LOCAL,4899910,PR UNLISTED PX PANCREAS CRYOABLATION,5523.0,,1013.11,4694.55,28
LOCAL,4899911,PR UNLISTED PROCEDURE PANCREAS (RFA VIA EGD PANCREAS),2620.0,,1013.11,2227.0,28
LOCAL,49000,PR EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX,4382.0,,568.0724,4358.12,55
LOCAL,49002,PR REOPENING RECENT LAPAROTOMY,5192.0,,549.76,4413.2,55
LOCAL,49010,PR EXPL RETROPERITONEUM W/WO BX SPX,4382.0,,634.69,4358.12,55
LOCAL,49020,PR DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN,7195.0,,681.8,6115.75,55
LOCAL,49040,PR DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN,4798.0,,551.74,4940.23,55
LOCAL,49060,PR DRAINAGE OF RETROPERITONEAL ABSCESS OPEN,4748.0,,559.05,4722.16,55
LOCAL,49062,PR DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN,3879.0,,570.0412,3633.49,55
LOCAL,49082,PR ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,688.0,,53.6084,619.2,55
LOCAL,49083,PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE,1049.0,,76.728,944.1,55
LOCAL,49084,PR PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,1006.0,,77.9608,905.4,55
LOCAL,49180,PR BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,1198.0,,59.5148,1090.39,55
LOCAL,49185,PR SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID,1319.0,,85.8268,1187.1,55
LOCAL,49186,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS,12712.0,,971.382,11440.8,55
LOCAL,49187,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM,16553.0,,1241.4112,14897.7,55
LOCAL,49188,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM,19644.0,,1483.3896,17679.6,55
LOCAL,49189,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM,23111.0,,1725.6256,20799.9,55
LOCAL,49190,PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST >30 CM,28889.0,,2127.2148,26000.1,55
LOCAL,49215,PR EXC PRESAC/SACROCOCCYGEAL TUMOR,8664.0,,990.04,8209.69,55
LOCAL,49250,PR UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX,3455.0,,428.19,2936.75,55
LOCAL,49255,PR OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX,7389.0,,538.16,6280.65,55
LOCAL,49320,PR LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX,3055.0,,244.444,3123.49,55
LOCAL,49321,PR LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE,3753.0,,255.5116,3487.53,55
LOCAL,49322,PR LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE,3353.0,,277.886,3487.53,55
LOCAL,49323,PR LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY,4406.0,,473.3952,3745.1,55
LOCAL,49324,PR LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER,3229.0,,286.0096,3299.38,55
LOCAL,49325,PR LAPS W/REVISION INTRAPERITONEAL CATHETER,3469.0,,304.9432,3563.08,55
LOCAL,49326,PR LAPAROSCOPY W/OMENTOPEXY,1804.0,,137.4664,1842.26,55
LOCAL,49327,PR LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT,1215.0,,94.9256,1093.5,55
LOCAL,4932901,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOIC OMENTECTOMY WITH MULTIPLE PERITONEAL BIOPSIES",3530.0,,2118.0,3000.5,28
LOCAL,4932902,"PR UNLISTED PROCEDURE LAP,ABD/PERIT/MESENT/RETROPERIT RESECTION/DESTRUCTION = OR 10.1 TO 20 CM",20645.0,,2927.74,17548.25,28
LOCAL,4932903,"PR UNLISTED PROCEDURE LAP,ABD/PERIT/MESENT/RETROPERIT RESECTION/DESTRUCTION = OR 5.1 TO 10 CM",15727.0,,2927.74,13367.95,28
LOCAL,4932904,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC REMOVAL OF INTRA-ABDOMINAL IUD",4059.0,,2435.4,3450.15,28
LOCAL,4932905,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC RESECTION OF MESENTERIC MASS",3636.0,,2181.6,3090.6,28
LOCAL,4932906,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC INTRA ABDOMINAL OMENTAL FLAP",3501.0,,2100.6,2975.85,28
LOCAL,4932907,"PR UNLSTD PROCEDURE LAP,ABD/PERIT/MESENT/RETROPERIT RESC/DSTR= OR <5 CM",11254.0,,2927.74,9565.9,28
LOCAL,4932908,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC  PLACEMENT OF ALLODERM SPACER",5773.0,,2927.74,4907.05,28
LOCAL,4932909,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/OMENTUM, LAPAROSCOPIC  OMENTAL PEDICLED FLAP,EXTRA-ABDOMINAL",7008.0,,2927.74,5956.8,28
LOCAL,4932910,PR UNLISTED PROCEDURE LAPAROSCOPY REMOVAL OF PERITONEAL FOREIGN BODY FROM PERITONEAL CAVITY,4059.0,,2435.4,3450.15,28
LOCAL,4932911,"PR LAPAROSCOPY OF ABDOMEN, PERITONEUM WITH DRAINAGE OF CYST",6951.0,,2927.74,5908.35,28
LOCAL,4932912,PR LAPAROSCOPIC ASSISTED FREE OMENTAL FLAP,18214.0,,2927.74,15481.9,28
LOCAL,4932913,PR UNLISTED PX LAPAROSCOPY ABD PERTONEUM & OMENTUM - LAP CONTROL OF POST-OP BLEEDING,12634.0,,2927.74,10738.9,28
LOCAL,4932914,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/MESENT/RETROPERIT RESECTION/DESTRUCTION = OR 20.1 TO 30 CM",22170.0,,2927.74,18844.5,28
LOCAL,4932915,"PR UNLISTED PROCEDURE LAP, ABD/PERIT/MESENT/RETROPERIT RESECTION/DESTRUCTION = OR > 30CM",27710.0,,2927.74,23553.5,28
LOCAL,49400,PR INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX,597.0,,64.9244,508.29,55
LOCAL,49402,PR REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY,4059.0,,631.5248,3450.15,55
LOCAL,49405,PR IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,2889.0,,139.4352,2600.1,55
LOCAL,49406,PR IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ,2328.0,,139.4352,2095.2,55
LOCAL,49407,PR IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL,2382.0,,147.798,2143.8,55
LOCAL,49411,PR INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT,2004.0,,133.7772,1803.6,55
LOCAL,49412,PR PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT,763.0,,60.0024,686.7,55
LOCAL,49418,PR INSJ INTRAPERITONEAL CATHETER W/IMG GUID,3333.0,,143.8604,3196.6,55
LOCAL,49419,PR INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT,3276.0,,306.912,2948.4,55
LOCAL,49421,PR INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN,2795.0,,165.508,2907.14,55
LOCAL,49422,PR REMOVAL TUNNELED INTRAPERITONEAL CATHETER,2245.0,,161.8188,2180.78,55
LOCAL,49423,PR EXCHNG ABSC/CST DRG CATH RAD GID SPX,1198.0,,50.6552,1090.39,55
LOCAL,49424,PR CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX,523.0,,26.8088,544.34,55
LOCAL,49425,PR INSERTION PERITONEAL-VENOUS SHUNT,4445.0,,578.9008,4576.2,55
LOCAL,49426,PR REVIS PERITONEAL-VENOUS SHUNT,4601.0,,497.4992,4576.2,55
LOCAL,49427,PR INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT,461.0,,28.0324,472.22,55
LOCAL,49428,PR LIGATION PERITONEAL-VENOUS SHUNT,1564.0,,112.76,1562.96,55
LOCAL,49429,PR RMVL PERITONEAL-VENOUS SHUNT,3599.0,,338.1368,3703.89,55
LOCAL,49435,PR INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER,1139.0,,85.8268,1184.83,55
LOCAL,49436,PR DELAYED CREATION EXIT SITE EMBEDDED CATHETER,1447.0,,137.9632,1416.65,55
LOCAL,49440,PR INSERT GASTROSTOMY TUBE PERCUTANEOUS,2933.0,,145.8292,2493.05,55
LOCAL,49441,PR INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,3268.0,,173.8616,2777.8,55
LOCAL,49442,PR INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS,3753.0,,149.0308,3190.05,55
LOCAL,49446,PR CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ,3350.0,,104.7604,2847.5,55
LOCAL,49450,PR REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,1422.0,,46.9752,1208.7,55
LOCAL,49451,PR REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,1858.0,,63.4432,1579.3,55
LOCAL,49452,PR REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,1842.0,,97.6304,1565.7,55
LOCAL,49460,PR OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE,601.0,,36.6436,510.85,55
LOCAL,49465,PR CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE,456.0,,22.6185,387.6,47
LOCAL,49491,PR RPR 1ST INGUN HRNA PRETERM INFT RDC,3673.0,,622.3064,3781.15,51
LOCAL,49492,PR RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED,4190.0,,747.0216,4313.47,51
LOCAL,49495,PR RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC,3151.0,,319.6724,3241.98,51
LOCAL,49496,PR RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER,3595.0,,462.67,3698.74,51
LOCAL,49500,PR RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE,2728.0,,326.3884,2805.81,51
LOCAL,49501,PR RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED,3278.0,,427.35,3374.19,51
LOCAL,49505,PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE,3131.0,,372.68,3113.19,55
LOCAL,49507,PR RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED,4557.0,,437.0,3873.45,55
LOCAL,49520,PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE,3470.0,,453.01,3568.24,55
LOCAL,49521,PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED,4656.0,,504.42,4086.81,55
LOCAL,49525,PR RPR INGUN HERNIA SLIDING ANY AGE,3244.0,,426.4292,3374.19,55
LOCAL,49540,PR REPAIR LUMBAR HERNIA,4333.0,,471.8,4459.43,55
LOCAL,49550,PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE,3713.0,,402.84,3861.86,55
LOCAL,49553,PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED,4301.0,,422.99,4459.43,55
LOCAL,49555,PR RPR RECRT FEM HERNIA REDUCIBLE,4084.0,,449.5396,4203.58,55
LOCAL,49557,PR RPR RECRT FEM HRNA INCARCERATED,4667.0,,524.29,4804.59,55
LOCAL,49591,PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE,3374.0,,252.0708,3036.6,53
LOCAL,49592,PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED,4689.0,,350.1888,4220.1,53
LOCAL,49593,PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE,5687.0,,421.7556,5118.3,53
LOCAL,49594,PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED,7460.0,,548.8904,6714.0,53
LOCAL,49595,PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE,8489.0,,567.3364,7640.1,53
LOCAL,49596,PR RPR AA HERNIA 1ST > 10 CM NCRC8/STRANGULATED,10348.0,,752.514,9313.2,53
LOCAL,49600,PR RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE,4581.0,,501.36,4717.0,51
LOCAL,49605,PR RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH,17015.0,,1008.99,17022.49,51
LOCAL,49606,PR RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH,5624.0,,838.5892,5790.22,55
LOCAL,49610,PR RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG,4581.0,,534.83,4717.0,51
LOCAL,49611,PR RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG,4581.0,,477.4432,4717.0,51
LOCAL,49613,PR RPR AA HERNIA RECR < 3 CM REDUCIBLE,4113.0,,310.6012,3701.7,53
LOCAL,49614,PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED,5681.0,,420.5228,5112.9,53
LOCAL,49615,PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE,6352.0,,470.2028,5716.8,53
LOCAL,49616,PR RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED,8618.0,,631.7732,7756.2,53
LOCAL,49617,PR RPR AA HERNIA RECR > 10 CM REDUCIBLE,8884.0,,650.9552,7995.6,53
LOCAL,49618,PR RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED,12564.0,,911.8764,11307.6,53
LOCAL,49621,PR RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE,7802.0,,545.698,7021.8,53
LOCAL,49622,PR RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED,9455.0,,672.842,8509.5,53
LOCAL,49623,PR RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR,2079.0,,144.6056,1871.1,53
LOCAL,49650,PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA,3959.0,,322.644,4117.73,55
LOCAL,49651,PR LAPS SURG RPR RECURRENT INGUINAL HERNIA,4547.0,,421.0196,4717.0,55
LOCAL,4965901,"PR ROBOTIC ASSISTED LAPAROSCOPIC, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE",10414.0,,1085.12,8851.9,32
LOCAL,4965902,"PR ROBOTIC ASSISTED LAPAROSCOPY, SURGICAL; REPAIR INITIAL INGUINAL HERNIA",5199.0,,1085.12,4419.15,32
LOCAL,4965903,PR UNLISTED PROCEDURE ROBOTIC LAPAROSCOPIC UMBILICAL HERNIA REPAIR 5YRS OR OLDER,3750.0,,1085.12,3187.5,32
LOCAL,4965904,PR UNLISTED PROCEDURE LAPAROSCOPIC INITIAL FEMORAL HERNIA REPAIR ANY AGE INCARCEATED OR STRANGULTED,4484.0,,1085.12,3811.4,32
LOCAL,4965905,PR UNLISTED PROCEDURE LAPAROSCOPIC INITIAL FEMORAL HERNIA REPAIR ANY AGE REDUCIBLE,3807.0,,1085.12,3235.95,32
LOCAL,4965906,"PR UNLISTED PROCEDURE LAPAROSCOPY, HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY (ROBOTIC ASSISTED COMPONENT SEPARATION)",12745.0,,1085.12,10833.25,32
LOCAL,49900,PR SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN,4669.0,,506.63,4289.44,55
LOCAL,49904,PR OMENTAL FLAP EXTRA-ABDOMINAL,7254.0,,1025.4872,6528.6,55
LOCAL,49905,PR OMENTAL FLAP INTRA-ABDOMINAL,3623.0,,257.4804,3430.87,55
LOCAL,49906,PR FREE OMENTAL FLAP W/MICROVASCULAR ANAST,18852.0,,1053.92,16024.2,48
LOCAL,4999901,"PR UNLISTED PROCEDURE ABDOMEN SURGERY, RFA ABDOMEN, PERITONEUM,OMENTUM",5605.0,,3363.0,4764.25,28
LOCAL,4999902,"PR UNLISTED PROCEDURE ABDOMEN SURGERY, TPA INJECTION (ABDOMEN, PERITONEUM & OMENTUM)",4026.0,,2415.6,3468.64,28
LOCAL,4999903,"PR UNLISTED PROCEDURE ABDOMEN SURGERY, VACCINE INJECTION-ABD PERIT & OMNTM",335.0,,201.0,3468.64,28
LOCAL,4999904,"PR UNLISTED PROCEDURE ABLATION, ABDOMINAL",3619.0,,2171.4,3468.64,28
LOCAL,4999905,"PR UNLISTED PX ABDOMEN, PERITONEUM & OMENTUM (INTRAPERITONEAL CATHETER REPOSITIONING)",860.0,,516.0,3468.64,28
LOCAL,5,Stem Cell Transplant- Tandem Auto to Allo 2nd Attempt Related,,,103125.0,103125.0,1
LOCAL,50010,PR RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX,6000.0,,544.962,6178.3,55
LOCAL,50020,PR DRAINAGE PERIRENAL/RENAL ABSCESS OPEN,5360.0,,679.06,5518.91,55
LOCAL,50040,PR NEPHROSTOMY NEPHROTOMY W/DRAINAGE,7451.0,,670.3764,7412.93,55
LOCAL,50045,PR NEPHROTOMY W/EXPLORATION,7199.0,,675.2984,7412.93,55
LOCAL,50060,PR NEPHROLITHOTOMY REMOVAL CALCULUS,7599.0,,823.584,7825.04,55
LOCAL,50065,PR NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS,9599.0,,873.264,9883.91,55
LOCAL,50070,PR NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY,9278.0,,856.5384,9554.21,55
LOCAL,50075,PR NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS,9839.0,,1052.0476,10131.17,55
LOCAL,50080,PR PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION,7683.0,,505.3652,7989.9,55
LOCAL,50081,PR PERQ NL/PL LITHOTRP COMPLEX >2 CM MLT LOCATIONS,8918.0,,814.246,9183.31,55
LOCAL,50100,PR TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX,4801.0,,795.5516,4941.96,55
LOCAL,50120,PR PYELOTOMY W/EXPLORATION,7199.0,,687.102,7412.93,55
LOCAL,50125,PR PYELOTOMY W/DRAINAGE PYELOSTOMY,7199.0,,710.7092,7412.93,55
LOCAL,50130,PR PYELOTOMY WITH REMOVAL CALCULUS,7199.0,,747.3528,7412.93,55
LOCAL,50200,PR RENAL BIOPSY PRQ TROCAR/NEEDLE,1568.0,,91.2364,1483.61,55
LOCAL,50205,PR RENAL BIOPSY SURG EXPOSURE KIDNEY,3991.0,,537.76,3707.31,55
LOCAL,50220,PR NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ,7451.0,,765.5504,7412.93,55
LOCAL,50225,PR NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL,8685.0,,873.0156,8896.55,55
LOCAL,50230,PR NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD,10985.0,,925.888,11424.19,55
LOCAL,50234,PR NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC,9106.0,,943.1012,9059.68,55
LOCAL,50236,PR NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN,9197.0,,1058.4416,9471.8,55
LOCAL,50240,PR NEPHRECTOMY PARTIAL,10304.0,,959.5784,9059.68,55
LOCAL,50250,PR OPEN ABLATION 1/>RENAL MASS LESION CRYOSURGICAL,10702.0,,879.9064,10496.68,55
LOCAL,50280,PR EXCISION/UNROOFING CYST KIDNEY,6624.0,,697.9212,6588.7,55
LOCAL,50290,PR EXCISION PERINEPHRIC CYST,6400.0,,651.4428,6588.7,55
LOCAL,50320,PR DONOR NEPHRECTOMY OPEN LIVING DONOR,12672.0,,1272.27,13179.11,47
LOCAL,50327,PR BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA,1999.0,,157.6328,1799.1,55
LOCAL,50328,PR BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA,1677.0,,137.7148,1509.3,55
LOCAL,50329,PR BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA,1671.0,,131.0724,1503.9,55
LOCAL,50340,PR RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE,7199.0,,706.284,7412.93,55
LOCAL,50360,PR RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY,23429.0,,1783.42,19914.65,55
LOCAL,50365,PR RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY,19429.0,,2124.7584,20013.36,55
LOCAL,50370,PR REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT,6400.0,,833.37,6588.7,55
LOCAL,50380,PR RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY,12797.0,,999.48,13179.11,55
LOCAL,50382,PR RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ,2910.0,,181.0008,2890.94,55
LOCAL,50384,PR REMOVAL INDWELLING URETERAL STENT PRQ,4160.0,,163.2908,3536.0,55
LOCAL,50385,PR REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL,2352.0,,155.664,2334.09,55
LOCAL,50386,PR REMOVE INT DWELL URETERAL STENT TRANSURETHRAL,1669.0,,116.564,1735.55,55
LOCAL,50387,PR RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH,1399.0,,59.7632,1189.15,55
LOCAL,50389,PR RMVL NFROS TUBE REQ FLUORO GUIDANCE,619.0,,38.364,577.69,55
LOCAL,50390,PR ASPIR &/NJX RENAL CYST/PELVIS NEEDLE PRQ,1110.0,,68.1168,1153.92,55
LOCAL,50391,PR INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB,1050.0,,70.334,945.0,55
LOCAL,50396,PR MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH,827.0,,78.92,702.95,55
LOCAL,50400,PR PYELOPLASTY SIMPLE,8279.0,,835.1484,8237.15,55
LOCAL,50405,PR PYELOPLASTY COMPLICATED,9527.0,,1008.274,9883.91,55
LOCAL,50430,PR NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS,1608.0,,110.4184,1447.2,55
LOCAL,50431,PR NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS,642.0,,47.4628,577.8,55
LOCAL,50432,PR PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,2545.0,,147.062,2290.5,55
LOCAL,50433,PR PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I,2989.0,,182.4728,2690.1,55
LOCAL,50434,PR CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ,2105.0,,136.9788,1894.5,55
LOCAL,50435,PR EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I,1567.0,,71.806,1410.3,55
LOCAL,50436,PR PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG,1500.0,,107.2168,1350.0,55
LOCAL,50437,PR PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS,2515.0,,178.7836,2263.5,55
LOCAL,50500,PR NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY,7199.0,,915.5656,7412.93,55
LOCAL,50520,PR CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA,7199.0,,853.0976,7412.93,55
LOCAL,50525,PR CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR,8798.0,,1080.3284,9059.68,55
LOCAL,50526,PR CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR,8798.0,,1036.08,9059.68,55
LOCAL,50540,PR SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI,11198.0,,829.0028,11532.38,55
LOCAL,50541,PR LAPAROSCOPY SURG ABLATION RENAL CYSTS,6351.0,,664.2308,6588.7,55
LOCAL,50542,PR LAPS ABLTJ RENAL MASS LESION W/INTRAOP US,8520.0,,844.7348,7668.0,55
LOCAL,50543,PR LAPAROSCOPY SURG PARTIAL NEPHRECTOMY,10779.0,,1076.6392,9701.1,55
LOCAL,50544,PR LAPAROSCOPY SURG PYELOPLASTY,8381.0,,896.8712,8237.15,55
LOCAL,50545,PR LAPAROSCOPY RADICAL NEPHRECTOMY,11483.0,,963.7644,11424.19,55
LOCAL,50546,PR LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT,7165.0,,871.5436,7412.93,55
LOCAL,50547,PR LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR,12797.0,,1248.17,13179.11,47
LOCAL,50548,PR LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY,8755.0,,968.9256,9059.68,55
LOCAL,5054901,PR LAPAROSCOPIC EXCISION OR UNROOFING OF CYST(S) OF KIDNEY,6400.0,,3840.0,5440.0,28
LOCAL,50551,PR RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION,1623.0,,211.4896,1612.4,55
LOCAL,50553,PR RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA,2473.0,,225.998,2102.05,55
LOCAL,50555,PR RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY,2914.0,,244.9408,2476.9,55
LOCAL,50557,PR RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI,2841.0,,248.1332,2414.85,55
LOCAL,50561,PR RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS,2911.0,,282.808,2635.83,55
LOCAL,50562,PR RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR,3645.0,,415.61,3280.5,55
LOCAL,50570,PR RENAL NDSC NEPHROTOMY W/WO IRRIGATION,1866.0,,330.23,1864.65,55
LOCAL,50572,PR RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER,2044.0,,380.4384,2042.74,55
LOCAL,50574,PR RENAL NDSC NEPHROTOMY W/BIOPSY,2147.0,,404.7816,2146.65,55
LOCAL,50575,PR RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY,4129.0,,511.5108,3509.65,55
LOCAL,50576,PR RNL NDSC NFROT FULGURATION &/INCISION W/WO BX,2322.0,,403.7972,2388.56,55
LOCAL,50580,PR RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS,2722.0,,434.792,2800.67,55
LOCAL,50590,PR LITHOTRIPSY XTRCORP SHOCK WAVE,7060.0,,414.8648,7342.53,55
LOCAL,50592,PR ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY,3935.0,,246.9004,3548.36,55
LOCAL,50593,PR ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY,6489.0,,329.5348,5515.65,55
LOCAL,50600,PR URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE,5705.0,,678.4908,5874.38,55
LOCAL,50605,PR URETEROTOMY INSERTION INDWELLING STENT ALL TYPES,4750.0,,669.68,4037.5,55
LOCAL,50606,PR ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC,1733.0,,99.8476,1559.7,55
LOCAL,50610,PR URTROLITHOTOMY UPPER ONE-THIRD URETER,4174.0,,683.4128,4158.93,55
LOCAL,50620,PR URTROLITHOTOMY MIDDLE ONE-THIRD URETER,5705.0,,653.8992,5874.38,55
LOCAL,50630,PR URTROLITHOTOMY LOWER ONE-THIRD URETER,6061.0,,646.0332,6241.84,55
LOCAL,50650,PR URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE,6643.0,,750.5452,6607.59,55
LOCAL,50660,PR URETERECTOMY TOT ECTOPIC URETER CMBN APPR,7431.0,,825.8012,7709.99,55
LOCAL,50684,PR INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH,1184.0,,36.892,1150.03,55
LOCAL,50686,PR MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH,671.0,,57.47,570.35,55
LOCAL,50688,PR CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL,651.0,,48.17,553.35,55
LOCAL,50690,PR NJX VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG,1215.0,,45.24,1214.61,55
LOCAL,50693,PR PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT,2195.0,,145.8292,1975.5,55
LOCAL,50694,PR PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH,3841.0,,191.084,3456.9,55
LOCAL,50695,PR PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH,5794.0,,244.6924,5214.6,55
LOCAL,50700,PR URETEROPLASTY PLASTIC OPERATION URETER,5550.0,,670.6248,5712.95,55
LOCAL,50705,PR URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,5791.0,,127.6316,5211.9,55
LOCAL,50706,PR BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I,2068.0,,129.352,1861.2,55
LOCAL,50715,PR URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS,11339.0,,880.6424,9638.15,55
LOCAL,50722,PR URETEROLYSIS FOR OVARIAN VEIN SYNDROME,4424.0,,749.57,4443.98,55
LOCAL,50725,PR URTROLSS RETROCAVAL URTR W/REANAST,8556.0,,797.0328,8812.4,55
LOCAL,50727,PR REVJ URINARY-CUTANEOUS ANASTAMOSIS,4430.0,,372.0756,4406.21,55
LOCAL,50728,PR REVJ UR-CUTAN ANAST RPR FSCAL DFCT & HERNIA,5906.0,,508.3184,5874.38,55
LOCAL,50740,PR URETEROPYELOSTOMY ANAST URETER RENAL PELVIS,7487.0,,899.8244,7709.99,55
LOCAL,50750,PR URETEROCALYCOSTOMY ANAST URETER RENAL CALYX,7844.0,,833.1796,8077.46,55
LOCAL,50760,PR URETEROURETEROSTOMY,7748.0,,824.0808,7709.99,55
LOCAL,50770,PR TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR,8121.0,,833.1796,8077.46,55
LOCAL,50780,PR URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER,7748.0,,805.3864,7709.99,55
LOCAL,50782,PR URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR,8199.0,,777.354,8443.22,55
LOCAL,50783,PR URETERONEOCYSTOSTOMY W/URETERAL TAILORING,8857.0,,814.7336,8812.4,55
LOCAL,50785,PR URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP,9687.0,,879.4096,9178.15,55
LOCAL,50800,PR URETEROENTEROSTOMY ANAST URETER INTESTINE,7748.0,,671.8576,7709.99,55
LOCAL,50810,PR URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER & COLOSTO,11406.0,,1033.85,11748.73,55
LOCAL,50815,PR URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS,9859.0,,885.8036,10155.21,55
LOCAL,50820,PR URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS,11808.0,,950.4796,11748.73,55
LOCAL,50825,PR CONTINENT DVRJ W/INT ANAST ANY SGM SM&/LG INTSTN,12915.0,,1188.778,12851.13,55
LOCAL,50830,PR URINARY UNIDIVERSION,11185.0,,1299.9324,11518.63,55
LOCAL,50840,PR RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST,10206.0,,890.7256,10155.21,55
LOCAL,50845,PR CUTANANEOUS APPENDICO-VESICOSTOMY,8415.0,,907.9388,8371.1,55
LOCAL,50860,PR URETEROSTOMY TRANSPLANTATION URETER SKIN,4932.0,,684.3972,5077.6,55
LOCAL,50900,PR URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE,6643.0,,611.11,6607.59,55
LOCAL,50920,PR CLOSURE URETEROCUTANEOUS FISTULA,6417.0,,638.9032,6607.59,55
LOCAL,50930,PR CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR,7844.0,,796.7844,8077.46,55
LOCAL,50940,PR DELIGATION URETER,6417.0,,643.816,6607.59,55
LOCAL,50945,PR LAPAROSCOPY URTROLITHOTOMY,5705.0,,701.8588,5874.38,55
LOCAL,50947,PR LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT,8388.0,,999.4236,8702.51,55
LOCAL,50948,PR LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT,7487.0,,919.9908,7709.99,55
LOCAL,5094901,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER, URNINARY UNDIVERSION",11185.0,,3468.64,9507.25,28
LOCAL,5094902,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER, ROBOTIC LAPAROSCPOIC URETERONEOCYSTOSTOMY PSOAS HITCH",9359.0,,3468.64,7955.15,28
LOCAL,5094903,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER, ROBOTIC-ASSISTED LAPAROSCOPIC INTERNALIZED STENT PLACEMENT",3203.0,,1921.8,3468.64,28
LOCAL,5094904,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER (ROBOTIC ASSISTED BILATERAL TOTAL URETERECTOMY)",6417.0,,3468.64,5454.45,28
LOCAL,5094905,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER (LAPAROSCOPIC URETERONEOCYSTOSTOMY; ANASTOMOSIS OF SINGLE URETER TO BLADDER)",7487.0,,3468.64,6363.95,28
LOCAL,5094906,"PR ROBOTIC LAPAROSCOPIC URETEROLYSIS, W/WO REPOSITIONING OF URETER FOR RETROPERITONEAL FIBROSIS",6417.0,,3468.64,5454.45,28
LOCAL,5094907,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER (URETERECTOMY)",6417.0,,3468.64,5454.45,28
LOCAL,5094908,"PR UNLISTED PROCEDURE LAPAROSCOPY, URETER, ROBOTIC (URETEROURETEROSTOMY)",7748.0,,3468.64,6585.8,28
LOCAL,5094909,"PR UNLISTED PROCEDURE LAPAROSCOPY,URETER,URETER REANASTOMOSIS TO ILEAT CONDUIT",9095.0,,3468.64,7730.75,28
LOCAL,50951,PR URETERAL ENDOSCOPY VIA URETEROSTOMY,1398.0,,219.8524,1188.3,55
LOCAL,50953,PR URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER,2169.0,,234.3608,2080.31,55
LOCAL,50955,PR URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY,2774.0,,252.5584,2357.9,55
LOCAL,50957,PR URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY,2738.0,,254.0396,2327.3,55
LOCAL,50961,PR URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE,2911.0,,227.4792,2474.35,55
LOCAL,50970,PR URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING,1975.0,,265.5948,1678.75,55
LOCAL,50972,PR NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER,1361.0,,256.58,1397.75,55
LOCAL,50974,PR URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX,1812.0,,338.882,1785.19,55
LOCAL,50976,PR URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX,1998.0,,333.7116,2055.42,55
LOCAL,50980,PR NDSC URETEROTOMY RMVL FB/CALCULUS,2354.0,,255.5116,2422.9,55
LOCAL,51000003,HC CLINIC VISIT NEW LEVEL 2,198.0,,55.44,170.28,32
LOCAL,51000004,HC CLINIC VISIT NEW LEVEL 3,297.0,,83.16,255.42,32
LOCAL,51000005,HC CLINIC VISIT NEW LEVEL 4,396.0,,110.88,340.56,32
LOCAL,51000006,HC CLINIC VISIT NEW LEVEL 5,493.0,,138.04,423.98,32
LOCAL,51000007,HC CLINIC VISIT ESTAB LVL 1,142.0,,13.83,122.12,32
LOCAL,51000008,HC CLINIC VISIT ESTAB LVL 2,198.0,,55.44,170.28,32
LOCAL,51000009,HC CLINIC VISIT ESTAB LVL 3,297.0,,83.16,255.42,32
LOCAL,51000010,HC CLINIC VISIT ESTAB LVL 4,396.0,,110.88,340.56,32
LOCAL,51000011,HC CLINIC VISIT ESTAB LVL 5,493.0,,138.04,423.98,32
LOCAL,51000013,HC CLINIC VISIT CONS LVL 2,198.0,,55.44,170.28,31
LOCAL,51000014,HC CLINIC VISIT CONS LVL 3,297.0,,83.16,255.42,31
LOCAL,51000015,HC CLINIC VISIT CONS LVL 4,396.0,,110.88,340.56,31
LOCAL,51000016,HC CLINIC VISIT CONS LVL 5,493.0,,138.04,423.98,31
LOCAL,51000019,HC NEW PT PREVENT 18-39 YR,206.0,,57.68,177.16,31
LOCAL,51000020,HC NEW PT PREVENT 40-64 YR,206.0,,57.68,177.16,31
LOCAL,51000021,HC NEW PT PREVENT 65+ YR,206.0,,57.68,177.16,31
LOCAL,51000022,HC ESTAB PT PREVEN 18-39 YR,206.0,,57.68,177.16,31
LOCAL,51000023,HC ESTAB PT PREVEN 40-64 YR,206.0,,57.68,177.16,31
LOCAL,51000024,HC ESTAB PT PREVEN 65+ YR,206.0,,57.68,177.16,31
LOCAL,51000025,HC PREVEN MED COUNS INDIV 15 MIN,141.0,,39.48,121.26,31
LOCAL,51000026,HC PREVEN MED COUNS INDIV 30 MIN,227.0,,63.56,195.22,31
LOCAL,51000027,HC PREVEN MED COUNS INDIV 45 MIN,298.0,,83.44,256.28,31
LOCAL,51000028,HC PREVEN MED COUNS INDIV 60 MIN,488.0,,136.64,419.68,31
LOCAL,51000029,HC PREVEN MED COUNS GROUP 30 MIN,216.0,,60.48,185.76,31
LOCAL,51000030,HC PREVEN MED COUNS GROUP 60 MIN,451.0,,126.28,387.86,31
LOCAL,51000033,HC CMPLX CHRON CARE MGMT W/O PT VST 1ST HR PER MO,204.0,,57.12,208.541,33
LOCAL,51000034,HC CMPLX CHRON CARE MGMT EA ADDL 30 MIN PER MONTH,204.0,,57.12,175.44,32
LOCAL,51000035,HC CHRON CARE MANAGEMENT SRVC 20 MIN PER MONTH,204.0,,57.12,175.44,31
LOCAL,51000036,HC COGNITION AND FUNCTIONAL ASSESSMENT,204.0,,57.12,306.13,33
LOCAL,51000037,HC COMPREHENSIVE ASSESSMENT & CARE PLANNING/CHRON CARE MGMT SRVC,204.0,,57.12,175.44,31
LOCAL,51020,PR CYSTOTOMY/CYSTOSTOMY FULG&/INSJ RADACT MATRL,6736.0,,342.5712,5725.6,55
LOCAL,51040,PR CYSTOSTOMY CYSTOTOMY W/DRAINAGE,4062.0,,212.474,4224.19,55
LOCAL,51045,PR CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX,4468.0,,366.4176,4646.61,55
LOCAL,51050,PR CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS,4872.0,,343.3072,5067.31,55
LOCAL,51060,PR TRANSVESICAL URETROLITHOTOMY,8981.0,,424.212,7633.85,55
LOCAL,51065,PR CYSTOTOMY W/CALCULUS BASKET XTRJ&/FRAGMENTATIO,7858.0,,422.2432,6679.3,55
LOCAL,51080,PR DRG PRIVESICAL/PREVESICAL SPACE ABSC,5053.0,,298.0524,4295.05,55
LOCAL,51101,PR ASPIRATION BLADDER TROCAR/INTRACATHETER,535.0,,36.6436,522.5,55
LOCAL,51102,PR ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,1117.0,,103.776,1101.43,55
LOCAL,51500,PR EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR,7298.0,,463.312,6203.3,55
LOCAL,51520,PR CYSTOTOMY SIMPLE EXCISION VESICAL NECK,7858.0,,433.3108,6679.3,55
LOCAL,51525,PR CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE,8489.0,,623.6588,7601.81,55
LOCAL,51530,PR CYSTOTOMY EXCISION BLADDER TUMOR,7858.0,,558.7344,6679.3,55
LOCAL,51535,PR CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE,7858.0,,565.8644,6679.3,55
LOCAL,51550,PR CYSTECTOMY PARTIAL SIMPLE,7800.0,,698.418,6630.0,55
LOCAL,51555,PR CYSTECTOMY PARTIAL COMPLICATED,10456.0,,911.3796,8887.6,55
LOCAL,51565,PR CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST,12778.0,,931.7944,10861.3,55
LOCAL,51570,PR CYSTECTOMY COMPLETE SEPARATE PROCEDURE,13469.0,,1064.8356,11448.65,55
LOCAL,51575,PR CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY,20202.0,,1313.4656,17171.7,55
LOCAL,51580,PR CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES,19863.0,,1367.81,16883.55,55
LOCAL,51585,PR CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES,25553.0,,1521.266,21720.05,55
LOCAL,51590,PR CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST,21371.0,,1392.65,19254.38,55
LOCAL,51595,PR CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC,22239.0,,1575.8588,22127.18,55
LOCAL,51596,PR CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR,26035.0,,1701.2824,22129.75,55
LOCAL,51597,PR PELVIC EXENTERATION COMPLETE MALIGNANCY,25211.0,,1659.4684,24067.56,55
LOCAL,51600,PR NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY,731.0,,31.7216,1199.2,55
LOCAL,51605,PR NJX & PLACEMENT CHAIN CONTRAST&/URETHROCSTOGRAPY,1549.0,,27.7932,1316.65,55
LOCAL,51610,PR NJX RETROGRADE URETHROCSTOGRAPY,1251.0,,40.01,1250.84,55
LOCAL,51700,PR BLDR IRRIGATION SMPL LAVAGE &/INSTLJ,382.0,,21.8868,381.8,55
LOCAL,51701,PR INSJ NON-NDWELLG BLADDER CATHETER,262.0,,18.446,235.8,55
LOCAL,51702,PR INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE,322.0,,18.1976,289.8,55
LOCAL,51703,PR INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED,432.0,,55.3288,388.8,55
LOCAL,51705,PR CHANGE CYSTOSTOMY TUBE SIMPLE,513.0,,37.3796,436.05,55
LOCAL,51710,PR CHANGE CYSTOSTOMY TUBE COMPLICATED,974.0,,58.0336,1013.11,55
LOCAL,51715,PR NDSC NJX IMPLT MATRL URT&/BLDR NCK,2008.0,,144.6056,2027.96,55
LOCAL,51720,PR BLADDER INSTILLATION ANTICARCINOGENIC AGENT,533.0,,31.7216,532.87,55
LOCAL,51721,PR INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS,2341.0,,169.116,2106.9,47
LOCAL,51725,PR SIMPLE CYSTOMETROGRAM,653.0,,28.23,555.05,55
LOCAL,51726,PR BLADDER PRESSURE MEASUREMENT DURING FILLING,858.0,,28.85,729.3,55
LOCAL,51728,PR COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,1173.0,,75.256,1055.7,55
LOCAL,51736,PR SIMPLE UROFLOMETRY,180.0,,7.616,187.16,55
LOCAL,51741,PR COMPLEX UROFLOMETRY,221.0,,7.616,230.09,55
LOCAL,51784,PR EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL,422.0,,32.3595,401.8,55
LOCAL,51785,PR NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ,1264.0,,20.55,1074.4,55
LOCAL,51792,PR STIMULUS EVOKED RESPONSE,610.0,,20.31,518.5,55
LOCAL,51797,PR VOID PRESSURE STUDIES INTRAABDOMINAL,720.0,,20.32,612.0,55
LOCAL,51800,PR CSTOPLASTY/CSTOURTP PLSTC ANY,6981.0,,751.5296,7187.99,55
LOCAL,51820,PR CSTOURTP W/UNI/BI URTRONEOCSTOST,10119.0,,785.7168,10419.66,55
LOCAL,51840,PR ANT VESICOURETHROPEXY/URETHROPEXY SMPL,6296.0,,508.5668,5604.76,55
LOCAL,51841,PR ANT VESICOURETHROPEXY/URETHROPEXY COMP,5984.0,,586.2792,6161.13,55
LOCAL,51845,PR ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL,5101.0,,423.476,5252.75,55
LOCAL,51860,PR CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE,4851.0,,543.9776,5031.25,55
LOCAL,51865,PR CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED,6235.0,,651.4428,6468.5,55
LOCAL,51880,PR CLOSURE CYSTOSTOMY SEPARATE PROCEDURE,3142.0,,338.1368,3235.1,55
LOCAL,51900,PR CLSR VESICOVAGINAL FISTUL AABDL APPROACH,7329.0,,597.8344,7545.14,55
LOCAL,51900001,HC PHARMACOKINETIC BUSULFAN,972.0,,86.03,835.92,84
LOCAL,51920,PR CLOSURE VESICOUTERINE FISTULA,6281.0,,554.3092,6468.5,55
LOCAL,51925,PR CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY,7329.0,,795.3032,7545.14,55
LOCAL,51940,PR CLOSURE EXSTROPHY BLADDER,6069.0,,1184.3528,6070.16,55
LOCAL,51960,PR ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS,11556.0,,1000.6472,11498.04,55
LOCAL,51980,PR CUTANEOUS VESICOSTOMY,6120.0,,518.4016,6301.93,55
LOCAL,51990,PR LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT,5443.0,,540.2884,5604.76,55
LOCAL,51992,PR LAPAROSCOPY SLING OPERATION STRESS INCONT,5322.0,,609.3896,5534.37,55
LOCAL,5199901,"PR UNLISTED PROCEDURE LAP  BLADDER, LAPAROSCOPIC PARTIAL CYSTECTOMY URACHAL EXCISION",10413.0,,6247.8,9371.7,28
LOCAL,5199902,PR UNLISTED PROCEDURE ROBOTIC-ASSISTED RADICAL CYSTECTOMY W/ILEAL CONDUIT URINARY DIVERSION-NEOBLADDER,28054.0,,16832.4,25248.6,28
LOCAL,5199903,PR UNLISTED PROCEDURE ROBOTIC-ASSISTED RADICAL CYSTECTOMY W/ ILEAL CONDUIT URINARY DIVERSION,25586.0,,15351.6,23027.4,28
LOCAL,5199904,"PR UNLISTED PROCEDURE LAPAROSCOPY PROC, BLADDER (ROBOTIC-ASSISTED CYSTECTOMY & BILATERAL LYMPHADENECTOMY W/ILEAL CONDUIT URINARY DIVERSION)",29401.0,,17640.6,26460.9,28
LOCAL,5199905,"PR UNLISTED PROCEDURE LAP BLADDER, ROBOTIC CYSTOLITHOLAPAXY",3586.0,,2151.6,3227.4,28
LOCAL,5199906,"PR UNLISTED PROCEDURE LAP BLADDER, ROBOTIC-ASSISTED LAPAROSCOPIC RESECTION OF BLADDER NECK",10102.0,,6061.2,9091.8,28
LOCAL,5199907,"PR UNLISTED PROCEDURE LAP BLADDER, LAPAROSCOPIC CYSTECOMY, SIMPLE",7858.0,,4714.8,7072.2,28
LOCAL,5199908,"PR ROBOTIC PELVIC EXENTERATION, COMPLETE, FOR VESICAL, PROSTATIC ORURETHRAL MALIGNANCY, W REMOVAL OF BLADDER AND URETERAL TRANSPLANTATIONS, W/WO HYSTERECTOMY AND/OR ABDOMINOPERINEAL RESECTION OF RECTU",41574.0,,24944.4,37416.6,28
LOCAL,5199909,"PR UNLISTED PROCEDURE LAPAROSCOPY BLADDER (LAPAROSCOPIC PARTIAL CYSTECTOMY, REIMPLANTATION OF URETER (URETERONEOCYSTOSTOMY)",12347.0,,7408.2,11112.3,28
LOCAL,5199910,"PR UNLISTED PROCEDURE LAPAROSCOPY, BLADDER (ROBOTIC-ASSISTED LAPAROSCOPIC CYSTORRHAPY)",4887.0,,2932.2,4398.3,28
LOCAL,5199912,PR ROBOTIC-ASSISTED CYSTECTOMY W/BILAT PELVIC LYMPHADENECTOMY,20202.0,,12121.2,18181.8,28
LOCAL,5199913,PR UNLISTED PX ROBOTIC-ASSIST RAD CYSTECTOMY W/URETEROSIGMOIDOSTOMY/URETEROCUTAN TRANPS CONDUIT URI DIV,21833.0,,13099.8,19649.7,28
LOCAL,5199914,PR UNLISTED PROCEDURE LAPAROSCOPY BLADDER - REPAIR OF VESICOVAGINAL FISTULA,8908.0,,5344.8,8017.2,28
LOCAL,5199915,PR UNLISTED PX ROBOTIC-ASSIST RAD CYSTECTOMY W/URETEROSIGMOIDOSTOMY/UY,22241.0,,13344.6,20016.9,28
LOCAL,52000,PR CYSTOURETHROSCOPY,1626.0,,58.0336,1382.1,55
LOCAL,52001,PR CYSTO W/IRRIG & EVAC MULTPLE OBSTRUCTING CLOTS,1339.0,,206.08,1157.36,55
LOCAL,52005,PR CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION,1254.0,,95.174,1294.73,55
LOCAL,52007,PR CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS,1916.0,,119.2688,1628.6,55
LOCAL,52010,PR CYSTO W/EJACULATORY DUCT CATHETERIZATION,1331.0,,118.7812,1366.86,55
LOCAL,52204,PR CYSTOURETHROSCOPY WITH BIOPSY,2122.0,,101.3196,1803.7,55
LOCAL,52214,PR CYSTO W/DESTRUCTION OF LESIONS,1965.0,,125.9112,1670.25,55
LOCAL,52224,PR CYSTO W/REMOVAL OF LESIONS SMALL,2384.0,,145.8292,2026.4,55
LOCAL,52234,PR CYSTO W/REMOVAL OF TUMORS SMALL,2801.0,,176.5664,2380.85,55
LOCAL,52235,PR CYSTOURETHROSCOPY W/DEST &/RMVL MED BLADDER TUM,3385.0,,207.0644,3367.33,55
LOCAL,52240,PR CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE,4531.0,,281.0876,4711.85,55
LOCAL,52250,PR CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG,1506.0,,171.902,1548.86,55
LOCAL,52260,PR CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH,2105.0,,151.7356,1789.25,55
LOCAL,52265,PR CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA,1564.0,,117.0608,1329.4,55
LOCAL,52270,PR CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE,2792.0,,130.3364,2373.2,55
LOCAL,52275,PR CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE,2679.0,,178.0476,2277.15,55
LOCAL,52276,PR CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY,2766.0,,189.6028,2489.86,55
LOCAL,52277,PR CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER,1897.0,,231.9044,1883.7,55
LOCAL,52281,PR CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,1481.0,,109.434,1258.85,55
LOCAL,52283,PR CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE,1183.0,,144.6056,1177.97,55
LOCAL,52284,PR CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE,1809.0,,128.724,1628.1,47
LOCAL,52285,PR CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME,1996.0,,140.668,1696.6,55
LOCAL,52287,PR CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER,1774.0,,121.9736,1596.6,55
LOCAL,52290,PR CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI,1364.0,,175.0944,1256.95,55
LOCAL,52300,PR CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI,1769.0,,201.4064,1816.74,55
LOCAL,52301,PR CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI,1769.0,,208.0488,1816.74,55
LOCAL,52305,PR CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT,1769.0,,200.1828,1816.74,55
LOCAL,52310,PR CYSTO W/SIMPLE REMOVAL STONE & STENT,1578.0,,108.9464,1460.83,55
LOCAL,52315,PR CYSTO W/COMPLEX REMOVAL STONE & STENT,2279.0,,197.478,2220.28,55
LOCAL,52317,PR LITHOLAPAXY SMPL/SM <2.5 CM,3560.0,,248.63,3026.0,55
LOCAL,52318,PR LITHOLAPAXY COMP/LG > 2.5 CM,3572.0,,339.3696,3702.18,55
LOCAL,52320,PR CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS,2041.0,,176.5664,2105.23,55
LOCAL,52325,PR CYSTO FRAGMENTATION URETERAL STONE,4161.0,,229.6872,4284.28,55
LOCAL,52327,PR CYSTO W/SUBURTRIC NJX IMPLT MATRL,2584.0,,185.9136,2635.83,55
LOCAL,52330,PR CYSTO MANJ W/O RMVL URETERAL STONE,2788.0,,188.8668,2369.8,55
LOCAL,52332,PR CYSTO W/INSERT URETERAL STENT,2559.0,,111.8904,2559.39,55
LOCAL,52334,PR CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR,1892.0,,131.5692,1608.2,55
LOCAL,52341,PR CYSTO W/TX URETERAL STRICTURE,2599.0,,204.1112,2702.79,55
LOCAL,52342,PR CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE,2883.0,,221.5728,2967.24,55
LOCAL,52343,PR CYSTO W/TX INTRA-RENAL STRICTURE,3169.0,,246.9004,3262.58,55
LOCAL,52344,PR CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE,2853.0,,264.362,2967.24,55
LOCAL,52345,PR CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX,3169.0,,282.5596,3262.58,55
LOCAL,52346,PR CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE,3600.0,,319.7,3592.27,55
LOCAL,52351,PR CYSTO W/URTROSCOPY&/PYELOSCOPY DX,2853.0,,216.8992,2967.24,55
LOCAL,52352,PR CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES,5069.0,,254.0396,5271.64,55
LOCAL,52353,PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY,5860.0,,281.0876,6590.42,55
LOCAL,52354,PR CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION,3578.0,,298.7976,3557.92,55
LOCAL,52355,PR CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR,4241.0,,334.696,4217.32,55
LOCAL,52356,PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT,4040.0,,297.8132,3636.0,55
LOCAL,52400,PR CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS,2684.0,,345.276,2762.88,55
LOCAL,52402,PR CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS,2635.0,,204.0595,2371.5,47
LOCAL,52441,PR CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT,2217.0,,150.5028,1995.3,51
LOCAL,52442,PR CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA,1340.0,,36.3952,1206.0,51
LOCAL,52450,PR TRANSURETHRAL INCISION PROSTATE,2031.0,,345.0276,1770.38,55
LOCAL,52500,PR TRANSURETHRAL RESECTION BLADDER NECK,3080.0,,308.1845,3068.54,55
LOCAL,52601,PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE,4913.0,,461.873,5094.78,55
LOCAL,52630,PR TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS,5118.0,,295.3476,5524.07,55
LOCAL,52640,PR TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE,2833.0,,235.0968,2946.64,55
LOCAL,52648,PR LASER VAPORIZATION OF PROSTATE FOR URINE FLOW,5590.0,,463.981,5560.13,55
LOCAL,52649,PR LASER ENUCLEATION PROSTATE W/MORCELLATION,8673.0,,577.66,9019.94,55
LOCAL,52700,PR TRURL DRAINAGE PROSTATIC ABSCESS,2207.0,,317.15,2271.79,55
LOCAL,53000,PR URTT/URTS XTRNL SPX PENDULOUS URETHRA,2011.0,,107.962,1709.35,55
LOCAL,53010,PR URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA,2610.0,,216.66,2342.18,55
LOCAL,53020,PR MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT,1231.0,,69.8372,1046.35,55
LOCAL,53025,PR MEATOTOMY CUTTING MEATUS SPX INFANT,603.0,,50.8668,512.55,55
LOCAL,53040,PR DRAINAGE DEEP PERIURETHRAL ABSCESS,1790.0,,253.33,1716.53,55
LOCAL,53060,PR DRG OF SKENE'S GLAND ABSCESS OR CYST,974.0,,95.89,827.9,55
LOCAL,53080,PR DRG PERINEAL URINARY XTRVASATION UNCOMP SPX,1805.0,,306.4152,1803.86,55
LOCAL,53085,PR DRG PERINEAL URINARY XTRVASATION COMPLIC,2610.0,,471.1872,2569.46,55
LOCAL,53200,PR BIOPSY URETHRA,1084.0,,102.5524,935.84,55
LOCAL,53210,PR URETHRECTOMY TOT W/CYSTOST FEMALE,6780.0,,563.6472,6092.45,55
LOCAL,53215,PR URETHRECTOMY TOT W/CYSTOST MALE,8636.0,,672.0968,7497.08,55
LOCAL,53220,PR EXC/FULGURATION CARCINOMA URETHRA,5216.0,,329.038,4686.1,55
LOCAL,53230,PR EXC URETHRAL DIVERTICULUM SPX FEMALE,6259.0,,443.8908,5320.15,55
LOCAL,53235,PR EXC URETHRAL DIVERTICULUM SPX MALE,6477.0,,460.8556,5621.94,55
LOCAL,53240,PR MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE,2610.0,,309.6168,2342.18,55
LOCAL,53250,PR EXCISION OF BULBOURETHRAL GLAND,5736.0,,288.9536,5154.87,55
LOCAL,53260,PR EXC/FULGURATION URETHRAL POLYP DSTL URETHRA,1007.0,,129.24,855.95,55
LOCAL,53265,PR EXC/FULGURATION URETHRAL CARUNCLE,4539.0,,138.2116,3858.15,55
LOCAL,53270,PR EXCISION OR FULGURATION SKENES GLANDS,1566.0,,124.56,1408.06,55
LOCAL,53275,PR EXCISION/FULGURATION URETHRAL PROLAPSE,2090.0,,191.5716,1875.13,55
LOCAL,53400,PR URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX,5337.0,,580.8604,4686.1,55
LOCAL,53405,PR URETHROPLASTY 2ND STAGE W/URINARY DIVERSION,7555.0,,633.2452,6557.78,55
LOCAL,53410,PR URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA,8002.0,,709.2372,7497.08,55
LOCAL,53415,PR URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT,9385.0,,817.19,8432.92,55
LOCAL,53420,PR URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE,9385.0,,609.3896,8108.37,55
LOCAL,53425,PR URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE,9385.0,,678.0032,8108.37,55
LOCAL,53430,PR URETHROPLASTY RCNSTJ FEMALE URETHRA,7301.0,,707.756,6557.78,55
LOCAL,53431,PR URTP W/TUBULARIZATION POST URT&/LWR BLDR,9840.0,,833.428,10132.89,55
LOCAL,53440,PR SLING OPRATION CORRJ MALE URINARY INCONTINENCE,8109.0,,546.434,8432.92,55
LOCAL,53442,PR RMVL/REVJ SLING MALE URINARY INCONTINENCE,3131.0,,454.39,2810.97,55
LOCAL,53444,PR INSERTION TANDEM CUFF,7413.0,,575.2116,7375.15,55
LOCAL,53445,PR INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,9783.0,,549.8748,10174.1,55
LOCAL,53446,PR REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,7129.0,,467.0012,7091.82,55
LOCAL,53447,PR RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC,6968.0,,585.0464,6557.78,55
LOCAL,53448,PR RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD,11003.0,,922.944,10948.54,55
LOCAL,53449,PR RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER,5003.0,,446.5956,4686.1,55
LOCAL,53450,PR URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT,3131.0,,277.2,2661.35,55
LOCAL,53460,PR URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM,3652.0,,295.52,3104.2,55
LOCAL,53500,PR URETHROLSS TRVG SEC OPN W/CSTO,6658.0,,546.6824,6528.84,55
LOCAL,53502,PR URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE,4551.0,,353.6296,4686.1,55
LOCAL,53505,PR URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE,4551.0,,353.3904,4686.1,55
LOCAL,53510,PR URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL,5889.0,,459.8712,5857.2,55
LOCAL,53515,PR URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS,9098.0,,576.932,9370.47,55
LOCAL,53520,PR CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX,4485.0,,406.7504,3812.25,55
LOCAL,53600,PR DILAT URETHRAL STRIX DILATOR MALE 1ST,525.0,,46.4784,446.25,55
LOCAL,53601,PR DILAT URETHRAL STRIX DILATOR MALE SBSQ,489.0,,38.6124,415.65,55
LOCAL,53605,PR DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES,723.0,,46.4784,655.95,55
LOCAL,53620,PR DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST,757.0,,62.7072,643.45,55
LOCAL,53621,PR DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE SBSQ,720.0,,51.888,612.0,55
LOCAL,53660,PR DILAT FEMALE URETHRA W/SUPPOSITORY&/INSTLJ INI,394.0,,30.2496,362.83,55
LOCAL,53661,PR DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ,400.0,,29.5136,366.92,55
LOCAL,53665,PR DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES,805.0,,27.5448,684.25,55
LOCAL,53850,PR TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH,9274.0,,258.9524,7882.9,51
LOCAL,53852,PR TRURL DSTRJ PRSTATE TISS RF THERMOTH,8237.0,,277.3984,7001.45,55
LOCAL,53854,PR TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY,3721.0,,277.3984,3721.31,51
LOCAL,53855,PR INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT,1614.0,,59.018,1452.6,55
LOCAL,53860,PR TRURL RF FEMALE BLADDER NECK STRS URIN INCONT,3845.0,,177.1485,3460.5,47
LOCAL,5389901,"PR UNLISTED PROCEDURE UROLOGY SURGERY, PERCUTANEOUS URETEROPLASTY",2236.0,,1341.6,1900.6,28
LOCAL,5389902,"PR UNLISTED PROCEDURE UROLOGY SURGERY, BRUSH BIOPSY OF URETER VIA URINARY CATHETER",1851.0,,1110.6,1573.35,28
LOCAL,5389903,"PR UNLISTED PROCEDURE  CYSTOSCOPY, LASER ABLATION OF STOMAL CALCIFICATIONS & BASKETING",3585.0,,1442.4,3047.25,28
LOCAL,5389904,PR UNLISTED PROCEDURE UROLOGY SURGERY MONTI ILEOVESICOSTOMY,8129.0,,1442.4,6909.65,28
LOCAL,5389905,PR UNLISTED PROCEDURE UROLOGY SURGERY ABLATION RENAL LESIONS BY ARGON BEAM COAGULATION DEVICE,3271.0,,1442.4,2780.35,28
LOCAL,5389906,"PR UNLISTED PROCEDURE URINARY SYSTEM(RFA,RENAL)",5605.0,,1442.4,4764.25,28
LOCAL,5389907,PR URETERAL CATHETER RETRIEVAL,2167.0,,1300.2,1841.95,28
LOCAL,5389908,PR PB ROBOTIC LAPAROSCOPIC REMOVAL OF AUS,6887.0,,1442.4,5853.95,28
LOCAL,5389909,PR URETHROLYSIS PERFORMED RETROPUBIC,6658.0,,1442.4,5659.3,28
LOCAL,5389910,"PR UNLISTED PROCEDURE URINARY SYSTEM, LASTER ABLATION OF URETERAL OR RENAL PELVIC TUMOR",4497.0,,1442.4,3822.45,28
LOCAL,5389911,PR UNLISTED PROCEDURE URINARY SYSTEM REMOVAL & REPLACEMENT OF NEOBLADDER,24859.0,,1442.4,21130.15,28
LOCAL,5389912,"PR UNLISTED PROCEDURE URINARY SYSTEM, PERCUTANEOUS URETHRAL BIOPSY",1084.0,,650.4,1442.4,28
LOCAL,5389913,"PR UNLISTED PROCEDURE URINARY SYS,RENAL INSTILLAT ANTICARCINOG AGENT INCLUD RETENT TIME",481.0,,288.6,1442.4,28
LOCAL,5389914,"PR UNLISTED PX URINARY SYS, VESICOURETHERAL ANASTOMOSIS",11517.0,,1442.4,9789.45,28
LOCAL,5389915,PR UNLISTED PROCEDURE URINARY SYSTEM - PERCUTANEOUS BIOPSY OF URETER,1054.0,,632.4,1442.4,28
LOCAL,5389916,"PR UNLISTED PROCEDURE ABLATION OF PROSTATE TISSUE, TRANSURETHRAL",7632.0,,1442.4,6487.2,28
LOCAL,54000,PR SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN,745.0,,67.83,633.25,51
LOCAL,54001,PR SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN,934.0,,94.29,793.9,55
LOCAL,54015,PR I&D PENIS DEEP,1815.0,,185.36,1542.75,55
LOCAL,54050,PR DSTRJ LESION PENIS SIMPLE CHEMICAL,457.0,,49.46,388.45,55
LOCAL,54055,PR DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION,801.0,,57.42,680.85,55
LOCAL,54056,PR DSTRJ LESION PENIS SIMPLE CRYOSURGERY,572.0,,54.61,486.2,55
LOCAL,54057,PR DSTRJ LESION PENIS SIMPLE LASER,1584.0,,72.0544,1368.56,55
LOCAL,54060,PR DSTRJ LESION PENIS SIMPLE SURG EXCISION,1030.0,,98.38,925.54,55
LOCAL,54065,PR DSTRJ LESION PENIS EXTENSIVE,1944.0,,129.6004,1921.48,55
LOCAL,54100,PR BIOPSY PENIS SEPARATE PROCEDURE,684.0,,78.97,581.4,55
LOCAL,54105,PR BIOPSY PENIS DEEP STRUCTURES,1259.0,,138.75,1070.15,55
LOCAL,54110,PR EXCISION OF PENILE PLAQUE,3321.0,,462.8244,2987.83,55
LOCAL,54111,PR EXC PENILE PLAQUE GRAFT &/5 CM LENGTH,4736.0,,590.456,4407.92,55
LOCAL,54112,PR EXC PENILE PLAQUE GRAFT > 5 CM LENGTH,6483.0,,692.024,5829.72,55
LOCAL,54115,PR REMOVAL FOREIGN BODY DEEP PENILE TISSUE,2101.0,,318.2188,1955.82,55
LOCAL,54120,PR AMPUTATION PENIS PARTIAL,3954.0,,469.4668,3554.49,55
LOCAL,54125,PR AMPUTATION PENIS COMPLETE,5330.0,,612.3428,5299.13,55
LOCAL,54130,PR AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE,9482.0,,878.922,8534.22,55
LOCAL,54135,PR AMPUTATION PENIS RADICAL W/LYMPH NODES,11854.0,,1109.5936,10665.21,55
LOCAL,54150,PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK,1014.0,,72.0,861.9,51
LOCAL,54160,PR CIRCUMCISION NEONATE,956.0,,113.3624,812.6,51
LOCAL,54161,PR CIRCUMCISION AGE >28 DAYS,1802.0,,146.8136,1531.7,55
LOCAL,54162,PR LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS,767.0,,149.0308,700.84,55
LOCAL,54163,PR REPAIR INCOMPLETE CIRCUMCISION,2524.0,,163.7876,2145.4,55
LOCAL,54164,PR FRENULOTOMY PENIS,768.0,,145.8292,686.74,55
LOCAL,54200,PR INJECTION PROCEDURE FOR PEYRONIE DISEASE,424.0,,42.32,360.4,55
LOCAL,54205,PR INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE,2798.0,,395.4436,2877.94,55
LOCAL,54220,PR IRRIGATION CORPORA CAVERNOSA PRIAPISM,1043.0,,99.1024,1069.79,55
LOCAL,54230,PR INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY,843.0,,59.2664,863.73,55
LOCAL,54231,PR DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS,1306.0,,90.114,1358.27,51
LOCAL,54235,PR INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT,570.0,,50.01,513.42,51
LOCAL,54240,PR PENILE PLETHYSMOGRAPHY,541.0,,44.78,559.79,47
LOCAL,54250,PR NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST,684.0,,84.11,700.6,51
LOCAL,54300,PR PENIS STRAIGHTENING CHORDEE,4382.0,,478.3172,4358.12,55
LOCAL,54304,PR PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR,5192.0,,552.828,5345.48,55
LOCAL,54308,PR URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR <3 CM,6389.0,,530.2052,6578.4,55
LOCAL,54312,PR URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR > 3 CM,7189.0,,605.2128,7400.91,55
LOCAL,54316,PR URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF,7987.0,,732.8444,8225.14,55
LOCAL,54318,PR URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS,3993.0,,527.7488,4110.85,55
LOCAL,54322,PR 1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT,4942.0,,577.4196,5139.43,55
LOCAL,54324,PR 1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS,6787.0,,714.3984,6988.79,55
LOCAL,54326,PR 1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS,7667.0,,695.4648,7895.45,55
LOCAL,54328,PR 1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ,9024.0,,691.0396,9293.2,55
LOCAL,54332,PR 1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR,8304.0,,745.1356,8551.4,55
LOCAL,54336,PR 1 STG PERINEAL HYPOSPADIAS RPR W/GRF&/FLAP,9541.0,,875.2328,9827.24,55
LOCAL,54340,PR RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE,4793.0,,422.4916,4933.37,55
LOCAL,54344,PR RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS & URTP,6389.0,,696.9368,6578.4,55
LOCAL,54348,PR RPR HYPOSPADIAS COMPLCTJS DSJ & URTP FLAP/GRF,7267.0,,745.1356,7483.33,55
LOCAL,54352,PR REVISION PRIOR HYPOSPADIAS REPAIR DSJ&EXC RCNSTJ,10780.0,,1038.772,11101.36,55
LOCAL,54360,PR PLASTIC RPR PENIS CORRECT ANGULATION,5272.0,,533.646,5427.91,55
LOCAL,54380,PR PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR,4793.0,,591.4404,4933.37,55
LOCAL,54385,PR PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT,7987.0,,687.3504,8225.14,55
LOCAL,54390,PR PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER,9582.0,,914.0844,9868.44,55
LOCAL,54400,PR INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID,3932.0,,425.663,4078.23,47
LOCAL,54401,PR INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED,5826.0,,539.8435,4952.1,47
LOCAL,54405,PR INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH,6106.0,,640.968,6331.12,47
LOCAL,54406,PR RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH,4505.0,,541.7604,4670.64,55
LOCAL,54408,PR RPR COMPONENT INFLATABLE PENILE PROSTHESIS,8107.0,,630.9295,6890.95,47
LOCAL,54410,PR RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS,5494.0,,686.936,5189.21,47
LOCAL,54411,PR RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL,7245.0,,816.476,7208.59,47
LOCAL,54415,PR RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT,3601.0,,395.4436,3707.31,55
LOCAL,54416,PR RMVL & RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI,4084.0,,574.175,3966.62,47
LOCAL,54420,PR CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI,5591.0,,520.122,5757.61,55
LOCAL,54430,PR CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI,5591.0,,474.1312,5757.61,55
LOCAL,54435,PR CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM,3196.0,,308.8808,3290.06,55
LOCAL,54437,PR REPAIR OF TRAUMATIC CORPOREAL TEAR(S),6247.0,,504.3808,5622.3,55
LOCAL,54440,PR PLASTIC OPERATION PENIS INJURY,4394.0,,459.52,4522.96,48
LOCAL,54450,PR FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING,409.0,,42.0532,347.65,55
LOCAL,54500,PR BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE,770.0,,54.27,654.5,55
LOCAL,54505,PR BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE,1722.0,,155.9124,1770.38,55
LOCAL,54512,PR EXC XTRPARENCHYMAL LESION TESTIS,2582.0,,400.1172,2656.42,55
LOCAL,54520,PR ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH,2986.0,,244.6924,3097.73,55
LOCAL,54522,PR ORCHIECTOMY PARTIAL,3011.0,,435.7672,3097.73,55
LOCAL,54530,PR ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH,4298.0,,378.9664,4425.09,55
LOCAL,54535,PR ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL,5072.0,,550.62,5044.98,55
LOCAL,54550,PR EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA,3440.0,,365.4424,3540.76,55
LOCAL,54560,PR EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL,4899.0,,509.0544,5044.98,55
LOCAL,54600,PR RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,3870.0,,336.9132,3983.78,55
LOCAL,54620,PR FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE,1959.0,,221.0852,2014.22,55
LOCAL,54640,PR ORCHIOPEXY INGUINAL OR SCROTAL APPROACH,4899.0,,321.172,5044.98,55
LOCAL,54650,PR ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS,5428.0,,527.988,5398.71,55
LOCAL,54660,PR INSJ TESTICULAR PROSTH SEPARATE PROCEDURE,1783.0,,270.94,1770.38,51
LOCAL,54670,PR SUTURE/REPAIR TESTICULAR INJURY,3376.0,,304.9432,3475.51,55
LOCAL,54680,PR TRANSPLANTATION TESTIS TO THIGH,4300.0,,582.3416,4425.09,55
LOCAL,54690,PR LAPAROSCOPY SURGICAL ORCHIECTOMY,5072.0,,485.1988,5044.98,55
LOCAL,54692,PR LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS,4899.0,,558.2376,5044.98,55
LOCAL,54700,PR I&D EPIDIDYMIS TESTIS&/SCROTAL SPACE,1338.0,,133.26,1195.15,55
LOCAL,54800,PR BIOPSY EPIDIDYMIS NEEDLE,974.0,,92.2208,827.9,55
LOCAL,54830,PR EXCISION LOCAL LESION EPIDIDYMIS,2133.0,,277.886,2213.4,55
LOCAL,54840,PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY,3235.0,,240.0188,3363.88,55
LOCAL,54860,PR EPIDIDYMECTOMY UNILATERAL,3414.0,,312.0732,3540.76,55
LOCAL,54861,PR EPIDIDYMECTOMY BILATERAL,5181.0,,421.7556,5333.47,55
LOCAL,54865,PR EXPLORATION EPIDIDYMIS W/WO BIOPSY,2153.0,,269.284,2108.42,55
LOCAL,54900,PR EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI,4300.0,,636.9135,4425.09,47
LOCAL,54901,PR EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI,6297.0,,836.9355,6483.95,47
LOCAL,55000,PR PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED,631.0,,56.07,536.35,55
LOCAL,55040,PR EXCISION HYDROCELE UNILATERAL,3405.0,,252.5584,3540.76,55
LOCAL,55041,PR EXCISION HYDROCELE BILATERAL,5277.0,,380.19,5488.02,55
LOCAL,55060,PR RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE,3145.0,,283.3048,2673.25,55
LOCAL,55100,PR DRAINAGE SCROTAL WALL ABSCESS,1191.0,,85.06,1012.35,55
LOCAL,55110,PR SCROTAL EXPLORATION,2672.0,,290.4348,2656.42,55
LOCAL,55120,PR REMOVAL FOREIGN BODY SCROTUM,1464.0,,214.08,1505.93,55
LOCAL,55150,PR RESECTION SCROTUM,4450.0,,367.402,4425.09,55
LOCAL,55175,PR SCROTOPLASTY SIMPLE,3440.0,,272.7248,3540.76,55
LOCAL,55180,PR SCROTOPLASTY COMPLICATED,5105.0,,510.7748,5309.42,55
LOCAL,55200,PR VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX,1074.0,,194.47,1104.13,47
LOCAL,55250,PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS,1394.0,,190.06,1184.9,51
LOCAL,55300,PR VASOTOMY VASOGRAMS UNI/BI,1154.0,,145.3925,1184.83,47
LOCAL,55400,PR VASOVASOSTOMY VASOVASORRHAPHY,4445.0,,400.6985,4576.2,47
LOCAL,55500,PR EXC HYDROCELE SPRMATIC CORD UNI SPX,1935.0,,291.9068,1644.75,55
LOCAL,55520,PR EXC LESION SPERMATIC CORD SEPARATE PROCEDURE,2145.0,,296.56,1823.25,55
LOCAL,55530,PR EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX,2430.0,,262.6416,2500.17,55
LOCAL,55535,PR EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL,2615.0,,320.436,2690.77,55
LOCAL,55540,PR EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR,2485.0,,406.74,2556.83,55
LOCAL,55550,PR LAPS LIGATION SPERMATIC VEINS VARICOCELE,2615.0,,319.9392,2690.77,55
LOCAL,5555901,"PR UNLISTED PX LAPAROSCOPY, SPERMATIC CORD (EXCISION OF SPERMATIC CORD)",3915.0,,2349.0,3468.64,28
LOCAL,55600,PR VESICULOTOMY,2093.0,,314.2904,2151.59,55
LOCAL,55605,PR VESICULOTOMY COMPLICATED,3402.0,,389.5372,3501.26,55
LOCAL,55650,PR VESICULECTOMY ANY APPROACH,5411.0,,531.6772,5381.53,55
LOCAL,55680,PR EXCISION MULLERIAN DUCT CYST,5229.0,,259.2008,5381.53,55
LOCAL,55705,PR BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED,2847.0,,87.5925,2929.46,55
LOCAL,55706,PR BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID,3413.0,,179.2225,3071.7,55
LOCAL,55707,PR BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED,1555.0,,119.952,1399.5,33
LOCAL,55708,PR BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST,2004.0,,149.3365,1803.6,33
LOCAL,55709,PR BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED,1909.0,,143.5225,1718.1,33
LOCAL,55710,PR BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1,2252.0,,165.8435,2026.8,33
LOCAL,55711,PR BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST,1543.0,,119.374,1388.7,33
LOCAL,55712,PR BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST,1833.0,,139.128,1649.7,33
LOCAL,55713,PR BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST,2365.0,,163.8885,2128.5,33
LOCAL,55714,PR BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST,2140.0,,149.192,1926.0,33
LOCAL,55715,PR BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI,621.0,,41.718,558.9,33
LOCAL,55720,PR PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE,2847.0,,335.6804,2929.46,55
LOCAL,55725,PR PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED,3669.0,,443.1456,3776.01,55
LOCAL,55801,PR PROSTATECTOMY PERINEAL SUBTOTAL,5890.0,,807.3552,5858.91,55
LOCAL,55810,PR PROSTATECTOMY PERINEAL RADICAL,8219.0,,960.8112,8462.11,55
LOCAL,55812,PR PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX,9798.0,,1180.6636,10089.97,55
LOCAL,55815,PR PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC,11693.0,,1292.3148,12042.36,55
LOCAL,55821,PR PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES,6259.0,,618.9852,6509.72,55
LOCAL,55831,PR PROSTATECTOMY RETROPUBIC SUBTOTAL,6259.0,,634.7172,6509.72,55
LOCAL,55840,PR PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING,9015.0,,862.1964,8462.11,55
LOCAL,55842,PR PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX,8506.0,,860.2276,8462.11,55
LOCAL,55845,PR PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM,11123.0,,1001.144,11067.02,55
LOCAL,55860,PR EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST,3236.0,,645.2972,3235.91,55
LOCAL,55862,PR EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX,4301.0,,806.3708,4426.82,55
LOCAL,55865,PR EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH,7586.0,,981.962,7813.02,55
LOCAL,55866,PR LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING,12842.0,,879.4096,11557.8,55
LOCAL,55867,PR LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE,10824.0,,772.6804,9741.6,55
LOCAL,55868,PR LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX,13278.0,,976.055,11950.2,33
LOCAL,55869,PR LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC,16204.0,,1171.7505,14583.6,33
LOCAL,55870,PR ELECTROEJACULATION,1066.0,,112.353,1105.84,47
LOCAL,55873,PR CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI,9154.0,,605.0555,7855.95,47
LOCAL,55874,PR TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX,1769.0,,120.75,1592.1,55
LOCAL,55875,PR TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ,4499.0,,580.1244,4260.98,55
LOCAL,55876,PR PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT,972.0,,75.4952,911.31,55
LOCAL,55877,PR ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS,7981.0,,589.917,7182.9,33
LOCAL,55880,PR TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US,9543.0,,773.687,8588.7,47
LOCAL,55881,PR ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US,5662.0,,380.103,5095.8,47
LOCAL,55882,PR ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC,6644.0,,467.381,5979.6,47
LOCAL,5589901,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM (ROBOTIC PARTIAL PROSTATECTOMY),5689.0,,3413.4,14387.98,28
LOCAL,5589902,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM (PARTIAL RESECTION SEMINAL VESICLES),10452.0,,6271.2,14387.98,28
LOCAL,5589903,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM (ROBOTIC BILATERAL VAS DEFERENS RESECTION),1394.0,,836.4,14387.98,28
LOCAL,5589904,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM (BIOPSY OF SEMINAL VESICLES),890.0,,534.0,14387.98,28
LOCAL,5589905,PR UNLISTED PROCEDURE MALE GENITAL SYSTEM  (HIGH INTENSITY FOCUSED ULTRASOUND OF PROSTATE),4378.0,,2626.8,14387.98,28
LOCAL,5589906,"PR UNLISTED PROCEDURE LAPAROSCOPY MALE GENITAL SYSTEM (LAPAROSCOPIC PARTIAL PROSTATECTOMY, INTRA-ABDOMINAL APPROACH)",6323.0,,3793.8,14387.98,28
LOCAL,5589907,PR ROBOTIC LAPAROSCOPIC ASSISTED VESICULECTOMY,5229.0,,3137.4,14387.98,28
LOCAL,5589908,"PR UNLISTED PROCEDURE MALE GENITAL SYSTEM, PENILE LENGTHENING BY TRANSECT PENILE SUSP LIGAMENT",902.0,,541.2,14387.98,28
LOCAL,5589909,PR UNLISTED PX MALE GENITAL SYSTEM-LAPAROSCOPIC EXPLORATION/EVACUATION OF HEMATOMA POST PROSTATECTOMY,13869.0,,8321.4,14387.98,28
LOCAL,55920,PR PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL,4284.0,,335.1635,4368.92,47
LOCAL,56405,PR I&D VULVA/PERINEAL ABSCESS,752.0,,72.54,639.2,55
LOCAL,56420,PR I&D OF BARTHOLINS GLAND ABSCESS,903.0,,71.45,767.55,55
LOCAL,56440,PR MARSUPIALIZATION BARTHOLINS GLAND CYST,1888.0,,135.2584,1943.81,55
LOCAL,56441,PR LYSIS LABIAL ADHESIONS,1375.0,,115.092,1168.75,55
LOCAL,56442,PR HYMENOTOMY SIMPLE INCISION,587.0,,35.6592,572.79,55
LOCAL,56501,PR DESTRUCTION LESIONS VULVA SIMPLE,837.0,,66.49,711.45,55
LOCAL,56515,PR DESTRUCTION LESIONS VULVA EXTENSIVE,1970.0,,157.8812,2048.56,55
LOCAL,56605,PR BIOPSY VULVA/PERINEUM 1 LESION SPX,522.0,,43.5252,460.2,55
LOCAL,56606,PR BIOPSY VULVA/PERINEUM EACH ADDL LESION,307.0,,21.1508,260.95,55
LOCAL,56620,PR VULVECTOMY SIMPLE PARTIAL,4123.0,,436.264,4098.83,55
LOCAL,56625,PR VULVECTOMY SIMPLE COMPLETE,5351.0,,496.7632,5510.32,55
LOCAL,56630,PR VULVECTOMY RADICAL PARTIAL,6810.0,,713.1656,7064.34,55
LOCAL,56631,PR VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY,8875.0,,882.8504,8829.58,55
LOCAL,56632,PR VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY,10650.0,,1066.0684,10596.53,55
LOCAL,56633,PR VULVECTOMY RADICAL COMPLETE,8574.0,,858.7556,8829.58,55
LOCAL,56634,PR VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC,10700.0,,964.5004,11020.66,55
LOCAL,56637,PR VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC,11763.0,,1129.76,12114.48,55
LOCAL,56640,PR VLVCTMY RAD COMPL INGUINOFEM ILIAC&PEL LYMPHADEC,10632.0,,1134.4336,10950.25,55
LOCAL,56700,PR PARTIAL HYMENECTOMY OR REVISION HYMENAL RING,6643.0,,146.2,5646.55,55
LOCAL,56740,PR EXCISION BARTHOLINS GLAND OR CYST,1772.0,,224.22,1837.35,55
LOCAL,56800,PR PLASTIC REPAIR INTROITUS,2060.0,,188.3792,2120.68,55
LOCAL,56805,PR CLITOROPLASTY INTERSEX STATE,4309.0,,860.7244,4310.06,55
LOCAL,56810,PR PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX,2060.0,,201.4064,2120.68,55
LOCAL,56820,PR COLPOSCOPY VULVA,660.0,,62.2196,594.0,55
LOCAL,56821,PR COLPOSCOPY VULVA W/BIOPSY,948.0,,83.858,853.2,55
LOCAL,57000,PR COLPOTOMY W/EXPLORATION,1873.0,,149.7668,1718.87,55
LOCAL,57010,PR COLPOTOMY W/DRAINAGE PELVIC ABSCESS,2058.0,,281.82,1966.13,55
LOCAL,57020,PR COLPOCENTESIS SEPARATE PROCEDURE,657.0,,58.282,558.45,55
LOCAL,57022,PR I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM,750.0,,134.7616,714.34,55
LOCAL,57023,PR I&D VAGINAL HEMATOMA NON-OBSTETRICAL,1137.0,,237.0656,1136.1,55
LOCAL,57061,PR DESTRUCTION VAGINAL LESIONS SIMPLE,1164.0,,69.76,1073.22,55
LOCAL,57065,PR DESTRUCTION VAGINAL LESIONS EXTENSIVE,2068.0,,137.9632,2144.72,55
LOCAL,57100,PR BIOPSY VAGINAL MUCOSA SIMPLE,695.0,,48.4472,590.75,55
LOCAL,57105,PR BIOPSY VAGINAL MUCOSA EXTENSIVE,1123.0,,108.698,1054.32,55
LOCAL,57106,PR VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL,3860.0,,399.1328,3717.62,55
LOCAL,57107,PR VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS,6804.0,,1079.8408,5783.4,55
LOCAL,57109,PR VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC,8695.0,,1286.1692,7390.75,55
LOCAL,57110,PR VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL,4860.0,,667.92,4646.61,55
LOCAL,57111,PR VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS,6055.0,,1286.1692,5981.18,55
LOCAL,57120,PR COLPOCLEISIS LE FORT TYPE,3999.0,,393.7232,3985.51,55
LOCAL,57130,PR EXCISION VAGINAL SEPTUM,2015.0,,128.616,1857.95,55
LOCAL,57135,PR EXCISION VAGINAL CYST/TUMOR,1487.0,,139.932,1430.38,55
LOCAL,57150,PR IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE,278.0,,18.6944,236.3,55
LOCAL,57155,PR INSERTION UTERINE TANDEM&/VAGINAL OVOIDS,3350.0,,208.4285,3475.51,55
LOCAL,57156,PR INSERTION VAGINAL RADIATION DEVICE,955.0,,110.5255,859.5,55
LOCAL,57160,PR FIT&INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI,321.0,,33.9388,272.85,55
LOCAL,57180,PR INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX,676.0,,68.27,643.93,55
LOCAL,57200,PR COLPORRHAPHY SUTURE INJURY VAGINA,2280.0,,226.68,2264.91,55
LOCAL,57210,PR COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU,2359.0,,282.37,2453.8,55
LOCAL,57220,PR PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH,2723.0,,257.7288,2831.57,55
LOCAL,57230,PR PLASTIC REPAIR URETHROCELE,2568.0,,310.1044,2642.68,55
LOCAL,57240,PR ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO,3418.0,,454.9492,3398.24,55
LOCAL,57250,PR POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY,3156.0,,427.19,3247.14,55
LOCAL,57260,PR CMBND ANTERPOST COLPORRAPHY W/CYSTO,4986.0,,576.4352,5134.27,55
LOCAL,57265,PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR,5498.0,,644.5612,5659.73,55
LOCAL,57267,PR INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE,2328.0,,183.7056,2095.2,55
LOCAL,57268,PR REPAIR ENTEROCELE VAGINAL APPROACH SPX,4554.0,,376.2616,4114.3,55
LOCAL,57270,PR REPAIR ENTEROCELE ABDOMINAL APPROACH SPX,4210.0,,601.0268,4378.73,55
LOCAL,57280,PR COLPOPEXY ABDOMINAL APPROACH,5133.0,,714.15,5283.66,55
LOCAL,57282,PR COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH,5080.0,,513.728,5283.66,55
LOCAL,57283,PR COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH,4992.0,,517.9048,4492.8,55
LOCAL,57284,PR PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR,5616.0,,619.9696,5585.89,55
LOCAL,57285,PR PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH,5922.0,,512.992,6055.4,55
LOCAL,57287,PR RMVL/REVJ SLING STRESS INCONTINENCE,4837.0,,549.3872,4979.73,55
LOCAL,57288,PR SLING OPERATION STRESS INCONTINENCE,5591.0,,551.8436,5814.27,55
LOCAL,57289,PR PEREYRA PX W/ANTERIOR COLPORRHAPHY,5093.0,,586.7668,5283.66,55
LOCAL,57291,PR CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT,4229.0,,407.9832,4354.69,55
LOCAL,57292,PR CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT,8063.0,,612.5912,8302.42,55
LOCAL,57295,PR REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP,4439.0,,372.324,3915.1,55
LOCAL,57296,PR REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR,8349.0,,708.7404,8661.79,55
LOCAL,57300,PR CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR,4401.0,,453.974,4529.84,55
LOCAL,57305,PR CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH,6232.0,,708.11,6416.98,55
LOCAL,57307,PR CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST,8638.0,,713.58,7342.3,55
LOCAL,57308,PR CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ,5499.0,,493.5616,5661.43,55
LOCAL,57310,PR CLOSURE URETHROVAGINAL FISTULA,5110.0,,354.78,5261.34,55
LOCAL,57311,PR CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL,8063.0,,412.6568,8302.42,55
LOCAL,57320,PR CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH,5316.0,,418.3148,5474.27,55
LOCAL,57330,PR CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR,5865.0,,567.8332,6039.21,55
LOCAL,57335,PR VAGINOPLASTY INTERSEX STATE,4232.0,,799.57,4232.25,55
LOCAL,57400,PR DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL,919.0,,79.29,944.43,55
LOCAL,57410,PR PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL,668.0,,64.61,680.0,55
LOCAL,57415,PR REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,1543.0,,76.87,1311.55,55
LOCAL,57420,PR COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT,662.0,,66.6448,595.8,55
LOCAL,57421,PR COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX,988.0,,90.252,889.2,55
LOCAL,57423,PR PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH,8225.0,,685.63,8410.35,55
LOCAL,57425,PR LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX,5000.0,,719.3204,4903.68,55
LOCAL,57426,PR REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC,7665.0,,646.5208,6898.5,55
LOCAL,57452,PR COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA,601.0,,55.51,510.85,55
LOCAL,57454,PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE,857.0,,86.58,755.54,55
LOCAL,57455,PR COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX,644.0,,80.4172,579.6,55
LOCAL,57456,PR COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE,494.0,,74.0232,444.6,55
LOCAL,57460,PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX,2033.0,,118.2844,2113.81,55
LOCAL,57461,PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX,2329.0,,135.2584,2096.1,55
LOCAL,57500,PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX,633.0,,51.53,556.35,55
LOCAL,57505,PR ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D&C,814.0,,58.82,691.9,55
LOCAL,57510,PR CAUTERY CERVIX ELECTRO/THERMAL,894.0,,75.78,759.9,55
LOCAL,57511,PR CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT,543.0,,89.68,556.35,55
LOCAL,57513,PR CAUTERY CERVIX LASER ABLATION,2011.0,,108.9464,1957.54,55
LOCAL,57520,PR CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER,2268.0,,221.0852,2350.77,55
LOCAL,57522,PR CONIZATION CERVIX W/WO D&C RPR ELTRD EXC,2260.0,,190.0996,2350.77,55
LOCAL,57530,PR TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX,1875.0,,278.6312,1861.38,55
LOCAL,57531,PR RAD TRACHELECTOMY W/BI PEL LMPHADEC,9301.0,,1354.0376,9252.0,55
LOCAL,57540,PR EXCISION CERVICAL STUMP ABDOMINAL APPROACH,3298.0,,586.0308,3394.8,55
LOCAL,57545,PR EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR,4280.0,,569.82,4407.92,55
LOCAL,57550,PR EXCISION CERVICAL STUMP VAGINAL APPROACH,2982.0,,319.9392,3068.54,55
LOCAL,57555,PR EXC CRV STUMP VAG APPR W/ANT &/POST REPAIR,3963.0,,458.8868,4079.95,55
LOCAL,57556,PR EXC CRV STUMP VAG APPR W/RPR NTRCL,3615.0,,435.7672,3721.06,55
LOCAL,57558,PR DILATION & CURETTAGE CERVICAL STUMP,1270.0,,95.174,1243.71,55
LOCAL,57700,PR CERCLAGE UTERINE CERVIX NONOBSTETRICAL,1875.0,,193.71,1926.63,55
LOCAL,57720,PR TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG,2222.0,,229.35,2285.53,55
LOCAL,57800,PR DILATION CERVICAL CANAL INSTRUMENTAL SPX,471.0,,35.6592,400.35,55
LOCAL,58100,PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX,525.0,,46.4784,458.48,55
LOCAL,58110,PR ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY,454.0,,29.7528,404.76,55
LOCAL,58120,PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC,1491.0,,173.374,1480.18,55
LOCAL,58140,PR MYOMECTOMY 1-4 MYOMAS W/250 GM/< ABDOMINAL APPR,9706.0,,681.444,8250.1,55
LOCAL,58145,PR MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR,4598.0,,416.8336,3908.3,55
LOCAL,58146,PR MYOMECTOMY 5/> MYOMAS &/>250 GM ABDOMINA,5305.0,,853.0976,4774.5,55
LOCAL,58150,PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY,6302.0,,754.9796,6269.31,55
LOCAL,58152,PR TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY,7806.0,,914.5812,8037.98,55
LOCAL,58180,PR SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY,6697.0,,712.4296,5788.52,55
LOCAL,58200,PR TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM,8693.0,,1001.6316,8647.57,55
LOCAL,58210,PR RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY,12278.0,,1349.6124,12217.5,55
LOCAL,58240,PR PEL EXNTJ GYNECOLOGIC MAL,13571.0,,2173.9416,13503.65,55
LOCAL,58260,PR VAGINAL HYSTERECTOMY UTERUS 250 GM/<,5814.0,,621.1932,6046.09,55
LOCAL,58262,PR VAG HYST 250 GM/< W/RMVL TUBE&/OVARY,6277.0,,686.6144,6494.25,55
LOCAL,58263,PR VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL,6801.0,,736.5336,7072.93,55
LOCAL,58267,PR VAG HYST 250 GM/< W/COLPO-URTCSTOPEXY,7418.0,,790.878,7715.15,55
LOCAL,58270,PR VAGINAL HYSTERECTOMY 250 GM/< W/RPR ENTEROCELE,9336.0,,662.0228,7935.6,55
LOCAL,58275,PR VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY,6557.0,,734.3164,6751.82,55
LOCAL,58280,PR VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE,7181.0,,783.2604,7395.75,55
LOCAL,58285,PR VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION,7806.0,,1025.9,8037.98,55
LOCAL,58290,PR VAGINAL HYSTERECTOMY UTERUS > 250 GM,7615.0,,850.3928,6853.5,55
LOCAL,58291,PR VAG HYST > 250 GM RMVL TUBE&/OVARY,8155.0,,918.2704,7339.5,55
LOCAL,58292,PR VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR ENTRCLE,8896.0,,967.2052,8006.4,55
LOCAL,58294,PR VAGINAL HYSTERECTOMY >250 GM RPR ENTEROCELE,8425.0,,898.84,7582.5,55
LOCAL,58300,PR INSERTION INTRAUTERINE DEVICE IUD,657.0,,38.5475,558.45,50
LOCAL,58301,PR REMOVAL INTRAUTERINE DEVICE IUD,400.0,,51.578,340.0,55
LOCAL,58340,PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI,1028.0,,40.8204,991.41,55
LOCAL,58345,PR TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING,1974.0,,226.1425,1677.9,47
LOCAL,58346,PR INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY,3792.0,,363.817,3223.2,55
LOCAL,58350,PR CHROMOTUBATION OVIDUCT W/MATERIALS,780.0,,58.23,663.0,47
LOCAL,58353,PR ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID,3566.0,,170.9176,3031.1,55
LOCAL,58356,PR ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR,6132.0,,259.9368,5518.8,55
LOCAL,58400,PR UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX,4476.0,,342.3228,3804.6,55
LOCAL,58410,PR UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY,6066.0,,582.43,5156.1,55
LOCAL,58520,PR HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL,3792.0,,524.97,3223.2,55
LOCAL,58540,PR HYSTEROPLASTY RPR UTERINE ANOMALY,5002.0,,678.4908,4773.67,55
LOCAL,58541,PR LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<,7817.0,,541.7604,7667.06,55
LOCAL,58542,PR LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR,8313.0,,614.3116,8645.85,55
LOCAL,58543,PR LAPS SUPRACERVICAL HYSTERECTOMY >250,8983.0,,623.4104,8808.97,55
LOCAL,58544,PR LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY,9785.0,,670.6248,9597.63,55
LOCAL,58545,PR LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<,6295.0,,667.6716,5665.5,55
LOCAL,58546,PR LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS,8036.0,,822.848,7232.4,55
LOCAL,58548,PR LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY,16750.0,,1394.3704,16549.63,55
LOCAL,58550,PR LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<,6410.0,,654.1476,6600.71,55
LOCAL,58552,PR LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES,6853.0,,727.1864,6167.7,55
LOCAL,58553,PR LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS,7884.0,,827.5216,7095.6,55
LOCAL,58554,PR LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR,8799.0,,963.7644,7919.1,55
LOCAL,58555,PR HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE,1780.0,,112.3872,1845.93,55
LOCAL,58558,PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C,3436.0,,170.6692,2991.27,55
LOCAL,58559,PR HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS,4247.0,,208.7848,3609.95,55
LOCAL,58560,PR HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM,4626.0,,229.9356,3932.1,55
LOCAL,58561,PR HYSTEROSCOPY REMOVAL LEIOMYOMATA,4418.0,,263.1384,4583.06,55
LOCAL,58562,PR HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY,4096.0,,163.0424,3481.6,55
LOCAL,58563,PR HYSTEROSCOPY ENDOMETRIAL ABLATION,5940.0,,181.0008,5091.34,55
LOCAL,58565,PR HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS,5308.0,,357.34,4777.2,51
LOCAL,58570,PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<,8424.0,,599.3064,8279.11,55
LOCAL,58571,PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY,9741.0,,673.3296,9229.67,55
LOCAL,58572,PR LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM,10697.0,,771.4568,10491.78,55
LOCAL,58573,PR LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR,11614.0,,902.0324,12078.91,55
LOCAL,58575,PR LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC,17826.0,,1432.486,16043.4,55
LOCAL,5857801,"PR UNLISTED PROCEDURE LAPAROSCOPY, UTERUS (LAPAROSCOPIC TRACHELECTOMY)",1809.0,,1085.4,2769.76,28
LOCAL,5857802,"PR LAPAROSCOPIC HYSTERECTOMY/BSO, �WITH OMENTECTOMY AND TUMOR DEBULKING",19485.0,,2769.76,16562.25,28
LOCAL,5857803,"PR UNLISTED PROCEDURE LAPAROSCOPY, UTERUS (LAPAROSCOPIC RADICAL TRACHELECTOMY W/BILATERAL PELVIC LND & PARA-AORTIC SAMPLING W/WO BSO)",8985.0,,2769.76,7637.25,28
LOCAL,58600,PR LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI,2823.0,,294.0575,2905.42,51
LOCAL,58605,PR LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX,2837.0,,257.47,2919.15,51
LOCAL,58611,PR LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG,1403.0,,37.58,1459.58,51
LOCAL,58615,PR OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR,2837.0,,199.495,2919.15,51
LOCAL,58660,PR LAPAROSCOPY W/LYSIS OF ADHESIONS,4597.0,,509.0544,4732.47,55
LOCAL,58661,PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES,4565.0,,455.446,4538.43,55
LOCAL,58662,PR LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE,5000.0,,528.7332,5185.79,55
LOCAL,58670,PR LAPAROSCOPY FULGURATION OVIDUCTS,3381.0,,254.5272,2919.15,51
LOCAL,58671,PR LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS,2837.0,,253.7912,2919.15,51
LOCAL,58672,PR LAPAROSCOPY FIMBRIOPLASTY,7240.0,,540.04,7454.15,55
LOCAL,58673,PR LAPAROSCOPY SALPINGOSTOMY,6610.0,,586.0308,6806.77,55
LOCAL,5867901,"PR UNLISTED PROCEDURE LAPAROSCOPY, OVIDUCT, OVARY (LAPAROSCOPIC BILATERAL OVARIAN TRANSPOSITION)",4834.0,,2094.92,4108.9,28
LOCAL,5867902,"PR UNLISTED PROCEDURE LAPAROSCOPY, OVIDUCT, OVARY (LAPAROSCOPIC RESECTION (INITIAL) OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY W/BILATERAL SALPINGO-OOPHORECTOMY AND OMENTECTOMY)",11844.0,,2094.92,10067.4,28
LOCAL,58700,PR SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX,4916.0,,446.2,4178.6,55
LOCAL,58720,PR SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX,4466.0,,518.4016,4442.26,55
LOCAL,58740,PR LYSIS OF ADHESIONS SALPINX/OVARY,4500.0,,454.73,4632.87,55
LOCAL,58750,PR TUBOTUBAL ANASTATOMOSIS,7395.0,,696.02,7615.56,47
LOCAL,58752,PR TUBOUTERINE IMPLANTATION,6779.0,,685.99,6978.48,47
LOCAL,58760,PR FIMBRIOPLASTY,7086.0,,596.46,7297.88,47
LOCAL,58770,PR SALPINGOSTOMY,6471.0,,622.77,6664.26,55
LOCAL,58800,PR DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR,3062.0,,228.47,3152.69,55
LOCAL,58805,PR DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL,3867.0,,317.2344,3980.35,55
LOCAL,58820,PR DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN,3667.0,,231.54,3774.3,55
LOCAL,58822,PR DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH,4028.0,,443.07,4146.91,55
LOCAL,58825,PR TRANSPOSITION OVARY,4834.0,,346.67,4976.3,55
LOCAL,58900,PR BIOPSY OVARY UNI/BI SEPARATE PROCEDURE,4351.0,,324.1252,4480.03,55
LOCAL,58920,PR WEDGE RESCJ/BISCTJ OVARY UNI/BI,5237.0,,473.22,5391.84,55
LOCAL,58925,PR OVARIAN CYSTECTOMY UNI/BI,5418.0,,571.0256,5391.84,55
LOCAL,58940,PR OOPHORECTOMY PARTIAL/TOTAL UNI/BI,5418.0,,413.1444,5391.84,55
LOCAL,58943,PR OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY,8920.0,,891.71,8874.23,55
LOCAL,58950,PR RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO,8336.0,,855.0664,8293.83,55
LOCAL,58951,PR RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD,12711.0,,1069.9968,13185.98,55
LOCAL,58952,PR RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING,15390.0,,1220.012,16005.55,55
LOCAL,58953,PR BSO W/OMENTECTOMY TAH&RAD DEBULKING DISSECTION,19298.0,,1483.3896,20070.03,55
LOCAL,58954,PR BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY,20971.0,,1605.3724,21809.5,55
LOCAL,58956,PR BSO W/TOT OMENTECTOMY & HYSTERECTOMY MALIGNANC,11761.0,,1009.746,10584.9,55
LOCAL,58958,PR RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC,16135.0,,1222.9652,15291.21,55
LOCAL,58960,PR LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK,8858.0,,741.4464,9121.49,55
LOCAL,5899901,PR UNLISTED PROCEDURE LAPAROSCOPIC VAGINECTOMY,3889.0,,2333.4,3468.64,28
LOCAL,5899902,PR UNLISTED PROCEDURE LAPAROSCOPY FEMALE GENITAL SYSTEM (NONOBSTERTICAL) PARA-AORTIC LYMPH NODE SAMPLING,6914.0,,3468.64,5876.9,28
LOCAL,5899903,PR VAGINAL CUFF BIOPSY,1158.0,,694.8,3468.64,28
LOCAL,5899904,PR NONOBSTETRIC LAPAROSCOPIC VAGINECTOMY,6914.0,,3468.64,5876.9,28
LOCAL,5899905,PR UNLISTED PROCEDURE PERCUTANEOUS CT-GUIDED BIOPSY UTERUS,1158.0,,694.8,3468.64,28
LOCAL,5899906,PR UNLISTED PROCEDURE TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM & SENT LYMPH NODE BIOPSY,10175.0,,3468.64,8648.75,28
LOCAL,59070,PR TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE,2594.0,,227.9668,2542.6,55
LOCAL,59100,PR HYSTEROTOMY ABDOMINAL,3794.0,,533.05,3906.51,55
LOCAL,59120,PR TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR,4310.0,,606.9332,4438.83,55
LOCAL,59121,PR TX ECTOPIC PREGNANCY W/O SALPING&/OOPHORECTOMY,4354.0,,556.98,4481.76,55
LOCAL,59130,PR TX ECTOPIC PREGNANCY ABDL PREGNANCY,4025.0,,633.21,4143.48,55
LOCAL,59136,PR TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER,4713.0,,643.84,4852.66,55
LOCAL,59140,PR TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION,3105.0,,310.8404,3197.33,55
LOCAL,59150,PR LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY,4197.0,,515.71,4320.35,55
LOCAL,59151,PR LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY,4949.0,,575.6992,5094.78,55
LOCAL,59160,PR CURETTAGE POSTPARTUM,1498.0,,139.4352,1538.58,55
LOCAL,59200,PR INSERTION CERVICAL DILATOR SEPARATE PROCEDURE,506.0,,44.89,518.57,55
LOCAL,59300,PR EPISIOTOMY/VAG RPR OTH/THN ATTENDING,1081.0,,105.86,1110.99,55
LOCAL,59320,PR CERCLAGE CERVIX PREGNANCY VAGINAL,2581.0,,112.6356,2193.85,55
LOCAL,59510,PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM,7515.0,,1326.86,7516.84,47
LOCAL,59525,PR STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY,2134.0,,354.3748,2196.23,55
LOCAL,59812,PR TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL,1954.0,,229.448,2010.79,55
LOCAL,59820,PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL,2683.0,,268.89,2280.55,55
LOCAL,59840,PR INDUCED ABORTION DILATION AND CURETTAGE,2399.0,,164.7628,2383.4,50
LOCAL,59841,PR INDUCED ABORTION DILATION & EVACUATION,2462.0,,277.886,2532.79,50
LOCAL,59870,PR UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE,2318.0,,245.98,2383.4,55
LOCAL,6,Stem Cell Transplant- Single- Auto,,,82500.0,110000.0,5
LOCAL,60000,PR I&D THYROGLOSSAL DUCT CYST INFECTED,546.0,,74.2,503.7,55
LOCAL,60100,PR BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,762.0,,55.5772,647.7,55
LOCAL,60200,PR EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS,4432.0,,497.0024,4371.87,55
LOCAL,60210,PR PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,5734.0,,524.5472,5963.66,55
LOCAL,6021001,PR ROBOT ASSISTED TRANSAXILLARY PARTIAL THYROID LOBECTOMY,6045.0,,524.5472,5963.66,55
LOCAL,60212,PR PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC,6563.0,,759.1564,6756.98,55
LOCAL,60220,PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,5833.0,,524.0596,5803.96,55
LOCAL,6022001,PR ROBOT ASSISTED TRANSAXILLARY THYROID LOBECTOMY,6903.0,,524.0596,5867.55,55
LOCAL,60225,PR TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC,7026.0,,694.968,7234.35,55
LOCAL,6022501,PR ROBOT ASSISTED TRANSAXILLARY SUBTOTAL THYROIDECTOMY,9131.0,,694.968,7761.35,55
LOCAL,60240,PR THYROIDECTOMY TOTAL/COMPLETE,6998.0,,678.4908,7155.36,55
LOCAL,6024001,PR ROBOT ASSISTED TRANSAXILLARY TOTAL THYROIDECTOMY,8095.0,,678.4908,7155.36,55
LOCAL,60252,PR THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT,9936.0,,974.832,10333.8,55
LOCAL,60254,PR THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT,12771.0,,1229.8468,12717.2,55
LOCAL,60260,PR THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL,8495.0,,564.97,7220.75,55
LOCAL,6026001,PR ROBOT ASSISTED TRANSAXILLARY COMPLETION THYROIDECTOMY,8330.0,,564.97,7080.5,55
LOCAL,60270,PR THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC,10427.0,,1005.3208,8862.95,55
LOCAL,60271,PR THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH,8197.0,,779.3228,7155.36,55
LOCAL,60280,PR EXCISION THYROGLOSSAL DUCT CYST/SINUS,4795.0,,338.882,4768.51,55
LOCAL,60281,PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT,4865.0,,443.394,5008.92,55
LOCAL,60300,PR ASPIRATION AND/OR INJECTION THYROID CYST,343.0,,35.1624,291.55,55
LOCAL,60500,PR PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS,7717.0,,718.0876,7313.32,55
LOCAL,60502,PR PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR,8131.0,,964.0128,8029.39,55
LOCAL,60505,PR PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC,9263.0,,1035.322,9538.76,55
LOCAL,60512,PR PARATHYROID AUTOTRANSPLANTATION ADD-ON,2375.0,,176.8148,2018.75,55
LOCAL,60520,PR THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX,8231.0,,775.146,8189.07,55
LOCAL,60521,PR THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX,8389.0,,822.112,8347.06,55
LOCAL,60522,PR THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX,11831.0,,994.9984,10373.3,55
LOCAL,60540,PR ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX,7790.0,,796.0484,7751.2,55
LOCAL,60545,PR ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR,9989.0,,922.4472,9937.14,55
LOCAL,60600,PR EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY,7990.0,,966.43,7948.68,55
LOCAL,60605,PR EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY,9503.0,,1024.99,9142.09,55
LOCAL,60650,PR LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL,7790.0,,877.4408,7751.2,55
LOCAL,6065001,"PR LAP,ADRENALECTOMY, ROBOT ASSISTED POSTERIOR ADRENALECTOMY",9384.0,,877.4408,7976.4,55
LOCAL,6065901,PR UNLISTED PX ROBOTIC ASSISTED LAPAROSCOPIC PARATHYROIDECTOMY,8593.0,,18.9,7304.05,28
LOCAL,60660,PR ABLTJ 1/+THYROID NODULE 1 LOBE/ISTHMUS PERQ RF,3323.0,,247.452,2990.7,47
LOCAL,60661,PR ABLTJ 1/+THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY,2456.0,,169.9575,2210.4,47
LOCAL,6069901,"PR UNLISTED PROCEDURE ENDOCRINE SURGERY, CRYOABLATION OF ADRENAL GLAND",5605.0,,643.93,4764.25,28
LOCAL,6069902,"PR UNLISTED PROCEDURE ENDOCRINE SURGERY, OPEN BIOPSY- THYROID",671.0,,402.6,643.93,28
LOCAL,6069903,PR UNLISTED PROCEDURE ENDOCRINE; CRYOPRESERVATION OF PARATHYROID GLAND,1994.0,,643.93,1694.9,28
LOCAL,6069904,PR UNLISTED PX  MICROWAVE ABLATION ADRENAL,5414.0,,643.93,4601.9,28
LOCAL,6069905,PR UNLISTED PX ENDOCRINE SYSTEM RFA,1021.0,,612.6,867.85,28
LOCAL,6069906,PR UNLISTED PX PERC IMAGE GUIDED THYROID CYST ETHANOL ABLATION,1324.0,,643.93,1125.4,28
LOCAL,61000,PR SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT,832.0,,86.2408,734.95,55
LOCAL,61000002,HC MRI BRST LCDV PLC 1STLS,5286.0,,246.48,4545.96,85
LOCAL,61000003,HC MRI BRST LCDV PLC ADDLS,3895.0,,122.79,3403.0,84
LOCAL,61000004,HC MRI ORB FAC&/OR NK WOCNTR,4603.0,,233.23,3958.58,85
LOCAL,61000005,HC MRI ORB FAC&/OR NK WCNTRS,4814.0,,276.66,4140.04,85
LOCAL,61000006,HC MRI ORB FC&/OR NK WWO CNT,6564.0,,349.16,5645.04,85
LOCAL,61000015,HC MRI CHEST W/O CONTRAST,4268.0,,233.47,3670.48,85
LOCAL,61000016,HC MRI CHEST WITH CONTRAST,4766.0,,385.25,4098.76,85
LOCAL,61000017,HC MRI CHEST W&W/O CONRAST,6553.0,,366.42,5635.58,85
LOCAL,61000018,HC MRI PELVIS W/O CONTRAST,4715.0,,233.47,4054.9,85
LOCAL,61000019,HC MRI PELVIS WITH CONTRAST,5786.0,,276.66,4975.96,85
LOCAL,61000020,HC MRI PELVIS W&W/O CON,6469.0,,347.16,5563.34,85
LOCAL,61000021,HC MRI UPPER EXT W/O CONTR,4248.0,,233.47,3653.28,85
LOCAL,61000023,HC MRI UP EXT W&W/O CON,5932.0,,366.42,5101.52,85
LOCAL,61000024,HC MRI ANY JNT UP EXT W/O,4317.0,,209.16,3712.62,85
LOCAL,61000025,HC MRI ANY JNT UP EXT W,4667.0,,323.1,4013.62,85
LOCAL,61000026,HC MRI ANY JNT UP EXT W&W/O,6193.0,,366.42,5325.98,85
LOCAL,61000028,HC MRI LOW EXT W/O CON,4495.0,,230.21,3865.7,85
LOCAL,61000029,HC MRI LOW EXT W/CON,4758.0,,271.31,4091.88,85
LOCAL,61000030,HC MRI LOW EXT W&W/O CON,6176.0,,347.5,5311.36,85
LOCAL,61000031,HC MRI ANY JNT LOW EXT W/O,4340.0,,208.84,3732.4,85
LOCAL,61000033,HC MRI ANY JNT LOW EXTW&W/O,6427.0,,366.42,5527.22,85
LOCAL,61000034,HC MRI ABDOMEN W/O CONTRAST,4719.0,,201.81,4058.34,85
LOCAL,61000035,HC MRI ABDOMEN W CON,5362.0,,311.75,4611.32,85
LOCAL,61000036,HC MRI ABD W&W/O CONTRAST,6781.0,,348.5,5831.66,85
LOCAL,61000039,HC MR SPECTROSCOPY,3585.0,,102.2465,3403.0,85
LOCAL,61000040,HC MRI WHOLE BODY UNLST,10652.0,,86.58,9160.72,84
LOCAL,61000041,HC MRI IMG GUIDANCE NEEDLE REPLACE RS&I,3949.0,,720.41,3403.0,84
LOCAL,61000042,HC MR IMG GUIDANCE & MONITORING PARENCHYMAL TISSUE ABLATION,4889.0,,1368.92,4204.54,84
LOCAL,61000076,HC MRI TREATMENT PLANNING UNLST,5019.0,,86.58,4316.34,84
LOCAL,61000078,HC MRI TEMPOROMANDIBULAR JOINT,4294.0,,233.47,3692.84,85
LOCAL,61000079,HC CAD BREAST MRI W/PHY REVIEW & INTERPRETATION,76.0,,21.28,3403.0,83
LOCAL,61000080,HC MRI BONE MARROW BLOOD SUPPLY,10617.0,,233.47,9130.62,85
LOCAL,61000081,HC QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI,731.0,,204.68,3403.0,83
LOCAL,61001,PR SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ,611.0,,78.65,519.35,55
LOCAL,61020,PR VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX,1053.0,,79.6812,895.05,55
LOCAL,61026,PR VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ,937.0,,81.4016,808.79,55
LOCAL,61050,PR CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX,832.0,,58.282,707.2,55
LOCAL,61055,PR CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION,1164.0,,85.8268,1176.25,55
LOCAL,61070,PR PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX,637.0,,41.3172,662.83,55
LOCAL,61100001,HC MRI BRAIN W/O CONT,4619.0,,202.15,3972.34,85
LOCAL,61100002,HC MRI BRAIN W/CONT,5185.0,,278.66,4459.1,85
LOCAL,61100003,HC MRI BRAIN W&W/O CON,6731.0,,328.11,5788.66,85
LOCAL,61100004,HC MRI BRAIN INTRAOP W/O CNT,4510.0,,641.9875,4156.98,85
LOCAL,61100005,HC MRI BRAIN INTRAOP W/CONT,5528.0,,206.08,4754.08,85
LOCAL,61100006,HC MRI BRAIN INTRAOP W&W/O,6950.0,,206.08,5977.0,85
LOCAL,61100007,HC FUNCTIONAL MRI BRAIN-TECH,4982.0,,233.47,4284.52,85
LOCAL,61100008,HC FNCTNL MRI BRAIN-PHYS/PSY,4560.0,,280.3355,3921.6,85
LOCAL,61105,PR TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE,3775.0,,351.4216,3676.42,55
LOCAL,61107,PR TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE,3389.0,,231.4076,4778.82,55
LOCAL,61108,PR TWIST DRILL HOLE EVAC&/DRG SUBDURAL HEMATOMA,7086.0,,682.18,7351.12,55
LOCAL,61120,PR BURR HOLE FOR VENTRICULAR PUNCTURE,3684.0,,490.35,3676.42,55
LOCAL,61140,PR BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION,13655.0,,957.122,11606.75,55
LOCAL,61150,PR BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST,8098.0,,1013.932,7775.25,55
LOCAL,61151,PR BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST,3445.0,,445.86,3443.74,55
LOCAL,61154,PR BURR HOLE W/EVAC&/DRG HEMATOMA EXTRADURAL/SDRL,10348.0,,961.7956,9186.74,55
LOCAL,61156,PR BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL,9320.0,,930.81,7922.0,55
LOCAL,61200001,HC MRI C-SPINE,4971.0,,196.48,4275.06,85
LOCAL,61200002,HC MRI C-SPINE W/CON,5480.0,,284.01,4712.8,85
LOCAL,61200003,HC MRI TSPINE W/O,4459.0,,196.14,3834.74,85
LOCAL,61200004,HC MRI T-SPINE W/CON,5050.0,,281.34,4343.0,85
LOCAL,61200005,HC MRI LSPINE W/O,4619.0,,197.14,3972.34,85
LOCAL,61200006,HC MRI L-SPINE W/CON,5277.0,,279.0,4538.22,85
LOCAL,61200007,HC MRI C-SPINE W&W/O,7004.0,,329.79,6023.44,85
LOCAL,61200008,HC MRI T-SPINE W&W/O CO,7079.0,,330.45,6087.94,85
LOCAL,61200009,HC MRI L-SPINE W&W/O CO,6878.0,,329.13,5915.08,85
LOCAL,61210,PR BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE,4735.0,,271.2528,4924.78,55
LOCAL,61215,PR INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH,4787.0,,383.88,4778.82,55
LOCAL,61250,PR BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG,4954.0,,620.04,4562.46,55
LOCAL,61253,PR BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI,7866.0,,737.65,7016.27,55
LOCAL,61304,PR CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL,12838.0,,1229.3592,10912.3,55
LOCAL,61305,PR CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL,20794.0,,1502.3324,17674.9,55
LOCAL,61312,PR CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL,13464.0,,1549.05,12495.68,55
LOCAL,61313,PR CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL,13714.0,,1488.3116,13230.63,55
LOCAL,61314,PR CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL,13122.0,,1368.0584,11153.7,55
LOCAL,61315,PR CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR,12953.0,,1550.0344,12495.68,55
LOCAL,61316,PR INCISION&SUBCUTANEOUS PLMT CRANIAL BONE GRAFT,3206.0,,64.676,2885.4,55
LOCAL,61320,PR CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL,13333.0,,1417.49,12861.44,55
LOCAL,61321,PR CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL,11779.0,,1590.6156,11759.04,55
LOCAL,61322,PR CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY,14873.0,,1783.6592,13385.7,55
LOCAL,61323,PR CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY,17709.0,,1787.8452,15938.1,55
LOCAL,61330,PR DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH,10087.0,,1141.88,9612.6,55
LOCAL,61333,PR EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION,11190.0,,1509.214,11171.77,55
LOCAL,61340,PR SUBTEMPORAL CRANIAL DECOMPRESSION,7437.0,,1081.3128,7086.66,55
LOCAL,61343,PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD,19216.0,,1640.0472,18670.56,55
LOCAL,61345,PR OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA,9731.0,,1530.1164,8271.35,55
LOCAL,61400001,HC CARDIAC IMAGNG WO CNTRAST,2149.0,,233.47,3403.0,85
LOCAL,61400002,HC CARDIAC IMAG W&WO CNTRST,3285.0,,366.42,3403.0,85
LOCAL,61400003,"HC MRI BREAST W/CONTRAST, UNILATERAL",3949.0,,206.08,3403.0,84
LOCAL,61400005,"HC MRI BREAST W/WO CONTRAST, UNILATERAL",4151.0,,409.8945,3569.86,84
LOCAL,61400006,"HC MRI BREAST W/CONTRAST, BILATERAL",4993.0,,409.8945,4293.98,84
LOCAL,61400008,"HC MRI BREAST W/WO CONTRAST, BILATERAL",4993.0,,409.8945,4293.98,84
LOCAL,61400017,"HC MRI BREAST WO CONTRAST, UNILATERAL",4670.0,,280.3355,4016.2,85
LOCAL,61400018,"HC MRI BREAST WO CONTRAST, BILATERAL",4856.0,,280.3355,4176.16,85
LOCAL,61400019,HC MRI BREAST W/WO CONTRAST W/CAD UNILATERAL,4227.0,,587.16,3635.22,84
LOCAL,61400020,HC MRI BREAST W/WO CONTRAST W/CAD BILATERAL,5069.0,,599.32,4359.34,84
LOCAL,61400022,HC MR ELASTOGRAPHY,4942.0,,207.16,4250.12,85
LOCAL,61450,PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION,34681.0,,1437.8956,29478.85,55
LOCAL,61458,PR CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV,15313.0,,1506.0216,14772.63,55
LOCAL,61460,PR CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NRV,14208.0,,1577.3308,13541.44,55
LOCAL,61500,PR CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL,11662.0,,969.91,12128.22,55
LOCAL,61500001,HC MRA HEAD W/O CON,2976.0,,222.2,3403.0,85
LOCAL,61500002,HC MRA HEAD W CON,3326.0,,234.23,3403.0,85
LOCAL,61500003,HC MRA HEAD W&W/O CON,3764.0,,340.15,3403.0,85
LOCAL,61500004,HC MRA NECK W/O CON,2976.0,,222.54,3403.0,85
LOCAL,61500005,HC MRA NECK W/CONTRAST,3327.0,,253.6,3403.0,85
LOCAL,61500006,HC MRA NECK W&W/O CON,3730.0,,356.19,3403.0,85
LOCAL,61501,PR CRANIECTOMY FOR OSTEOMYELITIS,9622.0,,843.9988,9554.21,55
LOCAL,61510,PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL,17141.0,,1650.3696,16537.86,55
LOCAL,61512,PR CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL,20967.0,,1908.3468,17821.95,55
LOCAL,61514,PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL,13987.0,,1434.2064,13963.85,55
LOCAL,61516,PR CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL,14478.0,,1405.1896,13963.85,55
LOCAL,61517,PR IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT,846.0,,64.4276,761.4,55
LOCAL,61518,PR CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA,17141.0,,2072.3736,16537.86,55
LOCAL,61519,PR CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA,18129.0,,2196.316,17126.83,55
LOCAL,61520,PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM,20012.0,,2766.6056,17126.83,55
LOCAL,61521,PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL,30227.0,,2372.3948,25692.95,55
LOCAL,61522,PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS,28852.0,,1637.83,24524.2,55
LOCAL,61524,PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST,14478.0,,1561.102,13963.85,55
LOCAL,61526,PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM,15240.0,,2474.9472,14700.51,55
LOCAL,61530,PR CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA,15999.0,,2291.9776,15435.44,55
LOCAL,61531,PR SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING,8983.0,,923.4316,8966.94,55
LOCAL,61533,PR CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING,16723.0,,1146.4856,14333.03,55
LOCAL,61534,PR CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY,13830.0,,901.59,14243.74,55
LOCAL,61535,PR CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX,9278.0,,635.33,9554.21,55
LOCAL,61536,PR CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY,17665.0,,1903.03,15015.25,55
LOCAL,61537,PR CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY,22191.0,,1834.572,18862.35,55
LOCAL,61538,PR CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY,14986.0,,1915.58,15435.44,55
LOCAL,61539,PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG,15826.0,,1765.2224,14734.85,55
LOCAL,61540,PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG,17513.0,,1629.228,17177.61,55
LOCAL,61541,PR CRANIOTOMY TRANSECTION CORPUS CALLOSUM,17032.0,,1609.7976,17542.39,55
LOCAL,61543,PR CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY,17841.0,,1504.46,18375.21,55
LOCAL,61544,PR CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS,12515.0,,1422.1544,12861.44,55
LOCAL,61545,PR CRANIOTOMY EXCISION CRANIOPHARYNGIOMA,21346.0,,2296.79,18375.21,55
LOCAL,61546,PR CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR,15458.0,,1726.8584,15802.92,55
LOCAL,61548,PR HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL,15620.0,,1171.3164,15067.98,55
LOCAL,61550,PR CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE,9203.0,,847.48,9186.74,55
LOCAL,61552,PR CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES,11043.0,,1117.708,11025.82,55
LOCAL,61556,PR CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP,10749.0,,1272.01,10730.46,55
LOCAL,61557,PR CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP,12883.0,,1267.4748,12861.44,55
LOCAL,61558,PR XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS,13251.0,,1412.568,13230.63,55
LOCAL,61559,PR XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT,15826.0,,1797.1832,15802.92,55
LOCAL,61563,PR EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN,14501.0,,1485.11,14478.99,55
LOCAL,61564,PR EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN,17446.0,,1800.6332,16628.85,55
LOCAL,61566,PR CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY,17177.0,,1676.4424,16850.13,55
LOCAL,61567,PR CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG,19595.0,,1909.3312,19222.25,55
LOCAL,61570,PR CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN,17125.0,,1371.33,16464.02,55
LOCAL,61571,PR CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN,16490.0,,1487.66,16464.02,55
LOCAL,61575,PR TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES,15964.0,,1871.9516,13569.4,55
LOCAL,61576,PR TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE,12872.0,,2589.89,12877.8,55
LOCAL,61580,PR CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ,12471.0,,1727.16,10600.35,55
LOCAL,61581,PR CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ,13333.0,,1964.88,12861.44,55
LOCAL,61582,PR CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT,13714.0,,1790.81,13230.63,55
LOCAL,61583,PR CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE,16792.0,,2046.41,14273.2,55
LOCAL,61584,PR ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ,14057.0,,1969.42,11948.45,55
LOCAL,61585,PR ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ,18930.0,,2198.54,16090.5,55
LOCAL,61586,PR BICORONAL TRANSZYGMTC&/LEFORT I W/O BONE GRFT,10636.0,,1506.5,9186.74,55
LOCAL,61590,PR INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN,18028.0,,2231.2392,15323.8,55
LOCAL,61591,PR INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR&/MOBI,17127.0,,2271.572,14557.95,55
LOCAL,61592,PR ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE,18707.0,,2265.77,15900.95,55
LOCAL,61595,PR TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV,12725.0,,1682.07,12275.89,55
LOCAL,61596,PR TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART,13714.0,,1797.68,13230.63,55
LOCAL,61597,PR TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL,17677.0,,2159.75,17051.28,55
LOCAL,61598,PR TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM,11429.0,,1901.65,11025.82,55
LOCAL,61600,PR RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL,13918.0,,1464.79,12200.34,55
LOCAL,61600001,HC MRA LOWER EXTREMITY W& W/O CONTRAST,2450.0,,586.99,3403.0,84
LOCAL,61600003,HC MRA LOWER EXTREMITY W/O CONTRAST,1999.0,,559.72,3403.0,84
LOCAL,61600004,HC MRA LOWER EXTREMITY WITH CONTR,2333.0,,586.99,3403.0,84
LOCAL,61601,PR RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF,17259.0,,1576.36,14670.15,55
LOCAL,61605,PR RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL,14322.0,,1599.9628,13819.61,55
LOCAL,61606,PR RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR,19124.0,,2159.9208,18447.33,55
LOCAL,61607,PR RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL,18974.0,,2065.2,17271.08,55
LOCAL,61608,PR RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL,28606.0,,2399.85,24315.1,55
LOCAL,61611,PR TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR,3684.0,,345.276,3509.85,55
LOCAL,61613,PR OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ,19728.0,,2341.33,19697.42,55
LOCAL,61615,PR RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL,15694.0,,1819.95,15141.82,55
LOCAL,61616,PR RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL,24793.0,,2467.2,21074.05,55
LOCAL,61618,PR SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT,10602.0,,950.62,11025.82,55
LOCAL,61619,PR SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP,17665.0,,1065.82,16840.07,55
LOCAL,61623,PR EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK,3126.0,,423.9636,2813.4,55
LOCAL,61624,PR TCAT PERM OCCLS/EMBOLIZATION PERQ CNS,12045.0,,855.0664,12495.68,55
LOCAL,61626,PR TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK,8270.0,,662.7588,8601.19,55
LOCAL,61630,PR BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS,11662.0,,1142.213,10495.8,42
LOCAL,61635,PR TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD,6589.0,,1234.115,5930.1,42
LOCAL,61645,PR PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL,7657.0,,618.9852,6891.3,55
LOCAL,61650,PR EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST,5620.0,,428.398,5058.0,55
LOCAL,61651,PR EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL,2292.0,,182.9604,2062.8,55
LOCAL,61680,PR INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL,25599.0,,1698.8168,21759.15,55
LOCAL,61682,PR INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL,21644.0,,3103.2704,19845.08,55
LOCAL,61684,PR INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL,19875.0,,2122.5412,19845.08,55
LOCAL,61686,PR INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL,24069.0,,3197.99,23813.41,55
LOCAL,61690,PR INTRACRANIAL ARVEN MALFRMJ DURAL SMPL,14354.0,,1633.6532,14333.03,55
LOCAL,61692,PR INTRACRANIAL ARVEN MALFRMJ DURAL CMPL,17226.0,,2566.7,17198.97,55
LOCAL,61697,PR COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION,23732.0,,3144.3392,24443.61,55
LOCAL,61698,PR CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ,22848.0,,3440.6712,23535.24,55
LOCAL,61700,PR SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION,21573.0,,2543.8,18375.21,55
LOCAL,61702,PR SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ,20978.0,,2845.81,19996.19,55
LOCAL,61703,PR ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART,9938.0,,992.51,9921.69,55
LOCAL,61705,PR ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART,16561.0,,1943.7576,15787.46,55
LOCAL,61708,PR ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS,14724.0,,1902.4404,14700.51,55
LOCAL,61710,PR ARYSM VASC MALFRMJ IA EMBOLIZATION,6807.0,,1465.62,6807.49,55
LOCAL,61711,PR ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES,16972.0,,1947.6952,15435.44,55
LOCAL,61720,PR CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS,14322.0,,956.386,13819.61,55
LOCAL,61735,PR CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN,13839.0,,1070.06,13191.13,55
LOCAL,61736,PR LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION,10259.0,,896.8712,9233.1,53
LOCAL,61737,PR LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS,13863.0,,1078.77,12476.7,53
LOCAL,61750,PR STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES,13251.0,,1056.4728,13230.63,55
LOCAL,61751,PR STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT&I/MR,13321.0,,1043.6848,13819.61,55
LOCAL,61760,PR STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING,13251.0,,1182.8808,13230.63,55
LOCAL,61770,PR STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC,13251.0,,1216.0744,13230.63,55
LOCAL,61781,PR STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL,1982.0,,174.11,1783.8,55
LOCAL,61782,PR STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL,1617.0,,126.1596,1455.3,55
LOCAL,61783,PR STEREOTACTIC COMPUTER ASSISTED PX SPINAL,1982.0,,170.4208,1783.8,55
LOCAL,61790,PR CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN,8693.0,,664.2308,9040.78,55
LOCAL,61791,PR CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC,9374.0,,848.1756,9040.78,55
LOCAL,61796,PR STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES,6172.0,,766.0472,5554.8,55
LOCAL,61797,PR STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE,2117.0,,162.3064,1905.3,55
LOCAL,61798,PR STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES,9546.0,,1035.322,8591.4,55
LOCAL,61799,PR STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX,2831.0,,224.2776,2547.9,55
LOCAL,61800,PR APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY,1263.0,,111.6512,1136.7,55
LOCAL,61800001,HC MRA SPINAL CANAL W/WO CONTRAST MATERIAL,3134.0,,603.62,3403.0,84
LOCAL,61800002,HC MRA UP EXT W/WO,3228.0,,409.8945,3403.0,84
LOCAL,61800003,HC MRA ABDOMEN WITH CONTRAST,2734.0,,409.8945,3403.0,84
LOCAL,61800004,HC MRA ABDOMEN W/O CONTRAST,2514.0,,280.3355,3403.0,84
LOCAL,61800005,HC MRA ABDOMEN W&W/O CONTRAST,3359.0,,409.8945,3403.0,84
LOCAL,61800006,HC MRA CHEST WITH CONTRAST,3339.0,,409.8945,3403.0,84
LOCAL,61800007,HC MRA CHEST W/O CONTRAST,2920.0,,280.3355,3403.0,84
LOCAL,61800008,HC MRA CHEST W&W/O CONTRAST,3569.0,,409.8945,3403.0,84
LOCAL,61800012,HC MRA PELVIS WITH CONTRAST,3973.0,,409.8945,3416.78,84
LOCAL,61800013,HC MRA PELVIS W/O CONTRAST,3455.0,,280.3355,3403.0,84
LOCAL,61800014,HC MRA PELVIS W&WO CONTRAST,4658.0,,409.8945,4005.88,84
LOCAL,61850,PR TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL,7638.0,,742.9276,7864.54,55
LOCAL,61860,PR CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL,11043.0,,935.25,11025.82,55
LOCAL,61863,PR STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY,9575.0,,1131.4804,8589.42,55
LOCAL,61864,PR STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY,4101.0,,208.7848,4253.62,55
LOCAL,61867,PR STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY,13081.0,,1706.4436,12759.64,55
LOCAL,61868,PR STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY,6135.0,,368.8832,6380.43,55
LOCAL,61880,PR REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS,11989.0,,363.2,12348.02,55
LOCAL,61885,PR INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR,3581.0,,245.16,3043.85,55
LOCAL,61886,PR INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2/> ELTRDS,4920.0,,504.47,4182.0,55
LOCAL,61888,PR REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR,2522.0,,238.14,2143.7,55
LOCAL,62000,PR ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL,7805.0,,587.75,7792.42,55
LOCAL,62005,PR ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL,10308.0,,907.12,10290.87,55
LOCAL,62010,PR ELVTN DEPRS SKL FX W/RPR DURA&/DBRDMT BRN,12072.0,,1155.0876,12054.38,55
LOCAL,62100,PR CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA,13333.0,,1175.7508,12861.44,55
LOCAL,62115,PR RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY,10400.0,,1199.73,10709.85,55
LOCAL,62117,PR RDCTJ CRANIOMEGALIC CRANIO&RECNSTJ W/WO GRAFT,13193.0,,1471.0984,13587.79,55
LOCAL,62120,PR RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY,11043.0,,1299.77,11025.82,55
LOCAL,62121,PR CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE,11429.0,,1158.2892,11025.82,55
LOCAL,62140,PR CRANIOPLASTY SKULL DEFECT <5 CM DIAMETER,9140.0,,766.0472,9482.08,55
LOCAL,62141,PR CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER,11558.0,,857.7712,11539.23,55
LOCAL,62142,PR RMVL BONE FLAP/PROSTHETIC PLATE SKULL,6557.0,,671.8576,6616.18,55
LOCAL,62143,PR RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL,8480.0,,741.91,8819.28,55
LOCAL,62145,PR CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG,11779.0,,1063.94,11226.72,55
LOCAL,62146,PR CRANIOPLASTY W/AUTOGRAFT <5 CM DIAMETER,11706.0,,910.82,11686.92,55
LOCAL,62147,PR CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER,14354.0,,1060.898,14333.03,55
LOCAL,62148,PR INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT,1184.0,,92.9568,1065.6,55
LOCAL,62160,PR NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS,1663.0,,138.9476,1496.7,55
LOCAL,62161,PR NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS,16585.0,,1145.7404,14926.5,55
LOCAL,62162,PR NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG,16024.0,,1416.9932,14421.6,55
LOCAL,62164,PR NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY,19639.0,,1570.9368,17675.1,55
LOCAL,62165,PR NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID,15844.0,,1130.0084,14259.6,55
LOCAL,62180,PR VENTRICULOCISTERNOSTOMY,8983.0,,1180.48,8559.99,55
LOCAL,62190,PR CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR,8468.0,,701.8588,8068.88,55
LOCAL,62192,PR CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH,8876.0,,748.8248,8451.8,55
LOCAL,62194,PR RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER,3684.0,,218.7,3676.42,55
LOCAL,62200,PR VENTRICULOCISTERNOSTOMY 3RD VENTRICLE,13333.0,,1034.0984,12861.44,55
LOCAL,62201,PR VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC,11706.0,,785.62,11686.92,55
LOCAL,62220,PR CRTJ SHUNT VENTRICULO-ATR-JUG-AUR,9203.0,,731.3724,8771.19,55
LOCAL,62223,PR CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS,10286.0,,776.1212,9921.69,55
LOCAL,62225,PR RPLCMT/IRRIGATION VENTRICULAR CATHETER,4787.0,,334.27,4562.46,55
LOCAL,62230,PR RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS,7241.0,,632.5092,6983.64,55
LOCAL,62252,PR REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT,1036.0,,34.1872,880.6,55
LOCAL,62256,PR RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT,4345.0,,444.76,4337.52,55
LOCAL,62258,PR RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT,10550.0,,836.8688,10069.35,55
LOCAL,62263,PR PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS,2370.0,,239.0344,2412.6,55
LOCAL,62264,PR PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY,2481.0,,179.2804,2232.9,55
LOCAL,62267,PR PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS,1605.0,,111.8904,1444.5,55
LOCAL,62268,PR PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX,4323.0,,244.9408,4449.14,55
LOCAL,62269,PR BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE,3515.0,,188.1308,3618.03,55
LOCAL,62270,PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE,567.0,,46.7268,481.95,55
LOCAL,62272,PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF,1012.0,,67.6292,860.2,55
LOCAL,62273,PR INJECTION EPIDURAL BLOOD/CLOT PATCH,1267.0,,82.8736,1095.54,55
LOCAL,62280,PR INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID,1618.0,,105.27,1607.26,55
LOCAL,62281,PR INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC,1311.0,,114.1076,1301.6,55
LOCAL,62282,PR INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL,1369.0,,104.2728,1420.08,55
LOCAL,62284,PR INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR,1311.0,,60.4992,1301.6,55
LOCAL,62287,PR DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR,8224.0,,444.866,8553.12,55
LOCAL,62290,PR INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,1864.0,,113.8592,1584.4,55
LOCAL,62291,PR INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,8216.0,,103.776,6983.6,55
LOCAL,62292,PR INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR,6645.0,,444.8645,6842.84,47
LOCAL,62294,PR NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL,2690.0,,558.78,2689.58,55
LOCAL,62300005,HC DRSG MEPIFORM 2X3,120.0,,33.6,103.2,83
LOCAL,62300006,HC DRSG MEPIFORM 4X7,61.0,,17.08,52.46,83
LOCAL,62300028,HC DRESSING EXU DRY LEG,61.0,,17.08,52.46,83
LOCAL,62300029,HC DRESSING EXU DRY TORSO,131.0,,36.68,112.66,83
LOCAL,62300039,HC DRSG MEPITEL 3 X 4,138.0,,38.64,118.68,83
LOCAL,62300040,HC MEPITEL DRESSING 4X7.2,137.0,,38.36,117.82,83
LOCAL,62300041,HC DRSG MEPITAL 8 X 12,65.0,,18.2,55.9,83
LOCAL,62300043,HC MEPITEL DRESSING 8X12,192.0,,53.76,165.12,83
LOCAL,62300049,HC DRSNG TRANSFR SILCN 8X20,51.0,,14.28,43.86,83
LOCAL,62300056,HC WOUND VAC TRAC PAD,138.0,,38.64,118.68,83
LOCAL,62300057,HC OST DRESSING SOFTFOAM SM,38.0,,10.64,32.68,83
LOCAL,62300058,HC OST KIT DRESSING PU SMALL,100.0,,28.0,86.0,83
LOCAL,62300063,HC DRESSING MEPILEX 9.9X9.9/KERRAFOAM BORDER SACRUM 9X10,38.0,,10.64,32.68,83
LOCAL,62300070,HC DRSNG MPM COOLMG 8/12IN10,45.0,,12.6,38.7,83
LOCAL,62300116,HC SURGICEL 2*3,84.0,,23.52,72.24,83
LOCAL,62300118,HC DRESSING SLVER 6X6,63.0,,17.64,54.18,83
LOCAL,62300123,HC EMBRAC ADVC SCAR TX/SHEET,56.0,,15.68,48.16,83
LOCAL,62300129,HC DRSNG MEPITL ONE6.8INX10I,61.0,,17.08,52.46,83
LOCAL,62300135,HC DRESNG MEPILEX AG 8INX8IN,67.0,,18.76,57.62,83
LOCAL,62300136,HC MEPILEX LITE 8 X 20,55.0,,15.4,47.3,83
LOCAL,62300137,HC DRESSING ACTICOAT 3 5X5,139.0,,38.92,119.54,83
LOCAL,62300143,"HC PURACOL PLUS 4.25""X4.5""",53.0,,14.84,45.58,83
LOCAL,62300144,HC DRESSING HYALOFILL 5X5CM,183.0,,51.24,157.38,83
LOCAL,62300153,HC DRESSING HYALOFIL 10X10CM,384.0,,107.52,330.24,83
LOCAL,62302,PR MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL,1231.0,,86.3144,1107.9,55
LOCAL,62303,PR MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC,1237.0,,86.3144,1113.3,55
LOCAL,62304,PR MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL,1211.0,,85.33,1089.9,55
LOCAL,62305,PR MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS,1263.0,,88.5316,1136.7,55
LOCAL,62320,PR NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,998.0,,73.2872,898.2,55
LOCAL,62321,PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,1638.0,,78.6968,1474.2,55
LOCAL,62322,PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,1050.0,,58.0336,945.0,55
LOCAL,62323,PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,1415.0,,72.7904,1273.5,55
LOCAL,62324,PR NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,1496.0,,64.9244,1346.4,55
LOCAL,62325,PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,1524.0,,80.6656,1371.6,55
LOCAL,62326,PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,1458.0,,62.2196,1312.2,55
LOCAL,62327,PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,1026.0,,78.6968,923.4,55
LOCAL,62328,PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,955.0,,61.9712,859.5,55
LOCAL,62329,PR THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT,1075.0,,75.992,967.5,55
LOCAL,62330,PR DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR,4729.0,,415.684,4256.1,33
LOCAL,62331,PR DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR,2512.0,,165.512,2260.8,33
LOCAL,62350,PR IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM,4728.0,,296.0928,5611.64,55
LOCAL,62351,PR IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM,10201.0,,520.4,8894.83,55
LOCAL,62355,PR RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH,2773.0,,206.08,3423.99,55
LOCAL,62360,PR IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR,3421.0,,126.27,3557.92,55
LOCAL,62361,PR IMPLTJ/RPLCMT FS NON-PRGRBL PUMP,3577.0,,276.93,3557.92,55
LOCAL,62362,PR IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP,3784.0,,287.2332,3763.99,55
LOCAL,62365,PR RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS,2554.0,,222.8056,2259.78,55
LOCAL,62367,PR ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL,267.0,,18.1976,250.71,55
LOCAL,62368,PR ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG,362.0,,25.0884,307.7,55
LOCAL,62369,PR ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL,455.0,,25.576,409.5,55
LOCAL,62370,PR ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP,499.0,,33.442,449.1,55
LOCAL,63001,PR LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV,8680.0,,920.7268,8905.14,55
LOCAL,63003,PR LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC,9811.0,,924.1676,10177.53,55
LOCAL,63005,PR LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR,8279.0,,900.0728,8585.74,55
LOCAL,63011,PR LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL,9296.0,,811.7804,9667.55,55
LOCAL,63012,PR LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR,9786.0,,892.9336,10177.53,55
LOCAL,63015,PR LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL,10995.0,,1109.842,10939.96,55
LOCAL,63016,PR LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC,11508.0,,1141.076,11449.95,55
LOCAL,63017,PR LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR,10519.0,,949.0076,10939.96,55
LOCAL,63020,PR LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL,10023.0,,821.376,10048.75,55
LOCAL,63030,PR LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR,9357.0,,684.8848,9731.08,55
LOCAL,63035,PR LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR,3060.0,,171.6536,3181.88,55
LOCAL,63040,PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL,15417.0,,1026.4716,13104.45,55
LOCAL,63042,PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,10519.0,,966.2208,10939.96,55
LOCAL,63043,PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV,5643.0,,198.29,4796.55,48
LOCAL,63044,PR LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR,3485.0,,198.29,3624.91,48
LOCAL,63045,PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM CERVICAL,11647.0,,964.0128,12083.57,55
LOCAL,63046,PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM THORACIC,11315.0,,919.7424,11767.62,55
LOCAL,63047,PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR,11343.0,,826.5372,11767.62,55
LOCAL,63048,PR LAM FACETECTOMY&FORAMOT 1 VRT SGM EA ADDL SGM,2993.0,,154.928,3815.5,55
LOCAL,63050,PR LAMOP CERVICAL W/DCMPRN SPI CORD 2/> VERT SEG,16703.0,,1091.396,15032.7,55
LOCAL,63051,PR LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ,12106.0,,1258.1276,10895.4,55
LOCAL,63052,PR LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM,2386.0,,189.8512,2147.4,53
LOCAL,63053,PR LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM,1877.0,,168.7004,1689.3,53
LOCAL,63055,PR TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,12537.0,,1214.354,13038.31,55
LOCAL,63056,PR TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,11526.0,,1111.0656,11958.21,55
LOCAL,63057,PR TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,4169.0,,236.578,4325.49,55
LOCAL,63064,PR COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG,19859.0,,1325.7568,16880.15,55
LOCAL,63066,PR COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG,3521.0,,151.7356,3624.91,55
LOCAL,63075,PR DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,11238.0,,1009.2584,10048.75,55
LOCAL,63076,PR DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,3249.0,,177.5508,3370.76,55
LOCAL,63077,PR DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC,13848.0,,1079.8408,11770.8,55
LOCAL,63078,PR DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC,3068.0,,152.72,3181.88,55
LOCAL,63081,PR VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG,15335.0,,1313.4656,13034.75,55
LOCAL,63082,PR VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG,4030.0,,195.7484,4007.81,55
LOCAL,63085,PR VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG,14699.0,,1446.01,12494.15,55
LOCAL,63086,PR VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG,3863.0,,140.9164,4007.81,55
LOCAL,63087,PR VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG,20800.0,,1797.9284,17680.0,55
LOCAL,63088,PR VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG,3732.0,,190.5872,3880.76,55
LOCAL,63090,PR VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG,14889.0,,1442.5692,12655.65,55
LOCAL,63091,PR VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG,3669.0,,128.616,3815.5,55
LOCAL,63101,PR VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG,14634.0,,1733.9884,13862.29,55
LOCAL,63102,PR VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG,14438.0,,1701.034,13862.29,55
LOCAL,63103,PR VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG,4405.0,,215.9148,4581.11,55
LOCAL,63170,PR LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR,9901.0,,1197.6376,9667.55,55
LOCAL,63172,PR LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID,10300.0,,1061.8824,10685.82,55
LOCAL,63173,PR LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL,11343.0,,1207.66,11767.62,55
LOCAL,63185,PR LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS,13350.0,,925.888,11347.5,55
LOCAL,63190,PR LAMINECTOMY W/RHIZOTOMY > 2 SEGMENTS,11130.0,,918.758,11575.3,55
LOCAL,63191,PR LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE,8760.0,,1019.26,8650.99,55
LOCAL,63197,PR LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC,10539.0,,1183.09,8966.94,55
LOCAL,63200,PR LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR,9810.0,,1033.02,10177.53,55
LOCAL,63250,PR LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL,20347.0,,2212.3056,17294.95,55
LOCAL,63251,PR LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC,20566.0,,2107.98,17481.1,55
LOCAL,63252,PR LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR,20562.0,,2261.728,17477.7,55
LOCAL,63265,PR LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL,13275.0,,1250.7492,11283.75,55
LOCAL,63266,PR LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC,11523.0,,1283.7036,10177.53,55
LOCAL,63267,PR LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR,11442.0,,1026.4716,9725.7,55
LOCAL,63268,PR LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL,9246.0,,1043.9,7859.1,55
LOCAL,63270,PR LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL,13380.0,,1503.3,11373.0,55
LOCAL,63271,PR LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC,13440.0,,1552.0032,11424.0,55
LOCAL,63272,PR LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR,15909.0,,1399.5316,13522.65,55
LOCAL,63273,PR LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL,12128.0,,1398.51,10308.8,55
LOCAL,63275,PR LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL,11822.0,,1347.156,11702.36,55
LOCAL,63276,PR LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC,12119.0,,1338.7932,11702.36,55
LOCAL,63277,PR LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR,12378.0,,1167.6272,10685.82,55
LOCAL,63278,PR LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL,10625.0,,1198.3736,9032.2,55
LOCAL,63280,PR LAM BX/EXC ISPI NEO IDRL XMED CERVICAL,24046.0,,1587.9108,20439.1,55
LOCAL,63281,PR LAM BX/EXC ISPI NEO IDRL XMED THORACIC,16722.0,,1574.8744,14213.7,55
LOCAL,63282,PR LAM BX/EXC ISPI NEO IDRL XMED LUMBAR,13637.0,,1484.374,13993.04,55
LOCAL,63283,PR LAM BX/EXC ISPI NEO IDRL SACRAL,12481.0,,1428.7968,10812.87,55
LOCAL,63285,PR LAM BX/EXC ISPI NEO IDRL IMED CERVICAL,20060.0,,1955.3128,17051.0,55
LOCAL,63286,PR LAM BX/EXC ISPI NEO IDRL IMED THORACIC,18410.0,,1923.3428,15648.5,55
LOCAL,63287,PR LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR,25801.0,,2049.7508,21930.85,55
LOCAL,63290,PR LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL,18660.0,,2084.1772,15861.0,55
LOCAL,63295,PR OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX,2656.0,,242.972,2390.4,55
LOCAL,63300,PR VCRPEC LES 1 SGM XDRL CERVICAL,7659.0,,1344.69,7886.86,55
LOCAL,63301,PR VCRPEC LES 1 SGM XDRL THORACIC TTHRC,7907.0,,1543.49,8142.72,55
LOCAL,63302,PR VCRPEC LES 1 SEG XDRL THRC THORACOLMBR,11632.0,,1616.06,9887.2,55
LOCAL,63303,PR VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR,19710.0,,1621.29,16753.5,55
LOCAL,63304,PR VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL,8034.0,,1664.54,8036.06,55
LOCAL,63305,PR VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC,8318.0,,1807.11,8320.65,55
LOCAL,63306,PR VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR,8607.0,,1772.31,8609.48,55
LOCAL,63307,PR VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR,7907.0,,1799.6488,8142.72,55
LOCAL,63308,PR VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG,2905.0,,236.3296,2735.42,55
LOCAL,63600,PR CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ,6394.0,,823.0964,6360.32,55
LOCAL,63600144,HC TISSUEMEND 5X6CM EA,6800.0,,146.211,5848.0,84
LOCAL,63600145,HC TISSUEMEND 6X10CM EA,6800.0,,146.211,5848.0,84
LOCAL,63600146,"HC SURGIMEND 10X15CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
LOCAL,63600147,"HC SURGIMEND 13X25CM, 2.0 RECTANGLE/0.5 SQ CM",18.0,,5.04,15.48,83
LOCAL,63600148,"HC SURGIMEND 13X25CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
LOCAL,63600149,"HC SURGIMEND 13X25CM, 4.0 RECTANGLE/0.5 SQ CM",21.0,,5.88,18.06,83
LOCAL,63600150,"HC SURGIMEND 16X20CM, 1.0 RECTANGLE/0.5 SQ CM",17.0,,4.76,14.62,83
LOCAL,63600151,"HC SURGIMEND 16X20CM, 3.0 RECTANGLE/0.5 SQ CM",21.0,,5.88,18.06,83
LOCAL,63600152,"HC SURGIMEND 20X25CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
LOCAL,63600153,"HC SURGIMEND 20X30CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
LOCAL,63600154,"HC SURGIMEND 20X30CM, 4.0 RECTANGLE/0.5 SQ CM",21.0,,5.88,18.06,83
LOCAL,63600155,"HC SURGIMEND 25X40CM, 3.0 RECTANGLE/0.5 SQ CM",20.0,,5.6,17.2,83
LOCAL,63600156,"HC SURGIMEND 25X40CM, 4.0 RECTANGLE/0.5 SQ CM",21.0,,5.88,18.06,83
LOCAL,63600157,HC SURGIMEND PRS 10X20CM MESHED/0.5 SQ CM,34.0,,9.52,29.24,83
LOCAL,63600158,HC SURGIMEND PRS 10X15CM SEMI-OVAL/0.5 SQ CM,24.0,,6.72,20.64,83
LOCAL,63600159,HC SURGIMEND PRS 7X17CM FEN RECTANGLE/0.5 SQ CM,24.0,,6.72,20.64,83
LOCAL,63610,PR STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG,4944.0,,430.8544,5087.91,55
LOCAL,63620,PR STEREOTACTIC RADIOSURGERY 1 SPINAL LESION,8244.0,,846.4552,7419.6,55
LOCAL,63621,PR STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION,2222.0,,186.4104,1999.8,55
LOCAL,63650,PR PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,7865.0,,305.4308,6685.25,55
LOCAL,63655,PR LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL,10275.0,,629.556,10685.82,55
LOCAL,63661,PR RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,2735.0,,244.6924,2461.5,55
LOCAL,63662,PR RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR,6097.0,,639.1516,5487.3,55
LOCAL,63663,PR REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,4560.0,,333.4724,4104.0,55
LOCAL,63664,PR REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR,6450.0,,665.2152,5805.0,55
LOCAL,63685,PR INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ&CONNJ,3700.0,,252.8068,3848.14,55
LOCAL,63688,PR REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA,3858.0,,223.5416,3279.3,55
LOCAL,63700,PR REPAIR MENINGOCELE < 5 CM DIAMETER,6202.0,,937.19,5292.25,55
LOCAL,63702,PR REPAIR MENINGOCELE > 5 CM DIAMETER,8031.0,,1050.97,8269.79,55
LOCAL,63704,PR REPAIR MYELOMENINGOCELE < 5 CM DIAMETER,8646.0,,1186.46,8905.14,55
LOCAL,63706,PR REPAIR MYELOMENINGOCELE > 5 CM DIAMETER,8956.0,,1357.33,9222.81,55
LOCAL,63707,PR RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM,9174.0,,703.0824,9540.48,55
LOCAL,63709,PR RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM,9786.0,,833.6672,10177.53,55
LOCAL,63710,PR DURAL GRAFT SPINAL,8950.0,,786.78,8905.14,55
LOCAL,63740,PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM,7413.0,,744.1512,7632.72,55
LOCAL,63741,PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM,4873.0,,513.4796,4142.05,55
LOCAL,63744,PR RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT,3707.0,,515.6968,3815.5,55
LOCAL,63746,PR RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT,2781.0,,408.83,2862.49,55
LOCAL,64400,PR INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH,799.0,,38.1156,831.09,55
LOCAL,64405,PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE,627.0,,38.8516,652.52,55
LOCAL,64408,PR INJECTION AA&/STRD VAGUS NERVE,538.0,,32.9544,559.79,55
LOCAL,64415,PR INJECTION AA&/STRD BRACHIAL PLEXUS W/IMG GDN,2126.0,,50.6552,1807.1,55
LOCAL,64416,PR INJECTION AA&/STRD BRACH PLEX CONT NFS CATH IMG,2953.0,,56.074,2657.7,53
LOCAL,64417,PR INJECTION AA&/STRD AXILLARY NERVE W/IMG GDN,2434.0,,46.7268,2068.9,53
LOCAL,64418,PR INJECTION AA&/STRD SUPRASCAPULAR NERVE,627.0,,40.5812,652.52,55
LOCAL,64420,PR INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL,719.0,,42.5408,745.23,55
LOCAL,64421,PR INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL,1463.0,,18.1976,1243.55,55
LOCAL,64425,PR INJECTION AA&/STRD ILIOINGUINAL IH NERVES,1664.0,,39.836,1414.4,55
LOCAL,64430,PR INJECTION AA&/STRD PUDENDAL NERVE,581.0,,40.0844,604.43,55
LOCAL,64435,PR INJECTION AA&/STRD PARACERVICAL NERVE,615.0,,34.425,559.79,55
LOCAL,64445,PR INJECTION AA&/STRD SCIATIC NERVE W/IMG GDN,1738.0,,52.624,1477.3,53
LOCAL,64446,PR INJECTION AA&/STRD SCIATIC NRV CONT NFS CATH IMG,2776.0,,54.8412,2498.4,53
LOCAL,64447,PR INJECTION AA&/STRD FEMORAL NERVE W/IMG GDN,2093.0,,45.9908,1883.7,55
LOCAL,64448,PR INJECTION AA&/STRD FEM NRV CONT NFS CATH IMG GDN,3348.0,,52.3848,3013.2,53
LOCAL,64449,PR INJECTION AA&/STRD LUMBAR PLEXUS CONT NFS CATH,1403.0,,46.4784,1454.67,55
LOCAL,64450,PR INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH,1022.0,,30.7372,868.7,55
LOCAL,64451,PR INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG,871.0,,59.7632,783.9,55
LOCAL,64454,PR INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG,1009.0,,60.2508,908.1,55
LOCAL,64455,PR NJX AA&/STRD PLANTAR COMMON DIGITAL NERVES,387.0,,24.3432,348.3,55
LOCAL,64461,PR PVB THORACIC SINGLE INJECTION SITE W/IMG GID,980.0,,56.81,882.0,55
LOCAL,64462,PR PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID,642.0,,35.1624,577.8,55
LOCAL,64463,PR PVB THORACIC CONT CATHETER INFUSION W/IMG GID,1070.0,,59.2664,963.0,55
LOCAL,64466,PR THORACIC FASCIAL PLANE BLOCK UNI INJECTION,867.0,,48.4472,780.3,55
LOCAL,64467,PR THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION,1005.0,,55.8256,904.5,55
LOCAL,64468,PR THORACIC FASCIAL PLANE BLOCK BI INJECTION,966.0,,53.8568,869.4,55
LOCAL,64469,PR THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION,1058.0,,58.5304,952.2,55
LOCAL,64473,PR LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION,775.0,,43.286,697.5,55
LOCAL,64474,PR LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION,966.0,,53.8568,869.4,55
LOCAL,64479,PR NJX AA&/STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL,1347.0,,95.6616,1144.95,53
LOCAL,64480,PR NJX AA&/STRD TFRML EPI CERVICAL/THORACIC EA ADDL,841.0,,44.5096,714.85,53
LOCAL,64483,PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL,1282.0,,81.65,1089.7,53
LOCAL,64484,PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL EA ADDL,722.0,,37.628,613.7,53
LOCAL,64486,PR TAP BLOCK UNILATERAL BY INJECTION(S),879.0,,40.0844,791.1,55
LOCAL,64487,PR TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S),932.0,,45.9908,838.8,55
LOCAL,64488,PR TAP BLOCK BILATERAL BY INJECTION(S),1308.0,,49.81,1177.2,55
LOCAL,64489,PR TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S),1443.0,,56.074,1298.7,55
LOCAL,64490,PR NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,1329.0,,77.2156,1196.1,55
LOCAL,64491,PR NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,947.0,,43.286,852.3,55
LOCAL,64492,PR NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,643.0,,44.022,578.7,55
LOCAL,64493,PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,1073.0,,66.3964,965.7,55
LOCAL,64494,PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,715.0,,37.1312,643.5,55
LOCAL,64495,PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,576.0,,37.8672,518.4,55
LOCAL,64505,PR INJECTION ANES AGENT SPHENOPALATINE GANGLION,773.0,,61.82,803.63,55
LOCAL,64510,PR NJX ANES STELLATE GANGLION CRV SYMPATHETIC,1252.0,,56.5616,1301.6,55
LOCAL,64517,PR INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,2958.0,,99.229,2666.49,55
LOCAL,64520,PR INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,1250.0,,62.468,1208.87,55
LOCAL,64530,PR INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,1552.0,,69.3496,1533.42,55
LOCAL,64553,PR PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE,3608.0,,103.88,3066.8,55
LOCAL,64555,PR PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,3233.0,,83.89,2748.05,55
LOCAL,64561,PR PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING,2998.0,,222.8056,2548.3,55
LOCAL,64566,PR POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE,355.0,,23.001,319.5,47
LOCAL,64568,PR OPEN IMPLANTATION CRANIAL NERVE NEA & PULSE GEN,4404.0,,448.316,3963.6,55
LOCAL,64569,PR REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV,5609.0,,577.4196,5048.1,55
LOCAL,64570,PR REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO,4643.0,,555.7812,4178.7,55
LOCAL,64575,PR OPEN IMPLANTATION NEA PERIPHERAL NERVE,1979.0,,233.1372,1682.15,55
LOCAL,64580,PR OPEN IMPLANTATION NEA NEUROMUSCULAR,1979.0,,220.45,1682.15,55
LOCAL,64581,PR OPEN IMPLANTATION NEA SACRAL NERVE,6198.0,,482.494,5268.3,55
LOCAL,64585,PR REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY,1254.0,,94.57,1116.15,55
LOCAL,64590,PR INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ&CONN,1966.0,,143.33,1671.1,55
LOCAL,64595,PR REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA,1710.0,,94.96,1453.5,55
LOCAL,64600,PR DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,1099.0,,161.29,982.2,55
LOCAL,64605,PR DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,1563.0,,227.38,1607.26,55
LOCAL,64610,PR DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR,3284.0,,357.3188,2791.4,55
LOCAL,64611,PR CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS,526.0,,84.3548,473.4,55
LOCAL,64612,PR CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL,1529.0,,88.5316,1590.08,55
LOCAL,64615,PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,969.0,,90.988,872.1,55
LOCAL,64616,PR CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,841.0,,81.4016,756.9,55
LOCAL,64617,PR CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG,1045.0,,79.6812,940.5,55
LOCAL,64620,PR DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,1556.0,,122.72,1322.6,55
LOCAL,64624,PR DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG,1704.0,,107.2168,1533.6,55
LOCAL,64625,PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN,1995.0,,143.6212,1795.5,55
LOCAL,64628,PR THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC,3963.0,,304.2072,3566.7,53
LOCAL,64629,PR THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC,2089.0,,143.8604,1880.1,53
LOCAL,64630,PR DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE,1297.0,,141.1556,1260.38,55
LOCAL,64632,PR DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE,595.0,,49.4316,535.5,55
LOCAL,64633,PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,2013.0,,141.1556,1811.7,55
LOCAL,64634,PR DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,872.0,,48.9348,784.8,55
LOCAL,64635,PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,1950.0,,141.404,1755.0,55
LOCAL,64636,PR DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,806.0,,42.7892,725.4,55
LOCAL,64640,PR DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE,1310.0,,87.5472,1113.5,55
LOCAL,64642,PR CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,909.0,,79.1844,818.1,55
LOCAL,64643,PR CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,618.0,,51.4004,556.2,55
LOCAL,64644,PR CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES,921.0,,92.497,828.9,55
LOCAL,64645,PR CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES,705.0,,59.7632,634.5,55
LOCAL,64646,PR CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES,1011.0,,85.8268,909.9,55
LOCAL,64647,PR CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES,1120.0,,98.8632,1008.0,55
LOCAL,64650,PR CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE,392.0,,29.6735,367.96,55
LOCAL,64653,PR CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY,493.0,,38.1156,462.41,55
LOCAL,64680,PR DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,2261.0,,117.7968,1921.85,55
LOCAL,64681,PR DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS,3458.0,,160.3376,3390.15,55
LOCAL,64702,PR NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT,10276.0,,286.95,8734.6,55
LOCAL,64704,PR NEUROPLASTY NERVE HAND/FOOT,3233.0,,241.9876,3362.18,55
LOCAL,64708,PR NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,5389.0,,380.4384,5604.76,55
LOCAL,64712,PR NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,6287.0,,444.13,6538.9,55
LOCAL,64713,PR NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS,6712.0,,597.3376,6911.52,55
LOCAL,64714,PR NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS,5219.0,,556.47,5137.71,55
LOCAL,64716,PR NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE,5676.0,,365.48,6071.84,55
LOCAL,64718,PR NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW,4928.0,,431.77,6071.84,55
LOCAL,64719,PR NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST,3907.0,,306.4152,4062.78,55
LOCAL,64721,PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE,4131.0,,310.16,4296.3,55
LOCAL,64722,PR DECOMPRESSION UNSPECIFIED NERVE,4131.0,,277.886,4296.3,55
LOCAL,64726,PR DECOMPRESSION PLANTAR DIGITAL NERVE,2400.0,,147.73,2040.0,55
LOCAL,64727,PR INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE,1740.0,,126.463,1479.0,55
LOCAL,64732,PR TRANSECTION/AVULSION SUPRAORBITAL NERVE,2725.0,,295.92,2804.1,55
LOCAL,64734,PR TRANSECTION/AVULSION INFRAORBITAL NERVE,2235.0,,318.0,1899.75,55
LOCAL,64736,PR TRANSECTION/AVULSION MENTAL NERVE,3267.0,,245.18,3362.18,55
LOCAL,64738,PR TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO,3992.0,,331.9912,4109.14,55
LOCAL,64740,PR TRANSECTION/AVULSION LINGUAL NERVE,5165.0,,338.882,5137.71,55
LOCAL,64742,PR TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL,5165.0,,357.98,5137.71,55
LOCAL,64744,PR TRANSECTION/AVULSION GREATER OCCIPITAL NERVE,3177.0,,382.5,3269.45,55
LOCAL,64746,PR TRANSECTION/AVULSION PHRENIC NERVE,2351.0,,319.2032,2337.05,55
LOCAL,64755,PR TRANSECTION/AVULSION VAGUS NERVES,9979.0,,681.444,10275.41,55
LOCAL,64760,PR TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL,6349.0,,387.8168,6538.9,55
LOCAL,64763,PR TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY,2725.0,,383.64,2804.1,55
LOCAL,64766,PR TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY,4227.0,,473.1468,4203.58,55
LOCAL,64771,PR TRANSECTION/AVULSION OTH CRANIAL NRV XDRL,5697.0,,430.606,4842.45,55
LOCAL,64772,PR TRANSECTION/AVULSION OTH SPINAL NRV XDRL,3824.0,,416.346,3250.4,55
LOCAL,64774,PR EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE,2805.0,,256.87,2384.25,55
LOCAL,64776,PR EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT,2179.0,,254.89,2242.6,55
LOCAL,64778,PR EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT,888.0,,131.5692,911.81,55
LOCAL,64782,PR EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE,3224.0,,339.1212,2991.27,55
LOCAL,64783,PR EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT,1455.0,,156.8968,1495.65,55
LOCAL,64784,PR EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,5270.0,,506.24,4479.5,55
LOCAL,64786,PR EXCISION NEUROMA SCIATIC NERVE,6079.0,,743.912,6257.28,55
LOCAL,64787,PR IMPLANTATION NERVE END BONE/MUSCLE,3144.0,,170.6692,3269.45,55
LOCAL,64788,PR EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV,3233.0,,270.66,3362.18,55
LOCAL,64790,PR EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV,5527.0,,607.4,5137.71,55
LOCAL,64792,PR EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV,6103.0,,791.3,6071.84,55
LOCAL,64795,PR BIOPSY NERVE,1801.0,,144.1088,1868.26,55
LOCAL,64802,PR SYMPATHECTOMY CERVICAL,6579.0,,485.37,6772.43,55
LOCAL,64804,PR SYMPATHECTOMY CERVICOTHORACIC,9614.0,,897.6072,9901.09,55
LOCAL,64809,PR SYMPATHECTOMY THORACOLUMBAR,9343.0,,820.3916,9621.19,55
LOCAL,64818,PR SYMPATHECTOMY LUMBAR,6806.0,,578.404,7005.97,55
LOCAL,64820,PR SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT,3358.0,,571.274,3456.62,55
LOCAL,64831,PR SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE,5077.0,,406.5,4315.45,55
LOCAL,64832,PR SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV,2270.0,,219.82,2337.05,55
LOCAL,64834,PR SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE,3722.0,,432.16,3830.96,55
LOCAL,64835,PR SUTURE 1 NERVE MEDIAN MOTOR THENAR,3903.0,,552.09,4016.4,55
LOCAL,64836,PR SUTURE 1 NERVE ULNAR MOTOR,4536.0,,583.73,4670.64,55
LOCAL,64837,PR SUTURE EACH ADDITIONAL NERVE HAND/FOOT,2399.0,,264.8588,2337.05,55
LOCAL,64840,PR SUTURE POSTERIOR TIBIAL NERVE,5443.0,,714.15,5604.76,55
LOCAL,64856,PR SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS,15196.0,,725.26,12916.6,55
LOCAL,64857,PR SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS,5443.0,,778.826,5604.76,55
LOCAL,64858,PR SUTURE SCIATIC NERVE,6349.0,,869.0872,6538.9,55
LOCAL,64859,PR SUTURE EACH ADDITIONAL PERIPHERAL NERVE,2814.0,,180.0164,2896.83,55
LOCAL,64861,PR SUTURE BRACHIAL PLEXUS,6349.0,,1043.98,6538.9,55
LOCAL,64862,PR SUTURE LUMBAR PLEXUS,7983.0,,1013.6836,8219.99,55
LOCAL,64864,PR SUTURE FACIAL NERVE EXTRACRANIAL,6706.0,,634.2296,6351.73,55
LOCAL,64865,PR SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT,7711.0,,801.458,7940.09,55
LOCAL,64866,PR ANASTOMOSIS FACIAL-SPINAL ACCESSORY,10883.0,,892.25,11207.82,55
LOCAL,64868,PR ANASTOMOSIS FACIAL HYPOGLOSSAL,11266.0,,735.3008,11207.82,55
LOCAL,64872,PR SUTURE NERVE REQ SECONDARY/DELAYED SUTURE,853.0,,84.1064,875.75,55
LOCAL,64874,PR SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE,1362.0,,126.1596,1399.47,55
LOCAL,64876,PR SUTURE NERVE REQ SHORTENING BONE EXTREMITY,1401.0,,142.876,1440.68,55
LOCAL,64885,PR NERVE GRAFT HEAD/NECK < 4 CM,7628.0,,793.0952,7589.79,55
LOCAL,64886,PR NERVE GRAFT HEAD/NECK >4 CM,13142.0,,949.256,11170.7,55
LOCAL,64890,PR NERVE GRAFT 1 STRAND HAND/FOOT <4 CM,5895.0,,798.5048,6071.84,55
LOCAL,64891,PR NERVE GRAFT 1 STRAND HAND/FOOT >4 CM,7513.0,,848.9208,7473.02,55
LOCAL,64892,PR NERVE GRAFT 1 STRAND ARM/LEG <4 CM,5503.0,,777.354,5666.59,55
LOCAL,64893,PR NERVE GRAFT 1 STRAND ARM/LEG >4 CM,6775.0,,828.506,6975.05,55
LOCAL,64895,PR NERVE GRAFT MLT STRANDS HAND/FOOT <4 CM,8889.0,,977.2884,9154.12,55
LOCAL,64896,PR NERVE GRAFT MLT STRANDS HAND/FOOT > 4 CM,10883.0,,1054.2648,11207.82,55
LOCAL,64897,PR NERVE GRAFT MLT STRANDS ARM/LEG <4 CM,8889.0,,934.7476,9154.12,55
LOCAL,64898,PR NERVE GRAFT MLT STRANDS ARM/LEG >4 CM,11266.0,,1012.2116,11207.82,55
LOCAL,64901,PR NERVE GRAFT EACH NERVE 1 STRAND,3760.0,,432.3264,3196.0,55
LOCAL,64902,PR NERVE GRAFT EACH NERVE MULTIPLE STRANDS,4602.0,,500.204,4577.93,55
LOCAL,64905,PR NERVE PEDICLE TRANSFER FIRST STAGE,8376.0,,735.29,7119.6,55
LOCAL,64907,PR NERVE PEDICAL TRANSFER SECOND STAGE,12247.0,,959.0908,10409.95,55
LOCAL,64910,PR NERVE REPAIR W/CONDUIT EACH NERVE,5785.0,,565.1284,5899.63,55
LOCAL,64911,PR NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE,7625.0,,758.172,7478.18,55
LOCAL,64912,PR NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND,6468.0,,662.998,5821.2,55
LOCAL,64913,PR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND,1737.0,,125.9112,1563.3,55
LOCAL,6499901,"PR UNLISTED PROCEDURE NERVOUS SYSTEM SURGERY, CT GUIDED PERCUTANEOUS SPINAL LESION CREATION WITH STIMULATION",5605.0,,3363.0,5795.38,28
LOCAL,6499902,"PR UNLISTED PROCEDURE NERVOUS SYSTEM SURGERY, BIOPSY OF INTERVERTEBRAL DISC",1768.0,,1060.8,5795.38,28
LOCAL,6499903,PR UNLISTED PROCEDURE LATERAL EXTRACAVITARY TYPE APPROACH TO CERVICAL SPINE FOR VERTEBRECTOMY,14133.0,,5795.38,12013.05,28
LOCAL,6499904,PR UNLISTED PROCEDURE NERVOUS SYSTEM (ENDOSCOPIC BIOPSY OF NERVE),1817.0,,1090.2,5795.38,28
LOCAL,6499905,PR UNLISTED PROCEDURE NERVOUS SYSTEM (NEUROABLATION OF SPINE),13839.0,,5795.38,11763.15,28
LOCAL,6499906,PR UNLISTED PROCEDURE ENDOSCOPIC RESECTION OF ANTERIOR EXTRADURAL SKULL BASE TUMOR,13447.0,,5795.38,11429.95,28
LOCAL,6499907,PR UNLISTED PROCEDURE NERVOUS SYSTEM (ENDOSCOPIC DISSECTION OF PTERYGOMAXILLARY SPACE FOR BIOPSY),8098.0,,4858.8,6883.3,28
LOCAL,6499908,PR UNLISTED PROCEDURE NERVOUS SYSTEM (APPLICATION OF QUTENZA PATCH),529.0,,317.4,5795.38,28
LOCAL,6499909,PR UNLISTED PROCEDURE NERVOUS SYSTEM (VIDEO ASSISTED THORASCOPIC EXCISION OF THORACIC INLET),11920.0,,5795.38,10132.0,28
LOCAL,6499910,"PR UNLISTED PROCEDURE NERVOUS SYSTEM (NERVE ANASTOMOSIS, FREE ALT)",2504.0,,1502.4,5795.38,28
LOCAL,6499911,PR UNLISTED PROCEDURE PULSED RADIOFREQUENCY ABLATION OF THE GREATER OCCIPITAL NERVE,1585.0,,951.0,5795.38,28
LOCAL,6499912,PR UNLISTED PROCEDURE NERVOUS SYSTEM (DYE STUDY FOR SPINAL INTRATHECAL PUMP),802.0,,481.2,5795.38,28
LOCAL,6499913,PR UNLISTED PROCEDURE SURAL NERVE GRAFT-UNILATERAL,2504.0,,1502.4,5795.38,28
LOCAL,6499914,PR UNLISTED PROCEDURE SURAL NERVE GRAFT-BILATERAL,5002.0,,3001.2,5795.38,28
LOCAL,6499915,PR UNLISTED PROCEDURE NERVOUS SYSTEM (SUPRASCAPULAR NERVE PULSED RADIOFREQUENCY),1585.0,,951.0,5795.38,28
LOCAL,6499916,"PR UNLISTED PROCEDURE SPHENOPALATINE GANGLION BLOCK, APPLICATION OF ANESTHETIC AGENT (NON-INJECTED)",1033.0,,619.8,5795.38,28
LOCAL,6499917,"PR UNLISTED PROCEDURE PULSED RADIOFREQUENCY DENERVATION, PULSED OR NON PULSED, LUMBAR/SACRAL",1913.0,,1147.8,5795.38,28
LOCAL,6499918,PR UNLISTED PROCEDURE EACH ADDITIONAL LEVEL/LUMBAR/SACRAL RADIOFREQUENCY DENERVATION,591.0,,354.6,5795.38,28
LOCAL,6499919,"PR UNLISTED PROCEDURE RADIOFREQUENCY DENERVATION, PULSED OR NON PULSED, CERVICAL/THORACIC",1944.0,,1166.4,5795.38,28
LOCAL,6499920,"PR UNLISTED PROCEDURE EACH ADDITIONAL LEVEL RADIOFREQENCY DENERVATION, CERVICAL/THORACIC",669.0,,401.4,5795.38,28
LOCAL,6499921,PR UNLISTED PROCEDURE NERVOUS SYSTEM (INTERCOSTAL NERVE PULSED RADIOFREQUENCY ABLATION),1173.0,,703.8,5795.38,28
LOCAL,6499922,PR UNLISTED PROCEDURE NERVOUS SYSTEM (FEMORAL CUTANEOUS NERVE RADIOFREQUENCY ABLATION),1585.0,,951.0,5795.38,28
LOCAL,6499923,PR UNLISTED PROCEDURE NERVOUS SYSTEM (GASSERIAN GANGLION RADIOFREQUENCY ABLATION),955.0,,573.0,5795.38,28
LOCAL,6499924,PR UNLISTED PROCEDURE NERVOUS SYSTEM (GLOSSOPHARYNGEAL NERVE RADIOFREQUENCY ABLATION),852.0,,511.2,5795.38,28
LOCAL,6499925,PR UNLISTED PROCEDURE NERVOUS SYSTEM (GANGLION IMPAR SYMPATHETIC BLOCK),1585.0,,951.0,5795.38,28
LOCAL,6499926,PR UNLISTED PROCEDURE NERVOUS SYSTEM (QUTENZA PAIN PATCH),554.0,,332.4,5795.38,28
LOCAL,6499927,PR UNLISTED PROCEDURE NERVOUS SYSTEM (SPHENOPALATINE GANGLION BLOCK),1033.0,,619.8,5795.38,28
LOCAL,6499928,"PR UNLISTED PROCEDURE NERVOUS SYSTEM (TRIGEMINAL NERVE, PULSED FREQUENCY)",1738.0,,1042.8,5795.38,28
LOCAL,6499929,"PR UNLISTED PROCEDURE GREATER OCCIPITAL NERVE RADIOFREQUENCY ABLATION, PULSED OR NON PULSED",1585.0,,951.0,5795.38,28
LOCAL,6499930,PR UNLISTED PROCEDURE NERVOUS SYSTEM (SENSORY NEURORRHAPHY),4618.0,,2770.8,5795.38,28
LOCAL,6499931,PR UNLISTED PROCEDURE THERMAL ABLATION OF BRAIN LESION WITH VISUALASE OR NEURO-BLATE SYSTEM,13839.0,,5795.38,11763.15,28
LOCAL,6499932,PR VENTRICULOSTOMY/OMMYA REMOVAL,629.0,,377.4,5795.38,28
LOCAL,6499933,PR UNLISTED PROCEDURE SPINAL ABLATION EACH ADDITIONAL LESION,6922.0,,4153.2,5883.7,28
LOCAL,6499934,PR RESECTION OR EXCISION OF LESION OF BASE OF ANTERIOR CRANIAL FOSSA; EXTRADURAL,13447.0,,5795.38,11429.95,28
LOCAL,6499935,"PR RESECTION OR EXCISION OF LESION OF BASE OF ANTERIOR CRANIAL FOSSA; INTRADURAL, INCLUDING DURAL REPAIR, WITH OR WITHOUT GRAFT",14822.0,,5795.38,12598.7,28
LOCAL,6499936,"PR RESECTION OR EXCISION OF LESION OF INFRATEMPORAL FOSSA, PARAPHARYNGEAL SPACE, PETROUS APEX; EXTRADURAL",13839.0,,5795.38,11763.15,28
LOCAL,6499937,"PR RESECTION OR EXCISION OF LESION OF INFRATEMPORAL FOSSA, PARAPHARYNGEAL SPACE, PETROUS APEX; INTRADURAL, INCLUDING DURAL REPAIR, WITH OR WITHOUT GRAFT",18477.0,,5795.38,15705.45,28
LOCAL,6499938,"PR RESECTION OR EXCISION OF LESION OF PARASELLAR AREA, CAVERNOUS SINUS, CLIVUS OR MIDLINE SKULL BASE; EXTRADURAL",18974.0,,5795.38,16127.9,28
LOCAL,6499939,"PR RESECTION OR EXCISION OF LESION OF PARASELLAR AREA, CAVERNOUS SINUS, CLIVUS OR MIDLINE SKULL BASE; INTRADURAL, INCLUDING DURAL REPAIR, WITH OR WITHOUT GRAFT",20095.0,,5795.38,17080.75,28
LOCAL,6499940,"PR RESECTION OR EXCISION OF LESION OF BASE OF POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN, FORAMEN MAGNUM, OR C1-C3 VERTEBRAL BODIES; EXTRADURAL",15164.0,,5795.38,12889.4,28
LOCAL,6499941,"PR RESECTION OR EXCISION OF  LESION OF BASE OF POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN, FORAMEN MAGNUM, OR C1-C3 VERTEBRAL BODIES; INTRADURAL, INCLUDING DURAL REPAIR, W/O  GRAFT",21558.0,,5795.38,18324.3,28
LOCAL,6499942,PR UNLISTED PROCEDURE BRAIN ABLATION EACH ADDITIONAL LESION,6922.0,,4153.2,5883.7,28
LOCAL,6499943,PR ENDOSCOPIC ENDONASAL REPAIR OF SKULL BASE CSF LEAK,5795.0,,3477.0,5795.38,28
LOCAL,6499944,PR NEURORRHAPHY/SUTURE REPAIR MOTOR NERVE LOWER LEG,3903.0,,2341.8,5795.38,28
LOCAL,6499945,"PR UNLISTED PX NERVOUS SYSTEM; NERVE COAPTATION, HAND/FOOT NERVE",5781.0,,3468.6,5795.38,28
LOCAL,6499946,PR UNLISTED PROCEDURE NERVOUS SYSTEM - ERECTOR SPINAE BLOCK,689.0,,413.4,5795.38,28
LOCAL,6499947,PR UNLISTED PROCEDURE MOTOR FUNCTION MAPPING NAVIGATED TMS TX PLAN,1234.0,,740.4,5795.38,28
LOCAL,6499950,"PR UNLISTED PROCEDURE NERVOUS SYSTEM, INJECT NERV BLCK,FACIAL NERV",1239.0,,743.4,5795.38,28
LOCAL,6499951,"PR UNLISTED PROCEDURE NERVOUS SYSTEM, INJECT NERV BLCK,CERV PLEXUS",1951.0,,1170.6,5795.38,28
LOCAL,6499952,PR UNLISTED PX PUDENDAL NERVE CRYOABLATION,3714.0,,2228.4,5795.38,28
LOCAL,6499953,"PR UNLISTED PX NERVOUS SYSTEM; NERVE COAPTATION, BRACHIAL PLEXUS",6349.0,,3809.4,5795.38,28
LOCAL,6499954,"PR UNLISTED PX NERVOUS SYSTEM; NERVE COAPTATION, FACIAL",6706.0,,4023.6,5795.38,28
LOCAL,6499955,PR UNLISTED PX IMPLANTATION OF NERVE INTO MUSCLE GRAFT (RPNI),2521.0,,1512.6,5795.38,28
LOCAL,6499959,"PR UNLISTED PROCEDURE ERECTOR SPINAE BLOCK, ADDITIONAL SITE",1768.0,,1060.8,5795.38,28
LOCAL,6499960,"PR UNLISTED PROCEDURE NERVOUS SYSTEM, NERVE BIOPSY",604.0,,362.4,5795.38,28
LOCAL,6499965,"PR UNLISTED PX NERVOUS SYSTEM, QUADRATUS LUMBORUM BY CONTINUOUS CATHETER, BILATERAL",1061.0,,636.6,5795.38,28
LOCAL,6499969,PR UNLISTED PROCEDURE NERVOUS SYSTEM BILATERAL  PENG BLOCK,942.0,,565.2,5795.38,28
LOCAL,6499970,"PR UNLISTED PX NERVOUS SYSTEM LAPAROSCOPIC ALLOGRAFT, EACH NERVE, FIRD",7059.0,,4235.4,6000.15,28
LOCAL,6499971,"PR UNLISTED PX NERVOUS SYSTEM, IMAGE-GUIDED TARLOV CYST ASPIRATION ANN",409.0,,245.4,5795.38,28
LOCAL,65091,PR EVISCERATION OCULAR CONTENTS W/O IMPLANT,4706.0,,431.63,4208.73,55
LOCAL,65093,PR EVISCERATION OCULAR CONTENTS W/IMPLANT,5135.0,,460.82,4593.37,55
LOCAL,65101,PR ENUCLEATION OF EYE W/O IMPLANT,5462.0,,468.61,4642.7,55
LOCAL,65103,PR ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT,5135.0,,504.53,4593.37,55
LOCAL,65105,PR ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT,6643.0,,565.29,5646.55,55
LOCAL,65110,PR EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY,9298.0,,939.43,7903.3,55
LOCAL,65112,PR EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE,9625.0,,908.08,8611.49,55
LOCAL,65114,PR EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP,10626.0,,995.06,9032.1,55
LOCAL,65125,PR MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX,1340.0,,174.35,1378.88,55
LOCAL,65130,PR INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL,4706.0,,477.83,4208.73,55
LOCAL,65135,PR INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED,5349.0,,399.57,4783.98,55
LOCAL,65140,PR INSJ OC IMPLT AFTER ENCL MUSC ATTACHED,6417.0,,443.93,5740.43,55
LOCAL,65150,PR REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT,4706.0,,423.77,4208.73,55
LOCAL,65155,PR REINSERTION OCULAR IMPLT RNFCMT &/ ATTACH MUSCLE,6417.0,,591.75,5740.43,55
LOCAL,65175,PR REMOVAL OCULAR IMPLANT,3424.0,,417.88,3063.38,55
LOCAL,65205,PR REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL,497.0,,21.0035,475.78,55
LOCAL,65210,PR RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR,636.0,,25.9505,540.6,55
LOCAL,65220,PR RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP,641.0,,33.1245,640.84,55
LOCAL,65222,PR RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP,516.0,,36.023,516.26,55
LOCAL,65235,PR RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS,5563.0,,410.32,4974.57,55
LOCAL,65260,PR RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE,5563.0,,610.7,4974.57,55
LOCAL,65265,PR RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ,6417.0,,705.18,5740.43,55
LOCAL,65270,PR RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR,649.0,,95.28,551.65,55
LOCAL,65272,PR RPR LAC CJNC MOBLJ& REARGMT W/O HOSPITALIZATION,1096.0,,167.42,1094.29,55
LOCAL,65273,PR RPR LAC CJNC MOBLJ & REARGMT W/HOSPIZATION,1286.0,,237.63,1205.1,55
LOCAL,65275,PR RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY,1419.0,,178.39,1417.39,55
LOCAL,65280,PR RPR LAC CORNEA&/SCLERA PERFOR X INVG UVEAL TIS,5135.0,,488.9625,4593.37,55
LOCAL,65285,PR RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ UVEAL T,6846.0,,789.65,6123.36,55
LOCAL,65286,PR RPR LAC APPL TISSUE GLUE WOUND CORNEA&/SCLERA,2827.0,,322.23,2402.95,55
LOCAL,65290,PR RPR WND EXTRAOCULAR MUSCLE TENDON&/TENON CAPSU,3424.0,,358.462,2910.4,55
LOCAL,65400,PR EXCISION LESION CORNEA XCP PTERYGIUM,2953.0,,395.12,2682.18,55
LOCAL,65410,PR BIOPSY CORNEA,508.0,,74.8255,431.8,55
LOCAL,65420,PR EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT,2048.0,,266.22,2105.23,55
LOCAL,65426,PR EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG,2792.0,,350.1888,2872.79,55
LOCAL,65430,PR CORNEA SCRAPING DIAGNOSTIC SMEAR &/CULTURE,792.0,,61.19,728.5,55
LOCAL,65435,PR RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,584.0,,50.9036,496.4,55
LOCAL,65436,PR RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT,1622.0,,173.88,1378.7,55
LOCAL,65450,PR DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION,1786.0,,205.91,1518.1,55
LOCAL,65600,PR MULTIPLE PUNCTURES ANTERIOR CORNEA,1677.0,,187.67,1724.02,55
LOCAL,65710,PR KERATOPLASTY ANTERIOR LAMELLAR,7187.0,,800.98,7017.98,55
LOCAL,65730,PR KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA,8871.0,,914.5812,8613.22,55
LOCAL,65750,PR KERATOPLASTY PENETRAING APHAKIA,8674.0,,919.7424,8932.6,55
LOCAL,65755,PR KERATOPLASTY PENETRATING PSEUDOPHAKIA,8984.0,,917.0376,9250.28,55
LOCAL,65756,PR KERATOPLASTY ENDOTHELIAL,8895.0,,858.2535,8005.5,55
LOCAL,65760,PR KERATOMILEUSIS,7745.0,,949.38,7976.15,40
LOCAL,65765,PR KERATOPHAKIA,8984.0,,1038.41,9250.28,40
LOCAL,65767,PR EPIKERATOPLASTY,8364.0,,830.91,8613.22,40
LOCAL,65770,PR KERATOPROSTHESIS,8364.0,,977.43,8613.22,47
LOCAL,65771,PR RADIAL KERATOTOMY,4557.0,,415.68,4691.25,40
LOCAL,65772,PR CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM,2485.0,,287.08,2299.25,55
LOCAL,65775,PR CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM,2831.0,,391.07,2872.79,55
LOCAL,65778,PR PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES,2630.0,,30.9485,2630.35,55
LOCAL,65779,PR PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED,2994.0,,73.8565,2694.6,55
LOCAL,65780,PR OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE,4898.0,,444.3545,4419.2,55
LOCAL,65781,PR OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT,6910.0,,970.683,6776.6,47
LOCAL,65782,PR OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT,6009.0,,841.364,5892.28,47
LOCAL,65800,PR PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX,824.0,,61.982,700.4,55
LOCAL,65810,PR PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX,3375.0,,323.65,3473.8,55
LOCAL,65815,PR PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR IN,3797.0,,298.95,3908.23,55
LOCAL,65820,PR GONIOTOMY,5482.0,,559.28,5644.26,55
LOCAL,65850,PR TRABECULOTOMY AB EXTERNO,5061.0,,615.7836,5211.55,55
LOCAL,65855,PR TRABECULOPLASTY BY LASER SURGERY,4509.0,,148.2655,4689.54,51
LOCAL,65860,PR SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX,3375.0,,180.9055,3473.8,55
LOCAL,65865,PR SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE,5061.0,,350.4372,5211.55,55
LOCAL,65870,PR SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE,3626.0,,380.65,3733.08,55
LOCAL,65875,PR SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE,3626.0,,403.04,3733.08,55
LOCAL,65880,PR SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL,3626.0,,438.31,3733.08,55
LOCAL,65900,PR RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE,5230.0,,608.09,5383.26,55
LOCAL,65920,PR RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE,6745.0,,527.04,6945.86,55
LOCAL,65930,PR RMVL BLOOD CLOT ANTERIOR SEGMENT EYE,4302.0,,469.4668,4428.52,55
LOCAL,66020,PR INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX,847.0,,96.1584,868.88,55
LOCAL,66030,PR INJX ANTERIOR CHAMBER EYE MEDICATION SPX,693.0,,54.77,609.59,55
LOCAL,66130,PR EXCISION LESION SCLERA,2500.0,,402.59,2574.0,55
LOCAL,66150,PR FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY,3997.0,,554.93,4116.0,55
LOCAL,66155,PR FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC,3748.0,,550.33,3858.42,55
LOCAL,66160,PR FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT,3748.0,,659.2,3858.42,55
LOCAL,66170,PR FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO,5948.0,,764.15,5055.8,55
LOCAL,66172,PR FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING,5607.0,,848.23,5247.61,55
LOCAL,66174,PR TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST,4272.0,,465.6215,3844.8,45
LOCAL,66175,PR TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST,6935.0,,535.228,6241.5,47
LOCAL,66179,PR AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT,7546.0,,790.142,6791.4,55
LOCAL,66180,PR AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT,5335.0,,833.428,4888.71,55
LOCAL,66183,PR INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR,6981.0,,753.0108,6282.9,55
LOCAL,66184,PR REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT,5165.0,,579.8852,4648.5,55
LOCAL,66185,PR REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT,3104.0,,544.17,2934.6,55
LOCAL,66225,PR REPAIR SCLERAL STAPHYLOMA W/GRAFT,6496.0,,685.3816,6690.02,55
LOCAL,66250,PR REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT,3274.0,,397.88,2831.57,55
LOCAL,66500,PR IRIDOTOMY STAB INC SPX XCP TRANSFIXION,1251.0,,248.29,1286.14,55
LOCAL,66505,PR IRIDOTOMY STAB INC SPX TRANSFIXION,1274.0,,229.25,1273.69,55
LOCAL,66600,PR IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES,3748.0,,569.69,3858.42,55
LOCAL,66605,PR IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY,5096.0,,775.53,5247.61,55
LOCAL,66625,PR IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX,2802.0,,314.042,2883.09,55
LOCAL,66630,PR IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX,3112.0,,412.52,2883.09,55
LOCAL,66635,PR IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX,2802.0,,418.554,2883.09,55
LOCAL,66680,PR REPAIR IRIS CILIARY BODY,2300.0,,361.96,2367.95,55
LOCAL,66682,PR SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE,2751.0,,412.44,2831.57,55
LOCAL,66683,PR IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ&RPR/RMVL IRIS,6165.0,,571.37,5548.5,47
LOCAL,66700,PR CILIARY BODY DESTRUCTION DIATHERMY,2401.0,,286.4972,2470.97,55
LOCAL,66710,PR CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL,2500.0,,288.9536,2574.0,55
LOCAL,66711,PR ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS,3297.0,,383.656,2967.3,55
LOCAL,66720,PR CILIARY BODY DESTRUCTION CRYOTHERAPY,2513.0,,301.7416,2470.97,55
LOCAL,66740,PR CILIARY BODY DESTRUCTION CYCLODIALYSIS,3250.0,,286.4972,3345.01,55
LOCAL,66761,PR IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION,2065.0,,174.199,2574.0,55
LOCAL,66762,PR IRIDOPLASTY PHOTOCOAGULATION 1/> SESSIONS,2551.0,,310.6012,2625.52,55
LOCAL,66770,PR DSTRJ CYST/LESION IRIS/CILIARY BODY,2500.0,,350.02,2574.0,55
LOCAL,66820,PR DISCISSION SECONDARY MEMBRANOUS CATARACT,1900.0,,260.71,1976.44,55
LOCAL,66821,PR POST-CATARACT LASER SURGERY,2125.0,,166.28,2209.97,55
LOCAL,66825,PR REPOSITIONING IO LENS PROSTHESIS REQ INC SPX,4362.0,,487.1,3848.14,55
LOCAL,66830,PR RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ,3310.0,,497.78,2813.5,55
LOCAL,66840,PR RMVL LENS MATERIAL ASPIR TQ 1/> STAGES,4470.0,,509.966,4600.24,55
LOCAL,66850,PR RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR,4758.0,,575.4508,4948.82,55
LOCAL,66852,PR RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY,6583.0,,613.7765,5936.18,55
LOCAL,66920,PR RMVL LENS MATERIAL INTRACAPSULAR,4229.0,,546.434,4354.69,55
LOCAL,66930,PR REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS,4806.0,,625.6184,4948.82,55
LOCAL,66940,PR REMOVAL LENS MATERIAL EXTRACAPSULAR,4566.0,,572.9944,4699.83,55
LOCAL,66982,PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP,6218.0,,545.1135,6185.16,55
LOCAL,66983,PR ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG,4757.0,,474.13,4897.3,48
LOCAL,66984,PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,5172.0,,399.381,5144.59,55
LOCAL,66985,PR INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL,4036.0,,561.9268,4155.5,55
LOCAL,66986,PR EXCHANGE INTRAOCULAR LENS,5556.0,,658.3336,5443.36,55
LOCAL,66990,PR USE OPHTHALMIC ENDOSCOPE,358.0,,61.4125,322.2,55
LOCAL,6699901,"PR UNLISTED PROCEDURE EYE SURG ANT SGMT, PLACEMENT OF AMINITOIC MEMBRANE GRAFT USING TISSUE GLUE",2037.0,,1030.29,1731.45,28
LOCAL,67005,PR RMVL VITREOUS ANT APPR PARTIAL REMOVAL,4709.0,,349.4528,4897.3,55
LOCAL,67010,PR RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT,5510.0,,399.372,5716.39,55
LOCAL,67015,PR ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL,3605.0,,419.92,3064.25,55
LOCAL,67025,PR INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX,3489.0,,427.43,2965.65,55
LOCAL,67027,PR IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS,10050.0,,618.307,10069.35,55
LOCAL,67028,PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX,1250.0,,65.5095,1062.91,55
LOCAL,67030,PR DISCISSION VITREOUS STRANS PARS PLANA APPROACH,3172.0,,330.39,3266.01,55
LOCAL,67031,PR SEVERING VITREOUS STRANS LASER 1/> STAGES,2623.0,,258.4648,2721.68,55
LOCAL,67036,PR VITRECTOMY MECHANICAL PARS PLANA,7588.0,,655.7835,7892.02,55
LOCAL,67039,PR VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC,8373.0,,699.8815,8707.67,55
LOCAL,67040,PR VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC,8895.0,,752.4285,9250.28,55
LOCAL,67041,PR VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE,9602.0,,826.5995,9986.45,55
LOCAL,67042,PR VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA,11721.0,,826.319,11632.46,55
LOCAL,67043,PR VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE,11622.0,,869.8135,12058.06,55
LOCAL,67101,PR RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX,4493.0,,211.769,4624.28,55
LOCAL,67105,PR RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC,2823.0,,204.289,4624.28,55
LOCAL,67107,PR REPAIR RETINAL DETACHMENT SCLERAL BUCKLING,6764.0,,813.28,6966.47,55
LOCAL,67108,PR RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH,10465.0,,858.874,10883.29,55
LOCAL,67110,PR RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS,5999.0,,594.3936,5443.36,55
LOCAL,67113,PR RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL,11367.0,,960.976,11821.34,55
LOCAL,67115,PR RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT,2917.0,,337.44,2479.45,55
LOCAL,67120,PR RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR,2645.0,,397.88,2611.79,55
LOCAL,67121,PR RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR,3428.0,,628.79,2992.99,55
LOCAL,67141,PR PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY,2803.0,,162.5115,2883.09,55
LOCAL,67145,PR PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION,2885.0,,162.5115,2992.99,55
LOCAL,67208,PR DSTRJ LOCLZD LESION RETINA 1/> SESS CRTX DTHRM,2988.0,,421.2588,3073.69,55
LOCAL,67210,PR DSTRJ LOCLZD LESION RETINA 1/> SESS PC,3525.0,,369.393,3187.03,55
LOCAL,67218,PR DSTRJ LESION RETINA 1/> SESS RADJ IMPLTJ,9604.0,,843.35,8163.4,55
LOCAL,67220,PR DSTRJ LESION CHOROID PC 1/> SESS,3246.0,,369.002,3245.36,55
LOCAL,67221,PR DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY,1171.0,,146.3445,1062.91,50
LOCAL,67225,PR DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION,501.0,,19.2355,513.42,55
LOCAL,67227,PR DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY,3203.0,,185.8355,3296.92,55
LOCAL,67228,PR TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION,3529.0,,219.8865,3410.26,55
LOCAL,67229,PR EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT,8575.0,,839.273,8410.35,55
LOCAL,67250,PR SCLERAL REINFORCEMENT SPX W/O GRAFT,4344.0,,489.88,4471.45,55
LOCAL,67255,PR SCLERAL REINFORCEMENT SPX W/GRAFT,5429.0,,514.0545,5589.32,55
LOCAL,6729901,"PR UNLISTED PROCEDURE EYE SURG POST SGMT, FNA GENE EXPRESSION",5096.0,,2369.67,4331.6,28
LOCAL,6729902,"PR UNLISTED PROCEDURE EYE SURG POST SGMT, BIOPSY OF CHOROID",5096.0,,2369.67,4331.6,28
LOCAL,6729903,"PR UNLISTED PROCEDURE EYE SURG POST SGMT, LASER HYPERTHERMIA OF UVEAL",3196.0,,1917.6,2716.6,28
LOCAL,6729904,"PR UNLISTED PROCEDURE EYE SURG POST SGMT, TRANSPUPILLARY THERMOTHERAPY",3196.0,,1917.6,2716.6,28
LOCAL,6729905,"PR UNLISTED PROCEDURE,EYE,POSTERIOR SEGMENT,DESTRUCTION SCLERAL LESION",1047.0,,628.2,2369.67,28
LOCAL,67311,PR STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC,5066.0,,337.4755,5268.21,55
LOCAL,67312,PR STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC,6330.0,,482.97,6583.54,55
LOCAL,67314,PR STRABISMUS RECESSION/RESCJ 1 VER MUSC,5626.0,,337.4755,5793.66,55
LOCAL,67316,PR STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC,7031.0,,516.3155,7241.21,55
LOCAL,67318,PR STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE,6394.0,,438.65,6583.54,55
LOCAL,67320,PR TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC,6181.0,,121.482,5253.85,55
LOCAL,67331,PR STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC,1689.0,,87.7115,1756.65,55
LOCAL,67332,PR STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY,3626.0,,141.2955,3733.08,55
LOCAL,67334,PR STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION,3626.0,,86.6065,3733.08,55
LOCAL,67335,PR PLACEMENT ADJUSTABLE SUTURE STRABISMUS,1708.0,,130.254,1756.65,55
LOCAL,67340,PR STRABISMUS EXPL&/RPR DETACHED EXTROCULAR MUSC,3197.0,,203.3795,3290.06,55
LOCAL,67343,PR RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX,2560.0,,411.24,2634.1,55
LOCAL,67345,PR CHEMODENERVATION EXTRAOCULAR MUSCLE,1622.0,,161.322,1667.36,55
LOCAL,67346,PR BIOPSY EXTRAOCULAR MUSCLE,1536.0,,139.3575,1504.96,55
LOCAL,67400,PR ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY,7499.0,,649.4,7462.74,55
LOCAL,67405,PR ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY,5968.0,,534.82,6143.96,55
LOCAL,67412,PR ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION,7058.0,,634.93,7021.41,55
LOCAL,67413,PR ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY,7058.0,,571.05,7021.41,55
LOCAL,67414,PR ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN,5115.0,,607.69,5264.79,55
LOCAL,67415,PR FINE NEEDLE ASPIRATION ORBITAL CONTENTS,1026.0,,71.604,1054.32,55
LOCAL,67420,PR ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION,12350.0,,1161.35,12289.63,55
LOCAL,67430,PR ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB,11248.0,,749.01,11585.59,55
LOCAL,67440,PR ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG,10655.0,,876.97,10970.85,55
LOCAL,67445,PR ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN,8899.0,,795.47,8034.54,55
LOCAL,67450,PR ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX,8645.0,,899.23,8601.19,55
LOCAL,67500,PR RETROBULBAR INJECTION MEDICATION SPX,481.0,,47.872,408.85,55
LOCAL,67505,PR RETROBULBAR INJECTION ALCOHOL,855.0,,50.4135,879.18,55
LOCAL,67515,PR INJECTION MEDICATION/OTHER SUBST TENON CAPSULE,511.0,,33.3795,434.35,55
LOCAL,67516,PR SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT,881.0,,69.3175,792.9,47
LOCAL,67550,PR ORBITAL IMPLANT INSERTION,5118.0,,630.37,5268.21,55
LOCAL,67560,PR ORBITAL IMPLANT REMOVAL/REVISION,5118.0,,591.16,5268.21,55
LOCAL,67570,PR OPTIC NERVE DECOMPRESSION,8823.0,,650.96,8778.06,55
LOCAL,6759901,PR UNLISTED PROCEDURE ENDOSCOPIC ORBIT RESECTION,9065.0,,3468.64,7705.25,28
LOCAL,67700,PR BLEPHAROTOMY DRAINAGE ABSCESS EYELID,826.0,,56.12,702.1,55
LOCAL,67710,PR SEVERING TARSORRHAPHY,833.0,,64.13,708.05,55
LOCAL,67715,PR CANTHOTOMY SEPARATE PROCEDURE,965.0,,79.1844,820.25,55
LOCAL,67800,PR EXCISION CHALAZION SINGLE,493.0,,72.0,485.95,55
LOCAL,67801,PR EXCISION CHALAZION MULTIPLE SAME LID,914.0,,95.455,776.9,55
LOCAL,67805,PR EXCISION CHALAZION MULTIPLE DIFFERENT LIDS,961.0,,111.66,816.85,55
LOCAL,67808,PR EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT,1220.0,,183.54,1253.52,55
LOCAL,67810,PR INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN,836.0,,48.2035,710.6,55
LOCAL,67820,PR CORRECTION TRICHIASIS EPILATION FORCEPS ONLY,227.0,,16.422,227.28,55
LOCAL,67825,PR CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS,843.0,,70.74,716.55,55
LOCAL,67830,PR CORRECTION TRICHIASIS INCCISION LID MARGIN,1130.0,,102.8925,960.5,55
LOCAL,67835,PR CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF,3923.0,,322.644,4038.73,55
LOCAL,67840,PR EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE,1391.0,,100.94,1182.35,55
LOCAL,67850,PR DESTRUCTION LESION LID MARGIN < 1 CM,872.0,,77.29,753.1,55
LOCAL,67875,PR TEMPORARY CLOSURE EYELIDS SUTURE,1078.0,,70.261,916.3,55
LOCAL,67880,PR CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY,2100.0,,244.76,1979.88,55
LOCAL,67882,PR CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS,3035.0,,339.5,2826.44,55
LOCAL,67900,PR REPAIR BROW PTOSIS,3357.0,,306.72,2853.45,55
LOCAL,67901,PR RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL,5277.0,,430.8544,5249.32,55
LOCAL,67902,PR RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING,5098.0,,479.7,5249.32,55
LOCAL,67903,PR RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL,7431.0,,352.9285,7383.74,55
LOCAL,67904,PR RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL,6227.0,,430.42,7266.97,55
LOCAL,67906,PR RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING,6707.0,,368.3864,6906.36,55
LOCAL,67908,PR RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ,4634.0,,323.3655,5654.57,55
LOCAL,67909,PR REDUCTION OVERCORRECTION PTOSIS,4707.0,,319.9392,4845.78,55
LOCAL,67911,PR CORRECTION LID RETRACTION,6211.0,,370.88,6459.91,55
LOCAL,67912,PR CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD,7715.0,,367.795,6961.8,55
LOCAL,67914,PR REPAIR ECTROPION SUTURE,2310.0,,241.7392,2261.48,55
LOCAL,67915,PR REPAIR ECTROPION THERMOCAUTERIZATION,1296.0,,135.17,1101.6,55
LOCAL,67916,PR REPAIR ECTROPION EXCISION TARSAL WEDGE,3218.0,,314.2904,3310.67,55
LOCAL,67917,PR REPAIR ECTROPION EXTENSIVE,3883.0,,334.2084,4038.73,55
LOCAL,67921,PR REPAIR ENTROPION SUTURE,1777.0,,225.47,1737.75,55
LOCAL,67922,PR REPAIR ENTROPION THERMOCAUTERIZATION,1337.0,,129.78,1136.45,55
LOCAL,67923,PR REPAIR ENTROPION EXCISION TARSAL WEDGE,3218.0,,314.5296,3310.67,55
LOCAL,67924,PR REPAIR ENTROPION EXTENSIVE,4049.0,,334.696,4200.16,55
LOCAL,67930,PR SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK,1506.0,,148.79,1495.65,55
LOCAL,67935,PR SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK,3228.0,,311.15,2743.8,55
LOCAL,67938,PR REMOVAL EMBEDDED FOREIGN BODY EYELID,988.0,,56.48,839.8,55
LOCAL,67950,PR CANTHOPLASTY,4659.0,,338.8176,4845.78,55
LOCAL,67961,PR EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN,4813.0,,331.9912,4442.26,55
LOCAL,67966,PR EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN,5437.0,,447.92,5654.57,55
LOCAL,67971,PR RCNSTJ EYELID FULL THICKNESS <TWO-THIRDS 1 STG,5437.0,,525.776,5654.57,55
LOCAL,67973,PR RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG,6229.0,,672.826,6459.91,55
LOCAL,67974,PR RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG,6840.0,,671.296,7031.72,55
LOCAL,67975,PR RCNSTJ EYELID FULL THICKNESS SECOND STAGE,2266.0,,407.4,2265.19,55
LOCAL,6799901,"PR UNLISTED PROCEDURE REVISION EYELID, REMOVAL OF GOLD WEIGHT IMPLANT FROM EYELID",988.0,,592.8,1358.27,28
LOCAL,68020,PR INCISION CONJUNCTIVA DRAINAGE OF CYST,827.0,,57.33,702.95,55
LOCAL,68040,PR EXPRESSION CONJUNCTIVAL FOLLICLES,767.0,,34.34,651.95,55
LOCAL,68100,PR BIOPSY CONJUNCTIVA,828.0,,70.261,703.8,55
LOCAL,68110,PR EXCISION LESION CONJUNCTIVA <1 CM,1036.0,,93.68,880.6,55
LOCAL,68115,PR EXCISION LESION CONJUNCTIVA > 1 CM,1222.0,,134.33,1212.31,55
LOCAL,68130,PR EXCISION LESION CONJUNCTIVA ADJACENT SCLERA,2439.0,,282.01,2424.61,55
LOCAL,68135,PR DESTRUCTION LESION CONJUNCTIVA,911.0,,78.71,774.35,55
LOCAL,68200,PR SUBCONJUNCTIVAL INJECTION,468.0,,25.1685,467.96,55
LOCAL,68320,PR CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT,4659.0,,360.83,4845.78,55
LOCAL,68325,PR CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT,5320.0,,482.7424,5469.12,55
LOCAL,68326,PR CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT,5221.0,,473.3952,5077.6,55
LOCAL,68328,PR CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT,5882.0,,517.344,6056.38,55
LOCAL,68330,PR RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT,2356.0,,323.13,2424.61,55
LOCAL,68335,PR RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB,3654.0,,475.364,3635.2,55
LOCAL,68340,PR RPR & DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE,3531.0,,227.8,3635.2,55
LOCAL,68360,PR CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX,2747.0,,293.13,2826.44,55
LOCAL,68362,PR CONJUNCTIVAL FLAP TOTAL,3923.0,,482.2548,4038.73,55
LOCAL,68371,PR HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR,2665.0,,309.247,2610.06,47
LOCAL,68400,PR INCISION&DRAINAGE LACRIMAL GLAND,1185.0,,83.38,1074.94,55
LOCAL,68420,PR INCISION&DRAINAGE LACRIMAL SAC,1160.0,,101.81,986.0,55
LOCAL,68440,PR SNIP INCISION LACRIMAL PUNCTUM,866.0,,53.06,736.1,55
LOCAL,68500,PR EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL,5689.0,,593.76,5858.91,55
LOCAL,68505,PR EXCISION LACRIMAL GLAND XCPT TUMOR PRTL,4744.0,,613.77,4885.28,55
LOCAL,68510,PR BIOPSY LACRIMAL GLAND,1708.0,,203.7365,1451.8,55
LOCAL,68520,PR EXCISION LACRIMAL SAC,4419.0,,501.02,4395.9,55
LOCAL,68525,PR BIOPSY LACRIMAL SAC,985.0,,179.979,977.05,55
LOCAL,68530,PR RMVL FB/DACRYOLITH LACRIMAL PASSAGES,3322.0,,184.161,3418.85,55
LOCAL,68540,PR EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH,7364.0,,592.37,7323.63,55
LOCAL,68550,PR EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY,7364.0,,775.73,7323.63,55
LOCAL,68700,PR PLASTIC REPAIR CANALICULI,5180.0,,283.74,5372.96,55
LOCAL,68705,PR CORRECTION EVERTED PUNCTUM CAUTERY,973.0,,94.36,827.05,55
LOCAL,68720,PR DACRYOCSTORHINOSTOMY,7782.0,,593.6484,8302.42,55
LOCAL,68745,PR CONJUNCTIVORHINOSTOMY W/O TUBE,7586.0,,477.73,7813.02,55
LOCAL,68750,PR CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT,8534.0,,588.64,8788.37,55
LOCAL,68760,PR CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER,887.0,,81.15,781.3,55
LOCAL,68761,PR CLSR LACRIMAL PUNCTUM PLUG EACH,830.0,,70.34,705.5,55
LOCAL,68770,PR CLOSURE LACRIMAL FISTULA SPX,2410.0,,348.18,2441.78,55
LOCAL,68801,PR DILATION LACRIMAL PUNCTUM W/WO IRRGATION,709.0,,41.51,604.07,55
LOCAL,68810,PR PROBE NASOLACRIMAL DUCT W/WO IRRIGATION,1045.0,,74.06,888.25,55
LOCAL,68811,PR PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES,1085.0,,101.592,1074.94,55
LOCAL,68815,PR PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT,1410.0,,158.41,1466.44,55
LOCAL,68816,PR PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION,2292.0,,115.6595,1948.2,55
LOCAL,68840,PR PROBE LACRIMAL CANALICULI W/WO IRRIGATION,952.0,,53.2,809.2,55
LOCAL,68850,PR INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY,1304.0,,39.7205,1108.4,55
LOCAL,6889901,PR UNLISTED PROCEDURE LACRIMAL SYSTEM (REMOVAL JONES TUBE/STENT),629.0,,377.4,3468.64,28
LOCAL,69000,PR DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE,559.0,,54.65,475.15,55
LOCAL,69005,PR DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP,1239.0,,103.76,1274.12,55
LOCAL,69020,PR DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,505.0,,59.1,504.04,55
LOCAL,69100,PR BIOPSY EXTERNAL EAR,513.0,,32.674,532.32,55
LOCAL,69105,PR BIOPSY EXTERNAL AUDITORY CANAL,537.0,,48.1988,532.32,55
LOCAL,69110,PR EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR,2042.0,,199.36,2124.11,55
LOCAL,69120,PR EXCISION EXTERNAL EAR COMPLETE AMPUTATION,4814.0,,145.82,4955.7,55
LOCAL,69145,PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL,1766.0,,167.66,1501.1,55
LOCAL,69150,PR RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ,6130.0,,741.6948,5309.42,55
LOCAL,69155,PR RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ,7562.0,,1178.16,7787.27,55
LOCAL,69200,PR RMVL FB XTRNL AUDITORY CANAL W/O ANES,416.0,,35.4108,389.79,55
LOCAL,69205,PR RMVL FB XTRNL AUDITORY CANAL ANES,1502.0,,70.5824,1557.45,55
LOCAL,69209,PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,90.0,,11.5552,81.0,50
LOCAL,69210,PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT,238.0,,23.6072,202.3,55
LOCAL,69220,PR DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE,380.0,,38.364,323.0,55
LOCAL,69222,PR DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX,920.0,,67.64,956.45,55
LOCAL,69300,PR OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ,4470.0,,351.1732,4600.24,50
LOCAL,69310,PR RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX,6466.0,,671.65,6724.36,55
LOCAL,69320,PR RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG,6530.0,,1028.42,6724.36,55
LOCAL,69420,PR MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ,926.0,,64.03,817.37,55
LOCAL,69421,PR MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES,1087.0,,92.04,1116.15,55
LOCAL,69424,PR VENTILATING TUBE RMVL REQUIRING GENERAL ANES,715.0,,45.494,743.52,55
LOCAL,69433,PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA,1076.0,,92.76,1116.15,55
LOCAL,69436,PR TYMPANOSTOMY GENERAL ANESTHESIA,1430.0,,119.2688,1487.06,55
LOCAL,69440,PR MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC,4689.0,,509.3028,4826.91,55
LOCAL,69450,PR TYMPANOLYSIS TRANSCANAL,4854.0,,403.3096,4826.91,55
LOCAL,69502,PR MASTOIDECTOMY COMPLETE,6661.0,,696.2008,6908.09,55
LOCAL,69505,PR MASTOIDECTOMY MODIFIED RADICAL,7283.0,,906.99,7500.51,55
LOCAL,69511,PR MASTOIDECTOMY RADICAL,8322.0,,928.3536,8570.3,55
LOCAL,69530,PR PETROUS APICECTOMY RADICAL MASTOIDECTOMY,10403.0,,1160.82,10713.28,55
LOCAL,69535,PR RESCJ TEMPORAL BONE EXTERNAL APPROACH,15622.0,,1966.3804,13278.7,55
LOCAL,69540,PR EXCISION AURAL POLYP,871.0,,81.09,892.91,55
LOCAL,69550,PR EXCISION AURAL GLOMUS TUMOR TRANSCANAL,7213.0,,785.22,7426.67,55
LOCAL,69552,PR EXCISION AURAL GLOMUS TUMOR TRANSMASTOID,8322.0,,1171.3164,8570.3,55
LOCAL,69554,PR EXCISION AURAL GLOMUS TUMOR EXTENDED,10817.0,,1802.32,11140.86,55
LOCAL,69601,PR REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY,5411.0,,750.5452,5572.14,55
LOCAL,69602,PR REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC,8654.0,,801.458,8911.99,55
LOCAL,69603,PR REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY,8654.0,,948.52,8911.99,55
LOCAL,69604,PR REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY,8322.0,,819.1588,8570.3,55
LOCAL,69631,PR TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ,7712.0,,654.6444,8020.81,55
LOCAL,69632,PR TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ,9108.0,,796.536,9061.39,55
LOCAL,69633,PR TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP,9704.0,,775.882,9655.53,55
LOCAL,69635,PR TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ,9016.0,,933.85,9284.62,55
LOCAL,69636,PR TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ,9593.0,,1039.9956,9878.76,55
LOCAL,69637,PR TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP,10451.0,,1035.5704,10399.05,55
LOCAL,69641,PR TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ,9693.0,,767.5192,9641.78,55
LOCAL,69642,PR TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ,10240.0,,984.4184,10546.72,55
LOCAL,69643,PR TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR,9999.0,,900.5604,10399.05,55
LOCAL,69644,PR TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR,10672.0,,1114.0188,10991.47,55
LOCAL,69645,PR TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR,10078.0,,1093.3648,10028.14,55
LOCAL,69646,PR TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR,10458.0,,1156.5688,10769.95,55
LOCAL,69650,PR STAPES MOBILIZATION,5052.0,,592.1764,5201.24,55
LOCAL,69660,PR STAPEDECTOMY/STAPEDOTOMY,8019.0,,681.6924,8319.58,55
LOCAL,69661,PR STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT,8363.0,,887.7724,8319.58,55
LOCAL,69662,PR REVISION STAPEDECTOMY/STAPEDOTOMY,9664.0,,848.6724,9952.6,55
LOCAL,69670,PR MASTOID OBLITERATION SEPARATE PROCEDURE,8569.0,,695.9524,8911.99,55
LOCAL,69710,PR IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE,5363.0,,316.76,4558.55,40
LOCAL,69711,PR RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE,5363.0,,589.11,5520.63,55
LOCAL,69714,PR IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP,7058.0,,367.1628,7576.06,55
LOCAL,69716,PR IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP<100,5975.0,,459.6228,5377.5,53
LOCAL,69717,PR RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP,7575.0,,415.61,7801.01,53
LOCAL,69719,PR RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP<100,5975.0,,477.0844,5377.5,55
LOCAL,69720,PR DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION,9406.0,,871.2952,8911.99,55
LOCAL,69725,PR DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE,14423.0,,1267.6,14855.05,55
LOCAL,69726,PR REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP,3627.0,,353.142,3264.3,53
LOCAL,69727,PR REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP<100,4360.0,,393.9624,3924.0,53
LOCAL,69801,PR LABYRINTHOTOMY TRANSCANAL,6428.0,,92.2208,6684.86,55
LOCAL,69805,PR ENDOLYMPHATIC SAC W/O SHUNT,8654.0,,759.8924,8911.99,55
LOCAL,69806,PR ENDOLYMPHATIC SAC SHUNT,10385.0,,679.236,10696.12,55
LOCAL,69905,PR LABYRINTHECTOMY TRANSCANAL,7213.0,,676.5312,7426.67,55
LOCAL,69910,PR LABYRINTHECTOMY W/MASTOIDECTOMY,8614.0,,730.388,8570.3,55
LOCAL,69930,PR COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY,11867.0,,894.6632,10399.05,55
LOCAL,69955,PR TOTAL FACIAL NERVE DECOMPRESSION &/REPAIR,14423.0,,1447.9788,14855.05,55
LOCAL,69990,PR MICROSURG TQS REQ USE OPERATING MICROSCOPE,2743.0,,160.3376,2331.55,50
LOCAL,7,Stem Cell Transplant- Tandem Auto to Auto 1st Attempt,,,82500.0,82500.0,1
LOCAL,70010,PR MYELOGRAPY POST FOSSA RS&I,330.0,,16.238,297.0,53
LOCAL,70015,PR CISTERNOGRAPHY POSITIVE CONTRAST RS&I,346.0,,34.67,294.1,55
LOCAL,70030,PR RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,91.0,,5.45,85.86,55
LOCAL,70100,PR RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS,81.0,,5.11,68.85,55
LOCAL,70110,PR RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS,131.0,,8.06,111.35,55
LOCAL,70120,PR RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE,57.0,,6.394,54.95,55
LOCAL,70130,PR RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,102.0,,10.4,106.46,55
LOCAL,70134,PR RADEX INTERNAL AUDITORY MEATI COMPLETE,209.0,,12.0,177.65,55
LOCAL,70140,PR RADEX FACIAL BONES < 3 VIEWS,96.0,,6.8816,81.6,55
LOCAL,70150,PR RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS,133.0,,9.0988,113.05,55
LOCAL,70160,PR RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS,84.0,,4.99,71.4,55
LOCAL,70170,PR DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I,85.0,,10.5708,84.14,55
LOCAL,70190,PR RADEX OPTIC FORAMINA,105.0,,7.866,89.25,55
LOCAL,70200,PR RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,104.0,,9.8348,101.3,55
LOCAL,70210,PR RADEX SINUSES PARANASAL <3 VIEWS,81.0,,6.1456,68.85,55
LOCAL,70220,PR RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS,135.0,,7.6268,114.75,55
LOCAL,70240,PR RADIOLOGIC EXAMINATION SELLA TURCICA,67.0,,6.6424,68.68,55
LOCAL,70250,PR RADIOLOGIC EXAMINATION SKULL 4< VIEWS,90.0,,6.394,80.7,53
LOCAL,70260,PR RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS,136.0,,9.8348,115.6,55
LOCAL,70300,PR RADIOLOGIC EXAMINATION TEETH 1 VIEW,40.0,,3.6892,34.0,55
LOCAL,70310,PR RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH,79.0,,4.24,67.15,55
LOCAL,70320,PR RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH,121.0,,7.24,116.77,55
LOCAL,70328,PR RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT,142.0,,6.15,120.7,55
LOCAL,70330,PR RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,142.0,,7.73,147.68,55
LOCAL,70332,PR TEMPOROMANDBLE JT ARTHROGRAPHY RS&I,200.0,,18.6944,202.63,55
LOCAL,70336,PR MRI TEMPOROMANDIBULAR JOINT,553.0,,50.9036,503.13,55
LOCAL,70350,PR CEPHALOGRAM ORTHODONTIC,114.0,,6.1456,96.9,55
LOCAL,70355,PR ORTHOPANTOGRAM,129.0,,7.13,109.89,55
LOCAL,70360,PR RADIOLOGIC EXAMINATION NECK SOFT TISSUE,84.0,,6.394,77.27,55
LOCAL,70370,PR RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ,163.0,,8.61,170.0,55
LOCAL,70371,PR CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC,417.0,,30.2496,354.45,55
LOCAL,70380,PR RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS,93.0,,5.9064,92.73,55
LOCAL,70390,PR SIALOGRAPHY RS&I,166.0,,11.4,164.86,55
LOCAL,70450,PR CT HEAD/BRAIN W/O CONTRAST MATERIAL,340.0,,29.2652,327.98,55
LOCAL,70460,PR CT HEAD/BRAIN W/CONTRAST MATERIAL,410.0,,39.1,377.77,55
LOCAL,70470,PR CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,494.0,,44.022,453.32,55
LOCAL,70471,PR CTA HEAD&NECK C+ W/NONCONTRAST IMG&POST-PXESSING,1316.0,,102.493,1184.4,33
LOCAL,70472,PR CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY,405.0,,31.603,364.5,33
LOCAL,70473,PR CT CERE PRFUJ ALYS C+ W/O CT/CTA SAME ANATOMY,526.0,,41.1145,473.4,33
LOCAL,70480,PR CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL,486.0,,44.5096,413.1,55
LOCAL,70481,PR CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL,528.0,,39.1,448.8,55
LOCAL,70482,PR CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR,613.0,,43.7736,521.05,55
LOCAL,70486,PR CT MAXILLOFACIAL W/O CONTRAST MATERIAL,424.0,,29.5136,360.4,55
LOCAL,70487,PR CT MAXILLOFACIAL W/CONTRAST MATERIAL,494.0,,38.8516,419.9,55
LOCAL,70488,PR CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL,674.0,,43.7736,572.9,55
LOCAL,70490,PR CT SOFT TISSUE NECK W/O CONTRAST MATERIAL,476.0,,44.2612,404.6,55
LOCAL,70491,PR CT SOFT TISSUE NECK W/CONTRAST MATERIAL,515.0,,47.7112,437.75,55
LOCAL,70492,PR CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,790.0,,55.5772,671.5,55
LOCAL,70496,PR CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,670.0,,60.2508,582.11,55
LOCAL,70498,PR CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,834.0,,60.2508,708.9,55
LOCAL,70540,PR MRI ORBIT FACE &/NECK W/O CONTRAST,723.0,,46.4784,650.8,55
LOCAL,70542,PR MRI ORBIT FACE & NECK W/CONTRAST MATERIAL,766.0,,55.8256,746.96,55
LOCAL,70543,PR MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,1073.0,,74.0232,912.05,55
LOCAL,70544,PR MRA HEAD W/O CONTRST MATERIAL,585.0,,41.3172,525.45,55
LOCAL,70545,PR MRA HEAD W/CONTRAST MATERIAL,689.0,,41.3172,619.9,55
LOCAL,70546,PR MRA HEAD W/O & W/CONTRAST MATERIAL,826.0,,51.152,741.8,55
LOCAL,70547,PR MRA NECK W/O CONTRST MATERIAL,597.0,,41.3172,525.45,55
LOCAL,70548,PR MRA NECK W/CONTRAST MATERIAL,689.0,,51.888,619.9,55
LOCAL,70549,PR MRA NECK W/O &W/CONTRAST MATERIAL,1010.0,,61.9712,858.5,55
LOCAL,70551,PR MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL,676.0,,51.152,607.87,55
LOCAL,70552,PR MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,776.0,,61.4836,698.88,55
LOCAL,70553,PR MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL,1195.0,,78.936,1068.69,55
LOCAL,70554,PR MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION,1098.0,,73.2872,933.3,55
LOCAL,70555,PR MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION,1258.0,,86.0752,1084.26,55
LOCAL,70557,PR MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL,982.0,,110.6668,1018.06,55
LOCAL,70558,PR MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL,1089.0,,121.9736,1075.71,55
LOCAL,70559,PR MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST,1416.0,,114.5952,1473.1,55
LOCAL,71000001,HC RECOVERY ROOM TIER1 INITIAL 1/2 HR,477.0,,133.56,410.22,83
LOCAL,71000002,HC RECOVERY ROOM TIER1 EACH ADDL � HR 1 � 8,230.0,,64.4,197.8,83
LOCAL,71000003,HC RECOVERY ROOM TIER2 1 HR,1736.0,,486.08,1492.96,83
LOCAL,71000004,HC RECOVERY ROOM TIER2 EACH � HR 1.5 � 3,501.0,,140.28,430.86,83
LOCAL,71000005,HC RECOVERY ROOM TIER2 EACH � HR 3.5 - 12,181.0,,50.68,155.66,83
LOCAL,71045,PR RADIOLOGIC EXAM CHEST SINGLE VIEW,98.0,,6.1456,88.2,55
LOCAL,71046,PR RADIOLOGIC EXAM CHEST 2 VIEWS,121.0,,7.6268,108.9,55
LOCAL,71048,PR RADIOLOGIC EXAM CHEST 4+ VIEWS,160.0,,10.5708,144.0,55
LOCAL,71100,PR RADEX RIBS UNILATERAL 2 VIEWS,86.0,,7.6268,85.86,55
LOCAL,71101,PR RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS,98.0,,9.3472,97.87,55
LOCAL,71110,PR RADEX RIBS BILATERAL 3 VIEWS,109.0,,10.0832,104.75,55
LOCAL,71111,PR RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,146.0,,11.316,124.1,55
LOCAL,71120,PR RADEX STERNUM MINIMUM 2 VIEWS,85.0,,6.8816,75.55,55
LOCAL,71130,PR RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,92.0,,7.6268,89.29,55
LOCAL,71250,PR DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST,472.0,,37.3796,410.39,55
LOCAL,71260,PR DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST,502.0,,40.3328,468.79,53
LOCAL,71270,PR DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+,641.0,,43.0376,564.94,53
LOCAL,71271,PR COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-,573.0,,37.3796,515.7,51
LOCAL,71275,PR CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,808.0,,62.7072,692.02,55
LOCAL,71550,PR MRI CHEST W/O CONTRAST MATERIAL,914.0,,50.416,776.9,55
LOCAL,71551,PR MRI CHEST W/CONTRAST MATERIAL,1049.0,,59.7632,891.65,55
LOCAL,71552,PR MRI CHEST W/O & W/CONTRAST MATERIAL,1306.0,,77.9608,1110.1,55
LOCAL,71555,PR MRA CHEST W/O & W/CONTRAST MATERIAL,932.0,,61.7228,792.2,50
LOCAL,72020,PR RADEX SPINE 1 VIEW SPECIFY LEVEL,69.0,,5.658,65.25,55
LOCAL,72040,PR RADEX SPINE CERVICAL 2 OR 3 VIEWS,105.0,,7.42,94.45,55
LOCAL,72050,PR RADEX SPINE CERVICAL 4 OR 5 VIEWS,153.0,,9.3472,130.05,55
LOCAL,72052,PR RADEX SPINE CERVICAL 6 OR MORE VIEWS,138.0,,10.5708,142.52,55
LOCAL,72070,PR RADEX SPINE THORACIC 2 VIEWS,108.0,,7.13,91.8,55
LOCAL,72072,PR RADEX SPINE THORACIC 3 VIEWS,113.0,,7.866,96.17,55
LOCAL,72074,PR RADEX SPINE THORACIC MINIMUM 4 VIEWS,117.0,,8.6112,111.61,55
LOCAL,72080,PR RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS,163.0,,7.3784,138.55,55
LOCAL,72081,PR RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,156.0,,9.0988,140.4,55
LOCAL,72082,PR RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,162.0,,11.0676,145.8,55
LOCAL,72083,PR RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,193.0,,12.5396,173.7,55
LOCAL,72084,PR RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,205.0,,14.5084,184.5,55
LOCAL,72100,PR RADEX SPINE LUMBOSACRAL 2/3 VIEWS,111.0,,7.866,94.35,55
LOCAL,72110,PR RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS,142.0,,9.0988,125.36,55
LOCAL,72114,PR RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6,162.0,,10.5708,157.98,55
LOCAL,72120,PR RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS,126.0,,7.866,121.93,55
LOCAL,72125,PR CT CERVICAL SPINE W/O CONTRAST MATERIAL,425.0,,34.4264,394.95,55
LOCAL,72126,PR CT CERVICAL SPINE W/CONTRAST MATERIAL,534.0,,42.0532,453.9,55
LOCAL,72127,PR CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL,617.0,,43.7736,544.34,55
LOCAL,72128,PR CT THORACIC SPINE W/O CONTRAST MATERIAL,429.0,,34.4264,394.95,55
LOCAL,72129,PR CT THORACIC SPINE W/CONTRAST MATERIAL,458.0,,42.3016,451.61,55
LOCAL,72130,PR CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,649.0,,44.022,551.65,55
LOCAL,72131,PR CT LUMBAR SPINE W/O CONTRAST MATERIAL,436.0,,34.4264,394.95,55
LOCAL,72132,PR CT LUMBAR SPINE W/CONTRAST MATERIAL,468.0,,42.0532,451.61,55
LOCAL,72133,PR CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,612.0,,43.7736,544.34,55
LOCAL,72141,PR MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL,770.0,,51.152,654.5,55
LOCAL,72142,PR MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,747.0,,61.9712,667.96,55
LOCAL,72146,PR MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL,764.0,,51.152,649.4,55
LOCAL,72147,PR MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,822.0,,61.4836,729.79,55
LOCAL,72148,PR MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL,793.0,,51.4004,674.05,55
LOCAL,72149,PR MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,752.0,,61.7228,692.02,55
LOCAL,72156,PR MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL,1206.0,,79.1844,1079.63,55
LOCAL,72157,PR MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL,1206.0,,79.1844,1079.63,55
LOCAL,72158,PR MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL,1195.0,,79.1844,1069.17,55
LOCAL,72159,PR MRA SPINAL CANAL W/WO CONTRAST MATERIAL,728.0,,62.2196,645.65,50
LOCAL,72170,PR RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS,94.0,,6.1456,80.7,55
LOCAL,72190,PR RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS,127.0,,8.8504,107.95,55
LOCAL,72191,PR CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,621.0,,61.7228,576.97,55
LOCAL,72192,PR CT PELVIS W/O CONTRAST MATERIAL,405.0,,37.628,344.25,55
LOCAL,72193,PR CT PELVIS W/CONTRAST MATERIAL,463.0,,40.0844,393.55,55
LOCAL,72194,PR CT PELVIS W/O & W/CONTRAST MATERIAL,650.0,,41.8048,552.5,55
LOCAL,72195,PR MRI PELVIS W/O CONTRAST MATERIAL,656.0,,50.6552,594.14,55
LOCAL,72196,PR MRI PELVIS W/CONTRAST MATERIAL,740.0,,59.5148,683.43,55
LOCAL,72197,PR MRI PELVIS W/O & W/CONTRAST MATERIAL,1095.0,,75.7436,930.75,55
LOCAL,72198,PR MRA PELVIS W/WO CONTRAST MATERIAL,720.0,,61.4836,621.61,55
LOCAL,72200,PR RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS,91.0,,5.9064,85.86,55
LOCAL,72202,PR RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,117.0,,7.28,101.3,55
LOCAL,72220,PR RADEX SACRUM & COCCYX MINIMUM 2 VIEWS,101.0,,6.1456,85.86,55
LOCAL,72240,PR MYELOGRAPHY CERVICAL RS&I,449.0,,31.7216,384.64,55
LOCAL,72255,PR MYELOGRAPHY THORACIC RS&I,719.0,,31.4824,611.15,55
LOCAL,72265,PR MYELOGRAPY LUMBOSACRAL RS&I,395.0,,29.0168,377.77,55
LOCAL,72270,PR MYELOGRAPY 2/MORE REGIONS RS&I,642.0,,47.4628,545.7,55
LOCAL,72285,PR DISKOGRAPY CERVICAL/THORACIC RS&I,649.0,,40.5812,606.16,55
LOCAL,72295,PR DISKOGRAPY LUMBAR RS&I,582.0,,28.7684,571.81,55
LOCAL,73000,PR RADEX CLAVICLE COMPLETE,86.0,,5.9064,82.43,55
LOCAL,73000001,HC ELECTROCARDIOGRAM-RESTING,365.0,,10.09,313.9,85
LOCAL,73000002,HC SIGNAL AVG EKG,428.0,,31.74,368.08,83
LOCAL,73010,PR RADEX SCAPULA COMPLETE,92.0,,6.394,87.58,55
LOCAL,73020,PR RADEX SHOULDER 1 VIEW,80.0,,5.4096,75.55,55
LOCAL,73030,PR RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS,100.0,,6.6424,92.73,55
LOCAL,73040,PR RADEX SHOULDER ARTHROGRAPHY RS&I,278.0,,18.78,236.3,55
LOCAL,73050,PR RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ,81.0,,6.6424,82.43,55
LOCAL,73060,PR RADEX HUMERUS MINIMUM 2 VIEWS,85.0,,5.658,77.27,55
LOCAL,73070,PR RADEX ELBOW 2 VIEWS,85.0,,5.9064,72.25,55
LOCAL,73080,PR RADEX ELBOW COMPLETE MINIMUM 3 VIEWS,89.0,,6.1456,77.27,55
LOCAL,73085,PR RADEX ELBOW ARTHROGRAPHY RS&I,430.0,,18.6944,365.5,55
LOCAL,73090,PR RADEX FOREARM 2 VIEWS,70.0,,5.658,66.96,55
LOCAL,73092,PR RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS,71.0,,5.85,70.41,51
LOCAL,73100,PR RADEX WRIST 2 VIEWS,86.0,,5.85,73.1,55
LOCAL,73100001,HC WEARABLE HOLTER MONITOR RECORDING 12-48 HRS,275.0,,28.81,236.5,85
LOCAL,73100002,HC WEARABLE HOLTER MONITOR SCANNING ANALYSIS W/REPORT 12 - 48 HRS,1491.0,,55.85,1282.26,85
LOCAL,73100003,HC ECG RECORDING 24HR 30DAY,335.0,,13.21,288.1,85
LOCAL,73100004,HC WEAR ECG/MNTR TRNSM&ANALY,335.0,,93.8,288.1,85
LOCAL,73100005,HC EXT ECG > 48HR TO 21 DAY RCRD W/CONECT INTL RCRD,266.0,,18.93,228.76,85
LOCAL,73100006,HC EXT ECG > 48HR TO 21 DAY SCAN ANALYSIS W/REPORT,1687.0,,156.3195,1450.82,85
LOCAL,73110,PR RADEX WRIST COMPLETE MINIMUM 3 VIEWS,89.0,,5.05,75.65,55
LOCAL,73115,PR RADEX WRIST ARTHROGRAPHY RS&I,154.0,,15.38,154.54,55
LOCAL,73120,PR RADEX HAND 2 VIEWS,88.0,,5.85,74.8,55
LOCAL,73130,PR RADEX HAND MINIMUM 3 VIEWS,89.0,,5.05,75.65,55
LOCAL,73140,PR RADEX FINGR MINIMUM 2 VIEWS,60.0,,3.0,53.24,55
LOCAL,73200,PR CT UPPER EXTREMITY W/O CONTRAST MATERIAL,364.0,,34.4264,309.4,55
LOCAL,73201,PR CT UPPER EXTREMITY W/CONTRAST MATERIAL,422.0,,40.0844,358.7,55
LOCAL,73202,PR CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,458.0,,41.8048,410.39,55
LOCAL,73206,PR CT ANGIOGRAPHY UPPER EXTREMITY,683.0,,61.7228,580.55,55
LOCAL,73218,PR MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,700.0,,46.9752,595.0,55
LOCAL,73219,PR MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,525.0,,56.074,544.34,55
LOCAL,73220,PR MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS,792.0,,74.2716,673.2,55
LOCAL,73221,PR MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL,552.0,,46.9752,530.59,55
LOCAL,73222,PR MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,721.0,,56.3132,612.85,55
LOCAL,73223,PR MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,1081.0,,74.5108,918.85,55
LOCAL,73225,PR MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,683.0,,59.7632,580.55,50
LOCAL,73501,PR RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,95.0,,6.6424,85.5,55
LOCAL,73502,PR RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,122.0,,7.866,109.8,55
LOCAL,73503,PR RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,140.0,,9.5864,126.0,55
LOCAL,73521,PR RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,117.0,,7.866,105.3,55
LOCAL,73522,PR RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,152.0,,10.3316,136.8,55
LOCAL,73523,PR RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,162.0,,11.0676,145.8,55
LOCAL,73525,PR RADEX HIP ARTHROGRAPHY RS&I,292.0,,18.78,248.2,55
LOCAL,73551,PR RADIOLOGIC EXAMINATION FEMUR 1 VIEW,86.0,,5.9064,77.4,55
LOCAL,73552,PR RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,95.0,,6.394,85.5,55
LOCAL,73560,PR RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,107.0,,5.9064,90.95,55
LOCAL,73562,PR RADIOLOGIC EXAMINATION KNEE 3 VIEWS,116.0,,5.45,98.6,55
LOCAL,73564,PR RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS,127.0,,7.68,107.95,55
LOCAL,73565,PR RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,102.0,,4.74,86.7,55
LOCAL,73580,PR RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I,339.0,,22.3744,288.15,55
LOCAL,73590,PR RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS,81.0,,5.658,75.55,55
LOCAL,73592,PR RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS,78.0,,5.85,75.55,51
LOCAL,73600,PR RADIOLOGIC EXAMINATION ANKLE 2 VIEWS,80.0,,5.658,70.41,55
LOCAL,73610,PR RADEX ANKLE COMPLETE MINIMUM 3 VIEWS,89.0,,6.1456,75.65,55
LOCAL,73615,PR RADEX ANKLE ARTHROGRAPHY RS&I,257.0,,18.78,218.45,55
LOCAL,73620,PR RADIOLOGIC EXAMINATION FOOT 2 VIEWS,78.0,,5.4096,70.41,55
LOCAL,73630,PR RADEX FOOT COMPLETE MINIMUM 3 VIEWS,87.0,,5.9064,73.95,55
LOCAL,73650,PR RADEX CALCANEUS MINIMUM 2 VIEWS,89.0,,5.658,75.65,55
LOCAL,73660,PR RADEX TOE MINIMUM 2 VIEWS,60.0,,4.0,56.67,55
LOCAL,73700,PR CT LOWER EXTREMITY W/O CONTRAST MATERIAL,384.0,,34.4264,326.4,55
LOCAL,73701,PR CT LOWER EXTREMITY W/CONTRAST MATERIAL,408.0,,40.0844,346.8,55
LOCAL,73702,PR CT LOWER EXTREMITY W/O & W/CONTRAST MATRL,925.0,,41.8048,786.25,55
LOCAL,73706,PR CT ANGIOGRAPHY LOWER EXTREMITY,688.0,,64.9244,584.8,55
LOCAL,73718,PR MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,704.0,,46.4784,598.4,55
LOCAL,73719,PR MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,620.0,,55.8256,635.34,55
LOCAL,73720,PR MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,948.0,,74.0232,805.8,55
LOCAL,73721,PR MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL,552.0,,46.9752,539.18,55
LOCAL,73722,PR MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL,864.0,,56.074,734.4,55
LOCAL,73723,PR MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL,893.0,,74.2716,759.05,55
LOCAL,73725,PR MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL,891.0,,61.9712,757.35,50
LOCAL,74000001,HC MULTIPLE SLEEP LATENCY TEST,3792.0,,677.95,3261.12,85
LOCAL,74000002,HC POLYSOMNOGRAPHY 4 OR MORE,5120.0,,979.88,4403.2,85
LOCAL,74000003,HC POLYSOMNOGRAPHY W/CPAP,5536.0,,1008.941,4760.96,85
LOCAL,74000004,HC EEG EXT MONIT 41-60MIN,2287.0,,253.69,1966.82,85
LOCAL,74000005,HC EEG EXTENDED MONITORING; 61-119 MIN,2409.0,,253.69,2071.74,85
LOCAL,74000006,HC EEG AWAKE AND DROWSY,1308.0,,253.69,1124.88,85
LOCAL,74000007,HC EEG AWAKE AND ASLEEP,1477.0,,253.69,1270.22,85
LOCAL,74000008,HC EEG COMA OR SLEEP ONLY,1481.0,,253.69,1273.66,85
LOCAL,74000009,HC EEG CEREBRAL DEATH EVAL,1371.0,,198.15,1179.06,85
LOCAL,74000011,HC ELECTROCORTICOGRAM,2142.0,,599.76,2773.8,84
LOCAL,74000012,HC BLINK REFLEX,423.0,,69.3105,363.78,85
LOCAL,74000015,HC EEG NONINTRACRANIAL SURG,790.0,,221.2,679.4,84
LOCAL,74000017,"HC DIGIT ANLY OF EEG,SPIKE ANLY",237.0,,66.36,461.24,84
LOCAL,74000018,HC SUB/CORTICAL MAP 1ST HR,785.0,,219.8,1008.941,85
LOCAL,74000019,HC SUB/CORTICAL MAP ADD HR,832.0,,232.96,715.52,84
LOCAL,74000022,HC SLEEP STUDY UNATT&RESP,889.0,,248.92,764.54,83
LOCAL,74000023,HC EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,3015.0,,253.69,2592.9,85
LOCAL,74000024,HC EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,1506.0,,253.69,1295.16,85
LOCAL,74000025,HC EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR,1506.0,,253.69,1295.16,85
LOCAL,74000026,HC EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR,1506.0,,253.69,1295.16,85
LOCAL,74000027,HC VEEG BY TECH 2-12 HOURS UNMONITORED,1885.0,,253.69,1621.1,85
LOCAL,74000028,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,1885.0,,438.426,1621.1,85
LOCAL,74000029,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,1885.0,,438.426,1621.1,85
LOCAL,74000032,HC EEG W/O VIDEO BY TECH EA INCR 12-26HR UNMONITORED,3015.0,,438.426,2592.9,85
LOCAL,74000033,HC EEG W/O VIDEO BY TECH EA INCR 12-26 HR INTERMITTENT & MNTR,3015.0,,438.426,2592.9,85
LOCAL,74000034,HC EEG W/O VIDEO TECH EA INCR 12-26 HR CONT R-T MNTR,3015.0,,438.426,2592.9,85
LOCAL,74000035,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,3766.0,,438.426,3238.76,85
LOCAL,74000036,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT & MNTR,4142.0,,438.426,3562.12,85
LOCAL,74000037,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,4142.0,,1008.941,3562.12,85
LOCAL,74000046,HC SLEEP STUDY UNATTENDED W/HRT RATE/O2 SAT/RESP/SLEEP TIME,562.0,,157.36,483.32,85
LOCAL,74018,PR RADIOLOGIC EXAM ABDOMEN 1 VIEW,98.0,,6.394,88.2,55
LOCAL,74019,PR RADIOLOGIC EXAM ABDOMEN 2 VIEWS,126.0,,7.866,113.4,55
LOCAL,74021,PR RADIOLOGIC EXAM ABDOMEN 3+ VIEWS,145.0,,9.3472,130.5,55
LOCAL,74022,PR RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES,138.0,,11.0676,133.95,55
LOCAL,74150,PR CT ABDOMEN W/O CONTRAST MATERIAL,502.0,,41.0688,426.7,55
LOCAL,74160,PR CT ABDOMEN W/CONTRAST MATERIAL,460.0,,44.022,461.91,55
LOCAL,74170,PR CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL,535.0,,48.1988,554.64,55
LOCAL,74174,PR CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING,1079.0,,75.4952,971.1,55
LOCAL,74175,PR CTA ABDOMEN W/CONTRAST&IMG POSTPROCESSING,797.0,,62.468,686.86,55
LOCAL,74176,PR CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL,838.0,,60.0024,754.2,55
LOCAL,74177,PR CT ABDOMEN & PELVIS W/CONTRAST MATERIAL,876.0,,62.7072,788.4,55
LOCAL,74178,PR CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH,967.0,,69.1012,870.3,55
LOCAL,74181,PR MRI ABDOMEN W/O CONTRAST MATERIAL,713.0,,50.416,606.05,55
LOCAL,74182,PR MRI ABDOMEN W/CONTRAST MATERIAL,864.0,,59.5148,734.4,55
LOCAL,74183,PR MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST,1084.0,,75.7436,921.4,55
LOCAL,74185,PR MRA ABDOMEN W/WO CONTRAST MATERIAL,746.0,,61.4836,634.1,50
LOCAL,74190,PR PERITONEOGRAM RS&I,164.0,,15.9804,139.4,55
LOCAL,74210,PR RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY,169.0,,16.49,147.68,55
LOCAL,74220,PR RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY,167.0,,17.97,154.54,55
LOCAL,74221,PR RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY,365.0,,24.104,328.5,55
LOCAL,74230,PR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY,193.0,,13.51,188.89,55
LOCAL,74235,PR RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I,320.0,,41.0688,327.98,55
LOCAL,74240,PR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,218.0,,24.0,206.06,55
LOCAL,74246,PR RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,287.0,,25.83,243.95,55
LOCAL,74248,PR RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,365.0,,24.104,328.5,55
LOCAL,74250,PR RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,195.0,,19.23,173.43,55
LOCAL,74251,PR RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY,483.0,,10.58,410.55,55
LOCAL,74261,PR CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,1197.0,,82.6252,1077.3,55
LOCAL,74262,PR CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,1240.0,,86.3144,1116.0,55
LOCAL,74263,PR CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,1089.0,,78.936,980.1,55
LOCAL,74270,PR RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,253.0,,26.43,242.13,55
LOCAL,74280,PR RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,406.0,,29.79,345.1,55
LOCAL,74283,PR THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,523.0,,70.83,444.55,55
LOCAL,74290,PR CHOLECYSTOGRAPHY ORAL CONTRST,125.0,,7.82,125.36,55
LOCAL,74300,PR CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I,134.0,,9.5864,130.51,55
LOCAL,74301,PR CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS,139.0,,5.05,118.15,55
LOCAL,74328,PR ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I,367.0,,16.7256,362.33,55
LOCAL,74329,PR ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I,347.0,,16.9648,360.61,55
LOCAL,74330,PR CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I,374.0,,19.6696,382.93,55
LOCAL,74340,PR INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I,291.0,,18.446,247.35,55
LOCAL,74355,PR PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I,415.0,,26.312,352.75,55
LOCAL,74360,PR INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I,369.0,,19.6696,377.77,55
LOCAL,74363,PR PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I,454.0,,30.0012,385.9,55
LOCAL,74400,PR UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY,187.0,,11.64,188.89,53
LOCAL,74410,PR UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE,252.0,,12.93,214.2,53
LOCAL,74415,PR UROGRAPHY NFS DRIP &/BOLUS W/NEPHROTOMOGRAPHY,261.0,,13.75,226.66,53
LOCAL,74420,PR UROGRAPHY RETROGRADE WITH/WO KUB,287.0,,17.71,243.95,53
LOCAL,74425,PR ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ & INTERPJ,171.0,,11.77,145.35,55
LOCAL,74430,PR CYSTOGRAPHY MINIMUM 3 VIEWS RS&I,166.0,,11.0676,141.1,55
LOCAL,74440,PR VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I,124.0,,10.95,116.77,55
LOCAL,74445,PR CORPORA CAVERNOSOGRAPY RS&I,757.0,,38.8516,643.45,55
LOCAL,74450,PR URETHROCYSTOGRAPHY RETROGRADE RS&I,163.0,,11.316,138.55,55
LOCAL,74455,PR URETHROCYSTOGRAPHY VOIDING RS&I,165.0,,10.01,151.11,55
LOCAL,74470,PR RADEX RENAL CYST STUDY TRANSLUMBAR RS&I,215.0,,17.9492,182.75,55
LOCAL,74485,PR DILATION URETERS/URETHRA RS&I,428.0,,28.2808,363.8,55
LOCAL,74740,PR HYSTEROSALPINGOGRAPHY RS&I,192.0,,12.04,163.2,55
LOCAL,74742,PR TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I,193.0,,24.259,164.05,47
LOCAL,75000001,HC ESOPHAGOSCOPY,2804.0,,176.22,2411.44,85
LOCAL,75000002,HC ESOPH W/DIREC SUB INJ,2220.0,,206.7,2254.5405,85
LOCAL,75000003,HC ESOPH W/ BIOP,2947.0,,205.15,2534.42,85
LOCAL,75000004,HC ESOPH W/INJ SCLEROS,3356.0,,266.78,2886.16,85
LOCAL,75000005,HC ESOPH W/ BAND LIGAT,3227.0,,279.02,2775.22,85
LOCAL,75000006,HC ESOPH WOPTC ENDMC CELVSIO,13383.0,,261.96,11509.38,85
LOCAL,75000007,HC ESOPH W/ENDO MUCOSL RESEC,10450.0,,463.36,8987.0,85
LOCAL,75000008,HC ESOPH W/ STENT PLACEMENT,7780.0,,377.7,7132.7485,85
LOCAL,75000009,HC ESOPH W/DIL BLLN/DIL RTRO,3281.0,,519.36,2821.66,85
LOCAL,75000010,HC ESOPH W/DILAT BALLN>30MM,9518.0,,387.91,8185.48,85
LOCAL,75000011,HC ESOPH W/ FOR BOD REMV,3412.0,,282.67,2934.32,85
LOCAL,75000012,HC ESOPH W/PLYP HTBX/BPCAUT,2779.0,,264.17,2389.94,85
LOCAL,75000013,HC ESOPH W/POLYPECT SNARE,2803.0,,316.54,2410.58,85
LOCAL,75000014,HC ESOPH W/BALLN DIL<30MM,3958.0,,234.85,3403.88,85
LOCAL,75000015,HC ESOPH W/DILATE,3421.0,,261.31,2942.06,85
LOCAL,75000016,HC ESOPHAG W/BLEED CONT,2052.0,,327.35,2254.5405,85
LOCAL,75000017,HC ESOPH W/ABLATION OF TUMOR,6086.0,,389.76,5233.96,85
LOCAL,75000018,HC ESOPHAGO W/US EXAM,3953.0,,310.19,3399.58,85
LOCAL,75000019,HC ESOPHAGO W/US GUIDE BX,6033.0,,392.92,5188.38,85
LOCAL,75000020,HC EGD W/DILAT BALLOON>30MM,3965.0,,457.23,3409.9,85
LOCAL,75000021,HC EGD,2938.0,,243.06,2526.68,85
LOCAL,75000022,"HC EGD,W/DIREC SUB INJECT",2719.0,,274.72,2338.34,85
LOCAL,75000023,HC UPP GI ENDO W/FNA/BIOP,4050.0,,457.9,3483.0,85
LOCAL,75000024,HC EGD W/ BX OR POLYPCT COLD,3432.0,,274.72,2951.52,85
LOCAL,75000025,HC EGD W/DRAIN PSEUDOCYST,3788.0,,773.68,7132.7485,85
LOCAL,75000026,HC EGD W/INTRALUMINAL TUBE/CATHETER INSERTION,2205.0,,282.69,2254.5405,85
LOCAL,75000027,HC UP GAST ENDO W/TRANS US,5145.0,,518.34,4424.7,85
LOCAL,75000028,HC EGD W/ INJECT SCLER VAR,3677.0,,471.32,3162.22,85
LOCAL,75000029,HC EGD W/ BAND LIGAT VAR,3834.0,,483.43,3297.24,85
LOCAL,75000030,HC EGD W/DIL GASTRIC OUTLET,3600.0,,349.37,3096.0,85
LOCAL,75000031,HC EGD W/PEG,4179.0,,399.8,3593.94,85
LOCAL,75000032,HC EGD W/ FOR BOD REMOVAL,3595.0,,334.95,3091.7,85
LOCAL,75000033,HC EGD W/DILATE,3131.0,,329.04,2692.66,85
LOCAL,75000034,HC EGD W/BALLN DILATE<30MM,4618.0,,304.42,3971.48,85
LOCAL,75000035,HC EGD W/POLYP HOT BX/BPCAUT,3052.0,,338.68,2624.72,85
LOCAL,75000036,HC EGD W/ POLYPECT-SNARE,3586.0,,387.28,3083.96,85
LOCAL,75000037,HC EGD W/OPTC ENDMC CELLVSIO,12971.0,,332.96,11155.06,85
LOCAL,75000039,HC EGD W/ENDO MUCOSL RESEC,8834.0,,532.54,7597.24,85
LOCAL,75000040,HC EGD W/ CONTROL BLEEDING,3490.0,,394.84,3001.4,85
LOCAL,75000041,HC EGD W/EUS EXAM,5064.0,,445.0,4355.04,85
LOCAL,75000042,HC ERCP,6554.0,,636.89,5636.44,85
LOCAL,75000043,HC ERCP W/ BIOPSY,5494.0,,668.55,4724.84,85
LOCAL,75000044,HC ERCP W/SPHINCTOMY/PAPILLO,6503.0,,703.6,5592.58,85
LOCAL,75000045,HC ERCP W/REMOV OF STONES,6153.0,,717.79,5291.58,85
LOCAL,75000046,HC ERCP W/LITHOTRIPSY,6795.0,,854.2,7132.7485,85
LOCAL,75000047,HC EGD W/ STENT PLACEMENT,9418.0,,431.61,8099.48,85
LOCAL,75000048,HC EGD W/ABLATION OF TUMOR,8358.0,,442.65,7187.88,85
LOCAL,75000049,HC ENDOS CANN PAP W/D VISUAL,6007.0,,234.76,5166.02,84
LOCAL,75000050,HC ERCP W/STENT PLACEMENT,11733.0,,912.95,10090.38,85
LOCAL,75000051,HC ERCP W/RMV FORGN BDY/STNT,9228.0,,742.03,7936.08,85
LOCAL,75000052,HC ERCP W/STENT RMV & EXCHG,11799.0,,950.47,10147.14,85
LOCAL,75000053,HC ERCP W/BALN DIL+SPHINCTRO,11326.0,,745.93,9740.36,85
LOCAL,75000054,HC ERCP W/ABLAT TUMR + DILAT,11677.0,,854.45,10042.22,85
LOCAL,75000056,HC GASTRIC LAVAGE SIMPLE,166.0,,43.81,253.69,85
LOCAL,75000057,HC SMALL BOWEL THROUGH STOMA,2317.0,,284.49,2254.5405,85
LOCAL,75000058,HC SMBWL WO ILUM WBX/PLYPCLD,3541.0,,313.28,3045.26,85
LOCAL,75000059,HC SM BOWEL ENDO W/FB REM,3864.0,,378.29,3323.04,85
LOCAL,75000060,HC SM BWL ENDO W/SNARE REM,3987.0,,402.91,3428.82,85
LOCAL,75000061,HC SMBWL W/PLYPCT HTBX/BPCT,4275.0,,360.44,3676.5,85
LOCAL,75000062,HC SM BWL W/BLEED CONTR,3500.0,,472.48,3010.0,85
LOCAL,75000063,HC SM BWL W/TUM ABL,6001.0,,484.08,5160.86,85
LOCAL,75000064,HC SM BWL ENDO W/GAST-JEJ,2131.0,,378.43,2254.5405,85
LOCAL,75000065,HC DX SM BOWEL W/ILEUM,2152.0,,558.88,2254.5405,85
LOCAL,75000066,HC SMBOWL ENDO W/BX/PLYPCCLD,2432.0,,564.97,2254.5405,85
LOCAL,75000067,HC SM BOWEL W/BLEED CONTR,4683.0,,564.97,4027.38,85
LOCAL,75000068,HC SM BWL ILEOSCPY THR STOMA,2804.0,,114.09,2411.44,85
LOCAL,75000069,HC SM BWL THRU STOMA W/BX,2804.0,,147.04,2411.44,85
LOCAL,75000070,HC SM BWL ENDO W/POUCH EVAL,2551.0,,145.65,2193.86,85
LOCAL,75000071,HC SM BWL ENDO W/EVAL &BX,2551.0,,177.43,2193.86,85
LOCAL,75000072,HC COLONOSCOPY THRU STOMA,3006.0,,311.46,2585.16,85
LOCAL,75000073,HC COLNSC STOMA W/BX/PLYPCLD,3277.0,,340.52,2818.22,85
LOCAL,75000074,HC COLON STOMA W/FB REM,2287.0,,328.5,1966.82,85
LOCAL,75000075,HC COLONOSC STOMA BLDNG TX,3009.0,,429.26,2587.74,85
LOCAL,75000076,HC CLNSC STMA WPLYP HBX/BPCT,3325.0,,400.44,2859.5,85
LOCAL,75000078,HC COLON STOMA SNARE POLYP,3570.0,,429.26,3070.2,85
LOCAL,75000079,HC UNLISTED PROC INTESTINE,6345.0,,1065.6245,5456.7,83
LOCAL,75000080,HC RIGID PROCTOSIGMOIDOSCOPY,1919.0,,82.5,1650.34,85
LOCAL,75000081,HC PROCTOSIGMOIDOSCOPY W/BX,2104.0,,147.04,1809.44,85
LOCAL,75000082,HC PROCTOSIG W/ FOR BDY REM,1353.0,,206.28,3261.147,85
LOCAL,75000083,HC FLEXIBLE SIGMOIDOSCOPY,1319.0,,113.04,1134.34,85
LOCAL,75000084,HC FLEX SIG W/ BIOPSY,2033.0,,143.79,1748.38,85
LOCAL,75000085,HC SIGMOID W/FB REM,1941.0,,209.96,1669.26,85
LOCAL,75000086,HC FLEX SIGMOID W/POLYP,2338.0,,188.47,2010.68,85
LOCAL,75000087,HC SIGMOID W/BLEED CONT,2813.0,,232.77,2419.18,85
LOCAL,75000088,HC FLEX SIGMOID W/SUBMUC INJ,1598.0,,133.11,1374.28,85
LOCAL,75000089,HC SIGMOID W/DCMP VOLVULUS,3353.0,,227.16,2883.58,85
LOCAL,75000090,HC SIGMOID W/SNARE POLYP,3013.0,,238.5,2591.18,85
LOCAL,75000092,HC SIGMOID FLEX DILAT BY BLN,2696.0,,156.29,2318.56,85
LOCAL,75000093,HC SIGMOID W/US EXAM,2812.0,,245.41,2418.32,85
LOCAL,75000094,HC SIGMOID W/US GUID BX,2996.0,,338.55,2576.56,85
LOCAL,75000096,HC COLONOSCOPY,3247.0,,328.5,2792.42,85
LOCAL,75000097,HC COLONOSC W/ FOR BDY REM,3236.0,,429.26,2782.96,85
LOCAL,75000098,HC COLON W/BX OR POLYPC COLD,3438.0,,396.92,2956.68,85
LOCAL,75000099,HC COLONOSFLEXW/SUBMUC INJ,3095.0,,396.27,2661.7,85
LOCAL,75000100,HC COLONOSCOPY W/BLEED CONT,3277.0,,429.26,2818.22,85
LOCAL,75000102,HC COLN W/PLYP HOTBX/BIPCAUT,3649.0,,429.26,3138.14,85
LOCAL,75000103,HC COLONOSC W/ POLYP SNARE,3833.0,,429.26,3296.38,85
LOCAL,75000104,HC COLONOS FLEX W/DILAT BLN,3794.0,,419.46,3262.84,85
LOCAL,75000106,HC CLNSCPY SPFLX W/EN US EXM,2898.0,,429.26,2492.28,85
LOCAL,75000107,HC CLNSCPY W/EN US FNA BX(S),2632.0,,429.26,2263.52,85
LOCAL,75000109,HC HEMORRHOID BANDING,673.0,,163.62,1092.615,85
LOCAL,75000110,HC INJ SCLEROSIS HEMORHOID,669.0,,187.32,1092.615,85
LOCAL,75000111,HC ANOSCOPY W/WO BRUSH/WASH,746.0,,82.94,641.56,85
LOCAL,75000112,HC ANOSCOPY W BIOPSY,2372.0,,152.51,2039.92,85
LOCAL,75000116,HC GI TRACT IMG ESOPH-ILEUM W/I&R,3678.0,,732.9,3163.08,85
LOCAL,75000117,HC GI SMARTPILL TRNS&PR MSMT,13469.0,,937.56,11583.34,84
LOCAL,75000118,HC CANCER SCREEN SIGMOID,1243.0,,95.43,1092.615,85
LOCAL,75000119,HC COLONOS SCRN HIGH RISK,3307.0,,308.82,2844.02,85
LOCAL,75000120,HC COLONOS SCRN NOT H RISK,3056.0,,309.59,2628.16,85
LOCAL,75000121,HC ANOSCOPY HIGH RESOLUTION,820.0,,187.98,705.2,85
LOCAL,75000122,HC ANOSCOPY HI RESOL BIOPSY,2310.0,,250.53,1986.6,85
LOCAL,75000123,HC ILEOSCP STOMA W/TE BLN DL,5828.0,,168.67,5012.08,85
LOCAL,75000125,HC COLONOSC STOMA W/ABL TUMR,4062.0,,478.21,3493.32,85
LOCAL,75000127,HC COLONOSCOPY STOMA W/ EMR,5702.0,,429.26,4903.72,85
LOCAL,75000128,HC COLNSC STOMAW/DR SBMUCINJ,3981.0,,340.52,3423.66,85
LOCAL,75000129,HC COLONOSC STOMA W/BALN DIL,4230.0,,362.39,3637.8,85
LOCAL,75000130,HC COLONOSCOPY STOMA W/ EUS,5549.0,,429.26,4772.14,85
LOCAL,75000131,HC COLONOSCP STOMA W/EUS FNA,5821.0,,429.26,5006.06,85
LOCAL,75000132,HC COLONOSC STOMA W/DECMPRSN,4920.0,,328.5,4231.2,85
LOCAL,75000133,HC SIGMOIDOSCOPY W/ABL TUMOR,4807.0,,317.72,4134.02,85
LOCAL,75000134,HC SIGMOIDOSCOPY W/STENT PLC,5638.0,,304.84,7132.7485,85
LOCAL,75000135,HC SIGMOIDOSCOPY WITH EMR,5274.0,,390.93,4535.64,85
LOCAL,75000136,HC SIGMOIDOSCPY W/BAND LIGAT,3396.0,,201.24,2920.56,85
LOCAL,75000137,HC COLONOSCOPY W/ABLT TUMOR,5372.0,,429.26,4619.92,85
LOCAL,75000138,HC COLONOSCOPY W/STENT PLCMT,5952.0,,571.89,7132.7485,85
LOCAL,75000139,HC COLONOSCOPY WITH EMR,6450.0,,656.3,5547.0,85
LOCAL,75000140,HC COLONOSCOPY W/DECOMPRESSN,4949.0,,429.26,4256.14,85
LOCAL,75000141,HC COLONOSCOPY W/BAND LIGAT,5315.0,,429.26,4570.9,85
LOCAL,75000142,HC UNLISTED PROCEDURE COLON,3828.0,,1071.84,3292.08,83
LOCAL,75000143,HC UPPER GI ENDO W/ULTRAS ESOPH,4720.0,,386.11,4059.2,85
LOCAL,75000144,HC EGD W/US GUIDED TRANSMURAL INJ/FIDUCIAL MARKER,7219.0,,517.69,6208.34,85
LOCAL,75000145,HC PREPARATION W/INSTILLATION FECAL MICROBIOTA W/ASSESS DONOR SPEC,3468.0,,971.04,2982.48,84
LOCAL,75000146,HC ANOSCOPY ABLATION LESION,1786.0,,181.83,3261.147,85
LOCAL,75000147,HC ESOPHAGEAL MOTILITY STUDY W/INTERP&REPORT (MANOSCAN HIGH RES),2053.0,,347.16,1765.58,85
LOCAL,75000148,HC GASTROESOPHAGEAL REFLUX TEST-BRAVO PILL W/TELEMTRY PH ELECTRODE,1984.0,,555.52,1706.24,85
LOCAL,75000149,HC PERCU REPLACEMENT GASTRO TUBE NOT REQ REVISION GASTRO TRACT WO IMGGUID,1122.0,,75.99,964.92,85
LOCAL,75000150,HC PERCU REPLACEMENT GASTRO TUBE REQUIRING REVIS GASTRO TRACT WO IMGGUID,1122.0,,110.15,964.92,85
LOCAL,75000151,HC UNLISTED PROC BILIARY TRACT - ERCP W/ AMPULLECTOMY/PAPILLOTOMY,6503.0,,1065.6245,5592.58,83
LOCAL,75000152,HC BREATH HYDROGEN/METHANE TEST,373.0,,104.44,320.78,85
LOCAL,75000153,HC ESOPHAGEAL BALLOON DISTENTION TEST (ENDO FLIP),1688.0,,438.426,1451.68,85
LOCAL,75000154,HC GASTROESOPHAGEAL REFLUX TEST W/NASAL CATH PH ELECTROD/DIGITRAPPER,1971.0,,300.71,1695.06,85
LOCAL,75000155,HC UNLISTED PROC ESOPHAGUS - CHROMOSCOPY ESOPHAGUS,2645.0,,740.6,2274.7,83
LOCAL,75000156,HC GASTROESOPHAG RFLX TEST W/INTRLUML IMPED ELTRD (MANOSCAN HI RES),1215.0,,253.69,1044.9,85
LOCAL,75000157,HC UNLISTED PROC - GE TUBE REPLACEMENT W/ OR W/O FLUORO,1403.0,,392.84,1206.58,83
LOCAL,75000158,HC UNLISTED PX - EGD VIA GASTROSTOMY SITE W/INSRT GW & PASS ESOPHAG DILATOR,3131.0,,876.68,2692.66,83
LOCAL,75000159,HC UNLISTED PX - EGD VIA GASTROSTOMY SITE W/ BIOPSY SINGLE/MULTIPLE,3432.0,,960.96,2951.52,83
LOCAL,75000161,HC LIVER ELASTOGRAPHY W/O IMAG W/I&R (FIBROSCAN),1181.0,,31.93,1015.66,85
LOCAL,75000162,"HC UNLISTED PX, ENDOSCOPIC TRACHEOESOPHAGEAL REPAIR",1371.0,,383.88,1179.06,83
LOCAL,75000163,"HC UNLISTED PX, COLON, ENDOSCOPIC COLO/RECTAL FISTULA REPAIR",1371.0,,383.88,1179.06,83
LOCAL,75000164,"HC UNLISTED PX, PANCREAS, ENDOSCOPIC PANCREATIC NECROSECTOMY",1905.0,,533.4,1638.3,83
LOCAL,75000165,"HC UNLISTED PX COLON, COLONOSCOPY W/ LIGATURE POLYP",5522.0,,1092.615,4748.92,83
LOCAL,75000166,"HC UNLISTED PX COLON, CONTRAST INJECTION VIA GASTROSTOMY TUBE",2489.0,,696.92,2140.54,83
LOCAL,75000167,HC ESOPHAGOSCOPY RIGID TRANSORAL HYPOPHARYNX/CRV ESOPH W/ CRICMYOTOMY,6459.0,,1105.13,6955.2575,85
LOCAL,75000168,HC TRANSORAL LOWER ESOPHAGEAL MYOTOMY,6451.0,,1806.28,7132.7485,84
LOCAL,75000169,HC ESOPHAGEAL FUNCTION G-ESOP REFLUX IMPENDANCE ELECTRODE PROLNGED,2037.0,,438.426,1751.82,85
LOCAL,75000170,HC REMOVAL FECAL IMPACTION/FOREIGN BODY SPEC UNDER ANES,3661.0,,429.26,3148.46,85
LOCAL,75000171,HC PROCTOSIGMOIDOSCOPY RIGID REMOVAL MULT TUMOR/POLYP BY CAUTERY/SNARE,5780.0,,217.48,4970.8,85
LOCAL,75000172,HC UNLISTED PX EGD FLX TRANSORAL ABLATN TUMOR/PLYP/LES VIA BAND/CLIP,8713.0,,1065.6245,7493.18,83
LOCAL,75000174,"HC UNLISTED PX, ESOPHAGUS, EGD W/ FTRD IN ESOPHAGUS/STOMACH",3649.0,,1021.72,3138.14,83
LOCAL,75000175,"HC UNLISTED PX, COLON, FLEXIBLE SIGMOIDOSCOPY W/ FTRD IN COLON/RECTUM",3649.0,,1021.72,3138.14,83
LOCAL,75000176,"HC UNLISTED PX, COLON, COLONOSCOPY W/ FTRD IN COLON/RECTUM",3649.0,,1021.72,3138.14,83
LOCAL,75000177,"HC UNLISTED PX, RECTUM, LAP/ROBOTIC EXCISION RECTAL TUMOR, FULL THICKNESS",6720.0,,1881.6,7102.9405,83
LOCAL,75000178,HC ESD ENDOSCOPY OR COLONOSCOPY,7309.0,,2046.52,6285.74,84
LOCAL,75000179,"HC UNLISTED PROCEDURE, ESOPHAGUS, ENDOVAC SPONGE PLACEMENT",896.0,,250.88,1065.6245,83
LOCAL,75000180,HC SMALL BOWEL ENDO W/ PLACEMENT PERCU JEJUNOSTOMY TUBE,4505.0,,474.32,3874.3,85
LOCAL,75000181,HC UNLISTED PX ESOPHAGUS SURG ZENKER'S DIVERTICULOTOMY VIA TRANSORAL APPRCH,2159.0,,604.52,1856.74,83
LOCAL,75000182,"HC UNLISTED PX ESOPHAGUS, EGD OVESCO PLCMT TO CLOSE DUODENAL PERFORATION",2400.0,,672.0,2064.0,83
LOCAL,75000183,HC INSTILLATION OF FECAL MICROBIOTA SSP VIA RECTAL ENEMA INTO GI TRC,560.0,,156.8,481.6,83
LOCAL,75000184,HC BIOFEEDBACK TRAINING W/EMG & MANOMETRY 1ST 15MIN,506.0,,67.08,435.16,84
LOCAL,75000185,HC BIOFEEDBACK TRAINING W/EMG & MANOMETRY EA ADDL 15MIN,80.0,,22.4,68.8,84
LOCAL,75557,PR CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST,1250.0,,80.1688,1062.5,55
LOCAL,75559,PR CARDIAC MRI W/O CONTRAST W/STRESS IMAGING,1286.0,,99.5992,1258.42,55
LOCAL,75561,PR CARDIAC MRI W/WO CONTRAST & FURTHER SEQ,1382.0,,88.78,1174.7,55
LOCAL,75563,PR CARDIAC MRI W/W/O CONTRAST W/STRESS,1592.0,,101.568,1353.2,55
LOCAL,75565,PR CARDIAC MRI FOR VELOCITY FLOW MAPPING,179.0,,8.6112,161.1,55
LOCAL,75571,PR CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,349.0,,19.918,314.1,55
LOCAL,75572,PR CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH,917.0,,59.7632,825.3,55
LOCAL,75573,PR CT HEART C+ CARDIAC STRUX&MORPH CGEN HRT DS,1069.0,,87.2988,962.1,55
LOCAL,75574,PR CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,1226.0,,82.1376,1103.4,55
LOCAL,75600,PR AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I,335.0,,16.9648,348.59,55
LOCAL,75605,PR AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I,692.0,,38.6124,692.42,55
LOCAL,75625,PR AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,768.0,,48.9348,844.6,55
LOCAL,75630,PR AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I,1014.0,,67.8776,1013.91,55
LOCAL,75635,PR CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP,1637.0,,81.65,1698.25,55
LOCAL,75705,PR ANGIOGRAPHY SPINAL SELECTIVE RS&I,956.0,,84.594,812.6,55
LOCAL,75710,PR ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,846.0,,59.7632,845.93,55
LOCAL,75716,PR ANGIOGRAPHY EXTREMITY BILATERAL RS&I,938.0,,66.8932,858.97,55
LOCAL,75726,PR ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,1061.0,,67.8776,901.85,55
LOCAL,75731,PR ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I,676.0,,39.3484,574.6,55
LOCAL,75733,PR ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I,690.0,,44.2612,695.45,55
LOCAL,75736,PR ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,723.0,,37.628,614.55,55
LOCAL,75741,PR ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I,703.0,,43.5252,702.79,55
LOCAL,75743,PR ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,818.0,,55.5772,806.32,55
LOCAL,75746,PR ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,614.0,,38.1156,614.26,55
LOCAL,75756,PR ANGIOGRAPHY INTERNAL MAMMARY RS&I,597.0,,39.5968,539.13,55
LOCAL,75774,PR ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,695.0,,33.442,639.54,55
LOCAL,75801,PR LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I,336.0,,30.9856,322.83,55
LOCAL,75803,PR LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I,430.0,,40.5812,441.3,55
LOCAL,75805,PR LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I,457.0,,28.0324,418.98,55
LOCAL,75807,PR LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I,539.0,,38.1156,523.73,55
LOCAL,75809,PR SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,234.0,,14.03,243.84,55
LOCAL,75810,PR SPLENOPORTOGRAPY RS&I,582.0,,34.9232,494.7,55
LOCAL,75820,PR VENOGRAPHY EXTREMITY UNILATERAL RS&I,430.0,,28.62,365.5,55
LOCAL,75822,PR VENOGRAPHY EXTREMITY BILATERAL RS&I,510.0,,48.52,451.61,55
LOCAL,75825,PR VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,692.0,,38.6124,691.67,55
LOCAL,75827,PR VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,801.0,,38.8516,691.04,55
LOCAL,75831,PR VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,709.0,,37.3796,614.26,55
LOCAL,75833,PR VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,917.0,,50.6552,779.45,55
LOCAL,75840,PR VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I,774.0,,39.3484,657.9,55
LOCAL,75860,PR VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I,643.0,,38.6124,615.63,55
LOCAL,75870,PR VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I,562.0,,42.3016,538.32,55
LOCAL,75872,PR VENOGRAPHY EPIDURAL RS&I,773.0,,39.3484,657.05,55
LOCAL,75880,PR VENOGRAPHY ORBITAL RS&I,367.0,,19.08,311.95,55
LOCAL,75885,PR PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I,892.0,,47.2144,758.2,55
LOCAL,75887,PR PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP,754.0,,47.4628,711.14,55
LOCAL,75889,PR HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I,773.0,,37.628,657.05,55
LOCAL,75891,PR HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I,641.0,,37.628,614.26,55
LOCAL,75893,PR VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS&,361.0,,18.446,361.48,55
LOCAL,75894,PR TRANSCATHETER EMBOLIZATION ANY METH RS&I,751.0,,42.29,781.3,55
LOCAL,75898,PR ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS,1460.0,,66.1572,1517.95,55
LOCAL,75901,PR MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I,312.0,,16.2288,280.8,55
LOCAL,75902,PR MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I,194.0,,13.0364,174.6,55
LOCAL,75970,PR TRANSCATHETER BIOPSY RS&I,497.0,,27.2964,422.45,55
LOCAL,75984,PR CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I,348.0,,27.5448,295.8,55
LOCAL,75989,PR RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I,621.0,,40.0844,556.35,55
LOCAL,76000,PR FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,282.0,,10.8192,239.7,55
LOCAL,76010,PR RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD,92.0,,6.4584,79.0,51
LOCAL,76016,PR MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,309.0,,22.01,278.1,47
LOCAL,76017,PR MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR,390.0,,28.05,351.0,47
LOCAL,76019,PR MR SAFETY IMPLANT POS&/IMMOBLJ SUPVJ PHYS/QHP,296.0,,21.96,266.4,47
LOCAL,76080,PR RADEX ABSCESS/FISTULA/SINUS TRACT RS&I,234.0,,17.9492,198.9,55
LOCAL,76098,PR RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN,98.0,,7.42,83.3,55
LOCAL,76100,PR RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY,247.0,,20.1664,211.21,55
LOCAL,76100001,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,574.0,,51.77,493.64,85
LOCAL,76100003,"HC EXTRACTION EG, MARSUPIALIZATION/OPEN,REMV MULTIP MILIA/COEDONES/CYSTS PUSTULES",493.0,,103.51,423.98,85
LOCAL,76100004,HC INCISE/DRAIN ABSCESS,702.0,,65.06,603.72,85
LOCAL,76100005,HC I&D ABSCESS COMP,781.0,,98.28,671.66,85
LOCAL,76100006,HC REMOV SUBCUT FOREIGN BODY,390.0,,86.38,477.618,85
LOCAL,76100007,HC INCISE/DRAIN HEMATOMA,1626.0,,90.81,1940.4755,85
LOCAL,76100008,HC ASPIRATION OF SUBCU FLUID/CYST,646.0,,67.83,555.56,85
LOCAL,76100009,HC INC&DRAIN COMPLX POSTOP,4693.0,,363.58,4035.98,85
LOCAL,76100011,HC DEBRIDE TISS 1< 20SQ CM,1049.0,,121.18,902.14,85
LOCAL,76100012,HC DEBRID MUS TISS 1<20SQ CM,1058.0,,262.63,909.88,85
LOCAL,76100013,HC DEBRIDE TISS EA 20SQ CM,1039.0,,50.96,893.54,84
LOCAL,76100014,HC DEBRID MUS TISS EA 20SQCM,1049.0,,111.13,902.14,84
LOCAL,76100015,HC TRIM SKIN LESION SINGLE,474.0,,30.78,407.64,85
LOCAL,76100016,HC TRIM SKIN LESION 2-4,519.0,,43.44,446.34,85
LOCAL,76100017,HC TRIM SKIN LESIONS >4,591.0,,55.65,508.26,85
LOCAL,76100020,HC REMOVE SKIN TAGS UPTO 15,566.0,,152.34,486.76,85
LOCAL,76100021,HC REM SKIN TAGS EA ADD 10,279.0,,32.04,239.94,84
LOCAL,76100022,HC SHAVE SKIN LESION <.5CM,345.0,,67.58,477.618,85
LOCAL,76100023,HC SHAVE SKIN LESION .6-1CM,411.0,,101.56,353.46,85
LOCAL,76100024,HC SHAVE SKIN LESION 1.1-2CM,420.0,,117.6,361.2,85
LOCAL,76100025,HC SHAVE SKIN LES OVER 2CM,446.0,,124.88,477.618,85
LOCAL,76100026,HC SHAVE SKIN LESION <.5CM,389.0,,74.19,334.54,85
LOCAL,76100027,HC SHAVE SKIN LESION .6-1CM,420.0,,96.82,361.2,85
LOCAL,76100028,HC SHAVE SKIN LESION1.1-2CM,389.0,,74.34,334.54,85
LOCAL,76100029,HC SHAVING LES SINGLE>2.0CM,455.0,,127.4,477.618,85
LOCAL,76100030,HC SHAVE SKIN LESION <.5CM,441.0,,71.98,379.26,85
LOCAL,76100031,HC SHAVE SKIN LESION .6-1CM,526.0,,74.34,452.36,85
LOCAL,76100032,HC SHAVE SKIN LESION1.1-2CM,492.0,,89.42,477.618,85
LOCAL,76100033,HC SHAVE SKIN LES OVER 2CM,707.0,,98.56,608.02,85
LOCAL,76100034,HC REM BEN SKN LESION <.5CM,1406.0,,77.79,1209.16,85
LOCAL,76100035,HC REM BEN SKN LES .6-1CM,1518.0,,89.14,1305.48,85
LOCAL,76100036,HC REM BEN SKN LES 1.1-2CM,1750.0,,96.62,1505.0,85
LOCAL,76100037,HC RM BEN SKN LES  2.1-3CM,1927.0,,105.2,1657.22,85
LOCAL,76100038,HC REM BEN SKN LES 3.1-4CM,2026.0,,332.1,1940.4755,85
LOCAL,76100039,HC EXC BEN SKIN LES > 4CM,2329.0,,486.45,2002.94,85
LOCAL,76100040,HC REM BEN SKN LESION <.5CM,2275.0,,74.19,1956.5,85
LOCAL,76100041,HC REM BEN SKIN LES .6-1CM,2109.0,,86.66,1813.74,85
LOCAL,76100042,HC REM BEN SKIN LES 1.1-2CM,2615.0,,95.79,2248.9,85
LOCAL,76100043,HC REM BEN SKIN LES 2.1-3CM,2113.0,,104.38,1940.4755,85
LOCAL,76100044,HC REM BEN SKIN LES 3.1-4CM,2119.0,,364.57,1940.4755,85
LOCAL,76100045,HC REM BEN SKIN LESION >4CM,3917.0,,540.68,3412.7745,85
LOCAL,76100046,HC REM BEN SKN LESION <.5CM,1448.0,,86.38,1245.28,85
LOCAL,76100047,HC REM BEN SKIN LES .6-1CM,1591.0,,96.06,1368.26,85
LOCAL,76100048,HC REM BEN SKIN LES 1.1-2CM,1770.0,,103.82,1522.2,85
LOCAL,76100049,HC REM BEN SKIN LES 2.1-3CM,2015.0,,114.34,1940.4755,85
LOCAL,76100050,HC REM BEN SKIN LES 3.1-4CM,2113.0,,452.93,1940.4755,85
LOCAL,76100051,HC REM BEN SKIN LESION >4CM,3678.0,,637.56,3412.7745,85
LOCAL,76100052,HC REM MAL SKN LESION <.5CM,1304.0,,112.68,1121.44,85
LOCAL,76100053,HC REM MAL SKIN LES .6-1CM,1562.0,,124.3,1343.32,85
LOCAL,76100054,HC REM MAL SKN LES 1.1-2.CM,1640.0,,131.22,1410.4,85
LOCAL,76100055,HC EXC MAL SKIN LES 2.1-3CM,1893.0,,141.47,1627.98,85
LOCAL,76100056,HC EXC MAL SKIN LES 3.1-4CM,2080.0,,257.6,1788.8,85
LOCAL,76100057,HC REM MAL SKIN LESION >4CM,4303.0,,486.45,3700.58,85
LOCAL,76100058,HC REM MAL SKN LESION <.5CM,1353.0,,112.95,1940.4755,85
LOCAL,76100059,HC REM MAL SKIN LES .6-1CM,1571.0,,124.58,1351.06,85
LOCAL,76100060,HC REM MAL SKN LES 1.1-2.CM,1718.0,,133.44,1477.48,85
LOCAL,76100061,HC REM MAL SKIN LES 2.1-3CM,1982.0,,146.46,1940.4755,85
LOCAL,76100062,HC REM MAL SKIN LES 3.1-4CM,2396.0,,476.02,2060.56,85
LOCAL,76100063,HC REM MAL SKIN LESION >4CM,2094.0,,585.46,3412.7745,85
LOCAL,76100064,HC REM MAL SKIN LES <0.5CM,1353.0,,116.0,1163.58,85
LOCAL,76100065,HC REM MAL SKIN LES .6-1CM,1601.0,,127.9,1376.86,85
LOCAL,76100066,HC REM MAL  SKN LES 1.1-2CM,1670.0,,138.98,1436.2,85
LOCAL,76100067,HC REM MAL SKIN LES 2.1-3CM,1924.0,,152.26,1940.4755,85
LOCAL,76100068,HC REM MAL SKIN LES 3.1-4CM,2130.0,,486.45,1940.4755,85
LOCAL,76100069,HC REM MAL SKIN LESION >4CM,2316.0,,648.48,3412.7745,85
LOCAL,76100070,HC TRIM NAILS,228.0,,14.61,196.08,85
LOCAL,76100071,HC DEBRIDE NAILS 1-5,345.0,,28.18,296.7,85
LOCAL,76100072,HC DEBRIDE NAIL >6,379.0,,46.7,325.94,85
LOCAL,76100073,HC REMOVE NAIL PLATE,475.0,,106.58,408.5,85
LOCAL,76100074,HC REMOVE NAIL PLATE EA ADD,147.0,,33.39,126.42,84
LOCAL,76100075,HC EXC NAIL PERM REM,1254.0,,84.71,1078.44,85
LOCAL,76100076,HC BIOPSY  NAIL,1254.0,,64.23,1078.44,85
LOCAL,76100077,HC WEDGE EXC NAIL FOLD,477.0,,133.56,477.618,85
LOCAL,76100078,HC INJ SKN LES UPTO & INC 7,391.0,,59.5,336.26,85
LOCAL,76100079,HC INJ SKN LES MORE THAN 7,443.0,,89.97,380.98,85
LOCAL,76100080,HC TATTOOING SKIN <6CM,2500.0,,108.53,2150.0,85
LOCAL,76100081,HC TATTOOING SKIN 6.1-20CM,2938.0,,119.87,2526.68,85
LOCAL,76100082,HC TATTOO SKIN EA ADD 20CM,2645.0,,58.32,2274.7,84
LOCAL,76100083,HC SUBCUT INJ FILL MTL:1CC OR LES,824.0,,38.48,708.64,85
LOCAL,76100084,HC INSRT NOBIODG DRUG DELIMP,163.0,,45.64,156.3195,85
LOCAL,76100085,HC RMV NONBIODGRAD DELV IMPL,163.0,,45.64,524.86,85
LOCAL,76100086,HC RMV WREINS NOBIODGR DVIMP,163.0,,45.64,524.86,85
LOCAL,76100087,HC SIMPLE REPAIR <2.5 CM,634.0,,91.45,545.24,85
LOCAL,76100088,HC SIMPLE REPAIR 2.6-7.5 CM,719.0,,120.4,618.34,85
LOCAL,76100089,HC SIMPLE REPAIR 7.6-12.5CM,908.0,,150.9,780.88,85
LOCAL,76100090,HC SIMPLE REPAIR 12.6-20.0CM,954.0,,143.08,820.44,85
LOCAL,76100091,HC SIMPLE REPAIR 20.1-30.0CM,915.0,,143.08,786.9,85
LOCAL,76100092,HC SIMPLE REPAIR >30.0CM,909.0,,74.34,781.74,85
LOCAL,76100093,HC SIMPLE REPAIR <2.5 CM,669.0,,113.62,575.34,85
LOCAL,76100094,HC SIMPLE REPAIR 2.6-5.0CM,761.0,,119.04,654.46,85
LOCAL,76100095,HC SIMPLE REPAIR 5.1-7.5 CM,761.0,,154.36,654.46,85
LOCAL,76100096,HC SIMPLE REPAIR 7.6-12.5CM,837.0,,74.34,719.82,85
LOCAL,76100097,HC SIMPLE REPAIR 12.6-20.0CM,909.0,,143.08,781.74,85
LOCAL,76100098,HC SIMPLE REPAIR 20.1-30.0CM,1005.0,,143.08,864.3,85
LOCAL,76100099,HC SIMPLE REPAIR >30.0 CM,1103.0,,74.34,948.58,85
LOCAL,76100100,HC CLOSURE OF SPLIT WOUND,661.0,,185.08,868.342,85
LOCAL,76100101,HC SIMPLE CLOSURE W/PACKING,661.0,,143.08,568.46,85
LOCAL,76100102,HC RP INT LYR CL WD<2.5CM,829.0,,143.08,712.94,85
LOCAL,76100103,HC RP INT LY CL WD 2.6-7.5CM,869.0,,143.08,747.34,85
LOCAL,76100104,HC RP INT LY CL WD7.6-12.5CM,911.0,,143.08,783.46,85
LOCAL,76100105,HC RP INT LY CL WD12.6-20CM,961.0,,143.08,826.46,85
LOCAL,76100106,HC RP INT LYR CL WD20.1-30CM,961.0,,216.8,868.342,85
LOCAL,76100107,HC RP INT LY CL WD>30.0CM,2596.0,,667.7,2424.1655,85
LOCAL,76100108,HC RP INT LY CL WD< 2.5CM,795.0,,143.08,683.7,85
LOCAL,76100109,HC RP INT LY CL WD 2.6-7.5CM,795.0,,143.08,683.7,85
LOCAL,76100110,HC RP IN N H GN LS7.6-12.5-I,795.0,,216.8,868.342,85
LOCAL,76100111,HC RP IN N H GN LES12.6-20-I,866.0,,216.8,868.342,85
LOCAL,76100112,HC RP IN N H GN LES20.1-30-I,824.0,,216.8,868.342,85
LOCAL,76100113,HC RP INT N H GN LES 30+-I,3104.0,,709.01,2669.44,85
LOCAL,76100114,HC RP INT LY CL WD< 2.5CM,961.0,,143.08,826.46,85
LOCAL,76100115,"HC REPAIR INTERM  FACE,EARS,EYELIDS,NOSE,LIPS/MUCOUS MEMBRANES 2.6-5.0CM",1023.0,,143.08,879.78,85
LOCAL,76100116,HC RP INT LY CL WD5.1-7.5CM,1085.0,,143.08,933.1,85
LOCAL,76100117,HC RP FC ER MU LES7.6-12.5-I,1144.0,,143.08,983.84,85
LOCAL,76100118,HC RP FC ER MU LES12.6-20-I,1207.0,,143.08,1038.02,85
LOCAL,76100119,HC RP FC ER MU LES20.1-30-I,1267.0,,143.08,1089.62,85
LOCAL,76100120,HC RP FC ER MU LES 30+-I,1330.0,,143.08,1143.8,85
LOCAL,76100121,HC RPR WND/LESION<2.5CM,1464.0,,216.8,1259.04,85
LOCAL,76100122,HC RPR WND/LESION 2.6-7.5CM,1618.0,,216.8,1391.48,85
LOCAL,76100123,HC RPR WND/LES EA ADD<5CM,973.0,,143.87,836.78,84
LOCAL,76100124,HC RPR WND/LESION 1.1-2.5CM,1234.0,,216.8,1061.24,85
LOCAL,76100125,HC RPR WND/LESION 2.6-7.5CM,1388.0,,216.8,1193.68,85
LOCAL,76100126,HC RPR WND/LES EA ADD <5CM,1030.0,,165.24,885.8,84
LOCAL,76100127,HC RPR WND/LESION 1.1-2.5CM,1329.0,,143.08,1142.94,85
LOCAL,76100128,HC RPR WND/LESION 2.6-7.5CM,1940.0,,216.8,1668.4,85
LOCAL,76100129,HC RP WND/LESION EA ADD 5CM,925.0,,249.74,795.5,84
LOCAL,76100130,HC RPR WND/LESION 1.1-2.5CM,1697.0,,216.8,1459.42,85
LOCAL,76100131,HC RPR WND/LESION 2.6-7.5CM,1959.0,,216.8,1684.74,85
LOCAL,76100132,HC RP WND/LESION EA AD <5CM,1023.0,,273.31,879.78,84
LOCAL,76100133,HC SEC CLOSURE EXTENSIVE,3601.0,,709.01,4163.552,85
LOCAL,76100134,HC ADJ TX TNK <10 CM,2722.0,,709.01,2424.1655,85
LOCAL,76100135,HC ADJ TX TRNK 10.1-30 CM,4533.0,,709.01,3898.38,85
LOCAL,76100136,HC ADJ TX SC/EXT <10CM,3775.0,,709.01,3246.5,85
LOCAL,76100137,HC ADJ TX SC/EXT 10.1-30CM,4316.0,,709.01,3711.76,85
LOCAL,76100138,HC ADJ TX FC/NK/AX/FT <10CM,4343.0,,709.01,3734.98,85
LOCAL,76100140,HC ADJ TX F/N/A/FT 10-30CM,4533.0,,709.01,3898.38,85
LOCAL,76100141,HC ADJ TX LID/NS/LIP <10 CM,4471.0,,709.01,3845.06,85
LOCAL,76100142,HC ADJ TX LD/NS/LP 10-30 CM,5028.0,,709.01,4324.08,85
LOCAL,76100143,HC ADJ TX 30.1-60.SQ CM COMP,4783.0,,1339.24,4163.552,85
LOCAL,76100144,HC ADJ TX EA AD30.SQ CM COMP,4783.0,,434.37,4113.38,84
LOCAL,76100145,HC FILLETED FINGER/TOE FLAP,3927.0,,709.01,3377.22,85
LOCAL,76100146,HC PINCH GRFT <2 CM,3571.0,,262.63,3071.06,85
LOCAL,76100147,HC AUTOGFT TK/AR/LG 100SQCM<,4984.0,,709.01,4286.24,85
LOCAL,76100148,HC SPLIT AUTOGRAFT <100CM2,5452.0,,1391.64,4688.72,85
LOCAL,76100149,HC SPLIT AUTOGRAFT +100CM2,5404.0,,265.42,4647.44,84
LOCAL,76100150,HC GRFT TNK <20CM,3601.0,,709.01,3096.86,85
LOCAL,76100151,HC GRFT TNK ADD 20 CM,3262.0,,154.29,2805.32,84
LOCAL,76100152,HC GRFT SC/EXT <20 CM,3601.0,,709.01,3096.86,85
LOCAL,76100153,HC GRFT SF/EXT ADD 20 CM,3601.0,,138.93,3096.86,84
LOCAL,76100154,HC GRFT FC/NK/HD/FT <20 CM,4141.0,,709.01,3561.26,85
LOCAL,76100155,HC GRFT FC/NK/FT ADD 20 CM,4107.0,,215.1,3532.02,84
LOCAL,76100156,HC GRFT NS/ER/LP <20 CM,4556.0,,709.01,3918.16,85
LOCAL,76100157,HC GRFT LID/NS/ER ADD 20 CM,4518.0,,270.22,3885.48,84
LOCAL,76100158,HC GRFT TRNK/ARM/LEG 25SQCM<,1517.0,,168.51,1304.62,85
LOCAL,76100159,HC GRFT TRNK/ARM/LEG +25SQCM,559.0,,33.88,480.74,84
LOCAL,76100160,HC GRFT SCLP/HD/FT/GN25SQCM<,1432.0,,71.16,1231.52,85
LOCAL,76100161,HC GRFT SCLP/HD/FT/GN+25SQCM,533.0,,50.05,458.38,84
LOCAL,76100162,HC GRFT F/SCP/EYL/MT/NK100CM,3261.0,,449.19,2804.46,85
LOCAL,76100163,HC FORMAT DIREC PEDICLE,3760.0,,709.01,3233.6,85
LOCAL,76100164,HC DELAY SEC FLAP FAC EXTM,3794.0,,656.45,3262.84,85
LOCAL,76100165,HC DELAY SECTN FLAP FACIAL,4174.0,,688.88,3589.64,85
LOCAL,76100166,HC FLAP W/PRES VASCUL PEDICL,3760.0,,1052.8,4163.552,85
LOCAL,76100167,HC PED FLAP SCLP/FC/ETC,4462.0,,709.01,3837.32,85
LOCAL,76100168,HC GRAFT INCLUDE CLOSURE,5452.0,,709.01,4688.72,85
LOCAL,76100169,HC DERMABRASION SGMNTL FACE,706.0,,197.68,854.8,85
LOCAL,76100170,HC DERMABRASION SUPERFICIAL,706.0,,197.68,706.93,85
LOCAL,76100171,HC CHEM PEEL FACIAL EPIDERM,234.0,,65.52,477.618,85
LOCAL,76100172,HC CHEM PEEL FACE DERM,524.0,,146.72,868.342,85
LOCAL,76100173,HC CHEM PEEL NONFACE EPIDER,911.0,,255.08,868.342,85
LOCAL,76100174,HC CHEM PEEL NONFACE DERM,911.0,,255.08,783.46,85
LOCAL,76100175,HC LOWER LID BLEPHAROPLASTY,4366.0,,709.01,3754.76,84
LOCAL,76100176,HC UPPER LID BLEPHAROPLASTY,3950.0,,709.01,3397.0,84
LOCAL,76100177,HC INTRAV INJ FLOURESCEIN,450.0,,126.0,524.86,85
LOCAL,76100178,HC DES  BEN/PREMAL LES SING,201.0,,56.28,235.727,85
LOCAL,76100179,HC DES PREMAL LES 2-14 EACH,105.0,,3.91,90.3,84
LOCAL,76100180,HC DESTR PREMAL LESION 15+,991.0,,97.18,852.26,85
LOCAL,76100181,HC DESTR VASCUL LES >50 SQCM,742.0,,207.76,2424.1655,85
LOCAL,76100182,HC DESTRUCT BENIGN <14 LES,263.0,,73.64,235.727,85
LOCAL,76100184,HC DESTRUCT BENIGN >15 LES,717.0,,165.64,616.62,85
LOCAL,76100185,HC CHEM CAUTERIZ GRANUL TISS,407.0,,75.53,350.02,85
LOCAL,76100186,HC DES MAL LESION < 0.5CM,382.0,,106.96,328.52,85
LOCAL,76100187,HC DES MAL LESION 0.6-1.0CM,433.0,,121.24,372.38,85
LOCAL,76100188,HC DES MAL LESION 1.1-2.0CM,440.0,,123.2,378.4,85
LOCAL,76100189,HC DES OF LES 2.1-3 TNK,475.0,,133.0,408.5,85
LOCAL,76100190,HC DES MAL LESION 3.1-4CM,523.0,,109.08,477.618,85
LOCAL,76100191,HC DES OF LES 4.0+ TNK,526.0,,120.15,477.618,85
LOCAL,76100192,HC DES MAL LESION <0.5CM,390.0,,74.34,335.4,85
LOCAL,76100193,HC DES MAL LESION 0.6-1.0CM,445.0,,74.34,382.7,85
LOCAL,76100194,HC DES MAL LESION 1.1-2.0CM,818.0,,229.04,703.48,85
LOCAL,76100195,HC DEST MAL LES 2.1 -3CM,416.0,,107.42,477.618,85
LOCAL,76100196,HC DES OF LES 3.1-4 S N H F,451.0,,120.15,477.618,85
LOCAL,76100197,HC DES OF LES 4+ S N H F,494.0,,133.72,477.618,85
LOCAL,76100198,HC DES MAL LESION < 0.5CM,390.0,,109.2,335.4,85
LOCAL,76100199,HC DES MAL LESION 0.6-1.0CM,428.0,,93.58,368.08,85
LOCAL,76100200,HC DES MAL LESION 1.1-2.0CM,523.0,,104.93,449.78,85
LOCAL,76100201,HC DEST MAL LES 2.1-3CM,491.0,,117.1,477.618,85
LOCAL,76100202,HC DES OF LES 3.1-4 FC,547.0,,128.74,868.342,85
LOCAL,76100203,HC DES OF LES 4+ FC,607.0,,153.38,868.342,85
LOCAL,76100204,HC MOHS 1-5 TISS HD/MUS/NER,2095.0,,216.8,1801.7,85
LOCAL,76100205,HC MOHS 6-10 TISS HD/MUS/NER,1805.0,,373.68,1552.3,84
LOCAL,76100206,HC MOHS 1-5 TISS TRK/ARM/LEG,2095.0,,216.8,1801.7,85
LOCAL,76100207,HC MOHS 6-10TISS TRK/ARM/LEG,1805.0,,346.21,1552.3,84
LOCAL,76100208,HC MOHS >5 SPECIMENS,453.0,,98.69,389.58,84
LOCAL,76100209,HC LASER HAIR REMOVAL,231.0,,64.68,198.66,83
LOCAL,76100210,HC REMOVE JEJUNAL MONITOR,577.0,,161.56,496.22,84
LOCAL,76100211,HC ASPIRATE BREAST CYST,577.0,,59.25,831.9905,85
LOCAL,76100212,HC ASPIR BREAST CYST EA ADD,573.0,,41.71,492.78,84
LOCAL,76100213,HC BIOPSY CORE BREAST,1567.0,,142.25,1940.4755,85
LOCAL,76100215,HC PLACE RADIOTHPY CATH,8674.0,,432.3,9602.983,85
LOCAL,76100217,HC NIPPLE/AREOLA RECONSTRUC,4533.0,,963.66,4600.276,85
LOCAL,76100220,HC RVSN BRST RECNSTRCT,6687.0,,1634.63,7801.5885,85
LOCAL,76100222,HC BX BONE TROC/NDL DEEP,3539.0,,254.7,3043.54,85
LOCAL,76100225,HC INJ THERAP CARPAL TUNNEL,579.0,,36.54,497.94,85
LOCAL,76100226,HC INJ TEND SH/LIG/TRG/GANG,613.0,,23.54,527.18,85
LOCAL,76100227,HC INJ TENDON ORIGIN/INSRTN,616.0,,24.36,529.76,85
LOCAL,76100228,HC INJ SGL/MLT 1-2 MUSCLE(S),627.0,,23.26,539.22,85
LOCAL,76100229,HC INJ SGL/MLT TRGGR PT3+MSC,690.0,,27.13,593.4,85
LOCAL,76100230,HC ARTHO/ASPR/INJ SM JT/CYT WO U/S,685.0,,22.7,589.1,85
LOCAL,76100231,HC ARTHA/ASP/INJ INT JT/CYST W/O U/S,728.0,,23.54,626.08,85
LOCAL,76100232,HC ARTHR/ASP/INJ MJ JT/BRSA W/O US,735.0,,27.96,632.1,85
LOCAL,76100233,HC ASPIR/INJ GANGLION CYST,685.0,,30.46,589.1,85
LOCAL,76100234,HC INSERT/REMOVE WIRE OR PIN,5270.0,,338.56,4532.2,85
LOCAL,76100235,HC REMOVL IMPLANT SUPRFICIAL,4125.0,,291.62,3547.5,85
LOCAL,76100236,HC REMOVAL IMPLANT DEEP,5551.0,,815.2,4773.86,85
LOCAL,76100237,HC APPL UNIPLANE UNILAT EXT,8532.0,,1218.0,8525.387,85
LOCAL,76100238,HC REMOVE BONE PLATE,4873.0,,593.04,4190.78,85
LOCAL,76100239,HC CART GRAFT NASAL SEPTUM,5697.0,,977.16,4899.42,85
LOCAL,76100241,HC EXC BONE MANDIB,7737.0,,1322.04,6955.2575,85
LOCAL,76100242,HC EXC TORUS MANDIBULARIS,1571.0,,217.05,3895.3605,85
LOCAL,76100243,HC EX MAXIL TORUS PALATINUS,1553.0,,204.87,3895.3605,85
LOCAL,76100244,HC EX BEN CYS/TMR MAND SIMP,1945.0,,544.6,3895.3605,85
LOCAL,76100245,HC CUS PREP SUR OBTUR PROS,7142.0,,294.29,6142.12,85
LOCAL,76100246,HC PREP PROSTHS ORBIT PROS,18100.0,,3462.01,15566.0,85
LOCAL,76100247,HC PREP INTERIM OBTURATR,14569.0,,504.98,12529.34,85
LOCAL,76100248,HC PREP DEFINIT OBTURATR,16357.0,,606.58,14067.02,85
LOCAL,76100249,HC PREP PROS MANDIB RESECT,11165.0,,560.9,9601.9,85
LOCAL,76100250,HC PREP PROS PALATAL AUGMEN,13607.0,,519.92,11702.02,85
LOCAL,76100251,HC PREP PALATAL LIF,10834.0,,2052.8,9317.24,85
LOCAL,76100252,HC PREP PROSTH SPEECH AID,7154.0,,2003.12,6152.44,85
LOCAL,76100253,HC PREP ORAL SURG SPLINT,5595.0,,87.58,4811.7,85
LOCAL,76100254,HC PREP AURICULAR PROSTH,15409.0,,529.34,13251.74,85
LOCAL,76100255,HC CUSTOM PREP NASAL PROSTH,13980.0,,529.34,12022.8,85
LOCAL,76100256,HC CUST PREP FACIAL PROSTH,18952.0,,3895.3605,16298.72,85
LOCAL,76100257,HC REPR/MOD1-2ELM FAC PROSTH,417.0,,116.76,358.62,83
LOCAL,76100258,HC REPR/MOD3-4ELM FAC PROSTH,837.0,,234.36,719.82,83
LOCAL,76100259,HC REPR/MOD5-6ELM FAC PROSTH,1241.0,,278.277,1067.26,83
LOCAL,76100260,HC REPR/MOD7+ELM FAC PROSTH,1658.0,,278.277,1425.88,83
LOCAL,76100261,HC PREP STNT MTHPC USE RADTX,5793.0,,278.277,4981.98,83
LOCAL,76100263,HC INTERDNTL DEVICE-NOT FX,3058.0,,420.64,2629.88,85
LOCAL,76100264,HC GRAFT EAR CARTILAGE NOSE,5882.0,,1148.07,6955.2575,85
LOCAL,76100265,HC RECON MANDIBLE - PART,8641.0,,1577.15,7431.26,85
LOCAL,76100266,HC RECON MANDIBLE - COMP,8732.0,,2204.82,7509.52,85
LOCAL,76100268,HC CL TX MAND FX W/INTD FIX,5672.0,,1588.16,6955.2575,85
LOCAL,76100269,HC OP TX MAND FX WO INTD FI,9391.0,,2104.81,8076.26,85
LOCAL,76100270,HC OP TX MAND FX W/INTR FIX,9656.0,,2296.21,8304.16,85
LOCAL,76100274,HC UNLISTED PROCEDURE SPINE,5261.0,,289.8115,4524.46,83
LOCAL,76100275,HC INJ HIP ARTHRO W/O ANES,1679.0,,134.85,1443.94,84
LOCAL,76100276,HC STRAPPING UNNA BOOT,391.0,,33.12,336.26,85
LOCAL,76100277,HC COMPRESSION LEG BELOWKNEE,491.0,,51.75,422.26,85
LOCAL,76100278,HC BIOPSY INTRANASAL,2132.0,,88.87,1833.52,85
LOCAL,76100279,HC EXCISION NASAL POLYP(S),4401.0,,154.21,3784.86,85
LOCAL,76100280,HC EXSN RHINOPHYMA NOSE,4473.0,,844.59,3895.3605,85
LOCAL,76100281,HC DISPLACE THRPY(PROETX ),2029.0,,89.42,1822.9685,85
LOCAL,76100282,HC REPAIR NASAL VEST STENOS,10242.0,,1954.22,8808.12,85
LOCAL,76100283,HC SEPTPLASTY W/WO CARTILAGE,6253.0,,886.62,5377.58,85
LOCAL,76100284,HC COAGULATION-SMPLE,774.0,,115.06,665.64,85
LOCAL,76100285,HC COAGULATION-COMPLEX,774.0,,46.68,665.64,85
LOCAL,76100286,HC IRRIGATION MAXILL SINUS,520.0,,87.58,447.2,85
LOCAL,76100324,HC INS NDW TN PLRL CTH W/CUF,5906.0,,404.97,5079.16,85
LOCAL,76100325,HC CHEST TUBE PLACEMENT,3433.0,,312.89,2952.38,85
LOCAL,76100326,HC THORACENTESIS W/O IMAGE,2272.0,,175.59,1953.92,85
LOCAL,76100327,HC THORACENTESIS W/IMAGE,3395.0,,214.33,2919.7,85
LOCAL,76100383,HC THERAP APHERESIS FOR WBC,4411.0,,216.96,3793.46,85
LOCAL,76100384,HC THERAP APHERESIS FOR RBC,4411.0,,206.35,3793.46,85
LOCAL,76100385,HC THERAP APHERESIS FR PLATE,4411.0,,164.3,3793.46,85
LOCAL,76100386,HC THERAP APHER FR PLAS PHER,4411.0,,183.07,3793.46,85
LOCAL,76100387,HC PHOTOPHER-LEUK W/UV,13598.0,,186.77,11694.28,85
LOCAL,76100388,HC INSERT NON-TUN CVC <5YRS,3599.0,,1007.72,3709.7505,84
LOCAL,76100389,HC INS NON-TUN CVC 5 YRS/>,3779.0,,168.3,3709.7505,85
LOCAL,76100390,"HC INSERT PICC W/O SUBQ PORT/PMP & IMG GUIDANCE, < 5YRS",3475.0,,446.27,2988.5,84
LOCAL,76100391,"HC INSERT PICC W/O SUBQ PORT/PMP & IMG GUIDANCE, = OR > 5YRS",3623.0,,189.38,3115.78,85
LOCAL,76100392,HC RPR TUN/NON CVAD W/O PORT,1771.0,,65.69,1523.06,85
LOCAL,76100393,HC REPL NON-TUN CVC W/O PT,3142.0,,128.91,2702.12,85
LOCAL,76100394,HC REPL TUN CVC W/O PORT,6033.0,,361.24,5188.38,85
LOCAL,76100395,HC REPL TUN CVC W/PORT,6562.0,,574.5,5643.32,85
LOCAL,76100396,HC REPL TNCVAD W/PMP SM VACC,7772.0,,673.75,6683.92,85
LOCAL,76100397,"HC RPLCMT COMPL PRPH CVC W/O SUBQ PORT/PMP, INCL IMG GUI, RS & I",3393.0,,114.59,2917.98,85
LOCAL,76100398,HC REM TUNN CVC W/O PORT,1943.0,,223.75,1670.98,85
LOCAL,76100399,HC REM TUNN CVAD W/PORT,2991.0,,379.81,2572.26,85
LOCAL,76100400,HC DECLOT VENOUS ACC DEV,1043.0,,26.3,896.98,85
LOCAL,76100402,HC DIAGNOSTIC BONE MARROW ASPIRATION,1038.0,,92.74,1940.4755,85
LOCAL,76100403,HC DIAGNOSTIC BONE MARROW BIOPSY,1494.0,,95.79,1940.4755,85
LOCAL,76100408,HC  BIOPSY: LYMPH NODE,4909.0,,524.25,4600.276,85
LOCAL,76100410,HC BIOPSY LIP,1219.0,,64.23,1048.34,85
LOCAL,76100411,HC VERMILION W/MUCOSAL ADV,4401.0,,744.92,3895.3605,85
LOCAL,76100412,HC EXC LIP TRNV WDG W/PRM CL,6315.0,,704.84,5430.9,85
LOCAL,76100413,HC EXC FULL RES W/LOCAL FLAP,6253.0,,886.62,5377.58,85
LOCAL,76100414,HC REPAIR LIP FULL -1/2 VERT,1919.0,,187.22,1650.34,85
LOCAL,76100415,HC REPAIR LIP OVER 1/2VERTIC,2872.0,,420.64,2469.92,85
LOCAL,76100416,HC REPAIR CLEFT LIP/NASAL,10242.0,,1954.22,8808.12,85
LOCAL,76100417,HC DRAIN ABSC MOUTH SIMPL,526.0,,131.78,831.9905,85
LOCAL,76100418,HC DRAIN ABSCS MOUTH COMP,1400.0,,187.22,1204.0,85
LOCAL,76100419,HC REMV EMBED FB MOUTH SIMP,434.0,,121.52,1065.6245,85
LOCAL,76100420,HC REMV EMBED FB MOUTH COMP,1400.0,,150.61,1204.0,85
LOCAL,76100421,HC INCS LABIAL FRENUM,455.0,,59.09,633.6615,85
LOCAL,76100422,HC ORAL BIOPSY,968.0,,107.7,832.48,85
LOCAL,76100423,HC EXLES-VEST MOUTH WO REP,4068.0,,137.59,3895.3605,85
LOCAL,76100424,HC EX LES-MOUTH W/SIMP REPR,1322.0,,164.45,1822.9685,85
LOCAL,76100425,HC EXC FRENUM LABIAL/BUCCAL,1400.0,,392.0,1822.9685,85
LOCAL,76100426,HC DESTR LES MOUTH-PHYSICL,858.0,,178.29,3895.3605,85
LOCAL,76100427,HC BIOPSY TONGUE,2008.0,,111.3,1726.88,85
LOCAL,76100428,HC BX FLOOR OF MOUTH,2008.0,,104.93,1940.4755,85
LOCAL,76100429,HC EXC LES FLOOR MOUTH,3687.0,,433.66,3895.3605,85
LOCAL,76100431,HC REM FB-DENTVLR SOFT TIS,3249.0,,220.93,2794.14,85
LOCAL,76100432,"HC EXCISION,GUM,EA QUAD",1622.0,,454.16,3895.3605,85
LOCAL,76100433,HC EXCISION OF GUM FLAP,1506.0,,194.31,1822.9685,85
LOCAL,76100434,HC ALVEOLECTMY W CURET OSTE,3063.0,,276.02,3895.3605,85
LOCAL,76100435,HC GINGIVOPLASTY EA QUAD,656.0,,183.68,3895.3605,85
LOCAL,76100436,HC ALVEOLOPLASTY EA QUAD,3116.0,,222.86,3895.3605,85
LOCAL,76100437,HC UNLISTED PROC DENT SURG,3767.0,,278.277,3239.62,84
LOCAL,76100438,HC DRAIN ABSCS PALATE UVULA,455.0,,87.58,391.3,85
LOCAL,76100439,HC PALATE UVULA BIOPSY,1364.0,,221.05,1822.9685,85
LOCAL,76100440,HC EXC PALATE UVULA WO CLO,1356.0,,126.8,3895.3605,85
LOCAL,76100441,HC MAXIL IMPRSSN PALTL PROST,897.0,,216.16,771.42,85
LOCAL,76100442,HC BIOPSY:OROPHARYNX,2008.0,,85.54,1822.9685,85
LOCAL,76100443,HC BX NASOPHARYNX VISIBLE LES SI,4064.0,,247.77,3895.3605,85
LOCAL,76100444,HC ESOPHOGEAL DILATION,1487.0,,158.38,1278.82,85
LOCAL,76100446,HC TRANSREC DRAIN PELVIC ABS,1718.0,,429.26,1477.48,85
LOCAL,76100447,HC DES LESION ANAL CHEM,1126.0,,137.87,968.36,85
LOCAL,76100448,HC DES LESION ANAL ELEC,1134.0,,160.02,2424.1655,85
LOCAL,76100449,HC DES LESION CRYO,1126.0,,74.34,968.36,85
LOCAL,76100450,HC DES LESION SURG EXC,3666.0,,280.48,3261.147,85
LOCAL,76100452,HC PARACNTESIS AB WO IMGGUID,1782.0,,146.85,1532.52,85
LOCAL,76100453,HC PARACNTESIS AB W IMG GUID,3512.0,,208.44,3020.32,85
LOCAL,76100454,HC PERITONEAL LAVAG W IMG GD,1782.0,,218.22,1532.52,85
LOCAL,76100456,HC NPHROSTMY INSTL ANTICARCN,659.0,,41.53,566.74,85
LOCAL,76100459,HC RTROGRD ILEAL CNDUIT STDY,547.0,,137.84,470.42,84
LOCAL,76100460,HC CYSTOST W/ DRNG,6413.0,,586.73,5515.18,85
LOCAL,76100461,HC INSERT SUPRAPUBIC CATH,5577.0,,282.96,4796.22,85
LOCAL,76100462,HC INJ PROC FOR CYSTOG/VCUG,593.0,,85.76,509.98,84
LOCAL,76100463,HC INJ RETROGRAD URETHROGRAM,545.0,,127.42,468.7,84
LOCAL,76100464,HC BLADDER IRRIGATION,583.0,,44.3,501.38,85
LOCAL,76100465,HC CATHETER NON-INDWELLING,197.0,,51.34,169.42,85
LOCAL,76100466,HC BLADDER CATH TEMP INDWELL,227.0,,50.43,195.22,85
LOCAL,76100467,HC CATHETERIZATION COMPLEX,677.0,,57.79,582.22,85
LOCAL,76100468,HC CHANGE CYSTOSTOMY TUBE SIMPLE,907.0,,51.77,780.02,85
LOCAL,76100469,HC COLLAGN INJ SUBMUCOS TISS,6253.0,,398.87,5377.58,85
LOCAL,76100470,HC BLADDER INST I11,1052.0,,44.85,904.72,85
LOCAL,76100471,HC SIMPLE CYSTOMETROGRAM,824.0,,110.15,708.64,85
LOCAL,76100472,HC COMPLEX CYSTOMETROGRAM,1501.0,,110.15,1290.86,85
LOCAL,76100473,HC URETHRAL PRESSURE PROFILE,412.0,,115.36,819.26,85
LOCAL,76100474,HC US MS POSTVOID URIN/BLADD,181.0,,22.25,155.66,85
LOCAL,76100475,HC CYSTOURETHROSCOPY,1821.0,,159.99,1566.06,85
LOCAL,76100476,HC CYSTO IRR&CLOT EVACUATION,2308.0,,569.2,4141.5295,85
LOCAL,76100477,HC CYSTOURETHRSCOPY - CATH,5132.0,,264.74,4413.52,85
LOCAL,76100478,HC CYSTO W/BIOPSYM,3634.0,,281.2,3125.24,85
LOCAL,76100479,HC CYSTO W/FULG DIAG,4853.0,,346.56,4173.58,85
LOCAL,76100480,HC CYSTO W/ FULGURATION,4179.0,,401.16,4141.5295,85
LOCAL,76100481,HC CYSTO W/FULG OF TUMOR,5864.0,,486.83,5043.04,85
LOCAL,76100482,HC CYSTOURETHRSCOPY-VIU,4516.0,,523.07,3883.76,85
LOCAL,76100483,HC CYSTO W/DILAT URETH STRIC,4516.0,,301.89,3883.76,85
LOCAL,76100484,HC CYSTOURETHROSCOPY W/INJ,7259.0,,335.73,6242.74,85
LOCAL,76100485,HC CYSTO W/REM FB/STENT URETH/BLDR; SIMPLE,3887.0,,300.9,3342.82,85
LOCAL,76100486,HC CYSTOLITHOLAPAXY SMPL/SML,8132.0,,685.65,6993.52,85
LOCAL,76100487,HC CYSTOURETHRSCOPY - STENT,6577.0,,308.67,5656.22,85
LOCAL,76100488,HC CYSTOUR W/URETER-STRICTUR,6937.0,,732.09,5965.82,85
LOCAL,76100489,HC CYSTOURETHROSCOPY RETRO,3886.0,,600.22,4141.5295,85
LOCAL,76100490,HC DILATE URET STRICT BY FIL/FLWR,841.0,,34.88,723.26,85
LOCAL,76100491,HC DILAT URTH STRICT SND SBQ,353.0,,39.07,303.58,85
LOCAL,76100492,HC DILATE URT STR FIL/FLWT,1304.0,,92.46,1121.44,85
LOCAL,76100493,HC DILAT URTH STRCT F&F SBSQ,388.0,,94.13,333.68,85
LOCAL,76100494,HC DILAT FEMALE URETHRA INIT,316.0,,39.59,271.76,85
LOCAL,76100495,HC TRNSURTH PROST MWV THRMOT,10759.0,,765.79,9252.74,85
LOCAL,76100496,HC TRNSURTH BLADD NECK&PROX,5388.0,,1508.64,4633.68,83
LOCAL,76100497,HC UNLIST PROCD URINARY SYST,316.0,,88.48,293.549,83
LOCAL,76100498,HC SITTNG PREPUC EXCPT NWBRN,4217.0,,282.23,3626.62,85
LOCAL,76100499,HC DES LESION PENIS CHEM,275.0,,77.0,477.618,85
LOCAL,76100500,HC DES LESION PENIS ELEC,964.0,,73.09,2424.1655,85
LOCAL,76100501,HC DES LESION PENIS CRYO,949.0,,223.18,816.14,85
LOCAL,76100502,HC DES LESION PENIS LASER,3396.0,,196.54,2920.56,85
LOCAL,76100503,HC EXC LESION PENIS,3243.0,,264.45,2788.98,85
LOCAL,76100504,HC DES LESION PENIS EXTEN,3218.0,,342.93,2767.48,85
LOCAL,76100505,HC BIOPSY PENIS,2228.0,,241.62,1940.4755,85
LOCAL,76100506,HC PENILE INJECTION,866.0,,35.16,744.76,85
LOCAL,76100507,HC INCIS/DRAIN OF EPIDIDYMIS,4605.0,,429.33,3960.3,85
LOCAL,76100508,HC PUNC ASP HYDRO W/WO INJ,495.0,,54.26,831.9905,85
LOCAL,76100509,HC PROSTATE BIOPSY,3272.0,,259.54,2813.92,84
LOCAL,76100510,HC PLC INRST DVC-RT GD PROST,1515.0,,70.87,1626.2265,85
LOCAL,76100511,HC INCISE/DRAIN CYST,611.0,,70.52,525.46,85
LOCAL,76100512,HC DESTR LESION VULVA SIMPLE,964.0,,111.02,2424.1655,85
LOCAL,76100513,HC VULVA LEEP DEST LESION,4642.0,,431.14,3992.12,85
LOCAL,76100514,HC BIOPSY-VULVA,1530.0,,44.85,1315.8,85
LOCAL,76100515,HC BX VULVA/PERIN ADD LES,1241.0,,59.01,1067.26,84
LOCAL,76100516,HC VULVECTOMY SIMPLE,5549.0,,1063.52,4772.14,85
LOCAL,76100517,HC COLPO OF VULVA,545.0,,55.1,468.7,85
LOCAL,76100518,HC COLPO W/BX(S) OF VULVA,690.0,,72.54,593.4,85
LOCAL,76100519,HC DESTR LESION VAGINA,5081.0,,98.83,4369.66,85
LOCAL,76100520,HC VAG LEEPDEST OF LESION,5593.0,,377.27,4809.98,85
LOCAL,76100521,HC BIOPSY VAGINA,879.0,,47.06,1082.15,85
LOCAL,76100522,HC PESSARY FIT/INSERT,381.0,,33.5,327.66,85
LOCAL,76100523,HC FITTING OF DIAPHRAGM,321.0,,35.71,276.06,85
LOCAL,76100524,HC VAGINAL PACKING,607.0,,70.52,522.02,85
LOCAL,76100525,HC COLPO OF ENTIRE VAGINA,1150.0,,57.86,989.0,85
LOCAL,76100526,HC COLPO W/BX OF VAGINA,1349.0,,76.14,1160.14,85
LOCAL,76100527,HC COLPOSCOPY OF CERVIX,509.0,,56.75,437.74,85
LOCAL,76100528,HC COLPOSCOPY W/BX & EEC,1173.0,,65.06,1008.78,85
LOCAL,76100529,HC COLPO W/BX OF CERVIX,1212.0,,70.04,1042.32,85
LOCAL,76100530,HC COLPO W/ENDOCRV CURETTAGE,1224.0,,66.44,1052.64,85
LOCAL,76100531,HC COLPOSCOPY W/LEEP,3825.0,,174.42,3803.326,85
LOCAL,76100532,HC COLPO W/LEEP CONE,7499.0,,185.22,6449.14,85
LOCAL,76100533,HC CERVICAL BIOPSY,1578.0,,91.36,1357.08,85
LOCAL,76100534,HC ENDOCERVICAL CURETTAGE,1023.0,,91.91,1082.15,85
LOCAL,76100535,HC CRYO-SURGERY CERVIX,645.0,,104.93,554.7,85
LOCAL,76100536,HC CAUT CERVIX LASER,2414.0,,297.83,3803.326,85
LOCAL,76100537,HC LEEP CONE,7038.0,,519.16,6052.68,85
LOCAL,76100538,HC DILATION OF CERVIX,3188.0,,39.86,3803.326,85
LOCAL,76100539,HC BIOPSY  ENDOMETRIAL,524.0,,45.96,450.64,85
LOCAL,76100540,HC ENDOMETRIAL BX CNJ WCOLPO,509.0,,81.56,437.74,84
LOCAL,76100541,HC INSERTION INTRAUTERIN DVC,939.0,,262.92,807.54,83
LOCAL,76100542,HC REMOVE INTRAUTER DEVICE,417.0,,51.22,358.62,84
LOCAL,76100543,HC HYSTEROSCOPY DX SEP PROC,5856.0,,306.38,5036.16,85
LOCAL,76100544,HC HYSTROSC SRG W BX/POLYPEC,6185.0,,469.1,5319.1,85
LOCAL,76100545,HC HYSTEROSCOPY REMOVE FB,5856.0,,449.44,5036.16,85
LOCAL,76100546,HC NONOBST PELVIC EXAM FEMAL,357.0,,99.96,307.02,83
LOCAL,76100547,HC OMMAYA TAP,1583.0,,225.28,1361.38,85
LOCAL,76100548,HC OMMAYA PUNCT:W/INJ-DX/TX,1773.0,,227.32,1524.78,85
LOCAL,76100549,HC PUNCT SHUNT TUBE ASPIR/NJ,927.0,,113.47,829.3455,85
LOCAL,76100550,HC EPIDURAL LYSIS MLTSES 1DY,3574.0,,340.77,3073.64,85
LOCAL,76100552,HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC,1434.0,,130.82,1233.24,85
LOCAL,76100553,HC SPINAL PUNCTURE THERA,1582.0,,191.02,1360.52,85
LOCAL,76100554,HC INJ EPIDRL-BLD/CLOT PATCH,1973.0,,225.24,1696.78,85
LOCAL,76100555,HC INJ NEUR W/WO OTH'SUBAR,1356.0,,318.08,1166.16,85
LOCAL,76100556,HC INJ NEUR W/WO OTH SUB EPI,1370.0,,308.0,1178.2,85
LOCAL,76100557,HC INJ NEUR W/WO OTH SUB EPI,1370.0,,281.64,1178.2,85
LOCAL,76100558,HC PERCUT DISCECTOMY LUMBAR,8889.0,,659.94,7644.54,85
LOCAL,76100559,HC INJ PRO DISKO EA LEV LUM,1431.0,,308.64,1230.66,84
LOCAL,76100560,HC INJ PRO DISK EA LEV CV/TH,1534.0,,281.28,1319.24,84
LOCAL,76100565,HC IMPL EPI CATH MEDS WO LAM,10572.0,,814.66,10310.8195,85
LOCAL,76100566,HC REM IMPL INTHEC/EPI CATH,2810.0,,566.75,2416.6,85
LOCAL,76100567,HC IMPLNT/REPL DEV EPI RESV,30882.0,,637.32,26558.52,85
LOCAL,76100568,HC IMPL/RE DEV-EPI INF NOPRG,30916.0,,922.06,26587.76,85
LOCAL,76100570,HC REMV IMPLT SUB RESV/PUMP,2810.0,,615.19,4013.661,85
LOCAL,76100571,HC ELC ANLY PRO PMP WO REPG,866.0,,49.77,744.76,85
LOCAL,76100573,HC ANALYSIS PMP W/REPRG REFL,954.0,,69.83,820.44,85
LOCAL,76100574,HC ANALY PMP W/REPG RFL RQMD,1005.0,,91.21,864.3,85
LOCAL,76100575,HC PERCU IMPLT ELC ARRY EPI,25490.0,,829.8,21921.4,85
LOCAL,76100576,HC REM SPIN ELEC/ARRAY FLUOR,6157.0,,659.94,5295.02,85
LOCAL,76100577,HC REV SPIN ELEC/ARRAY FLUOR,6105.0,,912.34,7487.6845,85
LOCAL,76100578,HC INC&PLCT SPINL NEU GEN,43854.0,,697.6,37714.44,85
LOCAL,76100579,HC REV IMPL SPINAL NUER GEN,15135.0,,617.42,13016.1,85
LOCAL,76100580,HC INJEC ANESTH TRIGEM NERV,975.0,,67.55,838.5,85
LOCAL,76100581,HC INJECTION(S) ANESTH AGENT(S)/FACIAL NERVE - UNLISTED EA,638.0,,178.64,548.68,83
LOCAL,76100582,HC INJECTION(S) ANESTH AGENT(S)/STEROID OCCIP NERVE EA,975.0,,30.18,838.5,85
LOCAL,76100583,HC INJECTION(S) ANESTH AGENT(S)/CERVICAL PLEX - UNLISTED EA,638.0,,178.64,548.68,83
LOCAL,76100584,HC INJECTION(S) ANESTH AGENT(S)/STEROID EA BRACH PLEXUS INCL IMAGE GUIDANCE,1892.0,,137.7,1627.12,85
LOCAL,76100585,HC INJECTION(S) ANESTH AGENT(S)/STEROID BRACHIAL PLEX CONT INFUS INCL IMAGE GUIDANCE,2340.0,,152.66,2012.4,85
LOCAL,76100586,HC INJECTION(S) ANESTH AGENT(S)/STEROID AXILLARY NERVE EA INCL IMAGE GUIDANCE,2486.0,,127.22,2137.96,85
LOCAL,76100587,HC INJECTION(S) ANESTH AGENT(S)/STEROID SUPRASCAP NERVE EA,529.0,,38.76,829.3455,85
LOCAL,76100588,HC INJECTION(S) ANESTH AGENT(S)/STEROID INTERCOSTAL NERVE - SINGLE LVL,975.0,,115.27,838.5,85
LOCAL,76100589,HC INJECTION(S) ANESTH AGENT(S)/STEROID INTERCOSTAL NERVE - EA ADD'L LVL,1039.0,,49.52,1039.1745,85
LOCAL,76100590,HC INJECTION(S) ANESTH AGENT(S)/STEROID ILIOINGUIN/ILIOHYPOGAST NERVES,975.0,,61.74,838.5,85
LOCAL,76100591,HC INJECTION(S) ANESTH AGENT(S)/STEROID PUDENDAL BLOCK,2003.0,,109.27,1722.58,85
LOCAL,76100592,HC INJECTION(S) ANESTH AGENT(S)/STEROID PARACERVICAL NERVE,638.0,,43.19,829.3455,85
LOCAL,76100593,HC INJ ANS AGT SCIATIC NERV INCL IMAGE GUIDANCE,2384.0,,73.64,2050.24,85
LOCAL,76100594,HC INJ ANES SCIATNRV CNT INF INCL IMAGE GUIDANCE,3027.0,,149.39,2603.22,85
LOCAL,76100595,HC INJ ANS AGT FEMORAL NERVE INCL IMAGE GUIDANCE,2437.0,,39.86,2095.82,85
LOCAL,76100596,HC INJ ANES FEM NRV CONT INF INCL IMAGE GUIDANCE,2340.0,,142.61,2012.4,85
LOCAL,76100597,HC INJ ANS AG OTR PERIP NEV,1076.0,,39.31,925.36,85
LOCAL,76100598,HC INJ ANS EPI CER/TH 1LVL,975.0,,258.71,1039.1745,85
LOCAL,76100599,HC INJ AN EPI CV/TH-EA ADD,975.0,,120.79,838.5,84
LOCAL,76100600,HC INJ ANS EPI LUM/SAC 1LVL,1076.0,,220.78,1039.1745,85
LOCAL,76100601,HC INJ AN EPI LU/SAC-EA ADD,975.0,,102.28,838.5,84
LOCAL,76100602,HC INJ AN FACET CV/THR 1LVL,2266.0,,209.08,1948.76,85
LOCAL,76100603,HC INJ AN FACET CV/THR 2LVL,1179.0,,117.79,1013.94,84
LOCAL,76100604,HC INJ AN FACET CV/TH >3LVL,1179.0,,119.73,1013.94,84
LOCAL,76100605,HC INJ AN FACET LU/SC 1LVL,2266.0,,179.63,1948.76,85
LOCAL,76100606,HC INJ AN FACET LU/SC 2LVL,1179.0,,100.99,1013.94,84
LOCAL,76100607,HC INJ AN FACET LU/SC >3LVL,1179.0,,102.93,1013.94,84
LOCAL,76100608,HC INJEC ANESTH SPENO GANG,638.0,,70.6,548.68,85
LOCAL,76100609,HC INJ ANS AGT STELLT GANG,975.0,,152.76,1039.1745,85
LOCAL,76100610,HC INJEC ANES SUP HYPO PLEX,932.0,,249.71,1039.1745,85
LOCAL,76100611,HC INJ ANES AGENT LUM/THOR,932.0,,168.64,1039.1745,85
LOCAL,76100612,HC INJ ANES CELIAC PLEX,975.0,,187.43,1039.1745,85
LOCAL,76100613,HC PRECU IMPL NERO ELE CRAN,13618.0,,646.37,11711.48,85
LOCAL,76100614,HC INC IMPL PERIPHERAL NER,20271.0,,636.15,17433.06,85
LOCAL,76100615,HC DEST NEU TRIG NERV SUPAOR,3439.0,,340.77,2957.54,85
LOCAL,76100616,HC 2ND & 3RD DIV FORAM OVAL,3439.0,,659.94,2957.54,85
LOCAL,76100617,HC 2ND&3RD DIV OVAL W/RAD,3439.0,,659.94,2957.54,85
LOCAL,76100618,HC CHEMODENRV MUS INNRV FAC,737.0,,64.78,633.82,85
LOCAL,76100619,HC CHMDNRVTN MUSC SPNL BLAT,1104.0,,59.25,949.44,85
LOCAL,76100620,HC CHEMODNRV NCK WO LRYN UNI,1142.0,,57.3,982.12,85
LOCAL,76100621,HC DESTR-NEUROL INTRCST NRV,2810.0,,340.77,2416.6,85
LOCAL,76100622,HC DSTRCTV NEURO PUDNDL BLOK,3007.0,,340.77,2586.02,85
LOCAL,76100623,HC DES FCT NRV C/T 1LVL W GD,4517.0,,381.97,3884.62,85
LOCAL,76100624,HC DES FCT NRV C/T EA AD WGD,2787.0,,133.04,2396.82,84
LOCAL,76100625,HC DEST FCT JTNV L/S-1LV WGD,5189.0,,382.61,4462.54,85
LOCAL,76100626,HC DES FC JTNV L/S-EA ADLVGD,2787.0,,116.24,2396.82,84
LOCAL,76100627,HC DEST OTH PERIPH NERV,1618.0,,145.34,1391.48,85
LOCAL,76100628,HC CHEMODNRV 1EXTRM 1-4MUSCS,1142.0,,68.66,982.12,85
LOCAL,76100629,HC CHEMODNRV ADD EXTR1-4MSCS,1142.0,,142.32,982.12,84
LOCAL,76100630,HC CHEMODNRV 1EXTRM 5+ MUSCS,1142.0,,85.54,982.12,85
LOCAL,76100631,HC CHEMODNRV ADD EXTR 5+MUSC,1142.0,,166.79,982.12,84
LOCAL,76100632,HC CHEMODNRV TRNK 1-5 MUSCLS,1142.0,,68.66,982.12,85
LOCAL,76100633,HC CHEMODNRV TRNK 6+ MUSCLS,1142.0,,75.3,982.12,85
LOCAL,76100634,HC DEST CELIAC PLX W/WO RAD,2810.0,,318.49,2416.6,85
LOCAL,76100635,HC SUPERIOR HYPOGAST PLEX,3439.0,,340.77,2957.54,85
LOCAL,76100667,HC BIOPSY-EXTERNAL EAR,1241.0,,54.82,1067.26,85
LOCAL,76100668,HC BX EXTRNL AUDITORY CANAL,4739.0,,94.96,4075.54,85
LOCAL,76100669,HC CERUMEN REMOVAL,531.0,,65.26,456.66,85
LOCAL,76100671,HC MYRINGOTOMY,1462.0,,87.58,1257.32,85
LOCAL,76100672,HC TYMPANOSTOMY,1972.0,,117.66,1695.92,85
LOCAL,76100673,HC COMPUTERIZD CORNEAL TOPOGRAPHY,326.0,,57.3,280.36,85
LOCAL,76100675,HC DEBRIDEMENT <20 SQ CM,249.0,,56.3,235.727,85
LOCAL,76100676,HC DEBRIDEMENT EA 20 SQ CM,294.0,,39.5,252.84,84
LOCAL,76100677,HC WOUND CARE NON-SELECT,240.0,,67.2,235.727,84
LOCAL,76100678,HC WOUND VAC >50 SQ CM,436.0,,41.63,477.618,85
LOCAL,76100679,HC WOUND US MIST THERPY,613.0,,28.0,527.18,85
LOCAL,76100681,HC INJ-SI JT ARTH &/ANS/STD,2463.0,,395.16,2118.18,85
LOCAL,76100686,HC WOUND VAC < 50 SQ CM,295.0,,37.96,253.7,85
LOCAL,76100687,HC MINI BALVEOLAR LAVAGE IN ICU,3296.0,,922.88,2834.56,83
LOCAL,76100692,HC SURG REVSN PROC PER TOOTH,2085.0,,583.8,1793.1,85
LOCAL,76100693,HC DENT EXT/PRE-RAD MED,370.0,,103.6,759.5635,85
LOCAL,76100694,HC DRAIN SFT TISS CATH W IMG,5309.0,,257.6,4565.74,85
LOCAL,76100695,HC STEREO BRST BX+IMG 1ST LS,4623.0,,320.77,3975.78,85
LOCAL,76100696,HC STEREO BRST BX+IMG ADD LS,1849.0,,160.84,1590.14,84
LOCAL,76100697,HC MRI BRST BX+IMG 1ST LS,9375.0,,351.41,8062.5,85
LOCAL,76100698,HC MRI BRST BX+IMG ADD LS,4887.0,,174.93,4202.82,84
LOCAL,76100700,HC BX MUSCLE  SUPERFICIAL,1974.0,,195.69,1940.4755,85
LOCAL,76100701,HC BX MUSCLE  DEEP,3272.0,,320.33,3412.7745,85
LOCAL,76100702,HC BIOPSY MUSCLE PERCU NDL,3009.0,,112.62,2587.74,85
LOCAL,76100703,HC BX BONE TROC/NDL SUPERFCL,3009.0,,171.57,2587.74,85
LOCAL,76100704,HC SINUS TRACT INJECT THERP,1974.0,,60.63,1822.9685,85
LOCAL,76100705,HC DIAGN SINOGRAM INJ SINUST,1974.0,,71.57,1697.64,84
LOCAL,76100706,HC PLC ND/CT MS/SFTS RDLM AP,3009.0,,663.31,3844.3005,85
LOCAL,76100713,HC INJ ARTHROGRM SHLDR/CTMRI,1939.0,,98.4,1667.54,84
LOCAL,76100714,HC CRYOABLATN BONE-SHLDR RGN,13708.0,,289.8115,11788.88,83
LOCAL,76100715,HC CRYOABL BONE-PLVS/HIP JNT,13708.0,,289.8115,11788.88,83
LOCAL,76100716,HC CRYOABLAT BONE-FEMUR/KNEE,13708.0,,289.8115,11788.88,83
LOCAL,76100717,HC INSMRK RTX GD PC IT S/MLT,4033.0,,343.73,3468.38,85
LOCAL,76100779,HC RPR CVAD W/PT/PMP C/P INS,2660.0,,368.23,2287.6,85
LOCAL,76100781,HC REPO VENOUS CATH GUIDE,3337.0,,118.61,2869.82,85
LOCAL,76100801,HC  BX/EX LYMPH NODES NDL SFC,3009.0,,168.94,2587.74,85
LOCAL,76100802,HC INJ PRC LYMPHANGIOGRAPHY,1974.0,,163.96,1697.64,84
LOCAL,76100803,HC CANNULATION THORACIC DUCT,7356.0,,557.05,6326.16,84
LOCAL,76100804,HC BIOPSY NDL SALIVRY GLAND,3009.0,,57.58,2587.74,85
LOCAL,76100851,HC THYROID BX PERC CORE NDL,2904.0,,42.63,2497.44,85
LOCAL,76100862,HC BX BREAST W U/S INIT LES,3919.0,,303.82,3370.34,85
LOCAL,76100863,HC BX BREAST W US ADD LESION,2067.0,,151.45,1777.62,84
LOCAL,76100864,HC S/I  COM EXTR CAROT W/ANG,8900.0,,582.34,7654.0,85
LOCAL,76100865,HC S/I INTR CAROT W/ANG EXTR,8900.0,,676.3,7654.0,85
LOCAL,76100866,HC S/I INIT INTR CAROTID,5689.0,,761.34,6537.7615,85
LOCAL,76100867,HC S/I SUBCLAVIAN VERTABRAL,7216.0,,670.87,6205.76,85
LOCAL,76100868,HC S/I VERTABRAL,7216.0,,756.02,6537.7615,85
LOCAL,76100869,HC S/I EXTR CAROTID W/ANGIO,7628.0,,249.51,6560.08,84
LOCAL,76100870,HC S/I INTRA BRANCH W/ANGIO,1908.0,,515.92,1640.88,84
LOCAL,76100872,HC CENT/PERI CATH VENOUS COL,97.0,,27.16,156.3195,85
LOCAL,76100874,HC CRITICAL CARE 1ST 30-74 MIN,2023.0,,339.51,1739.78,85
LOCAL,76100875,HC CRITICAL CARE-1/2HR,765.0,,171.48,657.9,84
LOCAL,76100876,HC ARTH/ASPNJ SMJT/BR W/ U/S,2154.0,,39.86,1852.44,85
LOCAL,76100877,HC ARTH/ASPNJ IMJT/BR W/ U/S,728.0,,23.54,626.08,85
LOCAL,76100878,HC ARTH/ASPNJ IMJT/BR W/ U/S,2197.0,,42.36,1889.42,85
LOCAL,76100879,HC ARTH/ASPNJ MJR JT/BR WU/S,2204.0,,47.34,1895.44,85
LOCAL,76100880,HC PC VRTBRPLSTY CVTR+BX+IMG,9219.0,,865.49,7928.34,85
LOCAL,76100881,HC PC VRTBRPLSTY LBSC+BX+IMG,9219.0,,814.49,7928.34,85
LOCAL,76100882,HC VRTBPLST EAAD CTLS+BX+IMG,5781.0,,418.15,4971.66,84
LOCAL,76100883,HC VTB AUG+BX 1VTB CN&IMG TH,20136.0,,1032.52,17316.96,85
LOCAL,76100884,HC VT AUG+BX 1VTB CAN+IMG LB,20136.0,,962.03,17316.96,85
LOCAL,76100885,HC VTAUG+BX VT CN+IM EAAD TL,13779.0,,440.94,11849.94,84
LOCAL,76100886,HC BIOIMPDNC (BIS)SPCTROSCPY,114.0,,31.92,98.04,83
LOCAL,76100888,HC TAP BLOCK UNILAT-INJECTNS,975.0,,41.42,838.5,84
LOCAL,76100889,HC TAP BLOCK BILAT-INJECTNS,1320.0,,51.26,1135.2,84
LOCAL,76100890,HC ABLATION CRYOSURG W/US GUID EA FIBROADENOMA,9391.0,,2629.48,8076.26,83
LOCAL,76100891,HC SUBC INJ FILL:1.1 TO 5.0,906.0,,49.0,868.342,85
LOCAL,76100893,HC AIRWAY INHALATION TREAT,300.0,,12.69,258.0,85
LOCAL,76100894,HC BRONCH EBUS SAMPLNG 1OR2,9928.0,,431.31,8538.08,85
LOCAL,76100895,HC BRONCH EBUS SAMPLNG 3OR>,13779.0,,478.51,11849.94,85
LOCAL,76100896,HC BRONCH EBUS IVNTJ PERPH,3752.0,,131.16,3226.72,84
LOCAL,76100900,HC ARTERIAL PUNCTURE,82.0,,22.96,156.3195,85
LOCAL,76100906,HC CENTRAL VENOUS ACCESS IMPLANTABLE PORT/DEVICE,118.0,,33.04,156.3195,85
LOCAL,76100909,HC INCISION OF WINDPIPE,3402.0,,618.82,3895.3605,85
LOCAL,76100910,HC INTRAABDOMINAL PRESSURE TEST,596.0,,166.88,512.56,84
LOCAL,76100911,HC TRACHEOBRONCHOSCOPY,3071.0,,187.22,2641.06,85
LOCAL,76100913,HC INJ INTERLAMINAR CRV/THRC NON-NEUROLYTIC W/O IMG GUID,2169.0,,200.55,1865.34,85
LOCAL,76100914,HC INJ INTERLAMINAR CRV/THRC NON-NEUROLYTIC W/ IMG GUID,3449.0,,213.32,2966.14,85
LOCAL,76100915,HC INJ INTERLAMINAR LMBR/SAC NON-NEUROLYTIC W/O IMG GUID,2169.0,,158.18,1865.34,85
LOCAL,76100916,HC INJ INTERLAMINAR LMBR/SAC NON-NEUROLYTIC W/ IMG GUID,3449.0,,197.43,2966.14,85
LOCAL,76100917,HC INJ INTERLAMINAR CRV/THRC CONTINU/INTERMIT NON-NEUROLYTIC W/O IMG GUID,2420.0,,176.27,2081.2,85
LOCAL,76100918,HC INJ INTERLAMINAR CRV/THRC CONTINU/INTERMIT NON-NEUROLYTIC W/ IMG GUID,3701.0,,218.93,3182.86,85
LOCAL,76100919,HC INJ INTERLAMINAR LMBR/SAC CONTINU/INTERMIT NON-NEUROLYTIC W/O IMG GUID,2420.0,,169.08,2081.2,85
LOCAL,76100920,HC INJ INTERLAMINAR LMBR/SAC CONTINU/INTERMIT NON-NEUROLYTIC W/ IMG GUID,3701.0,,213.54,3182.86,85
LOCAL,76100921,HC NEG PRESSURE WOUND TX DISPOSABLE (NO-DME) ASSESSMT/INSTRUCT <=50SQCM,618.0,,173.04,531.48,84
LOCAL,76100922,HC NEG PRESSURE WOUND TX DISPOSABLE (NO-DME) ASSESSMT/INSTRUCT >50SQCM,743.0,,208.04,638.98,84
LOCAL,76100924,HC INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY,1160.0,,133.23,997.6,85
LOCAL,76100925,HC ANORECTAL MANOMETRY,2413.0,,438.426,2075.18,84
LOCAL,76100926,HC LYMPHOSCINTIGRAPHY W/ ICG,2864.0,,469.6945,2463.04,83
LOCAL,76100927,HC CYSTOSCOPY W/COMPLEX REMOVAL STONE & STENT,7238.0,,543.67,6224.68,85
LOCAL,76100928,HC URETERAL ENDOSCOPY VIA URETEROSTOMY,5822.0,,608.3,5006.92,85
LOCAL,76100929,HC DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,2483.0,,147.74,3412.7745,85
LOCAL,76100935,HC CLOSED TX HUMERAL SHAFT FX W/O MANIPULATION,960.0,,85.32,825.6,85
LOCAL,76100936,"HC CLOSED TX HUMERAL SHAFT FX W/MANIPULATION, W/WO SKELETAL TRACTION",2227.0,,593.04,1915.22,85
LOCAL,76100937,HC TRANSPERINEAL PLACEMENT BIODEGRADABLE MATERIAL,11472.0,,325.49,9865.92,85
LOCAL,76100938,HC PLACEMENT INTERSTITIAL DEVICE RADX THERAPY/SURGERY,4022.0,,1126.16,3458.92,84
LOCAL,76100939,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,719.0,,64.23,618.34,85
LOCAL,76100940,HC PUNCH BIOPSY SKIN SINGLE LESION,719.0,,79.46,618.34,85
LOCAL,76100941,HC INCISIONAL BIOPSY SKIN SINGLE LESION,1038.0,,98.83,892.68,85
LOCAL,76100942,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,359.0,,43.36,308.74,84
LOCAL,76100943,HC PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,359.0,,51.04,308.74,84
LOCAL,76100944,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,520.0,,61.07,447.2,84
LOCAL,76100945,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL,145.0,,40.6,124.7,84
LOCAL,76100946,HC PARAVERTEBRAL BLOCK (PVB) THORACIC SINGLE INJ ST INCL IMG,2223.0,,154.83,1911.78,85
LOCAL,76100947,HC PARAVERTEBRAL BLOCK (PVB) THORACIC 2ND INJ & ANY ADD'L INC IMG,1096.0,,95.62,942.56,84
LOCAL,76100949,HC UNLISTED PROCEDURE NERVOUS SYSTEM - ERECTOR SPINAE BLOCK,936.0,,262.08,804.96,83
LOCAL,76100950,HC URETERAL ENDOSCOPY VIA ESTABLISHED URETEROSTOMY W/REMOVAL FOREIGN BODY,8114.0,,628.37,6978.04,85
LOCAL,76100951,HC SUBC INJ FILL:5.1 TO 10.0CC,956.0,,62.29,868.342,85
LOCAL,76100952,HC UNLISTED PROCEDURE MOTOR FUNCTION MAPPING NAVIGATED TMS TX PLAN,4201.0,,360.64,3612.86,83
LOCAL,76100953,HC TAP BLOCK UNILATERAL BY INJECTION(S),937.0,,41.42,805.82,84
LOCAL,76100954,HC TAP BLOCK BILATERAL BY INJECTION(S),1266.0,,51.26,1088.76,84
LOCAL,76100955,HC TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ,6313.0,,1554.82,6299.6195,85
LOCAL,76100956,HC DILAT FEMALE URETHRA SBSQ,316.0,,29.6,271.76,85
LOCAL,76100957,HC NOCTURNAL PENILE TUMESCENCE/RIGID TEST,595.0,,166.6,511.7,85
LOCAL,76100958,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,2394.0,,168.66,2058.84,85
LOCAL,76100959,HC THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF W/FLUOR/CT,2394.0,,209.14,2058.84,85
LOCAL,76100960,HC EXCISION LESION TONGUE W/O CLOSURE,938.0,,142.3,3895.3605,85
LOCAL,76100961,HC INS VAG BRACHYTX DEVICE,1822.0,,116.74,1566.92,85
LOCAL,76100962,"HC UNLIST URINARY SYS,RENAL INSTILLAT ANTICARCINOG AGENT INCLUD RETENT TIME",1019.0,,285.32,876.34,83
LOCAL,76100963,HC INJECTION ANES AGENT &/STEROID VAGUS NERVE,2574.0,,90.08,2213.64,85
LOCAL,76100965,HC EXC NEUROFIBROM; CUTANEOUS NERVE,6875.0,,659.94,5912.5,85
LOCAL,76100966,HC SUBCUT INJ FILL MTL >10.0 CC,1052.0,,68.94,904.72,85
LOCAL,76100967,HC DESTR VASCUL LES <10 SQCM,907.0,,143.08,780.02,85
LOCAL,76100968,"HC DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES",501.0,,140.28,430.86,85
LOCAL,76100969,HC REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP,838.0,,31.62,720.68,85
LOCAL,76100970,HC REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 DAYS,127.0,,35.56,109.22,85
LOCAL,76100971,HC DESTRUCTION NEUROLYTIC AGENT GENICULAR NERVE W/IMG GUID,4500.0,,659.94,3870.0,83
LOCAL,76100972,HC LABYRINTHOTOMY TRANSCANAL,2388.0,,124.3,2053.68,85
LOCAL,76100973,HC CHANGE CYSTOSTOMY TUBE COMPLICATED,1628.0,,159.98,1400.08,85
LOCAL,76100974,HC EXC TUMOR TISSUE NECK/THORAX SUBFASC 5CM/>,3797.0,,815.2,3412.7745,85
LOCAL,76100975,"HC SKIN SUB GRAFT TRUNK,/ARMS/LEGS >=100SQ CM",4743.0,,394.35,4078.98,85
LOCAL,76100976,HC SKN SUB GRAFT TRUNK/ARMS/LEGS >=100SQ CM EA ADDL 100SQ CM,1890.0,,90.39,1625.4,84
LOCAL,76100978,"HC LOWER EXTREMITY FASCIAL PLANE BLOCK UNILAT, BY INJECTION",2444.0,,684.32,2101.84,83
LOCAL,76100979,HC SCALP COOLING 1ST MEASUREMENT & CAP CALIBRATION,5195.0,,1454.6,4467.7,84
LOCAL,76100980,HC SCALP COOLING PLACEMENT MNTR & REMOVAL OF DEVICE,174.0,,48.72,149.64,83
LOCAL,76100981,HC RADIOFREQUENCY ABLATION NERVES INNRVAT SI JOINT W IMAGE GUIDE,5029.0,,659.94,4324.94,83
LOCAL,76100982,HC EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>,2397.0,,486.45,2061.42,85
LOCAL,76100983,HC DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100,4924.0,,1378.72,4234.64,85
LOCAL,76100984,HC BIOPSY OF SALIVARY GLAND,2389.0,,420.64,2054.54,85
LOCAL,76100985,HC UNLISTED PX DECLOT PLEURAL CATHETER,607.0,,169.96,737.0235,83
LOCAL,76100986,HC REMOVAL SUTURES OR STAPLES NOT REQ ANESTHESIA,268.0,,22.9,230.48,84
LOCAL,76100987,HC REMOVAL SUTURES AND STAPLES NOT REQ ANESTHESIA,268.0,,31.57,230.48,84
LOCAL,76100988,HC EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,1519.0,,425.32,1940.4755,85
LOCAL,76100989,HC INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 2ND DAY,409.0,,114.52,737.0235,85
LOCAL,76100990,HC REMOVAL CONTRACEPTIVE CAPSULE,281.0,,61.74,831.9905,84
LOCAL,76100991,"HC UNLISTED PX, GANGLION IMPAR BLOCK",825.0,,231.0,709.5,83
LOCAL,76100994,HC CYSTOURETHROSCOPY W/DIL RX BALLOON CATH URTL STRX/STEN MALE INCL FLOURO,4832.0,,1352.96,6299.6195,84
LOCAL,76100997,"HC APPLICATION OF CRANIAL TONGS, CALIPER, OR STEREOTACTIC FRAME, INCL REMVL",1502.0,,420.56,1889.243,85
LOCAL,76100998,HC EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM,531.0,,148.68,1940.4755,85
LOCAL,76100999,HC EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>,521.0,,145.88,3412.7745,85
LOCAL,76101000,"HC UNLISTED PX, BILATERAL PEC II BLOCK",735.0,,205.8,632.1,83
LOCAL,76101001,HC INCISE FINGER TENDON SHEATH,2332.0,,593.04,2005.52,85
LOCAL,76101002,HC THORACIC FASCIAL PLANE BLOCK BILATERAL INJECTION,713.0,,199.64,613.18,83
LOCAL,76101003,HC INJECTION PROCEDURE FOR PEYRONIE DISEASE,629.0,,60.08,540.94,85
LOCAL,76101004,HC IR ABLATION THYR NODULE 1 LOBE INCL IMG GUIDE,3116.0,,644.53,2679.76,85
LOCAL,76101005,HC IR ABLATION THYR NODULE ADDL LOBE INCL IMG GUIDE,1319.0,,369.32,1134.34,84
LOCAL,76101006,HC THORACIC FASCIAL PLANE BLOCK UNILATERAL INJECTION,865.0,,242.2,743.9,83
LOCAL,76101007,HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION,916.0,,256.48,4600.276,85
LOCAL,76101008,HC MECHANICAL SCALP COOLING PREP PLMT,305.0,,85.4,262.3,83
LOCAL,76101009,HC MECHANICAL SCALP COOLING AFTER CHEMO,146.0,,40.88,125.56,83
LOCAL,76120,PR CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC,201.0,,7.84,178.58,55
LOCAL,76125,PR CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION,142.0,,9.5864,147.68,55
LOCAL,76140,PR CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT,326.0,,10.34,338.1,40
LOCAL,76200002,HC OBSERVATION CARVE-OUT 1 HOUR,68.0,,19.04,58.48,42
LOCAL,76200004,HC OBSERVATION CARVE-OUT > 1 HOUR,68.0,,19.04,58.48,42
LOCAL,76376,PR 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,94.0,,6.8816,85.86,55
LOCAL,76377,PR 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,360.0,,27.5448,337.3,55
LOCAL,76380,PR CT LIMITED/LOCALIZED FOLLOW UP STUDY,365.0,,32.9544,310.25,55
LOCAL,76390,PR MRI SPECTROSCOPY,562.0,,38.1156,527.16,48
LOCAL,76391,PR MAGNETIC RESONANCE ELASTOGRAPHY,599.0,,38.1156,539.1,55
LOCAL,7649601,"PR UNLISTED PROCEDURE FLUOROSCOPIC, FOR DIR PUNCT SCLEROTHERAPY",272.0,,17.13,244.8,40
LOCAL,7649602,"PR UNLISTED PX FLOUROSCOPIC, ADDITIONAL VENOGRAPHY AFTER INITIAL",754.0,,17.13,678.6,40
LOCAL,7649807,"PR UNLISTED PROCEDURE MAGNETIC RESONANCE, MRI WHOLE BODY",1690.0,,21.42,1521.0,42
LOCAL,7649808,"PR UNLISTED PROCEDURE MAGNETIC RESONANCE, MR GUIDED HIFU BONE ABLATION",4082.0,,21.42,3673.8,42
LOCAL,7649925,PR UNLISTED PROCEDURE DIAGNOSTIC RADIOGRAPHIC  DEXA BODY COMP 1/MORE SITES,162.0,,97.2,1677.65,28
LOCAL,7649926,PR UNLISTED PROCEDURE DIAGNOSTIC RADIOGRAPHIC  CT CHEST SCREENING,65.0,,39.0,1677.65,28
LOCAL,7649927,PR UNLISTED PROCEDURE DIAGNOSTIC RADIOGRAPHIC  BREAST TOMOSYNTHESIS,16.0,,9.6,1677.65,28
LOCAL,7649928,PR UNLISTED PROCEDURE DIAGNOSTIC RADIOGRAPHIC  US GUIDED SKIN MARKER PLACEMENT,203.0,,121.8,1677.65,28
LOCAL,7649929,PR UNLISTED PROCEDURE DIAGNOSITC RADIOGRAPHIC  (I/O CHAOLANGIOGRAM W/ AIR),135.0,,81.0,1677.65,28
LOCAL,76506,PR ECHOENCEPHALOGRAPHY REAL TIME IMAGING,313.0,,18.9,290.19,55
LOCAL,76510,PR OPHTHALMIC US DX B-SCAN&QUAN A-SCAN SM PT ENCTR,539.0,,28.2808,485.1,53
LOCAL,76511,PR OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY,318.0,,25.8244,317.68,53
LOCAL,76512,PR OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN,407.0,,22.1352,348.59,53
LOCAL,76513,PR DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI,409.0,,23.3588,348.59,53
LOCAL,76514,PR OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI,88.0,,5.658,88.31,55
LOCAL,76516,PR OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,322.0,,16.2288,333.12,55
LOCAL,76519,PR OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL,322.0,,21.8868,333.12,55
LOCAL,76529,PR OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION,296.0,,23.3588,300.5,55
LOCAL,76536,PR US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM,271.0,,18.16,266.16,55
LOCAL,76604,PR US CHEST REAL TIME W/IMAGE DOCUMENTATION,304.0,,19.6696,276.47,55
LOCAL,76641,PR US BREAST UNI REAL TIME WITH IMAGE COMPLETE,390.0,,25.3276,351.0,55
LOCAL,76642,PR US BREAST UNI REAL TIME WITH IMAGE LIMITED,364.0,,23.6072,327.6,55
LOCAL,76700,PR US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION,376.0,,27.7932,319.6,55
LOCAL,76705,PR US ABDOMINAL REAL TIME W/IMAGE LIMITED,275.0,,20.1664,236.97,55
LOCAL,76770,PR US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE,307.0,,25.576,302.22,55
LOCAL,76775,PR US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,266.0,,19.918,226.1,55
LOCAL,76776,PR US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,335.0,,26.0636,325.03,55
LOCAL,76800,PR ULTRASOUND SPINAL CANAL & CONTENTS,411.0,,34.5,349.35,55
LOCAL,76801,PR US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT,507.0,,37.6096,456.3,55
LOCAL,76802,PR US PREG UTERUS 14 WK TRANSABDL EACH GESTATION,157.0,,31.648,155.96,55
LOCAL,76805,PR US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION,360.0,,37.8672,306.0,55
LOCAL,76810,PR US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,501.0,,37.3336,425.85,55
LOCAL,76811,PR US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION,539.0,,72.2292,485.1,55
LOCAL,76813,PR US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,485.0,,44.9052,504.1,55
LOCAL,76814,PR US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,434.0,,37.6096,423.15,55
LOCAL,76815,PR US PREGNANT UTERUS LIMITED 1/> FETUSES,285.0,,24.61,242.25,55
LOCAL,76816,PR US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS,285.0,,22.03,242.25,55
LOCAL,76817,PR US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG,354.0,,28.6672,318.6,55
LOCAL,76818,PR FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING,490.0,,35.37,416.5,55
LOCAL,76819,PR FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING,275.0,,29.2192,279.9,55
LOCAL,76825,PR ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING,382.0,,37.88,355.45,55
LOCAL,76826,PR ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD,279.0,,17.76,237.15,55
LOCAL,76827,PR DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE,224.0,,22.1812,226.66,55
LOCAL,76828,PR DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT,147.0,,21.1048,137.37,55
LOCAL,76830,PR US TRANSVAGINAL,307.0,,23.8556,302.22,55
LOCAL,76831,PR SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER,341.0,,24.96,348.59,55
LOCAL,76856,PR US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE,269.0,,24.3432,264.44,55
LOCAL,76857,PR US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U,248.0,,17.4616,242.13,55
LOCAL,76870,PR US SCROTUM & CONTENTS,241.0,,21.8868,226.66,55
LOCAL,76872,PR US TRANSRECTAL,450.0,,12.35,386.36,55
LOCAL,76873,PR US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX,738.0,,55.5772,627.3,55
LOCAL,76881,PR US COMPL JOINT R-T W/IMAGE DOCUMENTATION,334.0,,22.1352,300.6,55
LOCAL,76882,PR US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG,201.0,,17.2132,180.9,53
LOCAL,76885,PR US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ,267.0,,20.95,271.31,51
LOCAL,76886,PR US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ,234.0,,22.41,238.68,51
LOCAL,76900001,HC MYELOGRAPHY CERV INJ+S&,3115.0,,234.39,2678.9,85
LOCAL,76900002,HC MYELOGRAPHY THOR INJ+S&I,3198.0,,234.13,2750.28,85
LOCAL,76900003,HC MYELOGRAPHY LSAC INJ+S&I,3131.0,,231.78,2692.66,85
LOCAL,76900004,HC MYELOGRAPHY 2+REG INJ+S&I,3677.0,,240.26,3162.22,85
LOCAL,76900005,HC CRYOABLTX BONETUMRS+IMCRY,15203.0,,675.93,13074.58,85
LOCAL,76900006,HC IVSC STNTPLC IT CCAR+PLST,9049.0,,1675.01,7782.14,84
LOCAL,76900007,HC CRYOABLTX LIVRTUMRS+IMCRY,14583.0,,2813.82,12541.38,83
LOCAL,76932,PR US ENDOMYOCARDIAL BIOPSY RS&I,352.0,,26.0636,299.2,55
LOCAL,76936,PR US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,921.0,,67.8776,782.85,55
LOCAL,76937,PR US VASC ACCESS SITS VSL PATENCY NDL ENTRY,168.0,,10.0832,142.8,55
LOCAL,76940,PR US &MNTR PARENCHYMAL TISSUE ABLATION,807.0,,72.7904,771.49,55
LOCAL,76941,PR US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I,385.0,,46.4784,327.25,55
LOCAL,76942,PR US GUIDANCE NEEDLE PLACEMENT IMG S&I,480.0,,21.8868,408.0,55
LOCAL,76945,PR US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I,250.0,,23.1196,212.5,55
LOCAL,76946,PR US GUIDANCE AMNIOCENTESIS IMG S&I,272.0,,13.2756,231.2,55
LOCAL,76948,PR US GUIDANCE ASPIRATION OVA IMG S&I,260.0,,27.07,261.0,47
LOCAL,76965,PR US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION,720.0,,49.1832,612.0,55
LOCAL,76975,PR GI ENDOSCOPIC US S&I,438.0,,29.5136,425.86,55
LOCAL,76977,PR US BONE DENSITY MEAS & INTERP PERIPH ANY METHO,105.0,,1.9688,89.25,55
LOCAL,76978,PR ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION,880.0,,56.074,792.0,55
LOCAL,76979,PR ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES,486.0,,29.2652,437.4,55
LOCAL,76981,PR ULTRASOUND ELASTOGRAPHY PARENCHYMA,321.0,,20.654,288.9,55
LOCAL,76982,PR ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION,321.0,,20.654,288.9,55
LOCAL,76983,PR ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION,232.0,,18.1976,208.8,55
LOCAL,76998,PR ULTRASONIC GUIDANCE INTRAOPERATIVE,1039.0,,33.9388,1076.9,55
LOCAL,7699907,PR UNLISTED PROCEDURE ULTRASOUND  ABLATION CRYO EXTREMITY US GUIDANCE,2192.0,,386.36,1863.2,28
LOCAL,77000001,HC PELVIC BREAST SCREENING,273.0,,46.59,234.78,85
LOCAL,77000002,HC PROST SCREEN DIGIT EXAM,72.0,,14.53,61.92,84
LOCAL,77000003,HC COUNSELING TO DISCUSS LOW DOSE CT SCAN ELIGIBILITY,141.0,,39.48,121.26,83
LOCAL,77001,PR FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,353.0,,13.2756,343.43,55
LOCAL,77002,PR FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON,527.0,,19.4304,681.95,55
LOCAL,77003,PR FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON,656.0,,20.654,681.95,55
LOCAL,77011,PR CT GUIDANCE STEREOTACTIC LOCALIZATION,601.0,,45.0064,510.85,55
LOCAL,77012,PR CT GUIDANCE NEEDLE PLACEMENT,576.0,,50.6552,533.54,55
LOCAL,77013,PR CT GUIDANCE &MONITORING VISC TISS ABLATION,1702.0,,133.2896,1463.25,55
LOCAL,77021,PR MRI GUIDANCE NEEDLE PLACEMENT RS&I,645.0,,51.6396,640.25,55
LOCAL,77022,PR MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION,1836.0,,145.5808,1676.67,55
LOCAL,77046,PR MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,787.0,,49.9192,708.3,55
LOCAL,77047,PR MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,871.0,,55.0896,783.9,55
LOCAL,77048,PR MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,1138.0,,72.542,1024.2,55
LOCAL,77049,PR MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,1247.0,,79.4328,1122.3,55
LOCAL,77053,PR MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE,177.0,,12.5396,154.54,55
LOCAL,77054,PR MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE,281.0,,15.4928,238.85,55
LOCAL,77061,PR DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,306.0,,32.0,275.4,40
LOCAL,77062,PR DIGITAL BREAST TOMOSYNTHESIS BILATERAL,306.0,,39.57,275.4,40
LOCAL,77063,PR SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,306.0,,20.9024,275.4,55
LOCAL,77065,PR DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,399.0,,28.0324,359.1,55
LOCAL,77066,PR DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,492.0,,34.4264,442.8,55
LOCAL,77067,PR SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,374.0,,26.312,336.6,55
LOCAL,77071,PR MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY,215.0,,50.269,182.75,47
LOCAL,77072,PR BONE AGE STUDIES,94.0,,6.6424,98.12,55
LOCAL,77073,PR BONE LENGTH STUDIES,145.0,,9.5864,123.25,55
LOCAL,77074,PR RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,211.0,,15.2444,186.44,55
LOCAL,77075,PR RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE,267.0,,19.182,248.98,55
LOCAL,77076,PR RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,224.0,,25.5668,199.92,51
LOCAL,77077,PR JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,163.0,,12.052,138.55,55
LOCAL,77078,PR CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE,360.0,,8.6112,372.87,55
LOCAL,77080,PR DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,173.0,,6.8816,155.77,55
LOCAL,77081,PR DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL,162.0,,6.8816,155.77,55
LOCAL,77084,PR MRI BONE MARROW BLOOD SUPPLY,817.0,,55.3288,798.47,55
LOCAL,77085,PR DXA BONE DENSITY STD 1/> AXL SKEL W/VRT FX ASSMT,143.0,,10.3316,128.7,55
LOCAL,77086,PR VERTEBRAL FRACTURE ASSESSMENT VIA DXA,81.0,,5.9064,72.9,55
LOCAL,77092,PR TBS INTERPRETATION & REPORT FX RISK BY OTHER QHP,99.0,,8.42,89.1,45
LOCAL,77100001,HC VAC ADM SGL W/PRFSVC,76.0,,21.28,84.594,85
LOCAL,77100002,HC VAC ADM EA ADDL W/PRFSVC,76.0,,21.28,65.36,84
LOCAL,77100003,HC VACC ADM INTRANAS/ORAL SGL/CMB,75.0,,21.0,84.594,85
LOCAL,77100004,HC VAC ADM INTRNS/ORL SG/CB EAADD,75.0,,19.02,64.5,84
LOCAL,77100005,HC INFLUENZA VACCINE-ADMIN,75.0,,21.0,64.5,85
LOCAL,77100006,HC PNEUMOCOCAL VACCINE-ADMIN,75.0,,21.0,64.5,85
LOCAL,77100007,HC HEPATITIS B VACCINE ADMIN,75.0,,21.0,64.5,85
LOCAL,77100040,HC VACC ADMIN SARSCOV2 VACCINE SINGLE DOSE,75.0,,21.0,64.5,84
LOCAL,77261,PR THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE,1078.0,,52.1364,1121.31,55
LOCAL,77262,PR THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE,1410.0,,80.6656,1466.44,55
LOCAL,77263,PR THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX,3194.0,,125.4236,2714.9,55
LOCAL,77280,PR THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE,978.0,,21.88,831.3,55
LOCAL,77285,PR THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED,828.0,,34.48,858.57,55
LOCAL,77290,PR THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX,1831.0,,56.84,1556.35,55
LOCAL,77293,PR RESPIRATORY MOTION MANAGEMENT SIMULATION,1007.0,,77.73,906.3,47
LOCAL,77295,PR 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS,2403.0,,193.4685,2042.55,55
LOCAL,77300,PR BASIC RADIATION DOSIMETRY CALCULATION,420.0,,28.2115,393.23,55
LOCAL,77301,PR NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS,4886.0,,360.825,4153.1,55
LOCAL,77306,PR TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION,690.0,,54.05,621.0,55
LOCAL,77307,PR TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY,1533.0,,112.12,1379.7,55
LOCAL,77316,PR BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL,743.0,,54.05,668.7,55
LOCAL,77317,PR BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL,971.0,,71.18,873.9,55
LOCAL,77318,PR BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL,1533.0,,112.12,1379.7,55
LOCAL,77321,PR SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY,556.0,,37.1312,513.42,55
LOCAL,77331,PR SPEC DOSIM ONLY PRESCRIBED TREATING PHYS,619.0,,39.423,526.15,47
LOCAL,77332,PR TX DEVICES DESIGN & CONSTRUCTION SIMPLE,360.0,,20.417,352.02,55
LOCAL,77333,PR TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE,531.0,,30.37,451.35,55
LOCAL,77334,PR TX DEVICES DESIGN & CONSTRUCTION COMPLEX,792.0,,51.765,745.23,55
LOCAL,77338,PR MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN,2176.0,,166.14,1958.4,55
LOCAL,77387,PR GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR,377.0,,15.2444,339.3,53
LOCAL,77427,PR RADIATION TREATMENT MANAGEMENT 5 TREATMENTS,1658.0,,142.876,1519.68,55
LOCAL,77431,PR RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY,568.0,,80.6656,487.66,55
LOCAL,77432,PR STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION,4409.0,,367.9565,4246.51,47
LOCAL,77435,PR STEREOTACTIC BODY RADIATION MANAGEMENT,5857.0,,478.5656,5548.85,55
LOCAL,77469,PR INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT,2697.0,,232.1435,2427.3,55
LOCAL,77470,PR SPECIAL TREATMENT PROCEDURE,1526.0,,79.4328,1297.1,55
LOCAL,77525,PR PROTON TX DELIVERY COMPLEX,6022.0,,260.0,7685.04,40
LOCAL,77600,PR HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL,877.0,,25.7,874.02,42
LOCAL,77605,PR HYPERTHERMIA EXTERNALLY GENERATED DEEP,1647.0,,22.89,1457.86,42
LOCAL,77610,PR HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS,891.0,,17.14,757.35,42
LOCAL,77615,PR HYPERTHERMIA INTERSTIAL PROBE>5 APPLICATORS,1392.0,,22.89,1183.2,42
LOCAL,77620,PR HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES,800.0,,25.7,680.0,42
LOCAL,77750,PR NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE,1813.0,,171.84,1782.4,55
LOCAL,77761,PR INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE,1494.0,,126.7,1315.34,55
LOCAL,77762,PR INTRACAVITARY RADIATION SOURCE APPLIC INTERMED,2019.0,,206.35,1943.81,55
LOCAL,77763,PR INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX,3062.0,,318.58,2847.03,55
LOCAL,77770,PR HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL,1062.0,,75.74,955.8,55
LOCAL,77771,PR HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL,1885.0,,146.54,1696.5,55
LOCAL,77772,PR HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS,2570.0,,207.08,2313.0,55
LOCAL,77778,PR INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX,4621.0,,335.37,4191.57,55
LOCAL,77789,PR SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE,519.0,,29.28,441.15,55
LOCAL,78012,PR THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,112.0,,6.394,100.8,55
LOCAL,78013,PR THYROID IMAGING WITH VASCULAR FLOW,257.0,,12.5396,231.3,55
LOCAL,78014,PR THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,289.0,,16.7256,260.1,55
LOCAL,78015,PR THYROID CARCINOMA METASTASES IMG LMTD AREA,549.0,,17.32,466.65,55
LOCAL,78016,PR THYROID CARCINOMA METASTASES IMG ADDL STUDY,582.0,,22.8,494.7,55
LOCAL,78018,PR THYROID CARCINOMA METASTASES IMG WHOLE BODY,906.0,,28.2808,770.1,55
LOCAL,78020,PR THYROID CARCINOMA METASTASES UPTAKE,230.0,,19.182,195.5,55
LOCAL,78070,PR PARATHYROID PLANAR IMAGING,398.0,,13.81,338.3,55
LOCAL,78071,PR PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,603.0,,40.5812,542.7,55
LOCAL,78072,PR PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT,795.0,,53.3692,715.5,55
LOCAL,78075,PR ADRENAL IMAGING CORTEX &/MEDULLA,594.0,,21.13,504.9,55
LOCAL,78102,PR BONE MARROW IMAGING LIMITED AREA,262.0,,13.85,224.95,55
LOCAL,78103,PR BONE MARROW IMAGING MULTIPLE AREAS,400.0,,20.69,353.74,55
LOCAL,78104,PR BONE MARROW IMAGING WHOLE BODY,381.0,,25.5,384.64,55
LOCAL,78110,PR PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE,204.0,,3.97,173.4,55
LOCAL,78111,PR PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES,263.0,,7.6268,223.55,55
LOCAL,78120,PR RED CELL VOLUME DETERMINATION SPX 1 SAMPLING,226.0,,6.8816,192.1,55
LOCAL,78121,PR RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS,228.0,,10.8192,236.97,55
LOCAL,78122,PR WHOLE BLOOD VOLUME DETERMINATION,345.0,,15.0052,358.87,55
LOCAL,78130,PR RED CELL SURVIVAL STUDY,457.0,,17.71,388.45,55
LOCAL,78140,PR LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE,449.0,,17.71,381.65,55
LOCAL,78185,PR SPLEEN IMAGING ONLY W/WO VASCULAR FLOW,392.0,,9.59,333.2,55
LOCAL,78191,PR PLATELET SURVIVAL STUDY,651.0,,17.71,553.35,55
LOCAL,78195,PR LYMPHATICS & LYMPH NODES IMAGING,605.0,,27.02,514.25,55
LOCAL,78201,PR LIVER IMAGING STATIC ONLY,210.0,,9.74,202.63,55
LOCAL,78202,PR LIVER IMAGING W/VASCULAR FLOW,252.0,,11.77,221.51,55
LOCAL,78215,PR LIVER & SPLEEN IMAGING STATIC ONLY,267.0,,16.7256,278.18,55
LOCAL,78216,PR LIVER & SPLEEN IMAGING W/VASCULAR FLOW,312.0,,19.918,324.53,55
LOCAL,78226,PR HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,436.0,,25.3276,392.4,55
LOCAL,78227,PR HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,587.0,,30.7372,528.3,55
LOCAL,78230,PR SALIVARY GLAND IMAGING,250.0,,13.83,212.5,55
LOCAL,78231,PR SALIVARY GLAND IMAGING SERIAL IMAGES,176.0,,15.2444,178.58,55
LOCAL,78232,PR SALIVARY GLAND FUNCTION STUDY,185.0,,13.7724,187.16,55
LOCAL,78258,PR ESOPHAGEAL MOTILITY,264.0,,19.25,255.85,55
LOCAL,78261,PR GASTRIC MUCOSA IMAGING,272.0,,19.918,240.4,55
LOCAL,78262,PR GASTROESOPHAGEAL REFLUX STUDY,318.0,,23.6072,270.3,55
LOCAL,78264,PR GASTRIC EMPTYING IMAGING STUDY,443.0,,17.07,376.55,55
LOCAL,78267,PR UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS,44.0,,5.0,41.18,40
LOCAL,78268,PR UREA BREATH TEST C-14 ISOTOPIC ANALYSIS,396.0,,5.0,352.91,40
LOCAL,78278,PR ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,461.0,,30.75,391.85,55
LOCAL,78282,PR GASTROINTESTINAL PROTEIN LOSS,168.0,,11.0676,170.0,55
LOCAL,78290,PR INTESTINE IMAGING,438.0,,13.08,372.3,55
LOCAL,78291,PR PERITONEAL-VENOUS SHUNT PATENCY TEST,339.0,,21.03,288.15,55
LOCAL,78300,PR BONE &/JOINT IMAGING LIMITED AREA,311.0,,16.56,264.35,55
LOCAL,78305,PR BONE &/JOINT IMAGING MULTIPLE AREAS,355.0,,23.71,321.11,55
LOCAL,78306,PR BONE &/JOINT IMAGING WHOLE BODY,401.0,,26.88,341.71,55
LOCAL,78315,PR BONE &/JOINT IMAGING 3 PHASE STUDY,459.0,,30.39,390.15,55
LOCAL,78350,PR BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY,155.0,,9.2225,131.75,42
LOCAL,78351,PR BONE DENSTY 1/> SITES DUAL PHOTON ABSORPTIOMETR,167.0,,8.8,164.86,42
LOCAL,78414,PR CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM,401.0,,15.2444,417.27,55
LOCAL,78428,PR CARDIAC SHUNT DETECTION,316.0,,21.99,327.98,55
LOCAL,78445,PR NONCARDIAC VASCULAR FLOW IMAGING,381.0,,12.6,394.95,55
LOCAL,78451,PR MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS,874.0,,46.4784,786.6,55
LOCAL,78452,PR MYOCARDIAL SPECT MULTIPLE STUDIES,782.0,,54.8412,703.8,55
LOCAL,78453,PR MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,403.0,,33.6904,362.7,55
LOCAL,78454,PR MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,601.0,,46.23,540.9,55
LOCAL,78456,PR ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE,409.0,,26.96,401.8,55
LOCAL,78457,PR VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL,367.0,,26.312,329.69,55
LOCAL,78458,PR VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL,574.0,,31.234,515.14,55
LOCAL,78466,PR MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN,479.0,,23.1196,497.97,55
LOCAL,78468,PR MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ,439.0,,27.2964,456.77,55
LOCAL,78469,PR MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ,378.0,,36.618,357.17,47
LOCAL,78472,PR CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS,572.0,,33.2028,522.01,55
LOCAL,78473,PR CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT,905.0,,49.9192,941.0,55
LOCAL,78481,PR CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT,532.0,,32.9544,552.91,55
LOCAL,78483,PR CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT,1093.0,,49.68,1136.75,55
LOCAL,78494,PR CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT,854.0,,40.3328,887.77,55
LOCAL,78496,PR CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT,454.0,,16.4772,454.02,55
LOCAL,78579,PR PULMONARY VENTILATION IMAGING,230.0,,16.4772,207.0,55
LOCAL,78580,PR PULMONARY PERFUSION IMAGING PARTICULATE,315.0,,21.96,267.75,55
LOCAL,78582,PR PULMONARY VENTILATION & PERFUSION IMAGING,527.0,,36.1468,474.3,55
LOCAL,78597,PR QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,391.0,,24.5916,351.9,55
LOCAL,78598,PR QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN,372.0,,28.0324,334.8,55
LOCAL,78600,PR BRAIN IMAGING <4 STATIC VIEWS,210.0,,11.43,204.34,55
LOCAL,78601,PR BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW,278.0,,13.47,259.29,55
LOCAL,78605,PR BRAIN IMAGING MINIMUM 4 STATIC VIEWS,604.0,,18.446,513.4,55
LOCAL,78606,PR BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,318.0,,15.55,290.19,55
LOCAL,78608,PR BRAIN IMAGING PET METABOLIC EVALUATION,2062.0,,50.1676,2144.72,55
LOCAL,78610,PR BRAIN IMAGING VASCULAR FLOW ONLY,150.0,,6.55,127.5,55
LOCAL,78630,PR CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY,425.0,,19.61,361.25,55
LOCAL,78635,PR CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY,448.0,,11.14,380.8,55
LOCAL,78645,PR CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ,279.0,,13.85,259.29,55
LOCAL,78650,PR CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO,367.0,,17.71,360.61,55
LOCAL,78660,PR RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY,240.0,,14.13,204.0,55
LOCAL,78700,PR KIDNEY IMAGING MORPHOLOGY,220.0,,15.2444,228.38,55
LOCAL,78701,PR KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW,242.0,,13.82,250.71,55
LOCAL,78707,PR KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,449.0,,32.2184,381.65,55
LOCAL,78708,PR KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,460.0,,40.8204,410.39,55
LOCAL,78709,PR KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE,664.0,,40.53,564.4,55
LOCAL,78725,PR KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY,246.0,,11.4,255.85,55
LOCAL,78730,PR URINARY BLADDER RESIDUAL STUDY,111.0,,5.4096,115.05,55
LOCAL,78740,PR URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM,335.0,,14.36,284.75,55
LOCAL,78761,PR TESTICULAR IMAGING WITH VASCULAR FLOW,282.0,,20.61,271.31,55
LOCAL,78800,PR RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,343.0,,21.15,291.55,55
LOCAL,78801,PR RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D,377.0,,24.5916,338.27,55
LOCAL,78802,PR RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING,433.0,,27.048,427.57,55
LOCAL,78803,PR RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG,505.0,,36.3952,429.25,53
LOCAL,78804,PR RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,520.0,,33.9388,540.9,55
LOCAL,78811,PR PET IMAGING LIMITED AREA CHEST HEAD/NECK,471.0,,51.888,423.9,55
LOCAL,78812,PR PET IMAGING SKULL BASE TO MID-THIGH,846.0,,65.1728,761.4,55
LOCAL,78813,PR PET IMAGING WHOLE BODY,845.0,,66.3964,760.5,55
LOCAL,78814,PR PET IMAGING CT FOR ATTENUATION LIMITED AREA,635.0,,74.0232,571.5,55
LOCAL,78815,PR PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,722.0,,82.8736,649.8,55
LOCAL,78816,PR PET IMAGING FOR CT ATTENUATION WHOLE BODY,749.0,,83.3704,674.1,55
LOCAL,78830,PR RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG,779.0,,48.6956,701.1,53
LOCAL,78831,PR RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG,867.0,,61.4836,780.3,53
LOCAL,78832,PR RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG,1223.0,,69.8372,1100.7,53
LOCAL,78835,PR RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA,218.0,,15.2444,196.2,55
LOCAL,7899901,"PR UNLISTED PROCEDURE MISC, DIAGNOSTIC NUCLEAR MEDICINE, NAF WB BONE PET",511.0,,273.12,434.35,30
LOCAL,7899902,PR UNLISTED PROCEDURE MOLECULAR BREAST IMAGING (MBI) GUIDED CORE BIOPSY,1743.0,,273.12,1481.55,30
LOCAL,79005,PR RP THERAPY ORAL ADMINISTRATION,755.0,,61.2352,679.5,55
LOCAL,79101,PR RP THERAPY INTRAVENOUS ADMINISTRATION,963.0,,67.6292,866.7,55
LOCAL,79200,PR RP THERAPY INRACAVITARY ADMINISTRATION,925.0,,57.546,951.3,55
LOCAL,79300,PR RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN,588.0,,53.3205,602.72,47
LOCAL,79403,PR RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS,1247.0,,65.1728,1296.45,55
LOCAL,79440,PR RP THERAPY INTRA-ARTICULAR ADMINISTRATION,1128.0,,57.546,1159.08,55
LOCAL,79445,PR RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN,1008.0,,80.1688,907.2,55
LOCAL,8,Stem Cell Transplant- Tandem Auto to Allo 1st Attempt Related,,,82500.0,195000.0,2
LOCAL,80000001,HC RENAL DIALYSIS SNG PHY,1782.0,,111.93,1532.52,85
LOCAL,80000002,HC DIALYSIS PERITONEAL OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL,3089.0,,135.07,2656.54,85
LOCAL,80000003,HC DIALYSIS PERITONEAL OTHER/THAN HEMODIALYSIS REPEAT PHYS/QHP EVAL,3062.0,,193.46,2633.32,84
LOCAL,80100001,"HC RENAL DIALYSIS, ACUTE",2805.0,,160.97,2412.3,84
LOCAL,80503,PR PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN,190.0,,15.9035,171.0,55
LOCAL,80504,PR PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN,402.0,,33.6345,361.8,55
LOCAL,80505,PR PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN,677.0,,63.444,609.3,55
LOCAL,80506,PR PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30,356.0,,30.9856,320.4,55
LOCAL,80900001,HC HEMOPERFUS DIALYSIS,4493.0,,138.56,3863.98,84
LOCAL,81500001,HC REF BLOOD TYPING SEROLOGIC ABO,34.0,,2.51,156.3195,85
LOCAL,81500002,HC RELATED DONOR SEARCH MANAGEMENT - MDACC,11830.0,,200.3,10173.8,84
LOCAL,81500003,HC UNRELATED DONOR SEARCH MANAGEMENT - MDACC,7530.0,,200.3,6475.8,84
LOCAL,81900005,HC PRIMARY PBSC COLLECTION,104659.0,,164.72,90006.74,84
LOCAL,81900007,HC SECONDARY PBSC COLLECTION,104659.0,,164.72,90006.74,84
LOCAL,81900009,HC DONOR BLD DERV HARVSTALLO,5211.0,,164.72,4481.46,84
LOCAL,81900010,HC DONOR MNC COLLECTION ALLO,4282.0,,518.3395,3682.52,83
LOCAL,81900011,HC ALLO  TXPREP TCELL DEP,38445.0,,156.64,33062.7,85
LOCAL,81900012,HC ALLO  TXPRE PLAT DEP,3890.0,,23.33,3345.4,85
LOCAL,81900013,HC MARROW COLLECTION,119807.0,,412.23,103034.02,85
LOCAL,81900015,HC FORMAL SEARCH-NMDP,2727.0,,200.3,2345.22,84
LOCAL,81900017,HC MARROW-WORKUP CANCEL,8011.0,,518.3395,6889.46,83
LOCAL,81900019,HC PBSC-WORKUP CANCELLATION,8284.0,,518.3395,7124.24,83
LOCAL,81900021,HC MNC APHERESIS MONONUCLEAR CELLS  WORKUP CANCELLATION,5523.0,,518.3395,4749.78,83
LOCAL,81900023,HC CORD SAMPLE SHIP,514.0,,143.92,518.3395,83
LOCAL,81900033,HC CORD RESERVATION,5421.0,,518.3395,4662.06,83
LOCAL,81900035,HC HLA-HR A STD,1466.0,,148.89,1260.76,84
LOCAL,81900039,HC HLA-HR B STD,1466.0,,148.89,1260.76,84
LOCAL,81900044,HC HLA-HR C STD,1480.0,,148.89,1272.8,84
LOCAL,81900055,HC HLA-IR ABC STD,1500.0,,339.02,1290.0,84
LOCAL,81900080,HC HLA-HR DRB1 STD,1455.0,,103.89,1251.3,84
LOCAL,81900090,HC HLA-HR DRB1 IR-DRB3-4-5,1420.0,,103.89,1221.2,84
LOCAL,81900092,HC HLA-HR DQB1 STD,1420.0,,103.89,1221.2,84
LOCAL,81900101,HC HLA-HR DPB1 STD,1420.0,,103.89,1221.2,84
LOCAL,81900107,HC HLA-IR DRB1,1409.0,,102.66,1211.74,84
LOCAL,81900111,HC HLA-KIR TESTING,682.0,,155.57,586.52,83
LOCAL,81900128,HC CORD HLA-IR DRB3-4-5 STD,814.0,,102.66,700.04,84
LOCAL,81900129,HC CORD HLA-IR DRB3-4-5URG,919.0,,102.66,790.34,84
LOCAL,81900134,HC CONFIRM TYPE-BLOOD SAMPLE,1602.0,,11.3625,1377.72,84
LOCAL,81900136,HC PRECOLL/ADDL BLOOD SAMPLE,1602.0,,11.3625,1377.72,84
LOCAL,81900140,HC MARROW-AUTOLGOUS BLD UNIT,2591.0,,200.169,2228.26,85
LOCAL,81900142,HC CONFIRM TYPE-INF DIS MRK,1307.0,,10.26,1124.02,84
LOCAL,81900145,HC MARROW-DONOR INFO SESSION,2500.0,,56.26,2150.0,84
LOCAL,81900147,HC PBSC-DONOR INFO SESSION,2398.0,,56.26,2062.28,84
LOCAL,81900149,HC MARROW-DONOR PHYSICAL EXM,8068.0,,229.3,6938.48,84
LOCAL,81900151,HC PBSC-DONOR PHYSICAL EXAM,8091.0,,229.3,6958.26,84
LOCAL,81900153,HC MNC APHERESIS MONONUCLEAR CELLS DONOR PHYSICAL EXAM,7000.0,,229.3,6020.0,84
LOCAL,81900158,HC MNC APERHERSIS T-CELLS MNC(A),58000.0,,164.72,49880.0,84
LOCAL,81900160,HC NMDP DONOR SEARCH,5817.0,,200.3,5002.62,84
LOCAL,82595,PR CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,171.0,,3.0,168.29,39
LOCAL,82900001,HC RENAL DIALYSIS-UNSCHEDULED,2802.0,,784.56,2409.72,84
LOCAL,82951,PR GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,70.0,,5.0,67.46,39
LOCAL,83010,PR ASSAY OF HAPTOGLOBIN QUANTITATIVE,63.0,,5.0,65.93,39
LOCAL,84165,PR PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,79.0,,7.0,80.7,45
LOCAL,84166,PR PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATI,94.0,,15.198,84.6,45
LOCAL,84484,PR ASSAY OF TROPONIN QUANTITATIVE,63.0,,3.0,65.25,39
LOCAL,8506001,"PR CHG BLOOD SMEAR INTERPRETATION, BLOOD SMEAR, PERIPHERAL, DIFFERENTIAL REVIEW",187.0,,6.0,194.04,46
LOCAL,8506002,"PR CHG BLOOD SMEAR INTERPRETATION, PERIPHERAL BLOOD SMEAR INTERPRETATION",187.0,,6.0,194.04,46
LOCAL,85097,PR BONE MARROW SMEAR INTERPRETATION,423.0,,16.0,403.53,47
LOCAL,85300,PR CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,162.0,,5.0,168.29,39
LOCAL,85303,PR CLOTTING INHIBITORS PROTEIN C ACTIVITY,75.0,,5.0,72.45,39
LOCAL,85307,PR ACTIVATED PROTEIN C APC RESISTANCE ASSAY,75.0,,5.0,72.3,39
LOCAL,85396,PR COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY,137.0,,13.617,122.65,46
LOCAL,85613,PR RUSSELL VIPER VENOM TIME DILUTED,61.0,,4.0,51.85,39
LOCAL,86023,PR ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY,89.0,,5.0,85.86,39
LOCAL,86077,PR BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REP,360.0,,34.4845,306.0,45
LOCAL,8607702,"PR BLOOD BANK PHYSICIAN SERVICES; CROSSMATCH,AHG",360.0,,34.4845,306.0,45
LOCAL,8607703,PR BLOOD BANK PHYSICIAN SERVICES; RBC AB.IDENTIFICATION,377.0,,34.4845,320.45,45
LOCAL,86078,PR BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT,417.0,,34.4845,354.45,45
LOCAL,86079,PR BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT,230.0,,34.1955,195.5,45
LOCAL,86153,PR CELL ENUMERATION IMMUNE SELECTJ & ID PHYS INTERP,298.0,,26.98,268.2,47
LOCAL,86334,PR IMMUNOFIXJ ELECTROPHORESIS SERUM,152.0,,15.198,132.21,45
LOCAL,86335,PR IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS,152.0,,15.198,136.8,45
LOCAL,86430,PR RHEUMATOID FACTOR QUALITATIVE,29.0,,2.0,29.74,39
LOCAL,86592,PR SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL,22.0,,2.0,22.35,39
LOCAL,86593,PR SYPHILIS TEST QUANTITATIVE,24.0,,3.0,23.1,39
LOCAL,86644,PR ANTIBODY CYTOMEGALOVIRUS CMV,73.0,,5.0,75.41,39
LOCAL,86664,PR ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,99.0,,5.0,84.15,39
LOCAL,86665,PR ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,99.0,,5.0,95.06,39
LOCAL,86694,PR ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,78.0,,5.0,75.41,39
LOCAL,86703,PR ANTIBODY HIV-1&HIV-2 SINGLE RESULT,69.0,,5.0,71.89,39
LOCAL,86790,PR ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,45.0,,5.0,42.86,39
LOCAL,86832,PR ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL,381.0,,5.0,553.61,40
LOCAL,8683201,PR HLA C1Q  CI AB ID,381.0,,5.0,553.61,40
LOCAL,86833,PR ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL,346.0,,5.0,557.12,40
LOCAL,8683301,PR HLA C1Q  CII AB ID,346.0,,5.0,557.12,40
LOCAL,86860,PR ANTIBODY ELUTION RBC EACH ELUTION,44.0,,3.0,56.03,39
LOCAL,86885,PR ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL,32.0,,3.92,29.96,39
LOCAL,86905,PR BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,97.0,,3.5275,101.3,39
LOCAL,87101,PR CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,39.0,,5.0,40.39,39
LOCAL,87210,PR SMR PRIM SRC WET MOUNT NFCT AGT,24.0,,3.0,22.35,40
LOCAL,87220,PR TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,28.0,,3.927,23.8,40
LOCAL,87253,PR VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE,91.0,,5.0,88.99,39
LOCAL,87340,PR IAAD IA HEPATITIS B SURFACE ANTIGEN,52.0,,5.0,54.11,39
LOCAL,87449,PR IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM,61.0,,5.0,62.85,39
LOCAL,87624,PR IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT,180.0,,5.0,162.0,40
LOCAL,88104,PR CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ,264.0,,3.15,224.4,55
LOCAL,88108,PR CYTP CONCENTRATION SMEARS & INTERPRETATION,329.0,,1.5,279.65,55
LOCAL,88112,PR CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,215.0,,19.6696,223.09,55
LOCAL,88120,PR CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL,755.0,,41.5564,679.5,55
LOCAL,88121,PR CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA,407.0,,34.6748,366.3,55
LOCAL,88141,PR CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN,118.0,,8.0,103.03,54
LOCAL,88160,PR CYTP SMRS ANY OTH SRC SCR&INTERPJ,180.0,,1.8,153.0,55
LOCAL,88172,PR CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST,477.0,,12.0,405.45,55
LOCAL,88173,PR CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT,536.0,,17.12,455.6,55
LOCAL,88177,PR CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL,162.0,,17.05,145.8,55
LOCAL,88187,PR FLOW CYTOMETRY INTERPJ 2-8 MARKERS,539.0,,26.0636,485.1,55
LOCAL,88188,PR FLOW CYTOMETRY INTERPJ 9-15 MARKERS,1340.0,,44.2612,1206.0,55
LOCAL,88189,PR FLOW CYTOMETRY INTERPRETATION 16/> MARKERS,2362.0,,60.2508,2125.8,55
LOCAL,88291,PR CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,271.0,,28.3475,279.9,46
LOCAL,88300,PR LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY,107.0,,2.03,91.02,55
LOCAL,88302,PR LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,146.0,,3.19,151.11,55
LOCAL,88304,PR LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,207.0,,6.09,199.2,55
LOCAL,88305,PR LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,396.0,,22.3,336.6,55
LOCAL,88307,PR LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,657.0,,27.13,558.45,55
LOCAL,88309,PR LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,879.0,,42.43,747.15,55
LOCAL,88311,PR DECALCIFICATION PROCEDURE,131.0,,7.73,111.35,53
LOCAL,88312,PR SPECIAL STAIN GROUP 1 MICROORGANISMS I&R,177.0,,5.38,150.45,55
LOCAL,88313,PR SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT,143.0,,1.93,121.55,55
LOCAL,88314,PR SPECIAL STAIN I&R HISTOCHEMICAL W/FROZEN TISSU,177.0,,7.77,178.58,55
LOCAL,88319,PR SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS,328.0,,5.94,278.8,55
LOCAL,88321,PR CONSLTJ&REPRT REFERRED SLIDES PREPARED ELSEWHERE,357.0,,26.5,322.83,47
LOCAL,88323,PR CONSLTJ&REPRT REFERRED MATRL REQUIRING PREPJ SLD,409.0,,22.94,353.74,47
LOCAL,88325,PR CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL,789.0,,76.44,670.65,47
LOCAL,88329,PR PATHOLOGY CONSULTATION DURING SURGERY,291.0,,24.395,302.22,47
LOCAL,88331,PR PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC,505.0,,39.82,429.25,55
LOCAL,88332,PR PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION,343.0,,18.33,291.55,55
LOCAL,88333,PR PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE,226.0,,49.2065,233.96,47
LOCAL,88334,PR PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE,193.0,,30.0135,183.98,47
LOCAL,88341,PR IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX,219.0,,20.1664,197.1,55
LOCAL,88342,PR IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE,280.0,,12.85,252.41,55
LOCAL,88344,PR IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX,283.0,,27.5448,254.7,55
LOCAL,8834401,PR IMMUNOHISTO ANTIBODY SLIDE,399.0,,27.5448,359.1,55
LOCAL,88346,PR IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN,216.0,,10.36,224.95,55
LOCAL,88350,PR IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN,221.0,,20.654,198.9,55
LOCAL,88360,PR M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL,388.0,,29.5136,349.2,55
LOCAL,88361,PR M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST,343.0,,30.7372,322.58,55
LOCAL,88363,PR EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSI,159.0,,13.3365,143.1,47
LOCAL,88364,PR IN SITU HYBRIDIZATION EA ADDL PROBE STAIN,288.0,,24.104,259.2,55
LOCAL,88365,PR IN SITU HYBRIDIZATION 1ST PROBE STAIN,400.0,,12.11,340.0,55
LOCAL,88367,PR M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN,286.0,,23.6072,257.4,55
LOCAL,88368,PR M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL,458.0,,30.2496,412.2,55
LOCAL,88374,PR M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB,395.0,,29.7528,355.5,55
LOCAL,88377,PR M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB,568.0,,45.9908,511.2,55
LOCAL,88387,PR MACROSCOPIC XM DSJ&PREPJ TISS NONMCRSCP STD EA,213.0,,19.182,191.7,55
LOCAL,89051,PR CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,65.0,,4.0,66.96,39
LOCAL,89060,PR CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,92.0,,3.0,78.2,45
LOCAL,9,Stem Cell Transplant- Tandem Auto to Auto,,,132800.0,135000.0,2
LOCAL,90000001,HC INTERACTIVE COMPLEXITY,600.0,,20.68,516.0,84
LOCAL,90000002,HC PSYC DX INTRVW  NO MEDSVC,591.0,,165.48,508.26,85
LOCAL,90000003,HC PSYC DX INTRVW  W/ MEDSVC,709.0,,198.52,609.74,85
LOCAL,90000012,"HC FAMILY PSYCHOTX W/O PAT, 50MIN",457.0,,127.96,393.02,85
LOCAL,90000013,"HC FAMILY PSYCHOTX W/PAT, 50MIN",461.0,,129.08,396.46,85
LOCAL,90000014,HC GROUP PSYCHOTHERAPY,302.0,,38.21,259.72,85
LOCAL,90000015,HC PHARMACOLOGIC MGMT+PSYCH,334.0,,37.3,287.24,84
LOCAL,90000016,HC HYPNOTHERAPY,494.0,,138.32,424.84,83
LOCAL,90000031,HC ALCOHOL SUBSTANCE ASSESS,139.0,,38.92,119.54,83
LOCAL,90000032,HC BEHAVR COUNSL OBESTY/15MN,121.0,,33.88,104.06,83
LOCAL,90000033,HC BRIEF EMOTION/BEHAV ASSMT,215.0,,7.49,184.9,85
LOCAL,90000034,HC MULTIPLE FAMILY GROUP PSYCHOTHERAPY,308.0,,46.53,264.88,85
LOCAL,90000035,HC PSYCHOANALYSIS,308.0,,86.24,264.88,85
LOCAL,90785,PR PSYCHOTHERAPY COMPLEX INTERACTIVE,75.0,,10.0045,67.5,47
LOCAL,90785TH,PR VIDEO PSYCHOTHERAPY COMPLEX INTERACTIVE,63.0,,10.0045,56.7,47
LOCAL,90791,PR PSYCHIATRIC DIAGNOSTIC EVALUATION,514.0,,108.698,462.6,55
LOCAL,90791TH,PR VIDEO PSYCHIATRIC DIAGNOSTIC EVALUATION,518.0,,108.698,466.2,55
LOCAL,90792,PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,650.0,,124.4392,585.0,55
LOCAL,90832,PR PSYCHOTHERAPY W/PATIENT 30 MINUTES,268.0,,52.3848,241.2,55
LOCAL,90832TH,PR VIDEO PSYCHOTHERAPY W/PATIENT 30 MINUTES,259.0,,52.3848,233.1,55
LOCAL,90833,PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN,268.0,,48.9348,241.2,55
LOCAL,90833TH,PR VIDEO PSYCHOTHERAPY W/PATIENT W/E&M 30 MIN,259.0,,48.9348,233.1,55
LOCAL,90834,PR PSYCHOTHERAPY W/PATIENT 45 MINUTES,384.0,,69.1012,345.6,55
LOCAL,90834TH,PR VIDEO PSYCHOTHERAPY W/PATIENT 45 MINUTES,371.0,,69.1012,333.9,55
LOCAL,90836,PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN,384.0,,62.2196,345.6,55
LOCAL,90836TH,PR VIDEO PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN,371.0,,62.2196,333.9,55
LOCAL,90837,PR PSYCHOTHERAPY W/PATIENT 60 MINUTES,524.0,,102.304,471.6,55
LOCAL,90837TH,PR VIDEO PSYCHOTHERAPY W/PATIENT 60 MINUTES,505.0,,102.304,454.5,55
LOCAL,90838,PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN,492.0,,83.122,442.8,55
LOCAL,90838TH,PR VIDEO PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN,474.0,,83.122,426.6,55
LOCAL,90839,PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES,553.0,,111.2395,497.7,47
LOCAL,9083901,PR PSYCHOTHERAPY FOR CRISIS FAMILY INITIAL 60 MINUTES,553.0,,111.2395,497.7,47
LOCAL,9083902,PR PSYCHOTHERAPY FOR CRISIS PT ONLY INITIAL 60 MINUTES,553.0,,111.2395,497.7,47
LOCAL,9084001,PR PSYCHOTHERAPY FOR CRISIS FAMILY EACH ADDL 30 MINUTES,261.0,,53.669,234.9,47
LOCAL,9084002,PR PSYCHOTHERAPY FOR CRISIS PT ONLY EACH ADDL 30 MINUTES,261.0,,53.669,234.9,47
LOCAL,90845,PR PSYCHOANALYSIS,325.0,,67.34,310.46,47
LOCAL,90845TH,PR VIDEO PSYCHOANALYSIS,313.0,,67.34,310.46,47
LOCAL,90846,PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS,369.0,,76.43,332.14,46
LOCAL,90846TH,PR VIDEO FAMILY PSYCHOTHERAPY W/O PATIENT 50 MINS,356.0,,76.43,332.14,46
LOCAL,90847,PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS,417.0,,77.9608,396.04,55
LOCAL,90847TH,PR VIDEO FAMILY PSYCHOTHERAPY W/PATIENT PR ESENT 50 MINS,403.0,,77.9608,396.04,55
LOCAL,90849,PR MULTIPLE FAMILY GROUP PSYCHOTHERAPY,226.0,,25.874,230.09,47
LOCAL,90853,PR GROUP PSYCHOTHERAPY,187.0,,18.446,194.04,55
LOCAL,90853TH,PR VIDEO GROUP PSYCHOTHERAPY,187.0,,18.446,194.04,55
LOCAL,90863,PR PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY,185.0,,20.0175,166.5,42
LOCAL,90865,PR NARCOSYNTHESIS PSYC DX&THER PURPOSES,558.0,,99.3225,512.7,47
LOCAL,90869,PR REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV & MN,1017.0,,203.72,4267.14,40
LOCAL,90870,PR ELECTROCONVULSIVE THERAPY,493.0,,75.69,509.99,55
LOCAL,90875,PR INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,228.0,,35.04,223.84,42
LOCAL,90876,PR INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,352.0,,55.47,351.26,42
LOCAL,90880,PR HYPNOTHERAPY,403.0,,68.2465,383.03,47
LOCAL,90882,PR ENVIRONMENTAL IVNTJ MED MGMT PURPOSES PSYC PT,253.0,,0.67,255.85,40
LOCAL,90885,PR PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES,286.0,,36.3035,297.07,40
LOCAL,90887,PR INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM&PX/DATA FAMILY,276.0,,54.7825,272.93,40
LOCAL,90889,PR PREP REPORT PT PSYCH STATUS AGENCY/PAYER,211.0,,0.67,343.64,40
LOCAL,9089901,"PR UNLISTED PROCEDURE PSYCHIATRIC SERVICE/THERAPY, PSYCHIATRIC SERVICE",338.0,,31.87,287.3,36
LOCAL,90901,PR BIOFEEDBACK TRAINING ANY MODALITY,264.0,,14.0208,269.59,55
LOCAL,90912,PR BFB TRAING W/EMG &/MANOMETRY 1ST 15 MIN CNTCT,426.0,,32.504,383.4,47
LOCAL,90913,PR BFB TRAING W/EMG&/MANOMETRY EA ADDL 15 MIN CNTCT,227.0,,17.4616,204.3,55
LOCAL,90935,PR HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION,793.0,,51.6396,824.23,55
LOCAL,90937,PR HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX,1080.0,,74.7592,1123.01,55
LOCAL,90945,PR DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL,746.0,,63.204,776.15,55
LOCAL,90947,PR DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS,1166.0,,89.2676,1212.31,55
LOCAL,90951,PR ESRD RELATED SVC MONTHLY & <2 YR OLD 4/> VISITS,9448.0,,893.4396,8503.2,51
LOCAL,90954,PR ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,8178.0,,769.7456,7360.2,51
LOCAL,90955,PR ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS,4500.0,,402.3068,4050.0,51
LOCAL,90956,PR ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT,3045.0,,269.0632,2740.5,51
LOCAL,90957,PR ESRD RELATED SVC MONTHLY 12-19 YR OLD 4/> VISITS,6160.0,,590.548,5544.0,51
LOCAL,90958,PR ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS,4269.0,,384.744,3842.1,51
LOCAL,90959,PR ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT,2708.0,,251.2428,2437.2,51
LOCAL,90960,PR ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS,2551.0,,260.6728,2295.9,55
LOCAL,90961,PR ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS,2096.0,,216.4116,1886.4,55
LOCAL,90962,PR ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT,1252.0,,149.5184,1126.8,55
LOCAL,90963,PR ESRD SVC HOME DIALYSIS FULL MONTH <2YR OLD,5635.0,,465.0508,5071.5,51
LOCAL,90964,PR ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD,4499.0,,398.6912,4049.1,51
LOCAL,90965,PR ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD,4448.0,,383.9712,4003.2,51
LOCAL,90966,PR ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD,1467.0,,216.4116,1320.3,55
LOCAL,90967,PR ESRD RELATED SVC <FULL MONTH <2 YR OLD,166.0,,13.4228,149.4,51
LOCAL,90968,PR ESRD RELATED SVC <FULL MONTH 2-11 YR OLD,150.0,,13.1652,135.0,51
LOCAL,90969,PR ESRD RELATED SVC <FULL MONTH 12-19 YR OLD,151.0,,12.9076,135.9,51
LOCAL,90970,PR ESRD RELATED SVC <FULL MONTH 20/>YR OLD,72.0,,7.13,64.8,55
LOCAL,90989,PR DIALYSIS TRAINING PATIENT COMPLETED COURSE,2660.0,,116.45,2766.33,48
LOCAL,90997,PR HEMOPERFUSION,944.0,,66.232,968.46,47
LOCAL,91010,PR ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT,647.0,,33.54,669.68,55
LOCAL,91013,PR ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION,86.0,,6.6424,77.4,55
LOCAL,91020,PR GASTRIC MOTILITY MANOMETRIC STUDIES,681.0,,30.63,578.85,55
LOCAL,91030,PR ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS,337.0,,13.91,343.43,55
LOCAL,91034,PR GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT,457.0,,35.6592,411.3,55
LOCAL,91035,PR GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD,819.0,,59.018,737.1,55
LOCAL,91037,PR GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD,435.0,,35.4108,391.5,55
LOCAL,91038,PR ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG,698.0,,40.0844,628.2,55
LOCAL,91040,PR ESOPHGL BALO DISTENSION DX STD W/PROVOCATION,583.0,,35.4108,524.7,55
LOCAL,91065,PR BREATH HYDROGEN/METHANE TEST,429.0,,3.84,405.25,55
LOCAL,91110,PR GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R,2298.0,,81.1532,1953.3,55
LOCAL,91111,PR GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI&R,426.0,,32.706,383.4,55
LOCAL,91112,PR GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP,1890.0,,76.2312,1701.0,55
LOCAL,91117,PR COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R,1369.0,,104.0612,1232.1,51
LOCAL,91124,PR RECTAL SENSATION TONE&COMPLIANCE STUDY,1503.0,,141.3975,1352.7,33
LOCAL,91125,PR ANRCT MANO RCT SENSATION&RCT BALO EXPULSION TEST,1331.0,,122.876,1197.9,33
LOCAL,91132,PR ELECTROGASTROGRAPHY DX TRANSCUTANEOUS,426.0,,23.834,362.1,47
LOCAL,91133,PR ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG,326.0,,29.529,277.1,47
LOCAL,91200,PR LIVER ELASTOGRAPHY W/O IMAG W/I&R,146.0,,7.6268,131.4,55
LOCAL,91400001,HC PSYCTX 30MIN W/ PT NO E&M,361.0,,101.08,310.46,85
LOCAL,91400002,HC PSYCTX 30MIN W/ PT + E&M,361.0,,101.08,310.46,84
LOCAL,91400003,HC PSYCTX 45MIN W/ PT NO E&M,524.0,,143.52,450.64,85
LOCAL,91400004,HC PSYCTX 45MIN W/ PT + E&M,524.0,,129.17,450.64,84
LOCAL,91400005,HC PSYCTX 60MIN W/ PT NO E&M,634.0,,177.52,545.24,85
LOCAL,91400006,HC PSYCTX 60MIN W/ PT + E&M,634.0,,171.24,545.24,84
LOCAL,91400007,HC PSYCTX CRISIS 1ST 60MIN PT,761.0,,205.21,654.46,85
LOCAL,91400008,HC PSYCTX CRISIS ADD 30MIN PT,461.0,,103.46,396.46,84
LOCAL,91600007,HC PSYCTX CRISIS 1ST 60MIN FM,761.0,,205.21,654.46,85
LOCAL,91600008,HC PSYCTX CRISIS ADD 30MIN FM,461.0,,103.46,396.46,84
LOCAL,91600010,HC PATIENT-FOCUSED HEALTH RISK ASSESSMENT INSTRUMENT,140.0,,4.68,120.4,85
LOCAL,91600011,HC CAREGIVER-FOCUSED HEALTH RISK ASSESSMENT INSTRUMENT,140.0,,4.68,120.4,85
LOCAL,91700001,HC BIOFEEDBACK,333.0,,30.29,286.38,84
LOCAL,91800001,"HC NEUROBEHAVIORAL STATUS EXAM PHYS W/PT, INTERPJ & PREPJ 1ST HR",695.0,,125.98,597.7,85
LOCAL,91800006,HC NEUROPSYCHOLOGIST ROOM 1ST HR,594.0,,166.32,510.84,85
LOCAL,91800007,HC NEUROPSYCHOLOGIST ROOM EACH ADD HR,594.0,,119.69,510.84,84
LOCAL,91800010,HC PSYCL/NRPSYCL TECH ROOM 1ST 30 MIN,299.0,,53.77,524.86,85
LOCAL,91800011,HC PSYCL/NRPSYCL TECH ROOM EACH ADD 30 MIN,299.0,,55.33,257.14,84
LOCAL,91800012,HC PSYCL/NEUROPSYCL TEST ELEC PLATFORM AUTO RESULT,537.0,,3.85,461.82,85
LOCAL,91800013,"HC NEUROBEHAVIORAL STATUS EXAM PHYS W/PT, INTERPJ & PREPJ EA ADD'L HR",695.0,,104.25,597.7,84
LOCAL,91800014,HC HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,537.0,,119.3585,461.82,85
LOCAL,91800015,HC HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,269.0,,75.32,231.34,85
LOCAL,91800016,HC HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,136.0,,31.19,116.96,84
LOCAL,91800017,HC HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN,147.0,,14.9,126.42,85
LOCAL,91800018,HC HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN,74.0,,6.3,63.64,84
LOCAL,91800019,HC HEALTH BEHAVIOR IVNTJ FAMILY W/PT F2F 1ST 30 MIN,269.0,,44.022,231.34,85
LOCAL,91800020,HC HEALTH BEHAVIOR IVNTJ FAMILY W/PT F2F EA ADD 15 MIN,136.0,,34.86,116.96,84
LOCAL,91800021,HC HEALTH BEHAVIOR IVNTJ FAMILY W/O PT F2F 1ST 30 MIN,259.0,,72.52,222.74,83
LOCAL,91800022,HC HEALTH BEHAVIOR IVNTJ FAMILY W/O PT F2F EA ADDL 15,129.0,,36.12,110.94,83
LOCAL,92000001,HC VOIDING PRESSURE STUDY,1219.0,,222.58,1048.34,85
LOCAL,92000002,HC COMP W/VOID PRESS STUDY,1634.0,,222.31,1405.24,85
LOCAL,92000003,HC COMPLEX UROFLOWMETRY,702.0,,28.72,603.72,85
LOCAL,92000004,HC GONIOSCOPY,345.0,,31.62,296.7,85
LOCAL,92000005,HC SENSORIMOTOR EXAM,321.0,,69.3105,276.06,85
LOCAL,92000006,HC VISUAL FIELD EXAM LTD,252.0,,52.59,216.72,85
LOCAL,92000007,HC VISUAL FIELD EXAM MED,316.0,,69.3105,271.76,85
LOCAL,92000008,HC VISUAL FIELD EXAM EXTEN,365.0,,99.5,313.9,85
LOCAL,92000009,HC SCN OPH IMG ANTSG UNI/BI,234.0,,49.47,201.24,85
LOCAL,92000010,HC SCN OPHIMG P UNI/BI OPNRV,234.0,,57.33,201.24,85
LOCAL,92000011,HC SCN OPHIMG P UNI/BIL RTNA,234.0,,63.6,201.24,85
LOCAL,92000012,HC OPHTHAL BIOMET W/INTRAOC LENS,189.0,,52.92,162.54,85
LOCAL,92000015,HC FLUORESCEIN ANGIO,885.0,,247.8,761.1,85
LOCAL,92000016,HC FUNDUS PHOTO,350.0,,58.37,301.0,85
LOCAL,92000017,HC EXT OCU PHOTO MED PROG,303.0,,36.85,260.58,85
LOCAL,92000021,HC TENS TEST MYASTHN GRAVIS,298.0,,44.82,256.28,85
LOCAL,92000022,HC ELECTRIC GUIDANCE W/CHEMODENER,161.0,,45.08,138.46,84
LOCAL,92000023,HC ITROP NEUMNTR 1:1OR/15MIN,245.0,,50.58,210.7,84
LOCAL,92000024,HC ITROP NEUMNTR RMT/>1PT/HR,933.0,,261.24,802.38,84
LOCAL,92000025,HC ANALY NEUROSTIM WO REPROG,1401.0,,28.91,1204.86,85
LOCAL,92000026,HC ANLY IMPL NEUROSTM W/PRG,1851.0,,61.72,1591.86,85
LOCAL,92000027,HC ANLY NEUR CMPLX SPINLCRD/PERIPH+PROG,1851.0,,64.02,1591.86,85
LOCAL,92000033,HC WHOLE BODY INTEG PHOTO,442.0,,107.33,380.12,84
LOCAL,92000034,HC QUANT SENS TEST-VIBRATION,29.0,,8.12,24.94,83
LOCAL,92000035,HC QUANT SENS TEST-COOLING,29.0,,8.12,24.94,83
LOCAL,92000036,HC QUANT SENS TEST-HEAT,29.0,,8.12,24.94,83
LOCAL,92000037,HC ELEC ANALY PRO PUM W REP,911.0,,68.54,783.46,85
LOCAL,92000038,HC CNTRL MOTR EVK POT UPRLMB,330.0,,92.4,1008.941,85
LOCAL,92000039,HC CNTRL MOTR EVK POT LWRLMB,354.0,,99.12,438.426,85
LOCAL,92000040,HC VISUAL EVOKED POTENTIAL (VEP) EXCEPT GLAUCOMA WITH I & R,1231.0,,105.66,1058.66,85
LOCAL,92000041,HC NEUROMUSCULAR JUNCTION,458.0,,128.24,393.88,85
LOCAL,92000042,HC SHRTLATENCY STUDY U&LLIMB,1919.0,,537.32,1650.34,85
LOCAL,92000043,HC CENTRL MOTOR STUDYU&LLIMB,1957.0,,547.96,1683.02,85
LOCAL,92000044,HC CONTINUE GLUCOSE MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT MINIMUM 72 HRS,785.0,,156.423,675.1,85
LOCAL,92000045,HC CONTINUE GLUCOSE MONITORING MINIMUM 72 HRS; PATIENT PROVIDE EQUIPMENT,445.0,,69.3105,382.7,85
LOCAL,92000048,HC FUNCTIONAL BRAIN MAPPING BY PHYS/QHP,864.0,,241.92,743.04,84
LOCAL,92002,PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE NEW PT,242.0,,32.4445,205.7,51
LOCAL,92004,PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST,409.0,,66.895,347.65,55
LOCAL,92012,PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT,226.0,,34.25,192.1,51
LOCAL,92014,PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST,299.0,,49.94,254.15,55
LOCAL,92015,PR DETERMINATION REFRACTIVE STATE,157.0,,13.6255,157.08,46
LOCAL,92018,PR COMPL OPH XM&EVAL GENERAL ANES W/WO MNPJ GLOBE,1126.0,,60.16,957.1,55
LOCAL,92019,PR LMTD OPH XM&EVAL GENERAL ANES W/WO MNPJ GLOBE,343.0,,50.813,291.55,55
LOCAL,92020,PR GONIOSCOPY SEPARATE PROCEDURE,156.0,,14.076,132.6,51
LOCAL,92025,PR COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I&R,166.0,,14.0208,149.4,55
LOCAL,92060,PR SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX,267.0,,18.3,226.95,55
LOCAL,92065,PR ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP,153.0,,12.5396,130.05,53
LOCAL,92071,PR FIT CONTACT LENS TX OCULAR SURFACE DISEASE,309.0,,22.457,278.1,55
LOCAL,92072,PR FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST,932.0,,65.484,838.8,55
LOCAL,92081,PR LIMITED VISUAL FIELD XM UNI/BI I&R,137.0,,9.45,116.45,55
LOCAL,92082,PR INTERMEDIATE VISUAL FIELD XM UNI/BI I&R,128.0,,13.1,116.77,55
LOCAL,92083,PR EXTENDED VISUAL FIELD XM UNI/BI I&R,201.0,,16.96,170.85,55
LOCAL,92100,PR SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS,211.0,,22.457,179.35,51
LOCAL,92100012,HC DUPLX SCAN CAROTID ARTERY BIL,1392.0,,187.79,1197.12,85
LOCAL,92100013,HC DUPLEX SCAN UNILATERAL/LIM STU,630.0,,106.34,541.8,85
LOCAL,92100014,HC TCD INTRACRANIAL ARTERIES COMP,837.0,,234.36,719.82,85
LOCAL,92100015,HC TCD INTRACRANIAL ARTERIES LMTD,473.0,,106.34,406.78,85
LOCAL,92100016,HC UP/LWR EXTRM STDY SGLLVL BILAT,577.0,,129.63,496.22,85
LOCAL,92100017,HC UP/LWR EXTRM STDY MLTLVL BILAT,577.0,,129.98,496.22,85
LOCAL,92100018,HC LWR EXTRM STDY REST/EXRCS BLAT,577.0,,156.46,496.22,85
LOCAL,92100019,HC DUPLEX DOPPLER LWR EXTRM BILAT,1352.0,,236.56,1162.72,85
LOCAL,92100020,HC DUPLEX DOPLR LWREXT UNILAT/LTD,813.0,,106.34,699.18,85
LOCAL,92100021,HC DUPLEX DOPPLR UPPR EXTRM BILAT,1352.0,,197.14,1162.72,85
LOCAL,92100022,HC DUPLEX DOPLR UPREXT UNILAT/LTD,813.0,,106.34,699.18,85
LOCAL,92100023,HC DUPLX SCAN EXTRMTY VEINS BILAT,1755.0,,184.78,1509.3,85
LOCAL,92100024,HC DUPLX SCAN EXT VNS UNI OR LTD,933.0,,106.34,802.38,85
LOCAL,92100025,"HC DUPLX DOPP ABD,PEL/RETROPERIT",1315.0,,241.72,1130.9,85
LOCAL,92100026,"HC DUPLX DOP ABD,PEL/RETROPER.F/U",597.0,,106.34,513.42,85
LOCAL,92100027,HC DUPLX DOP AORT IVC CMPLT,1393.0,,179.76,1197.98,85
LOCAL,92100028,HC DPLX DOP AORT IVC LIMITD,717.0,,106.34,616.62,85
LOCAL,92100029,HC DUPLX SCN PENIL VESL COMP,746.0,,106.34,641.56,85
LOCAL,92100030,HC DUPLEX HEMODIALYSIS,813.0,,106.34,699.18,85
LOCAL,92132,PR CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI,137.0,,12.71,123.3,55
LOCAL,92133,PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV,298.0,,14.0505,268.2,53
LOCAL,92134,PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA,298.0,,15.181,268.2,53
LOCAL,92136,PR OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL,262.0,,21.6384,222.7,55
LOCAL,92145,PR CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI,53.0,,4.3,47.7,47
LOCAL,92200001,HC EMG ANAL URETH SPHINCT,364.0,,22.14,313.04,85
LOCAL,92200002,HC NEEDLE EMG ANAL/URETHRAL,525.0,,110.15,862.98,85
LOCAL,92200003,HC EMG 1 EXTREM,734.0,,156.3195,631.24,85
LOCAL,92200004,HC EMG 2 EXTREM,823.0,,156.3195,707.78,85
LOCAL,92200005,HC EMG 3 EXTREM,1046.0,,151.179,899.56,85
LOCAL,92200006,HC EMG 4 EXTREM,1049.0,,151.179,902.14,85
LOCAL,92200007,HC NEEDLE EMG HEMIDIAPHRAGM,303.0,,84.84,260.58,85
LOCAL,92200008,HC EMG CRANL NERV SUP MUSCL,879.0,,167.38,755.94,85
LOCAL,92200009,HC EMG CRAN NERV SUP MUS BI,968.0,,217.73,832.48,85
LOCAL,92200010,HC EMG THORACIC PARASPIN MUS,353.0,,98.84,303.58,85
LOCAL,92200011,HC EMG LIMITED,400.0,,112.0,344.0,85
LOCAL,92200012,HC NEEDLE ELECT GUIDE W/CHEMODENE,162.0,,45.36,139.32,84
LOCAL,92200013,HC EMG EA EXTRM W/NERV LIMIT,382.0,,96.61,328.52,84
LOCAL,92200014,HC EMG EA EXTRM W/NERV 5/3/4,712.0,,150.88,612.32,84
LOCAL,92200015,HC EMG NONEXTRM W/NERV LIMIT,868.0,,129.99,746.48,84
LOCAL,92200016,HC MOTOR NERVE COND SENSY,171.0,,47.88,524.86,85
LOCAL,92200017,HC 1-2 NERVE CONDCT STUDIES,487.0,,136.36,418.82,85
LOCAL,92200018,HC 3-4 NERVE CONDCT STUDIES,908.0,,176.17,780.88,85
LOCAL,92200019,HC 5-6 NERVE CONDCT STUDIES,1501.0,,211.36,1290.86,85
LOCAL,92200020,HC 7-8 NERVE CONDCT STUDIES,1998.0,,276.03,1718.28,85
LOCAL,92200021,HC 9-10 NERVE CONDCT STUDIES,2271.0,,332.89,1953.06,85
LOCAL,92200022,HC 11-12 NERVE CONDCT STUDIES,2998.0,,389.44,2578.28,85
LOCAL,92200023,HC 13+ NERVE CONDCT STUDIES,3388.0,,438.426,2913.68,85
LOCAL,92200024,HC R-R INTERVAL TESTING,324.0,,90.72,278.64,85
LOCAL,92200025,HC SYMPATHETIC SKIN RESPONSE,187.0,,52.36,191.88,85
LOCAL,92200026,HC SOMATOSENS RESP UP EXTR,1167.0,,253.69,1003.62,85
LOCAL,92200027,HC SOMATOSENS RESP LOW EXTR,1060.0,,247.31,911.6,85
LOCAL,92200028,HC SOMATOSENS EVOK TNK/HEAD,911.0,,253.69,783.46,85
LOCAL,92200029,HC TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT,629.0,,176.12,540.94,85
LOCAL,92200030,HC TESTING ANS FUNCTION VASOMOTOR ADRENERGIC INNERVAJ,679.0,,149.27,583.94,85
LOCAL,92201,PR OPSCPY EXTND RTA DRAWING & SCL DEPRSN I&R UNI/BI,182.0,,15.8865,163.8,53
LOCAL,92202,PR OPSCPY EXTND OPTIC NRV/MACULA DRAWING I&R UNI/BI,118.0,,10.081,106.2,53
LOCAL,92228,PR IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI,146.0,,14.059,131.4,55
LOCAL,92230,PR FLUORESCEIN ANGIOSCOPY INTERPRETATION & REPORT,249.0,,23.239,242.13,55
LOCAL,92235,PR FLUORESCEIN ANGRPH W/MULTIFRAME IMG I&R UNI/BI,363.0,,19.3,308.55,55
LOCAL,92240,PR INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI,526.0,,17.14,447.1,55
LOCAL,92242,PR FLUORESCEIN&ICG ANGRPH MULTIFRAME IMG I&R UNI/BI,547.0,,40.2776,492.3,55
LOCAL,92250,PR FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT,183.0,,14.8,155.55,55
LOCAL,92260,PR OPHTHALMODYNAMOMETRY,230.0,,7.803,233.54,51
LOCAL,92265,PR NDL OCULOELECTROMYOGRAPHY 1+EO MUSC 1/BOTH EYE,415.0,,16.82,352.75,55
LOCAL,92270,PR ELECTRO-OCULOGRAPY W/INTERPRETATION & REPORT,183.0,,16.41,187.16,55
LOCAL,92283,PR COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV,167.0,,2.18,173.43,47
LOCAL,92284,PR DX DARK ADAPTATION EXAM INTERPRETATION & REPORT,239.0,,11.781,247.26,45
LOCAL,92285,PR XTRNL OCULAR PHOTOG W/I&R DOCMT MED PROGRESS,143.0,,2.2172,121.93,55
LOCAL,92286,PR ANT SGM IMAGING I&R SPECLR MICROSCOPY&NDTHL ALYS,288.0,,15.4928,244.8,55
LOCAL,92287,PR ANT SGM IMAGING W/I&R W/FLUORESCEIN ANGRPH,236.0,,14.98,245.56,55
LOCAL,92300001,HC PAP SMEAR SCREENING,50.0,,14.0,43.0,84
LOCAL,92400002,HC NITRIC OXIDE EXPIRED GAS DETRM,165.0,,46.2,141.9,83
LOCAL,9249901,"PR EYE SERVICE OR PROCEDURE, IN VIVO CONFOCAL MICROSCOPY OF THE CORNEA",199.0,,18.9,169.15,28
LOCAL,92502,PR OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA,588.0,,70.334,611.31,55
LOCAL,92504,PR BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE,151.0,,6.664,128.35,55
LOCAL,92507,PR TX SPEECH LANG VOICE COMMJ&/AUD PROC DO INDIV,259.0,,26.87,220.15,50
LOCAL,92508,PR TX SPEECH LANG VOICE COMMJ&/AUD PROC DO GROUP,186.0,,14.13,158.1,50
LOCAL,92511,PR NASOPHARYNGOSCOPY W/ENDOSCOPE SPX,405.0,,28.0324,355.45,55
LOCAL,92512,PR NASAL FUNCTION STUDIES,252.0,,20.4,255.85,47
LOCAL,92516,PR FACIAL NERVE FUNCTION STUDIES,318.0,,16.286,281.61,55
LOCAL,92520,PR LARYNGEAL FUNCTION STUDIES,566.0,,27.8715,551.22,55
LOCAL,92521,PR EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER),946.0,,89.23,851.4,50
LOCAL,92522,PR EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE,812.0,,74.85,730.8,50
LOCAL,92523,PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION,1620.0,,152.38,1458.0,50
LOCAL,92524,PR BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE,812.0,,73.71,730.8,50
LOCAL,92526,PR TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING,284.0,,33.02,266.16,50
LOCAL,92537,PR CALORIC VESTIBULAR TEST W/REC BI BITHERMAL,285.0,,26.01,256.5,55
LOCAL,92538,PR CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL,150.0,,13.2005,135.0,55
LOCAL,92540,PR VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRK,681.0,,55.8256,612.9,55
LOCAL,92541,PR SPONTANEOUS NYSTAGMUS TEST,158.0,,15.2444,163.13,55
LOCAL,92542,PR POSITIONAL NYSTAGMUS TEST,146.0,,18.1976,145.96,55
LOCAL,92544,PR OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC,152.0,,10.5708,129.2,55
LOCAL,92545,PR OSCILLATING TRACKING TEST W/RECORDING,116.0,,9.8348,98.6,55
LOCAL,92546,PR SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING,167.0,,2.73,141.95,55
LOCAL,92548,PR CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT,239.0,,28.2965,219.8,47
LOCAL,92549,PR CDP-SOT 6 CONDITIONS W/I&R W/MCT & ADT,395.0,,36.839,355.5,47
LOCAL,92550,PR TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS,166.0,,18.581,149.4,42
LOCAL,92551,PR SCREENING TEST PURE TONE AIR ONLY,71.0,,11.3815,60.35,42
LOCAL,92553,PR PURE TONE AUDIOMETRY AIR & BONE,139.0,,22.87,118.15,42
LOCAL,92555,PR SPEECH AUDIOMETRY THRESHOLD,73.0,,13.07,62.14,42
LOCAL,92557,PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ,212.0,,22.0745,196.46,42
LOCAL,92563,PR TONE DECAY TEST,92.0,,13.07,78.2,42
LOCAL,92567,PR TYMPANOMETRY,87.0,,7.5225,84.53,42
LOCAL,92568,PR ACOUSTIC REFLEX THRESHOLD,72.0,,10.9395,61.2,42
LOCAL,92570,PR ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY,261.0,,20.3575,234.9,42
LOCAL,92579,PR VISUAL REINFORCEMENT AUDIOMETRY,164.0,,24.75,139.4,42
LOCAL,92587,PR DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD,159.0,,13.2756,147.68,55
LOCAL,92588,PR DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL,248.0,,20.9024,210.8,55
LOCAL,92597,PR EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC,542.0,,57.3252,509.99,46
LOCAL,92610,PR EVAL ORAL&PHARYNGEAL SWLNG FUNCJ,428.0,,49.4275,444.79,50
LOCAL,92611,PR MOTION FLUOR EVAL SWLNG FUNCJ C/V REC,743.0,,67.6292,668.7,50
LOCAL,92612,PR FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC,602.0,,46.7415,541.8,55
LOCAL,92616,PR FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V REC,978.0,,68.918,880.2,55
LOCAL,92618,PR EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN,359.0,,24.106,323.1,40
LOCAL,92622,PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60,616.0,,46.0275,554.4,55
LOCAL,92623,PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL,163.0,,11.985,146.7,55
LOCAL,92653,PR AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT,549.0,,23.28,494.1,47
LOCAL,92920,PR PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,4467.0,,350.591,4020.3,55
LOCAL,92924,PR PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRANCHES,5327.0,,425.425,4794.3,55
LOCAL,92928,PR PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,5388.0,,420.0785,4849.2,55
LOCAL,92933,PR PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,6052.0,,475.1156,5446.8,55
LOCAL,92937,PR PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,5178.0,,422.9792,4660.2,55
LOCAL,92941,PR PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,5583.0,,475.6124,5024.7,55
LOCAL,92943,PR PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,6023.0,,475.6124,5420.7,55
LOCAL,92950,PR CARDIOPULMONARY RESUSCITATION,1297.0,,133.538,1102.45,55
LOCAL,92953,PR TEMPORARY TRANSCUTANEOUS PACING,285.0,,0.9605,295.34,47
LOCAL,92960,PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL,873.0,,78.936,884.33,55
LOCAL,92961,PR CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,1861.0,,176.0788,1935.22,55
LOCAL,92970,PR CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL,1020.0,,135.9944,982.2,55
LOCAL,92971,PR CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL,374.0,,72.3028,371.85,55
LOCAL,92972,PR PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,1461.0,,106.7005,1314.9,47
LOCAL,92973,PR PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,3350.0,,73.865,3484.09,55
LOCAL,92974,PR TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX,3766.0,,115.828,3916.82,55
LOCAL,92978,PR ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL,1232.0,,68.1168,1497.35,55
LOCAL,92979,PR ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL,811.0,,54.3444,843.13,55
LOCAL,92986,PR PRQ BALLOON VALVULOPLASTY AORTIC VALVE,6484.0,,961.308,6674.55,55
LOCAL,92987,PR PRQ BALLOON VALVULOPLASTY MITRAL VALVE,7132.0,,991.0608,7344.24,55
LOCAL,92990,PR PRQ BALLOON VALVULOPLASTY PULMONARY VALVE,5339.0,,793.8312,5498.3,55
LOCAL,92997,PR PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL,6702.0,,456.182,6969.9,55
LOCAL,92998,PR PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL,3352.0,,229.448,3485.81,55
LOCAL,93010,PR ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY,78.0,,5.9064,73.84,55
LOCAL,93015,PR CV STRESS TST XERS&/RX CONT ECG W/SI&R,450.0,,62.764,403.69,42
LOCAL,93016,PR CV STRS TST XERS&/RX CONT ECG SUPVJ ONLY W/O I&R,251.0,,15.2444,261.0,55
LOCAL,93018,PR CV STRS TST XERS&/RX CONT ECG I&R ONLY,251.0,,10.3316,261.0,55
LOCAL,93024,PR ERGONOVINE PROVOCATION TST,556.0,,41.8324,578.68,51
LOCAL,93025,PR MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS,1212.0,,26.8088,1244.93,55
LOCAL,93042,PR RHYTHM ECG 1-3 LEADS INTERPRETATION & REPRT ON,72.0,,4.922,73.84,55
LOCAL,93227,PR XTRNL ECG REC<48 HRS RVW&INTERPJ PHYS/QHP,222.0,,13.2756,458.48,55
LOCAL,93228,PR XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,227.0,,20.2,204.3,47
LOCAL,93244,PR EXTERNAL ECG REC>48HR<7D REVIEW & INTERPRETATION,227.0,,16.7256,204.3,55
LOCAL,93260,PR PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM,386.0,,30.0012,347.4,55
LOCAL,93261,PR INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB,365.0,,25.8244,328.5,55
LOCAL,93264,PR REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D,318.0,,25.925,286.2,47
LOCAL,93272,PR XTRNL PT ACTIVTD ECG DWNLD W/R&I </30 DAYS,385.0,,17.4616,400.09,55
LOCAL,93278,PR SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG,228.0,,9.0988,235.25,55
LOCAL,93279,PR PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP,342.0,,24.88,307.8,55
LOCAL,93280,PR PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER,410.0,,29.97,369.0,55
LOCAL,93281,PR PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER,453.0,,33.22,407.7,55
LOCAL,93282,PR PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB,417.0,,33.22,375.3,55
LOCAL,93283,PR PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB,593.0,,44.61,533.7,55
LOCAL,93284,PR PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB,591.0,,48.41,531.9,55
LOCAL,93285,PR PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON,236.0,,20.27,212.4,55
LOCAL,93286,PR PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,179.0,,11.9,161.1,55
LOCAL,93287,PR PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,231.0,,15.7412,207.9,55
LOCAL,93288,PR INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,233.0,,16.47,209.7,55
LOCAL,93289,PR INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB,341.0,,29.15,306.9,55
LOCAL,93290,PR INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON,184.0,,15.0052,165.6,55
LOCAL,93291,PR INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON,202.0,,14.34,181.8,55
LOCAL,93292,PR INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR,195.0,,16.47,175.5,55
LOCAL,93293,PR TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL,147.0,,11.509,132.3,55
LOCAL,93294,PR REM INTERROG PM/LDLS PM <90 D PHYS/QHP,335.0,,21.3992,301.5,55
LOCAL,93295,PR INTERROGATION EVAL REMOTE </90 D 1/2/MLT LD DFB,374.0,,26.312,336.6,55
LOCAL,93296,PR REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW,113.0,,14.7568,101.7,50
LOCAL,93297,PR REM INTERROG ICPMS <30 D PHYS/QHP,236.0,,8.44,212.4,55
LOCAL,93298,PR REM INTERROG SCRMS <30 D PHYS/QHP,261.0,,5.02,234.9,55
LOCAL,93303,PR COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY,518.0,,44.2612,461.91,55
LOCAL,93304,PR F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY,341.0,,25.576,289.85,55
LOCAL,93306,PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D,722.0,,49.68,649.8,55
LOCAL,93307,PR ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP,449.0,,31.4824,467.06,55
LOCAL,93308,PR ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,260.0,,17.9492,235.25,55
LOCAL,93312,PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R,1226.0,,76.728,1042.1,55
LOCAL,93313,PR ECHO R-T 2D W/PROBE PLACEMENT ONLY,453.0,,9.061,453.36,47
LOCAL,93314,PR ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I&R ONLY,789.0,,64.4276,670.65,55
LOCAL,93315,PR ECHO TRANSESOPHAGEAL CONGEN PROBE PLCMT IMGNG I&R,1168.0,,90.5004,992.8,55
LOCAL,93316,PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY,735.0,,21.369,624.75,47
LOCAL,93317,PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT,561.0,,63.6916,496.25,55
LOCAL,93318,PR ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ,960.0,,73.7748,816.0,55
LOCAL,93320,PR DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL,468.0,,12.788,397.8,55
LOCAL,93321,PR DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD,149.0,,5.1612,154.54,55
LOCAL,93325,PR DOPPLER ECHO COLOR FLOW VELOCITY MAPPING,395.0,,2.2172,335.75,55
LOCAL,93350,PR ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST,718.0,,39.59,746.96,55
LOCAL,93351,PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG,826.0,,65.94,743.4,47
LOCAL,93352,PR USE OF ECHO CONTRAST AGENT DURING STRESS ECHO,145.0,,26.74,130.5,51
LOCAL,93355,PR ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN,2114.0,,167.7305,1902.6,47
LOCAL,93356,PR MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH,127.0,,8.772,114.3,47
LOCAL,93451,PR RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT,1572.0,,94.1896,1414.8,55
LOCAL,93452,PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I,2042.0,,169.4364,1837.8,55
LOCAL,93453,PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I,2833.0,,226.4948,2549.7,55
LOCAL,93454,PR CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I,2312.0,,171.1568,2080.8,55
LOCAL,93455,PR CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I,2502.0,,199.9344,2251.8,55
LOCAL,93456,PR CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I,3273.0,,223.2932,2945.7,55
LOCAL,93457,PR CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I,3132.0,,251.0864,2818.8,55
LOCAL,93458,PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I,3241.0,,211.002,2916.9,55
LOCAL,93459,PR CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I,3484.0,,239.2828,3135.6,55
LOCAL,93460,PR R & L HRT CATH WINJX HRT ART& L VENTR IMG,4245.0,,268.2996,3820.5,55
LOCAL,93461,PR R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I,4677.0,,296.332,4209.3,55
LOCAL,93462,PR LEFT HEART CATH BY TRANSEPTAL PUNCTURE,1693.0,,149.0308,1523.7,55
LOCAL,93463,PR MEDICATION ADMIN & HEMODYNAMIC MEASURMENT,907.0,,72.267,816.3,47
LOCAL,93464,PR PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU,817.0,,69.86,735.3,47
LOCAL,93503,PR INSERTION FLOW DIRECTED CATHETER FOR MONITORING,946.0,,63.4432,956.45,55
LOCAL,93505,PR ENDOMYOCARDIAL BIOPSY,1949.0,,105.92,1656.65,55
LOCAL,93563,PR NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S&I,622.0,,37.1312,559.8,55
LOCAL,93564,PR NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S&I,633.0,,39.836,569.7,55
LOCAL,93565,PR NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS&I,481.0,,19.6696,432.9,55
LOCAL,93566,PR NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS&I,248.0,,18.6944,223.2,55
LOCAL,93567,PR NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S&I,564.0,,27.048,507.6,55
LOCAL,93568,PR NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY,539.0,,33.6904,485.1,55
LOCAL,93571,PR IV DOP VEL&/PRESS C/FLO RSRV MEAS 1ST VESSEL,674.0,,83.0365,698.88,55
LOCAL,93572,PR IV DOP VEL&/PRESS C/FLO RSRV MEAS EA ADDL VSL,563.0,,65.552,585.56,55
LOCAL,93573,PR NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI,615.0,,45.0064,553.5,53
LOCAL,93580,PR PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT,8475.0,,702.1072,7627.5,55
LOCAL,93581,PR PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT,31120.0,,953.9296,28008.0,55
LOCAL,93582,PR PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS,6769.0,,476.1,6092.1,55
LOCAL,93583,PR PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,6486.0,,533.8944,5837.4,55
LOCAL,93600,PR BUNDLE OF HIS RECORDING,752.0,,83.122,755.54,55
LOCAL,93602,PR INTRA-ATRIAL RECORDING,507.0,,82.1376,435.11,55
LOCAL,93603,PR RIGHT VENTRICULAR RECORDING,529.0,,82.1376,489.39,55
LOCAL,93609,PR INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ,2017.0,,195.2608,1714.45,55
LOCAL,93610,PR INTRA-ATRIAL PACING,717.0,,115.5796,616.76,55
LOCAL,93612,PR INTRAVENTRICULAR PACING,1013.0,,114.356,861.05,55
LOCAL,93613,PR INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING,1600.0,,18.9,1434.56,55
LOCAL,93615,PR ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS,187.0,,26.0636,181.61,55
LOCAL,93616,PR ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG,324.0,,50.286,312.52,55
LOCAL,93618,PR INDUCTION ARRHYTHMIA ELECTRICAL PACING,1874.0,,154.4404,1806.43,55
LOCAL,93619,PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION,3331.0,,274.942,2943.19,55
LOCAL,93620,PR COMPRE EP EVAL R ATR VNTRC PACG&REC HIS BNDL REC,4186.0,,442.9064,3750.24,55
LOCAL,93621,PR COMPRE EP EVAL W/L ATRIAL PACG&REC C SINS/L ATR,3566.0,,58.7788,3709.04,55
LOCAL,93622,PR COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC,3566.0,,121.9736,3709.04,55
LOCAL,93623,PR PROGRAMMED STIMJ & PACG AFTER IV DRUG INFUSION,1131.0,,39.3484,968.46,55
LOCAL,93624,PR ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG&REC W/ARRHYT,2278.0,,171.6536,2362.8,55
LOCAL,93631,PR INTRAOP EPICAR& ENDOCAR PACG& MAPG,3118.0,,281.8236,3207.64,55
LOCAL,93640,PR EP EVAL 1/2CHMBR PACG CVDFB LEADS,1917.0,,126.3988,1993.62,55
LOCAL,93641,PR EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN,2445.0,,220.1008,2460.67,55
LOCAL,93642,PR EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB,2850.0,,180.504,2963.8,55
LOCAL,93644,PR EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR,1793.0,,113.3,1613.7,55
LOCAL,93650,PR ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION,4644.0,,419.2992,4627.71,55
LOCAL,93653,PR COMPRE EP EVAL ABLTJ 3D MAPG TX SVT,6892.0,,601.5236,6202.8,55
LOCAL,93654,PR COMPRE EP EVAL ABLTJ 3D MAPG TX VT,8562.0,,724.9784,7705.8,55
LOCAL,93655,PR ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA,2629.0,,220.8368,2366.1,55
LOCAL,93656,PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION,9782.0,,681.6924,8803.8,55
LOCAL,93657,PR ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN,2601.0,,221.0852,2340.9,55
LOCAL,93660,PR CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR,894.0,,59.35,767.56,55
LOCAL,93662,PR INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I,1970.0,,50.6552,2048.56,55
LOCAL,93724,PR ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS,1378.0,,170.1816,1384.03,55
LOCAL,93750,PR INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS,461.0,,29.5136,414.9,55
LOCAL,93770,PR DETERMINATION OF VENOUS PRESSURE,76.0,,5.658,68.4,48
LOCAL,93784,PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R,860.0,,33.9388,894.65,50
LOCAL,93790,PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R,345.0,,13.0364,358.87,55
LOCAL,93797,PR PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR,142.0,,6.1456,147.68,55
LOCAL,93798,PR PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING,180.0,,9.8348,187.16,55
LOCAL,9379901,PR UNLISTED PROCEDURE HOLTER MONITOR DEVICE-EVOLUTION EXTENDED DAILY ARRHYTHMIA MONITOR,405.0,,243.0,3468.64,28
LOCAL,9379902,PR MEMS HEART FAILURE SYSTEM,3375.0,,2025.0,3468.64,28
LOCAL,93880,PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY,656.0,,27.5448,557.6,55
LOCAL,93882,PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY,304.0,,16.9648,315.95,55
LOCAL,93886,PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL,467.0,,28.34,485.95,55
LOCAL,93888,PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD,282.0,,25.21,291.91,55
LOCAL,93893,PR TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX,431.0,,43.0376,387.9,55
LOCAL,93922,PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,267.0,,8.6112,278.18,55
LOCAL,93923,PR NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS,310.0,,15.4928,322.83,55
LOCAL,93924,PR N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI,352.0,,17.2132,305.66,55
LOCAL,93925,PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,560.0,,24.1,476.0,55
LOCAL,93926,PR DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY,298.0,,16.13,253.3,55
LOCAL,93930,PR DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,392.0,,27.5448,406.96,55
LOCAL,93931,PR DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY,302.0,,16.7256,256.7,55
LOCAL,93970,PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY,497.0,,23.6072,422.45,55
LOCAL,93971,PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY,332.0,,15.2444,282.2,55
LOCAL,93975,PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,1100.0,,39.836,935.0,55
LOCAL,93976,PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,493.0,,27.5448,419.05,55
LOCAL,93978,PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,417.0,,28.0324,376.05,55
LOCAL,93979,PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,311.0,,16.9648,264.35,55
LOCAL,93980,PR DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL,534.0,,43.286,453.9,55
LOCAL,93981,PR DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD,219.0,,15.4928,221.51,55
LOCAL,93985,PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,395.0,,27.7932,355.5,55
LOCAL,93986,PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,284.0,,16.7256,255.6,55
LOCAL,93990,PR DUPLEX SCAN HEMODIALYSIS ACCESS,248.0,,15.12,210.8,51
LOCAL,94000002,HC THREAP(TMS) SUBQ DEL/MGT,410.0,,114.8,352.6,83
LOCAL,94000003,HC ORTHOPTIC PLEOPTIC TRAINING,252.0,,70.56,216.72,83
LOCAL,94000004,HC ORTHOPTIC PLEOPTIC TRAINING,252.0,,70.56,216.72,83
LOCAL,94000005,HC FIT CONTACT LENS OCSF DIS,521.0,,50.17,448.06,84
LOCAL,94000017,HC REFILL/MAINT IMP PUMP SPINE/BRAIN,616.0,,141.97,529.76,85
LOCAL,94000018,HC REFILLL/MAINT IMP PMP BRAIN/SPINE REQ MD,622.0,,63.69,534.92,85
LOCAL,94000027,HC PDT TX/ EXPOSURE SESSION,682.0,,190.96,586.52,85
LOCAL,94000028,"HC PDT THER,LIGHT 1ST 30MIN",1428.0,,80.0,1228.08,84
LOCAL,94000029,"HC PDT THER,LIGHT ADDL 15MIN",1354.0,,39.63,1164.44,84
LOCAL,94000030,HC PHOTOCHEMO UV-A OR B,734.0,,205.52,631.24,85
LOCAL,94000034,HC PHOTO 1-3 VIEWS,63.0,,17.64,235.727,84
LOCAL,94000035,HC PHOTO 4-6 VIEWS,78.0,,21.84,235.727,84
LOCAL,94000036,HC PHOTO 7-9 VIEW,107.0,,29.96,235.727,84
LOCAL,94000037,HC PHOTO 10-12 VIEW,134.0,,37.52,235.727,84
LOCAL,94000038,HC PHOTO 13-15 VIEW,160.0,,44.8,235.727,84
LOCAL,94000039,HC PHOTO OVER 15 VIEW,220.0,,61.6,235.727,84
LOCAL,94000040,HC WHOLE BODY PHOTO,353.0,,98.84,303.58,84
LOCAL,94000041,HC THERAPEUT PHLEB,191.0,,53.48,164.26,85
LOCAL,94000042,HC REFILL MAINT PORT PUMP - NONCHEMO,550.0,,154.0,473.0,85
LOCAL,94000043,HC REFILL MAINT IMPLT PUMP - NONCHEMO,796.0,,185.15,684.56,85
LOCAL,94000044,HC IRRIGATION OF IMPLANT VAD - NONCHEMO,197.0,,39.23,169.42,85
LOCAL,94000045,HC ACTINOTHERAPY UV,247.0,,39.21,212.42,85
LOCAL,94000046,HC TRICHOGRAM,107.0,,29.96,92.02,84
LOCAL,94000047,HC PHOTO/CHEMO THERAPY UV-B,115.0,,32.2,185.53,85
LOCAL,94000048,HC PHOTCHEMOTHERAPY UV-A,321.0,,69.3105,276.06,85
LOCAL,94002,PR VENTILATION ASSIST & MGMT INPATIENT 1ST DAY,794.0,,66.8932,735.92,55
LOCAL,94003,PR VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DA,354.0,,46.9752,367.96,55
LOCAL,94010,PR SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,155.0,,5.9064,137.37,55
LOCAL,94011,PR MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT&/2 Y,1069.0,,62.322,962.1,51
LOCAL,94012,PR MEAS SPIRO FRCD EXP FLO PRE&POST BRONCH INF/2YRS,1657.0,,101.983,1491.3,51
LOCAL,94013,PR MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS,357.0,,14.2048,321.3,51
LOCAL,94016,PR PATIENT-INITIATED SPIROMETRIC PHYS/QHP R&I ONLY,214.0,,21.301,185.45,47
LOCAL,94060,PR BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN,185.0,,7.3784,192.32,55
LOCAL,94070,PR BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT,273.0,,19.918,276.47,55
LOCAL,94200,PR MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ,76.0,,1.9688,64.6,55
LOCAL,94200001,HC EDU SELF-MGT EA 30 MIN,138.0,,38.64,118.68,83
LOCAL,94200004,HC SMK/TOB CNS ASYMPT>3-10MN,64.0,,17.92,55.04,83
LOCAL,94200005,HC SMK/TOB CNS ASYMPT >10MIN,74.0,,20.72,63.64,83
LOCAL,94200006,"HC CAREGIVER TRAING W/O PATIENT, FACE TO FACE 1ST 30 MIN",120.0,,33.6,103.2,84
LOCAL,94200007,"HC CAREGIVER TRAING W/O PATIENT, FACE TO FACE EA ADD'L 15 MIN",60.0,,16.8,51.6,84
LOCAL,94200008,HC PRINCIPAL ILLNESS NAVIGATION SVCS 60 MIN PER CAL MO,358.0,,100.24,307.88,83
LOCAL,94200009,HC PRINCIPAL ILLNESS NAVIGATION SVCS ADDL 30 MIN PER CAL MO,180.0,,50.4,154.8,83
LOCAL,94200010,HC DIABETES MANAGE TRN PER INDIV PER 30 MIN,229.0,,64.12,196.94,84
LOCAL,94200011,HC DIABETES MANAGE TRN IND/GROUP PER 30 MIN,229.0,,26.03,196.94,84
LOCAL,94200012,HC INITIAL MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15MIN,131.0,,36.68,112.66,83
LOCAL,94200013,HC MEDICAL NUTRITION RE-ASSMT&IVNTJ INDIV EA 15MIN,131.0,,36.68,112.66,83
LOCAL,94200014,HC MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI,131.0,,36.68,112.66,83
LOCAL,94375,PR RESPIRATORY FLOW VOLUME LOOP,106.0,,10.3316,90.1,55
LOCAL,94450,PR BREATHING RESPONSE TO HYPOXIA,135.0,,6.61,114.75,55
LOCAL,94618,PR PULMONARY STRESS TESTING,247.0,,15.9804,222.3,55
LOCAL,94621,PR CARDIOPULMONARY EXERCISE TESTING,364.0,,49.1832,309.4,55
LOCAL,94640,PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT,88.0,,7.4375,91.02,42
LOCAL,94642,PR PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH,402.0,,34.72,401.8,40
LOCAL,94660,PR CPAP VENTILATION CPAP INITIATION&MGMT,476.0,,28.3135,494.54,47
LOCAL,94664,PR DEMO&/EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB,122.0,,17.136,108.18,42
LOCAL,94667,PR MANIPULATION CHEST WALL 1ST DEMONSTRATION&/EVAL,129.0,,19.47,130.51,42
LOCAL,94668,PR MANIPULATION CHEST WALL SUBSEQUENT,104.0,,12.0,104.75,42
LOCAL,94680,PR O2 UPTK EXP GAS ANALYSIS REST&XERS DIRECT SIMPLE,138.0,,9.0988,137.37,55
LOCAL,94681,PR O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC,249.0,,6.8816,259.29,55
LOCAL,94690,PR O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX,52.0,,2.14,53.24,55
LOCAL,94726,PR PLETHYSMOGRAPHY LUNG VOLUMES & AIRWAY RESISTANCE,152.0,,8.6112,136.8,55
LOCAL,94727,PR GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ&CLSG VOL,124.0,,8.6112,111.6,55
LOCAL,94728,PR AIRWAY RESISTANCE BY OSCILLOMETRY,139.0,,8.8504,125.1,55
LOCAL,94729,PR DIFFUSING CAPACITY,100.0,,6.394,90.0,55
LOCAL,94760,PR NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER,58.0,,3.4935,49.3,40
LOCAL,94761,PR NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER,53.0,,3.774,45.05,40
LOCAL,94780,PR CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN,266.0,,17.7225,239.4,47
LOCAL,94781,PR CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN,95.0,,6.0945,85.5,47
LOCAL,95004,PR PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN,22.0,,3.213,19.13,47
LOCAL,95012,PR NITRIC OXIDE EXPIRED GAS DETERMINATION,78.0,,16.745,72.37,42
LOCAL,95017,PR ALL TSTG PERQ & IQ W/VENOMS IMMT RXN W/I&R,42.0,,2.6775,37.8,47
LOCAL,95018,PR ALL TSTG PERQ & IQ W/DRUG/BIOL IMMT RXN W/I&R,78.0,,5.2445,70.2,47
LOCAL,95024,PR INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS,26.0,,0.9605,26.36,47
LOCAL,95027,PR IQ TSTS SEQL&INCRL W/ALLERGENIC XTRCS AIRBORNE,28.0,,4.063,26.36,47
LOCAL,95028,PR IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING,37.0,,7.35,37.91,42
LOCAL,95060,PR OPHTHALMIC MUCOUS MEMBRANE TESTS,91.0,,11.24,77.35,42
LOCAL,95076,PR INGESTION CHALLENGE TEST INITIAL 120 MINUTES,681.0,,54.009,612.9,47
LOCAL,95079,PR INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES,653.0,,49.623,587.7,47
LOCAL,95144,PR PREPJ& ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO,43.0,,2.3885,36.55,47
LOCAL,95145,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT,59.0,,2.3885,55.58,47
LOCAL,95146,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT,71.0,,2.3885,70.9,47
LOCAL,95147,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT,112.0,,2.3885,98.46,47
LOCAL,95148,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT,110.0,,2.3885,96.42,47
LOCAL,95149,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT,152.0,,2.3885,129.2,47
LOCAL,95165,PR PREPJ& ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN,37.0,,2.3885,31.45,47
LOCAL,95170,PR PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE,52.0,,2.3885,44.2,47
LOCAL,95180,PR RAPID DESENSITIZATION PROCEDURE EACH HOUR,721.0,,63.52,612.85,47
LOCAL,95251,PR CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R,145.0,,25.3276,143.7,55
LOCAL,95717,PR EEG PHYS/QHP 2-12 HR WITHOUT VIDEO,1139.0,,77.7124,1025.1,55
LOCAL,95718,PR EEG PHYS/QHP 2-12 HR WITH VEEG,1134.0,,97.376,1020.6,55
LOCAL,95719,PR EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR WO VID,1419.0,,116.7985,1277.1,55
LOCAL,95720,PR EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR W/VEEG,1751.0,,149.77,1575.9,55
LOCAL,95721,PR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO,1826.0,,149.5184,1643.4,55
LOCAL,95722,PR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG,2218.0,,181.9852,1996.2,55
LOCAL,95723,PR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO,2247.0,,183.7056,2022.3,55
LOCAL,95724,PR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/VEEG,2838.0,,230.92,2554.2,55
LOCAL,95725,PR EEG COMPLETE STD PHYS/QHP>84 HR W/O VID,2778.0,,210.5052,2500.2,55
LOCAL,95726,PR EEG COMPLETE STD PHYS/QHP>84 HR W/VEEG,3585.0,,293.3788,3226.5,55
LOCAL,95782,PR POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND,1951.0,,93.2144,1755.9,51
LOCAL,95783,PR POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,1533.0,,101.476,1379.7,51
LOCAL,95800,PR SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,608.0,,33.49,547.2,47
LOCAL,95805,PR MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG,620.0,,37.16,642.21,55
LOCAL,95806,PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,668.0,,38.5985,904.93,47
LOCAL,95807,PR SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN,873.0,,44.6752,908.37,51
LOCAL,95808,PR POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND,952.0,,57.24,987.36,55
LOCAL,95810,PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,1134.0,,81.46,1059.48,55
LOCAL,95811,PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,1179.0,,86.06,1124.73,55
LOCAL,95812,PR ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,475.0,,14.43,403.75,55
LOCAL,95813,PR EEG EXTENDED MONITORING 61-119 MINUTES,827.0,,23.04,702.95,55
LOCAL,95816,PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,478.0,,12.84,406.3,55
LOCAL,95819,PR ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,532.0,,9.42,452.2,55
LOCAL,95822,PR ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY,630.0,,16.66,535.5,55
LOCAL,95824,PR ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY,331.0,,22.18,281.35,55
LOCAL,95829,PR ELECTROCORTICOGRAM SURGERY SPX,3116.0,,40.41,2648.6,55
LOCAL,95830,PR INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP,703.0,,66.504,597.55,55
LOCAL,95851,PR ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPI,113.0,,5.658,116.77,55
LOCAL,95852,PR ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID,135.0,,4.1768,116.77,55
LOCAL,95857,PR CHOLINESTERASE INHIBITOR CHALLENGE TEST,536.0,,20.654,455.6,55
LOCAL,95860,PR NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS,484.0,,29.8,411.4,55
LOCAL,95861,PR NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS,829.0,,56.93,704.65,55
LOCAL,95863,PR NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS,1090.0,,60.63,926.5,55
LOCAL,95864,PR NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS,1000.0,,75.7436,850.0,55
LOCAL,95865,PR NEEDLE ELECTROMYOGRAPHY LARYNX,1042.0,,59.2664,885.7,55
LOCAL,95866,PR NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM,688.0,,47.4628,619.2,55
LOCAL,95867,PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI,425.0,,25.0,398.37,55
LOCAL,95868,PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI,813.0,,44.5096,695.45,55
LOCAL,95869,PR NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12,331.0,,5.93,295.34,55
LOCAL,95870,PR NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI,364.0,,7.41,309.4,55
LOCAL,95872,PR NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER,654.0,,70.31,680.0,55
LOCAL,95873,PR ELECTRICAL STIMULATION GUID W/CHEMODENERVATION,165.0,,14.0208,140.25,55
LOCAL,95874,PR NEEDLE EMG GUID W/CHEMODENERVATION,211.0,,14.0208,179.35,55
LOCAL,95875,PR ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB,235.0,,31.19,214.09,55
LOCAL,95885,PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED,512.0,,13.2756,460.8,55
LOCAL,95886,PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE,525.0,,32.706,472.5,55
LOCAL,95887,PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION,806.0,,26.8088,725.4,55
LOCAL,95907,PR NERVE CONDUCTION STUDIES 1-2 STUDIES,564.0,,38.1156,507.6,55
LOCAL,95908,PR NERVE CONDUCTION STUDIES 3-4 STUDIES,847.0,,47.4628,762.3,55
LOCAL,95909,PR NERVE CONDUCTION STUDIES 5-6 STUDIES,1091.0,,57.0492,981.9,55
LOCAL,95910,PR NERVE CONDUCTION STUDIES 7-8 STUDIES,1029.0,,75.992,926.1,55
LOCAL,95911,PR NERVE CONDUCTION STUDIES 9-10 STUDIES,1294.0,,94.9256,1164.6,55
LOCAL,95912,PR NERVE CONDUCTION STUDIES 11-12 STUDIES,1477.0,,113.6108,1329.3,55
LOCAL,95913,PR NERVE CONDUCTION STUDIES 13/> STUDIES,1996.0,,134.7616,1796.4,55
LOCAL,95921,PR TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,319.0,,24.92,331.41,55
LOCAL,95922,PR TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ,352.0,,26.33,364.03,55
LOCAL,95923,PR TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION,367.0,,17.44,340.0,55
LOCAL,95924,PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT,783.0,,62.2196,704.7,55
LOCAL,95925,PR SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS,646.0,,13.69,623.33,55
LOCAL,95926,PR SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS,630.0,,13.69,623.33,55
LOCAL,95927,PR SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD,599.0,,10.27,623.33,55
LOCAL,95928,PR CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS,891.0,,68.1955,801.9,55
LOCAL,95929,PR CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS,782.0,,56.3132,703.8,55
LOCAL,95930,PR VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R,416.0,,9.62,432.72,55
LOCAL,95933,PR ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST,280.0,,24.35,250.71,55
LOCAL,95937,PR NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH,456.0,,16.18,387.6,55
LOCAL,95938,PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB,690.0,,32.706,621.0,55
LOCAL,95939,PR CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LI,1479.0,,85.5784,1331.1,55
LOCAL,95940,PR IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES,385.0,,23.137,346.5,55
LOCAL,95954,PR RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE,584.0,,47.02,496.4,55
LOCAL,95955,PR EEG NONINTRACRANIAL SURGERY,738.0,,40.13,630.19,55
LOCAL,95957,PR DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,758.0,,47.73,745.23,51
LOCAL,95958,PR WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG,2751.0,,90.17,2338.35,55
LOCAL,95961,PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR,1010.0,,89.68,884.33,47
LOCAL,95962,PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR,686.0,,111.82,660.15,47
LOCAL,95970,PR ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING,231.0,,13.524,238.68,55
LOCAL,95971,PR ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG,364.0,,28.2808,358.87,55
LOCAL,95972,PR ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,687.0,,29.0168,714.34,55
LOCAL,95980,PR ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG,403.0,,32.9544,419.48,55
LOCAL,95981,PR ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG,151.0,,13.0364,156.99,55
LOCAL,95982,PR ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG,350.0,,27.048,340.97,55
LOCAL,95990,PR REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN,554.0,,64.1884,498.6,50
LOCAL,95991,PR RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP,347.0,,28.7684,294.95,55
LOCAL,95992,PR CANALITH REPOSITIONING PROCEDURE,424.0,,25.619,381.6,55
LOCAL,96020,PR TEST SELECT & ADMN FUNCTL BRAIN MAP PHYS/QHP,679.0,,131.0445,599.74,47
LOCAL,96041,PR MED GENETICS&GENETIC COUNSELING SVCS EACH 30 MIN,144.0,,44.21,129.6,40
LOCAL,96105,PR ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR,487.0,,61.58,431.01,55
LOCAL,96110,PR DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM,314.0,,9.0344,278.18,46
LOCAL,96116,PR NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR,423.0,,58.0336,359.55,55
LOCAL,96121,PR NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR,420.0,,52.7085,378.0,55
LOCAL,96125,PR STANDARDIZED COGNITIVE PERFORMANCE TESTING,912.0,,87.9835,890.46,42
LOCAL,96127,PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT,67.0,,4.3,60.3,42
LOCAL,96132,PR NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR,1210.0,,85.017,1089.0,55
LOCAL,96133,PR NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR,924.0,,60.537,831.6,55
LOCAL,96136,PR PSYL/NRPSYCL TST PHYS/QHP 2+ TST 1ST 30 MIN,250.0,,18.496,225.0,55
LOCAL,96137,PR PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN,209.0,,13.0364,188.1,55
LOCAL,96156,PR HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,953.0,,69.2024,857.7,51
LOCAL,96158,PR HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,658.0,,44.1508,592.2,51
LOCAL,96159,PR HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,227.0,,15.2352,204.3,51
LOCAL,96164,PR HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN,109.0,,6.4584,98.1,51
LOCAL,96165,PR HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN,53.0,,2.8428,47.7,51
LOCAL,96167,PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN,735.0,,50.3516,661.5,51
LOCAL,96168,PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN,273.0,,18.078,245.7,51
LOCAL,96170,PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN,710.0,,55.3605,639.0,46
LOCAL,96171,PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15,256.0,,20.009,230.4,46
LOCAL,96405,PR CHEMOTHERAPY ADMINISTRATION INTRALESIONAL </7,262.0,,20.5615,230.09,55
LOCAL,96406,PR CHEMOTHERAPY ADMINISTRATION INTRALESIONAL >7,372.0,,32.4576,355.45,55
LOCAL,96420,PR CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ,203.0,,41.33,421.69,50
LOCAL,96450,PR CHEMOTX ADMN CNS REQ SPINAL PUNCTURE,1015.0,,56.3132,862.75,53
LOCAL,96542,PR CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT,633.0,,30.2496,582.11,55
LOCAL,96547,PR INTRAOPERATIVE HIPEC PX FIRST 60 MINUTES,5853.0,,146.74,5267.7,47
LOCAL,96548,PR INTRAOPERATIVE HIPEC PX EACH ADDL 30 MINUTES,2927.0,,136.7735,2634.3,47
LOCAL,9654901,"PR CHEMOTHERAPY, UNSPECIFIED PROCEDURE, HIPEC - HYPOTHERMIC INTRAPERITONEAL CHEMOTHERAPY",5853.0,,0.31,6027.19,32
LOCAL,96567,PR PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY,865.0,,97.1428,735.25,50
LOCAL,96570,PR PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN,662.0,,39.5968,562.7,55
LOCAL,96571,PR PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN,334.0,,18.1976,283.9,55
LOCAL,96573,PR PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP,486.0,,161.8188,485.78,55
LOCAL,96574,PR DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT,621.0,,198.95,593.06,55
LOCAL,96900,PR ACTINOTHERAPY ULTRAVIOLET LIGHT,100.0,,13.25,85.0,50
LOCAL,96910,PR PHOTOCHEMOTX TAR&UVB/PETROLATUM/UVB,319.0,,19.03,271.15,50
LOCAL,96912,PR PHOTOCHEMOTX PSORALENS&ULTRAVIOLET A PUVA,276.0,,21.98,238.65,50
LOCAL,96913,PR PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION,367.0,,44.91,374.34,50
LOCAL,97530,PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,131.0,,19.07,111.35,50
LOCAL,97533,PR SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,136.0,,47.55,137.37,42
LOCAL,97535,PR SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,111.0,,19.36,108.68,50
LOCAL,97537,PR COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN,101.0,,19.36,98.55,50
LOCAL,97545,PR WORK HARDENING/CONDITIONING 1ST 2 HR,358.0,,58.45,364.03,40
LOCAL,97546,PR WORK HARDENING/CONDITIONING EACH HOUR,144.0,,17.92,153.86,40
LOCAL,97597,PR DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM/<,282.0,,25.8244,253.8,55
LOCAL,97598,PR DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF,227.0,,19.1845,205.43,47
LOCAL,97602,PR RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS,148.0,,37.71,184.7,40
LOCAL,97605,PR NEGATIVE PRESSURE WOUND THERAPY DME <= 50 SQ CM,263.0,,18.0965,236.7,47
LOCAL,97606,PR NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM,374.0,,19.4304,336.6,55
LOCAL,97750,PR PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN,132.0,,22.0,137.37,50
LOCAL,97760,PR ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS,249.0,,31.8412,224.1,46
LOCAL,97761,PR PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,249.0,,31.05,224.1,46
LOCAL,9779901,PR ENDOLUMINAL WOUND VAC,415.0,,32.936,3468.64,36
LOCAL,97810,PR ACUPUNCTURE 1/> NDLS W/O ESTIM 1ST 15 MIN,273.0,,23.8085,245.7,47
LOCAL,97813,PR ACUPUNCTURE 1/> NDLS W/ESTIM 1ST 15 MIN,295.0,,29.053,265.5,47
LOCAL,98000,PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN,223.0,,34.8755,200.7,42
LOCAL,9800095,PR AUDIO-VIDEO VISIT CONSULT LEVEL 2,336.0,,34.8755,302.4,42
LOCAL,98001,PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN,327.0,,59.177,294.3,42
LOCAL,9800195,PR AUDIO-VIDEO VISIT CONSULT LEVEL 3,444.0,,59.177,399.6,42
LOCAL,98002,PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN,474.0,,96.7215,426.6,42
LOCAL,9800295,PR AUDIO-VIDEO VISIT CONSULT LEVEL 4,752.0,,96.7215,676.8,42
LOCAL,98003,PR SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN,597.0,,130.0755,537.3,42
LOCAL,9800395,PR AUDIO-VIDEO VISIT CONSULT LEVEL 5,809.0,,130.0755,728.1,42
LOCAL,98004,PR SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN,130.0,,26.1035,117.0,42
LOCAL,98005,PR SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN,182.0,,48.1185,163.8,42
LOCAL,98006,PR SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN,283.0,,71.4765,254.7,42
LOCAL,98007,PR SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN,595.0,,96.7215,535.5,42
LOCAL,98008,PR SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN,223.0,,33.745,200.7,42
LOCAL,9800893,PR AUDIO ONLY VISIT CONSULT LEVEL 2,336.0,,33.745,302.4,42
LOCAL,98009,PR SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN,327.0,,57.4515,294.3,42
LOCAL,9800993,PR AUDIO ONLY VISIT CONSULT LEVEL 3,444.0,,57.4515,399.6,42
LOCAL,98010,PR SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN,474.0,,90.0575,426.6,42
LOCAL,9801093,PR AUDIO ONLY VISIT CONSULT LEVEL 4,752.0,,90.0575,676.8,42
LOCAL,98011,PR SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN,597.0,,119.119,537.3,42
LOCAL,9801193,PR AUDIO ONLY VISIT CONSULT LEVEL 5,809.0,,119.119,728.1,42
LOCAL,98012,PR SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN,130.0,,24.106,117.0,42
LOCAL,98013,PR SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN,182.0,,44.693,163.8,42
LOCAL,98014,PR SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN,283.0,,65.093,254.7,42
LOCAL,98015,PR SYNCHRONOUS AUDIO-ONLY VISIT EST HIGH MDM 40 MIN,595.0,,96.7215,535.5,42
LOCAL,98925,PR OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS,127.0,,16.7256,127.07,55
LOCAL,98926,PR OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS,163.0,,25.823,168.29,47
LOCAL,98927,PR OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS,191.0,,33.6904,197.47,55
LOCAL,98928,PR OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS,209.0,,42.5408,216.36,55
LOCAL,98929,PR OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS,231.0,,48.31,224.95,55
LOCAL,98966,PR TELEPHONE ASSMT&MGMT SVC NQHP EST PT 5-10 MIN,40.0,,8.9505,36.0,45
LOCAL,98967,PR TELEPHONE ASSMT&MGMT SVC NQHP EST PT 11-20 MIN,79.0,,17.3485,71.1,47
LOCAL,98968,PR TELEPHONE ASSMT&MGMT SVC NQHP EST PT 21-30 MIN,133.0,,25.0665,119.7,45
LOCAL,99000,PR HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,124.0,,4.91,128.79,39
LOCAL,99001,PR HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,187.0,,10.0,194.04,40
LOCAL,99070,PR SUPPLIES&MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP,72.0,,9.53,61.2,40
LOCAL,99091,PR COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D,187.0,,39.5,192.78,55
LOCAL,99140,PR ANES COMP BY EMERGENCY CONDITIONS SPECIFY,395.0,,63.19,335.75,40
LOCAL,99151,PR MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,266.0,,18.3005,239.4,51
LOCAL,99152,PR MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,134.0,,8.8504,120.6,55
LOCAL,99155,PR MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,961.0,,63.526,864.9,51
LOCAL,99156,PR MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,781.0,,54.1052,702.9,55
LOCAL,99157,PR MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,568.0,,42.0532,511.2,55
LOCAL,99184,PR INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE,2450.0,,160.4715,2205.0,47
LOCAL,99188,PR APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP,101.0,,7.242,90.9,42
LOCAL,99195,PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,309.0,,14.51,262.65,50
LOCAL,99202,PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES,233.0,,22.678,198.05,55
LOCAL,99203,PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES,341.0,,30.6452,289.85,55
LOCAL,99204,PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES,495.0,,44.8408,423.15,55
LOCAL,99205,PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES,623.0,,55.752,554.21,55
LOCAL,99211,PR OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP,71.0,,6.664,73.84,53
LOCAL,99212,PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN,136.0,,12.466,132.21,55
LOCAL,99213,PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN,190.0,,18.7404,194.04,55
LOCAL,99214,PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN,296.0,,26.3212,257.57,55
LOCAL,99215,PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN,621.0,,40.5168,643.93,55
LOCAL,99221,PR 1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES,349.0,,55.1264,343.43,55
LOCAL,99221TH,PR VIDEO INIT HOSP IP/OBS CARE LOW MDM 40 MIN,349.0,,55.1264,343.43,55
LOCAL,99222,PR 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES,469.0,,87.446,461.91,53
LOCAL,99222TH,PR VIDEO INIT HOSP IP/OBS CARE MODERATE MDM 55 MIN,469.0,,87.446,461.91,53
LOCAL,99223,PR 1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES,668.0,,110.5288,666.11,55
LOCAL,99223TH,PR VIDEO INIT HOSP IP/OBS CARE HIGH MDM 75 MIN,668.0,,110.5288,666.11,55
LOCAL,99231,PR SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES,186.0,,29.1456,182.02,55
LOCAL,99231TH,PR VIDEO SUBSQT HOSP CARE E&M 15 MIN,186.0,,29.1456,182.02,55
LOCAL,99232,PR SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES,252.0,,41.8416,247.26,53
LOCAL,99232TH,PR VIDEO SUBSQT HOSP CARE E&M 25 MIN,252.0,,41.8416,247.26,53
LOCAL,99233,PR SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES,318.0,,56.2764,643.93,55
LOCAL,99233TH,PR VIDEO SUBSQT HOSP CARE E&M 35 MIN,318.0,,56.2764,643.93,55
LOCAL,99234,PR HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN,483.0,,77.2395,481.28,53
LOCAL,99235,PR HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN,635.0,,124.763,634.01,55
LOCAL,99236,PR HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN,792.0,,158.7184,789.6,53
LOCAL,99238,PR HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<,254.0,,50.2136,251.63,53
LOCAL,99239,PR HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN,365.0,,66.378,363.56,55
LOCAL,99242,PR OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES,351.0,,48.025,298.35,38
LOCAL,99243,PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES,463.0,,75.3204,393.55,38
LOCAL,99244,PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES,784.0,,105.616,666.4,40
LOCAL,99244XX,PR OFFICE/OP CONSLT NEW/EST PT MOD MDM,784.0,,105.616,666.4,40
LOCAL,99245,PR OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES,844.0,,140.2448,717.4,40
LOCAL,99245XX,PR OFFICE/OP CONSLT NEW/EST PT HIGH MDM,844.0,,140.2448,717.4,40
LOCAL,99252,PR IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES,339.0,,59.7356,333.12,38
LOCAL,99252TH,PR VIDEO INPATIENT/OBS CONSULT 35 MIN,339.0,,59.7356,333.12,38
LOCAL,99253,PR IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES,446.0,,77.05,418.46,38
LOCAL,99253TH,PR VIDEO INPATIENT/OBS CONSULT 45 MIN,446.0,,77.05,418.46,38
LOCAL,99254,PR IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES,603.0,,106.49,601.13,40
LOCAL,99254TH,PR VIDEO INPATIENT/OBS CONSULT 60 MIN,603.0,,106.49,601.13,40
LOCAL,99255,PR IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES,752.0,,139.6744,750.26,40
LOCAL,99255TH,PR VIDEO INPATIENT/OBS CONSULT 80 MIN,752.0,,139.6744,750.26,40
LOCAL,99281,PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP,263.0,,9.7325,223.55,55
LOCAL,99282,PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM,411.0,,29.31,349.35,55
LOCAL,99283,PR EMERGENCY DEPARTMENT VISIT LOW MDM,520.0,,51.0784,442.0,55
LOCAL,99284,PR EMERGENCY DEPARTMENT VISIT MODERATE MDM,825.0,,74.7408,701.25,55
LOCAL,99285,PR EMERGENCY DEPARTMENT VISIT HIGH MDM,1236.0,,92.92,1050.6,55
LOCAL,99291,PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN,1128.0,,166.53,958.8,55
LOCAL,99292,PR CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN,520.0,,79.93,451.61,55
LOCAL,99358,PR PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR,450.0,,53.27,461.91,46
LOCAL,99359,PR PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES,228.0,,26.79,230.09,46
LOCAL,99360,PR PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES,318.0,,44.693,314.24,42
LOCAL,99366,PR TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN,590.0,,30.4895,613.27,40
LOCAL,99367,PR TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN,590.0,,39.1092,613.27,44
LOCAL,99368,PR TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN,590.0,,26.6815,613.27,40
LOCAL,99374,PR SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES,264.0,,40.987,241.85,44
LOCAL,99377,PR SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN,253.0,,40.987,241.85,44
LOCAL,99379,PR SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN,251.0,,40.987,240.45,44
LOCAL,99381,PR INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR,287.0,,44.64,274.64,42
LOCAL,99382,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS,300.0,,55.69,300.39,42
LOCAL,99383,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS,308.0,,55.69,295.28,42
LOCAL,99384,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR,339.0,,66.75,325.49,42
LOCAL,99385,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,404.0,,62.22,343.4,50
LOCAL,9938501,"PR PREVENTIVE BREAST EXAM, NEW, 18-39",404.0,,62.22,343.4,50
LOCAL,99386,PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,480.0,,83.24,408.0,46
LOCAL,9938601,"PR PREVENTIVE BREAST EXAM, NEW, 40-64",480.0,,83.24,408.0,46
LOCAL,99387,PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>,522.0,,93.0155,443.7,46
LOCAL,9938701,"PR PREVENTIVE BREAST EXAM, NEW, 65 & OVER",522.0,,93.0155,443.7,46
LOCAL,99391,PR PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y,249.0,,33.9,214.82,42
LOCAL,99392,PR PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS,263.0,,44.64,244.01,42
LOCAL,99393,PR PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS,263.0,,44.64,241.97,42
LOCAL,99394,PR PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS,289.0,,55.69,270.78,42
LOCAL,99395,PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS,339.0,,52.11,288.15,50
LOCAL,9939501,"PR PREVENTIVE BREAST EXAM, EST, 18-39",339.0,,52.11,288.15,50
LOCAL,99396,PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS,375.0,,62.22,318.75,46
LOCAL,9939601,"PR PREVENTIVE BREAST EXAM, EST, 40-64",375.0,,62.22,318.75,46
LOCAL,99397,PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER,415.0,,72.94,352.75,46
LOCAL,9939701,"PR PREVENTIVE BREAST EXAM, EST, 65 & OVER",415.0,,72.94,352.75,46
LOCAL,99401,PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 15 MIN,130.0,,18.0115,110.5,42
LOCAL,99402,PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 30 MIN,243.0,,36.5925,206.55,42
LOCAL,99403,PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 45 MIN,275.0,,53.9325,274.75,42
LOCAL,99404,PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 60 MIN,450.0,,72.335,382.5,42
LOCAL,99406,PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,67.0,,1.84,60.3,55
LOCAL,99407,PR TOBACCO USE CESSATION INTENSIVE >10 MINUTES,82.0,,1.84,73.8,55
LOCAL,99411,PR PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 30 M,164.0,,5.5335,139.4,42
LOCAL,99412,PR PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 60 M,251.0,,9.622,261.0,42
LOCAL,99417,PR PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES,120.0,,13.3952,108.0,50
LOCAL,99418,PR PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN,145.0,,28.5292,130.5,50
LOCAL,99457,PR RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN,138.0,,22.967,124.2,47
LOCAL,99458,PR RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20,118.0,,22.967,106.2,47
LOCAL,99471,PR INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS,3368.0,,586.483,3031.2,51
LOCAL,99472,PR SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO,1686.0,,306.5695,1517.4,51
LOCAL,99475,PR INITIAL PED CRITICAL CARE 2 THRU 5 YEARS,2373.0,,412.233,2135.7,51
LOCAL,99476,PR SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS,1426.0,,246.6152,1283.4,51
LOCAL,99483,PR ASSMT & CARE PLANNING PT W/COGNITIVE IMPAIRMENT,710.0,,147.7895,639.0,45
LOCAL,99485,PR SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN,305.0,,55.3605,274.5,40
LOCAL,99486,PR SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN,264.0,,48.1185,237.6,40
LOCAL,99487,PR COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO,260.0,,69.003,259.69,47
LOCAL,99489,PR CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO,137.0,,38.1225,137.45,47
LOCAL,99490,PR CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO,158.0,,38.1225,142.2,47
LOCAL,99495,PR TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE,438.0,,106.4285,400.44,45
LOCAL,99496,PR TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE,618.0,,144.619,556.2,47
LOCAL,99497,PR ADVANCE CARE PLANNING FIRST 30 MINS,282.0,,57.154,253.8,47
LOCAL,99498,PR ADVANCE CARE PLANNING EA ADDL 30 MINS,209.0,,55.1395,188.1,47
LOCAL,9949901,PR UNLISTED PROCEDURE INTERNATIONAL CENTER SECOND OPINION REVIEW,1000.0,,322.83,850.0,28
LOCAL,99800018,HC ACUPUNCTURE,276.0,,77.28,237.36,83
LOCAL,99800022,HC ACUPUNCTURE WITH ESTIM,354.0,,99.12,304.44,83
LOCAL,99800026,HC ONCOLOGY MASSAGE,55.0,,15.4,47.3,83
LOCAL,99800031,HC MUSIC THERAPY,50.0,,14.0,43.0,83
LOCAL,99800039,HC YOGA/MEDITATION,50.0,,14.0,43.0,83
LOCAL,99800049,HC STREAMLINE MIC (WIRELESS HANDSFREE HEADSET),338.0,,94.64,290.68,83
LOCAL,99800050,HC STREAMLINE TV (SIGNIA) HA ACCESSORY,336.0,,94.08,288.96,83
LOCAL,99800051,HC MINIPOCKET REMOTE (SIGNIA),223.0,,62.44,191.78,83
LOCAL,99800052,HC INDUCTIVE CHARGER,349.0,,97.72,300.14,83
LOCAL,99800054,HC TV TRANSMITTER FOR EASYTEK,223.0,,62.44,191.78,83
LOCAL,99800055,HC VOICELINK REMOTE MIC,282.0,,78.96,242.52,83
LOCAL,99800057,HC ECHARGER - HA ACCESSORY,237.0,,66.36,203.82,83
LOCAL,99800058,HC MINI RECEIVER HA ACCESSORY,138.0,,38.64,118.68,83
LOCAL,99800059,HC EMBEDDED RECEIVER HA ACCESSORY,243.0,,68.04,208.98,83
LOCAL,99800064,HC THINTUBES 5PK HA ACCESSORY,38.0,,10.64,32.68,83
LOCAL,99800065,HC BTE EARMOLD HA ACCESSORY SIGNIA STANDARD,96.0,,26.88,82.56,83
LOCAL,99800066,HC RIC EARMOLD HA ACCESSORY SIGNIA,126.0,,35.28,108.36,83
LOCAL,99800067,HC MUSICIAN/NOISE HEARING PROTECTION EARMOLD,110.0,,30.8,94.6,83
LOCAL,99800068,HC SWIM PLUG EARMOLD SIGNIA,83.0,,23.24,71.38,83
LOCAL,99800077,HC PHILANTHROPIC MUSIC THERAPY,50.0,,14.0,43.0,83
LOCAL,C7568,PR COR ANGIO W/FLOW RESRV,2819.0,,1691.4,2537.1,28
LOCAL,D0120,PR PERIODIC ORAL EVALUATION - ESTABLISHED PATIENT,62.0,,15.03,55.8,40
LOCAL,D0140,PR LIMITED ORAL EVALUATION - PROBLEM FOCUSED,102.0,,22.1,91.8,40
LOCAL,D0150,PR COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT,160.0,,22.39,144.0,40
LOCAL,D0160,"PR DETAILED AND EXTENSIVE ORAL EVALUATION - PROBLEM FOCUSED, BY REPORT",252.0,,41.82,226.8,40
LOCAL,D0170,"PR RE-EVALUATION - LIMITED, PROBLEM FOCUSED (ESTABLISHED PATIENT; NOT POST-OPERATI",65.0,,18.84,58.5,40
LOCAL,D0180,PR COMPREHENSIVE PERIODONTAL EVALUATION - NEW OR ESTABLISHED PATIENT,284.0,,23.24,255.6,40
LOCAL,D0210,PR INTRAORAL - COMPLETE SERIES OF RADIOGRAPHIC IMAGES,153.0,,43.1,137.7,40
LOCAL,D0220,PR INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE,33.0,,10.31,29.7,40
LOCAL,D0230,PR INTRAORAL - PERIAPICAL EACH ADDITIONAL RADIOGRAPHIC IMAGE,28.0,,5.91,25.2,40
LOCAL,D0240,PR INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE,46.0,,13.27,41.4,40
LOCAL,D0250,PR EXTRAORAL - FIRST RADIOGRAPHIC IMAGE,60.0,,20.37,54.0,40
LOCAL,D0270,PR BITEWING - SINGLE RADIOGRAPHIC IMAGE,33.0,,10.31,29.7,40
LOCAL,D0272,PR BITEWINGS - TWO RADIOGRAPHIC IMAGES,48.0,,13.27,43.2,40
LOCAL,D0274,PR BITEWINGS - FOUR RADIOGRAPHIC IMAGES,67.0,,21.26,60.3,40
LOCAL,D0277,PR VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES,101.0,,26.58,90.9,40
LOCAL,D0310,PR SIALOGRAPHY,492.0,,100.66,442.8,40
LOCAL,D0320,"PR TEMPOROMANDIBULAR JOINT ARTHROGRAM, INCLUDING INJECTION",839.0,,219.91,755.1,40
LOCAL,D0322,PR TOMOGRAPHIC SURVEY,672.0,,137.24,604.8,40
LOCAL,D0330,PR PANORAMIC RADIOGRAPHIC IMAGE,125.0,,36.01,112.5,40
LOCAL,D0340,PR CEPHALOMETRIC RADIOGRAPHIC IMAGE,145.0,,43.99,130.5,40
LOCAL,D0350,PR 2D ORAL/FACIAL PHOTOGRAPHIC IMAGE OBTAINED INTRA-ORALLY OR EXTRA-ORALLY,65.0,,21.55,58.5,40
LOCAL,D0415,PR COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY,107.0,,42.27,96.3,40
LOCAL,D0425,PR CARIES SUSCEPTIBILITY TESTS,62.0,,23.94,55.8,40
LOCAL,D0460,PR PULP VITALITY TESTS,64.0,,17.44,57.6,40
LOCAL,D0472,"PR ACCESSION OF TISSUE, GROSS EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN",95.0,,30.44,85.5,40
LOCAL,D0473,"PR ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMI",181.0,,45.22,162.9,40
LOCAL,D0474,"PR ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, INCLUDING ASSESSMENT OF",216.0,,53.2,194.4,40
LOCAL,D0480,"PR ACCESSION OF EXFOLIATIVE CYTOLOGIC SMEARS, MICROSCOPIC EXAMINATION, PREPARATION",133.0,,46.11,119.7,40
LOCAL,D1110,PROPHYLAXIS - ADULT,104.0,,33.58,93.6,40
LOCAL,D1120,PROPHYLAXIS - CHILD,73.0,,22.37,65.7,40
LOCAL,D1208,PR TOPICAL APPLICATION OF FLUORIDE - EXCLUDING VARNISH,53.0,,8.84,47.7,40
LOCAL,D1310,PR NUTRITIONAL COUNSELING FOR CONTROL OF DENTAL DISEASE,64.0,,24.44,57.6,40
LOCAL,D1320,PR TOBACCO COUNSELING FOR THE CONTROL AND PREVENTION OF ORAL DISEASE,60.0,,22.96,54.0,40
LOCAL,D1330,PR ORAL HYGIENE INSTRUCTIONS,86.0,,17.38,77.4,40
LOCAL,D1351,PR SEALANT - PER TOOTH,67.0,,17.97,60.3,40
LOCAL,D1510,PR SPACE MAINTAINER - FIXED - UNILATERAL,403.0,,95.7,362.7,40
LOCAL,D1520,PR SPACE MAINTAINER - REMOVABLE - UNILATERAL,501.0,,116.0,450.9,40
LOCAL,D2140,"PR AMALGAM - ONE SURFACE, PRIMARY OR PERMANENT",166.0,,39.47,149.4,40
LOCAL,D2150,"PR AMALGAM - TWO SURFACES, PRIMARY OR PERMANENT",214.0,,45.61,192.6,40
LOCAL,D2160,"PR AMALGAM - THREE SURFACES, PRIMARY OR PERMANENT",259.0,,55.82,233.1,40
LOCAL,D2161,"PR AMALGAM - FOUR OR MORE SURFACES, PRIMARY OR PERMANENT",312.0,,68.11,280.8,40
LOCAL,D2330,"PR RESIN-BASED COMPOSITE - ONE SURFACE, ANTERIOR",186.0,,41.8,167.4,40
LOCAL,D2331,"PR RESIN-BASED COMPOSITE - TWO SURFACES, ANTERIOR",234.0,,60.78,210.6,40
LOCAL,D2332,"PR RESIN-BASED COMPOSITE - THREE SURFACES, ANTERIOR",297.0,,71.33,267.3,40
LOCAL,D2335,PR RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTER,337.0,,82.13,303.3,40
LOCAL,D2390,"PR RESIN-BASED COMPOSITE CROWN, ANTERIOR",417.0,,127.15,375.3,40
LOCAL,D2391,"PR RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR",249.0,,43.84,224.1,40
LOCAL,D2392,"PR RESIN-BASED COMPOSITE - TWO SURFACES, POSTERIOR",312.0,,78.61,280.8,40
LOCAL,D2393,"PR RESIN-BASED COMPOSITE - THREE SURFACES, POSTERIOR",388.0,,104.07,349.2,40
LOCAL,D2394,"PR RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES, POSTERIOR",474.0,,113.68,426.6,40
LOCAL,D2410,PR GOLD FOIL - ONE SURFACE,364.0,,146.72,330.12,40
LOCAL,D2420,PR GOLD FOIL - TWO SURFACES,541.0,,185.9,486.9,40
LOCAL,D2430,PR GOLD FOIL - THREE SURFACES,934.0,,250.79,840.6,40
LOCAL,D2510,PR INLAY - METALLIC - ONE SURFACE,854.0,,238.8,768.6,40
LOCAL,D2520,PR INLAY - METALLIC - TWO SURFACES,969.0,,270.36,872.1,40
LOCAL,D2530,PR INLAY - METALLIC - THREE OR MORE SURFACES,1117.0,,282.93,1005.3,40
LOCAL,D2542,PR ONLAY - METALLIC - TWO SURFACES,1095.0,,308.94,985.5,40
LOCAL,D2543,PR ONLAY - METALLIC - THREE SURFACES,1145.0,,323.56,1030.5,40
LOCAL,D2544,PR ONLAY - METALLIC - FOUR OR MORE SURFACES,1190.0,,349.86,1071.0,40
LOCAL,D2610,PR INLAY - PORCELAIN/CERAMIC - ONE SURFACE,1007.0,,266.88,906.3,40
LOCAL,D2620,PR INLAY - PORCELAIN/CERAMIC - TWO SURFACES,1062.0,,278.27,955.8,40
LOCAL,D2630,PR INLAY - PORCELAIN/CERAMIC - THREE OR MORE SURFACES,1128.0,,345.2,1015.2,40
LOCAL,D2642,PR ONLAY - PORCELAIN/CERAMIC - TWO SURFACES,1097.0,,296.66,987.3,40
LOCAL,D2643,PR ONLAY - PORCELAIN/CERAMIC - THREE SURFACES,1183.0,,333.51,1064.7,40
LOCAL,D2644,PR ONLAY - PORCELAIN/CERAMIC - FOUR OR MORE SURFACES,1256.0,,377.64,1130.4,40
LOCAL,D2650,PR INLAY - RESIN-BASED COMPOSITE - ONE SURFACE,661.0,,225.93,594.9,40
LOCAL,D2651,PR INLAY - RESIN-BASED COMPOSITE - TWO SURFACES,786.0,,258.37,707.4,40
LOCAL,D2652,PR INLAY - RESIN-BASED COMPOSITE - THREE OR MORE SURFACES,827.0,,322.11,744.3,40
LOCAL,D2662,PR ONLAY - RESIN-BASED COMPOSITE - TWO SURFACES,719.0,,252.82,647.1,40
LOCAL,D2663,PR ONLAY - RESIN-BASED COMPOSITE - THREE SURFACES,845.0,,308.65,760.5,40
LOCAL,D2664,PR ONLAY - RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES,905.0,,328.25,814.5,40
LOCAL,D2710,PR CROWN - RESIN-BASED COMPOSITE (INDIRECT),510.0,,191.45,459.0,40
LOCAL,D2720,PR CROWN - RESIN WITH HIGH NOBLE METAL,1256.0,,400.43,1130.4,40
LOCAL,D2721,PR CROWN - RESIN WITH PREDOMINANTLY BASE METAL,1175.0,,318.01,1057.5,40
LOCAL,D2722,PR CROWN - RESIN WITH NOBLE METAL,1203.0,,350.45,1082.7,40
LOCAL,D2740,PR CROWN - PORCELAIN/CERAMIC SUBSTRATE,1288.0,,403.06,1159.2,40
LOCAL,D2750,PR CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL,1269.0,,432.58,1142.1,40
LOCAL,D2751,PR CROWN - PORCELAIN FUSED TO PREDOMINANTLY BASE METAL,1183.0,,333.51,1064.7,40
LOCAL,D2752,PR CROWN - PORCELAIN FUSED TO NOBLE METAL,1210.0,,366.54,1089.0,40
LOCAL,D2780,PR CROWN - 3/4 CAST HIGH NOBLE METAL,1218.0,,367.14,1096.2,40
LOCAL,D2781,PR CROWN - 3/4 CAST PREDOMINANTLY BASE METAL,1148.0,,285.27,1033.2,40
LOCAL,D2782,PR CROWN - 3/4 CAST NOBLE METAL,1185.0,,318.6,1066.5,40
LOCAL,D2783,PR CROWN - 3/4 PORCELAIN/CERAMIC,1251.0,,385.22,1125.9,40
LOCAL,D2790,PR CROWN - FULL CAST HIGH NOBLE METAL,1269.0,,383.19,1142.1,40
LOCAL,D2799,PROVISIONAL CROWN- FURTHER TREATMENT OR COMPLETION OF DIAGNOSIS NECESSARY PRIOR,510.0,,127.15,459.0,40
LOCAL,D2910,"PR RE-CEMENT OR RE-BOND INLAY, ONLAY, VENEER OR PARTIAL COVERAGE RESTORATION",103.0,,30.71,92.7,40
LOCAL,D2920,PR RE-CEMENT OR RE-BOND CROWN,116.0,,30.96,104.4,40
LOCAL,D2930,PREFABRICATED STAINLESS STEEL CROWN - PRIMARY TOOTH,310.0,,82.72,279.0,40
LOCAL,D2931,PREFABRICATED STAINLESS STEEL CROWN - PERMANENT TOOTH,350.0,,116.05,315.0,40
LOCAL,D2932,PREFABRICATED RESIN CROWN,380.0,,99.66,342.0,40
LOCAL,D2933,PREFABRICATED STAINLESS STEEL CROWN WITH RESIN WINDOW,427.0,,98.22,384.3,40
LOCAL,D2940,PROTECTIVE RESTORATION,121.0,,31.56,108.9,40
LOCAL,D2950,"PR CORE BUILDUP, INCLUDING ANY PINS WHEN REQUIRED",298.0,,82.13,268.2,40
LOCAL,D2951,"PR PIN RETENTION - PER TOOTH, IN ADDITION TO RESTORATION",65.0,,20.16,58.5,40
LOCAL,D2952,"PR POST AND CORE IN ADDITION TO CROWN, INDIRECTLY FABRICATED",466.0,,154.9,419.4,40
LOCAL,D2953,PR EACH ADDITIONAL INDIRECTLY FABRICATED POST - SAME TOOTH,297.0,,115.76,267.3,40
LOCAL,D2954,PREFABRICATED POST AND CORE IN ADDITION TO CROWN,373.0,,102.29,335.7,40
LOCAL,D2955,PR POST REMOVAL,282.0,,81.54,253.8,40
LOCAL,D2957,PR EACH ADDITIONAL PREFABRICATED POST - SAME TOOTH,189.0,,66.63,170.1,40
LOCAL,D2960,PR LABIAL VENEER (RESIN LAMINATE) - CHAIRSIDE,911.0,,147.03,819.9,40
LOCAL,D2961,PR LABIAL VENEER (RESIN LAMINATE) - LABORATORY,1018.0,,223.89,916.2,40
LOCAL,D2962,PR LABIAL VENEER (PORCELAIN LAMINATE) - LABORATORY,1105.0,,297.55,994.5,40
LOCAL,D2980,PR CROWN REPAIR NECESSITATED BY RESTORATIVE MATERIAL FAILURE,315.0,,60.78,283.5,40
LOCAL,D3110,PR PULP CAP - DIRECT (EXCLUDING FINAL RESTORATION),155.0,,29.23,139.5,40
LOCAL,D3120,PR PULP CAP - INDIRECT (EXCLUDING FINAL RESTORATION),68.0,,23.38,61.2,40
LOCAL,D3220,PR THERAPEUTIC PULPOTOMY (EXCLUDING FINAL RESTORATION) - REMOVAL OF PULP CORONAL T,311.0,,68.11,279.9,40
LOCAL,D3221,"PR PULPAL DEBRIDEMENT, PRIMARY AND PERMANENT TEETH",214.0,,87.68,197.28,40
LOCAL,D3230,"PR PULPAL THERAPY (RESORBABLE FILLING) - ANTERIOR, PRIMARY TOOTH (EXCLUDING FINAL",206.0,,73.95,185.4,40
LOCAL,D3240,"PR PULPAL THERAPY (RESORBABLE FILLING) - POSTERIOR, PRIMARY TOOTH (EXCLUDING FINAL",223.0,,84.75,200.7,40
LOCAL,D3310,"PR ENDODONTIC THERAPY, ANTERIOR TOOTH (EXCLUDING FINAL RESTORATION)",1291.0,,241.43,1161.9,40
LOCAL,D3320,"PR ENDODONTIC THERAPY, BICUSPID TOOTH (EXCLUDING FINAL RESTORATION)",1581.0,,277.68,1422.9,40
LOCAL,D3330,"PR ENDODONTIC THERAPY, MOLAR (EXCLUDING FINAL RESTORATION)",1959.0,,339.35,1763.1,40
LOCAL,D3331,PR TREATMENT OF ROOT CANAL OBSTRUCTION; NON-SURGICAL ACCESS,457.0,,206.06,463.64,40
LOCAL,D3332,"PR INCOMPLETE ENDODONTIC THERAPY; INOPERABLE, UNRESTORABLE OR FRACTURED TOOTH",705.0,,132.34,634.5,40
LOCAL,D3333,PR INTERNAL ROOT REPAIR OF PERFORATION DEFECTS,238.0,,92.08,214.2,40
LOCAL,D3346,PR RETREATMENT OF PREVIOUS ROOT CANAL THERAPY - ANTERIOR,1096.0,,269.57,986.4,40
LOCAL,D3347,PR RETREATMENT OF PREVIOUS ROOT CANAL THERAPY - BICUSPID,1292.0,,328.39,1162.8,40
LOCAL,D3348,PR RETREATMENT OF PREVIOUS ROOT CANAL THERAPY - MOLAR,1553.0,,404.36,1397.7,40
LOCAL,D3351,PR APEXIFICATION/RECALCIFICATION - INITIAL VISIT (APICAL CLOSURE / CALCIFIC REPAIR,464.0,,122.54,417.6,40
LOCAL,D3352,PR APEXIFICATION/RECALCIFICATION - INTERIM MEDICATION REPLACEMENT,204.0,,83.31,187.45,40
LOCAL,D3353,PR APEXIFICATION/RECALCIFICATION - FINAL VISIT (INCLUDES COMPLETED ROOT CANAL THER,684.0,,189.41,615.6,40
LOCAL,D3410,PR APICOECTOMY - ANTERIOR,1751.0,,228.0,1575.9,40
LOCAL,D3421,PR APICOECTOMY - BICUSPID (FIRST ROOT),1018.0,,257.32,916.2,40
LOCAL,D3425,PR APICOECTOMY - MOLAR (FIRST ROOT),1151.0,,286.73,1035.9,40
LOCAL,D3426,PR APICOECTOMY (EACH ADDITIONAL ROOT),387.0,,117.79,348.3,40
LOCAL,D3430,PR RETROGRADE FILLING - PER ROOT,551.0,,73.95,495.9,40
LOCAL,D3450,PR ROOT AMPUTATION - PER ROOT,573.0,,122.54,515.7,40
LOCAL,D3460,PR ENDODONTIC ENDOSSEOUS IMPLANT,2737.0,,379.86,2463.3,40
LOCAL,D3470,PR INTENTIONAL REIMPLANTATION (INCLUDING NECESSARY SPLINTING),1138.0,,245.06,1024.2,40
LOCAL,D3910,PR SURGICAL PROCEDURE FOR ISOLATION OF TOOTH WITH RUBBER DAM,153.0,,58.16,137.7,40
LOCAL,D3920,"PR HEMISECTION (INCLUDING ANY ROOT REMOVAL), NOT INCLUDING ROOT CANAL THERAPY",448.0,,145.87,403.2,40
LOCAL,D3950,PR CANAL PREPARATION AND FITTING OF PREFORMED DOWEL OR POST,206.0,,69.0,185.4,40
LOCAL,D4210,PR GINGIVECTOMY OR GINGIVOPLASTY - FOUR OR MORE CONTIGUOUS TEETH OR TOOTH BOUNDED,1172.0,,189.12,1054.8,40
LOCAL,D4211,PR GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE CONTIGUOUS TEETH OR TOOTH BOUNDED,232.0,,73.36,208.8,40
LOCAL,D4240,"PR GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH",1009.0,,223.3,908.1,40
LOCAL,D4245,PR APICALLY POSITIONED FLAP,725.0,,236.47,652.5,40
LOCAL,D4249,PR CLINICAL CROWN LENGTHENING - HARD TISSUE,1149.0,,218.34,1034.1,40
LOCAL,D4260,PR OSSEOUS SURGERY (INCLUDING ELEVATION OF A FULL THICKNESS FLAP AND CLOSURE) - FO,1622.0,,339.35,1459.8,40
LOCAL,D4263,PR BONE REPLACEMENT GRAFT - FIRST SITE IN QUADRANT,494.0,,177.43,444.6,40
LOCAL,D4264,PR BONE REPLACEMENT GRAFT - EACH ADDITIONAL SITE IN QUADRANT,353.0,,146.72,330.12,40
LOCAL,D4266,"PR GUIDED TISSUE REGENERATION NATURAL TEETH - RESORBABLE BARRIER, PER SITE",856.0,,243.76,770.4,40
LOCAL,D4267,"PR GUIDED TISSUE REGENERATION NATURAL TEETH - NONRESORBABLE BARRIER, PER SITE (INCLUDES MEMBRANE)",764.0,,285.56,687.6,40
LOCAL,D4268,"PR SURGICAL REVISION PROCEDURE, PER TOOTH",601.0,,185.01,540.9,40
LOCAL,D4270,PR PEDICLE SOFT TISSUE GRAFT PROCEDURE,1201.0,,253.41,1080.9,40
LOCAL,D4273,"PR SUBEPITHELIAL CONNECTIVE TISSUE GRAFT PROCEDURES, PER TOOTH",1318.0,,332.91,1186.2,40
LOCAL,D4274,PR DISTAL OR PROXIMAL WEDGE PROCEDURE (WHEN NOT PERFORMED IN CONJUNCTION WITH SURG,461.0,,201.7,453.83,40
LOCAL,D4341,PR PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE TEETH PER QUADRANT,328.0,,94.41,295.2,40
LOCAL,D4342,PR PERIODONTAL SCALING AND ROOT PLANING - ONE TO THREE TEETH PER QUADRANT,170.0,,52.01,153.0,40
LOCAL,D4355,PR FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE PERIODONTAL EVALUATION & DIAGNOSIS ON SUBSQ VISIT,190.0,,51.16,171.0,40
LOCAL,D4910,PR PERIODONTAL MAINTENANCE,173.0,,42.1,155.7,40
LOCAL,D4920,PR UNSCHEDULED DRESSING CHANGE (BY SOMEONE OTHER THAN TREATING DENTIST OR THEIR ST,155.0,,28.34,139.5,40
LOCAL,D5110,PR COMPLETE DENTURE - MAXILLARY,1942.0,,589.55,1747.8,40
LOCAL,D5120,PR COMPLETE DENTURE - MANDIBULAR,1942.0,,589.55,1747.8,40
LOCAL,D5130,PR IMMEDIATE DENTURE - MAXILLARY,2046.0,,647.7,1841.4,40
LOCAL,D5140,PR IMMEDIATE DENTURE - MANDIBULAR,2046.0,,647.7,1841.4,40
LOCAL,D5211,"PR MAXILLARY PARTIAL DENTURE - RESIN BASE (INCLUDING ANY CONVENTIONAL CLASPS, REST",1640.0,,416.61,1476.0,40
LOCAL,D5212,"PR MANDIBULAR PARTIAL DENTURE - RESIN BASE (INCLUDING ANY CONVENTIONAL CLASPS, RES",1905.0,,433.76,1714.5,40
LOCAL,D5213,PR MAXILLARY PARTIAL DENTURE - CAST METAL FRAMEWORK WITH RESIN DENTURE BASES (INCL,2144.0,,695.94,1929.6,40
LOCAL,D5214,PR MANDIBULAR PARTIAL DENTURE - CAST METAL FRAMEWORK WITH RESIN DENTURE BASES (INC,2144.0,,695.94,1929.6,40
LOCAL,D5410,PR ADJUST COMPLETE DENTURE - MAXILLARY,107.0,,29.23,96.3,40
LOCAL,D5411,PR ADJUST COMPLETE DENTURE - MANDIBULAR,107.0,,29.23,96.3,40
LOCAL,D5421,PR ADJUST PARTIAL DENTURE - MAXILLARY,107.0,,29.23,96.3,40
LOCAL,D5422,PR ADJUST PARTIAL DENTURE - MANDIBULAR,107.0,,29.23,96.3,40
LOCAL,D5520,PR REPLACE MISSING OR BROKEN TEETH - COMPLETE DENTURE (EACH TOOTH),181.0,,48.24,162.9,40
LOCAL,D5630,PR REPAIR OR REPLACE BROKEN CLASP,306.0,,87.97,275.4,40
LOCAL,D5640,PR REPLACE BROKEN TEETH - PER TOOTH,192.0,,68.4,172.8,40
LOCAL,D5650,PR ADD TOOTH TO EXISTING PARTIAL DENTURE,269.0,,72.77,242.1,40
LOCAL,D5710,PR REBASE COMPLETE MAXILLARY DENTURE,792.0,,236.47,712.8,40
LOCAL,D5711,PR REBASE COMPLETE MANDIBULAR DENTURE,729.0,,234.44,656.1,40
LOCAL,D5720,PR REBASE MAXILLARY PARTIAL DENTURE,721.0,,196.05,648.9,40
LOCAL,D5721,PR REBASE MANDIBULAR PARTIAL DENTURE,721.0,,196.05,648.9,40
LOCAL,D5730,PR RELINE COMPLETE MAXILLARY DENTURE (CHAIRSIDE),433.0,,140.58,389.7,40
LOCAL,D5731,PR RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE),433.0,,140.58,389.7,40
LOCAL,D5740,PR RELINE MAXILLARY PARTIAL DENTURE (CHAIRSIDE),398.0,,118.98,358.2,40
LOCAL,D5741,PR RELINE MANDIBULAR PARTIAL DENTURE (CHAIRSIDE),398.0,,118.98,358.2,40
LOCAL,D5750,PR RELINE COMPLETE MAXILLARY DENTURE (LABORATORY),576.0,,186.79,518.4,40
LOCAL,D5751,PR RELINE COMPLETE MANDIBULAR DENTURE (LABORATORY),576.0,,186.79,518.4,40
LOCAL,D5760,PR RELINE MAXILLARY PARTIAL DENTURE (LABORATORY),568.0,,186.19,511.2,40
LOCAL,D5761,PR RELINE MANDIBULAR PARTIAL DENTURE (LABORATORY),568.0,,186.19,511.2,40
LOCAL,D5810,PR INTERIM COMPLETE DENTURE (MAXILLARY),942.0,,283.53,847.8,40
LOCAL,D5811,PR INTERIM COMPLETE DENTURE (MANDIBULAR),1013.0,,287.89,911.7,40
LOCAL,D5820,PR INTERIM PARTIAL DENTURE (MAXILLARY),728.0,,232.66,655.2,40
LOCAL,D5821,PR INTERIM PARTIAL DENTURE (MANDIBULAR),773.0,,235.58,695.7,40
LOCAL,D5850,"PR TISSUE CONDITIONING, MAXILLARY",183.0,,60.23,164.7,40
LOCAL,D5851,"PR TISSUE CONDITIONING, MANDIBULAR",183.0,,60.23,164.7,40
LOCAL,D5865,PR OVERDENTURE - COMPLETE MANDIBULAR,3291.0,,547.45,2961.9,40
LOCAL,D5911,PR FACIAL MOULAGE (SECTIONAL),478.0,,98.03,430.2,40
LOCAL,D5912,PR FACIAL MOULAGE (COMPLETE),478.0,,143.21,430.2,40
LOCAL,D5913,PR NASAL PROSTHESIS,9998.0,,2450.66,8998.2,40
LOCAL,D5914,PR AURICULAR PROSTHESIS,9998.0,,2450.66,8998.2,40
LOCAL,D5915,PR ORBITAL PROSTHESIS,13528.0,,3308.39,12175.2,40
LOCAL,D5916,PR OCULAR PROSTHESIS,6285.0,,2867.38,6451.61,40
LOCAL,D5919,PR FACIAL PROSTHESIS,10630.0,,765.0,9567.0,36
LOCAL,D5922,PR NASAL SEPTAL PROSTHESIS,7843.0,,1342.79,7058.7,40
LOCAL,D5923,"PR OCULAR PROSTHESIS, INTERIM",3595.0,,1652.62,3718.4,40
LOCAL,D5924,PR CRANIAL PROSTHESIS,4927.0,,297.5,4434.3,40
LOCAL,D5925,PR FACIAL AUGMENTATION IMPLANT PROSTHESIS,10630.0,,255.0,9567.0,40
LOCAL,D5926,"PR NASAL PROSTHESIS, REPLACEMENT",7843.0,,1032.96,7058.7,40
LOCAL,D5927,"PR AURICULAR PROSTHESIS, REPLACEMENT",7843.0,,1032.96,7058.7,40
LOCAL,D5928,"PR ORBITAL PROSTHESIS, REPLACEMENT",9210.0,,1394.22,8289.0,40
LOCAL,D5929,"PR FACIAL PROSTHESIS, REPLACEMENT",10630.0,,612.0,9567.0,36
LOCAL,D5931,"PR OBTURATOR PROSTHESIS, SURGICAL",5384.0,,784.21,4845.6,40
LOCAL,D5932,"PR OBTURATOR PROSTHESIS, DEFINITIVE",10067.0,,1837.99,9060.3,40
LOCAL,D5933,"PR OBTURATOR PROSTHESIS, MODIFICATION",7898.0,,309.83,7108.2,40
LOCAL,D5934,PR MANDIBULAR RESECTION PROSTHESIS WITH GUIDE FLANGE,9177.0,,1837.99,8259.3,40
LOCAL,D5935,PR MANDIBULAR RESECTION PROSTHESIS WITHOUT GUIDE FLANGE,7986.0,,1917.73,7187.4,40
LOCAL,D5936,"PR OBTURATOR PROSTHESIS, INTERIM",8969.0,,673.93,8072.1,40
LOCAL,D5937,PR TRISMUS APPLIANCE (NOT FOR TMD TREATMENT),1130.0,,223.01,1017.0,40
LOCAL,D5951,PR FEEDING AID,1469.0,,658.25,1481.06,40
LOCAL,D5952,"PR SPEECH AID PROSTHESIS, PEDIATRIC",4762.0,,735.2,4285.8,40
LOCAL,D5953,"PR SPEECH AID PROSTHESIS, ADULT",9036.0,,735.2,8132.4,40
LOCAL,D5954,PR PALATAL AUGMENTATION PROSTHESIS,8374.0,,301.75,7536.6,40
LOCAL,D5955,"PR PALATAL LIFT PROSTHESIS, DEFINITIVE",7746.0,,1592.93,6971.4,40
LOCAL,D5958,"PR PALATAL LIFT PROSTHESIS, INTERIM",6078.0,,784.8,5470.2,40
LOCAL,D5959,"PR PALATAL LIFT PROSTHESIS, MODIFICATION",2629.0,,247.86,2366.1,40
LOCAL,D5960,"PR SPEECH AID PROSTHESIS, MODIFICATION",1678.0,,165.44,1510.2,40
LOCAL,D5982,PR SURGICAL STENT,936.0,,132.34,842.4,40
LOCAL,D5983,PR RADIATION CARRIER,2259.0,,110.5,2033.1,40
LOCAL,D5985,PR RADIATION CONE LOCATOR,2259.0,,635.72,2033.1,40
LOCAL,D5986,PR FLUORIDE GEL CARRIER,202.0,,67.22,181.8,40
LOCAL,D5987,PR COMMISSURE SPLINT,3385.0,,245.06,3046.5,40
LOCAL,D6010,PR SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT,2745.0,,699.46,2470.5,40
LOCAL,D6040,PR SURGICAL PLACEMENT: EPOSTEAL IMPLANT,14383.0,,2488.85,12944.7,40
LOCAL,D6050,PR SURGICAL PLACEMENT: TRANSOSTEAL IMPLANT,8927.0,,1951.62,8034.3,40
LOCAL,D6055,PR CONNECTING BAR - IMPLANT SUPPORTED OR ABUTMENT SUPPORTED,1686.0,,630.17,1517.4,40
LOCAL,D6058,PR ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN,1804.0,,419.45,1623.6,40
LOCAL,D6059,PR ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (HIGH NOBLE METAL),1779.0,,410.38,1601.1,40
LOCAL,D6060,PR ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (PREDOMINANTLY BASE METAL),1683.0,,381.16,1514.7,40
LOCAL,D6061,PR ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (NOBLE METAL),1716.0,,389.33,1544.4,40
LOCAL,D6062,PR ABUTMENT SUPPORTED CAST METAL CROWN (HIGH NOBLE METAL),1710.0,,393.44,1539.0,40
LOCAL,D6063,PR ABUTMENT SUPPORTED CAST METAL CROWN (PREDOMINANTLY BASE METAL),1469.0,,359.81,1322.1,40
LOCAL,D6064,PR ABUTMENT SUPPORTED CAST METAL CROWN (NOBLE METAL),1557.0,,377.94,1401.3,40
LOCAL,D6065,PR IMPLANT SUPPORTED PORCELAIN/CERAMIC CROWN,1774.0,,492.21,1596.6,40
LOCAL,D6066,"PR IMPLANT SUPPORTED PORCELAIN FUSED TO METAL CROWN (TITANIUM, TITANIUM ALLOY, HIG",1729.0,,489.29,1556.1,40
LOCAL,D6067,"PR IMPLANT SUPPORTED METAL CROWN (TITANIUM, TITANIUM ALLOY, HIGH NOBLE METAL)",1677.0,,486.07,1509.3,40
LOCAL,D6068,PR ABUTMENT SUPPORTED RETAINER FOR PORCELAIN/CERAMIC FPD,1804.0,,383.49,1623.6,40
LOCAL,D6069,PR ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (HIGH NOBLE METAL),1779.0,,408.9,1601.1,40
LOCAL,D6070,PR ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (PREDOMINANTLY BAS,1683.0,,375.31,1514.7,40
LOCAL,D6071,PR ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (NOBLE METAL),1716.0,,389.33,1544.4,40
LOCAL,D6072,PR ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (HIGH NOBLE METAL),1751.0,,406.28,1575.9,40
LOCAL,D6073,PR ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (PREDOMINANTLY BASE METAL),1586.0,,356.89,1427.4,40
LOCAL,D6074,PR ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (NOBLE METAL),1710.0,,366.25,1539.0,40
LOCAL,D6075,PR IMPLANT SUPPORTED RETAINER FOR CERAMIC FPD,1774.0,,419.15,1596.6,40
LOCAL,D6076,"PR IMPLANT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (TITANIUM, TITANIUM",1729.0,,406.87,1556.1,40
LOCAL,D6077,"PR IMPLANT SUPPORTED RETAINER FOR CAST METAL FPD (TITANIUM, TITANIUM ALLOY, OR HIG",1677.0,,436.98,1509.3,40
LOCAL,D6080,"PR IMPLANT MAINTENANCE PROCEDURES WHEN PROSTHESES ARE REMOVED AND REINSERTED, INCL",166.0,,62.56,149.4,40
LOCAL,D6090,"PR REPAIR IMPLANT SUPPORTED PROSTHESIS, BY REPORT",506.0,,163.41,455.4,40
LOCAL,D6100,"PR IMPLANT REMOVAL, BY REPORT",1160.0,,188.23,1044.0,40
LOCAL,D6210,PR PONTIC - CAST HIGH NOBLE METAL,1192.0,,389.92,1072.8,40
LOCAL,D6211,PR PONTIC - CAST PREDOMINANTLY BASE METAL,1119.0,,293.18,1007.1,40
LOCAL,D6212,PR PONTIC - CAST NOBLE METAL,1162.0,,327.07,1045.8,40
LOCAL,D6240,PR PONTIC - PORCELAIN FUSED TO HIGH NOBLE METAL,1177.0,,419.15,1059.3,40
LOCAL,D6241,PR PONTIC - PORCELAIN FUSED TO PREDOMINANTLY BASE METAL,1089.0,,351.63,980.1,40
LOCAL,D6242,PR PONTIC - PORCELAIN FUSED TO NOBLE METAL,1148.0,,386.71,1033.2,40
LOCAL,D6245,PR PONTIC - PORCELAIN/CERAMIC,1885.0,,316.56,1696.5,40
LOCAL,D6250,PR PONTIC - RESIN WITH HIGH NOBLE METAL,1162.0,,388.15,1045.8,40
LOCAL,D6251,PR PONTIC - RESIN WITH PREDOMINANTLY BASE METAL,1071.0,,289.67,963.9,40
LOCAL,D6252,PR PONTIC - RESIN WITH NOBLE METAL,1106.0,,353.37,995.4,40
LOCAL,D6545,PR RETAINER - CAST METAL FOR RESIN BONDED FIXED PROSTHESIS,2215.0,,180.05,1993.5,40
LOCAL,D6548,PR RETAINER - PORCELAIN/CERAMIC FOR RESIN BONDED FIXED PROSTHESIS,2324.0,,247.57,2091.6,40
LOCAL,D6740,PR CROWN - PORCELAIN/CERAMIC,1871.0,,342.27,1683.9,40
LOCAL,D6750,PR CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL,2215.0,,462.1,1993.5,40
LOCAL,D6751,PR CROWN - PORCELAIN FUSED TO PR EDOMINANTLY BASE METAL,1700.0,,333.51,1530.0,40
LOCAL,D6790,PR CROWN - FULL CAST HIGH NOBLE METAL,1297.0,,382.3,1167.3,40
LOCAL,D6791,PR CROWN - FULL CAST PREDOMINANTLY BASE METAL,1398.0,,301.36,1258.2,40
LOCAL,D6792,PR CROWN - FULL CAST NOBLE METAL,1450.0,,350.45,1305.0,40
LOCAL,D6920,PR CONNECTOR BAR,604.0,,223.3,543.6,40
LOCAL,D6930,PR RE-CEMENT OR RE-BOND FIXED PARTIAL DENTURE,160.0,,41.8,144.0,40
LOCAL,D6940,PR STRESS BREAKER,360.0,,101.44,324.0,40
LOCAL,D6950,PRECISION ATTACHMENT,698.0,,171.29,628.2,40
LOCAL,D6980,PR FIXED PARTIAL DENTURE REPAIR NECESSITATED BY RESTORATIVE MATERIAL FAILURE,553.0,,75.99,497.7,40
LOCAL,D7111,"PR EXTRACTION, CORONAL REMNANTS - DECIDUOUS TOOTH",214.0,,49.09,192.6,40
LOCAL,D7140,"PR EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL)",187.0,,56.12,168.3,40
LOCAL,D7210,PR SURGICAL REMOVAL OF ERUPTED TOOTH REQUIRING REMOVAL OF BONE AND/OR SECTIONING O,464.0,,101.44,417.6,40
LOCAL,D7220,PR REMOVAL OF IMPACTED TOOTH - SOFT TISSUE,611.0,,118.38,549.9,40
LOCAL,D7230,PR REMOVAL OF IMPACTED TOOTH - PARTIALLY BONY,754.0,,155.49,678.6,40
LOCAL,D7240,PR REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY,939.0,,185.9,845.1,40
LOCAL,D7241,"PR REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY, WITH UNUSUAL SURGICAL COMPLICATION",1038.0,,252.53,934.2,40
LOCAL,D7250,PR SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS (CUTTING PROCEDURE),470.0,,102.88,423.0,40
LOCAL,D7260,PR OROANTRAL FISTULA CLOSURE,3062.0,,294.08,2755.8,40
LOCAL,D7270,PR TOOTH REIMPLANTATION AND/OR STABILIZATION OF ACCIDENTALLY EVULSED OR DISPLACED,637.0,,176.44,573.3,40
LOCAL,D7272,PR TOOTH TRANSPLANTATION (INCLUDES REIMPLANTATION FROM ONE SITE TO ANOTHER AND SPL,906.0,,245.06,815.4,40
LOCAL,D7280,PR SURGICAL ACCESS OF AN UNERUPTED TOOTH,699.0,,158.71,629.1,40
LOCAL,D7285,"PR INCISIONAL BIOPSY OF ORAL TISSUE-HARD (BONE, TOOTH)",1235.0,,127.43,1111.5,40
LOCAL,D7286,PR INCISIONAL BIOPSY OF ORAL TISSUE-SOFT,508.0,,112.83,457.2,40
LOCAL,D7290,PR SURGICAL REPOSITIONING OF TEETH,577.0,,159.29,519.3,40
LOCAL,D7310,PR ALVEOLOPLASTY IN CONJUNCTION WITH EXTRACTIONS - FOUR OR MORE TEETH OR TOOTH SPA,1395.0,,106.1,1255.5,40
LOCAL,D7320,PR ALVEOLOPLASTY NOT IN CONJUNCTION WITH EXTRACTIONS - FOUR OR MORE TEETH OR TOOTH,1639.0,,141.76,1475.1,40
LOCAL,D7340,PR VESTIBULOPLASTY - RIDGE EXTENSION (SECONDARY EPITHELIALIZATION),4510.0,,389.92,4059.0,40
LOCAL,D7350,"PR VESTIBULOPLASTY - RIDGE EXTENSION (INCLUDING SOFT TISSUE GRAFTS, MUSCLE REATTAC",8602.0,,686.18,7741.8,40
LOCAL,D7410,PR EXCISION OF BENIGN LESION UP TO 1.25 CM,1982.0,,122.54,1783.8,40
LOCAL,D7440,PR EXCISION OF MALIGNANT TUMOR - LESION DIAMETER UP TO 1.25 CM,1940.0,,193.6,1746.0,40
LOCAL,D7441,PR EXCISION OF MALIGNANT TUMOR - LESION DIAMETER GREATER THAN 1.25 CM,3012.0,,392.11,2710.8,40
LOCAL,D7450,PR REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM,1971.0,,201.7,1773.9,40
LOCAL,D7451,PR REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25,2489.0,,265.7,2240.1,40
LOCAL,D7460,PR REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM,1822.0,,199.62,1639.8,40
LOCAL,D7461,PR REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1,2489.0,,279.72,2240.1,40
LOCAL,D7465,"PR DESTRUCTION OF LESION(S) BY PHYSICAL OR CHEMICAL METHOD, BY REPORT",630.0,,128.66,567.0,40
LOCAL,D7471,PR REMOVAL OF LATERAL EXOSTOSIS (MAXILLA OR MANDIBLE),2439.0,,251.38,2195.1,40
LOCAL,D7485,PR SURGICAL REDUCTION OF OSSEOUS TUBEROSITY,847.0,,193.6,762.3,40
LOCAL,D7490,PR RADICAL RESECTION OF MAXILLA OR MANDIBLE,9174.0,,3038.82,8256.6,40
LOCAL,D7510,PR INCISION AND DRAINAGE OF ABSCESS - INTRAORAL SOFT TISSUE,709.0,,77.47,638.1,40
LOCAL,D7520,PR INCISION AND DRAINAGE OF ABSCESS - EXTRAORAL SOFT TISSUE,1623.0,,147.03,1460.7,40
LOCAL,D7530,"PR REMOVAL OF FOREIGN BODY FROM MUCOSA, SKIN, OR SUBCUTANEOUS ALVEOLAR TISSUE",568.0,,102.93,511.2,40
LOCAL,D7540,"PR REMOVAL OF REACTION PRODUCING FOREIGN BODIES, MUSCULOSKELETAL SYSTEM",630.0,,208.3,567.0,40
LOCAL,D7550,PR PARTIAL OSTECTOMY/SEQUESTRECTOMY FOR  REMOVAL OF NON-VITAL BONE,394.0,,168.36,378.81,40
LOCAL,D7560,PR MAXILLARY SINUSOTOMY FOR REMOVAL OF TOOTH FRAGMENT OR FOREIGN BODY,3099.0,,318.59,2789.1,40
LOCAL,D7610,"PR MAXILLA - OPEN REDUCTION (TEETH IMMOBILIZED, IF PRESENT)",5011.0,,1421.39,4509.9,40
LOCAL,D7620,"PR MAXILLA - CLOSED REDUCTION (TEETH IMMOBILIZED, IF PRESENT)",3759.0,,1176.32,3383.1,40
LOCAL,D7630,"PR MANDIBLE - OPEN REDUCTION (TEETH IMMOBILIZED, IF PRESENT)",6514.0,,1617.43,5862.6,40
LOCAL,D7640,"PR MANDIBLE - CLOSED REDUCTION (TEETH IMMOBILIZED, IF PRESENT)",4133.0,,980.26,3719.7,40
LOCAL,D7650,PR MALAR AND/OR ZYGOMATIC ARCH - OPEN REDUCTION,3133.0,,1489.52,3351.42,40
LOCAL,D7660,PR MALAR AND/OR ZYGOMATIC ARCH - CLOSED REDUCTION,1849.0,,895.57,2015.03,40
LOCAL,D7670,"PR ALVEOLUS - CLOSED REDUCTION, MAY INCLUDE STABILIZATION OF TEETH",1443.0,,490.13,1298.7,40
LOCAL,D7680,PR FACIAL BONES - COMPLICATED REDUCTION WITH FIXATION AND MULTIPLE SURGICAL APPROA,9390.0,,2328.12,8451.0,40
LOCAL,D7710,PR MAXILLA - OPEN REDUCTION,5887.0,,1690.96,5298.3,40
LOCAL,D7720,PR MAXILLA - CLOSED REDUCTION,4133.0,,1078.29,3719.7,40
LOCAL,D7730,PR MANDIBLE - OPEN REDUCTION,8515.0,,1887.01,7663.5,40
LOCAL,D7740,PR MANDIBLE - CLOSED REDUCTION,4215.0,,1203.07,3793.5,40
LOCAL,D7750,PR MALAR AND/OR ZYGOMATIC ARCH - OPEN REDUCTION,5360.0,,1592.93,4824.0,40
LOCAL,D7760,PR MALAR AND/OR ZYGOMATIC ARCH - CLOSED REDUCTION,2697.0,,1360.33,3060.74,40
LOCAL,D7770,PR ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH,2915.0,,931.25,2623.5,40
LOCAL,D7780,PR FACIAL BONES - COMPLICATED REDUCTION WITH FIXATION AND MULTIPLE SURGICAL APPR OA,12520.0,,2989.81,11268.0,40
LOCAL,D7810,PR OPEN REDUCTION OF DISLOCATION,5509.0,,1543.91,4958.1,40
LOCAL,D7820,PR CLOSED REDUCTION OF DISLOCATION,906.0,,220.56,815.4,40
LOCAL,D7830,PR MANIPULATION UNDER ANESTHESIA,520.0,,220.08,495.18,40
LOCAL,D7840,PR CONDYLECTOMY,7511.0,,2107.57,6759.9,40
LOCAL,D7850,"PR SURGICAL DISCECTOMY, WITH/WITHOUT IMPLANT",6485.0,,2009.54,5836.5,40
LOCAL,D7852,PR DISC REPAIR,7425.0,,2401.64,6682.5,40
LOCAL,D7854,PR SYNOVECTOMY,7661.0,,2450.66,6894.9,40
LOCAL,D7856,PR MYOTOMY,5438.0,,1200.83,4894.2,40
LOCAL,D7858,PR JOINT RECONSTRUCTION,15492.0,,2744.73,13942.8,40
LOCAL,D7860,PR ARTHROTOMY,6605.0,,735.2,5944.5,40
LOCAL,D7865,PR ARTHROPLASTY,10641.0,,2058.55,9576.9,40
LOCAL,D7870,PR ARTHROCENTESIS,369.0,,105.21,332.1,40
LOCAL,D7871,PR NON-ARTHROSCOPIC LYSIS AND LAVAGE,1769.0,,841.22,1892.75,40
LOCAL,D7872,"PR ARTHROSCOPY - DIAGNOSIS, WITH OR WITHOUT BIOPSY",3757.0,,637.18,3381.3,40
LOCAL,D7873,PR ARTHROSCOPY - SURGICAL: LAVAGE AND LYSIS OF ADHESIONS,4520.0,,698.44,4068.0,40
LOCAL,D7874,PR ARTHROSCOPY - SURGICAL: DISC REPOSITIONING AND STABILIZATION,6485.0,,882.24,5836.5,40
LOCAL,D7875,PR ARTHROSCOPY - SURGICAL: SYNOVECTOMY,7102.0,,943.51,6391.8,40
LOCAL,D7876,PR ARTHROSCOPY - SURGICAL: DISCECTOMY,7659.0,,980.26,6893.1,40
LOCAL,D7877,PR ARTHROSCOPY - SURGICAL: DEBRIDEMENT,6759.0,,906.75,6083.1,40
LOCAL,D7880,"PR OCCLUSAL ORTHOTIC DEVICE, BY REPORT",847.0,,345.49,777.35,40
LOCAL,D7910,PR SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM,505.0,,102.93,454.5,40
LOCAL,D7911,PR COMPLICATED SUTURE - UP TO 5 CM,1257.0,,132.34,1131.3,40
LOCAL,D7912,PR COMPLICATED SUTURE - GREATER THAN 5 CM,2259.0,,196.05,2033.1,40
LOCAL,D7920,"PR SKIN GRAFT (IDENTIFY DEFECT COVERED, LOCATION AND TYPE OF GRAFT)",3695.0,,808.72,3325.5,40
LOCAL,D7940,PR OSTEOPLASTY - FOR ORTHOGNATHIC DEFORMITIES,3493.0,,1208.91,3143.7,40
LOCAL,D7941,PR OSTEOTOMY - MANDIBULAR RAMI,11054.0,,3430.92,9948.6,40
LOCAL,D7943,PR OSTEOTOMY - MANDIBULAR RAMI WITH BONE GRAFT; INCLUDES OBTAINING THE GRAFT,11514.0,,3469.21,10362.6,40
LOCAL,D7944,PR OSTEOTOMY - SEGMENTED OR SUBAPICAL,10266.0,,2744.73,9239.4,40
LOCAL,D7945,PR OSTEOTOMY - BODY OF MANDIBLE,11393.0,,2769.25,10253.7,40
LOCAL,D7946,PR LEFORT I (MAXILLA - TOTAL),14075.0,,3063.32,12667.5,40
LOCAL,D7947,PR LEFORT I (MAXILLA - SEGMENTED),11858.0,,3063.32,10672.2,40
LOCAL,D7948,PR LEFORT II OR LEFORT III (OSTEOPLASTY OF FACIAL BONES FOR MIDFACE HYPOPLASIA OR,18462.0,,3430.92,16615.8,40
LOCAL,D7949,PR LEFORT II OR LEFORT III - WITH BONE GRAFT,25975.0,,4999.34,23377.5,40
LOCAL,D7950,"PR OSSEOUS, OSTEOPERIOSTEAL, OR CARTILAGE GRAFT OF THE MANDIBLE OR MAXILLA - AUTOG",4721.0,,980.36,4248.9,40
LOCAL,D7955,PR REPAIR OF MAXILLOFACIAL SOFT AND/OR HARD TISSUE DEFECT,9773.0,,1026.23,8795.7,40
LOCAL,D7970,PR EXCISION OF HYPERPLASTIC TISSUE - PER ARCH,750.0,,196.05,675.0,40
LOCAL,D7971,PR EXCISION OF PERICORONAL GINGIVA,240.0,,83.32,216.0,40
LOCAL,D7980,PR SIALOLITHOTOMY,1066.0,,203.41,959.4,40
LOCAL,D7981,"PR EXCISION OF SALIVARY GLAND, BY REPORT",1875.0,,911.96,2051.91,40
LOCAL,D7982,PR SIALODOCHOPLASTY,2861.0,,600.41,2574.9,40
LOCAL,D7983,PR CLOSURE OF SALIVARY FISTULA,2733.0,,416.61,2459.7,40
LOCAL,D7990,PR EMERGENCY TRACHEOTOMY,2507.0,,406.81,2256.3,40
LOCAL,D7996,"PR IMPLANT-MANDIBLE FOR AUGMENTATION PURPOSES (EXCLUDING ALVEOLAR RIDGE), BY REPOR",3493.0,,852.47,3143.7,32
LOCAL,D7997,"PR APPLIANCE REMOVAL (NOT BY DENTIST WHO PLACED APPLIANCE), INCLUDES REMOVAL OF AR",388.0,,98.03,349.2,40
LOCAL,D8210,PR REMOVABLE APPLIANCE THERAPY,1879.0,,234.96,1691.1,40
LOCAL,D8660,PRE-ORTHODONTIC TREATMENT EXAMINATION TO MONITOR GROWTH AND DEVELOPMENT,166.0,,70.96,159.66,40
LOCAL,D8670,PR PERIODIC ORTHODONTIC TREATMENT VISIT,339.0,,53.58,305.1,40
LOCAL,D8680,"PR ORTHODONTIC RETENTION (REMOVAL OF APPLIANCES, CONSTRUCTION AND PLACEMENT OF RET",742.0,,165.77,667.8,40
LOCAL,D9110,PR PALLIATIVE (EMERGENCY) TREATMENT OF DENTAL PAIN - MINOR PROCEDURE,128.0,,32.69,115.2,40
LOCAL,D9120,PR FIXED PARTIAL DENTURE SECTIONING,253.0,,52.69,227.7,40
LOCAL,D9210,PR LOCAL ANESTHESIA NOT IN CONJUNCTION WITH OPERATIVE OR SURGICAL PROCEDURES,45.0,,14.42,40.5,40
LOCAL,D9211,PR REGIONAL BLOCK ANESTHESIA,60.0,,18.27,54.0,40
LOCAL,D9212,PR TRIGEMINAL DIVISION BLOCK ANESTHESIA,174.0,,52.69,156.6,40
LOCAL,D9215,PR LOCAL ANESTHESIA IN CONJUNCTION WITH OPERATIVE OR SURGICAL PROCEDURES,44.0,,12.65,39.6,40
LOCAL,D9230,"PR INHALATION OF NITROUS OXIDE/ANALGESIA, ANXIOLYSIS",75.0,,16.49,67.5,40
LOCAL,D9310,PR CONSULTATION - DIAGNOSTIC SERVICE PROVIDED BY DENTIST OR PHYSICIAN OTHER THAN R,266.0,,37.38,239.4,40
LOCAL,D9410,PR HOUSE/EXTENDED CARE FACILITY CALL,350.0,,57.13,315.0,40
LOCAL,D9420,PR HOSPITAL OR AMBULATORY SURGICAL CENTER CALL,480.0,,69.19,432.0,40
LOCAL,D9430,PR OFFICE VISIT FOR OBSERVATION (DURING REGULARLY SCHEDULED HOURS) - NO OTHER SERV,96.0,,11.5,86.4,40
LOCAL,D9630,"PR OTHER DRUGS AND/OR MEDICAMENTS, BY REPORT",98.0,,4.99,88.2,40
LOCAL,D9910,PR APPLICATION OF DESENSITIZING MEDICAMENT,60.0,,15.01,54.0,40
LOCAL,D9911,"PR APPLICATION OF DESENSITIZING RESIN FOR CERVICAL AND/OR ROOT SURFACE, PER TOOTH",92.0,,18.86,82.8,40
LOCAL,D9941,PR FABRICATION OF ATHLETIC MOUTHGUARD,202.0,,46.81,181.8,40
LOCAL,D9950,PR OCCLUSION ANALYSIS - MOUNTED CASE,351.0,,76.54,315.9,40
LOCAL,D9951,PR OCCLUSAL ADJUSTMENT - LIMITED,162.0,,37.68,145.8,40
LOCAL,D9952,PR OCCLUSAL ADJUSTMENT - COMPLETE,892.0,,142.51,802.8,40
LOCAL,D9970,PR ENAMEL MICROABRASION,125.0,,38.27,112.5,40
LOCAL,D9971,PR ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS,125.0,,39.75,112.5,40
LOCAL,D9972,PR EXTERNAL BLEACHING - PER ARCH - PERFORMED IN OFFICE,396.0,,91.0,356.4,40
LOCAL,D9973,PR EXTERNAL BLEACHING - PER TOOTH,166.0,,48.29,149.4,40
LOCAL,D9974,PR INTERNAL BLEACHING - PER TOOTH,337.0,,69.78,303.3,40
LOCAL,G0101,PR CA SCREEN;PELVIC/BREAST EXAM,225.0,,20.07,202.5,47
LOCAL,G0102,PR PROSTATE CA SCREENING; DRE,82.0,,6.36,73.8,55
LOCAL,G0104,PR CA SCREEN;FLEXI SIGMOIDSCOPE,573.0,,40.5812,515.7,51
LOCAL,G0105,PR COLORECTAL SCRN; HI RISK IND,1861.0,,133.2896,1674.9,55
LOCAL,G0121,PR COLON CA SCRN NOT HI RSK IND,1807.0,,133.538,1626.3,51
LOCAL,G0124,PR SCREEN C/V THIN LAYER BY MD,123.0,,16.65,110.7,47
LOCAL,G0127,PR TRIM NAIL(S),91.0,,5.39,81.9,42
LOCAL,G0128,PR CORF SKILLED NURSING SERVICE,31.0,,6.61,27.9,42
LOCAL,G0130,PR SINGLE ENERGY X-RAY STUDY,117.0,,7.83,105.3,55
LOCAL,G0141,"PR SCR C/V CYTO,AUTOSYS AND MD",126.0,,16.65,113.4,47
LOCAL,G0166,"PR EXTRNL COUNTERPULSE, PER TX",540.0,,11.69,560.59,42
LOCAL,G0168,PR WOUND CLOSURE BY ADHESIVE,259.0,,10.77,233.1,47
LOCAL,G0179,PR MD RECERTIFICATION HHA PT,192.0,,30.11,189.9,47
LOCAL,G0180,PR MD CERTIFICATION HHA PATIENT,250.0,,37.94,249.45,47
LOCAL,G0181,PR HOME HEALTH CARE SUPERVISION,413.0,,75.4,428.55,47
LOCAL,G0182,PR HOSPICE CARE SUPERVISION,522.0,,75.89,469.8,47
LOCAL,G0219,PR PET IMG WHOLBOD MELANO NONCO,698.0,,59.35,628.2,40
LOCAL,G0235,PR PET NOT OTHERWISE SPECIFIED,430.0,,125.0,387.0,34
LOCAL,G0269,PR OCCLUSIVE DEVICE IN VEIN ART,450.0,,47.86,649.89,40
LOCAL,G0278,"PR ILIAC ART ANGIO,CARDIAC CATH",119.0,,9.79,107.1,47
LOCAL,G0279,"PR TOMOSYNTHESIS, MAMMO",306.0,,16.78,275.4,55
LOCAL,G0296,PR VISIT TO DETERM LDCT ELIG,109.0,,14.82,98.1,47
LOCAL,G0316,PR PROLONG INPT EVAL ADD15 M,163.0,,17.23,146.7,45
LOCAL,G0406,PR INPT/TELE FOLLOW UP 15,157.0,,21.81,141.3,47
LOCAL,G0407,PR INPT/TELE FOLLOW UP 25,314.0,,40.18,282.6,47
LOCAL,G0408,PR INPT/TELE FOLLOW UP 35,468.0,,57.74,421.2,47
LOCAL,G0416,"PR PROSTATE BIOPSY, ANY MTHD",2081.0,,100.51,1872.9,47
LOCAL,G0425,PR INPT/ED TELECONSULT30,394.0,,56.59,354.6,47
LOCAL,G0426,PR INPT/ED TELECONSULT50,533.0,,76.19,479.7,47
LOCAL,G0427,PR INPT/ED TELECONSULT70,752.0,,111.73,676.8,47
LOCAL,G0429,PR DERMAL FILLER INJECTION(S),365.0,,38.58,328.5,47
LOCAL,G0447,PR BEHAVIOR COUNSEL OBESITY 15M,118.0,,13.25,106.2,47
LOCAL,G045254,PR ABL SEQUENCING  INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045255,PR ABL T315I QUANT INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045256,PR AKT1 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045258,PR CEBPA INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045259,PR CIMP METHYL INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045260,PR CKIT-MCD INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045261,PR CKIT-SARC INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045262,PR CLL CGH INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045263,PR CTNNB1 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045264,PR DNMT3A INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045265,PR DNMT3AHRM INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045266,PR EGFR INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045267,PR FIP1L1 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045268,PR FLT3 ITD/D835 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045270,PR GNAQ INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045271,PR GNAS INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045272,PR AML CGH INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045273,PR HMLH1 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045274,PR HRAS INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045275,PR IDH1 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045276,PR IDH1HRM INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045277,PR IDH2 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045278,PR IDH2HRM INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045279,PR JAK2 CODON 617 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045280,PR JAK2 EXON 12 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045281,PR IGH INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045282,PR KITA INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045283,PR KITAHRM INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045284,"PR KRAS CODONS 12,13,61  INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G045285,PR KRAS CODON 146  INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045286,PR LOH18Q INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045287,PR MPL INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045288,PR MSI INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045289,PR MST INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045290,PR NPM1 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045291,PR NRAS INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045292,PR PDGFRA INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045293,PR PIK3CA INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045294,PR RAS INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045295,PR RET INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045296,PR RT821 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045297,PR RTBCRABL INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045298,PR RT CBFB/MYH11 INV16 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G045299,PR RT IGH@/BCL2 MBR &/OR MCR INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AA,PR RT CCND1(BCL1)/IGH MTC INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AB,PR RT PML/RARALPHA (T(15/17)) INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AC,PR IGH SOMATIC HYPERMUTATION INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AD,PR TCRB INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AE,PR TCRG INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AF,PR TP53  INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AG,"PR HLA-A,B,C,DRB1/3/4/5, LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AH,"PR HLA-A,B,DRB1/3/4/5 , LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AI,"PR HLA-A,B,C CLASS I TYPING, LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AJ,"PR HLA CLASS I SINGLE LOCUS TYPING, LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AK,"PR HLA-DRB1/3/4/5,DQ TYPING LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AL,"PR HLA CLASS II SINGLE LOCUS TYPING, LOW RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AM,"PR HLA-A,B,C,DRB1 TYPING, HIGH RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AN,"PR HLA-A,B,C TYPING, HIGH RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AO,"PR HLA CLASS I SINGLE LOCUS TYPING, HIGH RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AP,"PR HLA CLASS II SINGE LOCUS TYPING, HIGH RESOLUTION INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452AQ,PR HLA KIR TYPING LOW RESOLUTION INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AR,PR MYD88 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AS,PR EZH2 MYELOID INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AV,PR CSF3R SANGER  INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AW,PR GNA11 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AX,PR CSF3R PYRO INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452AY,PR MAP2K1 HOTSPOT INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BB,PR CALR INITIAL INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BC,PR CALR FOLLOWUP INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BE,PR FFPE MICROARRAY- CNV/LOH INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BF,PR MGMT PROMOTER METHYLATION INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BG,PR CXCR4 INITIAL INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BH,PR CXCR4 FOLLOWUP INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BL,PR ALL CGH INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BM,PR CML CGH INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BR,PR BCR ABL ALT BKP QUAL INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BW,PR MST PRE & DONOR STUDY INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BX,PR MST POST INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BY,PR MST W/ NK CELL SORT INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452BZ,PR MST W/ M CELL SORT INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452CA,PR MST W/ T CELL SORT INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452CD,PR RT JAK2 V617 QUANT INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452CG,PR SOLID TUMOR GENOMIC ASSAY V1 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452DL,PR LB EGFR RESIST MUTATION INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452DM,PR EGFR RESIST  INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452DN,PR LB RET COM VARIANTS INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452DO,PR LB BRAF V600 INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452EC,PR TP53 NGS FULL GENE INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452ED,PR IGH SOMATIC HYPERMUT NGS INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452FE,PR JAK2 DDPCR INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452FF,"PR KRAS CODONS 12,13 DDPCR INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452FG,PR KRAS CODONS 61 DDPCR INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452FH,"PR NRAS CODONS 12,13,61 DDPCR INTERPRETATION",205.0,,26.0,184.5,47
LOCAL,G0452FI,PR EGFR SENSITIZING MUTATIONS DDPCR INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452FM,PR KIT MCD D816V DDPCR INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452FO,PR BRAF V600E DDPCR LEUKEMIA INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452GB,PR CD33 GENOTYPING FOR GEMTUZUMAB (GO) INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452GN,PR TGFB INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452GO,PR GIST INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452HG,PR ABL1 KINASE INTERPREPATION,205.0,,26.0,184.5,47
LOCAL,G0452IL,PR MOLECULAR PATH PANEL INTERPR,565.0,,26.0,508.5,47
LOCAL,G0452IM,PR NPM1 MRD INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0452IN,PR LIQUID BX PANEL INTERP � PRE-ARRIVAL PATIENT,456.0,,26.0,410.4,47
LOCAL,G0452IO,PR CFDNA HPV  INTERPRETATION,205.0,,26.0,184.5,47
LOCAL,G0453,PR CONT INTRAOP NEURO MONITOR,380.0,,18.52,342.0,47
LOCAL,G0455,PR FECAL MICROBIOTA PREP INSTIL,776.0,,40.32,698.4,47
LOCAL,G0500,PR MOD SEDAT ENDO SERVICE >5YRS,84.0,,3.09,75.6,47
LOCAL,G0506,PR COMP ASSES CARE PLAN CCM SVC,181.0,,25.53,162.9,47
LOCAL,G0545,PR INHERENT VISIT TO INPT,248.0,,24.34,223.2,47
LOCAL,G2010,PR REMOT IMAGE SUBMIT BY PT,86.0,,5.27,77.4,47
LOCAL,G2211,PR COMPLEX E/M VISIT ADD ON,62.0,,0.01,55.8,47
LOCAL,G2212,PR PROLONG OUTPT/OFFICE VIS,120.0,,18.13,108.0,45
LOCAL,Q0035,PR CARDIOKYMOGRAPHY,44.0,,6.9445,39.6,33
LOCAL,Q0091,PR OBTAINING SCREEN PAP SMEAR,155.0,,16.47,139.5,33
LOCAL,S8037,PR MRCP,186.0,,94.5,212.63,40
NDC,0002-2980-26 [334583],SELPERCATINIB 80 MG CAPSULE [191320],647.8,,181.384,557.108,83
NDC,0002-2980-60 [334581],SELPERCATINIB 80 MG CAPSULE [191320],647.8,,181.384,557.108,83
NDC,0002-3977-60 [334582],SELPERCATINIB 40 MG CAPSULE [191319],431.85,,120.918,371.391,83
NDC,0002-4182-30 [309472],BARICITINIB 2 MG TABLET [185332],311.3,,87.164,267.718,83
NDC,0002-4462-30 [97250],TADALAFIL 5 MG TABLET [37400],37.05,,10.374,31.863,83
NDC,0002-4464-30 [97252],TADALAFIL 20 MG TABLET [36986],193.25,,54.11,166.195,83
NDC,0002-4483-54 [302069],ABEMACICLIB 50 MG TABLET [183416],1012.65,,283.542,870.879,83
NDC,0002-4815-54 [302070],ABEMACICLIB 100 MG TABLET [183415],1012.65,,283.542,870.879,83
NDC,0002-5337-54 [302071],ABEMACICLIB 150 MG TABLET [183414],1012.65,,283.542,870.879,83
NDC,0002-5340-60 [386241],SELPERCATINIB 40 MG TABLET [205186],444.8,,124.544,382.528,83
NDC,0002-5562-60 [386242],SELPERCATINIB 160 MG TABLET [205189],1334.4,,373.632,1147.584,83
NDC,0002-6082-60 [386243],SELPERCATINIB 80 MG TABLET [205187],667.2,,186.816,573.792,83
NDC,0002-6120-60 [386244],SELPERCATINIB 120 MG TABLET [205188],1334.4,,373.632,1147.584,83
NDC,0002-6216-54 [302072],ABEMACICLIB 200 MG TABLET [183413],1012.65,,283.542,870.879,83
NDC,0002-6902-30 [365997],PIRTOBRUTINIB 50 MG TABLET [200149],863.95,,241.906,742.997,83
NDC,0002-7026-60 [365998],PIRTOBRUTINIB 100 MG TABLET [200150],1295.85,,362.838,1114.431,83
NDC,0002-7510-01 [161],INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [17405],211.2,,59.136,181.632,83
NDC,0002-7510-01 [161],INSULIN LISPRO 100 UNIT/ML INJECTION SOLUTION (ATC ONLY) [40800002506],227.9,,63.812,195.994,83
NDC,0002-7510-01 [161],INSULIN PUMP LISPRO INFUSION 100 UNITS/ML [40800002824],211.2,,59.136,181.632,83
NDC,0002-7510-17 [185302],INSULIN LISPRO 100 UNIT/ML INJECTION SOLUTION (ATC ONLY) [40800002506],282.85,,79.198,243.251,83
NDC,0002-7510-17 [185302],INSULIN PUMP LISPRO INFUSION 100 UNITS/ML [40800002824],262.1,,73.388,225.406,83
NDC,0002-7669-01 [264142],RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [162891],4990.35,,74.45,4291.701,86
NDC,0002-7678-01 [264143],RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [162891],24951.7,,74.45,21458.462,86
NDC,0002-7716-01 [283347],NECITUMUMAB 800 MG/50 ML (16 MG/ML) INTRAVENOUS SOLUTION [176030],14184.3,,5.73,12198.498,86
NDC,0002-7728-01 [336228],INSULIN PUMP LISPRO-AABC INFUSION 100 UNITS/ML [40800003967],262.1,,15.27,225.406,84
NDC,0002-7737-01 [335427],INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [17405],79.5,,22.26,68.37,83
NDC,0002-8215-01 [175],INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (ATC ONLY) [40800002505],153.1,,42.868,131.666,83
NDC,0002-8215-01 [175],INSULIN REGULAR IV PUSH INJECTION [40800002866],141.9,,39.732,122.034,83
NDC,0002-8215-01 [175],INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [10289],141.9,,39.732,122.034,83
NDC,0002-8315-01 [178],INSULIN NPH ISOPHANE (ATC ONLY) 100 UNIT/ML SUBCUTANEOUS SUSPENSION [40800003402],141.9,,39.732,122.034,83
NDC,0002-8315-01 [178],INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION [10284],141.9,,39.732,122.034,83
NDC,0002-8501-01 [182],INSULIN PUMP REGULAR CONCENTRATE INFUSION 500 UNITS/ML [40800002826],4514.55,,1264.074,3882.513,83
NDC,0002-8501-01 [182],INSULIN REGULAR HUMAN U-500(CONCENTRATE) 500 UNIT/ML SUBCUTANEOUS SOLN [19180],4514.55,,1264.074,3882.513,83
NDC,0002-8715-01 [184],INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP [10286],141.9,,39.732,122.034,83
NDC,0002-8715-17 [206851],INSULIN NPH-REGULAR 70-30 MIX (ATC ONLY) 100 UNIT/ML SUBCUTANEOUS SUSP [40800003403],47.7,,13.356,41.022,83
NDC,0003-0293-05 [293],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION (KALEIDOSCOPE USE ONLY) [40800003393],33.4,,0.86,28.724,84
NDC,0003-0293-05 [293],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],33.4,,0.86,28.724,84
NDC,0003-0293-20 [294],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION (KALEIDOSCOPE USE ONLY) [40800003393],151.1,,0.86,129.946,84
NDC,0003-0293-20 [294],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],151.1,,0.86,129.946,84
NDC,0003-0494-20 [333],TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION [11584],43.1,,0.86,37.066,84
NDC,0003-0524-11 [133438],DASATINIB 70 MG TABLET [76719],1105.55,,309.554,950.773,83
NDC,0003-0527-11 [133439],DASATINIB 20 MG TABLET [76717],552.8,,154.784,475.408,83
NDC,0003-0528-11 [133440],DASATINIB 50 MG TABLET [76718],1105.55,,309.554,950.773,83
NDC,0003-0893-21 [232446],APIXABAN 2.5 MG TABLET [119040],27.35,,7.658,23.521,83
NDC,0003-0893-31 [232447],APIXABAN 2.5 MG TABLET [119040],27.35,,7.658,23.521,83
NDC,0003-0894-21 [232448],APIXABAN 5 MG TABLET [119614],27.35,,7.658,23.521,83
NDC,0003-0894-31 [232449],APIXABAN 5 MG TABLET [119614],27.35,,7.658,23.521,83
NDC,0003-1614-12 [120553],ENTECAVIR 0.05 MG/ML ORAL SOLUTION [41149],3147.45,,881.286,2706.807,83
NDC,0003-2187-13 [316303],ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [70287],5255.55,,44.49,4519.773,86
NDC,0003-2187-13 [316303],ABATACEPT 25 MG/ML INJ [40800003115],5255.55,,44.49,4519.773,86
NDC,0003-2291-11 [283348],ELOTUZUMAB 25 MG/ML INJ CONTAINER [40800002325],7756.25,,7.88,6670.375,86
NDC,0003-2291-11 [283348],ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [176044],7756.25,,7.88,6670.375,86
NDC,0003-2327-11 [204100],IPILIMUMAB 5 MG/ML INJ CONTAINER (S1404) [40890005222],30256.6,,183.41,26020.676,86
NDC,0003-2327-11 [204100],IPILIMUMAB 5 MG/ML INJ CONTAINER [40800000416],30256.6,,183.41,26020.676,86
NDC,0003-2327-11 [204100],IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [108955],30256.6,,183.41,26020.676,86
NDC,0003-2328-22 [204101],IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956],121026.15,,183.41,104082.489,86
NDC,0003-2328-22 [204101],IPILIMUMAB 5 MG/ML INJ CONTAINER (S1404) [40890005222],121026.15,,183.41,104082.489,86
NDC,0003-2328-22 [204101],IPILIMUMAB 5 MG/ML INJ CONTAINER [40800000416],121026.15,,183.41,104082.489,86
NDC,0003-2560-16 [191780],AZTREONAM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003342],94.55,,2.67,81.313,84
NDC,0003-2560-16 [191780],AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],94.55,,2.67,81.313,84
NDC,0003-2570-16 [191781],AZTREONAM 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003343],189.1,,2.67,162.626,84
NDC,0003-2570-16 [191781],AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],189.1,,2.67,162.626,84
NDC,0003-3734-13 [304768],NIVOLUMAB 10 MG/ML INJ CONTAINER [40800001603],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0213) [40890019927],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0214) [40890019929],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-1080) [40890023066],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB 10 MG/ML INJECTION (CIND2021-0883) [40890027156],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB 10 MG/ML INJECTION (CIND2022-0196) [40890025900],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB 10 MG/ML INTRATHECAL INJECTION (CIND2020-0846) [40890018692],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [184233],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (CIND2022-0257) [40890027625],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2023-1068) [40890032270],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0103) [40890034161],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0238) [40890032498],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0239)  [40890034294],26542.0,,33.0,22826.12,86
NDC,0003-3734-13 [304768],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0284) [40890032568],26542.0,,33.0,22826.12,86
NDC,0003-3756-14 [351526],NIVOLUMAB 10 MG/ML INJ CONTAINER [40800001603],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0213) [40890019927],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0214) [40890019929],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-1080) [40890023066],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB 10 MG/ML INJECTION (CIND2021-0883) [40890027156],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB 10 MG/ML INJECTION (CIND2022-0196) [40890025900],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB 10 MG/ML INTRATHECAL INJECTION (CIND2020-0846) [40890018692],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (CIND2022-0257) [40890027625],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2023-1068) [40890032270],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0103) [40890034161],13270.95,,33.0,11413.017,86
NDC,0003-3756-14 [351526],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0238) [40890032498],13270.95,,33.0,11413.017,86
NDC,0003-3772-11 [275593],NIVOLUMAB 10 MG/ML INJ CONTAINER [40800001603],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0213) [40890019927],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0214) [40890019929],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-1080) [40890023066],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB 10 MG/ML INJECTION (CIND2021-0883) [40890027156],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB 10 MG/ML INJECTION (CIND2022-0196) [40890025900],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB 10 MG/ML INTRATHECAL INJECTION (CIND2020-0846) [40890018692],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [170514],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (CIND2022-0257) [40890027625],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2023-1068) [40890032270],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0103) [40890034161],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0238) [40890032498],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0239)  [40890034294],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0284) [40890032568],4423.7,,33.0,3804.382,86
NDC,0003-3772-11 [275593],NIVOLUMAB INTRATHECAL INJ 10 MG/ML  [40800003640],4423.7,,33.0,3804.382,86
NDC,0003-3774-12 [275594],NIVOLUMAB 10 MG/ML INJ CONTAINER [40800001603],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0213) [40890019927],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-0214) [40890019929],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB 10 MG/ML INJECTION (CIND2020-1080) [40890023066],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB 10 MG/ML INJECTION (CIND2021-0883) [40890027156],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB 10 MG/ML INJECTION (CIND2022-0196) [40890025900],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB 10 MG/ML INTRATHECAL INJECTION (CIND2020-0846) [40890018692],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [170515],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (CIND2022-0257) [40890027625],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2023-1068) [40890032270],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0103) [40890034161],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0238) [40890032498],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0239)  [40890034294],11059.1,,33.0,9510.826,86
NDC,0003-3774-12 [275594],NIVOLUMAB INTRATHECAL 10 MG/ML INJECTION (SPIND2024-0284) [40890032568],11059.1,,33.0,9510.826,86
NDC,0003-4522-11 [283349],ELOTUZUMAB 25 MG/ML INJ CONTAINER [40800002325],10341.55,,7.88,8893.733,86
NDC,0003-4522-11 [283349],ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION [176045],10341.55,,7.88,8893.733,86
NDC,0003-7125-11 [355696],NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [197151],51532.85,,197.65,44318.251,86
NDC,0003-7125-11 [355696],NIVOLUMAB-RELATLIMAB-RMBW IVPB 12 MG-4 MG/ML (MAX CONC) [40800004114],51532.85,,197.65,44318.251,86
NDC,0004-0038-22 [943],VALGANCICLOVIR 450 MG TABLET [30148],289.65,,81.102,249.099,83
NDC,0004-0039-09 [185313],VALGANCICLOVIR 5 GRAM ORAL SOLUTION BOTTLE [40800004434],3505.85,,981.638,3015.031,83
NDC,0004-0039-09 [185313],VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],3505.85,,981.638,3015.031,83
NDC,0004-0259-01 [990],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],34.7,,0.16,29.842,84
NDC,0004-0261-29 [995],MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],4523.95,,1266.706,3890.597,83
NDC,0004-0298-09 [1016],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],327.85,,0.41,281.951,84
NDC,0004-0298-09 [1016],MYCOPHENOLATE INJ 33.33 MG/ML [40800003850],353.75,,0.41,304.225,84
NDC,0004-0298-09 [1016],MYCOPHENOLATE INJ 35.7 MG/ML [40800000430],353.75,,0.41,304.225,84
NDC,0004-0298-30 [265009],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],327.85,,0.41,281.951,84
NDC,0004-0298-30 [265009],MYCOPHENOLATE INJ 33.33 MG/ML [40800003850],353.75,,0.41,304.225,84
NDC,0004-0298-30 [265009],MYCOPHENOLATE INJ 35.7 MG/ML [40800000430],353.75,,0.41,304.225,84
NDC,0004-0801-85 [152597],OSELTAMIVIR 45 MG CAPSULE [88705],53.7,,15.036,46.182,83
NDC,0004-0802-85 [152598],OSELTAMIVIR 30 MG CAPSULE [88704],53.7,,15.036,46.182,83
NDC,0004-0822-05 [238359],OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [110998],497.65,,139.342,427.979,83
NDC,0004-1101-50 [1028],CAPECITABINE 500 MG TABLET [22994],155.1,,0.03,133.386,86
NDC,0005-2000-01 [349749],PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [195370],934.75,,261.73,803.885,83
NDC,0005-2000-02 [349750],PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [195370],934.75,,261.73,803.885,83
NDC,0005-2000-10 [349751],PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [195370],906.25,,253.75,779.375,83
NDC,0005434462 [258126],MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID [129713],30.8,,8.624,26.488,83
NDC,0006-0032-20 [1210],IVERMECTIN 3 MG TABLET [25820],22.1,,6.188,19.006,83
NDC,0006-0112-01 [265005],SITAGLIPTIN PHOSPHATE 50 MG TABLET [77616],42.4,,11.872,36.464,83
NDC,0006-0112-28 [152600],SITAGLIPTIN PHOSPHATE 50 MG TABLET [77616],42.4,,11.872,36.464,83
NDC,0006-0112-31 [136104],SITAGLIPTIN PHOSPHATE 50 MG TABLET [77616],42.4,,11.872,36.464,83
NDC,0006-0221-01 [258129],SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],42.4,,11.872,36.464,83
NDC,0006-0221-28 [152602],SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],42.4,,11.872,36.464,83
NDC,0006-0221-54 [136107],SITAGLIPTIN PHOSPHATE 25 MG TABLET [77615],42.4,,11.872,36.464,83
NDC,0006-0227-61 [152603],RALTEGRAVIR 400 MG TABLET [88608],121.95,,34.146,104.877,83
NDC,0006-0277-01 [258132],SITAGLIPTIN PHOSPHATE 100 MG TABLET [77617],42.4,,11.872,36.464,83
NDC,0006-0277-28 [136108],SITAGLIPTIN PHOSPHATE 100 MG TABLET [77617],42.4,,11.872,36.464,83
NDC,0006-0277-31 [136109],SITAGLIPTIN PHOSPHATE 100 MG TABLET [77617],42.4,,11.872,36.464,83
NDC,0006-0277-54 [136110],SITAGLIPTIN PHOSPHATE 100 MG TABLET [77617],42.4,,11.872,36.464,83
NDC,0006-0461-02 [152605],APREPITANT 80 MG CAPSULE [35488],716.7,,2.72,616.362,84
NDC,0006-0568-40 [136112],VORINOSTAT 100 MG CAPSULE [77539],409.8,,114.744,352.428,83
NDC,0006-3026-01 [275618],PEMBROLIZUMAB 25 MG/ML INJ CONTAINER [40800000420],19707.4,,58.56,16948.364,86
NDC,0006-3026-01 [275618],PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [170641],19707.4,,58.56,16948.364,86
NDC,0006-3026-02 [275619],PEMBROLIZUMAB 25 MG/ML INJ CONTAINER [40800000420],19707.4,,58.56,16948.364,86
NDC,0006-3026-02 [275619],PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [170641],19707.4,,58.56,16948.364,86
NDC,0006-3026-04 [326883],PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [170641],19707.4,,58.56,16948.364,86
NDC,0006-3061-00 [299117],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],1096.25,,0.11,942.775,84
NDC,0006-3061-00 [299117],FOSAPREPITANT 30 MG/ML INJ [40800000315],1096.25,,0.11,942.775,84
NDC,0006-3061-01 [299608],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],1096.25,,0.11,942.775,84
NDC,0006-3066-01 [290673],APREPITANT 125 MG (25 MG/ML FINAL CONCENTRATION) ORAL SUSPENSION [178997],1119.85,,2.72,963.071,84
NDC,0006-3066-03 [290674],APREPITANT 125 MG (25 MG/ML FINAL CONCENTRATION) ORAL SUSPENSION [178997],1119.85,,2.72,963.071,84
NDC,0006-3075-03 [304003],LETERMOVIR 240 MG TABLET [183893],921.4,,257.992,792.404,83
NDC,0006-3075-04 [304004],LETERMOVIR 240 MG TABLET [183893],921.4,,257.992,792.404,83
NDC,0006-3076-01 [304770],LETERMOVIR 480 MG TABLET [183894],921.4,,257.992,792.404,83
NDC,0006-3076-02 [304185],LETERMOVIR 480 MG TABLET [183894],921.4,,257.992,792.404,83
NDC,0006-3076-03 [304005],LETERMOVIR 480 MG TABLET [183894],921.4,,257.992,792.404,83
NDC,0006-3076-04 [304006],LETERMOVIR 480 MG TABLET [183894],921.4,,257.992,792.404,83
NDC,0006-3516-59 [1444],IMIPENEM-CILASTATIN 50 MG/ML INJ [40800000048],112.1,,6.97,96.406,84
NDC,0006-3516-59 [1444],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003371],103.85,,6.97,89.311,84
NDC,0006-3516-59 [1444],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],103.85,,6.97,89.311,84
NDC,0006-3856-01 [331070],IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION [190338],988.65,,2.61,850.239,84
NDC,0006-3856-02 [331071],IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION [190338],988.65,,2.61,850.239,84
NDC,0006-4119-01 [280171],"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION [170445]",996.85,,279.118,857.291,83
NDC,0006-4119-01 [280171],"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) INTRAMUSCULAR INJ CONTAINER [40800002608]",996.85,,279.118,857.291,83
NDC,0006-4119-03 [275621],"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION [170445]",996.85,,279.118,857.291,83
NDC,0006-4119-03 [275621],"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) INTRAMUSCULAR INJ CONTAINER [40800002608]",996.85,,279.118,857.291,83
NDC,0006-4121-01 [275622],"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) INTRAMUSCULAR INJ CONTAINER [40800002608]",996.85,,279.118,857.291,83
NDC,0006-4121-01 [275622],"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE [170446]",996.85,,279.118,857.291,83
NDC,0006-4121-02 [275623],"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) INTRAMUSCULAR INJ CONTAINER [40800002608]",996.85,,279.118,857.291,83
NDC,0006-4121-02 [275623],"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE [170446]",996.85,,279.118,857.291,83
NDC,0006-4329-01 [350671],PNEUMOCOCCAL 15-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [195642],728.3,,203.924,626.338,83
NDC,0006-4329-02 [350672],PNEUMOCOCCAL 15-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [195642],715.35,,200.298,615.201,83
NDC,0006-4329-03 [350673],PNEUMOCOCCAL 15-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [195642],728.3,,203.924,626.338,83
NDC,0006-4681-00 [1501],"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512]",290.7,,81.396,250.002,84
NDC,0006-4681-01 [264156],"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512]",290.7,,81.396,250.002,84
NDC,0006-4827-00 [1514],"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [113088]",581.0,,129.89,499.66,84
NDC,0006-4827-01 [264157],"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [113088]",581.0,,129.89,499.66,84
NDC,0006-4837-01 [267767],PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJ CONTAINER [40800002837],355.5,,99.54,305.73,84
NDC,0006-4837-01 [267767],PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [165560],355.5,,99.54,305.73,84
NDC,0006-4837-03 [267768],PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJ CONTAINER [40800002837],355.5,,99.54,305.73,84
NDC,0006-4837-03 [267768],PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [165560],355.5,,99.54,305.73,84
NDC,0006-4897-00 [1532],HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN [10153],97.7,,27.356,84.022,84
NDC,0006-4897-01 [264159],HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN [10153],97.7,,27.356,84.022,84
NDC,0006-4943-00 [1534],PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJ CONTAINER [40800002837],355.5,,99.54,305.73,84
NDC,0006-4943-00 [1534],PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037],355.5,,99.54,305.73,84
NDC,0006-4943-01 [258142],PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJ CONTAINER [40800002837],355.5,,99.54,305.73,84
NDC,0006-4943-01 [258142],PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037],355.5,,99.54,305.73,84
NDC,0006-5004-01 [304009],LETERMOVIR 20 MG/ML INJ CONTAINER [40800002865],1273.75,,356.65,1095.425,83
NDC,0006-5004-01 [304009],LETERMOVIR 480 MG/24 ML INTRAVENOUS SOLUTION [183896],1273.75,,356.65,1095.425,83
NDC,0006-5004-02 [304010],LETERMOVIR 20 MG/ML INJ CONTAINER [40800002865],1273.75,,356.65,1095.425,83
NDC,0006-5004-02 [304010],LETERMOVIR 480 MG/24 ML INTRAVENOUS SOLUTION [183896],1273.75,,356.65,1095.425,83
NDC,0006-5423-02 [286434],SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [176558],434.0,,121.52,373.24,83
NDC,0006-5423-12 [286436],SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [176558],434.0,,121.52,373.24,83
NDC,0008-0100-01 [301278],INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN [183134],79915.65,,2698.05,68727.459,86
NDC,0008-0100-01 [301278],INOTUZUMAB OZOGAMICIN INJECTION 0.25 MG/ML [40800002641],79915.65,,2698.05,68727.459,86
NDC,0008-0833-22 [126980],"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",71.15,,19.922,61.189,83
NDC,0008-0836-21 [126982],"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",77.5,,21.7,66.65,83
NDC,0008-0844-01 [178046],PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET [89791],57.2,,16.016,49.192,83
NDC,0008-0844-02 [152628],PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET [89791],57.2,,16.016,49.192,83
NDC,0008-0923-51 [103970],PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],24.1,,6.748,20.726,83
NDC,0008-0923-51 [103970],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],22.25,,6.23,19.135,83
NDC,0008-0923-51 [103970],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],22.25,,6.23,19.135,83
NDC,0008-1030-04 [1741],SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],6434.9,,0.96,5534.014,84
NDC,0008-1030-06 [1742],SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],6434.9,,0.96,5534.014,84
NDC,0008-1041-05 [129354],SIROLIMUS 1 MG TABLET [28958],118.0,,0.96,101.48,84
NDC,0008-1179-01 [145292],TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],6880.7,,23.3634,5917.402,86
NDC,0008-1211-30 [162076],"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [91073]",56.25,,15.75,48.375,83
NDC,0008-1222-30 [162081],"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [91074]",56.25,,15.75,48.375,83
NDC,0008-4001-01 [238362],PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],9.0,,2.52,7.74,83
NDC,0008-4001-01 [238362],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],8.3,,2.324,7.138,83
NDC,0008-4001-01 [238362],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],8.3,,2.324,7.138,83
NDC,0008-4001-10 [238363],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],8.3,,2.324,7.138,83
NDC,0008-4001-10 [238363],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],8.3,,2.324,7.138,83
NDC,0008-4001-25 [238364],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],8.3,,2.324,7.138,83
NDC,0008-4001-25 [238364],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],8.3,,2.324,7.138,83
NDC,0008-4510-01 [301279],GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN [183174],34403.1,,236.62,29586.666,86
NDC,0008-4510-01 [301279],GEMTUZUMAB OZOGAMICIN INJECTION 1 MG/ML [40800002854],34403.1,,236.62,29586.666,86
NDC,0008-4990-19 [193076],TIGECYCLINE 10 MG/ML INJ [40800000059],327.6,,0.51,281.736,84
NDC,0008-4990-19 [193076],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],303.6,,0.51,261.096,84
NDC,0008-4990-19 [193076],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],303.6,,0.51,261.096,84
NDC,0008-4990-20 [193077],TIGECYCLINE 10 MG/ML INJ [40800000059],327.6,,0.51,281.736,84
NDC,0008-4990-20 [193077],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],303.6,,0.51,261.096,84
NDC,0008-4990-20 [193077],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],303.6,,0.51,261.096,84
NDC,0008-4994-19 [295895],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],62.15,,0.51,53.449,84
NDC,0008-4994-19 [295895],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],62.15,,0.51,53.449,84
NDC,0008-4994-20 [295896],TIGECYCLINE 10 MG/ML INJ [40800000059],67.05,,0.51,57.663,84
NDC,0008-4994-20 [295896],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],62.15,,0.51,53.449,84
NDC,0008-4994-20 [295896],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],62.15,,0.51,53.449,84
NDC,0009-0011-03 [193079],HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [129753],80.4,,21.2,69.144,84
NDC,0009-0011-03 [193079],HYDROCORTISONE SODIUM SUCCINATE (PF) 50 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003702],80.4,,21.2,69.144,84
NDC,0009-0011-04 [193080],HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [129753],78.9,,21.2,67.854,84
NDC,0009-0012-01 [1796],HYDROCORTISONE 5 MG TABLET [10209],4.8,,1.344,4.128,83
NDC,0009-0017-58 [264166],TRIAZOLAM 0.25 MG TABLET [8139],28.95,,8.106,24.897,83
NDC,0009-0029-01 [1807],ALPRAZOLAM 0.25 MG TABLET [324],29.2,,8.176,25.112,83
NDC,0009-0039-28 [185333],METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [129571],28.35,,0.26,24.381,84
NDC,0009-0039-30 [206853],METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [129571],28.35,,0.26,24.381,84
NDC,0009-0039-32 [185334],METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [129571],23.55,,0.26,20.253,84
NDC,0009-0039-33 [185335],METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [129571],23.55,,0.26,20.253,84
NDC,0009-0047-22 [185336],METHYLPREDNISOLONE 62.5 MG/ML INJ CONTAINER [40800000428],40.15,,0.26,34.529,84
NDC,0009-0047-22 [185336],METHYLPREDNISOLONE IVPB 62.5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002513],40.15,,0.26,34.529,84
NDC,0009-0047-22 [185336],METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [129572],37.15,,0.26,31.949,84
NDC,0009-0047-25 [224902],METHYLPREDNISOLONE 62.5 MG/ML INJ CONTAINER [40800000428],40.15,,0.26,34.529,84
NDC,0009-0047-25 [224902],METHYLPREDNISOLONE IVPB 62.5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002513],40.15,,0.26,34.529,84
NDC,0009-0047-25 [224902],METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [129572],37.15,,0.26,31.949,84
NDC,0009-0047-26 [185337],METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [129572],30.5,,0.26,26.23,84
NDC,0009-0047-27 [185338],METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [129572],30.5,,0.26,26.23,84
NDC,0009-0055-01 [1826],ALPRAZOLAM 0.5 MG TABLET [325],36.05,,10.094,31.003,83
NDC,0009-0086-01 [267770],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],38.65,,0.03,33.239,84
NDC,0009-0112-05 [391715],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],141.65,,1.4,121.819,84
NDC,0009-0417-01 [1926],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],82.9,,0.03,71.294,84
NDC,0009-0436-01 [232451],ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION (DOSES NOT EQUAL TO 30 GRAMS) [40800003826],133.6,,37.408,114.896,83
NDC,0009-0436-01 [232451],ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION [9123],133.6,,37.408,114.896,83
NDC,0009-0698-01 [1937],METHYLPREDNISOLONE 62.5 MG/ML INJ CONTAINER [40800000428],150.95,,0.26,129.817,84
NDC,0009-0698-01 [1937],METHYLPREDNISOLONE IVPB 62.5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002513],150.95,,0.26,129.817,84
NDC,0009-0698-01 [1937],"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003375]",139.9,,0.26,120.314,84
NDC,0009-0698-01 [1937],"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",139.9,,0.26,120.314,84
NDC,0009-0746-30 [1941],MEDROXYPROGESTERONE 150 MG/ML INJ CONTAINER [40800000726],180.65,,50.582,155.359,83
NDC,0009-0746-30 [1941],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],180.65,,50.582,155.359,83
NDC,0009-0758-01 [1943],METHYLPREDNISOLONE 62.5 MG/ML INJ CONTAINER [40800000428],83.35,,0.26,71.681,84
NDC,0009-0758-01 [1943],METHYLPREDNISOLONE IVPB 62.5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002513],83.35,,0.26,71.681,84
NDC,0009-0758-01 [1943],METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003376],77.25,,0.26,66.435,84
NDC,0009-0758-01 [1943],METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],77.25,,0.26,66.435,84
NDC,0009-0775-20 [283352],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],14.0,,1.67,12.04,84
NDC,0009-0775-26 [1946],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],14.0,,1.67,12.04,84
NDC,0009-0825-01 [1949],HYDROCORTISONE (PF) 50 MG/ML INJ [40800001987],69.05,,19.334,59.383,84
NDC,0009-0825-01 [1949],HYDROCORTISONE SODIUM SUCCINATE (PF) 50 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003702],63.95,,17.906,54.997,84
NDC,0009-0825-01 [1949],HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION [124284],63.95,,17.906,54.997,84
NDC,0009-0856-05 [232453],CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],425.05,,15.56,365.543,85
NDC,0009-0856-08 [1952],CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [9413],425.05,,15.56,365.543,85
NDC,0009-0902-11 [1957],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],20.25,,1.67,17.415,84
NDC,0009-0902-18 [1958],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],20.25,,1.67,17.415,84
NDC,0009-3073-01 [1965],METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],40.5,,0.12,34.83,84
NDC,0009-3073-03 [1966],METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],40.55,,0.12,34.873,84
NDC,0009-3073-22 [185340],METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],17.5,,0.12,15.05,84
NDC,0009-3073-23 [185341],METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],20.25,,0.12,17.415,84
NDC,0009-3329-01 [1974],CLINDAMYCIN 1 % LOTION [19711],383.65,,107.422,329.939,83
NDC,0009-3794-01 [2054],IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [100740],1834.05,,219.22,1577.283,85
NDC,0009-4544-02 [2066],TOLTERODINE 2 MG TABLET [22783],33.4,,9.352,28.724,83
NDC,0009-5091-01 [2077],EPIRUBICIN 2 MG/ML INJ CONTAINER [40840000518],165.05,,1.59,141.943,84
NDC,0009-5091-01 [2077],EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [88008],165.05,,1.59,141.943,84
NDC,0009-5091-25 [395113],EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [88008],170.85,,1.59,146.931,84
NDC,0009-5093-01 [2078],EPIRUBICIN 2 MG/ML INJ CONTAINER [40840000518],767.15,,1.59,659.749,84
NDC,0009-5093-01 [2078],EPIRUBICIN 200 MG/100 ML INTRAVENOUS SOLUTION [88009],767.15,,1.59,659.749,84
NDC,0009-5095-05 [329537],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],14.9,,1.67,12.814,84
NDC,0009-5095-06 [329538],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],14.9,,1.67,12.814,84
NDC,0009-5140-01 [2083],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],96.1,,3.47,82.646,84
NDC,0009-5140-01 [2083],LINEZOLID IVPB 2 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001393],96.1,,3.47,82.646,84
NDC,0009-5140-01 [2083],LINEZOLID IVPB 2 MG/ML (MAX CONC) [40840000625],96.1,,3.47,82.646,84
NDC,0009-5140-04 [275632],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],96.1,,3.47,82.646,84
NDC,0009-5140-04 [275632],LINEZOLID IVPB 2 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001393],96.1,,3.47,82.646,84
NDC,0009-5140-04 [275632],LINEZOLID IVPB 2 MG/ML (MAX CONC) [40840000625],96.1,,3.47,82.646,84
NDC,0009-5190-01 [2093],"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR [29434]",52.95,,14.826,45.537,83
NDC,0009-7224-01 [167435],LYMPHOCYTE IMMUNE GLOBULIN SKIN TEST 1:1000 [40840000955],17409.9,,4874.772,14972.514,86
NDC,0009-7224-01 [167435],"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]",17409.9,,4874.772,14972.514,86
NDC,0009-7224-02 [2128],LYMPHOCYTE IMMUNE GLOBULIN SKIN TEST 1:1000 [40840000955],17409.9,,4874.772,14972.514,86
NDC,0009-7224-02 [2128],"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]",17409.9,,4874.772,14972.514,86
NDC,0009-7529-03 [202288],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],141.65,,1.4,121.819,84
NDC,0009-7807-01 [275633],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],63.45,,3.47,54.567,84
NDC,0013-1114-20 [275635],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",68.65,,19.222,59.039,83
NDC,0013-1114-20 [275635],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],68.65,,19.222,59.039,83
NDC,0013-1114-21 [275636],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",68.65,,19.222,59.039,83
NDC,0013-1114-21 [275636],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],68.65,,19.222,59.039,83
NDC,0013-2576-05 [387012],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],185.0,,37.05,159.1,84
NDC,0013-2576-91 [2235],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],185.0,,37.05,159.1,84
NDC,0013-2576-91 [2235],IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],185.0,,37.05,159.1,84
NDC,0013-2586-91 [2236],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],353.1,,37.05,303.666,84
NDC,0013-2586-91 [2236],IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],353.1,,37.05,303.666,84
NDC,0013-2596-91 [2237],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],678.0,,37.05,583.08,84
NDC,0013-2596-91 [2237],IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],678.0,,37.05,583.08,84
NDC,0015-3404-20 [2359],ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION [17451],461.75,,1.3,397.105,84
NDC,0015-3404-20 [2359],ETOPOSIDE PHOSPHATE INJ 20 MG/ML [40800000116],461.75,,1.3,397.105,84
NDC,0015-3404-20 [2359],ETOPOSIDE PHOSPHATE IVPB 20 MG/ML (MAX CONC) [40800004208],461.75,,1.3,397.105,84
NDC,0019-0953-13 [2466],IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION [10333],34.75,,0.29,29.885,84
NDC,0019-1323-02 [110876],IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [124027],83.5,,0.15,71.81,84
NDC,0019-1323-11 [110879],IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [124027],264.15,,0.15,227.169,84
NDC,0023-0312-04 [2591],WHITE PETROLATUM-MINERAL OIL 56.8 %-42.5 % EYE OINTMENT [128482],37.65,,10.542,32.379,83
NDC,0023-0403-30 [2595],CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE [27991],1.65,,0.462,1.419,83
NDC,0023-0403-50 [2596],CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE [27991],1.65,,0.462,1.419,83
NDC,0023-0403-70 [123309],CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE [27991],1.65,,0.462,1.419,83
NDC,0023-0506-01 [2598],POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE [125491],1.65,,0.462,1.419,83
NDC,0023-0506-50 [2599],POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE [125491],1.65,,0.462,1.419,83
NDC,0023-1145-01 [2624],ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [32700],1976.45,,6.5,1699.747,86
NDC,0023-2181-05 [2627],KETOROLAC 0.5 % EYE DROPS [19733],902.35,,252.658,776.021,83
NDC,0023-3205-05 [195521],BIMATOPROST 0.01 % EYE DROPS [105410],1765.05,,494.214,1517.943,83
NDC,0023-3348-07 [185350],DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT [99461],4250.4,,203.79,3655.344,86
NDC,0023-4554-30 [2639],CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE [38321],1.75,,0.49,1.505,83
NDC,0023-5487-30 [120565],CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE [27991],1.65,,0.462,1.419,83
NDC,0023-5853-18 [288906],MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [178595],18.4,,5.152,15.824,83
NDC,0023-9163-30 [162087],CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [35209],1057.5,,296.1,909.45,83
NDC,0023-9177-05 [2663],BRIMONIDINE 0.15 % EYE DROPS [31158],679.1,,190.148,584.026,83
NDC,0023-9211-05 [152638],BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS [87834],668.75,,187.25,575.125,83
NDC,0023-9211-10 [152639],BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS [87834],1337.5,,374.5,1150.25,83
NDC,0023-9321-05 [129358],BRIMONIDINE 0.1 % EYE DROPS [70262],637.0,,178.36,547.82,83
NDC,0023-9637-01 [328785],OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH [132382],13.05,,3.654,11.223,83
NDC,0023-9637-04 [328786],OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH [132382],13.05,,3.654,11.223,83
NDC,0023-9637-08 [328787],OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH [132382],11.8,,3.304,10.148,83
NDC,0024-0654-01 [332203],ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION [40800002679],3035.1,,82.86,2610.186,86
NDC,0024-0656-01 [333369],ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION [40800002679],15175.5,,82.86,13050.93,86
NDC,0024-1596-01 [2742],PRIMAQUINE 26.3 MG (15 MG BASE) TABLET [6541],9.7,,2.716,8.342,83
NDC,0024-2792-01 [338189],SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],109.15,,2.18,93.869,84
NDC,0024-2792-10 [206855],SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],109.15,,2.18,93.869,84
NDC,0024-4142-60 [178054],DRONEDARONE 400 MG TABLET [98329],53.05,,14.854,45.623,83
NDC,0024-5150-10 [2758],RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [33591],3662.8,,376.48,3150.008,86
NDC,0024-5150-10 [2758],RASBURICASE 1.5 MG/ML INJ [40800000403],3662.8,,376.48,3150.008,86
NDC,0024-5150-11 [264181],RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [33591],3662.8,,376.48,3150.008,86
NDC,0024-5150-11 [264181],RASBURICASE 1.5 MG/ML INJ [40800000403],3662.8,,376.48,3150.008,86
NDC,0024-5154-11 [363148],RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [33591],3662.8,,376.48,3150.008,86
NDC,0024-5154-11 [363148],RASBURICASE 1.5 MG/ML INJ [40800000403],3662.8,,376.48,3150.008,86
NDC,0024-5501-31 [123310],"ZOLPIDEM ER 6.25 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42677]",75.0,,21.0,64.5,83
NDC,0024-5823-15 [303098],CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [105644],48222.25,,227.1,41471.135,86
NDC,0024-5824-11 [195524],CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [105644],48222.25,,227.1,41471.135,86
NDC,0024-5851-30 [232471],IRBESARTAN 150 MG TABLET [21848],36.3,,10.164,31.218,83
NDC,0024-5852-30 [232473],IRBESARTAN 300 MG TABLET [21849],35.5,,9.94,30.53,83
NDC,0024-5860-01 [275637],CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],11677.1,,10.94,10042.306,86
NDC,0024-5862-01 [264183],PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],32655.4,,32.74,28083.644,86
NDC,0024-5914-00 [337075],DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [181337],6365.05,,1782.214,5473.943,83
NDC,0024-5914-01 [296896],DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [181337],6365.05,,1782.214,5473.943,83
NDC,0024-5915-00 [337076],DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR [191974],6365.05,,1782.214,5473.943,83
NDC,0024-5915-02 [337077],DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR [191974],6365.05,,1782.214,5473.943,83
NDC,0024-5918-01 [314597],DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE [186657],6365.05,,1782.214,5473.943,83
NDC,0025-1520-31 [2806],CELECOXIB 100 MG CAPSULE [24500],38.6,,10.808,33.196,83
NDC,0025-1520-34 [2807],CELECOXIB 100 MG CAPSULE [24500],38.6,,10.808,33.196,83
NDC,00268-0432-02 [276795],TRICHOPHYTON SKIN TEST INJECTION [40800000266],93.4,,26.152,80.324,83
NDC,0032-0047-70 [384974],"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL [98035]",20.9,,5.852,17.974,83
NDC,0032-1206-01 [178058],"LIPASE-PROTEASE-AMYLASE (PORK)6,000-19,000-30,000 UNIT CAPSULE,DEL REL [98034]",10.45,,2.926,8.987,83
NDC,0032-1212-01 [178060],"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL [98035]",20.9,,5.852,17.974,83
NDC,0032-1212-07 [178061],"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL [98035]",19.7,,5.516,16.942,83
NDC,0037-6822-10 [267784],HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM [28849],668.65,,187.222,575.039,83
NDC,0037-6823-15 [267785],PRAMOXINE 1 % TOPICAL FOAM [19749],331.65,,92.862,285.219,83
NDC,0045020424 [258628],"CETIRIZINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [31239]",3.95,,1.106,3.397,83
NDC,0045020427 [258630],"CETIRIZINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [31239]",5.5,,1.54,4.73,83
NDC,0045044909 [258713],ACETAMINOPHEN 500 MG TABLET [102],1.65,,0.462,1.419,83
NDC,0046-0749-05 [3859],CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION [9972],1268.05,,355.054,1090.523,86
NDC,0046-0749-05 [3859],CONJUGATED ESTROGENS INJECTION 5 MG/ML [40800000037],1268.05,,355.054,1090.523,86
NDC,0046-0872-21 [224935],CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM [9977],1550.55,,434.154,1333.473,83
NDC,0046-1100-81 [129364],CONJUGATED ESTROGENS 0.3 MG TABLET [9973],34.45,,9.646,29.627,83
NDC,0046-1101-81 [129366],CONJUGATED ESTROGENS 0.45 MG TABLET [36198],34.45,,9.646,29.627,83
NDC,0046-1102-81 [129367],CONJUGATED ESTROGENS 0.625 MG TABLET [9974],34.45,,9.646,29.627,83
NDC,0046-1103-81 [129369],CONJUGATED ESTROGENS 0.9 MG TABLET [9975],34.45,,9.646,29.627,83
NDC,0046-1104-81 [106998],CONJUGATED ESTROGENS 1.25 MG TABLET [2938],34.45,,9.646,29.627,83
NDC,0046-1105-11 [185413],CONJ ESTROGEN-MEDROXYPROGESTERONE 0.3 MG-1.5 MG TABLET [37459],833.15,,233.282,716.509,83
NDC,0046-1107-11 [209251],CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-2.5 MG TABLET [14196],833.15,,233.282,716.509,83
NDC,0046-1108-11 [232483],CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-5 MG TABLET [14197],833.15,,233.282,716.509,83
NDC,0049-0013-81 [258234],AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002644],33.8,,1.49,29.068,84
NDC,0049-0013-81 [258234],AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],33.8,,1.49,29.068,84
NDC,0049-0013-81 [258234],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],36.6,,1.49,31.476,84
NDC,0049-0013-83 [3943],AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002644],33.8,,1.49,29.068,84
NDC,0049-0013-83 [3943],AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],33.8,,1.49,29.068,84
NDC,0049-0013-83 [3943],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],36.6,,1.49,31.476,84
NDC,0049-0014-81 [275653],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],51.9,,1.49,44.634,84
NDC,0049-0014-81 [275653],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],51.9,,1.49,44.634,84
NDC,0049-0014-81 [275653],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],56.1,,1.49,48.246,84
NDC,0049-0014-83 [3944],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],51.9,,1.49,44.634,84
NDC,0049-0014-83 [3944],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],51.9,,1.49,44.634,84
NDC,0049-0014-83 [3944],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],56.1,,1.49,48.246,84
NDC,0049-0114-28 [185415],ANIDULAFUNGIN 3.33 MG/ML INJ CONTAINER [40840000082],289.8,,0.48,249.228,84
NDC,0049-0114-28 [185415],ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION [76344],289.8,,0.48,249.228,84
NDC,0049-0116-28 [185416],ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION [88093],625.4,,0.48,537.844,84
NDC,0049-0116-28 [185416],ANIDULAFUNGIN 3.33 MG/ML INJ CONTAINER [40840000082],625.4,,0.48,537.844,84
NDC,0049-0170-01 [238391],"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",1.85,,0.518,1.591,83
NDC,0049-0420-05 [307609],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],19.95,,0.88,17.157,84
NDC,0049-0420-10 [307610],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],19.95,,0.88,17.157,84
NDC,0049-0520-22 [185417],"PENICILLIN G POTASSIUM 1,000,000 UNITS/ML INJECTION [40800000207]",24.2,,0.88,20.812,84
NDC,0049-0520-22 [185417],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],24.2,,0.88,20.812,84
NDC,0049-0520-23 [299612],"PENICILLIN G POTASSIUM 1,000,000 UNITS/ML INJECTION [40800000207]",24.2,,0.88,20.812,84
NDC,0049-0520-23 [299612],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],24.2,,0.88,20.812,84
NDC,0049-0520-84 [275654],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],49.05,,0.88,42.183,84
NDC,0049-2340-05 [145337],ELETRIPTAN 40 MG TABLET [34684],277.2,,77.616,238.392,83
NDC,0049-2340-45 [120570],ELETRIPTAN 40 MG TABLET [34684],277.2,,77.616,238.392,83
NDC,0049-3160-44 [100527],VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [38103],2011.3,,563.164,1729.718,83
NDC,0049-3190-01 [214652],VORICONAZOLE 10 MG/ML INJ [40800000401],58.2,,0.78,50.052,84
NDC,0049-3190-01 [214652],VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],58.2,,0.78,50.052,84
NDC,0049-3190-28 [3982],VORICONAZOLE 10 MG/ML INJ [40800000401],206.95,,0.78,177.977,84
NDC,0049-3190-28 [3982],VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],206.95,,0.78,177.977,84
NDC,0049-3920-20 [267788],ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [33175],221.15,,3.14,190.189,84
NDC,0049-3920-20 [267788],ZIPRASIDONE 20 MG/ML IM INJECTION (CHEMICAL RESTRAINTS) [40840003969],221.15,,61.922,190.189,83
NDC,0049-3920-20 [267788],ZIPRASIDONE 20 MG/ML INTRAMUSCULAR INJECTION [40840002704],221.15,,61.922,190.189,83
NDC,0049-4190-01 [238394],VORICONAZOLE 10 MG/ML INJ [40800000401],58.2,,0.78,50.052,84
NDC,0049-4190-01 [238394],VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],58.2,,0.78,50.052,84
NDC,0049-4900-41 [4014],SERTRALINE 50 MG TABLET [11351],60.3,,16.884,51.858,83
NDC,0049-4910-30 [127001],SERTRALINE 100 MG TABLET [11350],60.25,,16.87,51.815,83
NDC,0052-0602-01 [277087],BCG LIVE 50 MG INTRAVESICAL SUSPENSION [127145],596.15,,3.12,512.689,86
NDC,0052-0602-01 [277087],BCG LIVE INTRAVESICAL SOLN 50 MG/ML [40800000446],596.15,,3.12,512.689,86
NDC,0052-0602-02 [4087],BCG LIVE 50 MG INTRAVESICAL SUSPENSION [127145],596.15,,3.12,512.689,86
NDC,0052-0602-02 [4087],BCG LIVE INTRAVESICAL SOLN 50 MG/ML [40800000446],596.15,,3.12,512.689,86
NDC,0053-7201-02 [4100],ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 700 MG-1300 MG INTRAVENOUS SOLUTION [36577],6.9,,0.52,6.1778,86
NDC,0053-7201-02 [4100],ALPHA-1-PROTEINASE INHIBITOR (ZEMAIRA) IVPB [40800003870],6.9,,0.52,6.1778,86
NDC,0053-7202-02 [377263],ALPHA-1-PROTEINASE INHIBITOR (ZEMAIRA) IVPB [40800003870],6.9,,0.52,6.1778,86
NDC,0053-7211-01 [366003],ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 700 MG-1300 MG INTRAVENOUS SOLUTION [36577],6.9,,0.52,6.1778,86
NDC,0053-7211-01 [366003],ALPHA-1-PROTEINASE INHIBITOR (ZEMAIRA) IVPB [40800003870],6.9,,0.52,6.1778,86
NDC,0053-7212-01 [377265],ALPHA-1-PROTEINASE INHIBITOR (ZEMAIRA) IVPB [40800003870],6.9,,0.52,6.1778,86
NDC,0053-7213-01 [377266],"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 5,000 MG INTRAVENOUS SOLUTION [203274]",6.9,,0.52,6.1778,86
NDC,0053-7213-01 [377266],ALPHA-1-PROTEINASE INHIBITOR (ZEMAIRA) IVPB [40800003870],6.9,,0.52,6.1778,86
NDC,0054-0010-20 [275657],FLECAINIDE 50 MG TABLET [10043],2.75,,0.77,2.365,83
NDC,0054-0010-25 [4140],FLECAINIDE 50 MG TABLET [10043],2.75,,0.77,2.365,83
NDC,0054-0017-20 [115722],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,0054-0017-29 [115724],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,0054-0018-20 [107003],PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,83
NDC,0054-0018-25 [110914],PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,83
NDC,0054-0018-29 [107004],PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,83
NDC,0054-0019-20 [110915],PREDNISONE 50 MG TABLET [6498],1.65,,0.462,1.419,83
NDC,0054-0019-25 [107005],PREDNISONE 50 MG TABLET [6498],1.65,,0.462,1.419,83
NDC,0054-0045-44 [4147],IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY [16070],123.6,,34.608,106.296,83
NDC,0054-0057-46 [110920],DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION [43556],458.65,,128.422,394.439,83
NDC,0054-0062-58 [110922],CITALOPRAM 10 MG/5 ML ORAL SOLUTION [28228],274.6,,76.888,236.156,83
NDC,0054-0064-47 [136142],ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],275.05,,0.01,236.543,84
NDC,0054-0080-13 [206865],EXEMESTANE 25 MG TABLET [26551],41.85,,11.718,35.991,83
NDC,0054-0088-26 [167456],CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],2.7,,0.756,2.322,83
NDC,0054-0163-25 [178107],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],2.6,,0.16,2.236,84
NDC,0054-0166-25 [178109],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],5.25,,0.16,4.515,84
NDC,0054-0188-13 [267791],BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET [34713],5.65,,1.582,4.859,83
NDC,0054-0189-13 [267792],BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET [34714],7.65,,2.142,6.579,83
NDC,0054-0235-24 [167460],MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],4.85,,1.358,4.171,83
NDC,0054-0235-25 [167461],MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],3.35,,0.938,2.881,83
NDC,0054-0236-24 [167462],MORPHINE 30 MG IMMEDIATE RELEASE TABLET [5179],7.35,,2.058,6.321,83
NDC,0054-0236-25 [167463],MORPHINE 30 MG IMMEDIATE RELEASE TABLET [5179],4.75,,1.33,4.085,83
NDC,0054-0237-63 [167466],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],79.9,,22.372,68.714,83
NDC,0054-0244-24 [185444],CODEINE SULFATE 30 MG TABLET [1802],5.35,,1.498,4.601,83
NDC,0054-0244-25 [185445],CODEINE SULFATE 30 MG TABLET [1802],4.95,,1.386,4.257,83
NDC,0054-0245-25 [185446],CODEINE SULFATE 60 MG TABLET [1803],8.0,,2.24,6.88,83
NDC,0054-0264-24 [185447],HYDROMORPHONE 4 MG TABLET [3761],2.85,,0.798,2.451,83
NDC,0054-0264-25 [185448],HYDROMORPHONE 4 MG TABLET [3761],2.85,,0.798,2.451,83
NDC,0054-0265-25 [185449],HYDROMORPHONE 8 MG TABLET [10226],5.05,,1.414,4.343,83
NDC,0054-0284-25 [195593],OXYMORPHONE 10 MG TABLET [76676],23.6,,6.608,20.296,83
NDC,0054-0293-99 [267794],AZELASTINE 137 MCG (0.1 %) NASAL SPRAY [19179],61.8,,17.304,53.148,83
NDC,0054-0319-50 [283360],LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],2200.7,,616.196,1892.602,83
NDC,0054-0326-56 [342992],FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104564],307.0,,85.96,264.02,83
NDC,0054-0334-25 [238398],CEVIMELINE 30 MG CAPSULE [27253],12.25,,3.43,10.535,83
NDC,0054-0349-25 [280193],PHENOXYBENZAMINE 10 MG CAPSULE [10945],353.8,,99.064,304.268,83
NDC,0054-0382-25 [264198],CYCLOPHOSPHAMIDE 25 MG CAPSULE [162637],35.5,,1.98,30.53,84
NDC,0054-0383-25 [264199],CYCLOPHOSPHAMIDE 50 MG CAPSULE [162638],52.95,,1.98,45.537,84
NDC,0054-0399-25 [342063],BEXAROTENE 75 MG CAPSULE [27027],202.0,,56.56,173.72,83
NDC,0054-0401-13 [295902],"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [91074]",5.05,,1.414,4.343,83
NDC,0054-0407-13 [307612],RITONAVIR 100 MG TABLET [100995],25.3,,7.084,21.758,83
NDC,0054-0415-25 [296897],ETHACRYNIC ACID 25 MG TABLET [9980],38.45,,10.766,33.067,83
NDC,0054-0517-41 [280195],MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],34.35,,9.618,29.541,83
NDC,0054-0517-50 [280197],MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],237.05,,66.374,203.863,83
NDC,0054-0709-25 [342995],METHADONE 5 MG TABLET [4954],2.85,,0.798,2.451,83
NDC,0054-0710-20 [342996],METHADONE 10 MG TABLET [4953],2.95,,0.826,2.537,83
NDC,0054-0710-25 [342997],METHADONE 10 MG TABLET [4953],2.95,,0.826,2.537,83
NDC,0054-0742-87 [354771],ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 6.7 GRAM (ANES OSM) [40800000343],123.5,,34.58,106.21,83
NDC,0054-0742-87 [354771],ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],123.5,,34.58,106.21,83
NDC,0054-3120-41 [4174],CALCITRIOL 1 MCG/ML ORAL SOLUTION [16218],469.15,,131.362,403.469,83
NDC,0054-3176-44 [4182],DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE) [124195],81.9,,0.02,70.434,84
NDC,0054-3177-57 [167469],DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION [2320],175.05,,0.02,150.543,84
NDC,0054-3177-63 [4183],DEXAMETHASONE 0.5 MG/5 ML MOUTHWASH [40800001052],62.6,,0.02,53.836,84
NDC,0054-3177-63 [4183],DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION [2320],62.6,,0.02,53.836,84
NDC,0054-3270-99 [129380],"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",52.55,,14.714,45.193,83
NDC,0054-3294-46 [4189],FUROSEMIDE 10 MG/ML ORAL SOLUTION [3292],32.0,,8.96,27.52,83
NDC,0054-3505-47 [4203],LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],137.3,,38.444,118.078,83
NDC,0054-3555-63 [4212],METHADONE 5 MG/5 ML ORAL SOLUTION [4952],111.4,,31.192,95.804,83
NDC,0054-3722-50 [4228],PREDNISONE 5 MG/5 ML ORAL SOLUTION [6492],274.6,,76.888,236.156,83
NDC,0054-3722-63 [4229],PREDNISONE 5 MG/5 ML ORAL SOLUTION [6492],1015.6,,284.368,873.416,83
NDC,0054-3727-63 [4230],PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [6654],155.75,,43.61,133.945,83
NDC,0054-4146-22 [107006],CLOTRIMAZOLE 10 MG TROCHE [9644],9.4,,2.632,8.084,83
NDC,0054-4146-23 [107007],CLOTRIMAZOLE 10 MG TROCHE [9644],8.25,,2.31,7.095,83
NDC,0054-4180-25 [4257],DEXAMETHASONE 0.75 MG TABLET [2323],1.65,,0.02,1.419,84
NDC,0054-4181-25 [4258],DEXAMETHASONE 1 MG TABLET [2324],1.65,,0.02,1.419,84
NDC,0054-4183-25 [4260],DEXAMETHASONE 2 MG TABLET [2326],2.4,,0.02,2.064,84
NDC,0054-4184-25 [4261],DEXAMETHASONE 4 MG TABLET [2327],4.7,,0.02,4.042,84
NDC,0054-4297-25 [4277],FUROSEMIDE 20 MG TABLET [3294],1.65,,0.462,1.419,83
NDC,0054-4299-25 [4279],FUROSEMIDE 40 MG TABLET [3295],1.65,,0.462,1.419,83
NDC,0054-4496-13 [4287],LEUCOVORIN CALCIUM 5 MG TABLET [4398],5.3,,1.484,4.558,83
NDC,0054-4496-25 [4288],LEUCOVORIN CALCIUM 5 MG TABLET [4398],5.2,,1.456,4.472,83
NDC,0054-4497-10 [4290],LEUCOVORIN CALCIUM 10 MG TABLET [4395],26.3,,7.364,22.618,83
NDC,0054-4498-10 [4292],LEUCOVORIN CALCIUM 15 MG TABLET [4396],25.1,,7.028,21.586,83
NDC,0054-4499-11 [4293],LEUCOVORIN CALCIUM 25 MG TABLET [4397],43.55,,12.194,37.453,83
NDC,0054-4527-25 [4294],LITHIUM CARBONATE 300 MG TABLET [4531],1.65,,0.462,1.419,83
NDC,0054-4581-11 [100532],MERCAPTOPURINE 50 MG TABLET [10531],15.05,,4.214,12.943,83
NDC,0054-4581-27 [100533],MERCAPTOPURINE 50 MG TABLET [10531],14.7,,4.116,12.642,83
NDC,0054-4741-25 [4328],PREDNISONE 1 MG TABLET [6493],1.65,,0.462,1.419,83
NDC,0054-4742-25 [4330],PREDNISONE 2.5 MG TABLET [6495],1.65,,0.462,1.419,83
NDC,0054-8146-22 [107010],CLOTRIMAZOLE 10 MG TROCHE [9644],13.05,,3.654,11.223,83
NDC,0054-8174-25 [4376],DEXAMETHASONE 1 MG TABLET [2324],1.65,,0.02,1.419,84
NDC,0054-8175-25 [4377],DEXAMETHASONE 4 MG TABLET [2327],4.8,,0.02,4.128,84
NDC,0054-8176-25 [4378],DEXAMETHASONE 2 MG TABLET [2326],2.95,,0.02,2.537,84
NDC,0054-8179-25 [4380],DEXAMETHASONE 0.5 MG TABLET [2322],1.65,,0.02,1.419,84
NDC,0054-8180-25 [4381],DEXAMETHASONE 0.75 MG TABLET [2323],1.65,,0.02,1.419,84
NDC,0054-8297-25 [4401],FUROSEMIDE 20 MG TABLET [3294],1.65,,0.462,1.419,83
NDC,0054-8299-25 [4403],FUROSEMIDE 40 MG TABLET [3295],1.65,,0.462,1.419,83
NDC,0054-8528-25 [4427],LITHIUM CARBONATE 300 MG TABLET [4531],1.65,,0.462,1.419,83
NDC,0054-8724-25 [4465],PREDNISONE 5 MG TABLET [6497],1.65,,0.462,1.419,83
NDC,0054-8739-25 [4470],PREDNISONE 1 MG TABLET [6493],1.65,,0.462,1.419,83
NDC,0054-8740-25 [4471],PREDNISONE 2.5 MG TABLET [6495],1.65,,0.462,1.419,83
NDC,0054-9817-25 [342064],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,0065-0023-15 [4762],CARBACHOL 0.01 % INTRAOCULAR SOLUTION [19704],165.9,,46.452,142.674,83
NDC,0065-0092-65 [178114],FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],159.0,,44.52,136.74,83
NDC,0065-0396-05 [4826],CYCLOPENTOLATE 1 % EYE DROPS [2025],218.65,,61.222,188.039,83
NDC,0065-0411-30 [4831],POVIDONE-IODINE 5 % EYE SOLUTION [19791],60.95,,17.066,52.417,83
NDC,0065-0418-81 [287924],DEXTRAN 70-HYPROMELLOSE 0.1 %-0.3 % EYE DROPS [130482],28.45,,7.966,24.467,83
NDC,0065-0426-36 [288137],ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS [125694],31.35,,8.778,26.961,83
NDC,0065-0426-37 [306473],ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS [125694],45.75,,12.81,39.345,83
NDC,0065-0474-01 [232487],ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL [21058],37.75,,10.57,32.465,83
NDC,0065-0518-01 [326892],WHITE PETROLATUM-MINERAL OIL 94 %-3 % EYE OINTMENT [128755],30.85,,8.638,26.531,83
NDC,0065-0518-01 [326892],WHITE PETROLATUM-MINERAL OIL OPHTHALMIC OINTMENT CONTAINER [40800002898],30.85,,8.638,26.531,83
NDC,0065-0530-01 [4844],BALANCED SALT SOLUTION NON-SURGICAL NO.3 EYE WASH [10780],68.5,,19.18,58.91,83
NDC,0065-0530-04 [4845],BALANCED SALT SOLUTION NON-SURGICAL NO.3 EYE WASH [10780],105.3,,29.484,90.558,83
NDC,0065-0543-01 [152669],TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION [89128],3092.55,,18.78,2659.593,86
NDC,0065-0660-10 [4862],APRACLONIDINE 1 % EYE DROPS IN A DROPPERETTE [9120],95.2,,26.656,81.872,83
NDC,0065-0741-14 [293633],TETRACAINE HCL (PF) 0.5 % EYE DROPS [130179],53.5,,14.98,46.01,83
NDC,0065-0795-15 [4871],BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [10781],50.75,,14.21,43.645,83
NDC,0065-0795-50 [4874],BALANCED SALT IRRIGATION SOLUTION (RN OSM) [40800001983],137.3,,38.444,118.078,83
NDC,0065-0795-50 [4874],BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [10781],137.3,,38.444,118.078,83
NDC,0065-0800-50 [4875],BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION [14123],352.2,,98.616,302.892,83
NDC,0065-4274-01 [333375],OLOPATADINE 0.1 % EYE DROPS [19452],47.9,,13.412,41.194,83
NDC,0065-8063-01 [326893],DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE [129345],1.65,,0.462,1.419,83
NDC,0065-8064-01 [333376],ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL [21058],33.15,,9.282,28.509,83
NDC,0065-8150-01 [333377],OLOPATADINE 0.2 % EYE DROPS [76979],57.25,,16.03,49.235,83
NDC,0065-9305-01 [370996],DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE [129345],2.15,,0.602,1.849,83
NDC,0067-3998-30 [145384],TERBINAFINE HCL 1 % TOPICAL CREAM [27023],46.85,,13.118,40.291,83
NDC,0067-8100-12 [224977],TERBINAFINE HCL 1 % TOPICAL CREAM [27023],35.3,,9.884,30.358,83
NDC,0068-0597-01 [5291],RIFAMPIN 60 MG/ML INJ [40800000405],585.0,,0.16,503.1,84
NDC,0068-0597-01 [5291],RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],585.0,,0.16,503.1,84
NDC,0069-0043-01 [209262],"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [127226]",42.7,,3.01,36.722,84
NDC,0069-0043-02 [209263],"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [127226]",42.7,,3.01,36.722,84
NDC,0069-0058-02 [209265],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.8,,3.01,12.728,84
NDC,0069-0135-01 [224997],BOSUTINIB 100 MG TABLET [117365],607.4,,170.072,522.364,83
NDC,0069-0136-01 [224998],BOSUTINIB 500 MG TABLET [117366],2429.5,,680.26,2089.37,83
NDC,0069-0145-01 [214701],AXITINIB 1 MG TABLET [113623],385.15,,107.842,331.229,83
NDC,0069-0151-11 [214702],AXITINIB 5 MG TABLET [113624],1155.45,,323.526,993.687,83
NDC,0069-0187-21 [275674],PALBOCICLIB 75 MG CAPSULE [170703],2108.4,,590.352,1813.224,83
NDC,0069-0188-21 [275675],PALBOCICLIB 100 MG CAPSULE [170704],2108.4,,590.352,1813.224,83
NDC,0069-0189-21 [275676],PALBOCICLIB 125 MG CAPSULE [170705],2108.4,,590.352,1813.224,83
NDC,0069-0195-01 [275677],"DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108031]",295.45,,18.04,254.087,84
NDC,0069-0195-02 [275678],"DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108031]",295.45,,18.04,254.087,84
NDC,0069-0196-01 [275679],"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108032]",479.3,,18.04,412.198,84
NDC,0069-0196-02 [275680],"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE [108032]",479.3,,18.04,412.198,84
NDC,0069-0206-01 [275681],"DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE [108033]",719.05,,18.04,618.383,84
NDC,0069-0206-02 [275682],"DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE [108033]",719.05,,18.04,618.383,84
NDC,0069-0209-01 [339144],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],18.95,,0.09,16.297,84
NDC,0069-0209-10 [339145],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],18.95,,0.09,16.297,84
NDC,0069-0217-01 [275683],"DALTEPARIN (PORCINE) 10,000 ANTI-XA UNIT/ML SUBCUTANEOUS SYRINGE [108030]",958.6,,18.04,824.396,84
NDC,0069-0217-02 [275684],"DALTEPARIN (PORCINE) 10,000 ANTI-XA UNIT/ML SUBCUTANEOUS SYRINGE [108030]",958.6,,18.04,824.396,84
NDC,0069-0220-01 [275685],"DALTEPARIN (PORCINE) 12,500 ANTI-XA UNIT/0.5 ML SUBCUTANEOUS SYRINGE [108034]",1198.35,,18.04,1030.581,84
NDC,0069-0220-02 [275686],"DALTEPARIN (PORCINE) 12,500 ANTI-XA UNIT/0.5 ML SUBCUTANEOUS SYRINGE [108034]",1198.35,,18.04,1030.581,84
NDC,0069-0223-01 [275687],"DALTEPARIN (PORCINE) 15,000 ANTI-XA UNIT/0.6 ML SUBCUTANEOUS SYRINGE [108035]",1437.95,,18.04,1236.637,84
NDC,0069-0223-02 [275688],"DALTEPARIN (PORCINE) 15,000 ANTI-XA UNIT/0.6 ML SUBCUTANEOUS SYRINGE [108035]",1437.95,,18.04,1236.637,84
NDC,0069-0227-01 [316311],LORLATINIB 25 MG TABLET [186930],816.4,,228.592,702.104,83
NDC,0069-0228-01 [275689],"DALTEPARIN (PORCINE) 18,000 ANTI-XA UNIT/0.72 ML SUBCUTANEOUS SYRINGE [108036]",1725.55,,18.04,1483.973,84
NDC,0069-0228-02 [275690],"DALTEPARIN (PORCINE) 18,000 ANTI-XA UNIT/0.72 ML SUBCUTANEOUS SYRINGE [108036]",1725.55,,18.04,1483.973,84
NDC,0069-0231-01 [316312],LORLATINIB 100 MG TABLET [186931],2449.1,,685.748,2106.226,83
NDC,0069-0232-01 [275691],"DALTEPARIN (PORCINE) 25,000 ANTI-XA UNIT/ML SUBCUTANEOUS SOLUTION [108149]",8891.0,,18.04,7646.26,84
NDC,0069-0238-01 [331080],RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [190337],2348.25,,13.69,2019.495,86
NDC,0069-0238-01 [331080],RITUXIMAB-PVVR INJ 10 MG/ML (DESENSITIZATION) [40800003585],2348.25,,13.69,2019.495,86
NDC,0069-0248-01 [339148],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],80.9,,0.09,69.574,84
NDC,0069-0248-01 [339148],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],80.9,,0.09,69.574,84
NDC,0069-0248-10 [339149],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],80.9,,0.09,69.574,84
NDC,0069-0248-10 [339149],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],80.9,,0.09,69.574,84
NDC,0069-0249-01 [331081],RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [190337],11741.2,,13.69,10097.432,86
NDC,0069-0249-01 [331081],RITUXIMAB-PVVR INJ 10 MG/ML (DESENSITIZATION) [40800003585],11741.2,,13.69,10097.432,86
NDC,0069-0284-03 [333380],PALBOCICLIB 75 MG TABLET [190767],2645.15,,740.642,2274.829,83
NDC,0069-0284-07 [333381],PALBOCICLIB 75 MG TABLET [190767],2645.15,,740.642,2274.829,83
NDC,0069-0305-01 [332009],TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION [190553],11109.2,,9.43575,9553.912,86
NDC,0069-0305-01 [332009],TRASTUZUMAB-QYYP BIOSIMILAR 21 MG/ML INJECTION CONTAINER [40800002688],11109.2,,9.43575,9553.912,86
NDC,0069-0306-01 [332010],TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION [190553],11109.2,,9.43575,9553.912,86
NDC,0069-0306-01 [332010],TRASTUZUMAB-QYYP BIOSIMILAR 21 MG/ML INJECTION CONTAINER [40800002688],11109.2,,9.43575,9553.912,86
NDC,0069-0308-01 [345575],TRASTUZUMAB-QYYP 150 MG INTRAVENOUS SOLUTION [194040],3967.6,,9.43575,3412.136,86
NDC,0069-0308-01 [345575],TRASTUZUMAB-QYYP BIOSIMILAR 21 MG/ML INJECTION CONTAINER [40800002688],3967.6,,9.43575,3412.136,86
NDC,0069-0315-01 [330238],BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION [190094],2009.5,,23.93,1728.17,86
NDC,0069-0342-01 [330239],BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION [190094],8038.0,,23.93,6912.68,86
NDC,0069-0343-02 [390298],DOXORUBICIN 2 MG/ML INJ CONTAINER [40800000109],84.3,,2.72,72.498,84
NDC,0069-0343-02 [390298],DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [128848],84.3,,2.72,72.498,84
NDC,0069-0486-03 [333382],PALBOCICLIB 100 MG TABLET [190768],2645.15,,740.642,2274.829,83
NDC,0069-0486-07 [333383],PALBOCICLIB 100 MG TABLET [190768],2645.15,,740.642,2274.829,83
NDC,0069-0688-03 [333384],PALBOCICLIB 125 MG TABLET [190769],2645.15,,740.642,2274.829,83
NDC,0069-0688-07 [333385],PALBOCICLIB 125 MG TABLET [190769],2645.15,,740.642,2274.829,83
NDC,0069-0809-01 [293635],INFLIXIMAB-DYYB BIOSIMILAR (INFLECTRA) INJECTION 10 MG/ML [40800003566],3100.05,,19.68,2666.043,86
NDC,0069-1308-01 [310259],"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [185377]",370.25,,7.57,318.415,86
NDC,0069-1308-10 [310260],"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [185377]",370.25,,7.57,318.415,86
NDC,0069-1309-01 [310261],"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [185529]",1480.95,,7.57,1273.617,86
NDC,0069-1309-04 [310262],"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [185529]",1480.95,,7.57,1273.617,86
NDC,0069-1542-20 [386251],DOXORUBICIN 2 MG/ML INJ CONTAINER [40800000109],224.25,,2.72,192.855,84
NDC,0069-1542-20 [386251],DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],224.25,,2.72,192.855,84
NDC,0069-1542-20 [386251],DOXORUBICIN INFUSION 2 MG/ML (MAX CONC) (PEDI) [40800004211],224.25,,2.72,192.855,84
NDC,0069-1542-20 [386251],DOXORUBICIN IVPB 2 MG/ML (MAX CONC) (PEDI) [40800004210],224.25,,2.72,192.855,84
NDC,0069-2501-01 [400167],COVID VACCINE 2025-2026 (5-11 YRS) (PFIZER) (PF) 10 MCG/0.3 ML IM SUSP [209838],264.45,,74.046,227.427,84
NDC,0069-2501-10 [400168],COVID VACCINE 2025-2026 (5-11 YRS) (PFIZER) (PF) 10 MCG/0.3 ML IM SUSP [209838],264.45,,74.046,227.427,84
NDC,0069-2522-01 [378588],ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION [202348],28179.3,,185.31,24234.198,86
NDC,0069-2522-02 [373281],ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION [202348],28179.3,,185.31,24234.198,86
NDC,0069-2528-01 [400169],COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE [209839],515.65,,144.382,443.459,84
NDC,0069-2528-10 [400170],COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE [209839],515.65,,144.382,443.459,84
NDC,0069-3032-20 [206889],DOXORUBICIN 2 MG/ML INJ CONTAINER [40800000109],84.3,,2.72,72.498,84
NDC,0069-3032-20 [206889],DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [128848],84.3,,2.72,72.498,84
NDC,0069-3032-20 [206889],DOXORUBICIN INFUSION 2 MG/ML (MAX CONC) (PEDI) [40800004211],84.3,,2.72,72.498,84
NDC,0069-3032-20 [206889],DOXORUBICIN IVPB 2 MG/ML (MAX CONC) (PEDI) [40800004210],84.3,,2.72,72.498,84
NDC,0069-3034-20 [206891],DOXORUBICIN 2 MG/ML INJ CONTAINER [40800000109],224.25,,2.72,192.855,84
NDC,0069-3034-20 [206891],DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],224.25,,2.72,192.855,84
NDC,0069-3034-20 [206891],DOXORUBICIN HIPEC INFUSION CONTAINER [40800002819],224.25,,2.72,192.855,84
NDC,0069-3034-20 [206891],DOXORUBICIN INFUSION 2 MG/ML (MAX CONC) (PEDI) [40800004211],224.25,,2.72,192.855,84
NDC,0069-3034-20 [206891],DOXORUBICIN IVPB 2 MG/ML (MAX CONC) (PEDI) [40800004210],224.25,,2.72,192.855,84
NDC,0069-3150-83 [5339],AZITHROMYCIN 100 MG/ML INJ [40800000019],28.9,,2.61,24.854,84
NDC,0069-3150-83 [5339],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],28.9,,2.61,24.854,84
NDC,0069-3150-84 [264218],AZITHROMYCIN 100 MG/ML INJ [40800000019],28.9,,2.61,24.854,84
NDC,0069-3150-84 [264218],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],28.9,,2.61,24.854,84
NDC,0069-4026-25 [264221],DOXORUBICIN 2 MG/ML INJ CONTAINER [40800000109],53.05,,2.72,45.623,84
NDC,0069-4026-25 [264221],DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [128848],53.05,,2.72,45.623,84
NDC,0069-4026-25 [264221],DOXORUBICIN INFUSION 2 MG/ML (MAX CONC) (PEDI) [40800004211],53.05,,2.72,45.623,84
NDC,0069-4026-25 [264221],DOXORUBICIN IVPB 2 MG/ML (MAX CONC) (PEDI) [40800004210],53.05,,2.72,45.623,84
NDC,0069-4037-01 [264222],DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],124.45,,2.72,107.027,84
NDC,0069-4494-01 [378589],ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION [202348],48673.3,,185.31,41859.038,86
NDC,0069-4494-02 [373282],ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION [202348],48673.3,,185.31,41859.038,86
NDC,0069-5471-01 [275692],FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],14.5,,1.33,12.47,85
NDC,0069-5471-02 [275693],FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],14.5,,1.33,12.47,85
NDC,0069-5474-01 [275694],FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],58.1,,1.33,49.966,85
NDC,0069-5474-02 [275695],FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],58.1,,1.33,49.966,85
NDC,0069-5800-60 [5370],DOFETILIDE 125 MCG CAPSULE [26965],43.15,,12.082,37.109,83
NDC,0069-5810-60 [5372],DOFETILIDE 250 MCG CAPSULE [26966],43.15,,12.082,37.109,83
NDC,0069-6001-02 [258307],FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],138.8,,1.33,119.368,85
NDC,0069-6001-10 [258308],FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],397.4,,1.33,341.764,85
NDC,0069-6001-21 [258309],FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],397.4,,1.33,341.764,85
NDC,0069-6001-25 [258310],FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],138.8,,1.33,119.368,85
NDC,0069-8140-20 [209283],CRIZOTINIB 250 MG CAPSULE [111399],1298.05,,363.454,1116.323,83
NDC,0069-8141-20 [209284],CRIZOTINIB 200 MG CAPSULE [111398],1298.05,,363.454,1116.323,83
NDC,0071-0007-24 [5375],PHENYTOIN 50 MG CHEWABLE TABLET [11018],7.85,,2.198,6.751,83
NDC,0071-0007-40 [5376],PHENYTOIN 50 MG CHEWABLE TABLET [11018],10.6,,2.968,9.116,83
NDC,0071-0369-24 [152784],PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],8.65,,2.422,7.439,83
NDC,0071-0369-40 [152786],PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],9.55,,2.674,8.213,83
NDC,0071-0418-13 [5403],NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],138.75,,38.85,119.325,83
NDC,0071-0418-24 [5404],NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],254.3,,71.204,218.698,83
NDC,0071-1012-68 [123345],PREGABALIN 25 MG CAPSULE [42162],40.25,,11.27,34.615,83
NDC,0071-1013-41 [136189],PREGABALIN 50 MG CAPSULE [42163],44.15,,12.362,37.969,83
NDC,0071-1013-68 [123346],PREGABALIN 50 MG CAPSULE [42163],40.25,,11.27,34.615,83
NDC,0071-1014-41 [136190],PREGABALIN 75 MG CAPSULE [42164],44.15,,12.362,37.969,83
NDC,0071-1014-68 [123347],PREGABALIN 75 MG CAPSULE [42164],40.25,,11.27,34.615,83
NDC,0071-1015-41 [136191],PREGABALIN 100 MG CAPSULE [42165],44.15,,12.362,37.969,83
NDC,0071-1015-68 [123348],PREGABALIN 100 MG CAPSULE [42165],40.25,,11.27,34.615,83
NDC,0071-1016-41 [136192],PREGABALIN 150 MG CAPSULE [42166],44.15,,12.362,37.969,83
NDC,0071-1016-68 [123349],PREGABALIN 150 MG CAPSULE [42166],40.25,,11.27,34.615,83
NDC,0071-1017-68 [123350],PREGABALIN 200 MG CAPSULE [42167],40.25,,11.27,34.615,83
NDC,0071-1018-68 [123351],PREGABALIN 300 MG CAPSULE [42169],40.25,,11.27,34.615,83
NDC,0071-3740-66 [185497],PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE [11019],7.45,,2.086,6.407,83
NDC,0073140106 [24570],ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],1.65,,0.462,1.419,83
NDC,0074-0561-11 [287926],VENETOCLAX 10 MG TABLET [178096],51.65,,14.462,44.419,83
NDC,0074-0561-14 [287116],VENETOCLAX 10 MG TABLET [178096],51.65,,14.462,44.419,83
NDC,0074-0566-07 [287226],VENETOCLAX 50 MG TABLET [178097],230.1,,64.428,197.886,83
NDC,0074-0566-11 [287927],VENETOCLAX 50 MG TABLET [178097],230.1,,64.428,197.886,83
NDC,0074-0576-11 [287928],VENETOCLAX 100 MG TABLET [178098],439.15,,122.962,377.669,83
NDC,0074-0576-22 [287118],VENETOCLAX 100 MG TABLET [178098],439.25,,122.99,377.755,83
NDC,0074-1044-01 [396881],TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INJ CONTAINER [40800004037],9159.7,,145.99,7877.342,85
NDC,0074-1055-01 [396882],TELISOTUZUMAB VEDOTIN-TLLV 100 MG INTRAVENOUS SOLUTION [208880],45798.5,,145.99,39386.71,85
NDC,0074-1055-01 [396882],TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INJ CONTAINER [40800004037],45798.5,,145.99,39386.71,85
NDC,0074-1658-01 [5880],PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [22960],58.4,,0.67,50.224,84
NDC,0074-2282-03 [178128],LEUPROLIDE 11.25 MG INTRAMUSCULAR KIT [10390],7087.7,,1737.1,6095.422,86
NDC,0074-2440-03 [178129],LEUPROLIDE 15 MG INTRAMUSCULAR KIT [10391],13811.35,,1737.1,11877.761,86
NDC,0074-3109-32 [283369],CYCLOSPORINE MODIFIED 100 MG CAPSULE (NEORAL) [28843],36.6,,2.07,31.476,84
NDC,0074-3333-30 [185499],RITONAVIR 100 MG TABLET [100995],33.05,,9.254,28.423,83
NDC,0074-3346-03 [178131],LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21045],11601.6,,155.42,9977.376,86
NDC,0074-3473-03 [209285],LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT [110751],23203.6,,155.42,19955.096,86
NDC,0074-3641-03 [178132],LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [13691],3245.25,,908.67,2790.915,86
NDC,0074-3642-03 [178133],LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT [130418],3867.25,,155.42,3325.835,86
NDC,0074-3663-03 [178134],LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [21044],9735.8,,1737.1,8372.788,86
NDC,0074-3683-03 [178135],LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT [21108],15468.85,,155.42,13303.211,86
NDC,0074-3727-90 [206892],LEVOTHYROXINE 137 MCG TABLET [10405],8.25,,2.31,7.095,83
NDC,0074-3779-03 [209286],LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT [111340],21263.2,,1737.1,18286.352,86
NDC,0074-3878-01 [396883],AZTREONAM-AVIBACTAM 169.3 MG/ML INJ [40800003644],1042.45,,1.68,896.507,85
NDC,0074-3878-01 [396883],AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800004122],1042.45,,1.68,896.507,85
NDC,0074-3878-01 [396883],AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION [208766],1042.45,,1.68,896.507,85
NDC,0074-3878-10 [396884],AZTREONAM-AVIBACTAM 169.3 MG/ML INJ [40800003644],1042.45,,1.68,896.507,85
NDC,0074-3878-10 [396884],AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800004122],1042.45,,1.68,896.507,85
NDC,0074-3878-10 [396884],AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION [208766],1042.45,,1.68,896.507,85
NDC,0074-4341-90 [206893],LEVOTHYROXINE 25 MCG TABLET [4420],8.25,,2.31,7.095,83
NDC,0074-4378-05 [6626],CISATRACURIUM 2 MG/ML INJ CONTAINER [40800000731],60.4,,16.912,51.944,83
NDC,0074-4378-05 [6626],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION (OSM) [40800000241],55.9,,15.652,48.074,83
NDC,0074-4378-05 [6626],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],60.4,,16.912,51.944,83
NDC,0074-4380-10 [6629],CISATRACURIUM 2 MG/ML INJ CONTAINER [40800000731],94.4,,26.432,81.184,83
NDC,0074-4380-10 [6629],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION (OSM) [40800000241],87.45,,24.486,75.207,83
NDC,0074-4380-10 [6629],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],94.4,,26.432,81.184,83
NDC,0074-4382-20 [6630],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],973.0,,272.44,836.78,83
NDC,0074-4637-01 [6743],PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION [31688],26.55,,0.67,22.833,84
NDC,0074-5182-11 [6897],LEVOTHYROXINE 75 MCG TABLET [4422],8.25,,2.31,7.095,83
NDC,0074-5182-90 [206895],LEVOTHYROXINE 75 MCG TABLET [4422],8.25,,2.31,7.095,83
NDC,0074-6594-19 [7113],LEVOTHYROXINE 88 MCG TABLET [10403],8.25,,2.31,7.095,83
NDC,0074-6594-90 [206896],LEVOTHYROXINE 88 MCG TABLET [10403],8.25,,2.31,7.095,83
NDC,0074-6624-11 [7119],LEVOTHYROXINE 100 MCG TABLET [4423],8.25,,2.31,7.095,83
NDC,0074-6624-90 [206897],LEVOTHYROXINE 100 MCG TABLET [4423],8.25,,2.31,7.095,83
NDC,0074-7068-11 [7177],LEVOTHYROXINE 125 MCG TABLET [4424],8.25,,2.31,7.095,83
NDC,0074-7068-90 [206898],LEVOTHYROXINE 125 MCG TABLET [4424],8.25,,2.31,7.095,83
NDC,0074-7069-11 [7180],LEVOTHYROXINE 150 MCG TABLET [4425],8.25,,2.31,7.095,83
NDC,0074-7070-90 [206900],LEVOTHYROXINE 175 MCG TABLET [10406],8.25,,2.31,7.095,83
NDC,0074-7148-11 [7228],LEVOTHYROXINE 200 MCG TABLET [4426],8.25,,2.31,7.095,83
NDC,0074-7148-90 [206901],LEVOTHYROXINE 200 MCG TABLET [4426],8.25,,2.31,7.095,83
NDC,0074-9296-90 [206903],LEVOTHYROXINE 112 MCG TABLET [10404],8.25,,2.31,7.095,83
NDC,0075-0620-01 [336299],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],105.2,,0.57,90.472,84
NDC,0075-0620-01 [336299],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],105.2,,0.57,90.472,84
NDC,0075-0620-40 [7629],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],35.4,,0.57,30.444,84
NDC,0075-0620-40 [7629],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],35.4,,0.57,30.444,84
NDC,0075-0621-01 [335661],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],158.0,,0.57,135.88,84
NDC,0075-0621-60 [7630],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],53.15,,0.57,45.709,84
NDC,0075-0622-01 [338288],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],63.2,,0.57,54.352,84
NDC,0075-0622-80 [7631],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],63.2,,0.57,54.352,84
NDC,0075-0623-00 [7632],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],79.0,,0.57,67.94,84
NDC,0075-0623-03 [339260],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],79.0,,0.57,67.94,84
NDC,0075-0624-01 [337296],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],32.6,,0.57,28.036,84
NDC,0075-0624-30 [7634],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],32.6,,0.57,28.036,84
NDC,0075-0626-03 [7635],ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],236.7,,0.57,203.562,84
NDC,0075-2912-00 [340295],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],94.85,,0.57,81.571,84
NDC,0075-2912-01 [7646],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],94.85,,0.57,81.571,84
NDC,0075-2915-00 [347665],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],118.55,,0.57,101.953,84
NDC,0075-2915-01 [7647],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],118.55,,0.57,101.953,84
NDC,0078-0109-01 [7703],CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],249.15,,69.762,214.269,84
NDC,0078-0109-61 [214718],CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],249.2,,69.776,214.312,84
NDC,0078-0110-22 [7704],CYCLOSPORINE 100 MG/ML ORAL SOLUTION [9708],2737.1,,2.07,2353.906,84
NDC,0078-0240-15 [7729],CYCLOSPORINE 25 MG CAPSULE [9707],22.15,,0.77,19.049,84
NDC,0078-0240-61 [214724],CYCLOSPORINE 25 MG CAPSULE [9707],22.4,,0.77,19.264,84
NDC,0078-0241-15 [7730],CYCLOSPORINE 100 MG CAPSULE [9706],63.95,,2.07,54.997,84
NDC,0078-0241-61 [214725],CYCLOSPORINE 100 MG CAPSULE [9706],64.05,,2.07,55.083,84
NDC,0078-0246-15 [7733],CYCLOSPORINE MODIFIED 25 MG CAPSULE (GENGRAF) [40800002445],14.25,,0.77,12.255,84
NDC,0078-0246-15 [7733],CYCLOSPORINE MODIFIED 25 MG CAPSULE (NEORAL) [28842],14.25,,0.77,12.255,84
NDC,0078-0246-61 [167512],CYCLOSPORINE MODIFIED 25 MG CAPSULE (GENGRAF) [40800002445],14.4,,0.77,12.384,84
NDC,0078-0246-61 [167512],CYCLOSPORINE MODIFIED 25 MG CAPSULE (NEORAL) [28842],14.4,,0.77,12.384,84
NDC,0078-0248-15 [7734],CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENGRAF) [40800002443],46.25,,2.07,39.775,84
NDC,0078-0248-15 [7734],CYCLOSPORINE MODIFIED 100 MG CAPSULE (NEORAL) [28843],46.25,,2.07,39.775,84
NDC,0078-0248-61 [214726],CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENGRAF) [40800002443],46.35,,2.07,39.861,84
NDC,0078-0248-61 [214726],CYCLOSPORINE MODIFIED 100 MG CAPSULE (NEORAL) [28843],46.35,,2.07,39.861,84
NDC,0078-0274-22 [7736],CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION (NEORAL) [28844],2141.7,,2.07,1841.862,84
NDC,0078-0331-84 [7759],BASILIXIMAB 20 MG INTRAVENOUS SOLUTION [23082],15539.25,,4350.99,13363.755,86
NDC,0078-0357-52 [7796],OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479],1652.35,,462.658,1421.021,83
NDC,0078-0358-34 [100563],VALSARTAN 80 MG TABLET [31209],37.6,,10.528,32.336,83
NDC,0078-0359-34 [100564],VALSARTAN 160 MG TABLET [31210],40.45,,11.326,34.787,83
NDC,0078-0360-34 [100565],VALSARTAN 320 MG TABLET [31211],51.15,,14.322,43.989,83
NDC,0078-0423-15 [123356],VALSARTAN 40 MG TABLET [33541],38.75,,10.85,33.325,83
NDC,0078-0467-61 [214736],DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],119.2,,9.02,102.512,84
NDC,0078-0467-61 [214736],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],119.2,,9.02,102.512,84
NDC,0078-0467-91 [145419],DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],119.2,,9.02,102.512,84
NDC,0078-0467-91 [145419],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],119.2,,9.02,102.512,84
NDC,0078-0468-15 [127027],DEFERASIROX 125 MG DISPERSIBLE TABLET [43415],181.9,,50.932,156.434,83
NDC,0078-0469-15 [127028],DEFERASIROX 250 MG DISPERSIBLE TABLET [43416],347.2,,97.216,298.592,83
NDC,0078-0470-15 [127029],DEFERASIROX 500 MG DISPERSIBLE TABLET [43417],694.35,,194.418,597.141,83
NDC,0078-0494-71 [152800],TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],481.85,,134.918,414.391,83
NDC,0078-0501-61 [145425],RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],78.5,,21.98,67.51,83
NDC,0078-0502-15 [145426],RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH [82505],78.5,,21.98,67.51,83
NDC,0078-0502-61 [145427],RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH [82505],78.5,,21.98,67.51,83
NDC,0078-0510-05 [162151],"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR [27634]",8.1,,2.268,6.966,83
NDC,0078-0526-51 [152806],NILOTINIB HCL 200 MG CAPSULE [88720],652.15,,182.602,560.849,83
NDC,0078-0526-87 [152807],NILOTINIB HCL 200 MG CAPSULE [88720],652.15,,182.602,560.849,83
NDC,0078-0566-51 [178144],EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET [97389],2306.0,,1.99,1983.16,84
NDC,0078-0567-51 [178146],EVEROLIMUS (ANTINEOPLASTIC) 10 MG TABLET [97390],2306.0,,1.99,1983.16,84
NDC,0078-0568-45 [178148],ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET [96948],26.65,,7.462,22.919,83
NDC,0078-0592-51 [195658],NILOTINIB HCL 150 MG CAPSULE [105679],652.15,,182.602,560.849,83
NDC,0078-0592-87 [195659],NILOTINIB HCL 150 MG CAPSULE [105679],652.15,,182.602,560.849,83
NDC,0078-0594-51 [195660],EVEROLIMUS (ANTINEOPLASTIC) 2.5 MG TABLET [105827],2204.65,,1.99,1895.999,84
NDC,0078-0620-51 [214745],EVEROLIMUS (ANTINEOPLASTIC) 7.5 MG TABLET [114018],2306.0,,1.99,1983.16,84
NDC,0078-0656-15 [275733],DEFERASIROX 360 MG TABLET [171015],794.35,,222.418,683.141,83
NDC,0078-0659-20 [280215],SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [173967],46.65,,13.062,40.119,83
NDC,0078-0659-67 [280217],SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [173967],46.65,,13.062,40.119,83
NDC,0078-0681-66 [287932],DABRAFENIB 75 MG CAPSULE [122207],459.6,,128.688,395.256,83
NDC,0078-0682-66 [288909],DABRAFENIB 50 MG CAPSULE [122206],356.6,,99.848,306.676,83
NDC,0078-0683-61 [293644],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2647.6,,52.71,2276.936,86
NDC,0078-0683-61 [293644],NELARABINE INFUSION 5 MG/ML [40800000417],2647.6,,52.71,2276.936,86
NDC,0078-0685-15 [288910],ELTROMBOPAG OLAMINE 25 MG TABLET [94579],854.65,,239.302,734.999,83
NDC,0078-0686-15 [288281],ELTROMBOPAG OLAMINE 50 MG TABLET [94580],1546.65,,433.062,1330.119,83
NDC,0078-0687-15 [287933],ELTROMBOPAG OLAMINE 75 MG TABLET [104003],2319.95,,649.586,1995.157,83
NDC,0078-0694-84 [322270],CERITINIB 150 MG TABLET [187996],590.8,,165.424,508.088,83
NDC,0078-0696-20 [280218],SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET [173969],46.65,,13.062,40.119,83
NDC,0078-0696-67 [280220],SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET [173969],46.65,,13.062,40.119,83
NDC,0078-0709-56 [334569],CAPMATINIB 150 MG TABLET [191259],682.5,,191.1,586.95,83
NDC,0078-0716-56 [334570],CAPMATINIB 200 MG TABLET [191260],682.5,,191.1,586.95,83
NDC,0078-0729-10 [366009],"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION [19703]",1460.45,,408.926,1255.987,83
NDC,0078-0748-81 [311977],PASIREOTIDE PAMOATE 10 MG IM SUSPENSION [186119],52239.1,,563.79,44925.626,86
NDC,0078-0777-20 [280221],SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [173968],46.65,,13.062,40.119,83
NDC,0078-0777-67 [280223],SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [173968],46.65,,13.062,40.119,83
NDC,0078-0790-61 [298887],"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE (PHARMACY TO PREPARE) [40800004407]",10697.15,,188.35,9199.549,86
NDC,0078-0797-61 [294654],"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE (PHARMACY TO PREPARE) [40800004408]",14015.1,,188.35,12052.986,86
NDC,0078-0797-61 [294654],"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170194]",14015.1,,188.35,12052.986,86
NDC,0078-0804-61 [294655],"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE (PHARMACY TO PREPARE) [40800004409]",20986.55,,188.35,18048.433,86
NDC,0078-0804-61 [294655],"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170195]",20986.55,,188.35,18048.433,86
NDC,0078-0811-81 [298888],"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE (PHARMACY TO PREPARE) [40800004407]",10697.15,,188.35,9199.549,86
NDC,0078-0811-81 [298888],"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170196]",10697.15,,188.35,9199.549,86
NDC,0078-0813-01 [360089],TOBRAMYCIN 0.3 % EYE OINTMENT [19769],1008.1,,282.268,866.966,83
NDC,0078-0818-81 [293909],"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE (PHARMACY TO PREPARE) [40800004408]",14015.1,,188.35,12052.986,86
NDC,0078-0818-81 [293909],"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170194]",14015.1,,188.35,12052.986,86
NDC,0078-0825-81 [293910],"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE (PHARMACY TO PREPARE) [40800004409]",20986.55,,188.35,18048.433,86
NDC,0078-0825-81 [293910],"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170195]",20986.55,,188.35,18048.433,86
NDC,0078-0841-01 [348534],CIPROFLOXACIN 0.3 % EYE OINTMENT [23234],890.6,,249.368,765.916,83
NDC,0078-0846-19 [301288],TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION [183167],1816212.03,,566531.304,1816212.03,19
NDC,0078-0876-01 [347666],TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT [11566],1073.25,,300.51,922.995,83
NDC,0078-0897-78 [388844],TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION [89128],2371.85,,18.78,2039.791,86
NDC,0078-0911-05 [340127],LIFITEGRAST 5 % EYE DROPS IN A DROPPERETTE [179102],47.55,,13.314,40.893,83
NDC,0078-0911-12 [339331],LIFITEGRAST 5 % EYE DROPS IN A DROPPERETTE [179102],47.55,,13.314,40.893,83
NDC,0078-0958-19 [308872],TISAGENLECLEUCEL 0.6 X 10EXP8 TO 6 X10EXP8 CELL INTRAVENOUS SUSPENSION [185152],1569455.37,,523152.0,1569455.37,19
NDC,0078-1091-20 [352528],ASCIMINIB 20 MG TABLET [196276],1221.15,,341.922,1050.189,83
NDC,0078-1098-20 [352529],ASCIMINIB 40 MG TABLET [196277],1221.15,,341.922,1050.189,83
NDC,0078-1105-15 [361994],TRAMETINIB 0.5 MG TABLET [122211],586.45,,164.206,504.347,83
NDC,0078-1112-15 [364884],TRAMETINIB 2 MG TABLET [122212],1995.9,,558.852,1716.474,83
NDC,0081073088 [258953],"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT [854]",20.5,,5.74,17.63,83
NDC,0081079887 [258957],"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT [126121]",38.25,,10.71,32.895,83
NDC,0085-1381-01 [178150],TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION [97260],3286.2,,10.39,2826.132,86
NDC,0085-1381-01 [178150],TEMOZOLOMIDE IVPB 2.5 MG/ML SYRINGE (PEDI) [40800004030],3286.2,,10.39,2826.132,86
NDC,0085-1381-01 [178150],TEMOZOLOMIDE IVPB 2.5 MG/ML [40800000313],3286.2,,10.39,2826.132,86
NDC,0085-2224-01 [364102],"POSACONAZOLE 300 MG ORAL SUSPENSION,DELAYED RELEASE IN A PACKET [199430]",673.55,,188.594,579.253,83
NDC,0085-2224-02 [364103],"POSACONAZOLE 300 MG ORAL SUSPENSION,DELAYED RELEASE IN A PACKET [199430]",673.55,,188.594,579.253,83
NDC,0085-4324-02 [258336],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE (CRUSHED) [40800003407]",235.2,,65.856,202.272,83
NDC,0085-4324-02 [258336],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [132662]",235.2,,65.856,202.272,83
NDC,0085-4331-01 [264237],POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [162662],1737.75,,0.35,1494.465,85
NDC,0087040203 [8504],PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS [191982],38.95,,10.906,33.497,83
NDC,0088-2102-01 [305641],RIFAPENTINE 150 MG TABLET [23365],24.05,,6.734,20.683,83
NDC,0088-2102-24 [305642],RIFAPENTINE 150 MG TABLET [23365],24.05,,6.734,20.683,83
NDC,0088-2161-30 [8950],LEFLUNOMIDE 20 MG TABLET [23873],171.0,,47.88,147.06,83
NDC,0088-2220-33 [8952],INSULIN GLARGINE (SYRINGE) 100 UNIT/ML SUBCUTANEOUS SOLUTION [40800003400],204.35,,57.218,175.741,83
NDC,0088-2220-33 [8952],INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [28282],204.35,,57.218,175.741,83
NDC,0088-2500-33 [129408],INSULIN PUMP GLULISINE INFUSION 100 UNITS/ML [40800002827],258.65,,72.422,222.439,83
NDC,0093-0010-06 [283381],TOLTERODINE 1 MG TABLET [22782],12.55,,3.514,10.793,83
NDC,0093-0051-01 [152824],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,0093-0053-01 [9082],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,0093-0053-05 [9083],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,0093-0058-01 [9086],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,0093-0058-05 [9087],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,0093-0073-01 [145452],ZOLPIDEM 5 MG TABLET [11701],2.85,,0.798,2.451,83
NDC,0093-0074-01 [145453],ZOLPIDEM 10 MG TABLET [11700],2.85,,0.798,2.451,83
NDC,0093-0262-30 [9137],FLUOCINONIDE 0.05 % TOPICAL CREAM [3187],250.15,,70.042,215.129,83
NDC,0093-0311-05 [9161],LOPERAMIDE 2 MG CAPSULE [4560],1.75,,0.49,1.505,83
NDC,0093-0314-01 [9162],KETOROLAC 10 MG TABLET [10371],5.15,,1.442,4.429,83
NDC,0093-0318-01 [9163],DILTIAZEM 30 MG TABLET [2475],1.65,,0.462,1.419,83
NDC,0093-0319-01 [9165],DILTIAZEM 60 MG TABLET [2476],1.65,,0.462,1.419,83
NDC,0093-0320-01 [9167],DILTIAZEM 90 MG TABLET [2477],1.65,,0.462,1.419,83
NDC,0093-0752-01 [9214],ATENOLOL 50 MG TABLET [718],1.65,,0.462,1.419,83
NDC,0093-0771-98 [132844],PRAVASTATIN 10 MG TABLET [11110],1.65,,0.462,1.419,83
NDC,0093-0787-01 [110978],ATENOLOL 25 MG TABLET [717],1.65,,0.462,1.419,83
NDC,0093-0810-01 [9235],NORTRIPTYLINE 10 MG CAPSULE [5674],1.65,,0.462,1.419,83
NDC,0093-0832-01 [9246],CLONAZEPAM 0.5 MG TABLET [9637],2.85,,0.798,2.451,83
NDC,0093-0924-01 [9272],OXAPROZIN 600 MG TABLET [10825],13.9,,3.892,11.954,83
NDC,0093-1010-42 [97478],MUPIROCIN 2 % TOPICAL OINTMENT [10674],35.05,,9.814,30.143,83
NDC,0093-1172-01 [9334],PENICILLIN V POTASSIUM 250 MG TABLET [6092],1.65,,0.462,1.419,83
NDC,0093-2203-01 [9345],METOCLOPRAMIDE 10 MG TABLET [5005],1.65,,0.462,1.419,83
NDC,0093-2204-01 [9348],METOCLOPRAMIDE 5 MG TABLET [5006],1.65,,0.462,1.419,83
NDC,0093-2210-01 [9350],SUCRALFATE 1 GRAM TABLET [11442],1.65,,0.462,1.419,83
NDC,0093-2274-34 [9359],AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],6.7,,1.876,5.762,83
NDC,0093-2275-34 [9360],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],8.05,,2.254,6.923,83
NDC,0093-3002-56 [225066],QUININE 324 MG CAPSULE [6781],26.85,,7.518,23.091,83
NDC,0093-3017-30 [314615],TADALAFIL 5 MG TABLET [37400],1.75,,0.49,1.505,83
NDC,0093-3017-56 [314616],TADALAFIL 5 MG TABLET [37400],1.75,,0.49,1.505,83
NDC,0093-3017-65 [314617],TADALAFIL 5 MG TABLET [37400],1.75,,0.49,1.505,83
NDC,0093-3094-56 [293648],ARMODAFINIL 250 MG TABLET [96967],7.5,,2.1,6.45,83
NDC,0093-3109-53 [9365],AMOXICILLIN 500 MG CAPSULE [451],1.65,,0.462,1.419,83
NDC,0093-3123-01 [9366],DICLOXACILLIN 250 MG CAPSULE [2414],3.25,,0.91,2.795,83
NDC,0093-3125-01 [9367],DICLOXACILLIN 500 MG CAPSULE [2415],6.5,,1.82,5.59,83
NDC,0093-3145-01 [9372],CEPHALEXIN 250 MG CAPSULE [9499],1.65,,0.462,1.419,83
NDC,0093-3147-01 [9374],CEPHALEXIN 500 MG CAPSULE [9500],1.65,,0.462,1.419,83
NDC,0093-3160-06 [145457],CEFDINIR 300 MG CAPSULE [22289],18.2,,5.096,15.652,83
NDC,0093-3174-31 [317942],ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],123.5,,34.58,106.21,83
NDC,0093-3196-01 [136223],CEFADROXIL 500 MG CAPSULE [9436],2.55,,0.714,2.193,83
NDC,0093-3219-30 [319571],KETOCONAZOLE 2 % TOPICAL CREAM [10368],143.15,,40.082,123.109,83
NDC,0093-3223-08 [300472],ESTRADIOL 10 MCG VAGINAL TABLET [100745],66.6,,18.648,57.276,83
NDC,0093-3223-19 [300473],ESTRADIOL 10 MCG VAGINAL TABLET [100745],66.6,,18.648,57.276,83
NDC,0093-3239-21 [354780],BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [165282],259.25,,72.59,222.955,83
NDC,0093-3239-40 [354781],BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [165282],259.25,,72.59,222.955,83
NDC,0093-3243-56 [326913],BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18289],3.2,,0.896,2.752,83
NDC,0093-3420-01 [349757],CYCLOBENZAPRINE 5 MG TABLET [35184],1.65,,0.462,1.419,83
NDC,0093-3425-01 [354782],LORAZEPAM 0.5 MG TABLET [4572],2.85,,0.798,2.451,83
NDC,0093-3426-01 [353808],LORAZEPAM 1 MG TABLET [4573],2.85,,0.798,2.451,83
NDC,0093-3541-43 [304792],ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM [9969],356.55,,99.834,306.633,83
NDC,0093-3656-21 [316317],BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107660],183.0,,51.24,157.38,83
NDC,0093-3656-40 [316318],BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107660],183.0,,51.24,157.38,83
NDC,0093-3657-21 [316319],BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107661],273.9,,76.692,235.554,83
NDC,0093-3657-40 [316320],BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107661],273.9,,76.692,235.554,83
NDC,0093-4085-63 [258342],TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],63.65,,17.822,54.739,83
NDC,0093-4127-73 [9384],PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],33.85,,9.478,29.111,83
NDC,0093-4127-74 [9385],PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],48.4,,13.552,41.624,83
NDC,0093-4136-73 [145459],CEFDINIR 125 MG/5 ML ORAL SUSPENSION [22290],207.95,,58.226,178.837,83
NDC,0093-4146-45 [319574],LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],7.6,,2.128,6.536,83
NDC,0093-4177-73 [9400],CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],78.95,,22.106,67.897,83
NDC,0093-4177-74 [9401],CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],140.75,,39.41,121.045,83
NDC,0093-5060-01 [238454],HYDROXYZINE HCL 10 MG TABLET [3772],1.65,,0.462,1.419,83
NDC,0093-5061-01 [225079],HYDROXYZINE HCL 25 MG TABLET [3774],1.65,,0.462,1.419,83
NDC,0093-5420-88 [136256],CABERGOLINE 0.5 MG TABLET [19226],29.65,,8.302,25.499,83
NDC,0093-5455-28 [193118],ESTRADIOL-NORETHINDRONE ACET 1 MG-0.5 MG TABLET [28169],19.35,,5.418,16.641,83
NDC,0093-5537-56 [264259],ESZOPICLONE 1 MG TABLET [40320],4.6,,1.288,3.956,83
NDC,0093-5571-56 [347668],ERYTHROMYCIN 250 MG TABLET [2889],31.4,,8.792,27.004,83
NDC,0093-5732-01 [281535],"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170222]",22.65,,6.342,19.479,83
NDC,0093-5907-86 [323345],MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [178595],15.9,,4.452,13.674,83
NDC,0093-6815-19 [318700],BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],35.75,,10.01,30.745,83
NDC,0093-6815-45 [258347],BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],35.75,,10.01,30.745,83
NDC,0093-6815-55 [318701],BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],35.75,,10.01,30.745,83
NDC,0093-6815-73 [167545],BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],35.75,,10.01,30.745,83
NDC,0093-6816-19 [318702],BUDESONIDE 0.5 MG/2 ML NEBULIZER SOLUTION FOR ORAL USE [40800003416],34.15,,9.562,29.369,83
NDC,0093-6816-19 [318702],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],34.15,,9.562,29.369,83
NDC,0093-6816-45 [258348],BUDESONIDE 0.5 MG/2 ML NEBULIZER SOLUTION FOR ORAL USE [40800003416],34.15,,9.562,29.369,83
NDC,0093-6816-45 [258348],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],34.15,,9.562,29.369,83
NDC,0093-6816-55 [318703],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],34.15,,9.562,29.369,83
NDC,0093-6816-73 [167546],BUDESONIDE 0.5 MG/2 ML NEBULIZER SOLUTION FOR ORAL USE [40800003416],34.15,,9.562,29.369,83
NDC,0093-6816-73 [167546],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],34.15,,9.562,29.369,83
NDC,0093-7163-56 [296911],"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR [29434]",30.5,,8.54,26.23,83
NDC,0093-7164-56 [296914],"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",30.5,,8.54,26.23,83
NDC,0093-7201-98 [132847],PRAVASTATIN 20 MG TABLET [11111],1.65,,0.462,1.419,83
NDC,0093-7271-98 [275783],PIOGLITAZONE 15 MG TABLET [25528],1.65,,0.462,1.419,83
NDC,0093-7353-01 [290702],CALCITRIOL 0.5 MCG CAPSULE [9351],2.2,,0.616,1.892,83
NDC,0093-7385-56 [195744],"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",1.65,,0.462,1.419,83
NDC,0093-7385-98 [195745],"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",1.65,,0.462,1.419,83
NDC,0093-7387-56 [264269],MOXIFLOXACIN 400 MG TABLET [26854],74.75,,20.93,64.285,83
NDC,0093-7474-89 [264271],CAPECITABINE 500 MG TABLET [22994],8.2,,0.03,7.052,86
NDC,0093-7620-56 [209346],LETROZOLE 2.5 MG TABLET [21509],1.65,,0.462,1.419,83
NDC,0093-7629-98 [290703],IMATINIB 100 MG TABLET [32979],5.8,,1.624,4.988,83
NDC,0093-7630-56 [290704],IMATINIB 400 MG TABLET [36092],20.75,,5.81,17.845,83
NDC,0093-8119-56 [152889],FAMCICLOVIR 500 MG TABLET [13358],15.35,,4.298,13.201,83
NDC,0093-8311-18 [300480],ELETRIPTAN 40 MG TABLET [34684],63.3,,17.724,54.438,83
NDC,0093-8311-19 [300481],ELETRIPTAN 40 MG TABLET [34684],63.3,,17.724,54.438,83
NDC,0093-8342-01 [9496],GLYBURIDE 1.25 MG TABLET [10125],1.65,,0.462,1.419,83
NDC,0093-8344-01 [9500],GLYBURIDE 5 MG TABLET [3489],1.65,,0.462,1.419,83
NDC,0093-8739-01 [9512],MEXILETINE 150 MG CAPSULE [10595],6.15,,1.722,5.289,83
NDC,0093-9020-19 [348543],CYCLOSPORINE MODIFIED 100 MG CAPSULE (NEORAL) [28843],20.85,,2.07,17.931,84
NDC,0093-9020-65 [348544],CYCLOSPORINE MODIFIED 100 MG CAPSULE (NEORAL) [28843],20.85,,2.07,17.931,84
NDC,0093-9291-19 [355541],CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],5.7,,1.596,4.902,83
NDC,0093-9291-67 [355542],CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],5.7,,1.596,4.902,83
NDC,0093-9292-19 [355543],CLONAZEPAM 0.5 MG DISINTEGRATING TABLET [35627],5.7,,1.596,4.902,83
NDC,0093-9292-67 [355544],CLONAZEPAM 0.5 MG DISINTEGRATING TABLET [35627],5.7,,1.596,4.902,83
NDC,0093-9364-01 [9555],GLYBURIDE 5 MG TABLET [3489],1.65,,0.462,1.419,83
NDC,0093-9702-01 [355549],CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],1.65,,0.462,1.419,83
NDC,0096-0707-35 [9609],ALUMINUM CHLORIDE 20 % TOPICAL SOLUTION [9028],35.4,,9.912,30.444,83
NDC,0096-0707-37 [9610],ALUMINUM CHLORIDE 20 % TOPICAL SOLUTION [9028],32.55,,9.114,27.993,83
NDC,00998-1010-02 [396095],MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER [10606],813.3,,227.724,699.438,83
NDC,0115-1070-01 [152900],DIPYRIDAMOLE 25 MG TABLET [2528],2.4,,0.672,2.064,83
NDC,0115-1250-08 [379851],"CARVEDILOL PHOSPHATE ER 40 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77666]",37.6,,10.528,32.336,83
NDC,0115-1365-29 [350680],SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],9.25,,2.59,7.955,83
NDC,0115-1365-30 [350681],SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],9.25,,2.59,7.955,83
NDC,0115-1643-01 [295913],NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],3.6,,1.008,3.096,83
NDC,0115-1659-01 [293674],PROPRANOLOL 10 MG TABLET [6656],1.65,,0.462,1.419,83
NDC,0115-1661-01 [293677],PROPRANOLOL 40 MG TABLET [6658],1.65,,0.462,1.419,83
NDC,0115-1687-74 [304016],BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],35.75,,10.01,30.745,83
NDC,0115-1687-76 [304017],BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],35.75,,10.01,30.745,83
NDC,0115-1689-74 [304018],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],34.15,,9.562,29.369,83
NDC,0115-1689-76 [304019],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],34.15,,9.562,29.369,83
NDC,0115-1694-49 [295925],"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [100491]",455.4,,0.72,391.644,84
NDC,0115-1696-06 [296920],HYDROCORTISONE 5 MG TABLET [10209],1.65,,0.462,1.419,83
NDC,0115-1697-01 [304020],HYDROCORTISONE 10 MG TABLET [3733],2.3,,0.644,1.978,83
NDC,0115-1700-01 [301296],HYDROCORTISONE 20 MG TABLET [3734],4.3,,1.204,3.698,83
NDC,0115-3511-01 [10050],PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],3.9,,1.092,3.354,83
NDC,0115-4411-01 [115786],DANTROLENE 25 MG CAPSULE [9718],3.85,,1.078,3.311,83
NDC,0115-5511-10 [162210],FENOFIBRATE 54 MG TABLET [31336],1.65,,0.462,1.419,83
NDC,0115-5922-01 [136286],PILOCARPINE 5 MG TABLET [12803],2.85,,0.798,2.451,83
NDC,0115-7033-01 [10062],FLUDROCORTISONE 0.1 MG TABLET [10054],2.8,,0.784,2.408,83
NDC,0115-7033-02 [136287],FLUDROCORTISONE 0.1 MG TABLET [10054],2.8,,0.784,2.408,83
NDC,0115-9931-76 [305650],LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],5.7,,1.596,4.902,83
NDC,0115-9931-78 [305651],LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],5.7,,1.596,4.902,83
NDC,0115-9932-76 [305652],LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],5.7,,1.596,4.902,83
NDC,0115-9932-78 [305653],LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],5.7,,1.596,4.902,83
NDC,0116-1061-04 [258370],CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID [28188],12.15,,3.402,10.449,83
NDC,0116-2001-16 [10090],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH ORAL SYRINGE (PEDI) [40800003877],24.3,,6.804,20.898,83
NDC,0116-2001-16 [10090],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],24.3,,6.804,20.898,83
NDC,0121-0431-30 [10102],MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [124286],9.25,,2.59,7.955,83
NDC,0121-0489-00 [298919],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR [2511],3.95,,1.106,3.397,83
NDC,0121-0489-05 [10116],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR [2511],19.75,,5.53,16.985,83
NDC,0121-0504-05 [10120],ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML (5 ML) ORAL SOLUTION [131700],38.2,,10.696,32.852,83
NDC,0121-0577-16 [97486],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],37.4,,10.472,32.164,83
NDC,0121-0581-04 [10142],HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],94.75,,26.53,81.485,83
NDC,0121-0638-05 [10160],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],9.9,,2.772,8.514,83
NDC,0121-0646-16 [10163],AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION [365],92.0,,25.76,79.12,83
NDC,0121-0675-16 [10189],VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION [8428],48.6,,13.608,41.796,83
NDC,0121-0675-16 [10189],VALPROIC ACID 250 MG/5 ML ORAL SOLUTION CONTAINER [40800000727],48.6,,13.608,41.796,83
NDC,0121-0675-16 [10189],VALPROIC ACID 250 MG/5 ML ORAL SOLUTION SYRINGE CONTAINER (PEDI) [40800004006],48.6,,13.608,41.796,83
NDC,0121-0675-85 [339155],VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION [8428],64.95,,18.186,55.857,83
NDC,0121-0678-16 [10197],NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION [10757],622.45,,174.286,535.307,83
NDC,0121-0721-04 [10207],FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],171.95,,48.146,147.877,83
NDC,0121-0759-08 [120633],PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],178.3,,0.27,153.338,84
NDC,0121-0766-16 [136290],"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION [1299]",38.0,,10.64,32.68,83
NDC,0121-0766-16 [136290],"CALCIUM CARBONATE 500 MG/5 ML CALCIUM (1,250 MG/5 ML) ORAL SUSPENSION SYRINGE (PEDI) [40800003876]",38.0,,10.64,32.68,83
NDC,0121-0770-01 [195769],LORAZEPAM 2 MG/ML ORAL CONCENTRATE [4571],109.55,,30.674,94.213,83
NDC,0121-0772-16 [238505],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],105.45,,29.526,90.687,83
NDC,0121-0853-20 [314625],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION (DESENSITIZATION #5-7) [40800003065],63.15,,17.682,54.309,83
NDC,0121-0853-20 [314625],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],63.15,,17.682,54.309,83
NDC,0121-0853-40 [314626],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION (DESENSITIZATION #5-7) [40800003065],63.15,,17.682,54.309,83
NDC,0121-0853-40 [314626],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],63.15,,17.682,54.309,83
NDC,0121-0854-16 [312945],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION SYRINGE (PEDI) [40840005208],129.9,,36.372,111.714,83
NDC,0121-0854-16 [312945],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],129.9,,36.372,111.714,83
NDC,0121-0867-20 [326919],VANCOMYCIN 125 MG CAPSULE [11628],9.5,,2.66,8.17,83
NDC,0121-0868-00 [337081],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",10.75,,3.01,9.245,83
NDC,0121-0868-02 [337082],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",50.85,,14.238,43.731,83
NDC,0121-0868-05 [337083],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",10.75,,3.01,9.245,83
NDC,0121-0868-16 [337084],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",120.4,,33.712,103.544,83
NDC,0121-0873-16 [332015],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION SYRINGE (PEDI) [40800003897],53.15,,14.882,45.709,83
NDC,0121-0873-16 [332015],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],53.15,,14.882,45.709,83
NDC,0121-0873-32 [332016],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],94.7,,26.516,81.442,83
NDC,0121-0890-20 [326920],VANCOMYCIN 250 MG CAPSULE [11629],19.0,,5.32,16.34,83
NDC,0121-0892-50 [336260],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION SYRINGE (PEDI) [40800004005],23.25,,6.51,19.995,83
NDC,0121-0892-50 [336260],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [128582],23.25,,6.51,19.995,83
NDC,0121-0892-63 [336261],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION SYRINGE (PEDI) [40800004005],23.25,,6.51,19.995,83
NDC,0121-0892-63 [336261],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [128582],23.25,,6.51,19.995,83
NDC,0121-0893-15 [341124],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],8.45,,2.366,7.267,83
NDC,0121-0893-40 [341125],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],9.05,,2.534,7.783,83
NDC,0121-0898-05 [347675],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],123.4,,34.552,106.124,83
NDC,0121-0898-18 [348547],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],123.4,,34.552,106.124,83
NDC,0121-0903-15 [344062],LIDOCAINE HCL 2 % MUCOSAL SOLUTION [124454],17.75,,4.97,15.265,83
NDC,0121-0903-40 [344063],LIDOCAINE HCL 2 % MUCOSAL SOLUTION [124454],17.75,,4.97,15.265,83
NDC,0121-0904-05 [342080],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],7.7,,2.156,6.622,83
NDC,0121-0904-94 [342081],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],7.7,,2.156,6.622,83
NDC,0121-0914-05 [337087],IBUPROFEN ORAL SUSPENSION 100 MG/5 ML ORAL SUSPENSION 5 ML CUP [40800004115],3.5,,0.98,3.01,83
NDC,0121-0917-00 [340141],IBUPROFEN ORAL SUSPENSION 100 MG/5 ML ORAL SUSPENSION 5 ML CUP [40800004115],3.75,,1.05,3.225,83
NDC,0121-0927-16 [340143],PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],51.65,,14.462,44.419,83
NDC,0121-0935-16 [351536],DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID SYRINGE (PEDI) [40800003879],41.0,,11.48,35.26,83
NDC,0121-0935-16 [351536],DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],41.0,,11.48,35.26,83
NDC,0121-0940-00 [354794],"MAGNESIUM HYDROXIDE 2,400 MG/10 ML ORAL SUSPENSION [127528]",13.75,,3.85,11.825,83
NDC,0121-0940-10 [354795],"MAGNESIUM HYDROXIDE 2,400 MG/10 ML ORAL SUSPENSION SYRINGE (PEDI) [40840005201]",13.75,,3.85,11.825,83
NDC,0121-0940-10 [354795],"MAGNESIUM HYDROXIDE 2,400 MG/10 ML ORAL SUSPENSION [127528]",13.75,,3.85,11.825,83
NDC,0121-0942-05 [353285],PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],15.9,,4.452,13.674,83
NDC,0121-0942-50 [353287],PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],15.9,,4.452,13.674,83
NDC,0121-0945-00 [353815],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],19.85,,5.558,17.071,83
NDC,0121-0945-10 [353816],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],19.85,,5.558,17.071,83
NDC,0121-0945-40 [353817],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],26.55,,7.434,22.833,83
NDC,0121-0948-16 [367861],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID SYRINGE (PEDI) [40840005204],101.5,,28.42,87.29,83
NDC,0121-0948-16 [367861],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],101.5,,28.42,87.29,83
NDC,0121-0950-03 [384980],LIDOCAINE HCL 2 % MUCOSAL SOLUTION [124454],87.55,,24.514,75.293,83
NDC,0121-0972-51 [371001],LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],68.65,,19.222,59.039,83
NDC,0121-0974-10 [363156],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],34.7,,9.716,29.842,83
NDC,0121-0974-40 [363157],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],32.7,,9.156,28.122,83
NDC,0121-1012-05 [368934],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],93.75,,26.25,80.625,83
NDC,0121-1012-95 [368935],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],93.75,,26.25,80.625,83
NDC,0121-1016-05 [379859],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],123.4,,34.552,106.124,83
NDC,0121-1016-18 [379860],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],123.4,,34.552,106.124,83
NDC,0121-1016-42 [379861],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],101.25,,28.35,87.075,83
NDC,0121-1036-05 [386260],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION [131611],50.6,,14.168,43.516,83
NDC,0121-1036-05 [386260],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP CONTAINER [40800000735],50.6,,14.168,43.516,83
NDC,0121-1036-40 [386261],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION [131611],50.6,,14.168,43.516,83
NDC,0121-1036-40 [386261],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP CONTAINER [40800000735],50.6,,14.168,43.516,83
NDC,0121-1045-16 [384981],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",293.15,,82.082,252.109,83
NDC,0121-1067-16 [397940],GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],169.4,,47.432,145.684,83
NDC,0121-1154-30 [295931],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],8.7,,2.436,7.482,83
NDC,0121-1154-40 [295932],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],9.4,,2.632,8.084,83
NDC,0121-1276-00 [304021],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],1.65,,0.462,1.419,83
NDC,0121-1276-10 [304022],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],10.95,,3.066,9.417,83
NDC,0121-1488-00 [300487],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],7.65,,2.142,6.579,83
NDC,0121-1488-10 [300488],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],7.65,,2.142,6.579,83
NDC,0121-1550-10 [300490],CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID [78003],22.65,,6.342,19.479,83
NDC,0121-1576-10 [136295],METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [77725],19.2,,5.376,16.512,83
NDC,0121-1680-15 [322288],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],46.45,,13.006,39.947,83
NDC,0121-1744-10 [123400],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],2.65,,0.742,2.279,83
NDC,0121-1761-30 [100630],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],14.95,,4.186,12.857,83
NDC,0121-1828-10 [337089],IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],5.8,,1.624,4.988,83
NDC,0121-1870-00 [354798],DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],8.8,,2.464,7.568,83
NDC,0121-1870-10 [354799],DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],8.8,,2.464,7.568,83
NDC,0121-1971-00 [295935],ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [129461],9.65,,2.702,8.299,83
NDC,0121-1971-21 [294926],ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [129461],9.65,,2.702,8.299,83
NDC,0121-2024-10 [368937],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],186.15,,52.122,160.089,83
NDC,0121-2024-95 [368938],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],186.15,,52.122,160.089,83
NDC,0121-2044-00 [383120],IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],6.15,,1.722,5.289,83
NDC,0121-2044-10 [383121],IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],6.15,,1.722,5.289,83
NDC,0121-2316-15 [300495],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],23.4,,6.552,20.124,83
NDC,0121-2316-40 [300496],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],40.5,,11.34,34.83,83
NDC,0121-4675-00 [300497],VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [130847],6.5,,1.82,5.59,83
NDC,0121-4675-05 [120634],VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [130847],6.5,,1.82,5.59,83
NDC,0121-4675-05 [120634],VALPROIC ACID 250 MG/5 ML ORAL SOLUTION CONTAINER [40800000727],6.5,,1.82,5.59,83
NDC,0121-4675-40 [300498],VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [130847],10.3,,2.884,8.858,83
NDC,0121-4766-05 [136298],"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION [1299]",14.6,,4.088,12.556,83
NDC,0121-4776-10 [135467],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],16.95,,4.746,14.577,83
NDC,0121-4776-10 [135467],MEGESTROL SUSP 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION CONTAINER [40800000738],16.95,,4.746,14.577,83
NDC,0121-4776-10 [135467],MEGESTROL SUSP 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION SYRINGE (PEDI) [40800004003],16.95,,4.746,14.577,83
NDC,0121-4827-05 [325834],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],30.65,,8.582,26.359,83
NDC,0121-4948-15 [367868],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],20.15,,5.642,17.329,83
NDC,0121-4948-40 [367869],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],33.2,,9.296,28.552,83
NDC,0121-4948-50 [368943],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],26.1,,7.308,22.446,83
NDC,0121-4948-80 [368944],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],26.1,,7.308,22.446,83
NDC,0121-4948-94 [368945],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],33.2,,9.296,28.552,83
NDC,0121-4950-15 [380922],LIDOCAINE HCL 2 % MUCOSAL SOLUTION [124454],29.25,,8.19,25.155,83
NDC,0121-4950-40 [380923],LIDOCAINE HCL 2 % MUCOSAL SOLUTION [124454],29.25,,8.19,25.155,83
NDC,0121-4955-05 [400179],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],14.05,,3.934,12.083,83
NDC,0121-4955-94 [400180],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],14.05,,3.934,12.083,83
NDC,0121-4967-05 [357117],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],8.95,,2.506,7.697,83
NDC,0121-4967-40 [357118],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],8.95,,2.506,7.697,83
NDC,0121053005 [10126],FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID (PEDI) [40800004007],16.1,,4.508,13.846,83
NDC,0121053005 [10126],FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID SYRINGE (PEDI) [40800004002],16.1,,4.508,13.846,83
NDC,0121053005 [10126],FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],16.1,,4.508,13.846,83
NDC,0121059500 [296921],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],22.2,,6.216,19.092,83
NDC,0121059515 [10145],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],22.2,,6.216,19.092,83
NDC,0121059516 [10146],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],54.7,,15.316,47.042,83
NDC,0121119030 [296923],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],24.1,,6.748,20.726,83
NDC,0126-0070-61 [133497],SODIUM FLUORIDE 1.1 %-POTASSIUM NITRATE 5 % DENTAL PASTE [76540],68.95,,19.306,59.297,83
NDC,0126-0272-16 [344068],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],35.5,,9.94,30.53,83
NDC,0126-0288-02 [10255],SODIUM FLUORIDE 1.1 % DENTAL GEL [19760],69.0,,19.32,59.34,83
NDC,0131-1810-67 [178359],LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],334.35,,93.618,287.541,83
NDC,0131-1810-67 [178359],LACOSAMIDE IVPB 200 MG/20 ML (MAX CONC) (PEDI < 20.5 KG) [40800000502],334.35,,93.618,287.541,83
NDC,0131-1810-67 [178359],LACOSAMIDE IVPB 200 MG/20 ML (MAX CONC) (PEDI) [40840002440],334.35,,93.618,287.541,83
NDC,0131-1810-67 [178359],LACOSAMIDE IVPB 200 MG/20 ML (MAX CONC) [40800002430],334.35,,93.618,287.541,83
NDC,0131-2477-35 [178360],LACOSAMIDE 50 MG TABLET [96968],49.0,,13.72,42.14,83
NDC,0131-2477-60 [225139],LACOSAMIDE 50 MG TABLET [96968],53.75,,15.05,46.225,83
NDC,0131-2478-60 [225140],LACOSAMIDE 100 MG TABLET [96969],74.4,,20.832,63.984,83
NDC,0132-0079-50 [10286],GLYCERIN (ADULT) RECTAL SUPPOSITORY [41003],1.65,,0.462,1.419,83
NDC,0132-0201-40 [10296],SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA [11395],5.3,,1.484,4.558,83
NDC,0132-0201-42 [10297],SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA [11395],9.5,,2.66,8.17,83
NDC,0132-0301-40 [10302],MINERAL OIL ENEMA [5087],9.5,,2.66,8.17,83
NDC,0132020220 [359171],SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA [127721],6.0,,1.68,5.16,83
NDC,0135-0118-83 [145539],"CALCIUM 400 MG (AS CALCIUM CARBONATE 1,000 MG) CHEWABLE TABLET [76968]",1.65,,0.462,1.419,83
NDC,0135-0180-02 [275825],"CALCIUM 400 MG (AS CALCIUM CARBONATE 1,000 MG) CHEWABLE TABLET [76968]",1.65,,0.462,1.419,83
NDC,0135-0181-02 [145562],"CALCIUM 400 MG (AS CALCIUM CARBONATE 1,000 MG) CHEWABLE TABLET [76968]",1.65,,0.462,1.419,83
NDC,0135-0194-05 [258394],NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.8,,1.904,5.848,83
NDC,0135-0194-08 [303109],NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],6.8,,1.904,5.848,83
NDC,0135-0195-08 [301300],NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],7.15,,2.002,6.149,83
NDC,0135-0196-02 [145569],NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],15.95,,4.466,13.717,83
NDC,0135-0196-08 [323501],NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],15.95,,4.466,13.717,83
NDC,0135-0474-02 [178373],NICOTINE (POLACRILEX) 2 MG GUM [10717],2.2,,0.616,1.892,83
NDC,0143-1172-01 [10360],CAPTOPRIL 25 MG TABLET [9402],5.15,,1.442,4.429,83
NDC,0143-1172-10 [10361],CAPTOPRIL 25 MG TABLET [9402],5.15,,1.442,4.429,83
NDC,0143-1173-01 [10363],CAPTOPRIL 50 MG TABLET [9403],8.95,,2.506,7.697,83
NDC,0143-1769-01 [10436],ISOSORBIDE DINITRATE 5 MG TABLET [4068],2.5,,0.7,2.15,83
NDC,0143-2112-05 [10449],DOXYCYCLINE HYCLATE 100 MG TABLET [2625],1.65,,0.462,1.419,83
NDC,0143-9006-01 [361005],ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],104.95,,17.23,90.257,84
NDC,0143-9022-01 [360097],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],159.0,,6.98,136.74,84
NDC,0143-9022-02 [360098],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],159.0,,6.98,136.74,84
NDC,0143-9086-01 [348550],DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [128848],120.15,,2.72,103.329,84
NDC,0143-9087-01 [348551],DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],458.65,,2.72,394.439,84
NDC,0143-9091-01 [348555],DOXORUBICIN 2 MG/ML INJ CONTAINER [40800000109],103.0,,2.72,88.58,84
NDC,0143-9091-01 [348555],DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],103.0,,2.72,88.58,84
NDC,0143-9091-01 [348555],DOXORUBICIN INFUSION 2 MG/ML (MAX CONC) (PEDI) [40800004211],103.0,,2.72,88.58,84
NDC,0143-9091-01 [348555],DOXORUBICIN IVPB 2 MG/ML (MAX CONC) (PEDI) [40800004210],103.0,,2.72,88.58,84
NDC,0143-9093-01 [357167],DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],861.7,,2.72,741.062,84
NDC,0143-9098-01 [360099],BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],120.15,,1.59,103.329,84
NDC,0143-9098-01 [360099],BORTEZOMIB IV INJ 1 MG/ML INJECTION [40800000444],120.15,,1.59,103.329,84
NDC,0143-9098-01 [360099],BORTEZOMIB SUBCUTANEOUS 1 MG/ML INJECTION [40800002483],120.15,,1.59,103.329,84
NDC,0143-9098-01 [360099],BORTEZOMIB SUBCUTANEOUS INJ 2.5 MG/ML [40800000445],120.15,,1.59,103.329,84
NDC,0143-9128-01 [364110],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],16.8,,2.62,14.448,84
NDC,0143-9128-25 [364111],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],16.8,,2.62,14.448,84
NDC,0143-9135-01 [366016],MITOMYCIN 0.1 MG/ML INJ CONTAINER [40800002659],360.4,,28.27,309.944,86
NDC,0143-9135-01 [366016],MITOMYCIN 0.25 MG/ML INJ CONTAINER [40800002660],360.4,,28.27,309.944,86
NDC,0143-9135-01 [366016],MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],360.4,,28.27,309.944,86
NDC,0143-9135-01 [366016],MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],360.4,,28.27,309.944,86
NDC,0143-9135-01 [366016],MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],360.4,,28.27,309.944,86
NDC,0143-9136-01 [366017],MITOMYCIN 0.1 MG/ML INJ CONTAINER [40800002659],720.75,,28.27,619.845,86
NDC,0143-9136-01 [366017],MITOMYCIN 0.25 MG/ML INJ CONTAINER [40800002660],720.75,,28.27,619.845,86
NDC,0143-9136-01 [366017],MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],720.75,,28.27,619.845,86
NDC,0143-9136-01 [366017],MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],720.75,,28.27,619.845,86
NDC,0143-9136-01 [366017],MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],720.75,,28.27,619.845,86
NDC,0143-9156-01 [387019],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.4,,0.02,5.504,84
NDC,0143-9156-10 [387020],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.4,,0.02,5.504,84
NDC,0143-9157-01 [387021],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],8.8,,0.02,7.568,84
NDC,0143-9157-01 [387021],FUROSEMIDE INFUSION 10 MG/ML [40800000767],9.5,,0.02,8.17,84
NDC,0143-9157-10 [387022],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],8.8,,0.02,7.568,84
NDC,0143-9157-10 [387022],FUROSEMIDE INFUSION 10 MG/ML [40800000767],9.5,,0.02,8.17,84
NDC,0143-9162-01 [373323],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",13.15,,3.682,11.309,83
NDC,0143-9162-01 [373323],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",13.15,,3.682,11.309,83
NDC,0143-9162-01 [373323],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],14.25,,3.99,12.255,83
NDC,0143-9162-10 [373324],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",13.15,,3.682,11.309,83
NDC,0143-9162-10 [373324],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",13.15,,3.682,11.309,83
NDC,0143-9162-10 [373324],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],14.25,,3.99,12.255,83
NDC,0143-9164-01 [373326],VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],188.8,,52.864,162.368,83
NDC,0143-9167-01 [388856],ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],4209.7,,76.76,3620.342,86
NDC,0143-9180-01 [376027],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],38.6,,0.04,33.196,84
NDC,0143-9180-25 [376028],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],38.6,,0.04,33.196,84
NDC,0143-9183-01 [401112],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],18.5,,1.38,15.91,84
NDC,0143-9183-10 [401113],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],18.5,,1.38,15.91,84
NDC,0143-9184-01 [379866],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],83.4,,0.04,71.724,84
NDC,0143-9184-25 [379867],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],83.4,,0.04,71.724,84
NDC,0143-9192-01 [387988],FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1393.7,,15.58,1198.582,84
NDC,0143-9204-01 [346514],DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [106443],223.1,,0.38,191.866,84
NDC,0143-9204-01 [346514],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],223.1,,0.38,191.866,84
NDC,0143-9205-01 [346515],DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],851.8,,0.38,732.548,84
NDC,0143-9209-01 [302075],CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [1634],67.8,,0.04,58.308,84
NDC,0143-9209-10 [302076],CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [1634],67.8,,0.04,58.308,84
NDC,0143-9217-01 [300502],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],265.15,,37.05,228.029,84
NDC,0143-9217-01 [300502],IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],265.15,,37.05,228.029,84
NDC,0143-9218-01 [300503],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],438.65,,37.05,377.239,84
NDC,0143-9218-01 [300503],IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],438.65,,37.05,377.239,84
NDC,0143-9240-01 [308885],BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],196.35,,20.9,168.861,84
NDC,0143-9240-01 [308885],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR IVPB) [40800000102],196.35,,20.9,168.861,84
NDC,0143-9240-01 [308885],BLEOMYCIN 3 UNITS/ML INTRALESIONAL INJ CONTAINER [40800003129],196.35,,20.9,168.861,84
NDC,0143-9240-01 [308885],BLEOMYCIN 6 UNITS/ML SCLEROTHERAPY INJ CONTAINER [40800002630],196.35,,20.9,168.861,84
NDC,0143-9241-01 [308886],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR IVPB) [40800000102],347.6,,20.9,298.936,84
NDC,0143-9241-01 [308886],BLEOMYCIN 3 UNITS/ML INTRALESIONAL INJ CONTAINER [40800003129],347.6,,20.9,298.936,84
NDC,0143-9241-01 [308886],BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],347.6,,20.9,298.936,84
NDC,0143-9241-01 [308886],BLEOMYCIN 6 UNITS/ML SCLEROTHERAPY INJ CONTAINER [40800002630],347.6,,20.9,298.936,84
NDC,0143-9241-01 [308886],BLEOMYCIN IVPB 3 UNITS/ML (MAX CONC)  [40800001214],347.6,,20.9,298.936,84
NDC,0143-9245-01 [337093],DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],46.25,,3.82,39.775,84
NDC,0143-9245-10 [337094],DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],46.25,,3.82,39.775,84
NDC,0143-9247-01 [305658],DEXRAZOXANE (PFIZER/HIKMA/BRECKENRIDGE/GLAND/FOSUN/ALMAJECT) 10 MG/ML INJ CONTAINER [40800000044],898.5,,32.09,772.71,86
NDC,0143-9247-01 [305658],DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION [15156],898.5,,32.09,772.71,86
NDC,0143-9248-01 [305659],DEXRAZOXANE (PFIZER/HIKMA/BRECKENRIDGE/GLAND/FOSUN/ALMAJECT) 10 MG/ML INJ CONTAINER [40800000044],655.2,,32.09,563.472,86
NDC,0143-9248-01 [305659],DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],655.2,,32.09,563.472,86
NDC,0143-9250-01 [326921],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],14.25,,3.99,12.255,83
NDC,0143-9250-01 [326921],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],14.25,,3.99,12.255,83
NDC,0143-9250-10 [326922],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],14.25,,3.99,12.255,83
NDC,0143-9250-10 [326922],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],14.25,,3.99,12.255,83
NDC,0143-9260-01 [371003],MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],85.8,,1.33,73.788,84
NDC,0143-9262-01 [300507],CEFAZOLIN 1 G RECONSTITUTED IN 10 ML STERILE WATER (RN OSM) [40800000825],6.4,,0.84,5.504,84
NDC,0143-9262-01 [300507],CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002645],6.4,,0.84,5.504,84
NDC,0143-9262-01 [300507],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],6.4,,0.84,5.504,84
NDC,0143-9262-25 [300508],CEFAZOLIN 1 G RECONSTITUTED IN 10 ML STERILE WATER (RN OSM) [40800000825],6.4,,0.84,5.504,84
NDC,0143-9262-25 [300508],CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002645],6.4,,0.84,5.504,84
NDC,0143-9262-25 [300508],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],6.4,,0.84,5.504,84
NDC,0143-9277-01 [311985],DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],861.7,,2.72,741.062,84
NDC,0143-9277-01 [311985],DOXORUBICIN 50 MG/2 ML INJ (LC BEADS) [40800000117],861.7,,2.72,741.062,84
NDC,0143-9279-01 [317689],MITOMYCIN 0.1 MG/ML INJ CONTAINER [40800002659],1670.8,,28.27,1436.888,86
NDC,0143-9279-01 [317689],MITOMYCIN 0.25 MG/ML INJ CONTAINER [40800002660],1670.8,,28.27,1436.888,86
NDC,0143-9279-01 [317689],MITOMYCIN 0.5 MG/ML INJ CONTAINER [40800000212],1670.8,,28.27,1436.888,86
NDC,0143-9279-01 [317689],MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],1670.8,,28.27,1436.888,86
NDC,0143-9279-01 [317689],MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],1670.8,,28.27,1436.888,86
NDC,0143-9279-01 [317689],MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],1670.8,,28.27,1436.888,86
NDC,0143-9280-01 [317690],MITOMYCIN 0.1 MG/ML INJ CONTAINER [40800002659],3276.0,,28.27,2817.36,86
NDC,0143-9280-01 [317690],MITOMYCIN 0.25 MG/ML INJ CONTAINER [40800002660],3276.0,,28.27,2817.36,86
NDC,0143-9280-01 [317690],MITOMYCIN 0.5 MG/ML INJ CONTAINER [40800000212],3276.0,,28.27,2817.36,86
NDC,0143-9280-01 [317690],MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],3276.0,,28.27,2817.36,86
NDC,0143-9280-01 [317690],MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],3276.0,,28.27,2817.36,86
NDC,0143-9280-01 [317690],MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],3276.0,,28.27,2817.36,86
NDC,0143-9284-01 [303110],PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],16.6,,4.648,14.276,83
NDC,0143-9284-01 [303110],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],15.35,,4.298,13.201,83
NDC,0143-9284-01 [303110],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],15.35,,4.298,13.201,83
NDC,0143-9284-10 [303111],PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],16.6,,4.648,14.276,83
NDC,0143-9284-10 [303111],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],15.35,,4.298,13.201,83
NDC,0143-9284-10 [303111],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],15.35,,4.298,13.201,83
NDC,0143-9295-01 [330246],HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION [10162],126.55,,4.68,108.833,84
NDC,0143-9298-01 [306490],SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],34.15,,2.18,29.369,84
NDC,0143-9298-10 [306491],SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],34.15,,2.18,29.369,84
NDC,0143-9299-01 [348557],GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],234.75,,39.62,201.885,84
NDC,0143-9299-10 [348558],GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],234.75,,39.62,201.885,84
NDC,0143-9300-01 [306492],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],12.3,,3.444,10.578,83
NDC,0143-9300-10 [306493],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],12.3,,3.444,10.578,83
NDC,0143-9306-01 [308887],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],103.0,,28.84,88.58,84
NDC,0143-9306-01 [308887],IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],103.0,,28.84,88.58,84
NDC,0143-9307-01 [308888],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],205.95,,37.05,177.117,84
NDC,0143-9307-01 [308888],IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],205.95,,37.05,177.117,84
NDC,0143-9310-01 [312948],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],12.3,,3.444,10.578,83
NDC,0143-9310-10 [312949],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],12.3,,3.444,10.578,83
NDC,0143-9315-01 [317691],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,0143-9315-24 [317692],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,0143-9316-01 [317693],LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,84
NDC,0143-9316-01 [317693],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9316-01 [317693],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9316-24 [317694],LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,84
NDC,0143-9316-24 [317694],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9316-24 [317694],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9317-01 [317695],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],63.3,,1.96,54.438,84
NDC,0143-9317-01 [317695],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9317-01 [317695],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9317-24 [317696],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],63.3,,1.96,54.438,84
NDC,0143-9317-24 [317696],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9317-24 [317696],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9318-01 [318706],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],23.7,,6.636,20.382,83
NDC,0143-9318-10 [318707],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],23.7,,6.636,20.382,83
NDC,0143-9328-01 [364112],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],35.65,,0.01,30.659,84
NDC,0143-9328-10 [364113],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],35.65,,0.01,30.659,84
NDC,0143-9329-01 [364890],BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],39.25,,0.01,33.755,84
NDC,0143-9329-10 [364891],BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],39.25,,0.01,33.755,84
NDC,0143-9330-01 [352380],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],9.2,,0.01,7.912,84
NDC,0143-9330-01 [352380],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],9.2,,0.01,7.912,84
NDC,0143-9330-10 [352381],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],9.2,,0.01,7.912,84
NDC,0143-9330-10 [352381],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],9.2,,0.01,7.912,84
NDC,0143-9331-01 [352382],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],10.95,,0.01,9.417,84
NDC,0143-9331-10 [352383],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],10.95,,0.01,9.417,84
NDC,0143-9332-01 [352384],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],10.95,,0.01,9.417,84
NDC,0143-9332-10 [352385],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],10.95,,0.01,9.417,84
NDC,0143-9333-01 [353292],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],13.15,,0.01,11.309,84
NDC,0143-9333-10 [353293],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],13.15,,0.01,11.309,84
NDC,0143-9334-01 [353294],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) [40800003333],13.15,,0.01,11.309,84
NDC,0143-9334-01 [353294],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],13.15,,0.01,11.309,84
NDC,0143-9334-10 [353295],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) [40800003333],13.15,,0.01,11.309,84
NDC,0143-9334-10 [353295],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],13.15,,0.01,11.309,84
NDC,0143-9358-01 [322295],VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],291.35,,0.03,250.561,84
NDC,0143-9376-01 [333404],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],23.7,,1.3,20.382,84
NDC,0143-9378-01 [331086],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],120.15,,0.03,103.329,84
NDC,0143-9378-01 [331086],DAPTOMYCIN INJ 50 MG/ML [40800000042],120.15,,0.03,103.329,84
NDC,0143-9381-01 [347682],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],67.0,,0.12,57.62,84
NDC,0143-9381-01 [347682],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],67.0,,0.12,57.62,84
NDC,0143-9381-10 [347683],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],67.0,,0.12,57.62,84
NDC,0143-9381-10 [347683],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],67.0,,0.12,57.62,84
NDC,0143-9384-01 [339165],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],144.15,,0.11,123.969,84
NDC,0143-9384-01 [339165],FOSAPREPITANT 30 MG/ML INJ [40800000315],144.15,,0.11,123.969,84
NDC,0143-9385-01 [362001],DECITABINE 5 MG/ML INJ [40800000413],327.6,,1.59,281.736,84
NDC,0143-9385-01 [362001],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],327.6,,1.59,281.736,84
NDC,0143-9386-01 [363160],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",68.1,,0.05,58.566,84
NDC,0143-9386-10 [363161],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",68.1,,0.05,58.566,84
NDC,0143-9387-01 [395137],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],22.8,,0.86,19.608,84
NDC,0143-9387-25 [395138],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],22.8,,0.86,19.608,84
NDC,0143-9391-01 [353298],REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],211.5,,59.22,181.89,83
NDC,0143-9391-10 [353299],REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],211.5,,59.22,181.89,83
NDC,0143-9398-01 [350685],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],127.2,,9.02,109.392,84
NDC,0143-9398-01 [350685],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],127.2,,9.02,109.392,84
NDC,0143-9398-01 [350685],ERTAPENEM 100 MG/ML INJ [40800000062],137.3,,9.02,118.078,84
NDC,0143-9398-10 [350686],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],127.2,,9.02,109.392,84
NDC,0143-9398-10 [350686],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],127.2,,9.02,109.392,84
NDC,0143-9398-10 [350686],ERTAPENEM 100 MG/ML INJ [40800000062],137.3,,9.02,118.078,84
NDC,0143-9428-01 [352386],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],85.8,,0.11,73.788,84
NDC,0143-9428-01 [352386],FOSAPREPITANT 30 MG/ML INJ [40800000315],85.8,,0.11,73.788,84
NDC,0143-9430-01 [391724],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],14.25,,0.44,12.255,84
NDC,0143-9430-01 [391724],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],13.15,,0.44,11.309,84
NDC,0143-9430-01 [391724],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],13.15,,0.44,11.309,84
NDC,0143-9430-10 [391725],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],14.25,,0.44,12.255,84
NDC,0143-9430-10 [391725],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],13.15,,0.44,11.309,84
NDC,0143-9430-10 [391725],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],13.15,,0.44,11.309,84
NDC,0143-9431-01 [391726],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],26.3,,0.44,22.618,84
NDC,0143-9431-01 [391726],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],26.3,,0.44,22.618,84
NDC,0143-9431-01 [391726],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],28.45,,0.44,24.467,84
NDC,0143-9431-10 [391727],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],26.3,,0.44,22.618,84
NDC,0143-9431-10 [391727],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],26.3,,0.44,22.618,84
NDC,0143-9431-10 [391727],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],28.45,,0.44,24.467,84
NDC,0143-9461-01 [401770],"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",43.35,,12.138,37.281,83
NDC,0143-9461-10 [401771],"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",43.35,,12.138,37.281,83
NDC,0143-9501-01 [297850],HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],7.05,,0.84,6.063,84
NDC,0143-9501-25 [297851],HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],7.05,,0.84,6.063,84
NDC,0143-9503-01 [296928],ACETAZOLAMIDE 100 MG/ML INJ [4080000011],150.9,,17.23,129.774,84
NDC,0143-9503-01 [296928],ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],139.8,,17.23,120.228,84
NDC,0143-9504-01 [324250],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],59.1,,1.95,50.826,84
NDC,0143-9504-01 [324250],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],59.1,,1.95,50.826,84
NDC,0143-9506-01 [292222],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],17.55,,4.914,15.093,83
NDC,0143-9506-10 [292223],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],17.55,,4.914,15.093,83
NDC,0143-9511-01 [306495],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],130.45,,1.3,112.187,84
NDC,0143-9512-01 [306496],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],260.85,,1.3,224.331,84
NDC,0143-9519-01 [306497],METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],15.95,,2.26,13.717,84
NDC,0143-9519-10 [306498],METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],15.95,,2.26,13.717,84
NDC,0143-9532-01 [301301],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],50.1,,14.028,43.086,83
NDC,0143-9532-25 [301302],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],50.1,,14.028,43.086,83
NDC,0143-9533-01 [294694],ALLOPURINOL 500 MG INTRAVENOUS SOLUTION [25408],12776.4,,3.81,10987.704,86
NDC,0143-9533-01 [294694],ALLOPURINOL 500 MG/25 ML INJ [40840000088],12776.4,,3.81,10987.704,86
NDC,0143-9534-01 [366019],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],70.8,,3.47,60.888,84
NDC,0143-9534-10 [366020],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],70.8,,3.47,60.888,84
NDC,0143-9542-01 [280284],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],69.15,,0.09,59.469,84
NDC,0143-9542-10 [280285],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],69.15,,0.09,59.469,84
NDC,0143-9550-01 [308890],DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],1098.65,,19.76,944.839,84
NDC,0143-9550-01 [308890],DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],1098.65,,19.76,944.839,84
NDC,0143-9551-01 [308891],DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],439.45,,19.76,377.927,84
NDC,0143-9551-01 [308891],DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],439.45,,19.76,377.927,84
NDC,0143-9551-10 [308892],DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],439.45,,19.76,377.927,84
NDC,0143-9551-10 [308892],DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],439.45,,19.76,377.927,84
NDC,0143-9552-01 [291493],LEUCOVORIN CALCIUM 20 MG/ML INJECTION [40800000309],89.25,,3.95,76.755,84
NDC,0143-9552-01 [291493],LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],89.25,,3.95,76.755,84
NDC,0143-9564-01 [281553],PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1487.55,,257.45,1279.293,86
NDC,0143-9564-10 [281554],PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1487.55,,257.45,1279.293,86
NDC,0143-9570-01 [275832],SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],109.15,,2.18,93.869,84
NDC,0143-9570-10 [275833],SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],109.15,,2.18,93.869,84
NDC,0143-9577-10 [302082],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],12.25,,3.43,10.535,83
NDC,0143-9577-10 [302082],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],12.25,,3.43,10.535,83
NDC,0143-9583-01 [288921],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],68.65,,1.4,59.039,84
NDC,0143-9594-25 [305661],LIDOCAINE (PF) 20 MG/ML (2 %) INJ CONTAINER [40800000736],9.7,,2.716,8.342,83
NDC,0143-9594-25 [305661],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],9.7,,2.716,8.342,83
NDC,0143-9595-01 [305662],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],7.9,,2.212,6.794,83
NDC,0143-9595-25 [305663],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],7.9,,2.212,6.794,83
NDC,0143-9606-01 [339166],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],154.45,,0.21,132.827,84
NDC,0143-9621-01 [288926],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",9.65,,0.95,8.299,84
NDC,0143-9621-25 [288927],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",9.65,,0.95,8.299,84
NDC,0143-9637-01 [238511],VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],11.7,,3.276,10.062,83
NDC,0143-9637-10 [238512],VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],11.7,,3.276,10.062,83
NDC,0143-9638-01 [264298],SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],42.8,,11.984,36.808,83
NDC,0143-9638-05 [264299],SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],42.8,,11.984,36.808,83
NDC,0143-9659-01 [293692],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],59.05,,0.03,50.783,84
NDC,0143-9660-01 [280318],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,0143-9660-10 [225150],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,0143-9673-01 [281557],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],7.6,,0.05,6.536,84
NDC,0143-9673-25 [290714],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],7.6,,0.05,6.536,84
NDC,0143-9674-01 [232577],ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],622.45,,0.70035,535.307,86
NDC,0143-9680-01 [238524],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],35.65,,0.43,30.659,84
NDC,0143-9680-01 [238524],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],35.65,,0.43,30.659,84
NDC,0143-9680-25 [238525],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],35.65,,0.43,30.659,84
NDC,0143-9680-25 [238525],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],35.65,,0.43,30.659,84
NDC,0143-9682-01 [238528],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],6.7,,0.43,5.762,84
NDC,0143-9682-01 [238528],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],6.7,,0.43,5.762,84
NDC,0143-9682-25 [238529],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],6.7,,0.43,5.762,84
NDC,0143-9682-25 [238529],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],6.7,,0.43,5.762,84
NDC,0143-9689-01 [286506],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],87.6,,0.09,75.336,84
NDC,0143-9689-10 [225151],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],87.6,,0.09,75.336,84
NDC,0143-9701-01 [232578],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],57.8,,1.4,49.708,84
NDC,0143-9709-01 [280321],MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [122190],35.4,,1.4,30.444,84
NDC,0143-9709-10 [206925],MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [122190],35.4,,1.4,30.444,84
NDC,0143-9719-01 [283399],MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [122186],72.35,,1.4,62.221,84
NDC,0143-9720-01 [225152],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],63.3,,1.96,54.438,84
NDC,0143-9720-01 [225152],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9720-01 [225152],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9720-24 [238530],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],63.3,,1.96,54.438,84
NDC,0143-9720-24 [238530],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9720-24 [238530],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9721-01 [225153],LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,84
NDC,0143-9721-01 [225153],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9721-01 [225153],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9721-24 [258400],LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,84
NDC,0143-9721-24 [258400],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9721-24 [258400],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9722-01 [225154],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,0143-9722-01 [225154],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9722-01 [225154],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9722-24 [264300],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,0143-9722-24 [264300],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,0143-9722-24 [264300],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,0143-9724-01 [209369],"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",144.15,,17.67,123.969,84
NDC,0143-9729-01 [264301],BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],190.8,,17.27,164.088,84
NDC,0143-9744-01 [265001],GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [12552],32.1,,0.23,27.606,84
NDC,0143-9744-01 [265001],GRANISETRON HCL 1 MG/ML INJ CONTAINER [40800002817],32.1,,0.23,27.606,84
NDC,0143-9744-10 [195793],GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [12552],32.1,,0.23,27.606,84
NDC,0143-9744-10 [195793],GRANISETRON HCL 1 MG/ML INJ CONTAINER [40800002817],32.1,,0.23,27.606,84
NDC,0143-9746-01 [267855],TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],17.55,,2.74,15.093,84
NDC,0143-9746-10 [193159],TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],17.55,,2.74,15.093,84
NDC,0143-9783-01 [275835],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION (PULM OSM) [40800001974],46.35,,12.978,39.861,83
NDC,0143-9783-01 [275835],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],46.35,,12.978,39.861,83
NDC,0143-9783-10 [185673],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],46.35,,12.978,39.861,83
NDC,0143-9784-01 [267856],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],28.5,,7.98,24.51,83
NDC,0143-9784-10 [185674],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],28.5,,7.98,24.51,83
NDC,0143-9785-01 [275836],VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],33.2,,9.296,28.552,83
NDC,0143-9785-10 [195795],VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],33.2,,9.296,28.552,83
NDC,0143-9786-01 [264998],ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],33.8,,9.464,29.068,83
NDC,0143-9786-10 [185675],ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],33.8,,9.464,29.068,83
NDC,0143-9787-01 [264302],ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],23.3,,6.524,20.038,83
NDC,0143-9787-10 [185676],ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],23.3,,6.524,20.038,83
NDC,0143-9837-01 [296933],PENICILLIN V POTASSIUM 250 MG TABLET [6092],1.65,,0.462,1.419,83
NDC,0143-9850-01 [328809],METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003376],73.55,,0.26,63.253,84
NDC,0143-9850-01 [328809],METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],73.55,,0.26,63.253,84
NDC,0143-9851-01 [328810],"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003375]",133.25,,0.26,114.595,84
NDC,0143-9851-01 [328810],"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",133.25,,0.26,114.595,84
NDC,0143-9852-01 [374554],LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],122.45,,24.29,105.307,84
NDC,0143-9852-10 [374555],LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],122.45,,24.29,105.307,84
NDC,0143-9856-01 [275837],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],14.25,,0.48,12.255,84
NDC,0143-9856-01 [275837],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],13.15,,0.48,11.309,84
NDC,0143-9856-01 [275837],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],13.15,,0.48,11.309,84
NDC,0143-9856-25 [162260],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],14.25,,0.48,12.255,84
NDC,0143-9856-25 [162260],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],13.15,,0.48,11.309,84
NDC,0143-9856-25 [162260],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],13.15,,0.48,11.309,84
NDC,0143-9871-01 [330248],CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],819.0,,8.53185,704.34,86
NDC,0143-9872-01 [162264],PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],35.05,,9.814,30.143,83
NDC,0143-9875-01 [264990],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],9.5,,0.51,8.17,84
NDC,0143-9875-25 [296935],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],9.5,,0.51,8.17,84
NDC,0143-9877-01 [290715],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],57.05,,5.13,49.063,84
NDC,0143-9877-25 [195796],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003354],35.05,,5.13,30.143,84
NDC,0143-9877-25 [195796],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],35.05,,5.13,30.143,84
NDC,0143-9889-15 [136326],AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],22.35,,6.258,19.221,83
NDC,0143-9924-90 [10475],CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002645],6.4,,0.84,5.504,84
NDC,0143-9924-90 [10475],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],6.4,,0.84,5.504,84
NDC,0143-9924-90 [10475],CEFAZOLIN 330 MG/ML INJ [40800000016],6.9,,0.84,5.934,84
NDC,0143-9927-01 [104056],CIPROFLOXACIN 250 MG TABLET [25118],1.65,,0.462,1.419,83
NDC,0143-9929-50 [104058],CIPROFLOXACIN 750 MG TABLET [25120],1.65,,0.462,1.419,83
NDC,0143-9977-22 [120638],CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003366],25.65,,2.29,22.059,84
NDC,0143-9977-22 [120638],CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [124518],25.65,,2.29,22.059,84
NDC,0143-9977-22 [120638],CEFUROXIME SODIUM 90 MG/ML INJ CONTAINER [40800000306],27.75,,2.29,23.865,84
NDC,0143-9977-90 [264994],CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003366],25.65,,2.29,22.059,84
NDC,0143-9977-90 [264994],CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [124518],25.65,,2.29,22.059,84
NDC,0143-9977-90 [264994],CEFUROXIME SODIUM 90 MG/ML INJ CONTAINER [40800000306],27.75,,2.29,23.865,84
NDC,0143-9979-22 [120639],CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],12.85,,2.29,11.051,84
NDC,0143-9979-90 [123407],CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],12.85,,2.29,11.051,84
NDC,0143-9982-01 [115796],AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],54.05,,15.134,46.483,83
NDC,0143-9983-03 [135475],CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],42.6,,0.84,36.636,84
NDC,0143-9983-03 [135475],CEFAZOLIN 200 MG/ML INJ [40800001190],42.6,,0.84,36.636,84
NDC,0143-9983-91 [267857],CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],42.6,,0.84,36.636,84
NDC,0143-9983-91 [267857],CEFAZOLIN 200 MG/ML INJ [40800001190],42.6,,0.84,36.636,84
NDC,0149000010 [215557],BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],1.65,,0.462,1.419,83
NDC,0149003929 [27265],BISMUTH SUBSALICYLATE 525 MG/15 ML ORAL SUSPENSION [124626],24.25,,6.79,20.855,83
NDC,0149003977 [27268],BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],1.65,,0.462,1.419,83
NDC,0149003978 [27269],BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],1.65,,0.462,1.419,83
NDC,0149032040 [127381],BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],1.65,,0.462,1.419,83
NDC,0149032642 [27273],BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],1.65,,0.462,1.419,83
NDC,0168-0002-15 [10579],TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM [8114],35.65,,9.982,30.659,83
NDC,0168-0003-80 [10581],TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM [8112],35.7,,9.996,30.702,83
NDC,0168-0004-15 [10582],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],14.25,,3.99,12.255,83
NDC,0168-0004-80 [10584],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],33.2,,9.296,28.552,83
NDC,0168-0006-15 [10586],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],22.05,,6.174,18.963,83
NDC,0168-0006-16 [97500],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],85.65,,23.982,73.659,83
NDC,0168-0020-31 [10604],HYDROCORTISONE 1 % TOPICAL OINTMENT [3731],31.25,,8.75,26.875,83
NDC,0168-0056-46 [10640],BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT [1029],322.25,,90.23,277.135,83
NDC,0168-0059-60 [10644],FLUOCINOLONE 0.01 % TOPICAL SOLUTION [3186],114.65,,32.102,98.599,83
NDC,0168-0080-16 [10658],HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],206.3,,57.764,177.418,83
NDC,0168-0080-31 [10659],HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],15.65,,4.382,13.459,83
NDC,0168-0099-30 [104062],KETOCONAZOLE 2 % TOPICAL CREAM [10368],85.8,,24.024,73.788,83
NDC,0168-0134-60 [10669],FLUOCINONIDE 0.05 % TOPICAL SOLUTION [3190],137.3,,38.444,118.078,83
NDC,0168-0146-30 [10680],HYDROCORTISONE 2.5 % TOPICAL OINTMENT [3732],15.7,,4.396,13.502,83
NDC,0168-0163-30 [10692],CLOBETASOL 0.05 % TOPICAL CREAM [9630],110.9,,31.052,95.374,83
NDC,0168-0201-60 [10711],CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],123.6,,34.608,106.296,83
NDC,0168-0202-30 [10712],CLINDAMYCIN 1 % TOPICAL GEL [9623],284.6,,79.688,244.756,83
NDC,0168-0203-60 [10714],CLINDAMYCIN 1 % LOTION [19711],378.1,,105.868,325.166,83
NDC,0168-0258-46 [10740],CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM [29424],124.6,,34.888,107.156,83
NDC,0168-0277-40 [178392],CLINDAMYCIN 2 % VAGINAL CREAM [9624],341.6,,95.648,293.776,83
NDC,0168-0357-30 [10776],LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],58.1,,16.268,49.966,83
NDC,0168-0357-55 [100640],LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],39.2,,10.976,33.712,83
NDC,0168-0416-30 [275841],TACROLIMUS 0.1 % TOPICAL OINTMENT [29443],443.7,,124.236,381.582,83
NDC,0168-0416-60 [275842],TACROLIMUS 0.1 % TOPICAL OINTMENT [29443],887.35,,248.458,763.121,83
NDC,0169-1834-11 [10789],INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION [10284],21.15,,5.922,18.189,83
NDC,0169-1837-11 [10792],INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP [10286],153.3,,42.924,131.838,83
NDC,0169-1837-11 [10792],INSULIN NPH-REGULAR 70-30 MIX (ATC ONLY) 100 UNIT/ML SUBCUTANEOUS SUSP [40800003403],153.3,,42.924,131.838,83
NDC,0169-3201-11 [302083],INSULIN PUMP ASPART (NIACINAMIDE) INFUSION 100 UNITS/ML [40800003966],230.05,,7.76,197.843,84
NDC,0169-5176-03 [185694],ESTRADIOL 10 MCG VAGINAL TABLET [100745],73.0,,20.44,62.78,83
NDC,0169-5176-04 [185695],ESTRADIOL 10 MCG VAGINAL TABLET [100745],73.0,,20.44,62.78,83
NDC,0169-7201-01 [238546],COAGULATION FACTOR VIIA 1 MG/ML INJ CONTAINER [40800000404],9664.2,,2.64,8311.212,86
NDC,0169-7201-01 [238546],"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]",9664.2,,2.64,8311.212,86
NDC,0169-7205-01 [238548],COAGULATION FACTOR VIIA 1 MG/ML INJ CONTAINER [40800000404],48321.0,,2.64,41556.06,86
NDC,0169-7205-01 [238548],"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]",48321.0,,2.64,41556.06,86
NDC,0169-7211-11 [310273],"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]",9664.2,,2.64,8311.212,86
NDC,0169-7215-11 [344072],"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]",48321.0,,2.64,41556.06,86
NDC,0169-7501-11 [10819],INSULIN PUMP ASPART INFUSION 100 UNITS/ML [40800002825],230.05,,64.414,197.843,83
NDC,0172-2083-60 [10827],HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],1.65,,0.462,1.419,83
NDC,0172-3925-60 [10947],DIAZEPAM 2 MG TABLET [2404],2.85,,0.798,2.451,83
NDC,0172-3926-60 [10950],DIAZEPAM 5 MG TABLET [2405],2.85,,0.798,2.451,83
NDC,0172-4096-60 [10987],BACLOFEN 10 MG TABLET [860],1.65,,0.462,1.419,83
NDC,0172-5240-60 [120661],ANAGRELIDE 1 MG CAPSULE [20447],8.5,,2.38,7.31,83
NDC,0172-5241-60 [120662],ANAGRELIDE 0.5 MG CAPSULE [20446],3.95,,1.106,3.397,83
NDC,0172-5728-60 [11225],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,0172-5728-80 [11228],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,0172-5729-60 [11231],FAMOTIDINE 40 MG TABLET [10012],1.65,,0.462,1.419,83
NDC,0172-7313-20 [120676],CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION (NEORAL) [28844],772.5,,2.07,664.35,84
NDC,0173-0523-00 [11427],SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY [20039],306.45,,85.806,263.547,83
NDC,0173-0524-00 [11428],SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY [20038],306.45,,85.806,263.547,83
NDC,0173-0547-00 [11431],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],113.8,,31.864,97.868,83
NDC,0173-0682-20 [133505],ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],195.7,,54.796,168.302,83
NDC,0173-0682-24 [167609],ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837],78.0,,21.84,67.08,83
NDC,0173-0696-00 [11472],FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104565],641.45,,179.606,551.647,83
NDC,0173-0696-04 [167612],FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104565],156.25,,43.75,134.375,83
NDC,0173-0697-00 [11474],FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104566],869.0,,243.32,747.34,83
NDC,0173-0697-04 [167613],FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104566],254.65,,71.302,218.999,83
NDC,0173-0718-20 [145636],FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER [40697],670.1,,187.628,576.286,83
NDC,0173-0719-20 [136386],FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER [40698],897.1,,251.188,771.506,83
NDC,0173-0720-20 [145637],FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER [40699],1393.4,,390.152,1198.324,83
NDC,0173-0756-00 [178409],"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [97966]",109.2,,30.576,93.912,83
NDC,0173-0881-01 [283401],MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION [175906],12038.95,,31.33,10353.497,86
NDC,0173-0881-01 [283401],MEPOLIZUMAB SUBCUTANEOUS INJECTION 100 MG/ML [40800002618],12038.95,,31.33,10353.497,86
NDC,0173-0898-03 [346526],DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [194605],40199.45,,243.82,34571.527,86
NDC,0173-0913-01 [401775],BELANTAMAB MAFODOTIN-BLMF 50 MG/ML INJ [40800002690],78624.0,,22014.72,67616.64,83
NDC,0185-0055-01 [97523],METOLAZONE 5 MG TABLET [10588],3.2,,0.896,2.752,83
NDC,0185-0129-01 [12228],BUMETANIDE 1 MG TABLET [9310],2.15,,0.602,1.849,83
NDC,0185-0130-01 [12230],BUMETANIDE 2 MG TABLET [9311],4.0,,1.12,3.44,83
NDC,0185-0674-01 [267868],HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],1.65,,0.462,1.419,83
NDC,0185-0842-01 [288930],DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET [124104],3.05,,0.854,2.623,83
NDC,0185-5050-01 [97524],METOLAZONE 2.5 MG TABLET [10587],2.8,,0.784,2.408,83
NDC,0185-5368-30 [167622],EPLERENONE 25 MG TABLET [36983],16.5,,4.62,14.19,83
NDC,0186-0776-60 [280342],TICAGRELOR 60 MG TABLET [174313],36.75,,10.29,31.605,83
NDC,0186-0777-39 [209422],TICAGRELOR 90 MG TABLET [110427],36.75,,10.29,31.605,83
NDC,0186-0777-60 [209423],TICAGRELOR 90 MG TABLET [110427],36.75,,10.29,31.605,83
NDC,0186-0916-12 [136414],BUDESONIDE 180 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER [96977],866.85,,242.718,745.491,83
NDC,0186-1988-04 [12569],BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],33.6,,9.408,28.896,83
NDC,0186-1989-04 [12570],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],39.55,,11.074,34.013,83
NDC,0186-5040-54 [12577],"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE [29746]",35.35,,9.898,30.401,83
NDC,0187-0064-01 [264396],LORAZEPAM 1 MG TABLET [4573],187.65,,52.542,161.379,83
NDC,0187-0658-20 [123425],DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT (IP) [40800002631],1150.35,,322.098,989.301,83
NDC,0187-0659-20 [123426],DIAZEPAM 12.5 MG-15 MG-17.5 MG-20 MG RECTAL KIT (IP) [40800002633],1150.35,,322.098,989.301,83
NDC,0187-0994-45 [225193],ACYCLOVIR 5 % TOPICAL CREAM [8967],720.1,,201.628,619.286,83
NDC,0187-1704-05 [238570],PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],201.7,,56.476,173.462,83
NDC,0187-4420-10 [293697],FAMOTIDINE 20 MG TABLET [10011],56.0,,15.68,48.16,83
NDC,0187-4440-10 [292233],FAMOTIDINE 40 MG TABLET [10012],96.45,,27.006,82.947,83
NDC,0187-5101-02 [214945],PIMECROLIMUS 1 % TOPICAL CREAM [32052],1959.4,,548.632,1685.084,83
NDC,0187-5110-90 [238572],EMOLLIENT COMBINATION NO.10 TOPICAL EMULSION [42944],171.7,,48.076,147.662,83
NDC,0187-5465-06 [286520],PRAMOXINE-CALAMINE 1 %-8 % LOTION [13384],18.2,,5.096,15.652,83
NDC,0223-1720-01 [178441],SODIUM BICARBONATE 325 MG TABLET [7311],1.65,,0.462,1.419,83
NDC,0223-1721-01 [178443],SODIUM BICARBONATE 650 MG TABLET [7312],1.65,,0.462,1.419,83
NDC,0223-1760-01 [13031],SODIUM CHLORIDE 1 GRAM TABLET CONTAINER [40800002334],1.65,,0.462,1.419,83
NDC,0225-0800-47 [337230],PHENYLEPHRINE 0.25 % NASAL SPRAY [6243],16.5,,4.62,14.19,83
NDC,0225-0805-47 [335622],PHENYLEPHRINE 0.5 % NASAL SPRAY [6244],16.5,,4.62,14.19,83
NDC,0225-0810-47 [335621],PHENYLEPHRINE 1 % NASAL SPRAY [124348],18.45,,5.166,15.867,83
NDC,0228-2027-10 [13099],ALPRAZOLAM 0.25 MG TABLET [324],2.85,,0.798,2.451,83
NDC,0228-2029-10 [13103],ALPRAZOLAM 0.5 MG TABLET [325],2.85,,0.798,2.451,83
NDC,0228-2031-10 [13106],ALPRAZOLAM 1 MG TABLET [326],2.85,,0.798,2.451,83
NDC,0228-2076-10 [13128],TEMAZEPAM 15 MG CAPSULE [7753],2.85,,0.798,2.451,83
NDC,0228-2077-10 [13130],TEMAZEPAM 30 MG CAPSULE [7754],2.85,,0.798,2.451,83
NDC,0228-2127-10 [13134],CLONIDINE HCL 0.1 MG TABLET [1755],1.65,,0.462,1.419,83
NDC,0228-2128-10 [13136],CLONIDINE HCL 0.2 MG TABLET [1756],1.65,,0.462,1.419,83
NDC,0228-2348-10 [13151],PROPYLTHIOURACIL 50 MG TABLET [6662],3.6,,1.008,3.096,83
NDC,0228-2620-11 [13214],ISOSORBIDE MONONITRATE 20 MG TABLET [10357],2.45,,0.686,2.107,83
NDC,0228-2631-11 [13215],ISOSORBIDE MONONITRATE 10 MG TABLET [10356],2.35,,0.658,2.021,83
NDC,0228-2778-11 [153151],"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",8.0,,2.24,6.88,83
NDC,0228-2779-11 [153153],"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]",9.35,,2.618,8.041,83
NDC,0228-2820-11 [136441],HYDROCHLOROTHIAZIDE 12.5 MG TABLET [76988],1.65,,0.462,1.419,83
NDC,0234-0575-04 [104105],CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID [28188],17.75,,4.97,15.265,83
NDC,0234-0575-17 [153162],CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID [28188],1.65,,0.462,1.419,83
NDC,0245-0012-01 [13322],SOTALOL 80 MG TABLET [11421],7.6,,2.128,6.536,83
NDC,0245-0012-89 [162289],SOTALOL 80 MG TABLET [11421],7.6,,2.128,6.536,83
NDC,0245-0071-11 [136448],"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [11083]",6.75,,1.89,5.805,83
NDC,0245-0144-01 [97531],AMIODARONE 100 MG TABLET [36959],13.25,,3.71,11.395,83
NDC,0245-0144-30 [97532],AMIODARONE 100 MG TABLET [36959],13.25,,3.71,11.395,83
NDC,0245-0144-89 [167686],AMIODARONE 100 MG TABLET [36959],13.25,,3.71,11.395,83
NDC,0245-0147-01 [13401],AMIODARONE 200 MG TABLET [9066],1.8,,0.504,1.548,83
NDC,0245-0147-60 [13403],AMIODARONE 200 MG TABLET [9066],1.65,,0.462,1.419,83
NDC,0245-0147-89 [167688],AMIODARONE 200 MG TABLET [9066],1.8,,0.504,1.548,83
NDC,0245-0211-11 [111098],MIDODRINE 2.5 MG TABLET [10609],1.65,,0.462,1.419,83
NDC,0245-0212-01 [111099],MIDODRINE 5 MG TABLET [10610],4.15,,1.162,3.569,83
NDC,0245-0212-11 [111100],MIDODRINE 5 MG TABLET [10610],1.75,,0.49,1.505,83
NDC,0245-0212-89 [167699],MIDODRINE 5 MG TABLET [10610],4.15,,1.162,3.569,83
NDC,0245-0213-11 [111101],MIDODRINE 10 MG TABLET [33083],2.85,,0.798,2.451,83
NDC,0245-0360-01 [303115],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.25,,2.03,6.235,83
NDC,0245-0360-30 [303116],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.15,,2.002,6.149,83
NDC,0245-0360-89 [303117],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.25,,2.03,6.235,83
NDC,0245-0536-60 [214965],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],9.75,,2.73,8.385,83
NDC,0245-0536-89 [264475],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],9.75,,2.73,8.385,83
NDC,0245-0860-70 [123445],METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],400.55,,112.154,344.473,83
NDC,0245-5315-01 [324254],"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE [12185]",2.35,,0.658,2.021,83
NDC,0245-5315-11 [324255],"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE [12185]",2.05,,0.574,1.763,83
NDC,0245-5315-89 [324257],"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE [12185]",2.35,,0.658,2.021,83
NDC,0245-5317-01 [324262],"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",2.35,,0.658,2.021,83
NDC,0245-5317-89 [324265],"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",2.35,,0.658,2.021,83
NDC,0245-5319-01 [324270],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",2.6,,0.728,2.236,83
NDC,0245-5319-11 [324272],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",2.4,,0.672,2.064,83
NDC,0245-5319-89 [324274],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",2.6,,0.728,2.236,83
NDC,0254-1011-96 [331099],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],575.6,,161.168,495.016,83
NDC,0254-2045-02 [326928],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE (CRUSHED) [40800003407]",62.3,,17.444,53.578,83
NDC,0254-2045-02 [326928],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [132662]",62.3,,17.444,53.578,83
NDC,0259-0501-16 [232617],GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [107829],1636.1,,458.108,1407.046,83
NDC,0264-1510-32 [15736],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,0264-1510-32 [15736],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0264-1800-31 [15739],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0264-1800-32 [15740],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0264-1800-32 [15740],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0264-1800-32 [15740],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,0264-1800-32 [15740],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,18.522,56.889,83
NDC,0264-1800-32 [15740],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,18.522,56.889,83
NDC,0264-1800-36 [15741],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0264-1800-36 [15741],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,0264-1933-10 [350697],AMINO ACID 10 % INTRAVENOUS SOLUTION [124006],153.05,,42.854,131.623,83
NDC,0264-1965-10 [15755],HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [25174],87.1,,24.388,74.906,83
NDC,0264-2201-00 [15763],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],18.25,,5.11,15.695,83
NDC,0264-2201-10 [15764],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],16.45,,4.606,14.147,83
NDC,0264-4100-90 [345590],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",63.3,,0.05,54.438,84
NDC,0264-4100-90 [345590],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",63.3,,0.05,54.438,84
NDC,0264-4206-54 [353303],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,0264-4460-30 [275913],FAT EMULSION 20 % INTRAVENOUS [10014],85.5,,23.94,73.53,83
NDC,0264-7385-50 [275914],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,0264-7385-60 [275915],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,0264-7387-50 [280356],DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],53.5,,14.98,46.01,83
NDC,0264-7388-60 [267950],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],55.65,,15.582,47.859,83
NDC,0264-7510-00 [15810],DEXTROSE 5 % IV BOLUS [40800000219],69.65,,3.04,59.899,84
NDC,0264-7510-00 [15810],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],69.65,,3.04,59.899,84
NDC,0264-7510-00 [15810],DEXTROSE 5% INJECTION [40800003082],69.65,,3.04,59.899,84
NDC,0264-7510-10 [15811],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,2.03,56.889,84
NDC,0264-7510-10 [15811],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,84
NDC,0264-7510-10 [15811],DEXTROSE 5% INJECTION [40800003082],66.15,,2.03,56.889,84
NDC,0264-7510-20 [15812],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,2.03,56.889,84
NDC,0264-7510-20 [15812],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,84
NDC,0264-7510-20 [15812],DEXTROSE 5% INJECTION [40800003082],66.15,,2.03,56.889,84
NDC,0264-7520-10 [15814],DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [2357],69.65,,19.502,59.899,83
NDC,0264-7610-00 [15821],DEXTROSE 5%-SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS INFUSION [40800000007],69.65,,1.36,59.899,84
NDC,0264-7610-10 [15822],DEXTROSE 5%-SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS INFUSION [40800000007],69.65,,1.36,59.899,84
NDC,0264-7616-00 [15830],DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9812],69.65,,19.502,59.899,83
NDC,0264-7622-00 [15834],DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9809],69.65,,19.502,59.899,83
NDC,0264-7750-00 [15863],LACTATED RINGERS (NON-PVC) INTRAVENOUS SOLUTION [40800000053],69.65,,2.46,59.899,84
NDC,0264-7750-00 [15863],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,0264-7750-00 [15863],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,0264-7750-00 [15863],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,0264-7750-00 [15863],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,0264-7750-00 [15863],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,0264-7750-10 [15864],LACTATED RINGERS (NON-PVC) INTRAVENOUS SOLUTION [40800000053],69.65,,2.46,59.899,84
NDC,0264-7750-10 [15864],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,0264-7750-10 [15864],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,0264-7750-10 [15864],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,0264-7750-10 [15864],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,0264-7750-10 [15864],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,0264-7750-20 [15865],LACTATED RINGERS (NON-PVC) INTRAVENOUS SOLUTION [40800000053],69.65,,2.46,59.899,84
NDC,0264-7750-20 [15865],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,0264-7750-20 [15865],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,0264-7750-20 [15865],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,0264-7750-20 [15865],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,0264-7750-20 [15865],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,0264-7751-00 [15866],DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],69.65,,19.502,59.899,83
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],69.65,,2.28,59.899,84
NDC,0264-7800-00 [15872],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],69.65,,2.28,59.899,84
NDC,0264-7800-09 [267952],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],69.65,,2.28,59.899,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,1.38,56.889,84
NDC,0264-7800-10 [15873],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,1.38,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,0.71,56.889,84
NDC,0264-7800-20 [15874],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,0.71,56.889,84
NDC,0264-7805-10 [15877],SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],69.65,,19.502,59.899,83
NDC,0264-7805-10 [15877],SODIUM CHLORIDE 3% IV BOLUS (USE ORDER SET) [40800002862],69.65,,19.502,59.899,83
NDC,0264-7850-00 [15879],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,0264-7865-00 [15882],POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [11081],69.65,,0.17,59.899,84
NDC,0264-9594-10 [16229],LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [14868],64.35,,18.018,55.341,83
NDC,0264-9594-10 [16229],LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE IVPB SOLUTION (MUST USE ORDER SET) [40840004154],64.35,,18.018,55.341,83
NDC,0264-9872-10 [16247],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL (USE ORDER SET) [40800002030]",63.3,,0.22,54.438,84
NDC,0264-9872-10 [16247],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (USE ORDER SET) [40800003923]",63.3,,0.22,54.438,84
NDC,0264-9872-10 [16247],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL SOLN [40800003546]",63.3,,0.22,54.438,84
NDC,0264-9872-10 [16247],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,0.22,54.438,84
NDC,0264-9872-10 [16247],HEPARIN (PORCINE) (PF) 2 UNITS/ML IN 0.9% SODIUM CHLORIDE IRRIGATION CONTAINER (IR OSM) [40800003580],63.3,,0.22,54.438,84
NDC,0268-0247-05 [293907],HISTAMINE 1 MG/ML (2.75 MG/ML) PERCUTANEOUS SOLUTION [184561],1428.35,,399.938,1228.381,83
NDC,0270-1316-35 [16301],IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [10328],161.65,,0.15,139.019,84
NDC,0270-1316-37 [16302],IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [10328],223.8,,0.15,192.468,84
NDC,0270-1316-45 [280374],IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [10328],307.15,,0.15,264.149,84
NDC,0270-1316-95 [280375],IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [10328],771.65,,0.15,663.619,84
NDC,0270-1412-15 [16326],IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION [10327],260.75,,0.15,224.245,84
NDC,0270-5164-12 [120723],GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION [41137],94.3,,1.74,81.098,84
NDC,0270-5164-13 [120724],GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION [41137],185.0,,1.74,159.1,84
NDC,0270-5164-14 [120725],GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION [41137],258.45,,1.74,222.267,84
NDC,0270-7015-46 [364893],GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION [199444],1016.7,,3.41,874.362,84
NDC,0270-7020-38 [364894],GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION [199444],107.8,,3.41,92.708,84
NDC,0270-7025-40 [364895],GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION [199444],255.35,,3.41,219.601,84
NDC,0270-7030-42 [364896],GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION [199444],338.9,,3.41,291.454,84
NDC,0270-7099-16 [280376],SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION [174231],440.25,,18.59,378.615,84
NDC,0280-2110-10 [258460],"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",1.65,,0.462,1.419,83
NDC,0281-0326-08 [178475],NITROGLYCERIN 2 % TRANSDERMAL OINTMENT [5606],11.5,,3.22,9.89,83
NDC,0281-0326-30 [178476],NITROGLYCERIN 2 % TRANSDERMAL OINTMENT [5606],128.55,,35.994,110.553,83
NDC,0281-0326-60 [178477],NITROGLYCERIN 2 % TRANSDERMAL OINTMENT [5606],257.1,,71.988,221.106,83
NDC,0283-0293-31 [16443],BENZOCAINE 20 % MUCOSAL GEL [19691],36.75,,10.29,31.605,83
NDC,0283-0293-31 [16443],BENZOCAINE 20% MUCOSAL GEL CONTAINER [40800003610],36.75,,10.29,31.605,83
NDC,0283-0569-31 [16447],BENZOCAINE 20 % MUCOSAL SOLUTION [124299],36.75,,10.29,31.605,83
NDC,0283-0679-02 [16452],BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY [19696],104.85,,29.358,90.171,83
NDC,0283-0871-31 [16458],BENZOCAINE 20 % MUCOSAL GEL [19691],36.75,,10.29,31.605,83
NDC,0283-0871-31 [16458],BENZOCAINE 20% MUCOSAL GEL CONTAINER [40800003610],36.75,,10.29,31.605,83
NDC,0299-3820-60 [129454],METRONIDAZOLE 1 % TOPICAL GEL [41899],1233.3,,345.324,1060.638,83
NDC,02990-0110-22 [364243],PARABEN-CETYL ALCOHOL-STEARYL ALCOHOL-PROPY GLYCOL-SLS TOPICAL CLEANER [125970],42.55,,11.914,36.593,83
NDC,02990-0110-24 [360185],PARABEN-CETYL ALCOHOL-STEARYL ALCOHOL-PROPY GLYCOL-SLS TOPICAL CLEANER [125970],17.25,,4.83,14.835,83
NDC,0310-0280-60 [176072],"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [95676]",38.95,,10.906,33.497,83
NDC,0310-0610-60 [333544],SELUMETINIB 10 MG CAPSULE [191027],326.15,,91.322,280.489,83
NDC,0310-0625-60 [333545],SELUMETINIB 25 MG CAPSULE [191028],815.35,,228.298,701.201,83
NDC,0310-0720-10 [195874],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],2943.5,,6.98,2531.41,84
NDC,0310-1105-01 [311223],SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET FOR TUBE ROUTE [40800003079],101.55,,28.434,87.333,83
NDC,0310-1105-01 [311223],SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [185759],101.55,,28.434,87.333,83
NDC,0310-1105-30 [311224],SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET FOR TUBE ROUTE [40800003079],101.55,,28.434,87.333,83
NDC,0310-1105-30 [311224],SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [185759],101.55,,28.434,87.333,83
NDC,0310-1105-39 [317701],SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET FOR TUBE ROUTE [40800003079],101.55,,28.434,87.333,83
NDC,0310-1105-39 [317701],SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [185759],101.55,,28.434,87.333,83
NDC,0310-1110-01 [311225],SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET FOR TUBE ROUTE [40800003080],101.55,,28.434,87.333,83
NDC,0310-1110-01 [311225],SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET [185761],101.55,,28.434,87.333,83
NDC,0310-1110-30 [311226],SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET FOR TUBE ROUTE [40800003080],101.55,,28.434,87.333,83
NDC,0310-1110-30 [311226],SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET [185761],101.55,,28.434,87.333,83
NDC,0310-1110-39 [317702],SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET FOR TUBE ROUTE [40800003080],101.55,,28.434,87.333,83
NDC,0310-1110-39 [317702],SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET [185761],101.55,,28.434,87.333,83
NDC,0310-3040-00 [350699],ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION [195592],18090.9,,18.1,15558.174,86
NDC,0310-3512-60 [360240],ACALABRUTINIB MALEATE 100 MG TABLET [198599],890.25,,249.27,765.615,83
NDC,0310-4500-12 [297853],DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [181795],3461.1,,85.25,2976.546,86
NDC,0310-4505-25 [363165],TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [199299],11581.2,,141.17,9959.832,86
NDC,0310-4535-30 [363166],TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [199299],138973.8,,141.17,119517.468,86
NDC,0310-4611-50 [297854],DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [181795],14421.1,,85.25,12402.146,86
NDC,0310-4700-01 [314642],MOXETUMOMAB PASUDOTOX-TDFK (LUMOXITI) 1 MG/ML INTRAVENOUS SOLUTION [40800002518],7230.15,,23.39,6217.929,85
NDC,0310-4700-01 [314642],MOXETUMOMAB PASUDOTOX-TDFK 1 MG INTRAVENOUS SOLUTION [186631],7230.15,,23.39,6217.929,85
NDC,0310-7590-30 [354812],ROSUVASTATIN 40 MG TABLET [35136],35.55,,9.954,30.573,83
NDC,0316-0229-75 [326931],CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION [23063],36.85,,10.318,31.691,83
NDC,0318-0743-20 [337270],DEXTROMETHORPHAN HBR 15 MG CAPSULE [37354],1.65,,0.462,1.419,83
NDC,0338-0003-46 [16846],"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",44.95,,12.586,38.657,83
NDC,0338-0004-02 [16849],"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",24.7,,6.916,21.242,83
NDC,0338-0004-03 [16850],"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",21.75,,6.09,18.705,83
NDC,0338-0004-04 [16851],"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",19.75,,5.53,16.985,83
NDC,0338-0013-04 [16853],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,0338-0013-06 [16854],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,0338-0013-08 [16855],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,0338-0017-02 [16862],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,2.03,56.889,84
NDC,0338-0017-02 [16862],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,2.03,56.889,84
NDC,0338-0017-02 [16862],DEXTROSE 5% INJECTION [40800003082],66.15,,2.03,56.889,84
NDC,0338-0017-02 [16862],DEXTROSE 5% IV FLUSH [40800000220],66.15,,2.03,56.889,84
NDC,0338-0017-03 [16863],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,2.03,56.889,84
NDC,0338-0017-03 [16863],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,2.03,56.889,84
NDC,0338-0017-03 [16863],DEXTROSE 5% INJECTION [40800003082],66.15,,2.03,56.889,84
NDC,0338-0017-03 [16863],DEXTROSE 5% IV FLUSH [40800000220],66.15,,2.03,56.889,84
NDC,0338-0017-04 [16864],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],69.65,,3.04,59.899,84
NDC,0338-0017-04 [16864],DEXTROSE 5 % IV BOLUS [40800000219],69.65,,3.04,59.899,84
NDC,0338-0017-04 [16864],DEXTROSE 5% INJECTION [40800003082],69.65,,3.04,59.899,84
NDC,0338-0017-10 [16865],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,18.522,56.889,83
NDC,0338-0017-10 [16865],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,0338-0017-11 [16866],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,18.522,56.889,83
NDC,0338-0017-11 [16866],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,0338-0017-11 [16866],DEXTROSE 5% INJECTION [40800003082],66.15,,18.522,56.889,83
NDC,0338-0017-11 [16866],DEXTROSE 5% IV FLUSH [40800000220],66.15,,3.04,56.889,84
NDC,0338-0017-18 [16867],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,18.522,56.889,83
NDC,0338-0017-18 [16867],DEXTROSE 5 % IN WATER (D5W) SUBCUTANEOUS INJECTION (RN OSM) [40800001217],66.15,,18.522,56.889,83
NDC,0338-0017-18 [16867],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,0338-0017-18 [16867],DEXTROSE 5% INJECTION [40800003082],66.15,,18.522,56.889,83
NDC,0338-0017-18 [16867],DEXTROSE 5% IV FLUSH [40800000220],66.15,,3.04,56.889,84
NDC,0338-0017-31 [16868],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,18.522,56.889,83
NDC,0338-0017-31 [16868],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,0338-0017-31 [16868],DEXTROSE 5% INJECTION [40800003082],66.15,,18.522,56.889,83
NDC,0338-0017-31 [16868],DEXTROSE 5% IV FLUSH (2017-0855) [40890014285],66.15,,3.04,56.889,84
NDC,0338-0017-31 [16868],DEXTROSE 5% IV FLUSH [40800000220],66.15,,3.04,56.889,84
NDC,0338-0017-38 [16869],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,18.522,56.889,83
NDC,0338-0017-38 [16869],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,0338-0017-38 [16869],DEXTROSE 5% INJECTION [40800003082],66.15,,18.522,56.889,83
NDC,0338-0017-38 [16869],DEXTROSE 5% IV FLUSH [40800000220],66.15,,3.04,56.889,84
NDC,0338-0017-41 [16870],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,18.522,56.889,83
NDC,0338-0017-41 [16870],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,0338-0017-41 [16870],DEXTROSE 5% INJECTION [40800003082],66.15,,18.522,56.889,83
NDC,0338-0017-41 [16870],DEXTROSE 5% IV FLUSH [40800000220],66.15,,3.04,56.889,84
NDC,0338-0017-48 [16871],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,18.522,56.889,83
NDC,0338-0017-48 [16871],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,0338-0017-48 [16871],DEXTROSE 5% INJECTION [40800003082],66.15,,18.522,56.889,83
NDC,0338-0017-48 [16871],DEXTROSE 5% IV FLUSH [40800000220],66.15,,3.04,56.889,84
NDC,0338-0023-03 [16878],DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [2357],69.65,,19.502,59.899,83
NDC,0338-0023-04 [16879],DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [2357],69.65,,19.502,59.899,83
NDC,0338-0043-03 [16893],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],66.15,,18.522,56.889,83
NDC,0338-0043-03 [16893],SODIUM CHLORIDE 0.45 % IV BOLUS [40800002442],66.15,,18.522,56.889,83
NDC,0338-0043-03 [16893],SODIUM CHLORIDE 0.45% IV REPLENISHMENT [40800002467],66.15,,18.522,56.889,83
NDC,0338-0043-04 [16894],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],69.65,,19.502,59.899,83
NDC,0338-0043-04 [16894],SODIUM CHLORIDE 0.45 % IV BOLUS [40800002442],69.65,,19.502,59.899,83
NDC,0338-0043-04 [16894],SODIUM CHLORIDE 0.45% IV REPLENISHMENT [40800002467],69.65,,19.502,59.899,83
NDC,0338-0047-27 [16902],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],55.65,,15.582,47.859,83
NDC,0338-0047-47 [16906],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],55.65,,15.582,47.859,83
NDC,0338-0048-02 [16907],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],21.0,,5.88,18.06,83
NDC,0338-0048-03 [16908],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],20.1,,5.628,17.286,83
NDC,0338-0048-04 [16909],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],18.25,,5.11,15.695,83
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,0.71,56.889,84
NDC,0338-0049-02 [16912],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,0.71,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9 % IMPLANT INJECTION SOLUTION (RN OSM) [40800001211],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,1.38,56.889,84
NDC,0338-0049-03 [16913],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,1.38,56.889,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],69.65,,2.28,59.899,84
NDC,0338-0049-04 [16914],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],69.65,,2.28,59.899,84
NDC,0338-0049-10 [16915],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0338-0049-10 [16915],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0338-0049-10 [16915],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0338-0049-10 [16915],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0338-0049-10 [16915],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0338-0049-10 [16915],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0338-0049-10 [16915],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0338-0049-10 [16915],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0338-0049-11 [16916],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0338-0049-11 [16916],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0338-0049-11 [16916],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0338-0049-11 [16916],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0338-0049-11 [16916],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0338-0049-11 [16916],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0338-0049-11 [16916],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0338-0049-11 [16916],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,18.522,56.889,83
NDC,0338-0049-18 [16917],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,18.522,56.889,83
NDC,0338-0049-31 [16918],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,18.522,56.889,83
NDC,0338-0049-38 [16919],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0338-0049-41 [16920],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0338-0049-41 [16920],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0338-0049-41 [16920],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0338-0049-41 [16920],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0338-0049-41 [16920],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0338-0049-41 [16920],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0338-0049-41 [16920],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0338-0049-41 [16920],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,18.522,56.889,83
NDC,0338-0049-41 [16920],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,18.522,56.889,83
NDC,0338-0049-48 [16921],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0338-0054-03 [16925],SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],69.65,,19.502,59.899,83
NDC,0338-0054-03 [16925],SODIUM CHLORIDE 3% IV BOLUS (USE ORDER SET) [40800002862],69.65,,19.502,59.899,83
NDC,0338-0063-01 [327840],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",1048.85,,71.86,902.011,86
NDC,0338-0067-01 [327841],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",5516.8,,71.86,4744.448,86
NDC,0338-0072-25 [318714],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],7.7,,0.34,6.622,86
NDC,0338-0077-03 [16938],DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9812],69.65,,19.502,59.899,83
NDC,0338-0077-04 [16939],DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9812],69.65,,19.502,59.899,83
NDC,0338-0085-03 [16950],DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9814],69.65,,19.502,59.899,83
NDC,0338-0085-04 [16951],DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9814],69.65,,19.502,59.899,83
NDC,0338-0089-03 [16953],DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],69.65,,1.36,59.899,84
NDC,0338-0089-04 [16954],DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],69.65,,1.36,59.899,84
NDC,0338-0117-02 [16969],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,0338-0117-02 [16969],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,0338-0117-02 [16969],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,0338-0117-02 [16969],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,0338-0117-02 [16969],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,0338-0117-03 [16970],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,0338-0117-03 [16970],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,0338-0117-03 [16970],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,0338-0117-03 [16970],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,0338-0117-03 [16970],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,0338-0117-04 [16971],LACTATED RINGERS (NON-PVC) INTRAVENOUS SOLUTION [40800000053],69.65,,2.46,59.899,84
NDC,0338-0117-04 [16971],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,0338-0117-04 [16971],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,0338-0117-04 [16971],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,0338-0117-04 [16971],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,0338-0117-04 [16971],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,0338-0125-04 [16977],DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],69.65,,19.502,59.899,83
NDC,0338-0190-04 [265027],"SOD,POT CHLOR-MAG SULF-SOD,POTAS PHOS 800-40-20 MG/100 ML IRRIG SOLN [179413]",29.2,,8.176,25.112,83
NDC,0338-0221-03 [17025],ELECTROLYTE-A INTRAVENOUS SOLUTION [28113],69.65,,19.502,59.899,83
NDC,0338-0221-03 [17025],ELECTROLYTE-A IV BOLUS (NON-ALARIS) [40800003867],69.65,,19.502,59.899,83
NDC,0338-0221-03 [17025],ELECTROLYTE-A IV BOLUS [40800002446],69.65,,19.502,59.899,83
NDC,0338-0221-03 [17025],ELECTROLYTE-A IV REPLENISHMENT  [40800004041],69.65,,19.502,59.899,83
NDC,0338-0221-03 [17025],ELECTROLYTE-A/ELECTROLYTE-S INTRAVENOUS SOLUTION CONTAINER (NON-ALARIS) [40800002009],69.65,,19.502,59.899,83
NDC,0338-0221-04 [17026],ELECTROLYTE-A INTRAVENOUS SOLUTION [28113],69.65,,19.502,59.899,83
NDC,0338-0221-04 [17026],ELECTROLYTE-A IV BOLUS (NON-ALARIS) [40800003867],69.65,,19.502,59.899,83
NDC,0338-0221-04 [17026],ELECTROLYTE-A IV BOLUS [40800002446],69.65,,19.502,59.899,83
NDC,0338-0221-04 [17026],ELECTROLYTE-A IV REPLENISHMENT  [40800004041],69.65,,19.502,59.899,83
NDC,0338-0221-04 [17026],ELECTROLYTE-A/ELECTROLYTE-S INTRAVENOUS SOLUTION CONTAINER (NON-ALARIS) [40800002009],69.65,,19.502,59.899,83
NDC,0338-0289-47 [17050],GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION [3493],65.65,,18.382,56.459,83
NDC,0338-0322-01 [329558],"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION [89570]",281.75,,78.89,242.305,83
NDC,0338-0324-01 [329559],"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION [89570]",281.75,,78.89,242.305,83
NDC,0338-0328-01 [329561],"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION [91965]",1126.95,,315.546,969.177,83
NDC,0338-0357-02 [17070],MANNITOL 20 % INTRAVENOUS SOLUTION [4749],173.6,,48.608,149.296,83
NDC,0338-0357-03 [17071],MANNITOL 20 % INTRAVENOUS SOLUTION [4749],200.1,,56.028,172.086,83
NDC,0338-0357-03 [17071],MANNITOL 20% INTRAVENOUS SOLUTION (IV PREP) [40800000210],215.95,,60.466,185.717,83
NDC,0338-0409-03 [17076],LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [14868],63.3,,17.724,54.438,83
NDC,0338-0409-03 [17076],LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE IVPB SOLUTION (MUST USE ORDER SET) [40840004154],63.3,,17.724,54.438,83
NDC,0338-0424-18 [331104],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL SOLN [40800003546]",63.3,,0.22,54.438,84
NDC,0338-0424-18 [331104],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,0.22,54.438,84
NDC,0338-0433-04 [17081],HEPARIN (PORCINE) (PF) 2 UNITS/ML IN 0.9% SODIUM CHLORIDE IRRIGATION CONTAINER (IR OSM) [40800003580],63.3,,0.22,54.438,84
NDC,0338-0433-04 [17081],"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [128751]",63.3,,0.22,54.438,84
NDC,0338-0502-03 [123452],PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION [186046],326.25,,91.35,280.575,83
NDC,0338-0502-06 [17122],PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION [186046],431.35,,120.778,370.961,83
NDC,0338-0519-09 [280386],FAT EMULSION 20 % INTRAVENOUS [10014],149.75,,41.93,128.785,83
NDC,0338-0519-13 [280387],FAT EMULSION 20 % INTRAVENOUS [10014],132.5,,37.1,113.95,83
NDC,0338-0519-58 [280389],FAT EMULSION 20 % INTRAVENOUS [10014],99.95,,27.986,85.957,83
NDC,0338-0551-11 [17133],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [127120],66.15,,18.522,56.889,83
NDC,0338-0551-18 [17134],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [127120],66.15,,18.522,56.889,83
NDC,0338-0553-11 [17135],SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [127119],66.15,,18.522,56.889,83
NDC,0338-0553-18 [17136],SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [127119],66.15,,18.522,56.889,83
NDC,0338-0644-06 [17163],PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION [128517],194.5,,54.46,167.27,83
NDC,0338-0656-04 [17165],ACETIC ACID 0.25 % IRRIGATION SOLUTION [8963],69.65,,19.502,59.899,83
NDC,0338-0663-04 [17169],POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV [9800],32.7,,0.17,28.122,84
NDC,0338-0671-04 [17175],POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9801],69.65,,0.17,59.899,84
NDC,0338-0675-04 [17177],POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9807],69.65,,0.17,59.899,84
NDC,0338-0691-04 [17185],POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [11081],69.65,,0.17,59.899,84
NDC,0338-0695-04 [17186],POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [11082],69.65,,0.17,59.899,84
NDC,0338-0703-41 [17187],POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11077],63.3,,0.17,54.438,84
NDC,0338-0703-41 [17187],POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK (2 PREMIX BAGS) [40800002455],63.3,,0.17,54.438,84
NDC,0338-0703-41 [17187],POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK (3 PREMIX BAGS) [40800002456],63.3,,0.17,54.438,84
NDC,0338-0703-48 [17188],POTASSIUM CHLORIDE 40 MEQ/100 ML INTRAVENOUS PIGGYBACK (2 PREMIX BAGS) [40800002457],63.3,,0.17,54.438,84
NDC,0338-0703-48 [17188],POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11079],63.3,,0.17,54.438,84
NDC,0338-0719-06 [17202],DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],63.6,,17.808,54.696,83
NDC,0338-0803-04 [17205],POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [9795],69.65,,0.17,59.899,84
NDC,0338-1009-02 [17226],"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN (MELANOMA) (USE ORDER SET) [40800000095]",78.5,,0.66,67.51,84
NDC,0338-1009-02 [17226],"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14846]",78.5,,0.66,67.51,84
NDC,0338-1047-02 [17235],NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS [15858],79.35,,1.42,68.241,84
NDC,0338-1047-02 [17235],NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE BOLUS (IR OSM) [40800000830],79.35,,1.42,68.241,84
NDC,0338-1049-02 [17236],NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],82.1,,1.42,70.606,84
NDC,0338-1055-48 [17238],METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],63.3,,0.03,54.438,84
NDC,0338-1055-48 [17238],METRONIDAZOLE IVPB 5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001396],63.3,,0.03,54.438,84
NDC,0338-1055-48 [17238],METRONIDAZOLE IVPB 5 MG/ML [40800000425],63.3,,0.03,54.438,84
NDC,0338-1075-02 [17242],"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [18315]",105.4,,7.98,90.644,84
NDC,0338-1099-04 [17249],AMINO ACID 5 % NO.6 IN DEXTROSE 15 % INTRAVENOUS SOLUTION [27931],254.4,,71.232,218.784,83
NDC,0338-1123-04 [17257],AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION [27963],258.1,,72.268,221.966,83
NDC,0338-1147-03 [17276],AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION [27963],143.1,,40.068,123.066,83
NDC,0338-1305-01 [178481],MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],85.8,,1.33,73.788,84
NDC,0338-1708-40 [344075],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],68.9,,0.5,59.254,84
NDC,0338-3612-24 [300514],CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],66.35,,1.67,57.061,84
NDC,0338-3612-50 [300515],CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],66.35,,1.67,57.061,84
NDC,0338-3616-24 [314645],CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],63.3,,1.67,54.438,84
NDC,0338-3616-50 [314646],CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],63.3,,1.67,54.438,84
NDC,0338-3814-24 [300516],CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],69.5,,1.67,59.77,84
NDC,0338-3814-50 [300517],CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],69.5,,1.67,59.77,84
NDC,0338-5197-41 [17298],FAMOTIDINE (PF) 20 MG/50 ML IN 0.9 % NACL (ISO) INTRAVENOUS PIGGYBACK [12735],63.3,,0.01,54.438,84
NDC,0338-6010-48 [17299],MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [122186],97.0,,1.4,83.42,84
NDC,0338-6045-37 [107154],FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],79.9,,2.26,68.714,84
NDC,0338-6045-37 [107154],FLUCONAZOLE IVPB 400 MG/200 ML IN NS (IV PREP; DOSES 201-399 MG) [40840000145],79.9,,2.26,68.714,84
NDC,0338-6045-37 [107154],FLUCONAZOLE IVPB 400 MG/200 ML IN NS (IV PREP; DOSES > 400 MG) [40840000139],79.9,,2.26,68.714,84
NDC,0338-6046-48 [107155],FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],77.0,,2.26,66.22,84
NDC,0338-6046-48 [107155],FLUCONAZOLE IVPB 2 MG/ML IN NS (MAX CONC) (PEDI < 20.5 KG) [40840001436],77.0,,2.26,66.22,84
NDC,0338-6046-48 [107155],FLUCONAZOLE IVPB 200 MG/100 ML IN NS (IV PREP; DOSES < 200 MG) [40840000141],77.0,,2.26,66.22,84
NDC,0338-7030-01 [388005],AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION [27963],143.1,,40.068,123.066,83
NDC,0338-7030-06 [388006],AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION [27963],143.1,,40.068,123.066,83
NDC,0338-7032-01 [388007],AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION [27963],258.1,,72.268,221.966,83
NDC,0338-7032-04 [388008],AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION [27963],258.1,,72.268,221.966,83
NDC,0338-9143-30 [345594],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [127120],66.15,,18.522,56.889,83
NDC,0338-9147-30 [318715],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [127120],66.15,,18.522,56.889,83
NDC,0338-9151-30 [345595],SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [127119],66.15,,18.522,56.889,83
NDC,0338-9159-30 [312952],SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [127119],66.15,,18.522,56.889,83
NDC,0338-9539-72 [303128],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [127120],66.15,,18.522,56.889,83
NDC,0338-9543-02 [286574],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,0338-9543-02 [286574],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,84
NDC,0338-9543-02 [286574],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,84
NDC,0338-9543-04 [286575],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,1.38,56.889,84
NDC,0338-9543-04 [286575],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,1.38,56.889,84
NDC,0338-9543-04 [286575],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,1.38,56.889,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],69.65,,2.28,59.899,84
NDC,0338-9543-06 [286576],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],69.65,,2.28,59.899,84
NDC,0338-9557-12 [311988],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (PALLIATIVE CARE) (USE ORDER SET) [40840004807],78.55,,21.994,67.553,83
NDC,0338-9557-12 [311988],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],78.55,,21.994,67.553,83
NDC,0338-9581-02 [378676],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",1015.6,,71.86,873.416,86
NDC,0338-9649-75 [395151],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,18.522,56.889,83
NDC,0338-9653-60 [395152],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,18.522,56.889,83
NDC,0338-9657-75 [393893],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,18.522,56.889,83
NDC,0338-9657-75 [393893],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,18.522,56.889,83
NDC,0338-9657-75 [393893],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,0338-9657-75 [393893],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,18.522,56.889,83
NDC,0338-9657-75 [393893],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,18.522,56.889,83
NDC,0338-9660-40 [396903],SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [127119],66.15,,18.522,56.889,83
NDC,0338-9661-60 [393894],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,18.522,56.889,83
NDC,0338-9661-60 [393894],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,18.522,56.889,83
NDC,0338-9661-60 [393894],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,0338-9661-60 [393894],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,18.522,56.889,83
NDC,0338-9661-60 [393894],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,18.522,56.889,83
NDC,0338-9662-35 [396904],SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [127119],66.15,,18.522,56.889,83
NDC,0338-9782-01 [388859],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,0338-9782-12 [388860],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,0362-1098-90 [316586],MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE [178455],6.4,,1.792,5.504,84
NDC,0378-0018-01 [100751],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,0378-0018-05 [162318],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,0378-0032-01 [17613],METOPROLOL TARTRATE 50 MG TABLET [5009],1.65,,0.462,1.419,83
NDC,0378-0047-01 [17620],METOPROLOL TARTRATE 100 MG TABLET [5008],1.65,,0.462,1.419,83
NDC,0378-0078-01 [185768],CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],1.65,,0.462,1.419,83
NDC,0378-0088-01 [17638],"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",3.3,,0.924,2.838,83
NDC,0378-0094-01 [17642],"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",6.7,,1.876,5.762,83
NDC,0378-0137-01 [17657],ALLOPURINOL 100 MG TABLET [310],1.65,,0.462,1.419,83
NDC,0378-0184-01 [17686],PROPRANOLOL 40 MG TABLET [6658],2.4,,0.672,2.064,83
NDC,0378-0184-10 [17687],PROPRANOLOL 40 MG TABLET [6658],2.4,,0.672,2.064,83
NDC,0378-0208-01 [17695],FUROSEMIDE 20 MG TABLET [3294],1.65,,0.462,1.419,83
NDC,0378-0213-01 [17701],CHLORTHALIDONE 50 MG TABLET [1662],5.65,,1.582,4.859,83
NDC,0378-0221-01 [17712],TIMOLOL 10 MG TABLET [7967],6.5,,1.82,5.59,83
NDC,0378-0222-01 [17713],CHLORTHALIDONE 25 MG TABLET [1661],4.6,,1.288,3.956,83
NDC,0378-0345-01 [17752],DIAZEPAM 5 MG TABLET [2405],2.85,,0.798,2.451,83
NDC,0378-0351-01 [17755],HALOPERIDOL 0.5 MG TABLET [3578],1.65,,0.462,1.419,83
NDC,0378-0415-01 [17772],DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],4.6,,1.288,3.956,83
NDC,0378-0871-16 [268047],CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],90.95,,25.466,78.217,83
NDC,0378-0871-99 [195915],CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],90.95,,25.466,78.217,83
NDC,0378-0872-16 [268048],CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],153.15,,42.882,131.709,83
NDC,0378-0872-99 [195916],CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],153.15,,42.882,131.709,83
NDC,0378-0873-16 [281620],CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],212.45,,59.486,182.707,83
NDC,0378-0873-99 [195917],CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],212.45,,59.486,182.707,83
NDC,0378-1049-01 [17848],DOXEPIN 10 MG CAPSULE [2608],1.65,,0.462,1.419,83
NDC,0378-1101-01 [17858],PRAZOSIN 1 MG CAPSULE [6468],2.55,,0.714,2.193,83
NDC,0378-1355-01 [17891],TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],1.65,,0.462,1.419,83
NDC,0378-1454-01 [17899],ESTRADIOL 1 MG TABLET [9967],1.65,,0.462,1.419,83
NDC,0378-1610-01 [17906],DICYCLOMINE 10 MG CAPSULE [2418],1.65,,0.462,1.419,83
NDC,0378-1800-77 [290736],LEVOTHYROXINE 25 MCG TABLET [4420],1.65,,0.462,1.419,83
NDC,0378-1803-77 [289685],LEVOTHYROXINE 50 MCG TABLET [4421],1.8,,0.504,1.548,83
NDC,0378-1805-77 [289686],LEVOTHYROXINE 75 MCG TABLET [4422],2.0,,0.56,1.72,83
NDC,0378-1813-77 [288946],LEVOTHYROXINE 125 MCG TABLET [4424],2.4,,0.672,2.064,83
NDC,0378-1815-77 [289689],LEVOTHYROXINE 150 MCG TABLET [4425],2.45,,0.686,2.107,83
NDC,0378-1819-77 [290737],LEVOTHYROXINE 200 MCG TABLET [4426],2.9,,0.812,2.494,83
NDC,0378-2097-01 [204212],"NISOLDIPINE ER 17 MG TABLET,EXTENDED RELEASE 24 HR [91079]",27.4,,7.672,23.564,83
NDC,0378-2100-01 [17955],LOPERAMIDE 2 MG CAPSULE [4560],1.75,,0.49,1.505,83
NDC,0378-2100-05 [17956],LOPERAMIDE 2 MG CAPSULE [4560],1.75,,0.49,1.505,83
NDC,0378-2222-01 [167723],"NISOLDIPINE ER 20 MG TABLET,EXTENDED RELEASE 24 HR [27493]",50.7,,14.196,43.602,83
NDC,0378-2233-93 [305677],EFAVIRENZ 600 MG TABLET [32298],102.35,,28.658,88.021,83
NDC,0378-2260-01 [17964],TERAZOSIN 1 MG CAPSULE [14550],1.65,,0.462,1.419,83
NDC,0378-2537-01 [17976],TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],1.65,,0.462,1.419,83
NDC,0378-2921-77 [268057],TELMISARTAN 40 MG TABLET [24335],1.65,,0.462,1.419,83
NDC,0378-2921-93 [268058],TELMISARTAN 40 MG TABLET [24335],5.1,,1.428,4.386,83
NDC,0378-3224-77 [331105],CANDESARTAN 4 MG TABLET [23229],1.65,,0.462,1.419,83
NDC,0378-3225-93 [331108],CANDESARTAN 8 MG TABLET [23230],6.35,,1.778,5.461,83
NDC,0378-3231-77 [331109],CANDESARTAN 16 MG TABLET [23231],4.9,,1.372,4.214,83
NDC,0378-3232-93 [331112],CANDESARTAN 32 MG TABLET [23232],8.1,,2.268,6.966,83
NDC,0378-3266-32 [318717],ETOPOSIDE 50 MG CAPSULE [10001],283.55,,75.76,243.853,86
NDC,0378-3266-94 [18017],ETOPOSIDE 50 MG CAPSULE [10001],283.55,,75.76,243.853,86
NDC,0378-3340-16 [281621],NORELGESTROMIN 150 MCG-E.ESTRADIOL 35 MCG/24 HR WEEKLY TRANSDERM PATCH [32248],139.75,,39.13,120.185,83
NDC,0378-3340-53 [264585],NORELGESTROMIN 150 MCG-E.ESTRADIOL 35 MCG/24 HR WEEKLY TRANSDERM PATCH [32248],139.75,,39.13,120.185,83
NDC,0378-3349-16 [258534],ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH [27462],63.75,,17.85,54.825,83
NDC,0378-3349-99 [120746],ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH [27462],63.75,,17.85,54.825,83
NDC,0378-3350-16 [258535],ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH [28408],63.75,,17.85,54.825,83
NDC,0378-3350-99 [18019],ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH [28408],63.75,,17.85,54.825,83
NDC,0378-3635-01 [153215],CETIRIZINE 5 MG TABLET [15349],1.65,,0.462,1.419,83
NDC,0378-3925-93 [325847],FEBUXOSTAT 40 MG TABLET [97133],12.0,,3.36,10.32,83
NDC,0378-3952-77 [258544],ATORVASTATIN 40 MG TABLET [19177],1.65,,0.462,1.419,83
NDC,0378-4010-01 [18040],TEMAZEPAM 15 MG CAPSULE [7753],2.85,,0.798,2.451,83
NDC,0378-4275-77 [193210],VALACYCLOVIR 500 MG TABLET [13133],1.85,,0.518,1.591,83
NDC,0378-4275-93 [193211],VALACYCLOVIR 500 MG TABLET [13133],1.9,,0.532,1.634,83
NDC,0378-4276-77 [193213],VALACYCLOVIR 1 GRAM TABLET [13132],2.9,,0.812,2.494,83
NDC,0378-4276-93 [193214],VALACYCLOVIR 1 GRAM TABLET [13132],3.05,,0.854,2.623,83
NDC,0378-4288-32 [301312],ELETRIPTAN 40 MG TABLET [34684],46.05,,12.894,39.603,83
NDC,0378-4288-85 [301313],ELETRIPTAN 40 MG TABLET [34684],46.05,,12.894,39.603,83
NDC,0378-4593-01 [286587],METOPROLOL TARTRATE 37.5 MG TABLET [176951],1.65,,0.462,1.419,83
NDC,0378-4596-77 [215047],"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",3.6,,1.008,3.096,83
NDC,0378-4791-06 [258547],FLUOROURACIL 5 % TOPICAL CREAM [10065],775.8,,217.224,667.188,83
NDC,0378-5375-01 [18078],DOXEPIN 75 MG CAPSULE [2613],6.45,,1.806,5.547,83
NDC,0378-5431-35 [320604],GATIFLOXACIN 0.5 % EYE DROPS [105011],309.7,,86.716,266.342,83
NDC,0378-5510-93 [264614],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],4.1,,1.148,3.526,83
NDC,0378-5630-59 [185808],SUMATRIPTAN 25 MG TABLET [15327],4.95,,1.386,4.257,83
NDC,0378-5807-93 [276027],VALSARTAN 40 MG TABLET [33541],1.65,,0.462,1.419,83
NDC,0378-5813-77 [276028],VALSARTAN 80 MG TABLET [31209],1.65,,0.462,1.419,83
NDC,0378-5814-77 [276029],VALSARTAN 160 MG TABLET [31210],2.15,,0.602,1.849,83
NDC,0378-5815-77 [276030],VALSARTAN 320 MG TABLET [31211],2.65,,0.742,2.279,83
NDC,0378-6090-01 [18088],"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR [14101]",13.75,,3.85,11.825,83
NDC,0378-6120-01 [18091],"DILTIAZEM ER 120 MG CAPSULE,EXTENDED RELEASE 12 HR [11892]",17.95,,5.026,15.437,83
NDC,0378-6231-01 [167757],CITALOPRAM 10 MG TABLET [30264],1.65,,0.462,1.419,83
NDC,0378-6232-01 [167759],CITALOPRAM 20 MG TABLET [21062],1.65,,0.462,1.419,83
NDC,0378-6233-01 [167761],CITALOPRAM 40 MG TABLET [23490],1.65,,0.462,1.419,83
NDC,0378-6470-16 [324285],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],63.1,,17.668,54.266,83
NDC,0378-6470-16 [324285],SCOPOLAMINE PARTIAL PATCH [40800003954],63.1,,17.668,54.266,83
NDC,0378-6470-44 [324286],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],63.1,,17.668,54.266,83
NDC,0378-6470-44 [324286],SCOPOLAMINE PARTIAL PATCH [40800003954],63.1,,17.668,54.266,83
NDC,0378-6689-77 [204231],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,0378-6955-01 [280470],BEXAROTENE 75 MG CAPSULE [27027],202.0,,56.56,173.72,83
NDC,0378-6993-31 [280471],LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION [39278],25.45,,7.126,21.887,83
NDC,0378-6993-93 [185826],LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION [39278],25.45,,7.126,21.887,83
NDC,0378-7003-93 [162358],PAROXETINE 30 MG TABLET [10856],1.65,,0.462,1.419,83
NDC,0378-7020-93 [286593],ACITRETIN 10 MG CAPSULE [13980],48.1,,13.468,41.366,83
NDC,0378-7023-93 [286594],ACITRETIN 25 MG CAPSULE [13979],59.3,,16.604,50.998,83
NDC,0378-7124-93 [293722],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,0378-7272-85 [258554],NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET [19743],17.7,,4.956,15.222,83
NDC,0378-7292-53 [238657],NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET [19743],17.7,,4.956,15.222,83
NDC,0378-7292-85 [344361],NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET [19743],17.7,,4.956,15.222,83
NDC,0378-7970-31 [281629],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0378-7970-52 [238658],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0378-7970-55 [258555],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0378-7970-62 [281630],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0378-7970-64 [281631],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0378-7970-91 [232703],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0378-7970-93 [232704],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0378-8020-93 [215109],FLUVASTATIN 20 MG CAPSULE [12411],19.0,,5.32,16.34,83
NDC,0378-8030-77 [185835],"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE [27692]",4.75,,1.33,4.085,83
NDC,0378-8065-32 [393897],GLUCAGON 1 MG SOLUTION FOR INJECTION [41569],850.1,,146.33,731.086,86
NDC,0378-8065-32 [393897],GLUCAGON 1 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003921],850.1,,146.33,731.086,86
NDC,0378-8067-90 [393898],GLUCAGON 1 MG SOLUTION FOR INJECTION [41569],850.1,,146.33,731.086,86
NDC,0378-8067-90 [393898],GLUCAGON 1 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003921],850.1,,146.33,731.086,86
NDC,0378-8117-45 [317719],DOXEPIN 5 % TOPICAL CREAM [12666],1971.9,,552.132,1695.834,83
NDC,0378-8270-52 [232705],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,0378-8270-62 [281633],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,0378-8270-64 [281634],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,0378-8270-91 [238664],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,0378-8270-93 [232706],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,0378-8700-49 [238666],ACYCLOVIR 5 % TOPICAL OINTMENT [8968],491.4,,137.592,422.604,83
NDC,0378-8712-73 [314658],ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],1167.35,,326.858,1003.921,83
NDC,0378-9102-16 [258561],NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],2.9,,0.812,2.494,83
NDC,0378-9102-93 [18128],NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],2.9,,0.812,2.494,83
NDC,0378-9104-16 [258562],NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],3.35,,0.938,2.881,83
NDC,0378-9104-93 [18129],NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],3.35,,0.938,2.881,83
NDC,0378-9112-16 [258563],NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],3.9,,1.092,3.354,83
NDC,0378-9112-93 [18130],NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],3.9,,1.092,3.354,83
NDC,0378-9121-16 [167767],FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],35.05,,9.814,30.143,83
NDC,0378-9121-98 [115896],FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],35.05,,9.814,30.143,83
NDC,0378-9122-16 [167768],FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],50.05,,14.014,43.043,83
NDC,0378-9123-16 [167769],FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],70.0,,19.6,60.2,83
NDC,0378-9124-16 [167770],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],95.85,,26.838,82.431,83
NDC,0378-9124-98 [115899],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],95.85,,26.838,82.431,83
NDC,0378-9125-16 [281635],FENTANYL 37.5 MCG/HOUR TRANSDERMAL PATCH [170809],147.0,,41.16,126.42,83
NDC,0378-9125-98 [276043],FENTANYL 37.5 MCG/HOUR TRANSDERMAL PATCH [170809],147.0,,41.16,126.42,83
NDC,0378-9321-32 [319599],FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104565],381.5,,106.82,328.09,83
NDC,0378-9322-32 [319600],FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104566],501.75,,140.49,431.505,83
NDC,0378-9671-30 [286596],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],2.4,,0.672,2.064,83
NDC,0378-9671-31 [258565],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],2.4,,0.672,2.064,83
NDC,0378-9671-93 [238668],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],2.4,,0.672,2.064,83
NDC,0378699789 [185827],SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],3.6,,1.008,3.096,83
NDC,0386000102 [18133],ETHYL CHLORIDE 100 % TOPICAL SPRAY [2951],119.45,,33.446,102.727,83
NDC,0386000103 [18134],ETHYL CHLORIDE 100 % TOPICAL SPRAY [2951],131.05,,36.694,112.703,83
NDC,0386000111 [209529],ETHYL CHLORIDE 100 % TOPICAL SPRAY [2951],117.15,,32.802,100.749,83
NDC,0386000113 [225389],ETHYL CHLORIDE 100 % TOPICAL SPRAY [2951],121.8,,34.104,104.748,83
NDC,0395-0243-92 [18183],BENZOIN-ALOE VERA-STORAX-TOLU BALSAM 10 %-2 %-8 %-4 % TOPICAL TINCTURE [127836],36.2,,10.136,31.132,83
NDC,0395-0413-96 [18192],CALAMINE 8 %-ZINC OXIDE 8 % LOTION [28055],18.9,,5.292,16.254,83
NDC,0395-0413-96 [18192],CALAMINE LOTION CONTAINER [40800002320],18.9,,5.292,16.254,83
NDC,0395-1031-16 [18233],GLYCERIN 99%-100% LIQUID FOR COMPOUNDING CONTAINER [40800003602],82.55,,23.114,70.993,83
NDC,0395-1031-16 [18233],GLYCERIN 99.5 % TOPICAL SOLUTION [82033],28.9,,8.092,24.854,83
NDC,0395-1031-96 [136588],GLYCERIN 99%-100% LIQUID FOR COMPOUNDING CONTAINER [40800003602],37.8,,10.584,32.508,83
NDC,0395-1031-96 [136588],GLYCERIN 99.5 % TOPICAL SOLUTION [82033],9.6,,2.688,8.256,83
NDC,0395001994 [18164],ACETONE LIQUID [121],34.15,,9.562,29.369,83
NDC,0395004912 [18169],"ALUM, AMMONIUM (BULK) POWDER [122531]",60.65,,16.982,52.159,83
NDC,0395030396 [145876],BORIC ACID (BULK) POWDER [1131],32.35,,9.058,27.821,83
NDC,0395266216 [18342],CHERRY FLAVOR (BULK) ORAL SYRUP [210628],56.2,,15.736,48.332,83
NDC,0406-0123-01 [268082],HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],2.85,,0.798,2.451,83
NDC,0406-0123-23 [268084],HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],4.15,,1.162,3.569,83
NDC,0406-0123-62 [268085],HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],4.15,,1.162,3.569,83
NDC,0406-0124-01 [268086],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],2.85,,0.798,2.451,83
NDC,0406-0124-05 [268087],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],2.85,,0.798,2.451,83
NDC,0406-0124-23 [268088],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],4.45,,1.246,3.827,83
NDC,0406-0124-62 [268089],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],4.45,,1.246,3.827,83
NDC,0406-0125-01 [268090],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],2.85,,0.798,2.451,83
NDC,0406-0125-23 [268092],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],4.55,,1.274,3.913,83
NDC,0406-0125-62 [268093],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],4.55,,1.274,3.913,83
NDC,0406-0136-01 [232720],"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR [28751]",20.95,,5.866,18.017,83
NDC,0406-0484-01 [18491],ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],3.35,,0.938,2.881,83
NDC,0406-0484-10 [18493],ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],2.95,,0.826,2.537,83
NDC,0406-0484-23 [238679],ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],2.85,,0.798,2.451,83
NDC,0406-0484-62 [18496],ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],3.95,,1.106,3.397,83
NDC,0406-0512-01 [18499],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],2.85,,0.798,2.451,83
NDC,0406-0512-23 [238680],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],3.2,,0.896,2.752,83
NDC,0406-0512-62 [18501],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],3.95,,1.106,3.397,83
NDC,0406-0522-01 [104132],OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],3.6,,1.008,3.096,83
NDC,0406-0522-23 [238681],OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],11.85,,3.318,10.191,83
NDC,0406-0522-62 [145877],OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],11.85,,3.318,10.191,83
NDC,0406-0523-01 [104133],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],3.6,,1.008,3.096,83
NDC,0406-0523-23 [238682],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],13.75,,3.85,11.825,83
NDC,0406-0523-62 [133522],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],13.75,,3.85,11.825,83
NDC,0406-0552-01 [18507],OXYCODONE 5 MG TABLET [10814],2.85,,0.798,2.451,83
NDC,0406-0552-23 [238683],OXYCODONE 5 MG TABLET [10814],3.4,,0.952,2.924,83
NDC,0406-0552-62 [18508],OXYCODONE 5 MG TABLET [10814],3.65,,1.022,3.139,83
NDC,0406-1142-01 [209530],METHYLPHENIDATE 5 MG TABLET [4988],2.85,,0.798,2.451,83
NDC,0406-1144-01 [209532],METHYLPHENIDATE 10 MG TABLET [4986],2.85,,0.798,2.451,83
NDC,0406-1146-01 [209534],METHYLPHENIDATE 20 MG TABLET [4987],3.2,,0.896,2.752,83
NDC,0406-1236-01 [341132],DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],2.85,,0.798,2.451,83
NDC,0406-1521-53 [18575],MORPHINE (BULK) 100 % POWDER [5184],122.3,,4.55,105.178,84
NDC,0406-2224-01 [331120],LEVORPHANOL TARTRATE 2 MG TABLET [4405],154.0,,43.12,132.44,83
NDC,0406-3222-52 [296135],HYDROMORPHONE (BULK) 100 % POWDER [3762],340.85,,95.438,293.131,83
NDC,0406-3243-01 [18661],HYDROMORPHONE 2 MG TABLET [3760],2.85,,0.798,2.451,83
NDC,0406-3244-01 [18662],HYDROMORPHONE 4 MG TABLET [3761],2.85,,0.798,2.451,83
NDC,0406-3249-01 [115901],HYDROMORPHONE 8 MG TABLET [10226],4.3,,1.204,3.698,83
NDC,0406-5111-01 [373353],LISDEXAMFETAMINE 10 MG CAPSULE [170552],35.6,,9.968,30.616,83
NDC,0406-5112-01 [373354],LISDEXAMFETAMINE 20 MG CAPSULE [89783],36.85,,10.318,31.691,83
NDC,0406-5113-01 [373355],LISDEXAMFETAMINE 30 MG CAPSULE [81474],35.6,,9.968,30.616,83
NDC,0406-5118-23 [376045],MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],4.85,,1.358,4.171,83
NDC,0406-5118-62 [376046],MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],4.85,,1.358,4.171,83
NDC,0406-5755-01 [127124],METHADONE 5 MG TABLET [4954],2.85,,0.798,2.451,83
NDC,0406-5755-23 [238686],METHADONE 5 MG TABLET [4954],2.85,,0.798,2.451,83
NDC,0406-5755-62 [133526],METHADONE 5 MG TABLET [4954],3.15,,0.882,2.709,83
NDC,0406-5771-01 [127125],METHADONE 10 MG TABLET [4953],3.45,,0.966,2.967,83
NDC,0406-5771-23 [238687],METHADONE 10 MG TABLET [4953],2.85,,0.798,2.451,83
NDC,0406-5771-62 [133527],METHADONE 10 MG TABLET [4953],3.4,,0.952,2.924,83
NDC,0406-7711-60 [360112],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [132662]",62.3,,17.444,53.578,83
NDC,0406-8003-30 [153310],MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],64.85,,18.158,55.771,83
NDC,0406-8005-03 [312018],BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET [34713],7.6,,2.128,6.536,83
NDC,0406-8315-01 [18797],"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [119246]",4.45,,1.246,3.827,83
NDC,0406-8315-23 [238688],"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [119246]",5.25,,1.47,4.515,83
NDC,0406-8315-62 [97544],"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [119246]",5.6,,1.568,4.816,83
NDC,0406-8320-01 [18799],"MORPHINE ER 200 MG TABLET,EXTENDED RELEASE [119249]",33.2,,9.296,28.552,83
NDC,0406-8330-01 [18800],"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [119007]",7.3,,2.044,6.278,83
NDC,0406-8330-23 [238689],"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [119007]",8.8,,2.464,7.568,83
NDC,0406-8330-62 [97546],"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [119007]",9.5,,2.66,8.17,83
NDC,0406-8380-01 [18802],"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [119247]",13.05,,3.654,11.223,83
NDC,0406-8380-23 [238690],"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [119247]",15.95,,4.466,13.717,83
NDC,0406-8380-62 [97548],"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [119247]",17.35,,4.858,14.921,83
NDC,0406-8390-01 [18804],"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [119248]",18.7,,5.236,16.082,83
NDC,0406-8390-23 [238691],"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [119248]",27.2,,7.616,23.392,83
NDC,0406-8390-62 [97549],"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [119248]",27.2,,7.616,23.392,83
NDC,0406-8510-01 [353830],OXYCODONE 10 MG TABLET [87795],2.85,,0.798,2.451,83
NDC,0406-8510-23 [353831],OXYCODONE 10 MG TABLET [87795],5.0,,1.4,4.3,83
NDC,0406-8510-62 [353832],OXYCODONE 10 MG TABLET [87795],5.0,,1.4,4.3,83
NDC,0406-8515-01 [104140],OXYCODONE 15 MG TABLET [28899],2.85,,0.798,2.451,83
NDC,0406-8530-01 [104141],OXYCODONE 30 MG TABLET [28900],3.6,,1.008,3.096,83
NDC,0406-8530-23 [280479],OXYCODONE 30 MG TABLET [28900],9.25,,2.59,7.955,83
NDC,0406-8530-62 [280480],OXYCODONE 30 MG TABLET [28900],9.25,,2.59,7.955,83
NDC,0406-8892-01 [264644],DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET [124104],3.65,,1.022,3.139,83
NDC,0406-8952-01 [322329],"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [31587]",6.5,,1.82,5.59,83
NDC,0406-9000-76 [204253],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],95.85,,26.838,82.431,83
NDC,0406-9012-76 [280484],FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],63.85,,17.878,54.911,83
NDC,0406-9025-76 [204254],FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],35.05,,9.814,30.143,83
NDC,0406-9037-76 [333409],FENTANYL 37.5 MCG/HOUR TRANSDERMAL PATCH [170809],147.0,,41.16,126.42,83
NDC,0406-9050-76 [204255],FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],50.05,,14.014,43.043,83
NDC,0406-9075-76 [204256],FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],70.0,,19.6,60.2,83
NDC,0406-9100-76 [349777],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],95.85,,26.838,82.431,83
NDC,0406-9112-76 [349778],FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],63.85,,17.878,54.911,83
NDC,0406-9125-76 [343025],FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],35.05,,9.814,30.143,83
NDC,0406-9175-76 [347695],FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],70.0,,19.6,60.2,83
NDC,0406-9906-03 [136636],CLOMIPRAMINE 25 MG CAPSULE [9635],140.55,,39.354,120.873,83
NDC,0407-0690-20 [18878],GADODIAMIDE 10 MMOL/20 ML (287 MG/ML) INTRAVENOUS SOLUTION [128722],312.55,,1.47,268.793,84
NDC,0407-1411-10 [18912],IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION [10319],127.35,,1.8,109.521,84
NDC,0407-1412-10 [18917],IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION [119843],138.5,,0.45,119.11,84
NDC,0407-1413-10 [18937],IOHEXOL 300 MG IODINE/ML INTRATHECAL SOLUTION [40800002808],127.85,,0.15,109.951,84
NDC,0407-1413-10 [18937],IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [119842],127.85,,0.15,109.951,84
NDC,0407-1413-59 [215127],IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [119842],132.4,,0.15,113.864,84
NDC,0407-1413-61 [136651],IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [119842],147.35,,0.15,126.721,84
NDC,0407-1413-63 [136653],IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [119842],275.55,,0.15,236.973,84
NDC,0407-1413-65 [136654],IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [119842],401.9,,0.15,345.634,84
NDC,0407-1413-66 [136655],IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [119842],506.0,,0.15,435.16,84
NDC,0407-1414-72 [304826],IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],1302.95,,0.15,1120.537,84
NDC,0407-1414-84 [153341],IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],306.4,,0.15,263.504,84
NDC,0407-1414-89 [136663],IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],160.5,,0.15,138.03,84
NDC,0407-1414-91 [136665],IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],306.4,,0.15,263.504,84
NDC,0407-1414-93 [136666],IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323],422.8,,0.15,363.608,84
NDC,0407-2222-16 [136670],IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION [17594],154.8,,0.45,133.128,84
NDC,0407-2222-17 [145895],IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION [17594],289.2,,0.45,248.712,84
NDC,0407-2223-16 [136680],IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],229.5,,0.15,197.37,84
NDC,0407-2223-17 [136681],IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],321.6,,0.15,276.576,84
NDC,0407-2223-19 [136682],IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],452.75,,0.15,389.365,84
NDC,0407-2223-21 [136683],IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [17595],547.0,,0.15,470.42,84
NDC,0407-2707-03 [145897],PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP [82177],426.3,,41.2,366.618,84
NDC,0407-2707-18 [288022],PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP [82177],426.3,,41.2,366.618,84
NDC,0409-0001-01 [392679],MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [131642],8.05,,0.16,6.923,84
NDC,0409-0001-25 [392680],MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [131642],8.05,,0.16,6.923,84
NDC,0409-0007-01 [388879],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",24.55,,6.874,21.113,83
NDC,0409-0007-10 [388880],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",24.55,,6.874,21.113,83
NDC,0409-0125-01 [373360],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],25.85,,0.39,22.231,84
NDC,0409-0125-25 [373361],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],25.85,,0.39,22.231,84
NDC,0409-0147-01 [388881],"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",24.9,,6.972,21.414,83
NDC,0409-0147-10 [388882],"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",24.9,,6.972,21.414,83
NDC,0409-0152-01 [353834],METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],63.3,,0.03,54.438,84
NDC,0409-0152-24 [353835],METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],63.3,,0.03,54.438,84
NDC,0409-0186-01 [209540],GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],174.3,,2.96,149.898,84
NDC,0409-0212-03 [276057],MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [122190],103.15,,1.4,88.709,84
NDC,0409-0212-11 [276059],MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [122190],43.75,,1.4,37.625,84
NDC,0409-0323-20 [307657],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR INFUSION) [40800002695],214.45,,20.9,184.427,84
NDC,0409-0323-20 [307657],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR IVPB) [40800000102],214.45,,20.9,184.427,84
NDC,0409-0323-20 [307657],BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],214.45,,20.9,184.427,84
NDC,0409-0332-20 [307658],BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],88.35,,20.9,75.981,84
NDC,0409-0366-01 [292239],DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [106443],239.5,,0.38,205.97,84
NDC,0409-0366-01 [292239],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],239.5,,0.38,205.97,84
NDC,0409-0367-01 [292240],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],914.5,,0.38,786.47,84
NDC,0409-0367-01 [292240],DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],914.5,,0.38,786.47,84
NDC,0409-0528-13 [297869],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,0409-0528-15 [297870],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,0409-0528-31 [297873],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],63.3,,1.96,54.438,84
NDC,0409-0528-35 [297874],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],63.3,,1.96,54.438,84
NDC,0409-0801-01 [145898],PENTOSTATIN 10 MG INTRAVENOUS SOLUTION [10910],10006.8,,2543.89,8605.848,86
NDC,0409-0801-01 [145898],PENTOSTATIN IVPB 2 MG/ML (MAX CONC) [40800000440],10006.8,,2543.89,8605.848,86
NDC,0409-0830-01 [355560],AZTREONAM 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003343],212.95,,2.67,183.137,84
NDC,0409-0830-01 [355560],AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],212.95,,2.67,183.137,84
NDC,0409-0830-11 [355561],AZTREONAM 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003343],212.95,,2.67,183.137,84
NDC,0409-0830-11 [355561],AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],212.95,,2.67,183.137,84
NDC,0409-1005-01 [366839],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,0.22,54.438,84
NDC,0409-1005-20 [366840],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,0.22,54.438,84
NDC,0409-1098-02 [332033],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],54.5,,15.26,46.87,83
NDC,0409-1098-12 [332034],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],54.5,,15.26,46.87,83
NDC,0409-1103-01 [331122],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],895.05,,250.614,769.743,83
NDC,0409-1103-11 [331123],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],895.05,,250.614,769.743,83
NDC,0409-1134-05 [123483],MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [124318],114.65,,4.55,98.599,84
NDC,0409-1140-01 [295964],ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],890.1,,0.70035,765.486,86
NDC,0409-1141-02 [115903],SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],59.25,,16.59,50.955,83
NDC,0409-1141-12 [339312],SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],59.25,,16.59,50.955,83
NDC,0409-1159-01 [120762],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],10.4,,0.01,8.944,84
NDC,0409-1159-01 [120762],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],10.4,,0.01,8.944,84
NDC,0409-1159-02 [123490],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],10.65,,0.01,9.159,84
NDC,0409-1159-02 [123490],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],10.65,,0.01,9.159,84
NDC,0409-1159-09 [281640],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],7.6,,0.01,6.536,84
NDC,0409-1159-10 [281641],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],7.6,,0.01,6.536,84
NDC,0409-1159-18 [298956],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],10.4,,0.01,8.944,84
NDC,0409-1159-18 [298956],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],10.4,,0.01,8.944,84
NDC,0409-1159-19 [295965],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],10.65,,0.01,9.159,84
NDC,0409-1159-19 [295965],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],10.65,,0.01,9.159,84
NDC,0409-1160-01 [115907],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],15.55,,0.01,13.373,84
NDC,0409-1160-01 [115907],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],15.55,,0.01,13.373,84
NDC,0409-1160-18 [298957],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],15.55,,0.01,13.373,84
NDC,0409-1160-18 [298957],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],15.55,,0.01,13.373,84
NDC,0409-1162-02 [127137],BUPIVACAINE (PF) 0.5 % (5 MG/ML) PRIMING INJECTION [40840001576],11.75,,0.01,10.105,84
NDC,0409-1162-09 [295966],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],9.75,,0.01,8.385,84
NDC,0409-1162-10 [295967],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],9.75,,0.01,8.385,84
NDC,0409-1162-19 [294716],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) [40800003333],11.75,,0.01,10.105,84
NDC,0409-1162-19 [294716],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],11.75,,0.01,10.105,84
NDC,0409-1163-01 [115908],BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],13.0,,0.01,11.18,84
NDC,0409-1163-18 [298960],BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],13.0,,0.01,11.18,84
NDC,0409-1165-18 [298961],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],12.9,,0.01,11.094,84
NDC,0409-1165-18 [298961],BUPIVACAINE (PF) 0.75% INJ CONTAINER [40800000743],12.9,,0.01,11.094,84
NDC,0409-1165-19 [299659],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],21.05,,0.01,18.103,84
NDC,0409-1165-19 [299659],BUPIVACAINE (PF) 0.75% INJ CONTAINER [40800000743],21.05,,0.01,18.103,84
NDC,0409-1174-01 [356467],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],77.55,,21.714,66.693,83
NDC,0409-1174-10 [356468],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],77.55,,21.714,66.693,83
NDC,0409-1207-03 [123496],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],17.15,,2.62,14.749,84
NDC,0409-1207-13 [305681],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],17.15,,2.62,14.749,84
NDC,0409-1207-15 [320609],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],6.9,,1.932,5.934,84
NDC,0409-1207-25 [286697],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],6.9,,1.932,5.934,84
NDC,0409-1209-01 [129483],"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION [10429]",28.55,,7.994,24.553,83
NDC,0409-1209-10 [332037],"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION [10429]",28.55,,7.994,24.553,83
NDC,0409-1273-03 [291501],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],138.55,,6.17,119.153,84
NDC,0409-1273-32 [123500],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],138.55,,6.17,119.153,84
NDC,0409-1283-04 [291602],HYDROMORPHONE 0.5 MG/0.5 ML INJ CONTAINER [40800000340],17.6,,0.09,15.136,84
NDC,0409-1283-04 [291602],HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [132141],17.6,,0.09,15.136,84
NDC,0409-1283-05 [232726],HYDROMORPHONE 0.5 MG/0.5 ML INJ CONTAINER [40800000340],17.6,,0.09,15.136,84
NDC,0409-1283-05 [232726],HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [132141],17.6,,0.09,15.136,84
NDC,0409-1283-31 [120768],HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [116806],43.65,,0.09,37.539,84
NDC,0409-1312-03 [296952],HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [116807],62.9,,0.09,54.094,84
NDC,0409-1319-01 [353309],VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],711.65,,0.03,612.019,84
NDC,0409-1323-05 [127144],LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],31.85,,8.918,27.391,83
NDC,0409-1391-21 [328829],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],65.85,,0.44,56.631,84
NDC,0409-1391-21 [328829],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],65.85,,0.44,56.631,84
NDC,0409-1391-21 [328829],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],71.1,,0.44,61.146,84
NDC,0409-1391-22 [328830],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],65.85,,0.44,56.631,84
NDC,0409-1391-22 [328830],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],65.85,,0.44,56.631,84
NDC,0409-1391-22 [328830],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],71.1,,0.44,61.146,84
NDC,0409-1463-01 [115918],NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],27.15,,3.51,23.349,84
NDC,0409-1463-49 [162383],NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],15.7,,3.51,13.502,84
NDC,0409-1463-69 [338246],NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],15.7,,3.51,13.502,84
NDC,0409-1463-71 [338247],NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],27.15,,3.51,23.349,84
NDC,0409-1541-01 [362017],"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [105633]",23.9,,6.692,20.554,83
NDC,0409-1541-10 [362018],"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [105633]",23.9,,6.692,20.554,83
NDC,0409-1555-54 [115922],HETASTARCH IN LACT ELECTROLYTE 6 % INTRAVENOUS SOLUTION [25531],861.3,,241.164,740.718,83
NDC,0409-1555-64 [280486],HETASTARCH IN LACT ELECTROLYTE 6 % INTRAVENOUS SOLUTION [25531],861.3,,241.164,740.718,83
NDC,0409-1559-10 [123514],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],19.35,,0.01,16.641,84
NDC,0409-1559-18 [280487],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],19.35,,0.01,16.641,84
NDC,0409-1559-19 [280488],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],22.35,,0.01,19.221,84
NDC,0409-1559-30 [123515],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],22.35,,0.01,19.221,84
NDC,0409-1560-19 [280490],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],23.55,,0.01,20.253,84
NDC,0409-1560-29 [123517],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],23.55,,0.01,20.253,84
NDC,0409-1582-19 [280492],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],29.8,,0.01,25.628,84
NDC,0409-1582-29 [123519],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],29.8,,0.01,25.628,84
NDC,0409-1587-50 [127149],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],34.35,,0.01,29.541,84
NDC,0409-1587-50 [127149],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],34.35,,0.01,29.541,84
NDC,0409-1596-01 [377304],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],118.75,,33.25,102.125,83
NDC,0409-1596-10 [377305],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],118.75,,33.25,102.125,83
NDC,0409-1630-10 [129490],ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],36.6,,0.07,31.476,84
NDC,0409-1630-15 [325857],ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],36.6,,0.07,31.476,84
NDC,0409-1631-10 [123526],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER (CRRT INFUSION) [40800003814],45.0,,12.6,38.7,83
NDC,0409-1631-10 [123526],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],45.0,,12.6,38.7,83
NDC,0409-1631-10 [123526],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],45.0,,12.6,38.7,83
NDC,0409-1631-10 [123526],CALCIUM CHLORIDE IVPB 1.36 MEQ/ML (MAX CONC) (PEDI < 20.5 KG) [40840001362],48.6,,13.608,41.796,83
NDC,0409-1631-10 [123526],CALCIUM CHLORIDE IVPB 1.36 MEQ/ML (PEDI) [40800003063],45.0,,12.6,38.7,83
NDC,0409-1631-40 [334499],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],45.0,,12.6,38.7,83
NDC,0409-1660-10 [238695],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (PALLIATIVE CARE) (USE ORDER SET) [40840004807],118.75,,33.25,102.125,83
NDC,0409-1660-10 [238695],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],118.75,,33.25,102.125,83
NDC,0409-1660-35 [332040],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (PALLIATIVE CARE) (USE ORDER SET) [40840004807],118.75,,33.25,102.125,83
NDC,0409-1660-35 [332040],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],118.75,,33.25,102.125,83
NDC,0409-1660-50 [238696],DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121731],89.45,,25.046,76.927,83
NDC,0409-1700-01 [360113],BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],257.4,,1.59,221.364,84
NDC,0409-1752-50 [129495],"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION [14983]",64.8,,18.144,55.728,83
NDC,0409-1755-50 [129496],"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [14984]",69.3,,19.404,59.598,83
NDC,0409-1775-10 [129497],DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE [2361],72.05,,20.174,61.963,83
NDC,0409-1775-40 [331128],DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE [2361],72.05,,20.174,61.963,83
NDC,0409-1778-05 [176131],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.5,,0.13,5.59,84
NDC,0409-1778-15 [306524],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.5,,0.13,5.59,84
NDC,0409-1886-02 [232727],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],18.45,,0.05,15.867,84
NDC,0409-1886-22 [298967],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],18.45,,0.05,15.867,84
NDC,0409-1890-01 [225415],MORPHINE 2 MG/ML INJ CONTAINER [40800002810],39.8,,4.55,34.228,84
NDC,0409-1890-01 [225415],MORPHINE INJECTION 2 MG/ML (PHARMACY USE ONLY) [40800000368],39.8,,4.55,34.228,84
NDC,0409-1890-13 [343028],MORPHINE 2 MG/ML INJ CONTAINER [40800002810],28.3,,4.55,24.338,84
NDC,0409-1890-13 [343028],MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [163947],28.3,,4.55,24.338,84
NDC,0409-1890-23 [343029],MORPHINE 2 MG/ML INJ CONTAINER [40800002810],28.3,,4.55,24.338,84
NDC,0409-1890-23 [343029],MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [163947],28.3,,4.55,24.338,84
NDC,0409-1966-01 [290762],"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",6.45,,1.806,5.547,83
NDC,0409-1966-02 [286700],"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",10.1,,2.828,8.686,83
NDC,0409-1966-05 [120779],"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",6.45,,1.806,5.547,83
NDC,0409-1966-06 [286701],"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",9.25,,2.59,7.955,83
NDC,0409-1966-07 [115927],"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",10.1,,2.828,8.686,83
NDC,0409-1966-12 [123538],"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",9.25,,2.59,7.955,83
NDC,0409-2016-05 [359123],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,0409-2016-10 [359124],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,0409-2045-01 [357121],MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [122186],84.0,,1.4,72.24,84
NDC,0409-2045-10 [357122],MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [122186],84.0,,1.4,72.24,84
NDC,0409-2066-05 [123539],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],12.0,,3.36,10.32,83
NDC,0409-2066-10 [293971],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],12.0,,3.36,10.32,83
NDC,0409-2168-17 [345600],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],38.65,,0.5,33.239,84
NDC,0409-2168-77 [345601],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],38.65,,0.5,33.239,84
NDC,0409-2220-01 [384994],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,0409-2220-24 [384995],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,0409-2222-01 [366843],HEPARIN (PORCINE) (PF) 2 UNITS/ML IN 0.9% SODIUM CHLORIDE IRRIGATION CONTAINER (IR OSM) [40800003580],65.45,,0.22,56.287,84
NDC,0409-2222-01 [366843],"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [128751]",65.45,,0.22,56.287,84
NDC,0409-2222-12 [366844],HEPARIN (PORCINE) (PF) 2 UNITS/ML IN 0.9% SODIUM CHLORIDE IRRIGATION CONTAINER (IR OSM) [40800003580],65.45,,0.22,56.287,84
NDC,0409-2222-12 [366844],"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [128751]",65.45,,0.22,56.287,84
NDC,0409-2300-01 [372305],CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],63.3,,2.32,54.438,84
NDC,0409-2300-24 [372306],CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],63.3,,2.32,54.438,84
NDC,0409-2305-05 [127168],MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [131642],8.05,,0.16,6.923,84
NDC,0409-2305-16 [335484],MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [131642],8.05,,0.16,6.923,84
NDC,0409-2305-16 [335484],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],8.05,,0.16,6.923,84
NDC,0409-2305-17 [195973],MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [131642],8.05,,0.16,6.923,84
NDC,0409-2305-17 [195973],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],8.05,,0.16,6.923,84
NDC,0409-2305-50 [123546],MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [131642],8.05,,0.16,6.923,84
NDC,0409-2308-02 [127171],MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [131641],8.05,,0.16,6.923,84
NDC,0409-2337-15 [344320],DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],139.8,,9.02,120.228,84
NDC,0409-2337-15 [344320],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],139.8,,9.02,120.228,84
NDC,0409-2337-25 [115933],DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],139.8,,9.02,120.228,84
NDC,0409-2337-25 [115933],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],139.8,,9.02,120.228,84
NDC,0409-2339-24 [324305],LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [130813],57.05,,0.39,49.063,84
NDC,0409-2339-34 [127174],LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [130813],57.05,,0.39,49.063,84
NDC,0409-2344-01 [123548],DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],35.8,,7.98,30.788,84
NDC,0409-2344-02 [120795],DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [9892],39.45,,7.98,33.927,84
NDC,0409-2347-31 [335486],"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [18315]",104.3,,7.98,89.698,84
NDC,0409-2347-32 [127175],"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [18315]",104.3,,7.98,89.698,84
NDC,0409-2596-05 [127177],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],36.9,,0.16,31.734,84
NDC,0409-2596-15 [334677],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],36.4,,0.16,31.304,84
NDC,0409-2634-05 [167785],HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],79.25,,0.09,68.155,84
NDC,0409-2634-25 [335487],HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],79.25,,0.09,68.155,84
NDC,0409-2634-50 [167786],HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],808.4,,0.09,695.224,84
NDC,0409-2720-02 [185844],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.8,,3.01,12.728,84
NDC,0409-2720-31 [299669],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",14.8,,3.01,12.728,84
NDC,0409-2721-01 [185846],"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",15.65,,0.22,13.459,84
NDC,0409-2721-30 [298973],"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",15.65,,0.22,13.459,84
NDC,0409-2723-01 [185847],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",10.05,,0.22,8.643,84
NDC,0409-2723-30 [298974],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",10.05,,0.22,8.643,84
NDC,0409-2776-23 [120799],MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [122186],73.45,,1.4,63.167,84
NDC,0409-3150-05 [366029],"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN 0.45% NACL INTRA-ARTERIAL INFUSION (MELANOMA) [40800002860]",73.2,,0.22,62.952,84
NDC,0409-3150-05 [366029],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15848]",73.2,,0.22,62.952,84
NDC,0409-3150-05 [366029],"HEPARIN TITRATABLE 25,000 UNIT/500 ML IN 0.45% NACL (PREMIX) (USE ORDER SET) [40800002861]",73.2,,0.22,62.952,84
NDC,0409-3150-20 [366030],"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN 0.45% NACL INTRA-ARTERIAL INFUSION (MELANOMA) [40800002860]",73.2,,0.22,62.952,84
NDC,0409-3150-20 [366030],"HEPARIN TITRATABLE 25,000 UNIT/500 ML IN 0.45% NACL (PREMIX) (USE ORDER SET) [40800002861]",73.2,,0.22,62.952,84
NDC,0409-3177-01 [127178],"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [10426]",20.3,,5.684,17.458,83
NDC,0409-3177-16 [332044],"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [10426]",20.3,,5.684,17.458,83
NDC,0409-3178-01 [123555],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",24.55,,6.874,21.113,83
NDC,0409-3178-02 [123556],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",54.8,,15.344,47.128,83
NDC,0409-3178-03 [123557],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",46.35,,12.978,39.861,83
NDC,0409-3178-16 [331129],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",24.55,,6.874,21.113,83
NDC,0409-3178-17 [332045],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",54.8,,15.344,47.128,83
NDC,0409-3178-18 [332046],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",46.35,,12.978,39.861,83
NDC,0409-3182-01 [123558],"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",24.9,,6.972,21.414,83
NDC,0409-3182-11 [332048],"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",24.9,,6.972,21.414,83
NDC,0409-3183-01 [120803],"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",24.9,,6.972,21.414,83
NDC,0409-3183-11 [332051],"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",24.9,,6.972,21.414,83
NDC,0409-3189-05 [372307],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],17.65,,4.942,15.179,83
NDC,0409-3294-51 [120806],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],43.2,,12.096,37.152,83
NDC,0409-3294-61 [305686],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],43.2,,12.096,37.152,83
NDC,0409-3299-05 [120807],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],46.75,,13.09,40.205,83
NDC,0409-3299-06 [120808],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],34.05,,9.534,29.283,83
NDC,0409-3299-15 [303229],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],21.75,,6.09,18.705,83
NDC,0409-3299-16 [305687],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],34.05,,9.534,29.283,83
NDC,0409-3299-25 [264662],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],28.05,,7.854,24.123,83
NDC,0409-3299-45 [314661],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],28.05,,7.854,24.123,83
NDC,0409-3300-01 [366031],CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],63.3,,2.32,54.438,84
NDC,0409-3300-24 [366032],CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],63.3,,2.32,54.438,84
NDC,0409-3308-03 [120809],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],87.45,,24.486,75.207,83
NDC,0409-3308-11 [334504],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],87.45,,24.486,75.207,83
NDC,0409-3330-01 [384996],LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,84
NDC,0409-3330-24 [384997],LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,84
NDC,0409-3365-10 [348593],HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],70.6,,0.09,60.716,84
NDC,0409-3365-11 [291502],HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],70.6,,0.09,60.716,84
NDC,0409-3375-04 [178552],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],77.15,,21.602,66.349,83
NDC,0409-3375-14 [332053],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],77.15,,21.602,66.349,83
NDC,0409-3382-11 [338250],SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],68.35,,19.138,58.781,83
NDC,0409-3382-21 [123566],SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],68.35,,19.138,58.781,83
NDC,0409-3383-10 [397956],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],30.55,,1.11,26.273,84
NDC,0409-3383-10 [397956],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],30.55,,1.11,26.273,84
NDC,0409-3383-10 [397956],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],33.05,,1.11,28.423,84
NDC,0409-3383-11 [316427],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],30.55,,1.11,26.273,84
NDC,0409-3383-11 [316427],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],30.55,,1.11,26.273,84
NDC,0409-3383-11 [316427],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],33.05,,1.11,28.423,84
NDC,0409-3385-11 [324308],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],40.3,,1.11,34.658,84
NDC,0409-3385-11 [324308],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],37.3,,1.11,32.078,84
NDC,0409-3385-11 [324308],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],37.3,,1.11,32.078,84
NDC,0409-3385-13 [195976],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],40.3,,1.11,34.658,84
NDC,0409-3385-13 [195976],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],37.3,,1.11,32.078,84
NDC,0409-3385-13 [195976],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],37.3,,1.11,32.078,84
NDC,0409-3385-15 [397957],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],40.3,,1.11,34.658,84
NDC,0409-3385-15 [397957],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],37.3,,1.11,32.078,84
NDC,0409-3385-15 [397957],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],37.3,,1.11,32.078,84
NDC,0409-3390-04 [195977],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],49.7,,1.11,42.742,84
NDC,0409-3390-04 [195977],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],49.7,,1.11,42.742,84
NDC,0409-3390-11 [316428],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],49.7,,1.11,42.742,84
NDC,0409-3390-11 [316428],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],49.7,,1.11,42.742,84
NDC,0409-3414-01 [129512],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],6.9,,1.0,5.934,84
NDC,0409-3414-11 [387026],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],6.9,,1.0,5.934,84
NDC,0409-3414-18 [290763],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],6.9,,1.0,5.934,84
NDC,0409-3414-21 [387027],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],6.9,,1.0,5.934,84
NDC,0409-3578-01 [111207],TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],14.15,,2.46,12.169,84
NDC,0409-3613-01 [115939],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],15.0,,0.01,12.9,84
NDC,0409-3812-01 [362019],"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION [14983]",33.45,,9.366,28.767,83
NDC,0409-3977-01 [276073],"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION [14979]",34.3,,9.604,29.498,83
NDC,0409-3977-03 [115940],"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION [14979]",34.3,,9.604,29.498,83
NDC,0409-4092-01 [111210],CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [124000],108.85,,30.478,93.611,83
NDC,0409-4092-11 [324315],CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [124000],108.85,,30.478,93.611,83
NDC,0409-4164-05 [123576],PARENTERAL AMINO ACID 10 % COMBINATION NO.1 INTRAVENOUS SOLUTION [128453],68.65,,19.222,59.039,83
NDC,0409-4215-01 [301336],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003391],153.3,,5.2,131.838,84
NDC,0409-4215-01 [301336],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],153.3,,5.2,131.838,84
NDC,0409-4215-05 [320614],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],153.3,,5.2,131.838,84
NDC,0409-4264-01 [359127],HYDROMORPHONE 0.5 MG/0.5 ML INJ CONTAINER [40800000340],59.05,,0.09,50.783,84
NDC,0409-4264-01 [359127],HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [132141],59.05,,0.09,50.783,84
NDC,0409-4264-11 [359128],HYDROMORPHONE 0.5 MG/0.5 ML INJ CONTAINER [40800000340],59.05,,0.09,50.783,84
NDC,0409-4264-11 [359128],HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [132141],59.05,,0.09,50.783,84
NDC,0409-4276-01 [123580],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],13.9,,3.892,11.954,83
NDC,0409-4276-01 [123580],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],13.9,,3.892,11.954,83
NDC,0409-4276-02 [123581],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],13.9,,3.892,11.954,83
NDC,0409-4276-02 [123581],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],13.9,,3.892,11.954,83
NDC,0409-4276-16 [292368],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],13.9,,3.892,11.954,83
NDC,0409-4276-16 [292368],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],13.9,,3.892,11.954,83
NDC,0409-4276-17 [294768],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],13.9,,3.892,11.954,83
NDC,0409-4276-17 [294768],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],13.9,,3.892,11.954,83
NDC,0409-4277-01 [120823],LIDOCAINE 20 MG/ML (2 %) INJ FOR INTRANASAL USE [40800000268],17.4,,4.872,14.964,83
NDC,0409-4277-01 [120823],LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],17.4,,4.872,14.964,83
NDC,0409-4277-16 [294718],LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],17.4,,4.872,14.964,83
NDC,0409-4279-02 [123583],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],14.35,,4.018,12.341,83
NDC,0409-4279-02 [123583],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],14.35,,4.018,12.341,83
NDC,0409-4279-16 [294719],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],14.35,,4.018,12.341,83
NDC,0409-4282-02 [129523],LIDOCAINE (PF) 20 MG/ML (2 %) INJ CONTAINER [40800000736],31.7,,8.876,27.262,83
NDC,0409-4282-12 [293736],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],31.7,,8.876,27.262,83
NDC,0409-4283-01 [120825],LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [4455],21.2,,5.936,18.232,83
NDC,0409-4283-11 [297104],LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [4455],21.2,,5.936,18.232,83
NDC,0409-4332-01 [120826],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],38.7,,0.03,33.282,84
NDC,0409-4332-01 [120826],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],35.75,,0.03,30.745,84
NDC,0409-4332-01 [120826],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],35.75,,0.03,30.745,84
NDC,0409-4332-11 [334506],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],38.7,,0.03,33.282,84
NDC,0409-4332-11 [334506],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],35.75,,0.03,30.745,84
NDC,0409-4332-11 [334506],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],35.75,,0.03,30.745,84
NDC,0409-4346-73 [115950],AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],41.8,,1.5,35.948,84
NDC,0409-4444-01 [384998],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],69.95,,1.96,60.157,84
NDC,0409-4444-24 [384999],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],69.95,,1.96,60.157,84
NDC,0409-4688-16 [283457],FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],63.3,,2.26,54.438,84
NDC,0409-4688-16 [283457],FLUCONAZOLE IVPB 400 MG/200 ML IN NS (IV PREP; DOSES 201-399 MG) [40840000145],63.3,,2.26,54.438,84
NDC,0409-4688-16 [283457],FLUCONAZOLE IVPB 400 MG/200 ML IN NS (IV PREP; DOSES > 400 MG) [40840000139],63.3,,2.26,54.438,84
NDC,0409-4713-02 [127201],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],7.5,,2.1,6.45,83
NDC,0409-4713-02 [127201],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],7.5,,2.1,6.45,83
NDC,0409-4713-12 [298977],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],7.5,,2.1,6.45,83
NDC,0409-4713-12 [298977],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],7.5,,2.1,6.45,83
NDC,0409-4713-75 [301340],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],8.9,,2.492,7.654,83
NDC,0409-4755-03 [167790],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,0409-4755-18 [276081],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,0409-4759-01 [136723],ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],31.5,,0.09,27.09,84
NDC,0409-4777-02 [162394],CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],63.3,,2.32,54.438,84
NDC,0409-4777-02 [162394],CIPROFLOXACIN INTRA-CATHETER LOCK SOLUTION 2 MG/ML [40800002658],63.3,,2.32,54.438,84
NDC,0409-4777-02 [162394],CIPROFLOXACIN IVPB IN D5W 2 MG/ML (MAX CONC) [40840002473],63.3,,2.32,54.438,84
NDC,0409-4777-23 [162395],CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],63.3,,2.32,54.438,84
NDC,0409-4777-23 [162395],CIPROFLOXACIN INTRA-CATHETER LOCK SOLUTION 2 MG/ML [40800002658],63.3,,2.32,54.438,84
NDC,0409-4777-23 [162395],CIPROFLOXACIN IVPB IN D5W 2 MG/ML (MAX CONC) [40840002473],63.3,,2.32,54.438,84
NDC,0409-4887-10 [123588],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",18.8,,5.264,16.168,83
NDC,0409-4887-17 [281642],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",18.8,,5.264,16.168,83
NDC,0409-4887-20 [120830],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",26.5,,7.42,22.79,83
NDC,0409-4887-23 [283458],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",26.5,,7.42,22.79,83
NDC,0409-4887-24 [281643],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",31.5,,8.82,27.09,83
NDC,0409-4887-25 [281644],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",36.55,,10.234,31.433,83
NDC,0409-4887-50 [123589],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",31.5,,8.82,27.09,83
NDC,0409-4887-99 [123590],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",36.55,,10.234,31.433,83
NDC,0409-4888-02 [281645],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],6.4,,1.792,5.504,83
NDC,0409-4888-03 [283460],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],10.55,,2.954,9.073,83
NDC,0409-4888-06 [283461],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],15.55,,4.354,13.373,83
NDC,0409-4888-10 [120831],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],6.4,,1.792,5.504,83
NDC,0409-4888-12 [123591],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],9.25,,2.59,7.955,83
NDC,0409-4888-20 [115954],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],10.55,,2.954,9.073,83
NDC,0409-4902-34 [127202],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [125335],58.3,,16.324,50.138,83
NDC,0409-4902-64 [336265],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [125335],58.3,,16.324,50.138,83
NDC,0409-4903-11 [333415],LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],33.25,,9.31,28.595,83
NDC,0409-4903-34 [127203],LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],33.25,,9.31,28.595,83
NDC,0409-4911-11 [313076],ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],58.7,,0.07,50.482,84
NDC,0409-4911-34 [127204],ATROPINE 0.1 MG/ML INJECTION SYRINGE (CARD OSM) [40800000831],58.7,,0.07,50.482,84
NDC,0409-4911-34 [127204],ATROPINE 0.1 MG/ML INJECTION SYRINGE (IR OSM) [40800000829],58.7,,0.07,50.482,84
NDC,0409-4911-34 [127204],ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],58.7,,0.07,50.482,84
NDC,0409-4928-11 [334509],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],54.4,,15.232,46.784,83
NDC,0409-4928-34 [127206],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER (CRRT INFUSION) [40800003814],54.4,,15.232,46.784,83
NDC,0409-4928-34 [127206],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],54.4,,15.232,46.784,83
NDC,0409-4928-34 [127206],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],54.4,,15.232,46.784,83
NDC,0409-4928-34 [127206],CALCIUM CHLORIDE IVPB 1.36 MEQ/ML (MAX CONC) (PEDI < 20.5 KG) [40840001362],58.7,,16.436,50.482,83
NDC,0409-4928-34 [127206],CALCIUM CHLORIDE IVPB 1.36 MEQ/ML (PEDI) [40800003063],54.4,,15.232,46.784,83
NDC,0409-5017-01 [353312],VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],102.75,,0.03,88.365,84
NDC,0409-5082-16 [127207],CEFTAZIDIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002652],18.7,,1.64,16.082,84
NDC,0409-5082-16 [127207],CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],18.7,,1.64,16.082,84
NDC,0409-5082-16 [127207],CEFTAZIDIME 100 MG/ML INJ [40800000332],20.25,,1.64,17.415,84
NDC,0409-5084-13 [324319],CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],34.05,,1.64,29.283,84
NDC,0409-5547-01 [347703],CISATRACURIUM 2 MG/ML INJ CONTAINER [40800000731],15.2,,4.256,13.072,83
NDC,0409-5547-01 [347703],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION (OSM) [40800000241],14.05,,3.934,12.083,83
NDC,0409-5547-01 [347703],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],15.2,,4.256,13.072,83
NDC,0409-5547-10 [347704],CISATRACURIUM 2 MG/ML INJ CONTAINER [40800000731],15.2,,4.256,13.072,83
NDC,0409-5547-10 [347704],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION (OSM) [40800000241],14.05,,3.934,12.083,83
NDC,0409-5547-10 [347704],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],15.2,,4.256,13.072,83
NDC,0409-5555-01 [336266],SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [124251],19.35,,5.418,16.641,83
NDC,0409-5555-02 [328831],SODIUM BICARBONATE 4.2 % INJ CONTAINER [40800000741],33.95,,9.506,29.197,83
NDC,0409-5555-02 [328831],SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [124251],33.95,,9.506,29.197,83
NDC,0409-5555-12 [328832],SODIUM BICARBONATE 4.2 % INJ CONTAINER [40800000741],33.95,,9.506,29.197,83
NDC,0409-5555-12 [328832],SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [124251],33.95,,9.506,29.197,83
NDC,0409-5921-01 [120832],AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION [407],75.5,,8.3,64.93,84
NDC,0409-5922-01 [111211],AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [125808],54.55,,8.3,46.913,84
NDC,0409-5922-16 [324325],AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [125808],54.55,,8.3,46.913,84
NDC,0409-6102-02 [115958],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],18.35,,0.02,15.781,84
NDC,0409-6102-04 [115959],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.85,,0.02,11.051,84
NDC,0409-6102-04 [115959],FUROSEMIDE INFUSION 10 MG/ML [40800000767],13.95,,0.02,11.997,84
NDC,0409-6102-04 [115959],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],13.95,,0.02,11.997,84
NDC,0409-6102-10 [115960],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],25.55,,0.02,21.973,84
NDC,0409-6102-10 [115960],FUROSEMIDE INFUSION 10 MG/ML [40800000767],27.65,,0.02,23.779,84
NDC,0409-6102-10 [115960],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],27.65,,0.02,23.779,84
NDC,0409-6102-18 [291503],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.85,,0.02,11.051,84
NDC,0409-6102-18 [291503],FUROSEMIDE INFUSION 10 MG/ML [40800000767],13.95,,0.02,11.997,84
NDC,0409-6102-18 [291503],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],13.95,,0.02,11.997,84
NDC,0409-6102-19 [291504],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],18.35,,0.02,15.781,84
NDC,0409-6102-20 [294720],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],25.55,,0.02,21.973,84
NDC,0409-6102-20 [294720],FUROSEMIDE INFUSION 10 MG/ML [40800000767],27.65,,0.02,23.779,84
NDC,0409-6102-20 [294720],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],27.65,,0.02,23.779,84
NDC,0409-6102-25 [264664],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],15.0,,0.02,12.9,84
NDC,0409-6102-26 [264665],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.85,,0.02,11.051,84
NDC,0409-6102-26 [264665],FUROSEMIDE INFUSION 10 MG/ML [40800000767],13.95,,0.02,11.997,84
NDC,0409-6102-26 [264665],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],13.95,,0.02,11.997,84
NDC,0409-6102-27 [264666],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],21.95,,0.02,18.877,84
NDC,0409-6102-35 [298978],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],15.0,,0.02,12.9,84
NDC,0409-6102-36 [295975],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.85,,0.02,11.051,84
NDC,0409-6102-36 [295975],FUROSEMIDE INFUSION 10 MG/ML [40800000767],13.95,,0.02,11.997,84
NDC,0409-6102-36 [295975],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],13.95,,0.02,11.997,84
NDC,0409-6102-37 [298979],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],21.95,,0.02,18.877,84
NDC,0409-6476-44 [129536],ERYTHROMYCIN LACTOBIONATE 50 MG/ML INJ [40800000061],276.95,,75.05,238.177,84
NDC,0409-6476-44 [129536],ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],276.95,,75.05,238.177,84
NDC,0409-6482-01 [120836],ERYTHROMYCIN LACTOBIONATE 50 MG/ML INJ [40800000061],647.15,,75.05,556.549,84
NDC,0409-6482-01 [120836],ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],647.15,,75.05,556.549,84
NDC,0409-6482-11 [324327],ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],647.15,,75.05,556.549,84
NDC,0409-6509-01 [120837],VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],295.7,,0.03,254.302,84
NDC,0409-6531-02 [178557],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003390],35.1,,0.03,30.186,84
NDC,0409-6531-02 [178557],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],35.1,,0.03,30.186,84
NDC,0409-6531-12 [334510],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003390],35.1,,0.03,30.186,84
NDC,0409-6531-12 [334510],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],35.1,,0.03,30.186,84
NDC,0409-6533-11 [324328],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",58.05,,0.03,49.923,84
NDC,0409-6533-11 [324328],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",58.05,,0.03,49.923,84
NDC,0409-6533-11 [324328],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],62.75,,0.03,53.965,84
NDC,0409-6533-21 [345602],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",58.05,,0.03,49.923,84
NDC,0409-6533-21 [345602],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",58.05,,0.03,49.923,84
NDC,0409-6533-21 [345602],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],62.75,,0.03,53.965,84
NDC,0409-6533-31 [331132],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",11.85,,0.03,10.191,84
NDC,0409-6533-31 [331132],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",11.85,,0.03,10.191,84
NDC,0409-6533-31 [331132],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],12.8,,0.03,11.008,84
NDC,0409-6533-59 [323394],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",11.85,,0.03,10.191,84
NDC,0409-6533-59 [323394],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",11.85,,0.03,10.191,84
NDC,0409-6533-59 [323394],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],12.8,,0.03,11.008,84
NDC,0409-6562-01 [291506],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],76.75,,0.03,66.005,84
NDC,0409-6581-01 [362024],"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [14984]",39.4,,11.032,33.884,83
NDC,0409-6625-14 [343030],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],35.05,,9.814,30.143,83
NDC,0409-6625-22 [343031],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],35.05,,9.814,30.143,83
NDC,0409-6625-30 [340189],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],32.7,,9.156,28.122,83
NDC,0409-6625-30 [340189],SODIUM BICARBONATE 1 MEQ/ML INFUSION CONTAINER [40800000121],35.35,,9.898,30.401,83
NDC,0409-6625-30 [340189],SODIUM BICARBONATE 1 MEQ/ML IVPB CONTAINER [40800000249],35.35,,9.898,30.401,83
NDC,0409-6625-35 [340190],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],32.7,,9.156,28.122,83
NDC,0409-6625-35 [340190],SODIUM BICARBONATE 1 MEQ/ML INFUSION CONTAINER [40800000121],35.35,,9.898,30.401,83
NDC,0409-6625-35 [340190],SODIUM BICARBONATE 1 MEQ/ML IVPB CONTAINER [40800000249],35.35,,9.898,30.401,83
NDC,0409-6629-02 [120841],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],66.5,,18.62,57.19,83
NDC,0409-6637-14 [337121],SODIUM BICARBONATE 50 MEQ/50 ML (8.4 %) INTRAVENOUS SYRINGE [7309],67.05,,18.774,57.663,83
NDC,0409-6637-24 [337122],SODIUM BICARBONATE 50 MEQ/50 ML (8.4 %) INTRAVENOUS SYRINGE [7309],67.05,,18.774,57.663,83
NDC,0409-6651-06 [127214],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],18.1,,0.17,15.566,84
NDC,0409-6651-19 [276086],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],18.1,,0.17,15.566,84
NDC,0409-6653-05 [123605],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],23.95,,0.17,20.597,84
NDC,0409-6653-18 [276087],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],23.95,,0.17,20.597,84
NDC,0409-6695-01 [123607],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],24.75,,6.93,21.285,83
NDC,0409-6695-11 [305690],ETOMIDATE 2 MG/ML INFUSION [40800000317],26.75,,7.49,23.005,83
NDC,0409-6695-11 [305690],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],24.75,,6.93,21.285,83
NDC,0409-6729-11 [337124],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],73.7,,0.5,63.382,84
NDC,0409-6729-23 [123612],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,0409-6729-24 [136733],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],73.7,,0.5,63.382,84
NDC,0409-6729-24 [136733],MAGNESIUM SULFATE 2 GRAM/50 ML PREMIX (ANES OSM) [40800000826],73.7,,0.5,63.382,84
NDC,0409-6778-05 [312966],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],9.35,,1.32,8.041,84
NDC,0409-6778-11 [323395],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],9.35,,1.32,8.041,84
NDC,0409-6778-15 [312967],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],9.35,,1.32,8.041,84
NDC,0409-7100-66 [123614],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [127120],66.15,,18.522,56.889,83
NDC,0409-7100-67 [123615],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [127120],66.15,,18.522,56.889,83
NDC,0409-7100-68 [276089],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [127120],66.15,,18.522,56.889,83
NDC,0409-7100-69 [276090],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [127120],66.15,,18.522,56.889,83
NDC,0409-7101-68 [276092],SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [127119],66.15,,18.522,56.889,83
NDC,0409-7101-69 [276093],SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [127119],66.15,,18.522,56.889,83
NDC,0409-7248-03 [120854],HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [25174],136.5,,38.22,117.39,83
NDC,0409-7248-13 [288957],HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [25174],136.5,,38.22,117.39,83
NDC,0409-7295-01 [123623],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],57.0,,15.96,49.02,83
NDC,0409-7295-11 [305692],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],57.0,,15.96,49.02,83
NDC,0409-7299-73 [115970],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],47.85,,13.398,41.151,83
NDC,0409-7332-01 [123625],CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002647],6.7,,0.48,5.762,84
NDC,0409-7332-01 [123625],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],6.7,,0.48,5.762,84
NDC,0409-7332-11 [309506],CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002647],6.7,,0.48,5.762,84
NDC,0409-7332-11 [309506],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],6.7,,0.48,5.762,84
NDC,0409-7332-20 [308901],CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002647],6.4,,0.48,5.504,84
NDC,0409-7332-20 [308901],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],6.4,,0.48,5.504,84
NDC,0409-7332-20 [308901],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],6.9,,0.48,5.934,84
NDC,0409-7332-21 [308902],CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002647],6.4,,0.48,5.504,84
NDC,0409-7332-21 [308902],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],6.4,,0.48,5.504,84
NDC,0409-7332-21 [308902],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],6.9,,0.48,5.934,84
NDC,0409-7335-03 [123629],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],13.75,,0.48,11.825,84
NDC,0409-7335-03 [123629],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],12.7,,0.48,10.922,84
NDC,0409-7335-03 [123629],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],12.7,,0.48,10.922,84
NDC,0409-7335-20 [308903],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],13.75,,0.48,11.825,84
NDC,0409-7335-20 [308903],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],12.7,,0.48,10.922,84
NDC,0409-7335-20 [308903],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],12.7,,0.48,10.922,84
NDC,0409-7335-21 [308904],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],13.75,,0.48,11.825,84
NDC,0409-7335-21 [308904],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],12.7,,0.48,10.922,84
NDC,0409-7335-21 [308904],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],12.7,,0.48,10.922,84
NDC,0409-7391-72 [120858],SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],142.85,,39.998,122.851,83
NDC,0409-7391-82 [305693],SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],142.85,,39.998,122.851,83
NDC,0409-7419-03 [123635],DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [2350],278.6,,78.008,239.596,83
NDC,0409-7517-16 [127229],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [125335],69.05,,19.334,59.383,83
NDC,0409-7517-16 [127229],DEXTROSE 50% (D50W) INJ CONTAINER [40800000724],69.05,,19.334,59.383,83
NDC,0409-7517-66 [333570],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [125335],36.5,,10.22,31.39,83
NDC,0409-7535-01 [396915],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],22.35,,0.01,19.221,84
NDC,0409-7535-01 [396915],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],22.35,,0.01,19.221,84
NDC,0409-7535-25 [396916],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],22.35,,0.01,19.221,84
NDC,0409-7535-25 [396916],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],22.35,,0.01,19.221,84
NDC,0409-7620-03 [120859],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL (USE ORDER SET) [40800002030]",63.3,,0.22,54.438,84
NDC,0409-7620-03 [120859],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (USE ORDER SET) [40800003923]",63.3,,0.22,54.438,84
NDC,0409-7620-03 [120859],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL SOLN [40800003546]",63.3,,0.22,54.438,84
NDC,0409-7620-03 [120859],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,0.22,54.438,84
NDC,0409-7620-03 [120859],HEPARIN (PORCINE) (PF) 2 UNITS/ML IN 0.9% SODIUM CHLORIDE IRRIGATION CONTAINER (IR OSM) [40800003580],63.3,,0.22,54.438,84
NDC,0409-7620-13 [276097],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL (USE ORDER SET) [40800002030]",63.3,,3.01,54.438,84
NDC,0409-7620-13 [276097],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML (2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (USE ORDER SET) [40800003923]",63.3,,3.01,54.438,84
NDC,0409-7620-13 [276097],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL SOLN [40800003546]",63.3,,3.01,54.438,84
NDC,0409-7620-13 [276097],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,3.01,54.438,84
NDC,0409-7620-13 [276097],HEPARIN (PORCINE) (PF) 2 UNITS/ML IN 0.9% SODIUM CHLORIDE IRRIGATION CONTAINER (IR OSM) [40800003580],63.3,,3.01,54.438,84
NDC,0409-7620-49 [276098],HEPARIN (PORCINE) (PF) 2 UNITS/ML IN 0.9% SODIUM CHLORIDE IRRIGATION CONTAINER (IR OSM) [40800003580],63.3,,0.22,54.438,84
NDC,0409-7620-49 [276098],"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE FLUSH IRRIGATION (IR OSM) [40800000832]",63.3,,0.22,54.438,84
NDC,0409-7620-49 [276098],"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE INTRA-ARTERIAL (USE ORDER SET) [40800003545]",63.3,,0.22,54.438,84
NDC,0409-7620-49 [276098],"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (USE ORDER SET) [40800003924]",63.3,,0.22,54.438,84
NDC,0409-7620-49 [276098],"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [128751]",63.3,,0.22,54.438,84
NDC,0409-7651-03 [120861],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL INFUSION [40800003544]",63.8,,3.01,54.868,84
NDC,0409-7651-03 [120861],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL TITRATABLE INFUSION [40840003392]",63.8,,3.01,54.868,84
NDC,0409-7651-03 [120861],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15848]",63.8,,3.01,54.868,84
NDC,0409-7651-13 [276100],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL INFUSION [40800003544]",63.8,,3.01,54.868,84
NDC,0409-7651-13 [276100],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL TITRATABLE INFUSION [40840003392]",63.8,,3.01,54.868,84
NDC,0409-7651-13 [276100],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15848]",63.8,,3.01,54.868,84
NDC,0409-7810-11 [324333],"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14846]",82.4,,0.66,70.864,84
NDC,0409-7810-22 [123648],"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN (MELANOMA) (USE ORDER SET) [40800000095]",82.4,,0.66,70.864,84
NDC,0409-7810-22 [123648],"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [14846]",82.4,,0.66,70.864,84
NDC,0409-7811-37 [123650],METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],63.3,,0.03,54.438,84
NDC,0409-7811-37 [123650],METRONIDAZOLE IVPB 5 MG/ML [40800000425],63.3,,0.03,54.438,84
NDC,0409-7969-05 [123671],CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION [30275],258.1,,72.268,221.966,83
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,0.71,56.889,84
NDC,0409-7983-53 [127247],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,0.71,56.889,84
NDC,0409-8183-01 [120897],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],25.55,,7.154,21.973,83
NDC,0409-8183-11 [305695],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],25.55,,7.154,21.973,83
NDC,0409-8183-15 [305696],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],16.0,,4.48,13.76,83
NDC,0409-8183-25 [268102],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],16.0,,4.48,13.76,83
NDC,0409-9094-12 [290764],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],21.1,,0.96,18.146,84
NDC,0409-9094-12 [290764],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.1,,0.96,18.146,84
NDC,0409-9094-12 [290764],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],21.1,,0.96,18.146,84
NDC,0409-9094-18 [294861],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],17.45,,0.96,15.007,84
NDC,0409-9094-18 [294861],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],17.45,,0.96,15.007,84
NDC,0409-9094-18 [294861],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],17.45,,0.96,15.007,84
NDC,0409-9094-22 [127253],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],21.1,,0.96,18.146,84
NDC,0409-9094-22 [127253],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],21.1,,0.96,18.146,84
NDC,0409-9094-31 [123685],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],41.65,,0.96,35.819,84
NDC,0409-9094-31 [123685],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],41.65,,0.96,35.819,84
NDC,0409-9094-31 [123685],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],41.65,,0.96,35.819,84
NDC,0409-9094-61 [127255],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],161.6,,0.96,138.976,84
NDC,0409-9094-61 [127255],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],161.6,,0.96,138.976,84
NDC,0409-9094-61 [127255],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],161.6,,0.96,138.976,84
NDC,0409-9104-20 [120900],DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [128922],37.05,,0.66,31.863,84
NDC,0409-9157-01 [120901],PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION [124032],21.55,,2.84,18.533,84
NDC,0409-9157-31 [325858],PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION [124032],21.55,,2.84,18.533,84
NDC,0409-9157-50 [325859],PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION [124032],21.55,,2.84,18.533,84
NDC,0409-9158-01 [123687],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],155.75,,2.84,133.945,84
NDC,0409-9158-31 [325860],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],155.75,,2.84,133.945,84
NDC,0409-9158-50 [325861],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],155.75,,2.84,133.945,84
NDC,0409-9558-05 [176133],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],17.65,,4.942,15.179,83
NDC,0409-9558-05 [176133],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],17.65,,4.942,15.179,83
NDC,0409-9558-11 [330265],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],17.65,,4.942,15.179,83
NDC,0409-9558-11 [330265],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],17.65,,4.942,15.179,83
NDC,0409-9558-49 [176135],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],8.7,,2.436,7.482,83
NDC,0409-9558-49 [176135],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],8.7,,2.436,7.482,83
NDC,0409-9558-69 [334512],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],8.7,,2.436,7.482,83
NDC,0409-9558-69 [334512],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],8.7,,2.436,7.482,83
NDC,0409-9566-01 [337129],CEFEPIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002651],26.7,,1.23,22.962,84
NDC,0409-9566-01 [337129],CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],26.7,,1.23,22.962,84
NDC,0409-9566-10 [337130],CEFEPIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002651],26.7,,1.23,22.962,84
NDC,0409-9566-10 [337130],CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],26.7,,1.23,22.962,84
NDC,0409-9735-01 [337131],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],35.85,,1.23,30.831,84
NDC,0409-9735-01 [337131],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],35.85,,1.23,30.831,84
NDC,0409-9735-01 [337131],CEFEPIME INJ CONTAINER (ONE-STEP) [40800000472],35.85,,1.23,30.831,84
NDC,0409-9735-10 [337132],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],35.85,,1.23,30.831,84
NDC,0409-9735-10 [337132],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],35.85,,1.23,30.831,84
NDC,0409-9735-10 [337132],CEFEPIME INJ CONTAINER (ONE-STEP) [40800000472],35.85,,1.23,30.831,84
NDC,0430-0472-03 [215140],RISEDRONATE 35 MG TABLET [32895],279.3,,78.204,240.198,83
NDC,0430-3754-14 [19056],ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM [9969],1129.55,,316.274,971.413,83
NDC,0436-0672-16 [133577],SODIUM HYPOCHLORITE 0.125 % SOLUTION [76720],56.2,,15.736,48.332,83
NDC,0436-0936-16 [19089],SODIUM HYPOCHLORITE 0.25 % SOLUTION [15950],56.2,,15.736,48.332,83
NDC,0436-0946-16 [19090],SODIUM HYPOCHLORITE 0.5 % SOLUTION [2110],56.2,,15.736,48.332,83
NDC,0456-0457-01 [19639],THYROID (PORK) 15 MG TABLET [129291],4.3,,1.204,3.698,83
NDC,0456-0458-01 [19641],THYROID (PORK) 30 MG TABLET [129292],5.05,,1.414,4.343,83
NDC,0456-0459-01 [19645],THYROID (PORK) 60 MG TABLET [129293],5.6,,1.568,4.816,83
NDC,0456-0600-01 [202411],CEFTAROLINE 30 MG/ML INJ [40800000026],885.65,,4.24,761.659,86
NDC,0456-0600-01 [202411],CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003355],820.75,,4.24,705.845,86
NDC,0456-0600-01 [202411],CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [107671],820.75,,4.24,705.845,86
NDC,0456-0600-10 [202412],CEFTAROLINE 30 MG/ML INJ [40800000026],885.65,,4.24,761.659,86
NDC,0456-0600-10 [202412],CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003355],820.75,,4.24,705.845,86
NDC,0456-0600-10 [202412],CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [107671],820.75,,4.24,705.845,86
NDC,0456-0744-13 [19686],INHALATIONAL SPACING DEVICE WITH SMALL MASK [186039],196.6,,55.048,169.076,83
NDC,0456-0745-13 [19687],INHALATIONAL SPACING DEVICE WITH MEDIUM MASK [186040],196.6,,55.048,169.076,83
NDC,0456-0746-13 [19688],INHALATIONAL SPACING DEVICE WITH LARGE MASK [186041],196.6,,55.048,169.076,83
NDC,0456-1045-01 [388015],THYROID (PORK) 15 MG TABLET [129291],4.3,,1.204,3.698,83
NDC,0456-1140-30 [206981],VILAZODONE 40 MG TABLET [109404],49.2,,13.776,42.312,83
NDC,0456-1201-30 [225456],LINACLOTIDE 145 MCG CAPSULE [117352],36.3,,10.164,31.218,83
NDC,0456-1510-60 [178574],MILNACIPRAN 100 MG TABLET [97090],32.9,,9.212,28.294,83
NDC,0456-1512-60 [178575],MILNACIPRAN 12.5 MG TABLET [97087],32.9,,9.212,28.294,83
NDC,0456-1525-60 [178576],MILNACIPRAN 25 MG TABLET [97088],32.9,,9.212,28.294,83
NDC,0456-1550-60 [178577],MILNACIPRAN 50 MG TABLET [97089],32.9,,9.212,28.294,83
NDC,0456-2700-01 [276161],CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003360],1324.15,,104.75,1138.769,86
NDC,0456-2700-01 [276161],CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [170854],1324.15,,104.75,1138.769,86
NDC,0456-2700-01 [276161],CEFTAZIDIME-AVIBACTAM 209 MG/ML INJ [40800000250],1428.8,,104.75,1228.768,86
NDC,0456-2700-10 [276162],CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003360],1324.15,,104.75,1138.769,86
NDC,0456-2700-10 [276162],CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [170854],1324.15,,104.75,1138.769,86
NDC,0456-2700-10 [276162],CEFTAZIDIME-AVIBACTAM 209 MG/ML INJ [40800000250],1428.8,,104.75,1228.768,86
NDC,0456-3154-67 [19718],INHALATIONAL SPACING DEVICE [125749],145.8,,40.824,125.388,83
NDC,0456-3210-11 [162767],MEMANTINE 10 MG TABLET [36966],35.15,,9.842,30.229,83
NDC,0456-3210-60 [97801],MEMANTINE 10 MG TABLET [36966],35.15,,9.842,30.229,83
NDC,0456-3210-63 [97802],MEMANTINE 10 MG TABLET [36966],35.15,,9.842,30.229,83
NDC,0469-0125-99 [225458],ENZALUTAMIDE 40 MG CAPSULE [117351],419.15,,117.362,360.469,83
NDC,0469-0420-01 [367881],ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION [170899],1330.75,,1.01,1144.445,85
NDC,0469-0420-01 [367881],ISAVUCONAZONIUM SULFATE 74.4 MG/ML INTRAVEOUS SOLUTION [40800002322],1330.75,,1.01,1144.445,85
NDC,0469-0520-01 [366845],ISAVUCONAZONIUM SULFATE 186 MG CAPSULE [170902],390.6,,109.368,335.916,83
NDC,0469-0520-02 [363332],ISAVUCONAZONIUM SULFATE 186 MG CAPSULE [170902],390.6,,109.368,335.916,83
NDC,0469-0520-14 [283475],ISAVUCONAZONIUM SULFATE 186 MG CAPSULE [170902],330.8,,92.624,284.488,83
NDC,0469-0607-73 [19826],TACROLIMUS 0.5 MG CAPSULE FOR SUBLINGUAL USE [40800002960],18.1,,0.15,15.566,84
NDC,0469-0607-73 [19826],"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",18.1,,0.15,15.566,84
NDC,0469-0617-73 [19830],TACROLIMUS 1 MG CAPSULE FOR SUBLINGUAL USE [40800002961],36.15,,0.15,31.089,84
NDC,0469-0617-73 [19830],"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",36.15,,0.15,31.089,84
NDC,0469-0657-73 [19834],TACROLIMUS 5 MG CAPSULE FOR SUBLINGUAL USE [40800002962],130.8,,0.15,112.488,84
NDC,0469-0657-73 [19834],"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",130.8,,0.15,112.488,84
NDC,0469-1230-50 [320616],TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET [187723],24.65,,1.25,21.199,84
NDC,0469-1330-50 [320617],TACROLIMUS 1 MG ORAL GRANULES IN PACKET [187725],36.8,,1.25,31.648,84
NDC,0469-1425-90 [316429],GILTERITINIB 40 MG TABLET [187013],1075.95,,301.266,925.317,83
NDC,0469-2860-01 [374564],ISAVUCONAZONIUM SULFATE 74.5 MG CAPSULE [202643],164.05,,45.934,141.083,83
NDC,0469-2860-35 [374565],ISAVUCONAZONIUM SULFATE 74.5 MG CAPSULE [202643],164.05,,45.934,141.083,83
NDC,0469-3016-01 [19838],TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION [12935],860.55,,240.954,740.073,86
NDC,0469-3051-30 [19839],AMPHOTERICIN B LIPOSOMAL 4 MG/ML INJ [40800000040],1074.1,,22.62,923.726,86
NDC,0469-3051-30 [19839],AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [21900],1074.1,,22.62,923.726,86
NDC,0469-3211-10 [136759],MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],612.65,,0.31,526.879,84
NDC,0469-3211-10 [136759],MICAFUNGIN 100 MG/5 ML INTRAVENOUS SOLUTION [40800001704],612.65,,0.31,526.879,84
NDC,0469-3250-10 [120903],MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [41144],306.35,,0.31,263.461,84
NDC,0469-3425-10 [388133],ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION [206083],5294.05,,33.56,4552.883,86
NDC,0469-3425-10 [388133],ZOLBETUXIMAB-CLZB 20 MG/ML INTRAVENOUS SOLUTION  [40800004011],5294.05,,33.56,4552.883,86
NDC,0469-4425-30 [395981],ZOLBETUXIMAB-CLZB 20 MG/ML INTRAVENOUS SOLUTION  [40800004011],15882.05,,33.56,13658.563,86
NDC,0469-6501-89 [162771],REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],782.6,,2.89,673.036,84
NDC,0472-0082-16 [19898],ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],1167.35,,326.858,1003.921,83
NDC,0472-0166-15 [19918],"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",53.95,,15.106,46.397,83
NDC,0472-0242-60 [123694],PERMETHRIN 5 % TOPICAL CREAM [10917],324.35,,90.818,278.941,83
NDC,0472-0321-26 [19940],HYDROCORTISONE 1 % TOPICAL CREAM [3726],25.6,,7.168,22.016,83
NDC,0472-0337-30 [19943],HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],30.85,,8.638,26.531,83
NDC,0472-0379-15 [97808],CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM [29424],39.05,,10.934,33.583,83
NDC,0472-0379-45 [97809],CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM [29424],74.8,,20.944,64.328,83
NDC,0472-0803-02 [178579],DESONIDE 0.05 % LOTION [9750],776.05,,217.294,667.403,83
NDC,0472-1030-16 [20059],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION [3724],240.7,,67.396,207.002,83
NDC,0472-1030-16 [20059],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP CONTAINER [40800000735],240.7,,67.396,207.002,83
NDC,0480-3290-01 [386277],PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],5241.6,,6.02,4507.776,86
NDC,0480-3290-01 [386277],PACLITAXEL PROTEIN-BOUND IVPB 5 MG/ML (INGREDIENT) [40800000106],5241.6,,6.02,4507.776,86
NDC,0480-3493-16 [404598],NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],78.6,,22.008,67.596,83
NDC,0480-3493-24 [404599],NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],78.6,,22.008,67.596,83
NDC,0480-4320-01 [372312],PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],3931.2,,32.74,3380.832,86
NDC,0480-5425-89 [366042],SORAFENIB 200 MG TABLET [43675],296.9,,83.132,255.334,83
NDC,0480-9258-01 [388018],"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170194]",12109.05,,188.35,10413.783,86
NDC,0480-9259-08 [388019],"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170194]",12109.05,,188.35,10413.783,86
NDC,0486-1134-01 [20250],POTASSIUM AND SODIUM MONOBASIC PHOSPHATE 305 MG-700 MG TABLET [11055],5.3,,1.484,4.558,83
NDC,0487-0201-00 [356474],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],1.65,,0.462,1.419,83
NDC,0487-0201-01 [153972],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],2.4,,0.672,2.064,83
NDC,0487-0201-03 [167811],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],1.65,,0.462,1.419,83
NDC,0487-0201-60 [162779],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],1.65,,0.462,1.419,83
NDC,0487-2784-01 [225467],RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION [113082],9.5,,2.66,8.17,83
NDC,0487-5901-99 [20257],RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION [113082],9.5,,2.66,8.17,83
NDC,0487-9301-03 [20259],SODIUM CHLORIDE 0.9 % FOR NEBULIZATION [7325],1.65,,0.462,1.419,83
NDC,0487-9301-03 [20259],SODIUM CHLORIDE 0.9 % OPHTHALMIC IRRIGATION SOLUTION [40800004221],1.65,,0.462,1.419,83
NDC,0487-9301-33 [104149],SODIUM CHLORIDE 0.9 % FOR NEBULIZATION [7325],1.65,,0.462,1.419,83
NDC,0487-9301-33 [104149],SODIUM CHLORIDE 0.9 % OPHTHALMIC IRRIGATION SOLUTION [40800004221],1.65,,0.462,1.419,83
NDC,0487-9501-00 [332056],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,0487-9501-01 [20260],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,0487-9501-03 [20261],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,0487-9501-25 [20262],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,0487-9601-01 [289700],BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],37.5,,10.5,32.25,83
NDC,0487-9601-30 [289701],BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [28774],22.55,,6.314,19.393,83
NDC,0487-9701-01 [289702],BUDESONIDE 0.5 MG/2 ML NEBULIZER SOLUTION FOR ORAL USE [40800003416],35.85,,10.038,30.831,83
NDC,0487-9701-01 [289702],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],35.85,,10.038,30.831,83
NDC,0487-9701-30 [289703],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],23.7,,6.636,20.382,83
NDC,0487-9801-01 [20264],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0487-9801-25 [100788],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0487-9801-30 [20265],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0487-9801-60 [20266],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,0487900330 [357267],SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],3.2,,0.896,2.752,83
NDC,0487900730 [357880],SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],3.2,,0.896,2.752,83
NDC,0487900760 [225470],SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],1.65,,0.462,1.419,83
NDC,0496-0882-05 [132900],LIDOCAINE 4 % TOPICAL CREAM [23461],33.2,,9.296,28.552,83
NDC,0496-0882-06 [202414],LIDOCAINE 4 % TOPICAL CREAM [23461],33.2,,9.296,28.552,83
NDC,0496-0882-07 [20329],LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT [30183],137.5,,38.5,118.25,83
NDC,0496-0882-15 [20331],LIDOCAINE 4 % TOPICAL CREAM [23461],83.55,,23.394,71.853,83
NDC,0496-0882-30 [20332],LIDOCAINE 4 % TOPICAL CREAM [23461],154.55,,43.274,132.913,83
NDC,0517-0031-01 [320618],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",30.65,,0.95,26.359,84
NDC,0517-0031-25 [20460],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",30.65,,0.95,26.359,84
NDC,0517-0374-01 [291512],METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [179421],711.65,,10.29,612.019,85
NDC,0517-0374-05 [291513],METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [179421],711.65,,10.29,612.019,85
NDC,0517-0375-01 [298985],INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION [10265],572.05,,9.3,491.963,85
NDC,0517-0375-01 [298985],INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) IV/INJECTION CONTAINER [40800000376],572.05,,9.3,491.963,85
NDC,0517-0375-05 [298986],INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION [10265],572.05,,9.3,491.963,85
NDC,0517-0375-05 [298986],INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) IV/INJECTION CONTAINER [40800000376],572.05,,9.3,491.963,85
NDC,0517-0381-01 [356475],METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [179421],711.65,,10.29,612.019,85
NDC,0517-0735-01 [335490],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],105.55,,0.09,90.773,84
NDC,0517-0735-10 [335491],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],105.55,,0.09,90.773,84
NDC,0517-0740-01 [258797],METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],101.0,,22.06,86.86,84
NDC,0517-0901-01 [339193],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],53.5,,5.19,46.01,84
NDC,0517-0901-25 [20490],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],53.5,,5.19,46.01,84
NDC,0517-1004-01 [360117],ATROPINE 0.4 MG/ML INJ CONTAINER [40800000729],40.05,,11.214,34.443,83
NDC,0517-1004-01 [360117],ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [193546],40.05,,11.214,34.443,83
NDC,0517-1004-25 [360118],ATROPINE 0.4 MG/ML INJ CONTAINER [40800000729],40.05,,11.214,34.443,83
NDC,0517-1004-25 [360118],ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [193546],40.05,,11.214,34.443,83
NDC,0517-1020-01 [354820],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],171.6,,0.48,147.576,84
NDC,0517-1020-25 [20494],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],171.6,,0.48,147.576,84
NDC,0517-1045-01 [372314],LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],122.45,,24.29,105.307,84
NDC,0517-1045-05 [372315],LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],122.45,,24.29,105.307,84
NDC,0517-1820-01 [276183],CHLOROTHIAZIDE SODIUM 28 MG/ML INJ [40800000310],524.2,,40.38,450.812,84
NDC,0517-1820-01 [276183],CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],524.2,,40.38,450.812,84
NDC,0517-1825-01 [305699],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],62.95,,4.79,54.137,84
NDC,0517-1825-10 [305700],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],62.95,,4.79,54.137,84
NDC,0517-2102-01 [376060],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],164.6,,46.088,141.556,83
NDC,0517-2102-25 [376061],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],164.6,,46.088,141.556,83
NDC,0517-2340-01 [323396],IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],206.55,,0.22,177.633,84
NDC,0517-2340-10 [20515],IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],206.55,,0.22,177.633,84
NDC,0517-2340-10 [20515],IRON SUCROSE 20 MG/ML INJ CONTAINER [40840000529],222.95,,0.22,191.737,84
NDC,0517-2340-25 [136904],IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],206.55,,0.22,177.633,84
NDC,0517-2340-99 [268123],IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],117.05,,0.22,100.663,84
NDC,0517-2340-99 [268123],IRON SUCROSE 20 MG/ML INJ CONTAINER [40840000529],126.3,,0.22,108.618,84
NDC,0517-2502-01 [311245],CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN [1262],144.05,,40.334,123.883,83
NDC,0517-2502-10 [20519],CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN [1262],144.05,,40.334,123.883,83
NDC,0517-3030-01 [388028],EPINEPHRINE 1 MG/ML INJECTION SOLUTION [121505],607.2,,0.72,522.192,84
NDC,0517-4002-01 [392686],PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],131.7,,36.876,113.262,83
NDC,0517-4002-25 [20544],PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],131.7,,36.876,113.262,83
NDC,0517-4601-25 [20548],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],46.35,,0.43,39.861,84
NDC,0517-4601-25 [20548],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],46.35,,0.43,39.861,84
NDC,0517-4605-25 [20550],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],139.95,,0.43,120.357,84
NDC,0517-4810-25 [20554],NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [5599],58.2,,1.42,50.052,84
NDC,0517-6103-01 [331134],ZINC SULFATE 3 MG/ML INTRAVENOUS SOLUTION [190336],302.25,,84.63,259.935,83
NDC,0517-6103-25 [331135],ZINC SULFATE 3 MG/ML INTRAVENOUS SOLUTION [190336],302.25,,84.63,259.935,83
NDC,0517-6560-01 [324336],SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION [188425],1400.3,,392.084,1204.258,83
NDC,0517-6560-05 [328841],SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION [188425],1400.3,,392.084,1204.258,83
NDC,0517-6560-25 [324337],SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION [188425],1123.7,,314.636,966.382,83
NDC,0517-6710-01 [306539],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER (CRRT INFUSION) [40800003814],64.3,,18.004,55.298,83
NDC,0517-6710-01 [306539],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],64.3,,18.004,55.298,83
NDC,0517-6710-01 [306539],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [124281],64.3,,18.004,55.298,83
NDC,0517-6710-01 [306539],CALCIUM CHLORIDE IVPB 1.36 MEQ/ML (PEDI) [40800003063],64.3,,18.004,55.298,83
NDC,0517-6710-10 [306540],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER (CRRT INFUSION) [40800003814],64.3,,18.004,55.298,83
NDC,0517-6710-10 [306540],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],64.3,,18.004,55.298,83
NDC,0517-6710-10 [306540],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [124281],64.3,,18.004,55.298,83
NDC,0517-7604-01 [325863],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],58.1,,16.268,49.966,83
NDC,0517-7604-25 [20586],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],58.1,,16.268,49.966,83
NDC,0517-7604-25 [20586],ACETYLCYSTEINE ORAL SOLUTION 200 MG/ML (20%) [40800000530],58.1,,16.268,49.966,83
NDC,0517-7604-25 [20586],ACETYLCYSTEINE ORAL SOLUTION SYRINGE 200 MG/ML (20%) (PEDI) [40800004001],58.1,,16.268,49.966,83
NDC,0517-8005-01 [331136],ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION [8879],263.45,,73.766,226.567,83
NDC,0517-8005-25 [331137],ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION [8879],263.45,,73.766,226.567,83
NDC,0517-9120-01 [322340],AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],39.55,,1.5,34.013,84
NDC,0517-9120-25 [20600],AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],39.55,,1.5,34.013,84
NDC,0517-9191-01 [329576],AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],34.7,,1.5,29.842,84
NDC,0517-9191-25 [329577],AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],34.7,,1.5,29.842,84
NDC,0517-9702-25 [20603],DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],37.9,,5.36,32.594,84
NDC,0519-1322-24 [270378],CHLORHEXIDINE GLUCONATE 2 % TOPICAL LIQUID [9515],40.7,,11.396,35.002,83
NDC,0521-2311-00 [281806],WHITE PETROLATUM TOPICAL JELLY [28809],6.5,,1.82,5.59,83
NDC,0521-2326-00 [327030],WHITE PETROLATUM TOPICAL JELLY [28809],5.7,,1.596,4.902,83
NDC,0521-2384-00 [314721],WHITE PETROLATUM TOPICAL JELLY [28809],12.5,,3.5,10.75,83
NDC,0527-0586-01 [20724],DICYCLOMINE 10 MG CAPSULE [2418],1.65,,0.462,1.419,83
NDC,0527-1231-01 [20739],PRIMIDONE 250 MG TABLET [6544],1.65,,0.462,1.419,83
NDC,0527-1311-01 [123706],TERBUTALINE 5 MG TABLET [11509],25.25,,7.07,21.715,83
NDC,0527-1313-01 [127271],PILOCARPINE 5 MG TABLET [12803],1.65,,0.462,1.419,83
NDC,0527-1324-01 [20755],DIGOXIN 125 MCG (0.125 MG) TABLET [2444],5.65,,1.582,4.859,83
NDC,0527-1326-01 [176146],URSODIOL 300 MG CAPSULE [11624],5.95,,1.666,5.117,83
NDC,0527-1336-01 [129570],DOXYCYCLINE HYCLATE 20 MG TABLET [30579],1.8,,0.504,1.548,83
NDC,0527-1367-01 [133595],PROBENECID 500 MG TABLET [6561],9.6,,2.688,8.256,83
NDC,0527-1368-01 [146013],DANAZOL 100 MG CAPSULE [9714],18.1,,5.068,15.566,83
NDC,0527-1393-30 [162802],RIFAMPIN 150 MG CAPSULE [11292],4.7,,1.316,4.042,83
NDC,0527-1552-01 [20792],BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [22294],6.45,,1.806,5.547,83
NDC,0527-1632-01 [215242],TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],1.65,,0.462,1.419,83
NDC,0527-1788-01 [196001],FLUPHENAZINE 1 MG TABLET [3218],7.15,,2.002,6.149,83
NDC,0527-1790-01 [196005],FLUPHENAZINE 5 MG TABLET [3221],14.9,,4.172,12.814,83
NDC,0527-1948-68 [310299],LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],1682.8,,471.184,1447.208,83
NDC,0527-1948-70 [310300],LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION [39970],3998.05,,1119.454,3438.323,83
NDC,0527-1949-47 [327857],CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],174.55,,48.874,150.113,83
NDC,0527-2133-35 [326956],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [132662]",19.75,,5.53,16.985,83
NDC,0527-2244-32 [352584],FEBUXOSTAT 40 MG TABLET [97133],2.5,,0.7,2.15,83
NDC,0527-2425-46 [352401],OLMESARTAN 5 MG TABLET [32761],1.65,,0.462,1.419,83
NDC,0527-2426-32 [352402],OLMESARTAN 20 MG TABLET [32762],1.65,,0.462,1.419,83
NDC,0527-2427-32 [352404],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,0527-2580-32 [348595],"FLUVASTATIN ER 80 MG TABLET,EXTENDED RELEASE 24 HR [29172]",18.3,,5.124,15.738,83
NDC,0527-3288-46 [337150],LEVOTHYROXINE 150 MCG TABLET [4425],1.65,,0.462,1.419,83
NDC,0527-4116-37 [332062],"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",1.65,,0.462,1.419,83
NDC,0527-4117-37 [332064],"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]",1.65,,0.462,1.419,83
NDC,0527-4118-37 [332066],"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE [38226]",1.65,,0.462,1.419,83
NDC,0527-5125-70 [333421],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],29.9,,8.372,25.714,83
NDC,0527-5160-82 [350709],MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],2470.15,,691.642,2124.329,83
NDC,0527-6004-80 [329578],LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],96.1,,26.908,82.646,83
NDC,0536-0091-85 [20799],ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION [353],31.8,,8.904,27.348,83
NDC,0536-1007-15 [268130],CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],1.65,,0.462,1.419,83
NDC,0536-1008-36 [268131],ASPIRIN 81 MG CHEWABLE TABLET [679],1.65,,0.462,1.419,83
NDC,0536-1047-10 [280523],SODIUM BICARBONATE 650 MG TABLET [7312],1.65,,0.462,1.419,83
NDC,0536-1048-15 [276195],CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],1.65,,0.462,1.419,83
NDC,0536-1054-29 [276202],ASPIRIN 325 MG TABLET [681],1.65,,0.462,1.419,83
NDC,0536-1055-56 [276203],BENZOYL PEROXIDE 5 % TOPICAL GEL [991],17.15,,4.802,14.749,83
NDC,0536-1056-56 [276204],BENZOYL PEROXIDE 10 % TOPICAL GEL [989],18.15,,5.082,15.609,83
NDC,0536-1107-88 [286796],NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],8.15,,2.282,7.009,83
NDC,0536-1118-25 [298989],CAPSAICIN 0.075 % TOPICAL CREAM [9399],22.3,,6.244,19.178,83
NDC,0536-1161-37 [326957],DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [24844],2.45,,0.686,2.107,83
NDC,0536-1172-01 [312984],ACETAMINOPHEN 500 MG TABLET [102],1.65,,0.462,1.419,83
NDC,0536-1182-97 [319612],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],8.4,,2.352,7.224,83
NDC,0536-1211-95 [326959],DIBUCAINE 1 % TOPICAL OINTMENT [2412],23.25,,6.51,19.995,83
NDC,0536-1228-58 [323402],PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [36976],13.3,,3.724,11.438,83
NDC,0536-1232-01 [325864],"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",1.65,,0.462,1.419,83
NDC,0536-1234-41 [326960],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,0536-1247-01 [328853],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,0536-1247-10 [328854],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,0536-1248-01 [331141],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,0536-1248-10 [331142],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,0536-1259-63 [334520],BENZOYL PEROXIDE 5 % TOPICAL CLEANSER [993],25.15,,7.042,21.629,83
NDC,0536-1263-28 [338263],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],11.75,,3.29,10.105,83
NDC,0536-1266-59 [330274],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],40.35,,11.298,34.701,83
NDC,0536-1268-12 [332070],CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION [23063],25.45,,7.126,21.887,83
NDC,0536-1271-80 [345610],POVIDONE-IODINE 10 % TOPICAL OINTMENT [6455],8.65,,2.422,7.439,83
NDC,0536-1279-35 [345612],"CETIRIZINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [31239]",3.15,,0.882,2.709,83
NDC,0536-1282-94 [348596],DEXTRAN 70-HYPROMELLOSE 0.1 %-0.3 % EYE DROPS [130482],22.15,,6.202,19.049,83
NDC,0536-1287-36 [339199],BISMUTH SUBSALICYLATE 525 MG/15 ML ORAL SUSPENSION [124626],15.0,,4.2,12.9,83
NDC,0536-1293-83 [340194],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],16.85,,4.718,14.491,83
NDC,0536-1298-01 [339203],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,0536-1303-75 [344108],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",10.35,,2.898,8.901,83
NDC,0536-1304-85 [340195],DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],41.0,,11.48,35.26,83
NDC,0536-1307-23 [344110],OLOPATADINE 0.2 % EYE DROPS [76979],40.45,,11.326,34.787,83
NDC,0536-1308-40 [344111],OLOPATADINE 0.1 % EYE DROPS [19452],35.25,,9.87,30.315,83
NDC,0536-1313-85 [340196],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],24.3,,6.804,20.898,83
NDC,0536-1314-85 [340197],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],20.6,,5.768,17.716,83
NDC,0536-1316-25 [352407],ZINC OXIDE 20 % TOPICAL OINTMENT [8874],14.25,,3.99,12.255,83
NDC,0536-1316-28 [349782],ZINC OXIDE 20 % TOPICAL OINTMENT [8874],9.75,,2.73,8.385,83
NDC,0536-1317-83 [344112],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],16.85,,4.718,14.491,83
NDC,0536-1323-34 [344117],DEXTROMETHORPHAN HBR 15 MG CAPSULE [37354],1.65,,0.462,1.419,83
NDC,0536-1327-01 [346548],ACETAMINOPHEN 325 MG TABLET [101],1.65,,0.462,1.419,83
NDC,0536-1329-26 [350712],TOLNAFTATE 1 % TOPICAL POWDER [8021],10.15,,2.842,8.729,83
NDC,0536-1334-34 [357123],DEXTROMETHORPHAN HBR 15 MG CAPSULE [37354],1.65,,0.462,1.419,83
NDC,0536-1349-57 [360125],METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],15.15,,4.242,13.029,83
NDC,0536-1362-23 [116001],NICOTINE (POLACRILEX) 2 MG GUM [10717],1.65,,0.462,1.419,83
NDC,0536-1362-25 [391743],NICOTINE (POLACRILEX) 2 MG GUM [10717],1.65,,0.462,1.419,83
NDC,0536-1362-34 [123726],NICOTINE (POLACRILEX) 2 MG GUM [10717],2.15,,0.602,1.849,83
NDC,0536-1387-92 [372316],CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE [27991],1.65,,0.462,1.419,83
NDC,0536-1445-40 [401143],OLOPATADINE 0.1 % EYE DROPS [19452],36.15,,10.122,31.089,83
NDC,0536-2525-25 [20879],CAPSAICIN 0.025 % TOPICAL CREAM [1350],32.95,,9.226,28.337,83
NDC,0536-3029-34 [185880],NICOTINE (POLACRILEX) 2 MG GUM [10717],2.15,,0.602,1.849,83
NDC,0536-4306-11 [21011],CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],1.65,,0.462,1.419,83
NDC,0536-5895-88 [162812],NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],10.9,,3.052,9.374,83
NDC,0536-5896-53 [299683],NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],11.45,,3.206,9.847,83
NDC,0536-5896-88 [162813],NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],10.9,,3.052,9.374,83
NDC,0536-7415-51 [21099],SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA [11395],6.85,,1.918,5.891,83
NDC,0536137801 [368984],VITAMIN B COMPLEX CAPSULE [804],1.65,,0.462,1.419,83
NDC,0536440601 [21014],PYRIDOXINE (VITAMIN B6) 25 MG TABLET [6746],1.65,,0.462,1.419,83
NDC,0536478701 [21043],VITAMIN B COMPLEX CAPSULE [804],1.65,,0.462,1.419,83
NDC,0536641208 [21080],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,0536781708 [21103],CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],1.65,,0.462,1.419,83
NDC,0548-5400-00 [304839],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],85.8,,24.024,73.788,83
NDC,0548-5400-25 [305703],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],85.8,,24.024,73.788,83
NDC,0548-5603-00 [209597],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],32.1,,0.57,27.606,84
NDC,0548-5604-00 [209598],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],42.8,,0.57,36.808,84
NDC,0548-5607-00 [209601],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],71.55,,0.57,61.533,84
NDC,0548-5608-00 [326961],ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],101.8,,0.57,87.548,84
NDC,0548-5850-00 [344118],GLUCAGON 1 MG SOLUTION FOR INJECTION [41569],850.1,,146.33,731.086,86
NDC,0548-5850-00 [344118],GLUCAGON 1 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003921],850.1,,146.33,731.086,86
NDC,0548-5900-00 [21181],COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],349.2,,28.02,300.312,84
NDC,0548-5900-00 [21181],COSYNTROPIN 125 MCG/ML INJ (HIGH-DOSE) [40800000028],349.2,,28.02,300.312,84
NDC,0548-5900-00 [21181],COSYNTROPIN 250 MCG/ML INJ (LOW-DOSE) [40800000373],349.2,,28.02,300.312,84
NDC,0555-0033-02 [21250],CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],2.85,,0.798,2.451,83
NDC,0555-0066-02 [21254],ISONIAZID 100 MG TABLET [4026],1.65,,0.462,1.419,83
NDC,0555-0071-02 [21257],ISONIAZID 300 MG TABLET [4027],1.65,,0.462,1.419,83
NDC,0555-0158-02 [21259],CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],2.85,,0.798,2.451,83
NDC,0555-0159-02 [21261],CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],2.85,,0.798,2.451,83
NDC,0555-0211-10 [21268],NORETHINDRONE ACETATE 5 MG TABLET [10747],8.8,,2.464,7.568,83
NDC,0555-0323-02 [21292],HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],1.65,,0.462,1.419,83
NDC,0555-0606-02 [21345],MEGESTROL 20 MG TABLET [4870],1.75,,0.49,1.505,83
NDC,0555-0607-02 [21346],MEGESTROL 40 MG TABLET [4871],3.35,,0.938,2.881,83
NDC,0555-0634-02 [21350],DANAZOL 100 MG CAPSULE [9714],18.1,,5.068,15.566,83
NDC,0555-0779-02 [21369],MEDROXYPROGESTERONE 10 MG TABLET [4854],1.65,,0.462,1.419,83
NDC,0555-0808-02 [146019],TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],92.3,,25.844,79.378,83
NDC,0555-0808-02 [146019],TRETINOIN 10 MG CAPSULE (ACCC AND ICU USE ONLY) [40800002702],92.3,,25.844,79.378,83
NDC,0555-0872-02 [21391],MEDROXYPROGESTERONE 2.5 MG TABLET [4855],1.65,,0.462,1.419,83
NDC,0555-0886-02 [21403],ESTRADIOL 1 MG TABLET [9967],1.65,,0.462,1.419,83
NDC,0555-0899-02 [21414],ESTRADIOL 0.5 MG TABLET [12491],1.65,,0.462,1.419,83
NDC,0555-0971-02 [21447],DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [124596],5.4,,1.512,4.644,83
NDC,0555-0972-02 [21448],DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET [124104],5.4,,1.512,4.644,83
NDC,0555-0973-02 [21449],DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET [124380],5.4,,1.512,4.644,83
NDC,0555-9010-79 [295986],NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET [10742],68.25,,19.11,58.695,83
NDC,0555-9043-58 [21463],DESOGESTREL 0.15 MG-ETHINYL ESTRADIOL 0.03 MG TABLET [28998],70.6,,19.768,60.716,83
NDC,0555-9043-79 [295991],DESOGESTREL 0.15 MG-ETHINYL ESTRADIOL 0.03 MG TABLET [28998],70.6,,19.768,60.716,83
NDC,0555-9049-58 [21466],NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],78.6,,22.008,67.596,83
NDC,0555-9049-79 [294875],NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],78.6,,22.008,67.596,83
NDC,0573-2660-12 [21572],"LORATADINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [124415]",2.7,,0.756,2.322,83
NDC,0573-2868-93 [322466],PHENYLEPHRINE 0.25 %-PRAMOXINE 1 %-GLYCERIN-WH.PETROLATUM RECTAL CREAM [77868],32.9,,9.212,28.294,83
NDC,0573051330 [368986],MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID [129713],36.4,,10.192,31.304,83
NDC,0573286898 [330275],PHENYLEPHRINE 0.25 %-PRAMOXINE 1 %-GLYCERIN-WH.PETROLATUM RECTAL CREAM [77868],47.0,,13.16,40.42,83
NDC,0574-0106-01 [167865],BROMOCRIPTINE 2.5 MG TABLET [9297],14.25,,3.99,12.255,83
NDC,0574-0106-03 [167866],BROMOCRIPTINE 2.5 MG TABLET [9297],15.7,,4.396,13.502,83
NDC,0574-0107-14 [127283],CLOTRIMAZOLE 10 MG TROCHE [9644],5.55,,1.554,4.773,83
NDC,0574-0107-77 [154010],CLOTRIMAZOLE 10 MG TROCHE [9644],5.45,,1.526,4.687,83
NDC,0574-0129-01 [196024],CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],83.8,,23.464,72.068,83
NDC,0574-0181-01 [209604],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",3.8,,1.064,3.268,83
NDC,0574-0241-01 [264707],REPAGLINIDE 1 MG TABLET [22586],1.65,,0.462,1.419,83
NDC,0574-0292-01 [178616],AMILORIDE 5 MG TABLET [391],1.65,,0.462,1.419,83
NDC,0574-0521-74 [341157],ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION [126594],51.65,,14.462,44.419,83
NDC,0574-0521-76 [343040],ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION [126593],65.25,,18.27,56.115,83
NDC,0574-0827-01 [320626],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],64.9,,0.03,55.814,84
NDC,0574-0866-01 [345618],CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],134.25,,37.59,115.455,84
NDC,0574-0866-10 [111238],CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION [9705],134.25,,37.59,115.455,84
NDC,0574-0930-10 [352410],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",1954.8,,71.86,1681.128,86
NDC,0574-0931-25 [352411],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",4965.15,,71.86,4270.029,86
NDC,0574-2008-15 [21706],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",33.2,,9.296,28.552,83
NDC,0574-2008-30 [21707],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",53.95,,15.106,46.397,83
NDC,0574-2042-30 [364918],LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],58.1,,16.268,49.966,83
NDC,0574-2061-30 [204309],CICLOPIROX 0.77 % TOPICAL GEL [27426],221.55,,62.034,190.533,83
NDC,0574-4022-35 [264709],BACITRACIN 500 UNIT/GRAM EYE OINTMENT [852],354.1,,99.148,304.526,83
NDC,0574-4024-11 [264710],ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],34.35,,9.618,29.541,83
NDC,0574-4024-35 [264711],ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],57.7,,16.156,49.622,83
NDC,0574-4024-50 [264712],ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],34.35,,9.618,29.541,83
NDC,0574-4031-05 [357126],"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [11567]",261.05,,73.094,224.503,83
NDC,0574-4250-35 [276238],"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [38701]",150.3,,42.084,129.258,83
NDC,0574-7034-12 [21716],ASPIRIN 300 MG RECTAL SUPPOSITORY [693],5.55,,1.554,4.773,83
NDC,0574-7040-01 [314675],BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY [24731],93.1,,26.068,80.066,83
NDC,0574-7040-12 [21718],BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY [24731],93.1,,26.068,80.066,83
NDC,0574-7045-01 [316434],BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY [124340],76.85,,21.518,66.091,83
NDC,0574-7045-12 [21720],BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY [124340],76.85,,21.518,66.091,83
NDC,0574-7050-12 [21722],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],1.7,,0.476,1.462,83
NDC,0574-7050-50 [21723],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],1.65,,0.462,1.419,83
NDC,0574-7090-12 [21724],HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],44.5,,12.46,38.27,83
NDC,0574-7226-12 [21734],PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],33.6,,9.408,28.896,83
NDC,0574-9855-10 [310305],"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",4.7,,1.316,4.042,83
NDC,0574006915 [176154],DEXTROSE 40 % ORAL GEL [27466],15.0,,4.2,12.9,83
NDC,0574006930 [21620],DEXTROSE 40 % ORAL GEL [27466],15.0,,4.2,12.9,83
NDC,0574007030 [136964],DEXTROSE 40 % ORAL GEL [27466],1.65,,0.462,1.419,83
NDC,0574007216 [21625],"PROPYLENE GLYCOL (BULK) 99.5 % (NOT LESS THAN, USP) LIQUID [6661]",10.45,,2.926,8.987,83
NDC,0574030216 [21646],COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID [129259],58.5,,16.38,50.31,83
NDC,0574030816 [21652],SUPPOSITORY BASE NO.216 (BULK) WAX [179663],56.2,,15.736,48.332,83
NDC,0575-6200-30 [21763],DIAZOXIDE 50 MG/ML ORAL SUSPENSION [19713],1744.0,,488.32,1499.84,83
NDC,0591-0149-26 [215273],SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [24932],109.15,,2.18,93.869,84
NDC,0591-0343-01 [21806],VERAPAMIL 80 MG TABLET [8530],1.65,,0.462,1.419,83
NDC,0591-0345-01 [21811],VERAPAMIL 120 MG TABLET [8528],1.65,,0.462,1.419,83
NDC,0591-0424-01 [21850],TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [8132],1.65,,0.462,1.419,83
NDC,0591-0444-01 [21857],GUANFACINE 1 MG TABLET [10149],1.65,,0.462,1.419,83
NDC,0591-0582-01 [21900],PROPAFENONE 150 MG TABLET [11146],1.85,,0.518,1.591,83
NDC,0591-0583-01 [21901],PROPAFENONE 225 MG TABLET [11147],2.45,,0.686,2.107,83
NDC,0591-0794-01 [21990],DICYCLOMINE 10 MG CAPSULE [2418],1.65,,0.462,1.419,83
NDC,0591-0794-10 [21991],DICYCLOMINE 10 MG CAPSULE [2418],1.65,,0.462,1.419,83
NDC,0591-0845-01 [97841],"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",2.75,,0.77,2.365,83
NDC,0591-2070-30 [276239],LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],145.9,,40.852,125.474,83
NDC,0591-2312-15 [342098],ALVIMOPAN 12 MG CAPSULE [91870],514.7,,144.116,442.642,83
NDC,0591-2312-45 [342099],ALVIMOPAN 12 MG CAPSULE [91870],514.7,,144.116,442.642,83
NDC,0591-2473-19 [215285],TAMOXIFEN 20 MG TABLET [11498],3.65,,1.022,3.139,83
NDC,0591-2473-30 [215286],TAMOXIFEN 20 MG TABLET [11498],3.65,,1.022,3.139,83
NDC,0591-2579-20 [291516],VALGANCICLOVIR 5 GRAM ORAL SOLUTION BOTTLE [40800004434],2621.75,,734.09,2254.705,83
NDC,0591-2579-20 [291516],VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],2621.75,,734.09,2254.705,83
NDC,0591-2679-11 [268161],LIDOCAINE 5 % TOPICAL PATCH [28203],14.2,,3.976,12.212,83
NDC,0591-2679-30 [268162],LIDOCAINE 5 % TOPICAL PATCH [28203],14.2,,3.976,12.212,83
NDC,0591-2944-60 [317827],PIMECROLIMUS 1 % TOPICAL CREAM [32052],1597.05,,447.174,1373.463,83
NDC,0591-3216-30 [283494],TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET [108038],48.1,,13.468,41.366,83
NDC,0591-3217-26 [283495],TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [108039],49.4,,13.832,42.484,83
NDC,0591-3217-30 [283496],TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [108039],49.4,,13.832,42.484,83
NDC,0591-3219-01 [22095],BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [22294],6.45,,1.806,5.547,83
NDC,0591-3508-04 [264732],CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH (FOR 0.05 MG/24 HR DOSE) [40800003404],90.95,,25.466,78.217,83
NDC,0591-3508-04 [264732],CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],90.95,,25.466,78.217,83
NDC,0591-3508-54 [264733],CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH (FOR 0.05 MG/24 HR DOSE) [40800003404],90.95,,25.466,78.217,83
NDC,0591-3508-54 [264733],CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],90.95,,25.466,78.217,83
NDC,0591-3510-04 [264736],CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],212.45,,59.486,182.707,83
NDC,0591-3510-54 [264737],CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [27507],212.45,,59.486,182.707,83
NDC,0591-3525-11 [238780],LIDOCAINE 5 % TOPICAL PATCH [28203],14.2,,3.976,12.212,83
NDC,0591-3525-30 [238781],LIDOCAINE 5 % TOPICAL PATCH [28203],14.2,,3.976,12.212,83
NDC,0591-3540-60 [178625],"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",1.65,,0.462,1.419,83
NDC,0591-3670-01 [209614],NABUMETONE 500 MG TABLET [10676],1.65,,0.462,1.419,83
NDC,0591-3870-44 [280554],MEMANTINE 5 MG TABLET [37170],2.0,,0.56,1.72,83
NDC,0591-3870-45 [280555],MEMANTINE 5 MG TABLET [37170],2.0,,0.56,1.72,83
NDC,0591-4012-01 [22107],VALPROIC ACID 250 MG CAPSULE [8429],1.9,,0.532,1.634,83
NDC,0591-5335-01 [22124],TRIHEXYPHENIDYL 2 MG TABLET [8166],1.65,,0.462,1.419,83
NDC,0591-5347-01 [22128],PROBENECID 500 MG TABLET [6561],2.85,,0.798,2.451,83
NDC,0591-5556-01 [22175],PROPRANOLOL 40 MG TABLET [6658],2.3,,0.644,1.978,83
NDC,0591-5694-01 [22219],MINOCYCLINE 50 MG CAPSULE [5111],1.65,,0.462,1.419,83
NDC,0591-5695-50 [22220],MINOCYCLINE 100 MG CAPSULE [5110],2.65,,0.742,2.279,83
NDC,0597-0024-02 [225542],IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION [165437],1700.75,,476.21,1462.645,83
NDC,0597-0040-37 [111250],TELMISARTAN 40 MG TABLET [24335],22.2,,6.216,19.092,83
NDC,0597-0044-37 [111254],TELMISARTAN 80 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET [29398],22.2,,6.216,19.092,83
NDC,0597-0075-41 [146087],TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE [38315],1090.35,,305.298,937.701,83
NDC,0597-0075-75 [146089],TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE [38315],208.85,,58.478,179.611,83
NDC,0597-0087-17 [120930],IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER [41142],1005.2,,281.456,864.472,83
NDC,0597-0137-30 [238786],AFATINIB 30 MG TABLET [122473],1313.45,,367.766,1129.567,83
NDC,0597-0138-30 [238787],AFATINIB 40 MG TABLET [122474],1313.45,,367.766,1129.567,83
NDC,0597-0141-30 [238788],AFATINIB 20 MG TABLET [122472],1313.45,,367.766,1129.567,83
NDC,0597-0153-30 [268175],EMPAGLIFLOZIN 25 MG TABLET [165884],44.95,,12.586,38.657,83
NDC,0597-0197-05 [281755],IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [175515],7900.35,,2212.098,6794.301,83
NDC,0597-0355-56 [305706],DABIGATRAN ETEXILATE 75 MG CAPSULE [106490],15.7,,4.396,13.502,83
NDC,0597-0360-82 [304848],DABIGATRAN ETEXILATE 150 MG CAPSULE [106491],15.7,,4.396,13.502,83
NDC,0603-1161-58 [123750],DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [42119],371.9,,104.132,319.834,83
NDC,0603-1554-04 [281756],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],34.2,,9.576,29.412,83
NDC,0603-1554-10 [288080],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],34.2,,9.576,29.412,83
NDC,0603-1880-10 [264742],LIDOCAINE 5 % TOPICAL PATCH [28203],14.2,,3.976,12.212,83
NDC,0603-1880-16 [264743],LIDOCAINE 5 % TOPICAL PATCH [28203],14.2,,3.976,12.212,83
NDC,0603-2214-21 [22612],AMITRIPTYLINE 50 MG TABLET [436],2.75,,0.77,2.365,83
NDC,0603-2406-21 [123753],BACLOFEN 10 MG TABLET [860],1.65,,0.462,1.419,83
NDC,0603-2433-21 [154068],BENZTROPINE 0.5 MG TABLET [998],1.65,,0.462,1.419,83
NDC,0603-2434-21 [154070],BENZTROPINE 1 MG TABLET [999],1.65,,0.462,1.419,83
NDC,0603-2544-21 [107206],BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],6.6,,1.848,5.676,83
NDC,0603-5167-21 [22951],PHENOBARBITAL 64.8 MG TABLET [6219],4.45,,1.246,3.827,83
NDC,0603-5335-21 [116022],PREDNISONE 1 MG TABLET [6493],1.65,,0.462,1.419,83
NDC,0603-5336-21 [116024],PREDNISONE 2.5 MG TABLET [6495],1.65,,0.462,1.419,83
NDC,0603-5338-21 [22992],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,0603-5449-21 [97872],PROPAFENONE 225 MG TABLET [11147],1.85,,0.518,1.591,83
NDC,0603-5482-21 [196124],PROPRANOLOL 10 MG TABLET [6656],1.65,,0.462,1.419,83
NDC,0603-5484-21 [196128],PROPRANOLOL 40 MG TABLET [6658],1.65,,0.462,1.419,83
NDC,0641-0376-21 [154081],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],6.4,,0.9,5.504,84
NDC,0641-0376-25 [23581],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],6.4,,0.9,5.504,84
NDC,0641-0400-12 [209638],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",7.6,,0.22,6.536,84
NDC,0641-0400-37 [238801],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",7.6,,0.22,6.536,84
NDC,0641-0476-21 [154095],PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],69.9,,19.572,60.114,84
NDC,0641-0476-25 [23595],PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],69.9,,19.572,60.114,84
NDC,0641-0477-21 [154096],PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],159.15,,27.36,136.869,84
NDC,0641-0477-25 [23596],PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],159.15,,27.36,136.869,84
NDC,0641-0493-21 [154098],PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],6.4,,0.66,5.504,84
NDC,0641-0493-25 [23599],PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],6.4,,0.66,5.504,84
NDC,0641-0928-21 [154099],PROMETHAZINE 25 MG/ML INJECTION SOLUTION  [40800000089],8.8,,2.464,7.568,84
NDC,0641-0928-21 [154099],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],8.8,,2.464,7.568,84
NDC,0641-0928-21 [154099],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002518],8.8,,2.464,7.568,84
NDC,0641-0928-21 [154099],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) [40800002433],8.8,,2.464,7.568,84
NDC,0641-0928-25 [23602],PROMETHAZINE 25 MG/ML INJECTION SOLUTION  [40800000089],8.8,,2.464,7.568,84
NDC,0641-0928-25 [23602],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],8.8,,2.464,7.568,84
NDC,0641-0928-25 [23602],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002518],8.8,,2.464,7.568,84
NDC,0641-0928-25 [23602],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) [40800002433],8.8,,2.464,7.568,84
NDC,0641-0948-31 [154101],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],6.9,,1.932,5.934,84
NDC,0641-0948-35 [23604],PROMETHAZINE 25 MG/ML INJECTION SOLUTION  [40800000089],8.3,,2.324,7.138,84
NDC,0641-0948-35 [23604],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],8.3,,2.324,7.138,84
NDC,0641-0955-21 [154103],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],8.3,,2.324,7.138,84
NDC,0641-0955-25 [23606],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],8.3,,2.324,7.138,84
NDC,0641-1397-31 [154105],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],99.15,,27.07,85.269,84
NDC,0641-1397-35 [23627],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],99.15,,27.07,85.269,84
NDC,0641-1398-31 [154106],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],113.65,,27.07,97.739,84
NDC,0641-1398-35 [23628],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],113.65,,27.07,97.739,84
NDC,0641-1410-31 [154107],DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [124192],24.1,,4.0,20.726,84
NDC,0641-1410-35 [23631],DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [124192],24.1,,4.0,20.726,84
NDC,0641-1495-31 [154108],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],8.8,,2.464,7.568,84
NDC,0641-1495-35 [23637],PROMETHAZINE 25 MG/ML INJECTION SOLUTION  [40800000089],8.8,,2.464,7.568,84
NDC,0641-1495-35 [23637],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],8.8,,2.464,7.568,84
NDC,0641-1495-35 [23637],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) [40800002433],8.8,,2.464,7.568,84
NDC,0641-2555-10 [376071],PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],8.75,,0.66,7.525,84
NDC,0641-2555-41 [154113],PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],8.75,,0.66,7.525,84
NDC,0641-2555-45 [23670],PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],8.75,,0.66,7.525,84
NDC,0641-6001-01 [215368],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],12.65,,1.32,10.879,84
NDC,0641-6001-25 [215369],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],12.65,,1.32,10.879,84
NDC,0641-6006-01 [215374],ATROPINE 0.4 MG/ML INJ CONTAINER [40800000729],111.65,,0.07,96.019,84
NDC,0641-6006-01 [215374],ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],111.65,,0.07,96.019,84
NDC,0641-6006-10 [215375],ATROPINE 0.4 MG/ML INJ CONTAINER [40800000729],111.65,,0.07,96.019,84
NDC,0641-6006-10 [215375],ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],111.65,,0.07,96.019,84
NDC,0641-6007-01 [215376],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],14.35,,0.61,12.341,84
NDC,0641-6007-10 [215377],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],14.35,,0.61,12.341,84
NDC,0641-6008-01 [215378],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],13.25,,0.61,11.395,84
NDC,0641-6008-10 [215379],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],13.25,,0.61,11.395,84
NDC,0641-6013-01 [215380],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],15.0,,0.04,12.9,84
NDC,0641-6013-10 [215381],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],15.0,,0.04,12.9,84
NDC,0641-6014-01 [215382],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],27.3,,0.04,23.478,84
NDC,0641-6014-10 [215383],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],27.3,,0.04,23.478,84
NDC,0641-6018-01 [225580],DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION [2607],169.25,,47.39,145.555,83
NDC,0641-6019-01 [225582],MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],100.65,,10.79,86.559,84
NDC,0641-6019-01 [225582],MORPHINE INJECTION 1 MG/ML (PHARMACY USE ONLY) [40800000367],100.65,,10.79,86.559,84
NDC,0641-6019-10 [225583],MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],100.65,,10.79,86.559,84
NDC,0641-6019-10 [225583],MORPHINE INJECTION 1 MG/ML (PHARMACY USE ONLY) [40800000367],100.65,,10.79,86.559,84
NDC,0641-6022-01 [225586],FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,84
NDC,0641-6022-01 [225586],FAMOTIDINE 10 MG/ML INJ CONTAINER [40800000064],6.4,,0.01,5.504,84
NDC,0641-6027-01 [225592],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],11.35,,0.96,9.761,84
NDC,0641-6027-01 [225592],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],11.35,,0.96,9.761,84
NDC,0641-6027-01 [225592],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],11.35,,0.96,9.761,84
NDC,0641-6027-25 [225593],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],11.35,,0.96,9.761,84
NDC,0641-6027-25 [225593],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],11.35,,0.96,9.761,84
NDC,0641-6027-25 [225593],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],11.35,,0.96,9.761,84
NDC,0641-6028-01 [225594],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],15.5,,0.96,13.33,84
NDC,0641-6028-01 [225594],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],15.5,,0.96,13.33,84
NDC,0641-6028-01 [225594],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],15.5,,0.96,13.33,84
NDC,0641-6028-25 [225595],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],15.5,,0.96,13.33,84
NDC,0641-6028-25 [225595],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],15.5,,0.96,13.33,84
NDC,0641-6028-25 [225595],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],15.5,,0.96,13.33,84
NDC,0641-6030-01 [225598],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],87.05,,0.96,74.863,84
NDC,0641-6030-01 [225598],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],87.05,,0.96,74.863,84
NDC,0641-6042-01 [225615],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],6.95,,0.34,5.977,86
NDC,0641-6044-01 [215386],LORAZEPAM 2 MG/ML INFUSION [40840000025],12.65,,1.32,10.879,84
NDC,0641-6044-01 [215386],LORAZEPAM 2 MG/ML INJ CONTAINER [40800000737],12.65,,1.32,10.879,84
NDC,0641-6044-01 [215386],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],12.65,,1.32,10.879,84
NDC,0641-6044-01 [215386],LORAZEPAM IV PUSH INJECTION 2 MG/ML [40840002308],12.65,,1.32,10.879,84
NDC,0641-6044-25 [215387],LORAZEPAM 2 MG/ML INFUSION [40840000025],12.65,,1.32,10.879,84
NDC,0641-6044-25 [215387],LORAZEPAM 2 MG/ML INJ CONTAINER [40800000737],12.65,,1.32,10.879,84
NDC,0641-6044-25 [215387],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],12.65,,1.32,10.879,84
NDC,0641-6044-25 [215387],LORAZEPAM IV PUSH INJECTION 2 MG/ML [40840002308],12.65,,1.32,10.879,84
NDC,0641-6046-01 [215390],LORAZEPAM 2 MG/ML INFUSION [40840000025],50.8,,1.32,43.688,84
NDC,0641-6046-01 [215390],LORAZEPAM 2 MG/ML INJ CONTAINER [40800000737],50.8,,1.32,43.688,84
NDC,0641-6046-01 [215390],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],50.8,,1.32,43.688,84
NDC,0641-6046-10 [215391],LORAZEPAM 2 MG/ML INFUSION [40840000025],50.8,,1.32,43.688,84
NDC,0641-6046-10 [215391],LORAZEPAM 2 MG/ML INJ CONTAINER [40800000737],50.8,,1.32,43.688,84
NDC,0641-6046-10 [215391],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],50.8,,1.32,43.688,84
NDC,0641-6048-01 [215394],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],9.8,,1.32,8.428,84
NDC,0641-6048-25 [215395],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],9.8,,1.32,8.428,84
NDC,0641-6052-01 [215402],MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [4903],13.3,,3.724,15.69,84
NDC,0641-6052-01 [215402],MEPERIDINE IV PUSH INJECTION 25 MG/ML [40840003269],13.3,,3.724,15.69,84
NDC,0641-6052-25 [215403],MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [4903],13.3,,3.724,15.69,84
NDC,0641-6052-25 [215403],MEPERIDINE IV PUSH INJECTION 25 MG/ML [40840003269],13.3,,3.724,15.69,84
NDC,0641-6053-01 [215404],MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],13.8,,3.864,15.69,84
NDC,0641-6053-01 [215404],MEPERIDINE IV PUSH INJECTION 50 MG/ML [40840003939],13.8,,3.864,15.69,84
NDC,0641-6053-25 [215405],MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [4904],13.8,,3.864,15.69,84
NDC,0641-6053-25 [215405],MEPERIDINE IV PUSH INJECTION 50 MG/ML [40840003939],13.8,,3.864,15.69,84
NDC,0641-6057-01 [258866],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,0641-6057-25 [215411],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],8.05,,0.16,6.923,84
NDC,0641-6057-25 [215411],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,0641-6060-01 [215414],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],34.0,,0.16,29.24,84
NDC,0641-6060-01 [215414],MIDAZOLAM INFUSION 5 MG/ML [40800000768],34.0,,0.16,29.24,84
NDC,0641-6060-10 [215415],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],34.0,,0.16,29.24,84
NDC,0641-6060-10 [215415],MIDAZOLAM INFUSION 5 MG/ML [40800000768],34.0,,0.16,29.24,84
NDC,0641-6063-01 [258868],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],8.05,,0.16,6.923,84
NDC,0641-6063-25 [215419],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],8.05,,0.16,6.923,84
NDC,0641-6078-01 [215434],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,0641-6078-25 [215435],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,0641-6079-01 [215436],ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],34.4,,0.09,29.584,84
NDC,0641-6080-01 [215437],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,0641-6080-25 [215438],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,0641-6082-01 [215439],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],16.0,,2.87,13.76,84
NDC,0641-6082-25 [215440],PROMETHAZINE 25 MG/ML INJECTION SOLUTION  [40800000089],16.0,,2.87,13.76,84
NDC,0641-6082-25 [215440],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],16.0,,2.87,13.76,84
NDC,0641-6084-01 [215443],PROMETHAZINE 25 MG/ML INJECTION SOLUTION  [40800000089],16.0,,2.87,13.76,84
NDC,0641-6084-01 [215443],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],16.0,,2.87,13.76,84
NDC,0641-6084-01 [215443],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002518],16.0,,2.87,13.76,84
NDC,0641-6084-01 [215443],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) [40800002433],16.0,,2.87,13.76,84
NDC,0641-6084-25 [215444],PROMETHAZINE 25 MG/ML INJECTION SOLUTION  [40800000089],16.0,,2.87,13.76,84
NDC,0641-6084-25 [215444],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],16.0,,2.87,13.76,84
NDC,0641-6084-25 [215444],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840002518],16.0,,2.87,13.76,84
NDC,0641-6084-25 [215444],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) [40800002433],16.0,,2.87,13.76,84
NDC,0641-6103-01 [225623],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],41.0,,4.79,35.26,84
NDC,0641-6103-10 [380940],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],41.0,,4.79,35.26,84
NDC,0641-6103-25 [225624],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],89.05,,4.79,76.583,84
NDC,0641-6116-01 [215451],AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],18.4,,1.49,15.824,84
NDC,0641-6117-01 [215453],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],17.55,,1.49,15.093,84
NDC,0641-6117-01 [215453],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],17.55,,1.49,15.093,84
NDC,0641-6117-10 [215454],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],17.55,,1.49,15.093,84
NDC,0641-6117-10 [215454],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],17.55,,1.49,15.093,84
NDC,0641-6127-01 [280597],MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390],13.35,,3.738,11.481,84
NDC,0641-6127-01 [280597],MORPHINE INJECTION 10 MG/ML (PHARMACY USE ONLY) [40800000354],13.35,,3.738,11.481,84
NDC,0641-6127-25 [280598],MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390],13.35,,3.738,11.481,84
NDC,0641-6127-25 [280598],MORPHINE INJECTION 10 MG/ML (PHARMACY USE ONLY) [40800000354],13.35,,3.738,11.481,84
NDC,0641-6132-01 [286830],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],26.3,,0.07,22.618,84
NDC,0641-6132-25 [286831],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],26.3,,0.07,22.618,84
NDC,0641-6135-01 [293764],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],31.8,,2.52,27.348,84
NDC,0641-6135-25 [293765],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],31.8,,2.52,27.348,84
NDC,0641-6136-01 [238806],FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],22.8,,1.33,19.608,85
NDC,0641-6136-25 [238807],FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],22.8,,1.33,19.608,85
NDC,0641-6137-01 [238808],FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],73.8,,1.33,63.468,85
NDC,0641-6137-10 [238809],FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],73.8,,1.33,63.468,85
NDC,0641-6138-01 [238810],PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],6.4,,0.66,5.504,84
NDC,0641-6138-25 [238811],PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],6.4,,0.66,5.504,84
NDC,0641-6142-01 [232819],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],19.0,,5.32,16.34,83
NDC,0641-6142-25 [232820],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],19.0,,5.32,16.34,83
NDC,0641-6145-01 [297008],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,0641-6145-25 [297009],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,0641-6146-01 [297010],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,0641-6146-25 [297011],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,0641-6149-01 [283502],NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [122267],32.1,,8.988,27.606,83
NDC,0641-6149-10 [283503],NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [122267],32.1,,8.988,27.606,83
NDC,0641-6151-01 [314676],HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [127829],15.5,,0.09,13.33,84
NDC,0641-6151-25 [314677],HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [127829],15.5,,0.09,13.33,84
NDC,0641-6174-01 [303160],OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],19.75,,0.61,16.985,84
NDC,0641-6174-10 [303161],OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],19.75,,0.61,16.985,84
NDC,0641-6175-10 [303163],OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],28.5,,0.61,24.51,84
NDC,0641-6176-01 [303164],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],111.3,,0.61,95.718,84
NDC,0641-6176-01 [303164],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],111.3,,0.61,95.718,84
NDC,0641-6176-10 [303165],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],111.3,,0.61,95.718,84
NDC,0641-6184-01 [290786],DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [124192],24.1,,4.0,20.726,84
NDC,0641-6184-25 [290787],DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [124192],24.1,,4.0,20.726,84
NDC,0641-6188-01 [326966],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],68.65,,19.222,59.039,83
NDC,0641-6188-10 [326967],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],68.65,,19.222,59.039,83
NDC,0641-6190-01 [294734],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],15.5,,0.16,13.33,84
NDC,0641-6190-10 [294735],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],15.5,,0.16,13.33,84
NDC,0641-6191-01 [395994],MORPHINE 2 MG/ML INJ CONTAINER [40800002810],13.5,,3.78,11.61,84
NDC,0641-6191-01 [395994],MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [163947],13.5,,3.78,11.61,84
NDC,0641-6191-10 [395995],MORPHINE 2 MG/ML INJ CONTAINER [40800002810],13.5,,3.78,11.61,84
NDC,0641-6191-10 [395995],MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [163947],13.5,,3.78,11.61,84
NDC,0641-6206-01 [383147],HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [180765],16.35,,0.09,14.061,84
NDC,0641-6206-10 [383148],HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [180765],16.35,,0.09,14.061,84
NDC,0641-6207-01 [304849],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],8.05,,1.32,6.923,84
NDC,0641-6208-01 [304851],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],8.3,,2.324,7.138,84
NDC,0641-6217-01 [307663],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],35.05,,4.79,30.143,84
NDC,0641-6217-10 [383149],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],35.05,,4.79,30.143,84
NDC,0641-6217-25 [307664],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],35.05,,4.79,30.143,84
NDC,0641-6220-01 [382214],MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE [128221],14.3,,0.16,12.298,84
NDC,0641-6220-10 [382215],MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE [128221],14.3,,0.16,12.298,84
NDC,0641-6228-01 [344123],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],31.55,,1.79,27.133,84
NDC,0641-6228-25 [344124],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],31.55,,1.79,27.133,84
NDC,0641-6231-01 [346551],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],49.9,,5.19,42.914,84
NDC,0641-6231-25 [346552],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],49.9,,5.19,42.914,84
NDC,0641-6236-01 [391754],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [197116],44.05,,12.334,37.883,83
NDC,0641-6236-01 [391754],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) IV SYRINGE CONTAINER [40800003153],44.05,,12.334,37.883,83
NDC,0641-6236-10 [391755],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [197116],44.05,,12.334,37.883,83
NDC,0641-6236-10 [391755],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) IV SYRINGE CONTAINER [40800003153],44.05,,12.334,37.883,83
NDC,0641-6244-01 [354826],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],85.75,,6.17,73.745,84
NDC,0641-6244-10 [354827],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],85.75,,6.17,73.745,84
NDC,0641-6247-25 [349786],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],10.5,,0.96,9.03,84
NDC,0641-6248-01 [379895],FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE [193778],11.75,,0.96,10.105,84
NDC,0641-6248-10 [379896],FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE [193778],11.75,,0.96,10.105,84
NDC,0641-6261-01 [384034],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],48.0,,13.44,41.28,83
NDC,0641-6265-01 [382216],NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [122267],9.65,,2.702,8.299,83
NDC,0641-6265-10 [382217],NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [122267],9.65,,2.702,8.299,83
NDC,0641-6267-01 [385016],CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [109034],35.65,,9.982,30.659,83
NDC,0641-6267-10 [385017],CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [109034],35.65,,9.982,30.659,83
NDC,0641-6281-01 [388889],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,0641-6281-25 [388890],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,0641-6282-01 [388891],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],6.4,,0.9,5.504,84
NDC,0641-6282-25 [388892],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],6.4,,0.9,5.504,84
NDC,0641-9217-01 [291517],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],9.55,,0.04,8.213,84
NDC,0641-9217-10 [291518],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],9.55,,0.04,8.213,84
NDC,0641-9218-01 [291519],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],17.4,,0.04,14.964,84
NDC,0641-9218-10 [291520],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],17.4,,0.04,14.964,84
NDC,0699-3112-12 [328917],BENZOCAINE 20 % MUCOSAL GEL [19691],2.4,,0.672,2.064,83
NDC,0699-3112-12 [328917],BENZOCAINE 20% MUCOSAL GEL CONTAINER [40800003610],2.4,,0.672,2.064,83
NDC,0703-0110-01 [281762],HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],17.8,,0.09,15.308,84
NDC,0703-0110-03 [204337],HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],17.8,,0.09,15.308,84
NDC,0703-0113-01 [232821],HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],37.55,,0.09,32.293,84
NDC,0703-0241-01 [327868],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],35.45,,0.86,30.487,84
NDC,0703-0243-01 [327869],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],130.55,,0.86,112.273,84
NDC,0703-1153-01 [294736],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],61.85,,17.318,53.191,83
NDC,0703-1153-03 [24330],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],61.85,,17.318,53.191,83
NDC,0703-2033-01 [312990],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],53.95,,15.106,46.397,83
NDC,0703-2914-01 [301346],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],27.6,,7.728,23.736,83
NDC,0703-2914-03 [24355],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],27.6,,7.728,23.736,83
NDC,0703-3154-01 [24360],BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],196.35,,20.9,168.861,84
NDC,0703-3154-01 [24360],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR INFUSION) [40800002695],196.35,,20.9,168.861,84
NDC,0703-3154-01 [24360],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR IVPB) [40800000102],196.35,,20.9,168.861,84
NDC,0703-3154-01 [24360],BLEOMYCIN 3 UNITS/ML INTRALESIONAL INJ CONTAINER [40800003129],196.35,,20.9,168.861,84
NDC,0703-3154-01 [24360],BLEOMYCIN 6 UNITS/ML SCLEROTHERAPY INJ CONTAINER [40800002630],196.35,,20.9,168.861,84
NDC,0703-3155-01 [24362],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR INFUSION) [40800002695],347.6,,20.9,298.936,84
NDC,0703-3155-01 [24362],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR IVPB) [40800000102],347.6,,20.9,298.936,84
NDC,0703-3155-01 [24362],BLEOMYCIN 3 UNITS/ML INTRALESIONAL INJ CONTAINER [40800003129],347.6,,20.9,298.936,84
NDC,0703-3155-01 [24362],BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],347.6,,20.9,298.936,84
NDC,0703-3155-01 [24362],BLEOMYCIN 6 UNITS/ML SCLEROTHERAPY INJ CONTAINER [40800002630],347.6,,20.9,298.936,84
NDC,0703-3216-01 [333439],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",114.4,,0.11,98.384,84
NDC,0703-3218-01 [333442],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",327.6,,0.11,281.736,84
NDC,0703-3218-81 [333443],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",327.6,,0.11,281.736,84
NDC,0703-3301-01 [281768],OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],19.75,,0.61,16.985,84
NDC,0703-3311-04 [127310],OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],28.5,,0.61,24.51,84
NDC,0703-3321-04 [127311],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],111.3,,0.61,95.718,84
NDC,0703-3321-04 [127311],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],111.3,,0.61,95.718,84
NDC,0703-3333-01 [127312],OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [91280],216.25,,0.61,185.975,84
NDC,0703-3671-01 [225646],METHOTREXATE 25 MG/ML INJECTION [40840002144],39.9,,2.26,34.314,84
NDC,0703-3671-01 [225646],METHOTREXATE INFUSION 25 MG/ML (MAX CONC) (PEDI) [40800004026],39.9,,2.26,34.314,84
NDC,0703-3671-01 [225646],METHOTREXATE IVPB 25 MG/ML (MAX CONC) (PEDI) [40800004024],39.9,,2.26,34.314,84
NDC,0703-3671-01 [225646],METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],39.9,,2.26,34.314,84
NDC,0703-3671-01 [225646],METHOTREXATE SODIUM 25 MG/ML INJ CONTAINER [40840000843],39.9,,2.26,34.314,84
NDC,0703-3675-01 [225649],METHOTREXATE 25 MG/ML INJECTION [40840002144],34.8,,2.26,29.928,84
NDC,0703-3675-01 [225649],METHOTREXATE INFUSION 25 MG/ML (MAX CONC) (PEDI) [40800004026],34.8,,2.26,29.928,84
NDC,0703-3675-01 [225649],METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],34.8,,2.26,29.928,84
NDC,0703-3675-01 [225649],METHOTREXATE SODIUM 25 MG/ML INJ CONTAINER [40840000843],34.8,,2.26,29.928,84
NDC,0703-3678-01 [225650],METHOTREXATE 25 MG/ML INJECTION [40840002144],114.2,,2.26,98.212,84
NDC,0703-3678-01 [225650],METHOTREXATE INFUSION 25 MG/ML (MAX CONC) (PEDI) [40800004026],114.2,,2.26,98.212,84
NDC,0703-3678-01 [225650],METHOTREXATE IVPB 25 MG/ML (MAX CONC) (PEDI) [40800004024],114.2,,2.26,98.212,84
NDC,0703-3678-01 [225650],METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],114.2,,2.26,98.212,84
NDC,0703-3678-01 [225650],METHOTREXATE SODIUM 25 MG/ML INJ CONTAINER [40840000843],114.2,,2.26,98.212,84
NDC,0703-3678-81 [283513],METHOTREXATE 25 MG/ML INJECTION [40840002144],114.2,,2.26,98.212,84
NDC,0703-3678-81 [283513],METHOTREXATE INFUSION 25 MG/ML (MAX CONC) (PEDI) [40800004026],114.2,,2.26,98.212,84
NDC,0703-3678-81 [283513],METHOTREXATE IVPB 25 MG/ML (MAX CONC) (PEDI) [40800004024],114.2,,2.26,98.212,84
NDC,0703-3678-81 [283513],METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],114.2,,2.26,98.212,84
NDC,0703-3678-81 [283513],METHOTREXATE SODIUM 25 MG/ML INJ CONTAINER [40840000843],114.2,,2.26,98.212,84
NDC,0703-4094-01 [307665],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003382],111.3,,0.45,95.718,84
NDC,0703-4094-01 [307665],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],111.3,,0.45,95.718,84
NDC,0703-4154-11 [24381],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],282.65,,37.05,243.079,84
NDC,0703-4154-11 [24381],IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],282.65,,37.05,243.079,84
NDC,0703-4155-11 [24382],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],539.6,,37.05,464.056,84
NDC,0703-4155-11 [24382],IDARUBICIN IVPB 1 MG/ML (MAX CONC) (PEDI) [40800004110],539.6,,37.05,464.056,84
NDC,0703-4239-01 [268187],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],226.9,,2.11,195.134,84
NDC,0703-4239-01 [268187],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],226.9,,2.11,195.134,84
NDC,0703-4239-81 [286834],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],226.9,,2.11,195.134,84
NDC,0703-4239-81 [286834],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],226.9,,2.11,195.134,84
NDC,0703-4246-01 [133622],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],72.1,,2.11,62.006,84
NDC,0703-4246-01 [133622],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],72.1,,2.11,62.006,84
NDC,0703-4246-81 [283514],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],72.1,,2.11,62.006,84
NDC,0703-4246-81 [283514],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],72.1,,2.11,62.006,84
NDC,0703-4248-01 [129602],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],223.05,,2.11,191.823,84
NDC,0703-4248-01 [129602],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],223.05,,2.11,191.823,84
NDC,0703-4402-11 [24388],VINCRISTINE 1 MG/ML INJ CONTAINER [40800000422],58.0,,7.86,49.88,84
NDC,0703-4402-11 [24388],VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],58.0,,7.86,49.88,84
NDC,0703-4412-11 [24389],VINCRISTINE 1 MG/ML INJ CONTAINER [40800000422],103.35,,7.86,88.881,84
NDC,0703-4412-11 [24389],VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [128821],103.35,,7.86,88.881,84
NDC,0703-4502-01 [264758],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],15.9,,1.0,13.674,84
NDC,0703-4502-01 [264758],METOCLOPRAMIDE IVPB 5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001451],15.9,,1.0,13.674,84
NDC,0703-4502-01 [264758],METOCLOPRAMIDE IVPB 5 MG/ML (MAX CONC) [40840001452],15.9,,1.0,13.674,84
NDC,0703-4502-04 [24390],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],15.9,,1.0,13.674,84
NDC,0703-4502-04 [24390],METOCLOPRAMIDE IVPB 5 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001451],15.9,,1.0,13.674,84
NDC,0703-4502-04 [24390],METOCLOPRAMIDE IVPB 5 MG/ML (MAX CONC) [40840001452],15.9,,1.0,13.674,84
NDC,0703-4502-91 [276299],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],15.9,,1.0,13.674,84
NDC,0703-4502-93 [388038],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],15.9,,1.0,13.674,84
NDC,0703-4636-01 [97884],STREPTOZOCIN 1 GRAM INTRAVENOUS SOLUTION [11436],1144.1,,320.348,983.926,83
NDC,0703-4636-01 [97884],STREPTOZOCIN 100 MG/ML INJ [40800000035],1144.1,,320.348,983.926,83
NDC,0703-4680-01 [132919],"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [93747]",886.5,,29.6,762.39,86
NDC,0703-5054-01 [24401],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],1807.05,,3.57,1554.063,84
NDC,0703-5075-01 [24405],DACARBAZINE 10 MG/ML INJ CONTAINER [40800000412],63.25,,3.82,54.395,84
NDC,0703-5075-01 [24405],DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],63.25,,3.82,54.395,84
NDC,0703-5075-01 [24405],DACARBAZINE IVPB 10 MG/ML (MAX CONC) (PEDI) [40800004205],63.25,,3.82,54.395,84
NDC,0703-5075-03 [24406],DACARBAZINE 10 MG/ML INJ CONTAINER [40800000412],63.25,,3.82,54.395,84
NDC,0703-5075-03 [24406],DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],63.25,,3.82,54.395,84
NDC,0703-5075-03 [24406],DACARBAZINE IVPB 10 MG/ML (MAX CONC) (PEDI) [40800004205],63.25,,3.82,54.395,84
NDC,0703-5145-01 [24409],LEUCOVORIN CALCIUM 20 MG/ML INJECTION [40800000309],65.05,,3.95,55.943,84
NDC,0703-5145-01 [24409],LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],65.05,,3.95,55.943,84
NDC,0703-5233-11 [264759],DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],439.5,,19.76,377.97,84
NDC,0703-5233-11 [264759],DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],439.5,,19.76,377.97,84
NDC,0703-5233-13 [24410],DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],439.5,,19.76,377.97,84
NDC,0703-5233-13 [24410],DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],439.5,,19.76,377.97,84
NDC,0703-5747-11 [24432],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],69.25,,1.95,59.555,84
NDC,0703-5747-11 [24432],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],69.25,,1.95,59.555,84
NDC,0703-5747-11 [24432],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML (PEDI) [40840003500],69.25,,1.95,59.555,84
NDC,0703-5747-11 [24432],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML [40840002352],69.25,,1.95,59.555,84
NDC,0703-5748-11 [24433],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],138.45,,1.95,119.067,84
NDC,0703-5748-11 [24433],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],138.45,,1.95,119.067,84
NDC,0703-5748-11 [24433],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML (PEDI) [40840003500],138.45,,1.95,119.067,84
NDC,0703-5748-11 [24433],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML [40840002352],138.45,,1.95,119.067,84
NDC,0703-8777-01 [238829],ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],387.55,,0.46,333.293,84
NDC,0703-9032-01 [24456],AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],47.25,,0.62,40.635,84
NDC,0703-9032-01 [24456],AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],47.25,,0.62,40.635,84
NDC,0703-9032-03 [24457],AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],47.25,,0.62,40.635,84
NDC,0703-9032-03 [24457],AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],47.25,,0.62,40.635,84
NDC,0703-9040-01 [24458],"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",34.65,,0.62,29.799,84
NDC,0703-9040-01 [24458],AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],34.65,,0.62,29.799,84
NDC,0703-9040-03 [24459],"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",84.15,,0.62,72.369,84
NDC,0703-9040-03 [24459],AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],84.15,,0.62,72.369,84
NDC,0703-9503-03 [24469],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],29.75,,0.05,25.585,84
NDC,0703-9514-01 [24470],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],48.35,,0.05,41.581,84
NDC,0703-9514-03 [24471],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],48.35,,0.05,41.581,84
NDC,0703-9514-81 [283516],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],48.35,,0.05,41.581,84
NDC,0703-9514-83 [283517],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],48.35,,0.05,41.581,84
NDC,0703-9526-01 [24472],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],129.15,,0.05,111.069,84
NDC,0713-0135-06 [258878],PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],33.6,,9.408,28.896,83
NDC,0713-0135-12 [24500],PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],33.6,,9.408,28.896,83
NDC,0713-0225-80 [281775],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],28.15,,7.882,24.209,83
NDC,0713-0228-80 [283519],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],34.95,,9.786,30.057,83
NDC,0713-0351-02 [354828],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],20.3,,2.52,17.458,84
NDC,0713-0351-09 [354829],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],20.3,,2.52,17.458,84
NDC,0713-0351-25 [354830],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],20.3,,2.52,17.458,84
NDC,0713-0503-06 [258882],HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],44.3,,12.404,38.098,83
NDC,0713-0503-12 [24548],HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],44.3,,12.404,38.098,83
NDC,0713-0536-06 [289004],PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],37.55,,10.514,32.293,83
NDC,0713-0536-12 [24554],PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],37.55,,10.514,32.293,83
NDC,0713-0634-15 [137124],MOMETASONE 0.1 % TOPICAL CREAM [10646],60.1,,16.828,51.686,83
NDC,0713-0655-40 [298999],TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE [8121],221.3,,61.964,190.318,83
NDC,0713-0656-31 [288084],CLOBETASOL 0.05 % TOPICAL OINTMENT [9631],138.7,,38.836,119.282,83
NDC,0713-0656-60 [288086],CLOBETASOL 0.05 % TOPICAL OINTMENT [9631],277.35,,77.658,238.521,83
NDC,0713-0686-15 [316440],"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",53.95,,15.106,46.397,83
NDC,0713-0883-01 [359160],CEVIMELINE 30 MG CAPSULE [27253],38.6,,10.808,33.196,83
NDC,0761-0359-20 [196156],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,0766775025 [258906],NICOTINE (POLACRILEX) 2 MG GUM [10717],1.85,,0.518,1.591,83
NDC,0777-3105-02 [24815],FLUOXETINE 20 MG CAPSULE [10070],56.25,,15.75,48.375,83
NDC,0781-1061-01 [24863],ALPRAZOLAM 0.25 MG TABLET [324],2.85,,0.798,2.451,83
NDC,0781-1077-01 [24870],ALPRAZOLAM 0.5 MG TABLET [325],2.85,,0.798,2.451,83
NDC,0781-1079-01 [24875],ALPRAZOLAM 1 MG TABLET [326],2.85,,0.798,2.451,83
NDC,0781-1487-01 [24987],AMITRIPTYLINE 25 MG TABLET [435],1.65,,0.462,1.419,83
NDC,0781-1852-01 [363187],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],5.4,,1.512,4.644,83
NDC,0781-1852-20 [25115],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],5.4,,1.512,4.644,83
NDC,0781-1874-31 [129608],AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET [22992],15.75,,4.41,13.545,83
NDC,0781-1943-39 [193249],"AMOXICILLIN-POTASSIUM CLAVULANATE 1,000 MG-62.5 MG TABLET,EXT.REL 12HR [33862]",32.0,,8.96,27.52,83
NDC,0781-1943-82 [193250],"AMOXICILLIN-POTASSIUM CLAVULANATE 1,000 MG-62.5 MG TABLET,EXT.REL 12HR [33862]",32.0,,8.96,27.52,83
NDC,0781-1961-60 [127333],CLARITHROMYCIN 250 MG TABLET [9616],4.65,,1.302,3.999,83
NDC,0781-1962-60 [127334],CLARITHROMYCIN 500 MG TABLET [9617],4.65,,1.302,3.999,83
NDC,0781-2020-01 [104204],AMOXICILLIN 250 MG CAPSULE [450],1.65,,0.462,1.419,83
NDC,0781-2027-01 [25136],CLOMIPRAMINE 25 MG CAPSULE [9635],32.0,,8.96,27.52,83
NDC,0781-2074-01 [25149],TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],1.65,,0.462,1.419,83
NDC,0781-2074-10 [25150],TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],1.65,,0.462,1.419,83
NDC,0781-2081-02 [232832],CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],3.0,,0.84,2.58,83
NDC,0781-2103-01 [186017],TACROLIMUS 1 MG CAPSULE FOR SUBLINGUAL USE [40800002961],4.35,,0.15,3.741,84
NDC,0781-2103-01 [186017],"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",4.35,,0.15,3.741,84
NDC,0781-2104-01 [186018],TACROLIMUS 5 MG CAPSULE FOR SUBLINGUAL USE [40800002962],21.35,,0.15,18.361,84
NDC,0781-2104-01 [186018],"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",21.35,,0.15,18.361,84
NDC,0781-2145-01 [97907],AMPICILLIN 500 MG CAPSULE [466],2.5,,0.7,2.15,83
NDC,0781-2321-06 [294740],APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,84
NDC,0781-2321-51 [294741],APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,84
NDC,0781-2322-06 [294742],APREPITANT 80 MG CAPSULE [35488],534.1,,2.72,459.326,84
NDC,0781-2322-46 [294743],APREPITANT 80 MG CAPSULE [35488],534.1,,2.72,459.326,84
NDC,0781-2322-68 [294744],APREPITANT 80 MG CAPSULE [35488],534.05,,2.72,459.283,84
NDC,0781-2323-06 [294745],APREPITANT 125 MG CAPSULE [35489],834.45,,2.72,717.627,84
NDC,0781-2323-68 [294746],APREPITANT 125 MG CAPSULE [35489],834.45,,2.72,717.627,84
NDC,0781-2613-01 [104213],AMOXICILLIN 500 MG CAPSULE [451],1.65,,0.462,1.419,83
NDC,0781-2613-05 [104214],AMOXICILLIN 500 MG CAPSULE [451],1.65,,0.462,1.419,83
NDC,0781-3000-95 [292258],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],28.45,,0.44,24.467,84
NDC,0781-3000-95 [292258],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],26.3,,0.44,22.618,84
NDC,0781-3000-95 [292258],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],26.3,,0.44,22.618,84
NDC,0781-3006-42 [289868],LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS SOLUTION [10389],1223.2,,342.496,1051.952,83
NDC,0781-3040-72 [207007],PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION [11237],107.4,,30.072,92.364,83
NDC,0781-3040-95 [120948],PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION [11237],107.4,,30.072,92.364,83
NDC,0781-3059-72 [276331],DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [124192],26.2,,4.0,22.532,84
NDC,0781-3059-95 [135511],DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [124192],26.2,,4.0,22.532,84
NDC,0781-3079-01 [323404],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],986.7,,6.98,848.562,84
NDC,0781-3079-12 [323405],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],986.7,,6.98,848.562,84
NDC,0781-3098-94 [292260],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],39.25,,0.44,33.755,84
NDC,0781-3098-94 [292260],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],39.25,,0.44,33.755,84
NDC,0781-3098-94 [292260],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],42.4,,0.44,36.464,84
NDC,0781-3098-95 [292261],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],39.25,,0.44,33.755,84
NDC,0781-3098-95 [292261],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],39.25,,0.44,33.755,84
NDC,0781-3098-95 [292261],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],42.4,,0.44,36.464,84
NDC,0781-3098-96 [292262],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],83.35,,0.44,71.681,84
NDC,0781-3098-96 [292262],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],83.35,,0.44,71.681,84
NDC,0781-3098-96 [292262],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],89.95,,0.44,77.357,84
NDC,0781-3113-90 [196175],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],59.7,,1.11,51.342,84
NDC,0781-3113-90 [196175],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],55.3,,1.11,47.558,84
NDC,0781-3113-95 [196176],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],59.7,,1.11,51.342,84
NDC,0781-3113-95 [196176],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],55.3,,1.11,47.558,84
NDC,0781-3114-91 [196177],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],32.55,,1.11,27.993,84
NDC,0781-3114-91 [196177],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],30.1,,1.11,25.886,84
NDC,0781-3114-91 [196177],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],30.1,,1.11,25.886,84
NDC,0781-3114-95 [196178],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],32.55,,1.11,27.993,84
NDC,0781-3114-95 [196178],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],30.1,,1.11,25.886,84
NDC,0781-3114-95 [196178],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],30.1,,1.11,25.886,84
NDC,0781-3154-01 [349794],FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [98312],2420.2,,0.23,2081.372,86
NDC,0781-3156-06 [342102],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",66.55,,0.05,57.233,84
NDC,0781-3156-06 [342102],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",66.55,,0.05,57.233,84
NDC,0781-3156-95 [342103],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",66.55,,0.05,57.233,84
NDC,0781-3156-95 [342103],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",66.55,,0.05,57.233,84
NDC,0781-3158-95 [280624],BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],257.4,,0.17,221.364,84
NDC,0781-3158-95 [280624],BIVALIRUDIN 50 MG/ML INJ [40800000001],257.4,,0.17,221.364,84
NDC,0781-3208-85 [162869],CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002647],15.35,,0.48,13.201,84
NDC,0781-3208-85 [162869],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],15.35,,0.48,13.201,84
NDC,0781-3208-85 [162869],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],16.6,,0.48,14.276,84
NDC,0781-3208-95 [123790],CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002647],15.35,,0.48,13.201,84
NDC,0781-3208-95 [123790],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],15.35,,0.48,13.201,84
NDC,0781-3208-95 [123790],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],16.6,,0.48,14.276,84
NDC,0781-3209-90 [154174],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],31.75,,0.48,27.305,84
NDC,0781-3209-90 [154174],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],29.35,,0.48,25.241,84
NDC,0781-3209-90 [154174],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],29.35,,0.48,25.241,84
NDC,0781-3209-95 [123791],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],29.35,,0.48,25.241,84
NDC,0781-3209-95 [123791],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],29.35,,0.48,25.241,84
NDC,0781-3232-95 [333444],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],21.5,,6.02,18.49,83
NDC,0781-3233-94 [276334],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],917.95,,0.62,789.437,86
NDC,0781-3233-94 [276334],CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],917.95,,0.62,789.437,86
NDC,0781-3233-94 [276334],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],917.95,,0.62,789.437,86
NDC,0781-3238-01 [344125],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],11.85,,0.57,10.191,84
NDC,0781-3238-63 [344126],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],11.85,,0.57,10.191,84
NDC,0781-3244-94 [276335],CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],1835.75,,0.62,1578.745,86
NDC,0781-3244-94 [276335],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],1835.75,,0.62,1578.745,86
NDC,0781-3244-94 [276335],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],1835.75,,0.62,1578.745,86
NDC,0781-3246-02 [344127],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],16.15,,0.57,13.889,84
NDC,0781-3246-02 [344127],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],16.15,,0.57,13.889,84
NDC,0781-3246-64 [344128],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],16.15,,0.57,13.889,84
NDC,0781-3246-64 [344128],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],16.15,,0.57,13.889,84
NDC,0781-3255-94 [276336],CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],3671.55,,0.62,3157.533,86
NDC,0781-3255-94 [276336],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],3671.55,,0.62,3157.533,86
NDC,0781-3255-94 [276336],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],3671.55,,0.62,3157.533,86
NDC,0781-3256-03 [344129],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],32.9,,0.57,28.294,84
NDC,0781-3256-66 [344130],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],32.9,,0.57,28.294,84
NDC,0781-3262-04 [344131],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],35.7,,0.57,30.702,84
NDC,0781-3262-68 [344132],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],35.7,,0.57,30.702,84
NDC,0781-3268-05 [344133],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],44.65,,0.57,38.399,84
NDC,0781-3268-69 [344134],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],44.65,,0.57,38.399,84
NDC,0781-3289-09 [232844],CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],67.95,,1.67,58.437,84
NDC,0781-3289-91 [238861],CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],67.95,,1.67,58.437,84
NDC,0781-3290-91 [264771],CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],71.45,,1.67,61.447,84
NDC,0781-3298-04 [344135],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],53.6,,0.57,46.096,84
NDC,0781-3298-68 [344136],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],53.6,,0.57,46.096,84
NDC,0781-3299-05 [344137],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],59.75,,0.57,51.385,84
NDC,0781-3299-69 [344138],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],59.75,,0.57,51.385,84
NDC,0781-3312-75 [307669],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],111.3,,0.45,95.718,84
NDC,0781-3312-95 [388893],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],57.25,,0.45,49.235,84
NDC,0781-3391-94 [397978],ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],1392.3,,76.76,1197.378,86
NDC,0781-3404-85 [178691],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003337],24.25,,0.49,20.855,84
NDC,0781-3404-85 [178691],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],24.25,,0.49,20.855,84
NDC,0781-3404-85 [178691],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],26.2,,0.49,22.532,84
NDC,0781-3404-85 [178691],AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (1 GRAM VIAL) [40800002996],24.25,,0.49,20.855,84
NDC,0781-3404-95 [104223],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003337],24.25,,0.49,20.855,84
NDC,0781-3404-95 [104223],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],24.25,,0.49,20.855,84
NDC,0781-3404-95 [104223],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],26.2,,0.49,22.532,84
NDC,0781-3404-95 [104223],AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (1 GRAM VIAL) [40800002996],24.25,,0.49,20.855,84
NDC,0781-3408-95 [104225],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],31.15,,0.49,26.789,84
NDC,0781-3408-95 [104225],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],31.15,,0.49,26.789,84
NDC,0781-3408-95 [104225],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],33.7,,0.49,28.982,84
NDC,0781-3408-95 [104225],AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (2 GRAM VIAL) [40800002995],31.15,,0.49,26.789,84
NDC,0781-3415-75 [317830],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003382],53.5,,0.45,46.01,84
NDC,0781-3415-75 [317830],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],53.5,,0.45,46.01,84
NDC,0781-3416-94 [225672],VORICONAZOLE 10 MG/ML INJ [40800000401],251.4,,0.78,216.204,84
NDC,0781-3416-94 [225672],VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],251.4,,0.78,216.204,84
NDC,0781-3421-01 [331145],CASPOFUNGIN 5 MG/ML INJ [40800000012],307.95,,2.27,264.837,84
NDC,0781-3421-01 [331145],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003344],307.95,,2.27,264.837,84
NDC,0781-3421-01 [331145],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],307.95,,2.27,264.837,84
NDC,0781-3421-94 [316445],CASPOFUNGIN 5 MG/ML INJ [40800000012],307.95,,2.27,264.837,84
NDC,0781-3421-94 [316445],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003344],307.95,,2.27,264.837,84
NDC,0781-3421-94 [316445],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],307.95,,2.27,264.837,84
NDC,0781-3422-71 [330279],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],11.4,,3.192,9.804,83
NDC,0781-3422-92 [330280],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],11.4,,3.192,9.804,83
NDC,0781-3423-01 [331146],CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],324.35,,2.27,278.941,84
NDC,0781-3423-94 [316446],CASPOFUNGIN 7 MG/ML INJ [40800000013],324.35,,2.27,278.941,84
NDC,0781-3423-94 [316446],CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],324.35,,2.27,278.941,84
NDC,0781-3433-46 [290797],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],77.45,,3.47,66.607,84
NDC,0781-3433-95 [290798],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],77.45,,3.47,66.607,84
NDC,0781-3440-71 [238862],COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],68.85,,19.278,59.211,84
NDC,0781-3440-95 [238863],COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],68.85,,19.278,59.211,84
NDC,0781-3451-70 [167930],CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002645],6.6,,0.84,5.676,84
NDC,0781-3451-70 [167930],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],6.6,,0.84,5.676,84
NDC,0781-3451-70 [167930],CEFAZOLIN 330 MG/ML INJ [40800000016],7.15,,0.84,6.149,84
NDC,0781-3451-96 [137185],CEFAZOLIN 1 G RECONSTITUTED IN 10 ML STERILE WATER (RN OSM) [40800000825],6.6,,0.84,5.676,84
NDC,0781-3451-96 [137185],CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002645],6.6,,0.84,5.676,84
NDC,0781-3451-96 [137185],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],6.6,,0.84,5.676,84
NDC,0781-3451-96 [137185],CEFAZOLIN 330 MG/ML INJ [40800000016],7.15,,0.84,6.149,84
NDC,0781-3452-46 [146143],CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],46.25,,0.84,39.775,84
NDC,0781-3452-95 [137186],CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],46.25,,0.84,39.775,84
NDC,0781-3452-95 [137186],CEFAZOLIN 200 MG/ML INJ [40800001190],46.25,,0.84,39.775,84
NDC,0781-3458-95 [331147],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],63.6,,17.808,54.696,83
NDC,0781-3470-90 [348603],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],2457.0,,173.64,2113.02,86
NDC,0781-3470-90 [348603],CARMUSTINE 3.3 MG/ML INJ [40800000104],2457.0,,173.64,2113.02,86
NDC,0781-3474-32 [348604],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],2457.0,,173.64,2113.02,86
NDC,0781-3474-32 [348604],CARMUSTINE 3.3 MG/ML INJ [40800000104],2457.0,,173.64,2113.02,86
NDC,0781-3481-70 [304863],TIGECYCLINE 10 MG/ML INJ [40800000059],205.95,,0.51,177.117,84
NDC,0781-3481-70 [304863],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],190.8,,0.51,164.088,84
NDC,0781-3481-70 [304863],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],190.8,,0.51,164.088,84
NDC,0781-3481-92 [304864],TIGECYCLINE 10 MG/ML INJ [40800000059],205.95,,0.51,177.117,84
NDC,0781-3481-92 [304864],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],190.8,,0.51,164.088,84
NDC,0781-3481-92 [304864],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],190.8,,0.51,164.088,84
NDC,0781-3486-75 [401165],IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],120.35,,0.22,103.501,84
NDC,0781-3486-75 [401165],IRON SUCROSE 20 MG/ML INJ CONTAINER [40840000529],129.9,,0.22,111.714,84
NDC,0781-3486-95 [401166],IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],120.35,,0.22,103.501,84
NDC,0781-3486-95 [401166],IRON SUCROSE 20 MG/ML INJ CONTAINER [40840000529],129.9,,0.22,111.714,84
NDC,0781-3491-94 [387039],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],154.45,,0.21,132.827,84
NDC,0781-3492-01 [335508],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],2649.15,,6.98,2278.269,84
NDC,0781-3492-12 [335509],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],303.6,,6.98,261.096,84
NDC,0781-3495-46 [339209],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (PALLIATIVE CARE) (USE ORDER SET) [40840004807],116.05,,32.494,99.803,83
NDC,0781-3495-46 [339209],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],116.05,,32.494,99.803,83
NDC,0781-3495-95 [339210],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (PALLIATIVE CARE) (USE ORDER SET) [40840004807],116.05,,32.494,99.803,83
NDC,0781-3495-95 [339210],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],116.05,,32.494,99.803,83
NDC,0781-3531-91 [388894],PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],4658.65,,6.02,4006.439,86
NDC,0781-3531-91 [388894],PACLITAXEL PROTEIN-BOUND INTRA-ARTERIAL INFUSION 5 MG/ML [40800000750],4658.65,,6.02,4006.439,86
NDC,0781-3531-91 [388894],PACLITAXEL PROTEIN-BOUND IVPB 5 MG/ML (INGREDIENT) [40800000106],4658.65,,6.02,4006.439,86
NDC,0781-3540-10 [388042],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",15.35,,0.22,13.201,84
NDC,0781-3540-25 [388043],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",15.35,,0.22,13.201,84
NDC,0781-3545-10 [388046],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",7.15,,0.22,6.149,84
NDC,0781-3545-25 [388047],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",7.15,,0.22,6.149,84
NDC,0781-3755-75 [324356],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],49.15,,13.762,42.269,83
NDC,0781-3755-95 [324357],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],49.15,,13.762,42.269,83
NDC,0781-3825-71 [326970],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],12.3,,0.43,10.578,84
NDC,0781-3825-71 [326970],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],12.3,,0.43,10.578,84
NDC,0781-3825-96 [326971],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],12.3,,0.43,10.578,84
NDC,0781-3825-96 [326971],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],12.3,,0.43,10.578,84
NDC,0781-4003-32 [232847],LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT [14135],1223.2,,342.496,1051.952,83
NDC,0781-5022-01 [25205],METHYLPREDNISOLONE 4 MG TABLET [4993],5.45,,0.23,4.687,84
NDC,0781-5061-20 [133632],AMOXICILLIN 875 MG TABLET (IMS WITH CAPSULES) [40800002899],2.3,,0.644,1.978,83
NDC,0781-5317-01 [146144],ZOLPIDEM 5 MG TABLET [11701],2.85,,0.798,2.451,83
NDC,0781-5325-01 [129614],BROMOCRIPTINE 2.5 MG TABLET [9297],23.75,,6.65,20.425,83
NDC,0781-5400-92 [290799],ROSUVASTATIN 5 MG TABLET [36612],1.65,,0.462,1.419,83
NDC,0781-5401-92 [290800],ROSUVASTATIN 10 MG TABLET [35134],1.65,,0.462,1.419,83
NDC,0781-5403-31 [290802],ROSUVASTATIN 40 MG TABLET [35136],1.65,,0.462,1.419,83
NDC,0781-5438-20 [178701],CEFPODOXIME 100 MG TABLET [9468],25.55,,7.154,21.973,83
NDC,0781-5439-01 [178702],CEFPODOXIME 200 MG TABLET [9469],32.1,,8.988,27.606,83
NDC,0781-5439-20 [178703],CEFPODOXIME 200 MG TABLET [9469],32.1,,8.988,27.606,83
NDC,0781-5690-31 [299092],EZETIMIBE 10 MG TABLET [34153],9.95,,2.786,8.557,83
NDC,0781-5988-01 [215489],"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR [27636]",15.8,,4.424,13.588,83
NDC,0781-5994-01 [307674],HYDROXYCHLOROQUINE 200 MG TABLET [10235],4.05,,1.134,3.483,83
NDC,0781-6023-46 [154190],CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION [12886],571.7,,160.076,491.662,83
NDC,0781-6104-46 [25230],AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],54.05,,15.134,46.483,83
NDC,0781-6135-95 [25231],"PENICILLIN G POTASSIUM 1,000,000 UNITS/ML INJECTION [40800000207]",48.95,,0.88,42.097,84
NDC,0781-6135-95 [25231],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],48.95,,0.88,42.097,84
NDC,0781-6153-94 [154195],"PENICILLIN G SODIUM 1,000,000 UNITS/ML INJECTION [40800000208]",158.15,,44.282,136.009,83
NDC,0781-6153-94 [154195],PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6087],158.15,,44.282,136.009,83
NDC,0781-6153-95 [25233],PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6087],158.15,,44.282,136.009,83
NDC,0781-6185-56 [330281],TRAVOPROST 0.004 % EYE DROPS [113077],433.7,,121.436,372.982,83
NDC,0781-6185-75 [330282],TRAVOPROST 0.004 % EYE DROPS [113077],867.35,,242.858,745.921,83
NDC,0781-6186-67 [337297],"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [36576]",734.45,,205.646,631.627,83
NDC,0781-7077-87 [137226],METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],400.55,,112.154,344.473,83
NDC,0781-7080-35 [238884],METRONIDAZOLE 1 % TOPICAL GEL [41899],508.6,,142.408,437.396,83
NDC,0781-7104-54 [312996],ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [28409],63.75,,17.85,54.825,83
NDC,0781-7104-58 [312997],ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [28409],63.75,,17.85,54.825,83
NDC,0781-7117-83 [225710],CALCIPOTRIENE 0.005 % TOPICAL CREAM [16034],2214.25,,619.99,1904.255,83
NDC,0781-7119-54 [312998],ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH [27462],63.75,,17.85,54.825,83
NDC,0781-7119-58 [312999],ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH [27462],63.75,,17.85,54.825,83
NDC,0781-7133-54 [313002],ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH [28408],63.75,,17.85,54.825,83
NDC,0781-7133-58 [313003],ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH [28408],63.75,,17.85,54.825,83
NDC,0781-7135-93 [299702],MOXIFLOXACIN 0.5 % EYE DROPS [35699],120.15,,33.642,103.329,83
NDC,0781-7296-85 [345623],ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 6.7 GRAM (ANES OSM) [40800000343],123.5,,34.58,106.21,83
NDC,0781-8017-31 [308925],"FLUVASTATIN ER 80 MG TABLET,EXTENDED RELEASE 24 HR [29172]",33.25,,9.31,28.595,83
NDC,0781-8029-31 [293769],ARMODAFINIL 50 MG TABLET [96965],3.35,,0.938,2.881,83
NDC,0781-8089-31 [327879],AZITHROMYCIN 250 MG TABLET [20943],10.3,,2.884,8.858,83
NDC,0781-9214-91 [316450],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],30.1,,1.11,25.886,84
NDC,0781-9214-91 [316450],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],30.1,,1.11,25.886,84
NDC,0781-9214-95 [316451],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],30.1,,1.11,25.886,84
NDC,0781-9214-95 [316451],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],30.1,,1.11,25.886,84
NDC,0781-9408-80 [162893],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],47.8,,0.49,41.108,84
NDC,0781-9408-80 [162893],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],47.8,,0.49,41.108,84
NDC,0781-9408-95 [129622],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],47.8,,0.49,41.108,84
NDC,0781-9408-95 [129622],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],47.8,,0.49,41.108,84
NDC,0799-0001-04 [25271],MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT [91352],23.25,,6.51,19.995,83
NDC,0802392594 [268298],SODIUM CHLORIDE-SODIUM BICARBONATE MOUTHWASH (SALT AND SODA) CONTAINER [40800000222],65.95,,18.466,56.717,83
NDC,0832-0038-00 [25303],OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],1.65,,0.462,1.419,83
NDC,0832-0226-00 [238892],"MORPHINE ER 20 MG CAPSULE,EXTENDED RELEASE PELLETS [27870]",21.1,,5.908,18.146,83
NDC,0832-0227-00 [238894],"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE PELLETS [27871]",22.85,,6.398,19.651,83
NDC,0832-0300-00 [25312],CHLORPROMAZINE 10 MG TABLET [1653],12.55,,3.514,10.793,83
NDC,0832-0301-00 [25314],CHLORPROMAZINE 25 MG TABLET [1656],17.95,,5.026,15.437,83
NDC,0832-0301-89 [290808],CHLORPROMAZINE 25 MG TABLET [1656],26.0,,7.28,22.36,83
NDC,0832-0302-00 [25316],CHLORPROMAZINE 50 MG TABLET [1657],25.55,,7.154,21.973,83
NDC,0832-0303-00 [25318],CHLORPROMAZINE 100 MG TABLET [1654],36.5,,10.22,31.39,83
NDC,0832-0310-11 [276375],VALPROIC ACID 250 MG CAPSULE [8429],2.1,,0.588,1.806,83
NDC,0832-0356-11 [308928],DOXAZOSIN 1 MG TABLET [9894],2.05,,0.574,1.763,83
NDC,0832-0465-15 [120955],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",42.0,,11.76,36.12,83
NDC,0832-0465-30 [120956],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",73.2,,20.496,62.952,83
NDC,0832-0465-60 [137235],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",130.45,,36.526,112.187,83
NDC,0832-0510-00 [120957],BETHANECHOL CHLORIDE 5 MG TABLET [1045],1.65,,0.462,1.419,83
NDC,0832-0511-01 [120959],BETHANECHOL CHLORIDE 10 MG TABLET [1043],3.05,,0.854,2.623,83
NDC,0832-0511-89 [162902],BETHANECHOL CHLORIDE 10 MG TABLET [1043],3.0,,0.84,2.58,83
NDC,0832-0580-11 [314685],CLOBAZAM 10 MG TABLET [112703],4.75,,1.33,4.085,83
NDC,0832-0595-30 [302139],EXEMESTANE 25 MG TABLET [26551],15.8,,4.424,13.588,83
NDC,0832-0741-60 [336275],"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR [37644]",13.2,,3.696,11.352,83
NDC,0832-1120-89 [264827],TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET [108039],41.05,,11.494,35.303,83
NDC,0832-1211-00 [97914],WARFARIN 1 MG TABLET [11664],1.8,,0.504,1.548,83
NDC,0832-1211-01 [104244],WARFARIN 1 MG TABLET [11664],1.8,,0.504,1.548,83
NDC,0832-1211-89 [167944],WARFARIN 1 MG TABLET [11664],1.8,,0.504,1.548,83
NDC,0832-1212-01 [104245],WARFARIN 2 MG TABLET [8749],1.85,,0.518,1.591,83
NDC,0832-1212-89 [167945],WARFARIN 2 MG TABLET [8749],1.85,,0.518,1.591,83
NDC,0832-1213-01 [104246],WARFARIN 2.5 MG TABLET [8750],1.85,,0.518,1.591,83
NDC,0832-1213-89 [167946],WARFARIN 2.5 MG TABLET [8750],1.85,,0.518,1.591,83
NDC,0832-1214-89 [167947],WARFARIN 3 MG TABLET [19433],1.9,,0.532,1.634,83
NDC,0832-1216-89 [167949],WARFARIN 5 MG TABLET [8751],1.95,,0.546,1.677,83
NDC,0832-1218-01 [104251],WARFARIN 7.5 MG TABLET [8752],2.75,,0.77,2.365,83
NDC,0832-1218-89 [167951],WARFARIN 7.5 MG TABLET [8752],2.75,,0.77,2.365,83
NDC,0832-1250-30 [342105],RAMELTEON 8 MG TABLET [42064],6.75,,1.89,5.805,83
NDC,0832-1410-03 [347723],MOXIFLOXACIN 0.5 % EYE DROPS [35699],87.85,,24.598,75.551,83
NDC,0832-1540-01 [363190],HALOPERIDOL 5 MG TABLET [3583],3.6,,1.008,3.096,83
NDC,0832-1540-89 [363191],HALOPERIDOL 5 MG TABLET [3583],3.65,,1.022,3.139,83
NDC,0832-1690-11 [336277],ETHACRYNIC ACID 25 MG TABLET [9980],11.85,,3.318,10.191,83
NDC,0832-5325-11 [324368],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",2.4,,0.672,2.064,83
NDC,0832-6017-00 [352420],CHLORPROMAZINE 10 MG TABLET [1653],2.85,,0.798,2.451,83
NDC,0832-6032-12 [364132],FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],171.95,,48.146,147.877,83
NDC,0832-6045-50 [372325],FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],169.9,,47.572,146.114,83
NDC,0832-6053-11 [367892],DICYCLOMINE 10 MG CAPSULE [2418],1.65,,0.462,1.419,83
NDC,0832-7124-01 [289010],"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",1.65,,0.462,1.419,83
NDC,0832-7124-89 [289011],"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",1.65,,0.462,1.419,83
NDC,0869-0693-38 [167957],MAGNESIUM CITRATE ORAL SOLUTION [4712],7.05,,1.974,6.063,83
NDC,0904-0201-61 [111305],AMITRIPTYLINE 25 MG TABLET [435],2.05,,0.574,1.763,83
NDC,0904-0430-04 [268216],DOXYCYCLINE HYCLATE 100 MG TABLET [2625],17.2,,4.816,14.792,83
NDC,0904-0430-06 [304058],DOXYCYCLINE HYCLATE 100 MG TABLET [2625],10.4,,2.912,8.944,83
NDC,0904-1103-09 [25817],POVIDONE-IODINE 10 % TOPICAL SOLUTION [6458],18.65,,5.222,16.039,83
NDC,0904-2051-59 [25980],DIMENHYDRINATE 50 MG TABLET [2485],1.65,,0.462,1.419,83
NDC,0904-2533-21 [232875],CALAMINE 8 %-ZINC OXIDE 8 % LOTION [28055],7.0,,1.96,6.02,83
NDC,0904-2533-21 [232875],CALAMINE LOTION CONTAINER [40800002320],7.0,,1.96,6.02,83
NDC,0904-2725-61 [26127],SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],1.65,,0.462,1.419,83
NDC,0904-3854-61 [137240],CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],2.45,,0.686,2.107,83
NDC,0904-3865-75 [26251],SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],4.55,,1.274,3.913,83
NDC,0904-4040-73 [26262],ASPIRIN 81 MG CHEWABLE TABLET [679],1.65,,0.462,1.419,83
NDC,0904-5053-59 [26352],PSEUDOEPHEDRINE 30 MG TABLET [6714],1.65,,0.462,1.419,83
NDC,0904-5354-31 [26553],DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM [16299],8.45,,2.366,7.267,83
NDC,0904-5448-61 [26622],"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [21300]",1.65,,0.462,1.419,83
NDC,0904-5523-61 [292268],DOXAZOSIN 2 MG TABLET [9895],2.85,,0.798,2.451,83
NDC,0904-5524-61 [292269],DOXAZOSIN 4 MG TABLET [9896],4.1,,1.148,3.526,83
NDC,0904-5529-52 [26691],FAMOTIDINE 10 MG TABLET [15065],1.65,,0.462,1.419,83
NDC,0904-5610-61 [97945],ENALAPRIL MALEATE 10 MG TABLET [9924],2.4,,0.672,2.064,83
NDC,0904-5611-61 [97947],ENALAPRIL MALEATE 20 MG TABLET [9926],3.4,,0.952,2.924,83
NDC,0904-5676-61 [97966],PAROXETINE 10 MG TABLET [16632],3.8,,1.064,3.268,83
NDC,0904-5677-61 [97967],PAROXETINE 20 MG TABLET [10855],1.65,,0.462,1.419,83
NDC,0904-5784-61 [137252],FLUOXETINE 10 MG CAPSULE [10069],1.65,,0.462,1.419,83
NDC,0904-5785-61 [137253],FLUOXETINE 20 MG CAPSULE [10070],1.65,,0.462,1.419,83
NDC,0904-5789-61 [137255],ACYCLOVIR 200 MG CAPSULE [8969],1.65,,0.462,1.419,83
NDC,0904-5790-61 [137256],ACYCLOVIR 400 MG TABLET [8971],1.95,,0.546,1.677,83
NDC,0904-5791-46 [137257],ACETAMINOPHEN 80 MG CHEWABLE TABLET [99],1.65,,0.462,1.419,83
NDC,0904-5833-15 [162919],"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",3.9,,1.092,3.354,83
NDC,0904-5833-48 [162920],"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",3.3,,0.924,2.838,83
NDC,0904-5853-61 [167970],IBUPROFEN 400 MG TABLET [3843],1.65,,0.462,1.419,83
NDC,0904-5854-61 [162946],IBUPROFEN 600 MG TABLET [3844],1.65,,0.462,1.419,83
NDC,0904-5855-61 [162947],IBUPROFEN 800 MG TABLET [3845],1.65,,0.462,1.419,83
NDC,0904-5891-61 [167980],PRAVASTATIN 10 MG TABLET [11110],1.9,,0.532,1.634,83
NDC,0904-5892-61 [167981],PRAVASTATIN 20 MG TABLET [11111],2.7,,0.756,2.322,83
NDC,0904-5893-61 [167982],PRAVASTATIN 40 MG TABLET [11112],3.4,,0.952,2.924,83
NDC,0904-5921-61 [186084],DIGOXIN 125 MCG (0.125 MG) TABLET [2444],6.4,,1.792,5.504,83
NDC,0904-5922-61 [186085],DIGOXIN 250 MCG (0.25 MG) TABLET [2445],6.4,,1.792,5.504,83
NDC,0904-5959-61 [178763],CLINDAMYCIN HCL 150 MG CAPSULE [1740],1.65,,0.462,1.419,83
NDC,0904-6007-60 [178802],LORAZEPAM 0.5 MG TABLET [4572],2.85,,0.798,2.451,83
NDC,0904-6007-61 [289714],LORAZEPAM 0.5 MG TABLET [4572],2.85,,0.798,2.451,83
NDC,0904-6008-61 [289715],LORAZEPAM 1 MG TABLET [4573],2.85,,0.798,2.451,83
NDC,0904-6082-61 [186137],ZOLPIDEM 5 MG TABLET [11701],2.85,,0.798,2.451,83
NDC,0904-6084-61 [186139],CITALOPRAM 10 MG TABLET [30264],1.65,,0.462,1.419,83
NDC,0904-6085-61 [186140],CITALOPRAM 20 MG TABLET [21062],1.65,,0.462,1.419,83
NDC,0904-6172-61 [196244],CARBAMAZEPINE 200 MG TABLET [1357],4.25,,1.19,3.655,83
NDC,0904-6221-06 [302140],URSODIOL 300 MG CAPSULE [11624],11.55,,3.234,9.933,83
NDC,0904-6221-61 [302141],URSODIOL 300 MG CAPSULE [11624],16.6,,4.648,14.276,83
NDC,0904-6237-61 [204363],CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],1.65,,0.462,1.419,83
NDC,0904-6238-61 [209711],CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],1.65,,0.462,1.419,83
NDC,0904-6255-49 [209724],BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES [94141],1.65,,0.462,1.419,83
NDC,0904-6255-49 [209724],BENZOCAINE 15 MG-MENTHOL LOZENGES CONTAINER [40800002946],1.65,,0.462,1.419,83
NDC,0904-6269-45 [320640],ZIPRASIDONE 20 MG CAPSULE [29778],13.1,,3.668,11.266,83
NDC,0904-6272-08 [215520],ZIPRASIDONE 80 MG CAPSULE [29781],27.5,,7.7,23.65,83
NDC,0904-6272-45 [320643],ZIPRASIDONE 80 MG CAPSULE [29781],13.1,,3.668,11.266,83
NDC,0904-6283-61 [215528],OLANZAPINE 2.5 MG TABLET [21057],1.65,,0.462,1.419,83
NDC,0904-6290-06 [335512],ATORVASTATIN 10 MG TABLET [19176],1.65,,0.462,1.419,83
NDC,0904-6290-61 [225732],ATORVASTATIN 10 MG TABLET [19176],1.65,,0.462,1.419,83
NDC,0904-6291-06 [335513],ATORVASTATIN 20 MG TABLET [19178],1.65,,0.462,1.419,83
NDC,0904-6291-61 [225733],ATORVASTATIN 20 MG TABLET [19178],1.65,,0.462,1.419,83
NDC,0904-6292-06 [335514],ATORVASTATIN 40 MG TABLET [19177],1.65,,0.462,1.419,83
NDC,0904-6292-61 [276398],ATORVASTATIN 40 MG TABLET [19177],1.65,,0.462,1.419,83
NDC,0904-6293-04 [276399],ATORVASTATIN 80 MG TABLET [28645],2.1,,0.588,1.806,83
NDC,0904-6294-61 [225734],CLOPIDOGREL 75 MG TABLET [22142],1.65,,0.462,1.419,83
NDC,0904-6300-61 [225740],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,0904-6301-61 [225741],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,0904-6302-61 [225742],CARVEDILOL 12.5 MG TABLET [15749],1.65,,0.462,1.419,83
NDC,0904-6303-61 [225743],CARVEDILOL 25 MG TABLET [15748],1.65,,0.462,1.419,83
NDC,0904-6305-21 [225745],PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [36976],11.2,,3.136,9.632,83
NDC,0904-6320-78 [238910],SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA [11395],6.85,,1.918,5.891,83
NDC,0904-6322-06 [336278],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",2.6,,0.728,2.236,83
NDC,0904-6322-61 [258971],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",4.15,,1.162,3.569,83
NDC,0904-6323-61 [238911],"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",5.0,,1.4,4.3,83
NDC,0904-6324-61 [264834],"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",5.8,,1.624,4.988,83
NDC,0904-6329-46 [238915],CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE [27991],1.65,,0.462,1.419,83
NDC,0904-6351-61 [264868],LEVOFLOXACIN 250 MG TABLET [18918],1.65,,0.462,1.419,83
NDC,0904-6352-61 [264869],LEVOFLOXACIN 500 MG TABLET [18919],1.65,,0.462,1.419,83
NDC,0904-6353-61 [264870],LEVOFLOXACIN 750 MG TABLET [28964],2.1,,0.588,1.806,83
NDC,0904-6359-61 [258976],RISPERIDONE 1 MG TABLET [18313],1.65,,0.462,1.419,83
NDC,0904-6360-61 [258977],RISPERIDONE 2 MG TABLET [18311],1.65,,0.462,1.419,83
NDC,0904-6363-61 [303174],"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",6.15,,1.722,5.289,83
NDC,0904-6369-61 [264879],AMLODIPINE 2.5 MG TABLET [9070],1.65,,0.462,1.419,83
NDC,0904-6370-61 [264880],AMLODIPINE 5 MG TABLET [9071],1.65,,0.462,1.419,83
NDC,0904-6371-61 [264881],AMLODIPINE 10 MG TABLET [9069],1.65,,0.462,1.419,83
NDC,0904-6373-61 [268220],ROPINIROLE 0.25 MG TABLET [21688],2.35,,0.658,2.021,83
NDC,0904-6374-61 [268221],ROPINIROLE 1 MG TABLET [21689],2.7,,0.756,2.322,83
NDC,0904-6376-61 [268222],OLANZAPINE 10 MG TABLET [17937],2.3,,0.644,1.978,83
NDC,0904-6377-61 [264884],OLANZAPINE 5 MG TABLET [17936],1.75,,0.49,1.505,83
NDC,0904-6401-61 [276400],TAMSULOSIN 0.4 MG CAPSULE [103890],2.15,,0.602,1.849,83
NDC,0904-6406-04 [319632],MOXIFLOXACIN 400 MG TABLET [26854],36.6,,10.248,31.476,83
NDC,0904-6407-61 [276401],"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",1.65,,0.462,1.419,83
NDC,0904-6412-92 [268226],CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],1.65,,0.462,1.419,83
NDC,0904-6418-61 [268228],TIZANIDINE 4 MG TABLET [14793],2.5,,0.7,2.15,83
NDC,0904-6426-61 [268229],ESCITALOPRAM 10 MG TABLET [33512],1.65,,0.462,1.419,83
NDC,0904-6427-61 [268230],ESCITALOPRAM 20 MG TABLET [33513],1.65,,0.462,1.419,83
NDC,0904-6440-61 [276416],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,0904-6441-61 [276417],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,0904-6443-61 [276419],HYDRALAZINE 100 MG TABLET [3699],1.65,,0.462,1.419,83
NDC,0904-6449-61 [276421],"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",1.85,,0.518,1.591,83
NDC,0904-6450-61 [276422],"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",2.0,,0.56,1.72,83
NDC,0904-6461-61 [276430],PROMETHAZINE 25 MG TABLET [6622],1.65,,0.462,1.419,83
NDC,0904-6467-07 [276431],CLOPIDOGREL 300 MG TABLET [89346],51.2,,14.336,44.032,83
NDC,0904-6470-61 [276434],"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",2.8,,0.784,2.408,83
NDC,0904-6474-61 [280648],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,0904-6475-61 [280649],BACLOFEN 10 MG TABLET [860],2.0,,0.56,1.72,83
NDC,0904-6477-61 [305717],DONEPEZIL 5 MG TABLET [18786],1.65,,0.462,1.419,83
NDC,0904-6478-61 [304865],DONEPEZIL 10 MG TABLET [18787],1.65,,0.462,1.419,83
NDC,0904-6500-06 [335515],FLUCONAZOLE 100 MG TABLET [10044],6.3,,1.764,5.418,83
NDC,0904-6500-61 [280655],FLUCONAZOLE 100 MG TABLET [10044],6.75,,1.89,5.805,83
NDC,0904-6501-06 [335516],FLUCONAZOLE 200 MG TABLET [10045],6.9,,1.932,5.934,83
NDC,0904-6501-61 [280656],FLUCONAZOLE 200 MG TABLET [10045],9.7,,2.716,8.342,83
NDC,0904-6502-61 [280657],CELECOXIB 100 MG CAPSULE [24500],5.75,,1.61,4.945,83
NDC,0904-6503-61 [280658],CELECOXIB 200 MG CAPSULE [24501],9.45,,2.646,8.127,83
NDC,0904-6505-61 [280659],MEMANTINE 5 MG TABLET [37170],2.05,,0.574,1.763,83
NDC,0904-6506-61 [280660],MEMANTINE 10 MG TABLET [36966],2.05,,0.574,1.763,83
NDC,0904-6509-04 [280661],ARIPIPRAZOLE 2 MG TABLET [70306],71.5,,20.02,61.49,83
NDC,0904-6510-06 [317839],ARIPIPRAZOLE 5 MG TABLET [36438],32.25,,9.03,27.735,83
NDC,0904-6511-61 [280663],ARIPIPRAZOLE 10 MG TABLET [34369],66.25,,18.55,56.975,83
NDC,0904-6516-61 [286874],MECLIZINE 12.5 MG TABLET [12024],2.1,,0.588,1.806,83
NDC,0904-6517-61 [283568],MECLIZINE 25 MG TABLET [12025],2.2,,0.616,1.892,83
NDC,0904-6519-61 [286875],MIRTAZAPINE 15 MG TABLET [17466],1.65,,0.462,1.419,83
NDC,0904-6522-61 [288097],SENNOSIDES 8.6 MG TABLET [11349],1.65,,0.462,1.419,83
NDC,0904-6530-61 [292275],METHADONE 10 MG TABLET [4953],2.85,,0.798,2.451,83
NDC,0904-6550-61 [289719],PROPRANOLOL 10 MG TABLET [6656],1.65,,0.462,1.419,83
NDC,0904-6551-61 [288098],ONDANSETRON HCL 4 MG TABLET [10778],2.4,,0.01,2.064,84
NDC,0904-6552-61 [288099],ONDANSETRON HCL 8 MG TABLET [10779],3.0,,0.01,2.58,84
NDC,0904-6553-04 [283570],LINEZOLID 600 MG TABLET [28224],29.35,,8.218,25.241,83
NDC,0904-6557-61 [297017],"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [119246]",6.7,,1.876,5.762,83
NDC,0904-6558-61 [297018],"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [119007]",7.2,,2.016,6.192,83
NDC,0904-6559-61 [297019],"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [119247]",14.65,,4.102,12.599,83
NDC,0904-6560-61 [297020],"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [119248]",17.9,,5.012,15.394,83
NDC,0904-6564-60 [286882],BENZONATATE 100 MG CAPSULE [988],1.65,,0.462,1.419,83
NDC,0904-6565-07 [300540],VALACYCLOVIR 500 MG TABLET [13133],15.7,,4.396,13.502,83
NDC,0904-6565-61 [297021],VALACYCLOVIR 500 MG TABLET [13133],11.55,,3.234,9.933,83
NDC,0904-6570-04 [311274],"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [24470]",16.3,,4.564,14.018,83
NDC,0904-6570-06 [293779],"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [24470]",13.3,,3.724,11.438,83
NDC,0904-6572-61 [294758],ALLOPURINOL 300 MG TABLET [311],3.2,,0.896,2.752,83
NDC,0904-6573-04 [293781],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",11.05,,3.094,9.503,83
NDC,0904-6575-61 [294759],PHENOBARBITAL 32.4 MG TABLET [6217],3.05,,0.854,2.623,83
NDC,0904-6583-04 [297022],LAMIVUDINE 150 MG TABLET [15880],36.5,,10.22,31.39,83
NDC,0904-6592-04 [296011],"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR [29434]",34.95,,9.786,30.057,83
NDC,0904-6593-04 [296012],"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",36.6,,10.248,31.476,83
NDC,0904-6596-04 [297025],VORICONAZOLE 50 MG TABLET [33008],38.4,,10.752,33.024,83
NDC,0904-6617-61 [310309],HYDROXYZINE HCL 25 MG TABLET [3774],1.65,,0.462,1.419,83
NDC,0904-6619-61 [306555],ISOSORBIDE DINITRATE 10 MG TABLET [4064],2.9,,0.812,2.494,83
NDC,0904-6622-61 [324370],PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],6.4,,1.792,5.504,83
NDC,0904-6623-61 [297026],TACROLIMUS 0.5 MG CAPSULE FOR SUBLINGUAL USE [40800002960],5.0,,0.15,4.3,84
NDC,0904-6623-61 [297026],"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",5.0,,0.15,4.3,84
NDC,0904-6624-61 [297027],TACROLIMUS 5 MG CAPSULE FOR SUBLINGUAL USE [40800002962],34.7,,0.15,29.842,84
NDC,0904-6624-61 [297027],"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",34.7,,0.15,29.842,84
NDC,0904-6627-35 [296018],CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],8.95,,2.506,7.697,83
NDC,0904-6635-61 [314689],BUPROPION HCL 75 MG TABLET [9322],5.75,,1.61,4.945,83
NDC,0904-6636-61 [314690],BUPROPION HCL 100 MG TABLET [9321],7.8,,2.184,6.708,83
NDC,0904-6637-61 [297894],GLIPIZIDE 5 MG TABLET [10117],1.65,,0.462,1.419,83
NDC,0904-6638-61 [301355],QUETIAPINE 25 MG TABLET [21823],1.65,,0.462,1.419,83
NDC,0904-6639-61 [306556],QUETIAPINE 50 MG TABLET [70397],2.25,,0.63,1.935,83
NDC,0904-6640-61 [301356],QUETIAPINE 100 MG TABLET [21824],2.25,,0.63,1.935,83
NDC,0904-6641-61 [299705],QUETIAPINE 200 MG TABLET [21825],4.55,,1.274,3.913,83
NDC,0904-6663-61 [317842],ACETAZOLAMIDE 250 MG TABLET [113],17.15,,4.802,14.749,83
NDC,0904-6665-61 [310312],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,0904-6666-61 [308933],GABAPENTIN 300 MG CAPSULE [18308],1.65,,0.462,1.419,83
NDC,0904-6667-61 [308934],GABAPENTIN 400 MG CAPSULE [18307],1.65,,0.462,1.419,83
NDC,0904-6671-04 [305719],SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],5.55,,1.554,4.773,83
NDC,0904-6671-06 [319634],SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],4.0,,1.12,3.44,83
NDC,0904-6678-40 [306558],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],138.55,,38.794,119.153,83
NDC,0904-6679-67 [314691],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET [125741],1.65,,0.462,1.419,83
NDC,0904-6703-10 [317847],LEUCOVORIN CALCIUM 25 MG TABLET [4397],36.4,,10.192,31.304,83
NDC,0904-6706-06 [339213],OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],16.05,,4.494,13.803,83
NDC,0904-6708-06 [319635],AZITHROMYCIN 250 MG TABLET [20943],5.9,,1.652,5.074,83
NDC,0904-6709-61 [326981],GLYCOPYRROLATE 1 MG TABLET [10130],5.15,,1.442,4.429,83
NDC,0904-6717-60 [316461],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,0904-6717-61 [317848],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,0904-6718-39 [318743],"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [162381]",4.25,,1.19,3.655,83
NDC,0904-6720-59 [313025],ACETAMINOPHEN 500 MG TABLET [102],1.65,,0.462,1.419,83
NDC,0904-6725-59 [319641],SENNOSIDES 8.6 MG TABLET [11349],1.65,,0.462,1.419,83
NDC,0904-6728-52 [323410],PSEUDOEPHEDRINE 60 MG TABLET [6715],1.65,,0.462,1.419,83
NDC,0904-6730-59 [312049],ACETAMINOPHEN 500 MG TABLET [102],1.65,,0.462,1.419,83
NDC,0904-6730-61 [313027],ACETAMINOPHEN 500 MG TABLET [102],1.65,,0.462,1.419,83
NDC,0904-6730-80 [313070],ACETAMINOPHEN 500 MG TABLET [102],1.65,,0.462,1.419,83
NDC,0904-6754-15 [324375],"PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE [6716]",1.85,,0.518,1.591,83
NDC,0904-6761-30 [314699],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],10.7,,2.996,9.202,83
NDC,0904-6765-20 [314700],CETIRIZINE 1 MG/ML ORAL SOLUTION [70838],22.85,,6.398,19.651,83
NDC,0904-6767-20 [325889],LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],23.25,,6.51,19.995,83
NDC,0904-6773-61 [318746],ACETAMINOPHEN 325 MG TABLET [101],1.65,,0.462,1.419,83
NDC,0904-6778-61 [317857],ROSUVASTATIN 5 MG TABLET [36612],4.75,,1.33,4.085,83
NDC,0904-6779-61 [317858],ROSUVASTATIN 10 MG TABLET [35134],6.55,,1.834,5.633,83
NDC,0904-6780-61 [317859],ROSUVASTATIN 20 MG TABLET [35135],5.85,,1.638,5.031,83
NDC,0904-6781-61 [317860],ROSUVASTATIN 40 MG TABLET [35136],6.45,,1.806,5.547,83
NDC,0904-6782-61 [334527],HALOPERIDOL 5 MG TABLET [3583],3.6,,1.008,3.096,83
NDC,0904-6783-70 [320652],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,0904-6788-61 [326984],BENZTROPINE 0.5 MG TABLET [998],2.1,,0.588,1.806,83
NDC,0904-6791-04 [323411],MODAFINIL 100 MG TABLET [24702],37.2,,10.416,31.992,83
NDC,0904-6792-04 [323412],MODAFINIL 200 MG TABLET [24703],39.75,,11.13,34.185,83
NDC,0904-6794-30 [367893],ASPIRIN 81 MG CHEWABLE TABLET [679],1.65,,0.462,1.419,83
NDC,0904-6794-80 [314701],ASPIRIN 81 MG CHEWABLE TABLET [679],1.65,,0.462,1.419,83
NDC,0904-6796-10 [312051],VALGANCICLOVIR 450 MG TABLET [30148],77.25,,21.63,66.435,83
NDC,0904-6797-61 [317864],LISINOPRIL 5 MG TABLET [10451],1.65,,0.462,1.419,83
NDC,0904-6798-61 [317865],LISINOPRIL 10 MG TABLET [10449],1.65,,0.462,1.419,83
NDC,0904-6799-61 [317866],LISINOPRIL 20 MG TABLET [4526],1.65,,0.462,1.419,83
NDC,0904-6808-06 [335518],MONTELUKAST 10 MG TABLET [22509],1.65,,0.462,1.419,83
NDC,0904-6808-61 [318747],MONTELUKAST 10 MG TABLET [22509],1.65,,0.462,1.419,83
NDC,0904-6817-06 [350718],MIDODRINE 2.5 MG TABLET [10609],2.8,,0.784,2.408,83
NDC,0904-6818-06 [350719],MIDODRINE 5 MG TABLET [10610],2.85,,0.798,2.451,83
NDC,0904-6818-61 [325891],MIDODRINE 5 MG TABLET [10610],4.15,,1.162,3.569,83
NDC,0904-6819-07 [326986],MIDODRINE 10 MG TABLET [33083],5.1,,1.428,4.386,83
NDC,0904-6821-04 [326987],TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],22.4,,6.272,19.264,83
NDC,0904-6823-61 [326988],GABAPENTIN 600 MG TABLET [25855],1.7,,0.476,1.462,83
NDC,0904-6825-61 [326990],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],3.25,,0.91,2.795,83
NDC,0904-6826-61 [326991],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],3.05,,0.854,2.623,83
NDC,0904-6828-05 [326992],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],28.6,,8.008,24.596,83
NDC,0904-6828-92 [319648],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],28.6,,8.008,24.596,83
NDC,0904-6828-94 [319649],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],22.05,,6.174,18.963,83
NDC,0904-6830-06 [320654],FINASTERIDE 5 MG TABLET [10037],3.25,,0.91,2.795,83
NDC,0904-6830-61 [320655],FINASTERIDE 5 MG TABLET [10037],4.9,,1.372,4.214,83
NDC,0904-6831-04 [322373],METAXALONE 800 MG TABLET [33963],26.1,,7.308,22.446,83
NDC,0904-6835-07 [324378],FLUCYTOSINE 500 MG CAPSULE [10052],416.1,,116.508,357.846,83
NDC,0904-6836-20 [324379],LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],17.1,,4.788,14.706,83
NDC,0904-6852-61 [316474],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,0904-6860-61 [326996],"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",1.65,,0.462,1.419,83
NDC,0904-6861-90 [326997],"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",1.65,,0.462,1.419,83
NDC,0904-6868-61 [320656],TRAZODONE 50 MG TABLET [8085],1.65,,0.462,1.419,83
NDC,0904-6869-61 [322375],TRAZODONE 100 MG TABLET [8083],1.65,,0.462,1.419,83
NDC,0904-6870-45 [326998],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,0904-6882-10 [326999],PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],280.4,,78.512,241.144,83
NDC,0904-6888-06 [327885],MINOCYCLINE 100 MG CAPSULE [5110],5.45,,1.526,4.687,83
NDC,0904-6890-04 [327000],URSODIOL 250 MG TABLET [22660],15.65,,4.382,13.459,83
NDC,0904-6899-61 [325900],BUSPIRONE 15 MG TABLET [17464],2.6,,0.728,2.236,83
NDC,0904-6902-04 [327887],RALOXIFENE 60 MG TABLET [22143],31.65,,8.862,27.219,83
NDC,0904-6907-06 [327003],PSEUDOEPHEDRINE 60 MG TABLET [6715],1.65,,0.462,1.419,83
NDC,0904-6923-61 [332075],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,0904-6925-61 [342110],SERTRALINE 50 MG TABLET [11351],1.95,,0.546,1.677,83
NDC,0904-6927-61 [325901],SPIRONOLACTONE 25 MG TABLET [7437],1.65,,0.462,1.419,83
NDC,0904-6930-61 [332076],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",4.05,,1.134,3.483,83
NDC,0904-6931-26 [338270],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],5.45,,1.526,4.687,83
NDC,0904-6931-76 [333455],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],6.6,,1.848,5.676,83
NDC,0904-6931-81 [333456],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],6.15,,1.722,5.289,83
NDC,0904-6931-86 [332257],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],6.6,,1.848,5.676,83
NDC,0904-6938-06 [329585],BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],9.85,,2.758,8.471,83
NDC,0904-6939-61 [322376],HYDROXYUREA 500 MG CAPSULE [10236],4.6,,1.288,3.956,83
NDC,0904-6949-61 [332077],LEVOTHYROXINE 25 MCG TABLET [4420],2.2,,0.616,1.892,83
NDC,0904-6950-61 [332078],LEVOTHYROXINE 50 MCG TABLET [4421],2.25,,0.63,1.935,83
NDC,0904-6951-61 [332079],LEVOTHYROXINE 75 MCG TABLET [4422],2.75,,0.77,2.365,83
NDC,0904-6952-61 [332080],LEVOTHYROXINE 88 MCG TABLET [10403],2.8,,0.784,2.408,83
NDC,0904-6953-61 [332081],LEVOTHYROXINE 100 MCG TABLET [4423],2.8,,0.784,2.408,83
NDC,0904-6954-61 [332082],LEVOTHYROXINE 112 MCG TABLET [10404],3.25,,0.91,2.795,83
NDC,0904-6955-61 [332083],LEVOTHYROXINE 125 MCG TABLET [4424],3.3,,0.924,2.838,83
NDC,0904-6956-61 [332084],LEVOTHYROXINE 150 MCG TABLET [4425],3.4,,0.952,2.924,83
NDC,0904-6957-61 [332085],LEVOTHYROXINE 175 MCG TABLET [10406],4.0,,1.12,3.44,83
NDC,0904-6966-61 [329586],OXYCODONE 5 MG TABLET [10814],2.85,,0.798,2.451,83
NDC,0904-6985-16 [327889],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID SYRINGE (PEDI) [40800003892],22.45,,6.286,19.307,83
NDC,0904-6985-16 [327889],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],22.45,,6.286,19.307,83
NDC,0904-6987-61 [333458],DICYCLOMINE 10 MG CAPSULE [2418],2.7,,0.756,2.322,83
NDC,0904-6991-04 [325902],PREGABALIN 25 MG CAPSULE [42162],7.55,,2.114,6.493,83
NDC,0904-6991-61 [347725],PREGABALIN 25 MG CAPSULE [42162],4.95,,1.386,4.257,83
NDC,0904-6992-61 [325903],PREGABALIN 50 MG CAPSULE [42163],4.85,,1.358,4.171,83
NDC,0904-6993-61 [334528],AMIODARONE 200 MG TABLET [9066],1.65,,0.462,1.419,83
NDC,0904-7000-61 [325904],PREGABALIN 75 MG CAPSULE [42164],4.9,,1.372,4.214,83
NDC,0904-7001-61 [325905],PREGABALIN 100 MG CAPSULE [42165],5.25,,1.47,4.515,83
NDC,0904-7002-61 [325906],PREGABALIN 150 MG CAPSULE [42166],5.8,,1.624,4.988,83
NDC,0904-7003-04 [325907],PREGABALIN 200 MG CAPSULE [42167],9.15,,2.562,7.869,83
NDC,0904-7005-04 [325909],PREGABALIN 300 MG CAPSULE [42169],9.4,,2.632,8.084,83
NDC,0904-7006-35 [327892],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],9.45,,2.646,8.127,83
NDC,0904-7007-61 [333461],LAMOTRIGINE 25 MG TABLET [13981],1.65,,0.462,1.419,83
NDC,0904-7010-06 [343043],BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET [34714],20.15,,5.642,17.329,83
NDC,0904-7014-16 [329589],ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID [100],18.7,,5.236,16.082,83
NDC,0904-7016-04 [333463],BUMETANIDE 1 MG TABLET [9310],9.65,,2.702,8.299,83
NDC,0904-7023-67 [336282],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET [125741],1.65,,0.462,1.419,83
NDC,0904-7024-04 [341171],VORICONAZOLE 200 MG TABLET [33009],75.6,,21.168,65.016,83
NDC,0904-7027-61 [362088],OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],2.85,,0.798,2.451,83
NDC,0904-7035-80 [343044],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],7.75,,2.17,6.665,83
NDC,0904-7035-87 [343045],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],8.2,,2.296,7.052,83
NDC,0904-7035-88 [343046],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],7.75,,2.17,6.665,83
NDC,0904-7041-61 [341172],ALLOPURINOL 100 MG TABLET [310],1.65,,0.462,1.419,83
NDC,0904-7042-61 [341174],AMANTADINE HCL 100 MG CAPSULE [364],6.15,,1.722,5.289,83
NDC,0904-7043-04 [348606],"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",6.95,,1.946,5.977,83
NDC,0904-7044-61 [349795],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",6.85,,1.918,5.891,83
NDC,0904-7045-61 [348608],"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",6.85,,1.918,5.891,83
NDC,0904-7046-06 [338272],HYDROXYCHLOROQUINE 200 MG TABLET [10235],6.0,,1.68,5.16,83
NDC,0904-7046-61 [338273],HYDROXYCHLOROQUINE 200 MG TABLET [10235],6.6,,1.848,5.676,83
NDC,0904-7047-61 [338274],LOSARTAN 25 MG TABLET [14823],2.75,,0.77,2.365,83
NDC,0904-7048-61 [338275],LOSARTAN 50 MG TABLET [14824],3.2,,0.896,2.752,83
NDC,0904-7049-61 [337382],LOSARTAN 100 MG TABLET [22588],3.6,,1.008,3.096,83
NDC,0904-7052-61 [342113],DOXEPIN 10 MG CAPSULE [2608],2.9,,0.812,2.494,83
NDC,0904-7053-61 [344143],DOXEPIN 25 MG CAPSULE [2611],3.85,,1.078,3.311,83
NDC,0904-7057-61 [341175],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,0904-7058-61 [341176],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,0904-7061-46 [343047],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],33.2,,9.296,28.552,83
NDC,0904-7061-47 [343048],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],24.75,,6.93,21.285,83
NDC,0904-7061-51 [342114],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],29.85,,8.358,25.671,83
NDC,0904-7061-80 [342115],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],28.9,,8.092,24.854,83
NDC,0904-7061-87 [342116],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],38.2,,10.696,32.852,83
NDC,0904-7061-88 [342117],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],33.2,,9.296,28.552,83
NDC,0904-7064-41 [341178],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],108.9,,30.492,93.654,83
NDC,0904-7065-61 [339217],HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],2.3,,0.644,1.978,83
NDC,0904-7076-61 [361015],"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",2.8,,0.784,2.408,83
NDC,0904-7077-61 [361016],"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",2.5,,0.7,2.15,83
NDC,0904-7078-61 [341332],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],4.5,,0.16,3.87,84
NDC,0904-7081-61 [343054],"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27659]",13.85,,3.878,11.911,83
NDC,0904-7083-61 [345628],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,0904-7084-04 [352424],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",6.25,,1.75,5.375,83
NDC,0904-7084-61 [352425],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",8.8,,2.464,7.568,83
NDC,0904-7086-61 [347731],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",1.8,,0.504,1.548,83
NDC,0904-7090-61 [343057],PIOGLITAZONE 15 MG TABLET [25528],6.2,,1.736,5.332,83
NDC,0904-7093-61 [350720],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],2.85,,0.798,2.451,83
NDC,0904-7094-61 [350721],OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],5.15,,1.442,4.429,83
NDC,0904-7095-61 [350722],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],6.95,,1.946,5.977,83
NDC,0904-7097-61 [344144],"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",6.5,,0.15,5.59,84
NDC,0904-7103-04 [346560],EZETIMIBE 10 MG TABLET [34153],35.35,,9.898,30.401,83
NDC,0904-7103-10 [376080],EZETIMIBE 10 MG TABLET [34153],25.25,,7.07,21.715,83
NDC,0904-7105-61 [349796],CAPTOPRIL 12.5 MG TABLET [9401],6.7,,1.876,5.762,83
NDC,0904-7106-61 [349797],CAPTOPRIL 25 MG TABLET [9402],7.1,,1.988,6.106,83
NDC,0904-7109-61 [349798],LABETALOL 100 MG TABLET [10373],1.65,,0.462,1.419,83
NDC,0904-7118-61 [353330],METOPROLOL TARTRATE 50 MG TABLET [5009],1.65,,0.462,1.419,83
NDC,0904-7119-06 [348613],CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],4.85,,1.358,4.171,83
NDC,0904-7119-61 [348614],CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],6.85,,1.918,5.891,83
NDC,0904-7120-04 [348615],COLCHICINE 0.6 MG TABLET [1821],22.75,,6.37,19.565,83
NDC,0904-7122-61 [355570],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,0904-7123-61 [350725],LEVETIRACETAM 250 MG TABLET [26816],1.65,,0.462,1.419,83
NDC,0904-7124-61 [350726],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,0904-7125-61 [353331],LEVETIRACETAM 750 MG TABLET [26818],1.65,,0.462,1.419,83
NDC,0904-7126-61 [347733],METRONIDAZOLE 500 MG TABLET [5016],3.35,,0.938,2.881,83
NDC,0904-7127-61 [350727],PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,83
NDC,0904-7135-72 [355572],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],7.55,,2.114,6.493,83
NDC,0904-7139-61 [352426],METOLAZONE 5 MG TABLET [10588],16.85,,4.718,14.491,83
NDC,0904-7140-04 [367894],GUANFACINE 1 MG TABLET [10149],7.65,,2.142,6.579,83
NDC,0904-7142-12 [351555],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],1.7,,0.476,1.462,83
NDC,0904-7143-61 [355573],SOTALOL 80 MG TABLET [11421],5.3,,1.484,4.558,83
NDC,0904-7144-61 [350728],DRONABINOL 2.5 MG CAPSULE [9904],34.0,,1.68,29.24,84
NDC,0904-7145-04 [350729],DRONABINOL 5 MG CAPSULE [9905],60.3,,1.68,51.858,84
NDC,0904-7153-61 [366054],BENZONATATE 100 MG CAPSULE [988],2.35,,0.658,2.021,83
NDC,0904-7156-61 [352427],METRONIDAZOLE 250 MG TABLET [5015],1.95,,0.546,1.677,83
NDC,0904-7162-61 [351557],METFORMIN 500 MG TABLET [10544],1.65,,0.462,1.419,83
NDC,0904-7163-61 [349801],METFORMIN 850 MG TABLET [14719],1.65,,0.462,1.419,83
NDC,0904-7164-61 [353334],"METFORMIN 1,000 MG TABLET [24398]",1.65,,0.462,1.419,83
NDC,0904-7165-07 [356481],AMINOCAPROIC ACID 500 MG TABLET [9063],91.1,,25.508,78.346,83
NDC,0904-7168-06 [354842],URSODIOL 300 MG CAPSULE [11624],23.25,,6.51,19.995,83
NDC,0904-7168-61 [357133],URSODIOL 300 MG CAPSULE [11624],20.85,,5.838,17.931,83
NDC,0904-7177-61 [356482],FUROSEMIDE 20 MG TABLET [3294],1.65,,0.462,1.419,83
NDC,0904-7178-61 [356483],FUROSEMIDE 40 MG TABLET [3295],1.65,,0.462,1.419,83
NDC,0904-7179-61 [357899],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,0904-7182-61 [364925],"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",9.8,,2.744,8.428,83
NDC,0904-7183-61 [351560],DOCUSATE SODIUM 100 MG CAPSULE [2566],1.65,,0.462,1.419,83
NDC,0904-7184-61 [360142],AMITRIPTYLINE 25 MG TABLET [435],2.05,,0.574,1.763,83
NDC,0904-7187-61 [355574],ATENOLOL 25 MG TABLET [717],1.65,,0.462,1.419,83
NDC,0904-7188-61 [357134],HYDROCORTISONE 10 MG TABLET [3733],8.55,,2.394,7.353,83
NDC,0904-7192-60 [352434],FEXOFENADINE 60 MG TABLET [21529],1.65,,0.462,1.419,83
NDC,0904-7193-06 [362090],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,0904-7193-61 [355575],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,0904-7199-07 [359167],PHENYTOIN 50 MG CHEWABLE TABLET [11018],6.2,,1.736,5.332,83
NDC,0904-7205-46 [354843],BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],1.65,,0.462,1.419,83
NDC,0904-7208-06 [357901],"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",4.6,,1.288,3.956,83
NDC,0904-7208-61 [357902],"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",4.55,,1.274,3.913,83
NDC,0904-7214-61 [361018],"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",2.8,,0.784,2.408,83
NDC,0904-7224-61 [360146],FOLIC ACID 1 MG TABLET [3233],1.65,,0.462,1.419,83
NDC,0904-7227-61 [364926],CLONAZEPAM 0.5 MG TABLET [9637],3.75,,1.05,3.225,83
NDC,0904-7229-61 [364927],NIFEDIPINE 10 MG CAPSULE [5558],5.15,,1.442,4.429,83
NDC,0904-7236-61 [359168],MEGESTROL 40 MG TABLET [4871],1.65,,0.462,1.419,83
NDC,0904-7237-24 [363194],DIPHENHYDRAMINE 25 MG CAPSULE [2509],1.65,,0.462,1.419,83
NDC,0904-7237-61 [364928],DIPHENHYDRAMINE 25 MG CAPSULE [2509],1.65,,0.462,1.419,83
NDC,0904-7243-61 [362097],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,0904-7244-68 [357903],LACOSAMIDE 50 MG TABLET [96968],7.1,,1.988,6.106,83
NDC,0904-7245-68 [357904],LACOSAMIDE 100 MG TABLET [96969],11.0,,3.08,9.46,83
NDC,0904-7252-60 [366860],SENNOSIDES 8.6 MG TABLET [11349],1.65,,0.462,1.419,83
NDC,0904-7252-61 [367895],SENNOSIDES 8.6 MG TABLET [11349],1.65,,0.462,1.419,83
NDC,0904-7252-80 [366861],SENNOSIDES 8.6 MG TABLET [11349],1.65,,0.462,1.419,83
NDC,0904-7257-61 [359169],CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],1.65,,0.462,1.419,83
NDC,0904-7261-61 [364134],SODIUM BICARBONATE 650 MG TABLET [7312],1.65,,0.462,1.419,83
NDC,0904-7262-61 [364135],OXCARBAZEPINE 150 MG TABLET [27049],2.7,,0.756,2.322,83
NDC,0904-7264-61 [364137],OXCARBAZEPINE 600 MG TABLET [21157],7.95,,2.226,6.837,83
NDC,0904-7266-61 [365046],DEXAMETHASONE 4 MG TABLET [2327],4.95,,0.02,4.257,84
NDC,0904-7270-61 [364929],"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",4.15,,1.162,3.569,83
NDC,0904-7276-41 [364144],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",5.65,,1.582,4.859,83
NDC,0904-7276-70 [364145],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",5.65,,1.582,4.859,83
NDC,0904-7276-92 [364146],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",5.85,,1.638,5.031,83
NDC,0904-7279-66 [364930],DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],5.45,,1.526,4.687,83
NDC,0904-7279-72 [364931],DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],5.45,,1.526,4.687,83
NDC,0904-7280-60 [366863],DOCUSATE SODIUM 100 MG CAPSULE [2566],1.65,,0.462,1.419,83
NDC,0904-7292-61 [373379],"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",1.75,,0.49,1.505,83
NDC,0904-7293-61 [373380],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",1.95,,0.546,1.677,83
NDC,0904-7304-61 [368996],PROMETHAZINE 25 MG TABLET [6622],1.65,,0.462,1.419,83
NDC,0904-7305-61 [387040],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,0904-7306-61 [388898],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,0904-7307-61 [388899],CARVEDILOL 12.5 MG TABLET [15749],1.65,,0.462,1.419,83
NDC,0904-7308-61 [387041],CARVEDILOL 25 MG TABLET [15748],1.65,,0.462,1.419,83
NDC,0904-7325-62 [373382],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],16.5,,4.62,14.19,83
NDC,0904-7329-61 [376084],METOLAZONE 5 MG TABLET [10588],16.85,,4.718,14.491,83
NDC,0904-7345-61 [395182],FLUOXETINE 10 MG CAPSULE [10069],1.65,,0.462,1.419,83
NDC,0904-7346-61 [383163],FLUOXETINE 20 MG CAPSULE [10070],1.65,,0.462,1.419,83
NDC,0904-7350-61 [376085],AZITHROMYCIN 250 MG TABLET [20943],1.65,,0.462,1.419,83
NDC,0904-7362-61 [378618],RISPERIDONE 1 MG TABLET [18313],1.65,,0.462,1.419,83
NDC,0904-7376-61 [373387],MECLIZINE 25 MG TABLET [12025],2.2,,0.616,1.892,83
NDC,0904-7407-04 [383165],MOXIFLOXACIN 400 MG TABLET [26854],30.05,,8.414,25.843,83
NDC,0904-7409-15 [385019],"PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE [6716]",2.2,,0.616,1.892,83
NDC,0904-7417-61 [384040],METHADONE 10 MG TABLET [4953],2.85,,0.798,2.451,83
NDC,0904-7418-44 [382321],MAGNESIUM CITRATE ORAL SOLUTION [4712],14.05,,3.934,12.083,83
NDC,0904-7426-59 [384044],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,0904-7435-35 [385021],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],9.45,,2.646,8.127,83
NDC,0904-7440-61 [387042],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,0904-7448-61 [393928],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,0904-7459-41 [386299],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],103.45,,28.966,88.967,83
NDC,0904-7459-53 [386300],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],57.05,,15.974,49.063,83
NDC,0904-7461-46 [386301],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],33.2,,9.296,28.552,83
NDC,0904-7461-47 [386302],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],20.6,,5.768,17.716,83
NDC,0904-7461-51 [386303],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],26.1,,7.308,22.446,83
NDC,0904-7461-80 [387043],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],16.6,,4.648,14.276,83
NDC,0904-7461-87 [386304],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],31.9,,8.932,27.434,83
NDC,0904-7461-88 [386305],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],33.2,,9.296,28.552,83
NDC,0904-7469-04 [391758],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",6.8,,1.904,5.848,83
NDC,0904-7505-04 [391760],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",6.25,,1.75,5.375,83
NDC,0904-7509-30 [399110],ASPIRIN 81 MG CHEWABLE TABLET [679],1.65,,0.462,1.419,83
NDC,0904-7510-61 [397981],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,0904-7519-61 [403380],ACYCLOVIR 200 MG CAPSULE [8969],1.65,,0.462,1.419,83
NDC,0904-7533-15 [400196],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],28.05,,7.854,24.123,83
NDC,0904-7734-45 [26861],MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],29.55,,8.274,25.413,83
NDC,0904-7914-61 [26954],IBUPROFEN 200 MG TABLET [3841],1.65,,0.462,1.419,83
NDC,0904-8805-67 [340210],"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [127482]",1.65,,0.462,1.419,83
NDC,0904027746 [25599],"VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) CAPSULE [110361]",1.65,,0.462,1.419,83
NDC,0904027760 [25600],"VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) CAPSULE [110361]",1.65,,0.462,1.419,83
NDC,0904052360 [25664],ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],1.65,,0.462,1.419,83
NDC,0904052361 [25665],ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],1.65,,0.462,1.419,83
NDC,0904053061 [25673],MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET [10663],1.65,,0.462,1.419,83
NDC,0904053961 [25686],MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET [10663],1.65,,0.462,1.419,83
NDC,0904188361 [25918],"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",1.65,,0.462,1.419,83
NDC,0904208560 [25986],"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE [8639]",1.65,,0.462,1.419,83
NDC,0904227260 [26036],NIACIN 500 MG TABLET [5542],1.65,,0.462,1.419,83
NDC,0904423960 [26290],MAGNESIUM 500 MG (AS MAGNESIUM OXIDE) TABLET [4717],1.65,,0.462,1.419,83
NDC,0904522452 [26462],"LACTASE 3,000 UNIT TABLET [22469]",1.65,,0.462,1.419,83
NDC,0904546052 [26630],CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],1.65,,0.462,1.419,83
NDC,0904582360 [154274],CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [24559],1.65,,0.462,1.419,83
NDC,0904598426 [178779],AMMONIUM LACTATE 12 % LOTION [10380],18.75,,5.25,16.125,83
NDC,0904723961 [366859],"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [127261]",1.65,,0.462,1.419,83
NDC,0904759161 [26804],FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],1.65,,0.462,1.419,83
NDC,0904759182 [26805],FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],1.65,,0.462,1.419,83
NDC,0942-9504-10 [264896],SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION [90999],65.45,,18.326,56.287,83
NDC,0944-0493-01 [127374],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800000377]",184.05,,51.534,158.283,86
NDC,0944-0493-01 [127374],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",184.05,,51.534,158.283,86
NDC,0944-0493-01 [127374],"ALBUMIN, HUMAN 25% INJECTION [40800000271]",198.65,,53.08,170.839,86
NDC,0944-0493-02 [127375],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800000377]",351.45,,53.08,302.247,86
NDC,0944-0493-02 [127375],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",351.45,,53.08,302.247,86
NDC,0944-0493-02 [127375],"ALBUMIN, HUMAN 25% INJECTION [40800000271]",379.2,,53.08,326.112,86
NDC,0944-0493-03 [379917],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",184.05,,51.534,158.283,86
NDC,0944-0493-04 [382240],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",351.45,,53.08,302.247,86
NDC,0944-0495-05 [268231],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003502]",184.2,,51.576,158.412,86
NDC,0944-0495-05 [268231],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",184.2,,51.576,158.412,86
NDC,0944-0495-06 [378635],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",184.2,,51.576,158.412,86
NDC,0944-2656-03 [232893],GAMMAGARD S/D 5% INTRAVENOUS CONTAINER [40800004225],3784.3,,80.4,3254.498,86
NDC,0944-2656-03 [232893],"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [173709]",3784.3,,80.4,3254.498,86
NDC,0944-2657-07 [296019],GAMMAGARD S/D 5% INTRAVENOUS CONTAINER [40800004225],3784.3,,80.4,3254.498,86
NDC,0944-2657-07 [296019],"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [173709]",3784.3,,80.4,3254.498,86
NDC,0944-2658-04 [232894],GAMMAGARD S/D 5% INTRAVENOUS CONTAINER [40800004225],7568.55,,80.4,6508.953,86
NDC,0944-2658-04 [232894],"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [173710]",7568.55,,80.4,6508.953,86
NDC,0944-2659-08 [291524],GAMMAGARD S/D 5% INTRAVENOUS CONTAINER [40800004225],7568.55,,80.4,6508.953,86
NDC,0944-2659-08 [291524],"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION [173710]",7568.55,,80.4,6508.953,86
NDC,0944-2700-04 [121000],"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [173700]",2860.1,,47.8,2459.686,86
NDC,0944-2700-05 [121001],"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [173700]",5720.2,,47.8,4919.372,86
NDC,0944-2700-06 [121002],"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [173700]",11440.35,,47.8,9838.701,86
NDC,0944-2700-10 [276439],"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [173700]",2860.1,,47.8,2459.686,86
NDC,0944-2700-11 [276440],"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [173700]",5720.2,,47.8,4919.372,86
NDC,0944-2700-12 [276441],"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [173700]",11440.35,,47.8,9838.701,86
NDC,0944-2832-01 [350754],ANTIHEMOPHILIC FACTOR (RECOMB) 500 (+/-) UNIT INTRAVENOUS SOLUTION [24925],3210.5,,1.54,2761.03,86
NDC,0944-2833-01 [350755],"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [24926]",6421.0,,1.54,5522.06,86
NDC,0944-2842-10 [204366],ANTIHEMOPHILIC FACTOR (RECOMB) 500 (+/-) UNIT INTRAVENOUS SOLUTION [24925],3210.5,,1.54,2761.03,86
NDC,0944-2843-10 [204367],"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [24926]",6421.0,,1.54,5522.06,86
NDC,0944-2844-10 [204368],"ANTIHEMOPHILIC FACTOR (RECOMB) 1,500 (+/-) UNIT INTRAVENOUS SOLUTION [106293]",9631.45,,1.54,8283.047,86
NDC,0944-2845-10 [204369],"ANTIHEMOPHILIC FACTOR (RECOMB) 2,000 (+/-) UNIT INTRAVENOUS SOLUTION [106294]",12841.95,,1.54,11044.077,86
NDC,0955-1003-01 [339219],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],28.1,,0.57,24.166,84
NDC,0955-1003-10 [215538],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],28.1,,0.57,24.166,84
NDC,0955-1004-01 [337170],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],30.45,,0.57,26.187,84
NDC,0955-1004-01 [337170],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],30.45,,0.57,26.187,84
NDC,0955-1004-10 [215539],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],30.45,,0.57,26.187,84
NDC,0955-1004-10 [215539],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],30.45,,0.57,26.187,84
NDC,0955-1006-10 [215540],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],45.75,,0.57,39.345,84
NDC,0955-1008-01 [340211],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],54.4,,0.57,46.784,84
NDC,0955-1008-10 [215541],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],54.4,,0.57,46.784,84
NDC,0955-1010-01 [340212],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],68.0,,0.57,58.48,84
NDC,0955-1010-10 [215542],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],68.0,,0.57,58.48,84
NDC,0955-1012-01 [340213],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],81.55,,0.57,70.133,84
NDC,0955-1012-10 [215543],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],81.55,,0.57,70.133,84
NDC,0955-1015-01 [341187],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],101.95,,0.57,87.677,84
NDC,0955-1015-10 [215544],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],101.95,,0.57,87.677,84
NDC,0955-1016-01 [225758],ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],204.0,,0.57,175.44,84
NDC,0955-1020-01 [204370],DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [106443],357.1,,0.38,307.106,84
NDC,0955-1020-01 [204370],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],357.1,,0.38,307.106,84
NDC,0955-1021-04 [204371],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],1425.1,,0.38,1225.586,84
NDC,0955-1021-04 [204371],DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],1425.1,,0.38,1225.586,84
NDC,0955-1042-90 [215552],IRBESARTAN 300 MG TABLET [21849],2.2,,0.616,1.892,83
NDC,0955-1702-10 [196263],"ZOLPIDEM ER 6.25 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42677]",7.65,,2.142,6.579,83
NDC,0955-1703-10 [202486],"ZOLPIDEM ER 12.5 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42678]",7.65,,2.142,6.579,83
NDC,0955-1746-01 [299008],CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],9500.4,,10.94,8170.344,86
NDC,0990-6138-22 [334531],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],24.65,,6.902,21.199,83
NDC,0990-6139-22 [329594],"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",26.7,,7.476,22.962,83
NDC,0990-6143-09 [331166],ACETIC ACID 0.25 % IRRIGATION SOLUTION [8963],69.65,,19.502,59.899,83
NDC,0990-7077-14 [329596],POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11077],63.3,,0.17,54.438,84
NDC,0990-7077-14 [329596],POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK (2 PREMIX BAGS) [40800002455],63.3,,0.17,54.438,84
NDC,0990-7077-14 [329596],POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK (3 PREMIX BAGS) [40800002456],63.3,,0.17,54.438,84
NDC,0990-7077-26 [334532],POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11079],63.3,,0.17,54.438,84
NDC,0990-7115-09 [336284],POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [11081],69.65,,0.17,59.899,84
NDC,0990-7118-07 [331167],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,0990-7138-09 [332094],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],25.55,,7.154,21.973,83
NDC,0990-7715-03 [331169],MANNITOL 20 % INTRAVENOUS SOLUTION [4749],60.95,,17.066,52.417,83
NDC,0990-7715-12 [339221],MANNITOL 20 % INTRAVENOUS SOLUTION [4749],70.25,,19.67,60.415,83
NDC,0990-7715-13 [331170],MANNITOL 20 % INTRAVENOUS SOLUTION [4749],60.95,,17.066,52.417,83
NDC,0990-7904-09 [335525],POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9807],69.65,,0.17,59.899,84
NDC,0990-7922-02 [331173],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,2.03,56.889,84
NDC,0990-7923-13 [336289],DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],66.15,,18.522,56.889,83
NDC,0990-7926-09 [333469],DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9814],69.65,,19.502,59.899,83
NDC,0990-7936-19 [349803],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION [2365],57.0,,15.96,49.02,83
NDC,0990-7936-19 [349803],DEXTROSE 50% (D50W) INJ CONTAINER [40800000724],57.0,,15.96,49.02,83
NDC,0990-7941-09 [331178],DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],69.65,,1.36,59.899,84
NDC,0990-7953-02 [336291],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,0990-7953-02 [336291],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,0990-7953-02 [336291],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,0990-7953-02 [336291],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,0990-7953-02 [336291],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,0990-7953-03 [345631],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,0990-7953-03 [345631],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,0990-7953-03 [345631],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,0990-7972-05 [335529],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],32.7,,9.156,28.122,83
NDC,0990-7972-08 [327896],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],44.55,,12.474,38.313,83
NDC,0990-7973-05 [332101],"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",35.35,,9.898,30.401,83
NDC,0990-7983-02 [327010],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,0.71,56.889,84
NDC,0990-7983-03 [334537],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,1.38,56.889,84
NDC,0990-7983-03 [334537],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,1.38,56.889,84
NDC,0990-7983-03 [334537],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,1.38,56.889,84
NDC,0990-7983-03 [334537],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,1.38,56.889,84
NDC,0990-7983-03 [334537],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,1.38,56.889,84
NDC,0990-7983-03 [334537],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,1.38,56.889,84
NDC,0990-7983-03 [334537],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,1.38,56.889,84
NDC,0990-7983-03 [334537],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,1.38,56.889,84
NDC,0990-7983-09 [331180],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],69.65,,2.28,59.899,84
NDC,0990-7983-09 [331180],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],69.65,,2.28,59.899,84
NDC,0990-7983-09 [331180],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],69.65,,2.28,59.899,84
NDC,0990-7983-09 [331180],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],69.65,,2.28,59.899,84
NDC,0990-7983-61 [331182],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0990-7983-61 [331182],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0990-7983-61 [331182],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0990-7983-61 [331182],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,18.522,56.889,83
NDC,0990-7983-61 [331182],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,18.522,56.889,83
NDC,0990-7983-61 [331182],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0990-7983-61 [331182],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0990-7983-61 [331182],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,18.522,56.889,83
NDC,0990-7983-61 [331182],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0990-7984-20 [333473],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0990-7984-20 [333473],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0990-7984-20 [333473],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0990-7984-20 [333473],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0990-7984-20 [333473],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,18.522,56.889,83
NDC,0990-7984-23 [324383],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0990-7984-36 [329598],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,18.522,56.889,83
NDC,0990-7984-37 [328871],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,18.522,56.889,83
NDC,0990-7985-02 [332104],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],66.15,,18.522,56.889,83
NDC,0990-7990-09 [333474],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,1000670020 [319869],"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE [5536]",1.65,,0.462,1.419,83
NDC,1000670038 [320843],CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],1.65,,0.462,1.419,83
NDC,10019-055-61 [33140],"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",224.75,,0.28,193.285,84
NDC,10019-055-61 [33140],"ESMOLOL TITRATABLE INFUSION 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [40800000374]",224.75,,0.28,193.285,84
NDC,10019-075-87 [33146],"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [35639]",723.35,,0.28,622.081,84
NDC,10019-075-87 [33146],"ESMOLOL TITRATABLE INFUSION 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [40800000375]",723.35,,0.28,622.081,84
NDC,10019-080-01 [389061],ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],2784.6,,76.76,2394.756,86
NDC,10019-120-01 [215744],ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],43.35,,0.28,37.281,84
NDC,10019-120-39 [215745],ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],43.35,,0.28,37.281,84
NDC,10019-553-03 [293981],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],73.1,,20.468,62.866,83
NDC,10019-553-03 [293981],SCOPOLAMINE PARTIAL PATCH [40800003954],73.1,,20.468,62.866,83
NDC,10019-553-04 [293915],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],73.1,,20.468,62.866,83
NDC,10019-553-04 [293915],SCOPOLAMINE PARTIAL PATCH [40800003954],73.1,,20.468,62.866,83
NDC,10019-553-90 [293916],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],73.1,,20.468,62.866,83
NDC,10019-553-90 [293916],SCOPOLAMINE PARTIAL PATCH [40800003954],73.1,,20.468,62.866,83
NDC,10019-641-64 [246317],DESFLURANE 100 % INHALATION LIQUID [9747],524.85,,146.958,451.371,83
NDC,10019-651-64 [129672],SEVOFLURANE 99.97 % INHALATION LIQUID [15119],360.4,,100.912,309.944,83
NDC,10019-925-01 [127423],IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],126.1,,23.5,108.446,84
NDC,10019-925-01 [127423],IFOSFAMIDE 50 MG/ML INJ CONTAINER [40800000150],126.1,,23.5,108.446,84
NDC,10019-925-82 [168556],IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],126.1,,23.5,108.446,84
NDC,10019-925-82 [168556],IFOSFAMIDE 50 MG/ML INJ CONTAINER [40800000150],126.1,,23.5,108.446,84
NDC,10019-926-02 [127424],IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],352.35,,23.5,303.021,84
NDC,10019-926-02 [127424],IFOSFAMIDE 50 MG/ML INJ CONTAINER [40800000150],352.35,,23.5,303.021,84
NDC,10019-926-16 [168557],IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],352.35,,23.5,303.021,84
NDC,10019-926-16 [168557],IFOSFAMIDE 50 MG/ML INJ CONTAINER [40800000150],352.35,,23.5,303.021,84
NDC,10019-942-01 [271239],CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],2424.25,,0.62,2084.855,86
NDC,10019-942-01 [271239],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],2424.25,,0.62,2084.855,86
NDC,10019-942-01 [271239],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],2424.25,,0.62,2084.855,86
NDC,10019-942-10 [271240],CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],2424.25,,0.62,2084.855,86
NDC,10019-942-10 [271240],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],2424.25,,0.62,2084.855,86
NDC,10019-942-10 [271240],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],2424.25,,0.62,2084.855,86
NDC,10019-953-01 [100951],MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],85.8,,1.33,73.788,84
NDC,10019-953-62 [155116],MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],85.8,,1.33,73.788,84
NDC,10019-955-01 [104514],CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],1199.85,,0.62,1031.871,86
NDC,10019-955-50 [168558],CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],1199.85,,0.62,1031.871,86
NDC,10019-956-16 [168559],CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],1538.05,,0.62,1322.723,86
NDC,10019-956-16 [168559],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],1538.05,,0.62,1322.723,86
NDC,10019-956-16 [168559],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],1538.05,,0.62,1322.723,86
NDC,10019-957-01 [104516],CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],4799.35,,0.62,4127.441,86
NDC,10019-957-01 [104516],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],4799.35,,0.62,4127.441,86
NDC,10019-957-01 [104516],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],4799.35,,0.62,4127.441,86
NDC,10019-957-11 [168560],CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],4799.35,,0.62,4127.441,86
NDC,10019-957-11 [168560],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],4799.35,,0.62,4127.441,86
NDC,10019-957-11 [168560],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],4799.35,,0.62,4127.441,86
NDC,10019-991-01 [357275],BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],216.55,,1.59,186.233,84
NDC,10019-991-01 [357275],BORTEZOMIB IV INJ 1 MG/ML INJECTION [40800000444],216.55,,1.59,186.233,84
NDC,10019-991-01 [357275],BORTEZOMIB SUBCUTANEOUS 1 MG/ML INJECTION [40800002483],216.55,,1.59,186.233,84
NDC,10019-991-01 [357275],BORTEZOMIB SUBCUTANEOUS INJ 2.5 MG/ML [40800000445],216.55,,1.59,186.233,84
NDC,1011900252 [33365],SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN [10782],15.85,,4.438,13.631,83
NDC,1011902239 [310452],WHITE PETROLATUM-MINERAL OIL 80 %-20 % EYE OINTMENT [128497],34.8,,9.744,29.928,83
NDC,1011902239 [310452],WHITE PETROLATUM-MINERAL OIL OPHTHALMIC OINTMENT CONTAINER [40800002898],34.8,,9.744,29.928,83
NDC,10122-620-01 [305011],CANGRELOR 10 MG/ML INTRAVENOUS SOLUTION [40800003833],3440.65,,20.02,2958.959,85
NDC,10122-620-01 [305011],CANGRELOR 50 MG INTRAVENOUS SOLUTION [173891],3440.65,,20.02,2958.959,85
NDC,10122-620-10 [305012],CANGRELOR 50 MG INTRAVENOUS SOLUTION [173891],3440.65,,20.02,2958.959,85
NDC,10135-101-02 [33422],BENZOIN COMPOUND TOPICAL TINCTURE [124151],9.5,,2.66,8.17,83
NDC,10135-367-01 [186364],PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],1.65,,0.462,1.419,83
NDC,10147-0150-1 [313243],ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],947.6,,265.328,814.936,83
NDC,10223-0201-3 [33979],BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY [9328],460.3,,128.884,395.858,83
NDC,10370-101-03 [168588],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",3.95,,1.106,3.397,83
NDC,10370-102-03 [146335],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",4.75,,1.33,4.085,83
NDC,10370-116-10 [202509],"ZOLPIDEM ER 12.5 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42678]",4.85,,1.358,4.171,83
NDC,10370-117-10 [207068],"ZOLPIDEM ER 6.25 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42677]",4.85,,1.358,4.171,83
NDC,10370-268-01 [226040],TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],92.3,,25.844,79.378,83
NDC,10370-831-09 [294934],"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",6.3,,1.764,5.418,83
NDC,10481-3008-1 [34289],TRICHLOROACETIC ACID 80 % TOPICAL SOLUTION [11589],192.2,,53.816,165.292,83
NDC,10511-3001-2 [310453],HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION [106120],4422.6,,1238.328,3803.436,84
NDC,10572-100-01 [179200],PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION [10839],80.1,,22.428,68.886,83
NDC,10572-100-01 [179200],PEG-ELECTROLYTE ORAL SOLUTION CONTAINER [40800003811],80.1,,22.428,68.886,83
NDC,10631-206-01 [123929],METFORMIN 500 MG/5 ML ORAL SOLUTION [37125],543.5,,152.18,467.41,83
NDC,10631-206-02 [123930],METFORMIN 500 MG/5 ML ORAL SOLUTION [37125],2179.7,,610.316,1874.542,83
NDC,10631-407-01 [123933],HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],240.25,,67.27,206.615,83
NDC,10702-002-01 [146340],PROMETHAZINE 12.5 MG TABLET [6621],1.65,,0.462,1.419,83
NDC,10702-006-01 [239084],CYCLOBENZAPRINE 5 MG TABLET [35184],1.65,,0.462,1.419,83
NDC,10702-008-01 [186422],OXYCODONE 15 MG TABLET [28899],2.85,,0.798,2.451,83
NDC,10702-009-01 [186423],OXYCODONE 30 MG TABLET [28900],3.6,,1.008,3.096,83
NDC,10702-011-01 [146344],HYDROXYZINE HCL 25 MG TABLET [3774],1.65,,0.462,1.419,83
NDC,10702-018-01 [186424],OXYCODONE 5 MG TABLET [10814],2.85,,0.798,2.451,83
NDC,10702-055-01 [301456],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG TABLET [10204],6.75,,1.89,5.805,83
NDC,10702-055-03 [301457],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG TABLET [10204],6.8,,1.904,5.848,83
NDC,10702-056-01 [186425],OXYCODONE 10 MG TABLET [87795],2.85,,0.798,2.451,83
NDC,10702-070-01 [233048],OXYMORPHONE 5 MG TABLET [76675],6.05,,1.694,5.203,83
NDC,10702-070-06 [310460],OXYMORPHONE 5 MG TABLET [76675],9.25,,2.59,7.955,83
NDC,10702-071-01 [233049],OXYMORPHONE 10 MG TABLET [76676],13.05,,3.654,11.223,83
NDC,10702-071-06 [310461],OXYMORPHONE 10 MG TABLET [76676],20.85,,5.838,17.931,83
NDC,10702-076-01 [277157],"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE [15500]",4.0,,1.12,3.44,83
NDC,10702-100-01 [299141],METHYLPHENIDATE 5 MG TABLET [4988],2.85,,0.798,2.451,83
NDC,10702-102-01 [299143],METHYLPHENIDATE 20 MG TABLET [4987],2.85,,0.798,2.451,83
NDC,10702-150-16 [297164],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION [3724],136.55,,38.234,117.433,83
NDC,10702-170-01 [319911],DESMOPRESSIN 0.2 MG TABLET [16053],2.3,,0.644,1.978,83
NDC,10702-185-01 [307851],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],2.85,,0.798,2.451,83
NDC,10702-190-01 [302357],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],2.85,,0.798,2.451,83
NDC,10702-191-01 [302360],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],2.85,,0.798,2.451,83
NDC,10702-201-01 [304206],OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],1.65,,0.462,1.419,83
NDC,10702-237-01 [309047],URSODIOL 300 MG CAPSULE [11624],3.75,,1.05,3.225,83
NDC,10702-808-03 [354998],CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [35209],207.25,,58.03,178.235,83
NDC,10819-3883-1 [270385],POVIDONE-IODINE 10 % TOPICAL PADS [128531],1.65,,0.462,1.419,83
NDC,10819-3885-1 [269374],POVIDONE-IODINE 10 % TOPICAL SWAB [27886],1.65,,0.462,1.419,83
NDC,10819-3885-2 [270386],POVIDONE-IODINE 10 % TOPICAL SWAB [27886],1.65,,0.462,1.419,83
NDC,1116904904 [328064],DEXTROMETHORPHAN HBR 10 MG/5 ML ORAL LIQUID [27328],27.5,,7.7,23.65,83
NDC,11523-1167-6 [247892],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],29.0,,8.12,24.94,83
NDC,11523-4328-1 [239107],LORATADINE 5 MG CHEWABLE TABLET [77516],4.3,,1.204,3.698,83
NDC,11523-4328-2 [239108],LORATADINE 5 MG CHEWABLE TABLET [77516],4.15,,1.162,3.569,83
NDC,11523-4328-3 [239109],LORATADINE 5 MG CHEWABLE TABLET [77516],3.25,,0.91,2.795,83
NDC,11523-7234-1 [277086],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],4.2,,1.176,3.612,83
NDC,11523-7268-8 [193547],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],5.4,,1.512,4.644,83
NDC,1152372688 [380061],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],1.65,,0.462,1.419,83
NDC,11527-704-42 [335670],SODIUM FLUORIDE 1.1 %-POTASSIUM NITRATE 5 % DENTAL PASTE [76540],50.75,,14.21,43.645,83
NDC,11527-745-34 [343171],SODIUM FLUORIDE 1.1 %-POTASSIUM NITRATE 5 % DENTAL PASTE [76540],50.75,,14.21,43.645,83
NDC,11534-165-01 [282224],FOLIC ACID 1 MG TABLET [3233],1.65,,0.462,1.419,83
NDC,11534-190-01 [333760],DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [124596],4.1,,1.148,3.526,83
NDC,1170103133 [35451],WOUND DRESSINGS TOPICAL PASTE [124167],48.55,,13.594,41.753,83
NDC,11788-008-01 [327185],IBUPROFEN 400 MG TABLET [3843],1.65,,0.462,1.419,83
NDC,1184506011 [306891],VITAMIN B COMPLEX CAPSULE [804],1.65,,0.462,1.419,83
NDC,1184509151 [239142],"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",1.65,,0.462,1.419,83
NDC,11994-011-01 [271564],PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [31270],1125.65,,41.2,968.059,84
NDC,11994-011-04 [37098],PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [31270],1125.65,,41.2,968.059,84
NDC,11994-011-16 [248613],PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [31270],1138.55,,41.2,979.153,84
NDC,11994-090-01 [302243],SODIUM PERTECHNETATE INJECTION [40800003021],7.0,,1.96,6.02,83
NDC,12165-100-01 [311433],SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [11359],1.65,,0.462,1.419,83
NDC,12496-0757-1 [37695],BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [126977],59.7,,4.13,51.342,84
NDC,12496-0757-5 [271566],BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [126977],59.7,,4.13,51.342,84
NDC,1254717021 [37805],DIPHENHYDRAMINE 25 MG CAPSULE [2509],1.65,,0.462,1.419,83
NDC,1254717167 [37817],DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM [16299],18.0,,5.04,15.48,83
NDC,1284351673 [127513],MAGNESIUM 500 MG (AS MAGNESIUM OXIDE) TABLET [4717],1.65,,0.462,1.419,83
NDC,12870-0001-1 [271571],SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [11359],35.8,,10.024,30.788,83
NDC,12870-0001-2 [271572],SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [11359],3.35,,0.938,2.881,83
NDC,12877-430-01 [302240],IODINE-131 SODIUM IODIDE SOLUTION (DIAGNOSTIC) [40800003015],151.0,,42.28,129.86,83
NDC,12877-430-01 [302240],IODINE-131 SODIUM IODIDE SOLUTION (TREATMENT) [40800003100],151.0,,20.77,129.86,85
NDC,13107-001-30 [259612],MIRTAZAPINE 7.5 MG TABLET [38421],5.15,,1.442,4.429,83
NDC,13107-003-34 [196984],MIRTAZAPINE 30 MG TABLET [17465],1.8,,0.504,1.548,83
NDC,13107-014-01 [277307],GLYCOPYRROLATE 1 MG TABLET [10130],2.1,,0.588,1.806,83
NDC,13107-020-01 [226836],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],3.3,,0.924,2.838,83
NDC,13107-031-34 [196985],MIRTAZAPINE 15 MG TABLET [17466],1.65,,0.462,1.419,83
NDC,13107-156-30 [210076],PAROXETINE 30 MG TABLET [10856],1.65,,0.462,1.419,83
NDC,13267-123-23 [248633],FLUDEOXYGLUCOSE F-18 20 MCI TO 300 MCI/ML INTRAVENOUS SOLUTION [132453],994.0,,278.32,854.84,83
NDC,13517-111-01 [294947],PHENOBARBITAL 32.4 MG TABLET [6217],3.8,,1.064,3.268,83
NDC,13517-112-01 [294949],PHENOBARBITAL 64.8 MG TABLET [6219],4.45,,1.246,3.827,83
NDC,13533-602-50 [290971],ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],7518.45,,4.09,6465.867,86
NDC,13533-605-21 [290972],ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION [9116],7518.45,,4.09,6465.867,86
NDC,13533-634-02 [124367],TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [128645],1990.6,,557.368,1711.916,86
NDC,13533-705-01 [304262],"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION [184239]",2031.15,,0.52,1746.789,86
NDC,13533-705-11 [304263],"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION [184239]",2031.15,,0.52,1746.789,86
NDC,13533-800-20 [202557],IMMUNE GLOB G (GAMUNEX-C) (10%)-GLY-IGA AVE 46 MCG/ML INJ CONTAINER [40800002997],2509.45,,48.03,2158.127,86
NDC,13533-800-20 [202557],IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [130140],2509.45,,48.03,2158.127,86
NDC,13533-800-21 [259646],IMMUNE GLOB G (GAMUNEX-C) (10%)-GLY-IGA AVE 46 MCG/ML INJ CONTAINER [40800002997],2509.45,,48.03,2158.127,86
NDC,13533-800-21 [259646],IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [130140],2509.45,,48.03,2158.127,86
NDC,13533-800-24 [202558],IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [107754],10037.7,,48.03,8632.422,86
NDC,13533-800-25 [239274],IMMUNE GLOB G (GAMUNEX-C) (10%)-GLY-IGA AVE 46 MCG/ML INJ CONTAINER [40800002997],10037.7,,48.03,8632.422,86
NDC,13533-800-25 [239274],IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [107754],10037.7,,48.03,8632.422,86
NDC,13533-800-40 [265189],IMMUNE GLOB G (GAMUNEX-C) (10%)-GLY-IGA AVE 46 MCG/ML INJ CONTAINER [40800002997],20075.35,,48.03,17264.801,86
NDC,13533-800-40 [265189],IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [166342],20075.35,,48.03,17264.801,86
NDC,13533-800-41 [265190],IMMUNE GLOB G (GAMUNEX-C) (10%)-GLY-IGA AVE 46 MCG/ML INJ CONTAINER [40800002997],20075.35,,48.03,17264.801,86
NDC,13533-800-41 [265190],IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [166342],20075.35,,48.03,17264.801,86
NDC,13533-800-71 [202559],IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [107753],5018.85,,48.03,4316.211,86
NDC,13533-800-72 [239275],IMMUNE GLOB G (GAMUNEX-C) (10%)-GLY-IGA AVE 46 MCG/ML INJ CONTAINER [40800002997],5018.85,,48.03,4316.211,86
NDC,13533-800-72 [239275],IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [107753],5018.85,,48.03,4316.211,86
NDC,13668-007-01 [163696],ZOLPIDEM 5 MG TABLET [11701],2.85,,0.798,2.451,83
NDC,13668-008-01 [163701],ZOLPIDEM 10 MG TABLET [11700],2.85,,0.798,2.451,83
NDC,13668-009-01 [155563],CITALOPRAM 10 MG TABLET [30264],1.65,,0.462,1.419,83
NDC,13668-009-05 [155564],CITALOPRAM 10 MG TABLET [30264],1.65,,0.462,1.419,83
NDC,13668-010-01 [155567],CITALOPRAM 20 MG TABLET [21062],1.65,,0.462,1.419,83
NDC,13668-011-01 [155571],CITALOPRAM 40 MG TABLET [23490],1.65,,0.462,1.419,83
NDC,13668-015-12 [176558],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,13668-019-90 [210099],"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",2.4,,0.672,2.064,83
NDC,13668-091-90 [196990],PRAMIPEXOLE 0.125 MG TABLET [21287],1.65,,0.462,1.419,83
NDC,13668-093-90 [196994],PRAMIPEXOLE 0.5 MG TABLET [22719],1.65,,0.462,1.419,83
NDC,13668-094-90 [196996],PRAMIPEXOLE 1 MG TABLET [21288],1.65,,0.462,1.419,83
NDC,13668-136-01 [226851],ESCITALOPRAM 10 MG TABLET [33512],1.65,,0.462,1.419,83
NDC,13668-190-30 [277321],"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",4.75,,1.33,4.085,83
NDC,13668-190-90 [277322],"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",4.75,,1.33,4.085,83
NDC,13668-330-01 [259657],TRAZODONE 50 MG TABLET [8085],1.65,,0.462,1.419,83
NDC,13668-330-05 [259658],TRAZODONE 50 MG TABLET [8085],1.65,,0.462,1.419,83
NDC,13668-442-01 [298072],CELECOXIB 200 MG CAPSULE [24501],2.85,,0.798,2.451,83
NDC,13668-453-01 [304268],ANAGRELIDE 0.5 MG CAPSULE [20446],3.95,,1.106,3.397,83
NDC,13668-462-01 [304269],ANAGRELIDE 1 MG CAPSULE [20447],8.5,,2.38,7.31,83
NDC,13668-484-50 [288397],MINOCYCLINE 100 MG CAPSULE [5110],2.2,,0.616,1.892,83
NDC,13668-566-30 [320881],TADALAFIL 5 MG TABLET [37400],1.65,,0.462,1.419,83
NDC,13668-591-80 [349911],APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,84
NDC,13668-591-81 [342250],APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,84
NDC,13668-591-82 [342251],APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,84
NDC,13668-592-84 [342252],APREPITANT 80 MG CAPSULE [35488],534.1,,2.72,459.326,84
NDC,13668-592-85 [360266],APREPITANT 80 MG CAPSULE [35488],534.1,,2.72,459.326,84
NDC,13668-592-86 [342253],APREPITANT 80 MG CAPSULE [35488],534.05,,2.72,459.283,84
NDC,13668-593-80 [348897],APREPITANT 125 MG CAPSULE [35489],834.45,,2.72,717.627,84
NDC,13668-593-86 [342254],APREPITANT 125 MG CAPSULE [35489],834.45,,2.72,717.627,84
NDC,13668-606-01 [339358],ERYTHROMYCIN 250 MG TABLET [2889],11.65,,3.262,10.019,83
NDC,13668-606-30 [355737],ERYTHROMYCIN 250 MG TABLET [2889],18.65,,5.222,16.039,83
NDC,13668-682-12 [371206],SORAFENIB 200 MG TABLET [43675],155.5,,43.54,133.73,83
NDC,13668-720-90 [381193],ROSUVASTATIN 5 MG TABLET [36612],1.65,,0.462,1.419,83
NDC,13811-701-10 [292597],"HYDROMORPHONE ER 8 MG TABLET,EXTENDED RELEASE 24 HR [103926]",37.75,,10.57,32.465,83
NDC,13811-702-10 [292598],"HYDROMORPHONE ER 12 MG TABLET,EXTENDED RELEASE 24 HR [103927]",45.6,,12.768,39.216,83
NDC,13811-703-10 [292599],"HYDROMORPHONE ER 16 MG TABLET,EXTENDED RELEASE 24 HR [103928]",60.35,,16.898,51.901,83
NDC,13811-706-10 [300677],"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR [28750]",4.7,,1.316,4.042,83
NDC,13811-708-10 [300679],"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR [28751]",4.95,,1.386,4.257,83
NDC,13811-719-10 [323549],NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],6.7,,1.876,5.762,83
NDC,13925-515-01 [334546],PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],473.4,,132.552,407.124,83
NDC,13925-515-01 [334546],PENTAMIDINE INJ 100 MG/ML [40800000433],473.4,,132.552,407.124,83
NDC,13925-515-10 [319931],PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],473.4,,132.552,407.124,83
NDC,13925-515-10 [319931],PENTAMIDINE INJ 100 MG/ML [40800000433],473.4,,132.552,407.124,83
NDC,13925-522-01 [328076],PENTAMIDINE 300 MG SOLUTION FOR INHALATION [28235],473.4,,82.37,407.124,84
NDC,1442800944 [226891],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],7.45,,2.086,6.407,83
NDC,14789-015-05 [300682],ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [123981],1965.6,,550.368,1690.416,83
NDC,14789-015-07 [326076],ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [123981],1965.6,,550.368,1690.416,83
NDC,14789-107-05 [347880],POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11077],85.45,,0.17,73.487,84
NDC,14789-107-08 [347881],POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11077],85.45,,0.17,73.487,84
NDC,14789-116-05 [355021],ERYTHROMYCIN LACTOBIONATE 50 MG/ML INJ [40800000061],655.2,,75.05,563.472,84
NDC,14789-116-05 [355021],ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],655.2,,75.05,563.472,84
NDC,14789-116-07 [355022],ERYTHROMYCIN LACTOBIONATE 50 MG/ML INJ [40800000061],655.2,,75.05,563.472,84
NDC,14789-116-07 [355022],ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [2903],655.2,,75.05,563.472,84
NDC,14789-122-05 [373561],FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],895.65,,250.782,770.259,83
NDC,14789-122-07 [373562],FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],895.65,,250.782,770.259,83
NDC,14789-135-05 [401281],TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION [12935],819.0,,229.32,704.34,86
NDC,14789-135-07 [401282],TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION [12935],819.0,,229.32,704.34,86
NDC,14789-136-05 [372433],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],61.65,,0.17,53.019,84
NDC,14789-136-07 [372434],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],61.65,,0.17,53.019,84
NDC,14789-137-05 [372435],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],72.1,,0.17,62.006,84
NDC,14789-137-07 [372436],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],72.1,,0.17,62.006,84
NDC,14789-251-10 [366169],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [197116],119.25,,33.39,102.555,83
NDC,14789-600-07 [331368],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],1841.95,,5.86,1584.077,84
NDC,14789-600-10 [314814],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],1841.95,,5.86,1584.077,84
NDC,14789-700-07 [318899],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],57.25,,2.52,49.235,84
NDC,15054-0043-1 [302374],IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [175533],10001.65,,65.26,8601.419,86
NDC,15054-0500-1 [186707],ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION [99465],2673.2,,8.9,2298.952,86
NDC,15054-0530-6 [197071],ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION [106761],1604.55,,8.9,1379.913,86
NDC,15054-1060-4 [326078],LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE [88570],19224.0,,35.72,16532.64,86
NDC,15054-1090-4 [326079],LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE [87860],25599.6,,35.72,22015.656,86
NDC,15054-1120-4 [326080],LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [87861],30190.0,,35.72,25963.4,86
NDC,16252-539-01 [146811],ISRADIPINE 2.5 MG CAPSULE [10362],6.85,,1.918,5.891,83
NDC,16252-540-01 [146812],ISRADIPINE 5 MG CAPSULE [10363],10.05,,2.814,8.643,83
NDC,1650053502 [186736],CALCIUM 200 MG (AS CITRATE)-VITAMIN D3 6.25 MCG (250 UNIT) TABLET [97353],1.65,,0.462,1.419,83
NDC,1650053503 [186737],CALCIUM 200 MG (AS CITRATE)-VITAMIN D3 6.25 MCG (250 UNIT) TABLET [97353],1.65,,0.462,1.419,83
NDC,16571-126-06 [338429],TOLTERODINE 1 MG TABLET [22782],3.95,,1.106,3.397,83
NDC,16571-127-06 [338430],TOLTERODINE 2 MG TABLET [22783],3.95,,1.106,3.397,83
NDC,16571-128-48 [372450],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],24.3,,6.804,20.898,83
NDC,16571-401-10 [193627],CETIRIZINE 5 MG TABLET [15349],1.65,,0.462,1.419,83
NDC,16571-413-05 [186748],CIPROFLOXACIN 750 MG TABLET [25120],2.4,,0.672,2.064,83
NDC,16571-667-01 [338431],PHENOBARBITAL 64.8 MG TABLET [6219],2.85,,0.798,2.451,83
NDC,16571-673-01 [338436],PHENOBARBITAL 32.4 MG TABLET [6217],2.85,,0.798,2.451,83
NDC,16571-708-06 [349916],TOPIRAMATE 200 MG TABLET [18921],1.65,,0.462,1.419,83
NDC,16571-716-01 [359274],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,16571-716-50 [359276],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,16571-723-48 [347892],MAFENIDE 85 MG/G TOPICAL CREAM [10478],1634.6,,457.688,1405.756,83
NDC,16571-723-60 [347893],MAFENIDE 85 MG/G TOPICAL CREAM [10478],248.6,,69.608,213.796,83
NDC,16571-740-24 [343185],NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],4680.4,,1310.512,4025.144,83
NDC,16571-754-53 [352596],"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [38701]",137.15,,38.402,117.949,83
NDC,16571-758-09 [354006],NATEGLINIDE 60 MG TABLET [29437],2.4,,0.672,2.064,83
NDC,16571-769-24 [358073],ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION [34897],328.3,,91.924,282.338,83
NDC,16571-775-01 [354016],GLIMEPIRIDE 4 MG TABLET [16357],1.65,,0.462,1.419,83
NDC,16571-782-01 [351763],CYCLOBENZAPRINE 5 MG TABLET [35184],1.65,,0.462,1.419,83
NDC,16571-783-01 [351766],CYCLOBENZAPRINE 10 MG TABLET [2017],1.65,,0.462,1.419,83
NDC,16571-788-50 [351772],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,16571-790-06 [351775],"LEVETIRACETAM 1,000 MG TABLET [70773]",1.65,,0.462,1.419,83
NDC,16571-804-13 [352600],ZOLMITRIPTAN 5 MG TABLET [22219],11.0,,3.08,9.46,83
NDC,16571-805-01 [355032],CYPROHEPTADINE 4 MG TABLET [2033],1.65,,0.462,1.419,83
NDC,16571-834-01 [361196],AMANTADINE HCL 100 MG CAPSULE [364],1.65,,0.462,1.419,83
NDC,16571-862-03 [358074],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.65,,0.462,1.419,83
NDC,16571-863-03 [358077],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",1.65,,0.462,1.419,83
NDC,16571-869-01 [358086],GABAPENTIN 400 MG CAPSULE [18307],1.65,,0.462,1.419,83
NDC,16714-729-02 [302382],DESONIDE 0.05 % TOPICAL CREAM [2291],531.05,,148.694,456.703,83
NDC,16714-974-02 [330452],MOMETASONE 0.1 % TOPICAL CREAM [10646],103.0,,28.84,88.58,83
NDC,16714-986-04 [357315],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],1.65,,0.462,1.419,83
NDC,16729-001-01 [170009],GLIMEPIRIDE 1 MG TABLET [16355],1.65,,0.462,1.419,83
NDC,16729-002-01 [170010],GLIMEPIRIDE 2 MG TABLET [16356],1.65,,0.462,1.419,83
NDC,16729-005-15 [176700],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,16729-006-15 [176703],SIMVASTATIN 40 MG TABLET [11366],1.65,,0.462,1.419,83
NDC,16729-019-01 [180071],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.95,,0.16,1.677,84
NDC,16729-019-16 [180072],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.95,,0.16,1.677,84
NDC,16729-021-15 [233421],PIOGLITAZONE 30 MG TABLET [25529],1.65,,0.462,1.419,83
NDC,16729-022-15 [233424],PIOGLITAZONE 45 MG TABLET [25530],1.65,,0.462,1.419,83
NDC,16729-023-10 [180074],BICALUTAMIDE 50 MG TABLET [15746],3.6,,1.008,3.096,83
NDC,16729-035-10 [197385],ANASTROZOLE 1 MG TABLET [16205],1.65,,0.462,1.419,83
NDC,16729-035-15 [204704],ANASTROZOLE 1 MG TABLET [16205],1.65,,0.462,1.419,83
NDC,16729-041-01 [216579],"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",1.65,,0.15,1.419,84
NDC,16729-042-01 [216580],TACROLIMUS 1 MG CAPSULE FOR SUBLINGUAL USE [40800002961],2.8,,0.15,2.408,84
NDC,16729-042-01 [216580],"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",2.8,,0.15,2.408,84
NDC,16729-043-01 [216581],"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE [12934]",13.85,,0.15,11.911,84
NDC,16729-048-54 [294975],TEMOZOLOMIDE 5 MG CAPSULE [25892],12.6,,0.36,10.836,84
NDC,16729-049-54 [294977],TEMOZOLOMIDE 20 MG CAPSULE [25893],29.1,,0.36,25.026,84
NDC,16729-050-54 [294979],TEMOZOLOMIDE 100 MG CAPSULE [25894],85.8,,0.36,73.788,84
NDC,16729-051-53 [294980],TEMOZOLOMIDE 250 MG CAPSULE [25895],175.55,,0.36,150.973,84
NDC,16729-073-29 [277371],CAPECITABINE 500 MG TABLET [22994],4.85,,0.03,4.171,86
NDC,16729-079-01 [239385],"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",3.0,,0.84,2.58,83
NDC,16729-089-10 [248943],FINASTERIDE 1 MG TABLET [22243],1.65,,0.462,1.419,83
NDC,16729-090-01 [197386],FINASTERIDE 5 MG TABLET [10037],1.65,,0.462,1.419,83
NDC,16729-090-15 [197388],FINASTERIDE 5 MG TABLET [10037],1.65,,0.462,1.419,83
NDC,16729-094-01 [180075],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],1.65,,0.16,1.419,84
NDC,16729-094-16 [180076],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],1.65,,0.16,1.419,84
NDC,16729-108-11 [180077],MITOMYCIN 0.5 MG/ML INJ CONTAINER [40800000212],2070.4,,28.27,1780.544,86
NDC,16729-108-11 [180077],MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],2070.4,,28.27,1780.544,86
NDC,16729-108-11 [180077],MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],2070.4,,28.27,1780.544,86
NDC,16729-108-11 [180077],MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],2070.4,,28.27,1780.544,86
NDC,16729-108-11 [180077],MITOMYCIN HIPEC 0.5 MG/ML INJ CONTAINER [40800000749],2070.4,,28.27,1780.544,86
NDC,16729-114-08 [277372],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],176.75,,1.3,152.005,84
NDC,16729-114-11 [277373],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],337.45,,1.3,290.207,84
NDC,16729-114-31 [207207],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],39.7,,1.3,34.142,84
NDC,16729-115-05 [180078],MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],797.0,,28.27,685.42,86
NDC,16729-116-38 [207208],MITOMYCIN 0.5 MG/ML INJ CONTAINER [40800000212],4140.75,,28.27,3561.045,86
NDC,16729-116-38 [207208],MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],4140.75,,28.27,3561.045,86
NDC,16729-116-38 [207208],MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],4140.75,,28.27,3561.045,86
NDC,16729-116-38 [207208],MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],4140.75,,28.27,3561.045,86
NDC,16729-116-38 [207208],MITOMYCIN HIPEC 0.5 MG/ML INJ CONTAINER [40800000749],4140.75,,28.27,3561.045,86
NDC,16729-129-54 [294982],TEMOZOLOMIDE 140 MG CAPSULE [81461],124.25,,0.36,106.855,84
NDC,16729-130-54 [294984],TEMOZOLOMIDE 180 MG CAPSULE [81462],161.8,,0.36,139.148,84
NDC,16729-136-00 [210305],CLONAZEPAM 0.5 MG TABLET [9637],2.85,,0.798,2.451,83
NDC,16729-137-00 [210307],CLONAZEPAM 1 MG TABLET [9638],2.85,,0.798,2.451,83
NDC,16729-151-31 [239389],TOPOTECAN 1 MG/ML INJECTION CONTAINER [40800000312],458.65,,1.34,394.439,84
NDC,16729-151-31 [239389],TOPOTECAN 4 MG INTRAVENOUS SOLUTION [17285],458.65,,1.34,394.439,84
NDC,16729-151-31 [239389],TOPOTECAN INTRAVITREAL INJ 1000 MCG/ML (MAX CONC) [40840005239],458.65,,1.34,394.439,84
NDC,16729-171-01 [271799],AMITRIPTYLINE 10 MG TABLET [432],1.65,,0.462,1.419,83
NDC,16729-175-01 [271806],AMITRIPTYLINE 100 MG TABLET [433],1.65,,0.462,1.419,83
NDC,16729-182-01 [239390],HYDROCHLOROTHIAZIDE 12.5 MG TABLET [76988],1.65,,0.462,1.419,83
NDC,16729-182-17 [239391],HYDROCHLOROTHIAZIDE 12.5 MG TABLET [76988],1.65,,0.462,1.419,83
NDC,16729-183-01 [239392],HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],1.65,,0.462,1.419,83
NDC,16729-184-01 [239394],HYDROCHLOROTHIAZIDE 50 MG TABLET [3721],1.65,,0.462,1.419,83
NDC,16729-200-01 [292620],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,16729-201-01 [292622],BUSPIRONE 7.5 MG TABLET [29967],1.65,,0.462,1.419,83
NDC,16729-202-01 [292623],BUSPIRONE 10 MG TABLET [9323],1.65,,0.462,1.419,83
NDC,16729-203-12 [292626],BUSPIRONE 15 MG TABLET [17464],1.65,,0.462,1.419,83
NDC,16729-217-15 [296217],SERTRALINE 100 MG TABLET [11350],1.65,,0.462,1.419,83
NDC,16729-218-10 [239396],CLOPIDOGREL 75 MG TABLET [22142],1.65,,0.462,1.419,83
NDC,16729-221-30 [311456],TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],4695.2,,23.3634,4037.872,86
NDC,16729-223-61 [311457],TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],4695.2,,23.3634,4037.872,86
NDC,16729-224-05 [294989],DECITABINE 5 MG/ML INJ [40800000413],327.6,,1.59,281.736,84
NDC,16729-224-05 [294989],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],327.6,,1.59,281.736,84
NDC,16729-239-30 [294027],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],25.6,,7.168,22.016,83
NDC,16729-239-93 [294028],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],25.6,,7.168,22.016,83
NDC,16729-242-31 [301473],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003391],151.8,,5.2,130.548,84
NDC,16729-242-31 [301473],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],151.8,,5.2,130.548,84
NDC,16729-267-63 [239400],DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [106443],92.7,,0.38,79.722,84
NDC,16729-267-63 [239400],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],92.7,,0.38,79.722,84
NDC,16729-267-64 [239401],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],300.75,,0.38,258.645,84
NDC,16729-267-64 [239401],DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],300.75,,0.38,258.645,84
NDC,16729-275-03 [314837],BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],245.7,,0.17,211.302,84
NDC,16729-275-67 [314838],BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],245.7,,0.17,211.302,84
NDC,16729-276-03 [277376],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],53.05,,1.72,45.623,84
NDC,16729-276-03 [277376],FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],53.05,,1.72,45.623,84
NDC,16729-276-03 [277376],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],53.05,,1.72,45.623,84
NDC,16729-276-11 [259750],FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],102.0,,1.72,87.72,84
NDC,16729-276-11 [259750],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],102.0,,1.72,87.72,84
NDC,16729-276-11 [259750],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],102.0,,1.72,87.72,84
NDC,16729-276-38 [259751],FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],203.95,,1.72,175.397,84
NDC,16729-276-38 [259751],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],203.95,,1.72,175.397,84
NDC,16729-276-38 [259751],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],203.95,,1.72,175.397,84
NDC,16729-276-68 [259753],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],53.05,,1.72,45.623,84
NDC,16729-276-68 [259753],FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],53.05,,1.72,45.623,84
NDC,16729-276-68 [259753],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],53.05,,1.72,45.623,84
NDC,16729-277-35 [259756],METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],127.1,,2.26,109.306,84
NDC,16729-277-35 [259756],METHOTREXATE SODIUM 25 MG/ML INJ CONTAINER [40840000843],127.1,,2.26,109.306,84
NDC,16729-279-10 [294993],ARIPIPRAZOLE 5 MG TABLET [36438],1.65,,0.462,1.419,83
NDC,16729-288-11 [294029],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],66.95,,1.95,57.577,84
NDC,16729-288-11 [294029],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],66.95,,1.95,57.577,84
NDC,16729-288-11 [294029],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML (PEDI) [40840003500],66.95,,1.95,57.577,84
NDC,16729-288-11 [294029],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML [40840002352],66.95,,1.95,57.577,84
NDC,16729-288-38 [294030],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],111.3,,1.95,95.718,84
NDC,16729-288-38 [294030],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],111.3,,1.95,95.718,84
NDC,16729-288-38 [294030],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML (PEDI) [40840003500],111.3,,1.95,95.718,84
NDC,16729-288-38 [294030],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML [40840002352],111.3,,1.95,95.718,84
NDC,16729-293-10 [313274],EPLERENONE 25 MG TABLET [36983],6.65,,1.862,5.719,83
NDC,16729-295-12 [301474],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],163.05,,2.11,140.223,84
NDC,16729-298-05 [291662],ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],24.1,,0.09,20.726,84
NDC,16729-306-10 [316661],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],154.45,,0.21,132.827,84
NDC,16729-318-01 [294033],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",1.65,,0.462,1.419,83
NDC,16729-320-10 [305900],OLMESARTAN 5 MG TABLET [32761],1.65,,0.462,1.419,83
NDC,16729-321-15 [297226],OLMESARTAN 20 MG TABLET [32762],1.65,,0.462,1.419,83
NDC,16729-322-10 [297228],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,16729-322-15 [297229],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,16729-332-05 [309102],OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],171.6,,0.09,147.576,84
NDC,16729-332-05 [309102],OXALIPLATIN 5 MG/ML INJ CONTAINER [40800000056],171.6,,0.09,147.576,84
NDC,16729-332-05 [309102],OXALIPLATIN HIPEC 5 MG/ML INFUSION [40800000339],171.6,,0.09,147.576,84
NDC,16729-351-03 [324625],BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],409.5,,0.68,352.17,86
NDC,16729-351-92 [324626],BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],409.5,,0.68,352.17,86
NDC,16729-443-10 [314841],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.65,,0.462,1.419,83
NDC,16729-443-15 [314842],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.65,,0.462,1.419,83
NDC,16729-451-15 [341357],LEVOTHYROXINE 100 MCG TABLET [4423],1.65,,0.462,1.419,83
NDC,16729-465-03 [357917],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],60.45,,16.926,51.987,83
NDC,16729-465-31 [358101],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],60.45,,16.926,51.987,83
NDC,16729-478-01 [340476],METHYLPHENIDATE 5 MG TABLET [4988],2.85,,0.798,2.451,83
NDC,16729-484-03 [358106],ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],37.15,,0.07,31.949,84
NDC,16729-484-45 [349955],ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],37.15,,0.07,31.949,84
NDC,16729-501-43 [346754],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.75,,0.02,10.965,84
NDC,16729-501-43 [346754],FUROSEMIDE INFUSION 10 MG/ML [40800000767],13.75,,0.02,11.825,84
NDC,16729-501-43 [346754],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],13.75,,0.02,11.825,84
NDC,16729-525-08 [342301],ATROPINE 0.4 MG/ML INJ CONTAINER [40800000729],42.8,,11.984,36.808,83
NDC,16729-525-08 [342301],ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [193546],42.8,,11.984,36.808,83
NDC,16729-525-63 [342302],ATROPINE 0.4 MG/ML INJ CONTAINER [40800000729],42.8,,11.984,36.808,83
NDC,16729-525-63 [342302],ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [193546],42.8,,11.984,36.808,83
NDC,16837-855-16 [330460],FAMOTIDINE 20 MG TABLET [10011],1.75,,0.49,1.505,83
NDC,16837-855-25 [98115],FAMOTIDINE 20 MG TABLET [10011],2.05,,0.574,1.763,83
NDC,16837-872-30 [38715],FAMOTIDINE 10 MG TABLET [15065],1.65,,0.462,1.419,83
NDC,16864-240-01 [310505],"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET [9020]",3.2,,0.896,2.752,83
NDC,17156-021-01 [180096],INDIUM 111-PLATELETS INJECTION [40800002873],6920.0,,1937.6,5951.2,83
NDC,17156-025-05 [344463],KIT FOR PREPARATION OF TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS KIT [98453],292.0,,81.76,1066.8665,84
NDC,17156-026-30 [271820],KIT FOR THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION [170807],100.0,,28.0,86.0,83
NDC,17156-210-01 [204708],IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION [108781],6689.0,,1387.74,5752.54,85
NDC,17156-235-01 [180100],IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLN [98451],13456.0,,2317.5,11572.16,85
NDC,17156-251-08 [216602],PENTETATE INDIUM DISODIUM IN-111 1.5 MCI/1.5 ML INTRATHECAL SOLUTION [113146],6923.0,,745.62,5953.78,85
NDC,17238-900-11 [259759],FLUORESCEIN 1 MG EYE STRIPS [27663],1.65,,0.462,1.419,83
NDC,17238-900-99 [305045],FLUORESCEIN 1 MG EYE STRIPS [27663],1.65,,0.462,1.419,83
NDC,17433-9876-0 [277380],DOCUSATE SODIUM 283 MG/5 ML ENEMA [130835],8.85,,2.478,7.611,83
NDC,17433-9876-3 [139217],DOCUSATE SODIUM 283 MG/5 ML ENEMA [130835],8.85,,2.478,7.611,83
NDC,17478-070-31 [197397],ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],38.75,,10.85,33.325,83
NDC,17478-082-90 [318025],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],122.7,,0.06,105.522,84
NDC,17478-082-90 [318025],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],122.7,,0.06,105.522,84
NDC,17478-082-90 [318025],ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],122.7,,0.06,105.522,84
NDC,17478-201-02 [271823],PHENYLEPHRINE 2.5 % EYE DROPS [6246],111.55,,31.234,95.933,83
NDC,17478-215-15 [271828],ATROPINE 1 % EYE DROPS [736],432.6,,121.128,372.036,83
NDC,17478-253-10 [39262],FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],229.0,,64.12,196.94,83
NDC,17478-283-10 [39266],GENTAMICIN 0.3 % EYE DROPS [3428],59.15,,16.562,50.869,83
NDC,17478-419-40 [227046],CHLOROTHIAZIDE SODIUM 28 MG/ML INJ [40800000310],326.95,,40.38,281.177,84
NDC,17478-540-01 [197399],HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],12.65,,0.09,10.879,84
NDC,17478-705-10 [39288],BETAXOLOL 0.5 % EYE DROPS [9268],174.15,,48.762,149.769,83
NDC,17478-714-10 [121261],CIPROFLOXACIN 0.3 % EYE DROPS [9610],34.2,,9.576,29.412,83
NDC,17478-715-10 [139220],BRIMONIDINE 0.2 % EYE DROPS [17881],56.65,,15.862,48.719,83
NDC,17478-766-10 [227055],PROGESTERONE MICRONIZED 100 MG CAPSULE [23122],2.85,,0.798,2.451,83
NDC,17478-792-01 [233447],LIDOCAINE (PF) 3.5 % EYE GEL [94220],80.2,,22.456,68.972,83
NDC,17478-937-10 [139224],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],12.8,,0.04,11.008,84
NDC,18029-8002-37 [270384],DENTAL SUCTION DEVICE-CHLORHEXIDINE-DENTAL SWAB NO.1 0.12 % KIT [129502],97.6,,27.328,83.936,83
NDC,18657-117-01 [277396],"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",177.45,,0.36,152.607,84
NDC,18657-117-02 [277397],"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",177.45,,0.36,152.607,84
NDC,18657-117-04 [277398],"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION [76338]",177.45,,0.36,152.607,84
NDC,1990301021 [327215],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",20.65,,5.782,17.759,83
NDC,1990301022 [327216],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",35.1,,9.828,30.186,83
NDC,1990301023 [327217],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",20.65,,5.782,17.759,83
NDC,2055500100 [332699],ASCORBIC ACID (VITAMIN C) 250 MG TABLET [663],1.65,,0.462,1.419,83
NDC,2055500301 [335689],"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",1.65,,0.462,1.419,83
NDC,2055501700 [334745],CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 10 MCG (400 UNIT) TABLET [76978],1.65,,0.462,1.419,83
NDC,2055501900 [343207],FERROUS GLUCONATE 324 MG (37.5 MG IRON) TABLET [111196],1.65,,0.462,1.419,83
NDC,2055502101 [344475],FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],1.65,,0.462,1.419,83
NDC,2055503200 [336548],CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],1.65,,0.462,1.419,83
NDC,2055503300 [336549],"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",1.65,,0.462,1.419,83
NDC,2055503600 [337440],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,2055503601 [337441],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,2055503900 [342309],MELATONIN 5 MG TABLET [91665],1.65,,0.462,1.419,83
NDC,2055503901 [345838],MELATONIN 5 MG TABLET [91665],1.65,,0.462,1.419,83
NDC,21922-001-01 [355069],FLUOCINONIDE 0.05 % TOPICAL SOLUTION [3190],68.65,,19.222,59.039,83
NDC,21922-002-01 [328083],CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],57.8,,16.184,49.708,83
NDC,21922-003-01 [328084],FLUOCINOLONE 0.01 % TOPICAL SOLUTION [3186],68.65,,19.222,59.039,83
NDC,21922-016-05 [338471],CLOBETASOL 0.05 % TOPICAL CREAM [9630],38.55,,10.794,33.153,83
NDC,21922-017-07 [330465],CLOBETASOL 0.05 % TOPICAL OINTMENT [9631],68.65,,19.222,59.039,83
NDC,21922-019-52 [391935],TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET [108038],29.7,,8.316,25.542,83
NDC,21922-019-55 [399206],TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET [108038],29.7,,8.316,25.542,83
NDC,21922-021-07 [328087],PERMETHRIN 5 % TOPICAL CREAM [10917],103.0,,28.84,88.58,83
NDC,21922-025-05 [347910],KETOCONAZOLE 2 % TOPICAL CREAM [10368],46.25,,12.95,39.775,83
NDC,21922-025-07 [347911],KETOCONAZOLE 2 % TOPICAL CREAM [10368],82.4,,23.072,70.864,83
NDC,21922-027-05 [344476],CLINDAMYCIN 1 % TOPICAL GEL [9623],33.2,,9.296,28.552,83
NDC,21922-029-05 [350856],MUPIROCIN CALCIUM 2 % TOPICAL CREAM [22251],171.6,,48.048,147.576,83
NDC,21922-036-01 [355765],CLINDAMYCIN 1 % LOTION [19711],85.8,,24.024,73.788,83
NDC,21922-062-04 [378803],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],14.25,,3.99,12.255,83
NDC,21922-063-30 [380099],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],85.7,,23.996,73.702,83
NDC,21922-076-05 [391937],LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],35.55,,9.954,30.573,83
NDC,23155-001-01 [187380],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,23155-002-01 [147411],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,23155-003-01 [147413],HYDRALAZINE 50 MG TABLET [3701],1.65,,0.462,1.419,83
NDC,23155-004-01 [187382],HYDRALAZINE 100 MG TABLET [3699],1.65,,0.462,1.419,83
NDC,23155-009-01 [271852],HYDROCHLOROTHIAZIDE 50 MG TABLET [3721],1.65,,0.462,1.419,83
NDC,23155-017-01 [249152],TETRACYCLINE 250 MG CAPSULE [7796],2.5,,0.7,2.15,83
NDC,23155-023-01 [318837],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,23155-024-01 [318925],BUSPIRONE 10 MG TABLET [9323],1.65,,0.462,1.419,83
NDC,23155-026-01 [207257],VERAPAMIL 80 MG TABLET [8530],1.65,,0.462,1.419,83
NDC,23155-043-03 [204777],LEFLUNOMIDE 10 MG TABLET [23872],3.5,,0.98,3.01,83
NDC,23155-044-03 [204778],LEFLUNOMIDE 20 MG TABLET [23873],3.5,,0.98,3.01,83
NDC,23155-057-01 [207262],GLYBURIDE 2.5 MG TABLET [10126],1.65,,0.462,1.419,83
NDC,23155-070-01 [216781],METHIMAZOLE 5 MG TABLET [10553],1.65,,0.462,1.419,83
NDC,23155-104-01 [197671],"METFORMIN 1,000 MG TABLET [24398]",1.65,,0.462,1.419,83
NDC,23155-166-31 [292639],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",19.45,,5.446,16.727,83
NDC,23155-166-31 [292639],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],19.45,,5.446,16.727,83
NDC,23155-166-31 [292639],TRANEXAMIC ACID NEBULIZER SOLUTION 100 MG/ML [40800003395],19.45,,5.446,16.727,83
NDC,23155-166-41 [292640],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",19.45,,5.446,16.727,83
NDC,23155-166-41 [292640],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],19.45,,5.446,16.727,83
NDC,23155-166-41 [292640],TRANEXAMIC ACID NEBULIZER SOLUTION 100 MG/ML [40800003395],19.45,,5.446,16.727,83
NDC,23155-178-01 [227217],"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",1.9,,0.532,1.634,83
NDC,23155-194-01 [239497],NIFEDIPINE 10 MG CAPSULE [5558],1.85,,0.518,1.591,83
NDC,23155-196-31 [259801],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,23155-196-42 [233859],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,23155-196-43 [259802],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,23155-216-31 [233862],CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],2424.25,,529.38,2084.855,86
NDC,23155-227-01 [249155],ACYCLOVIR 400 MG TABLET [8971],1.65,,0.462,1.419,83
NDC,23155-240-31 [259803],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],10.45,,1.0,8.987,84
NDC,23155-240-41 [259804],METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],10.45,,1.0,8.987,84
NDC,23155-258-32 [349964],ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],291.5,,0.46,250.69,84
NDC,23155-261-31 [249164],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],8640.1,,173.64,7430.486,86
NDC,23155-261-31 [249164],CARMUSTINE 3.3 MG/ML INJ [40800000104],8640.1,,173.64,7430.486,86
NDC,23155-261-41 [239501],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],8640.1,,173.64,7430.486,86
NDC,23155-261-41 [239501],CARMUSTINE 3.3 MG/ML INJ [40800000104],8640.1,,173.64,7430.486,86
NDC,23155-287-01 [294039],ACETAZOLAMIDE 125 MG TABLET [112],1.65,,0.462,1.419,83
NDC,23155-288-01 [294040],ACETAZOLAMIDE 250 MG TABLET [113],1.7,,0.476,1.462,83
NDC,23155-290-31 [259805],AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],35.55,,0.62,30.573,84
NDC,23155-290-31 [259805],AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],35.55,,0.62,30.573,84
NDC,23155-290-32 [259806],"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",55.1,,0.62,47.386,84
NDC,23155-290-32 [259806],AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],55.1,,0.62,47.386,84
NDC,23155-290-41 [259807],AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],35.55,,0.62,30.573,84
NDC,23155-290-41 [259807],AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],35.55,,0.62,30.573,84
NDC,23155-290-42 [259808],"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",55.1,,0.62,47.386,84
NDC,23155-294-31 [259810],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],23.85,,2.52,20.511,84
NDC,23155-294-41 [295011],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],23.85,,2.52,20.511,84
NDC,23155-294-42 [259811],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],24.55,,2.52,21.113,84
NDC,23155-313-31 [355070],ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],126.25,,17.23,108.575,84
NDC,23155-326-31 [383362],IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [100740],977.25,,219.22,840.435,85
NDC,23155-473-32 [271858],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.75,,0.02,10.965,84
NDC,23155-473-42 [271861],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.75,,0.02,10.965,84
NDC,23155-486-01 [311459],VERAPAMIL 120 MG TABLET [8528],2.25,,0.63,1.935,83
NDC,23155-489-01 [310516],DESMOPRESSIN 0.1 MG TABLET [16052],5.0,,1.4,4.3,83
NDC,23155-490-01 [310517],DESMOPRESSIN 0.2 MG TABLET [16053],5.6,,1.568,4.816,83
NDC,23155-497-31 [271863],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],20.3,,2.52,17.458,84
NDC,23155-497-42 [271864],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],20.3,,2.52,17.458,84
NDC,23155-500-01 [277410],HYDROXYZINE HCL 10 MG TABLET [3772],1.65,,0.462,1.419,83
NDC,23155-501-01 [277413],HYDROXYZINE HCL 25 MG TABLET [3774],1.65,,0.462,1.419,83
NDC,23155-512-00 [306902],NIMODIPINE 30 MG CAPSULE [10722],5.7,,1.596,4.902,83
NDC,23155-512-11 [306903],NIMODIPINE 30 MG CAPSULE [10722],5.7,,1.596,4.902,83
NDC,23155-523-31 [277423],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],20.3,,2.52,17.458,84
NDC,23155-523-41 [277424],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],20.3,,2.52,17.458,84
NDC,23155-524-31 [310518],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",25.6,,7.168,22.016,83
NDC,23155-524-31 [310518],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],25.6,,7.168,22.016,83
NDC,23155-547-31 [287400],ONDANSETRON (PF) IVPB 4 MG/2 ML (PEDI < 20.5 KG) (> 4 MG) [40800000078],6.9,,0.09,5.934,84
NDC,23155-547-31 [287400],ONDANSETRON 2 MG/ML INJ CONTAINER (HOME-USE) [40800003392],6.4,,0.09,5.504,84
NDC,23155-547-31 [287400],ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],6.4,,0.09,5.504,84
NDC,23155-547-31 [287400],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,23155-547-41 [280936],ONDANSETRON (PF) IVPB 4 MG/2 ML (PEDI < 20.5 KG) (> 4 MG) [40800000078],6.9,,0.09,5.934,84
NDC,23155-547-41 [280936],ONDANSETRON 2 MG/ML INJ CONTAINER (HOME-USE) [40800003392],6.4,,0.09,5.504,84
NDC,23155-547-41 [280936],ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],6.4,,0.09,5.504,84
NDC,23155-547-41 [280936],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,23155-547-42 [280937],ONDANSETRON (PF) IVPB 4 MG/2 ML (PEDI < 20.5 KG) (> 4 MG) [40800000078],6.9,,0.09,5.934,84
NDC,23155-547-42 [280937],ONDANSETRON 2 MG/ML INJ CONTAINER (HOME-USE) [40800003392],6.4,,0.09,5.504,84
NDC,23155-547-42 [280937],ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],6.4,,0.09,5.504,84
NDC,23155-547-42 [280937],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,23155-548-31 [290001],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,23155-548-41 [280938],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,23155-549-31 [282268],ONDANSETRON 2 MG/ML INJ CONTAINER (HOME-USE) [40800003392],31.2,,0.09,26.832,84
NDC,23155-549-31 [282268],ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],31.2,,0.09,26.832,84
NDC,23155-549-31 [282268],ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],31.2,,0.09,26.832,84
NDC,23155-550-31 [282269],ONDANSETRON 2 MG/ML INJ CONTAINER (HOME-USE) [40800003392],21.9,,0.09,18.834,84
NDC,23155-550-31 [282269],ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],21.9,,0.09,18.834,84
NDC,23155-550-31 [282269],ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],21.9,,0.09,18.834,84
NDC,23155-589-31 [302274],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],8640.1,,173.64,7430.486,86
NDC,23155-600-31 [295014],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,23155-603-51 [313287],CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],142.15,,39.802,122.249,83
NDC,23155-661-31 [355768],ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [123981],458.65,,128.422,394.439,83
NDC,23155-661-42 [355769],ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [123981],458.65,,128.422,394.439,83
NDC,23155-662-01 [309657],CALCITRIOL 0.25 MCG CAPSULE [9350],1.65,,0.462,1.419,83
NDC,23155-663-01 [309659],CALCITRIOL 0.5 MCG CAPSULE [9351],2.05,,0.574,1.763,83
NDC,23155-687-31 [363355],OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],12.75,,0.61,10.965,84
NDC,23155-687-41 [363356],OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],12.75,,0.61,10.965,84
NDC,23155-689-31 [363359],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],62.05,,0.61,53.363,84
NDC,23155-689-31 [363359],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],62.05,,0.61,53.363,84
NDC,23155-689-41 [363360],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],62.05,,0.61,53.363,84
NDC,23155-689-41 [363360],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],62.05,,0.61,53.363,84
NDC,23155-704-01 [336551],ENALAPRIL MALEATE 2.5 MG TABLET [9925],1.65,,0.462,1.419,83
NDC,23155-705-01 [336553],ENALAPRIL MALEATE 5 MG TABLET [9927],1.65,,0.462,1.419,83
NDC,23155-738-01 [346774],TERAZOSIN 10 MG CAPSULE [14552],1.65,,0.462,1.419,83
NDC,23155-748-31 [346776],PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],320.1,,89.628,275.286,83
NDC,23155-748-31 [346776],PENTAMIDINE INJ 100 MG/ML [40800000433],320.1,,89.628,275.286,83
NDC,23155-748-41 [346777],PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],320.1,,89.628,275.286,83
NDC,23155-748-41 [346777],PENTAMIDINE INJ 100 MG/ML [40800000433],320.1,,89.628,275.286,83
NDC,23155-764-01 [369171],HYDROCHLOROTHIAZIDE 12.5 MG TABLET [76988],1.65,,0.462,1.419,83
NDC,23155-766-01 [333810],TETRACYCLINE 250 MG CAPSULE [7796],9.05,,2.534,7.783,83
NDC,23155-772-01 [339391],ENALAPRIL MALEATE 10 MG TABLET [9924],1.65,,0.462,1.419,83
NDC,23155-773-01 [339393],ENALAPRIL MALEATE 20 MG TABLET [9926],1.65,,0.462,1.419,83
NDC,23155-785-31 [344478],AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],26.15,,0.62,22.489,84
NDC,23155-785-41 [344479],AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],26.15,,0.62,22.489,84
NDC,23155-786-31 [344480],"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",42.5,,0.62,36.55,84
NDC,23155-786-41 [344481],"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",42.5,,0.62,36.55,84
NDC,23155-808-01 [355077],CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],2.55,,0.714,2.193,83
NDC,23155-823-73 [358111],CABERGOLINE 0.5 MG TABLET [19226],9.65,,2.702,8.299,83
NDC,23155-833-01 [373593],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,23155-834-01 [373595],HYDRALAZINE 50 MG TABLET [3701],1.65,,0.462,1.419,83
NDC,23155-835-01 [373597],HYDRALAZINE 100 MG TABLET [3699],1.65,,0.462,1.419,83
NDC,23155-837-11 [364317],CYCLOSPORINE MODIFIED 25 MG CAPSULE (NEORAL) [28842],3.05,,0.77,2.623,84
NDC,23155-837-30 [364318],CYCLOSPORINE MODIFIED 25 MG CAPSULE (NEORAL) [28842],3.05,,0.77,2.623,84
NDC,23155-858-78 [372546],VANCOMYCIN 125 MG CAPSULE [11628],12.1,,3.388,10.406,83
NDC,23155-869-31 [372549],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],373.5,,5.86,321.21,84
NDC,23155-869-41 [372550],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],373.5,,5.86,321.21,84
NDC,23155-875-03 [373606],LETROZOLE 2.5 MG TABLET [21509],1.65,,0.462,1.419,83
NDC,23155-884-31 [377515],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",244.7,,0.11,210.442,84
NDC,2390001252 [227240],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],23.85,,6.678,20.511,83
NDC,24201-010-20 [305916],PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION [6097],2785.85,,36.84,2395.831,85
NDC,24201-100-01 [341382],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",66.55,,0.05,57.233,84
NDC,24201-100-24 [341383],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",66.55,,0.05,57.233,84
NDC,24201-201-01 [329748],SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [41793],264.3,,74.004,227.298,83
NDC,24201-201-05 [329749],SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [41793],264.3,,74.004,227.298,83
NDC,24201-237-01 [303349],FLUDARABINE 25 MG/ML INJ CONTAINER [40800000415],360.4,,71.65,309.944,84
NDC,24201-237-01 [303349],FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],360.4,,71.65,309.944,84
NDC,24201-400-02 [346778],CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],2428.8,,680.064,2088.768,83
NDC,24208-040-40 [362317],TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION [198539],5405.4,,1513.512,4648.644,83
NDC,24208-040-41 [362318],TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION [198539],5405.4,,1513.512,4648.644,83
NDC,24208-276-15 [40431],SODIUM CHLORIDE 2 % EYE DROPS [11404],61.4,,17.192,52.804,83
NDC,24208-290-05 [40439],TOBRAMYCIN 0.3 % EYE DROPS [7995],45.3,,12.684,38.958,83
NDC,24208-295-05 [176794],"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [11567]",332.2,,93.016,285.692,83
NDC,24208-299-05 [40440],"LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION [22710]",1057.8,,296.184,909.708,83
NDC,24208-342-05 [40455],DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY [27770],645.4,,180.712,555.044,83
NDC,24208-344-25 [40456],FLUNISOLIDE 25 MCG (0.025 %) NASAL SPRAY [19720],205.8,,57.624,176.988,83
NDC,24208-398-30 [40474],IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY [16070],125.3,,35.084,107.758,83
NDC,24208-410-10 [164195],OFLOXACIN 0.3 % EAR DROPS [22257],842.4,,235.872,724.464,83
NDC,24208-411-05 [40479],BRIMONIDINE 0.2 % EYE DROPS [17881],55.9,,15.652,48.074,83
NDC,24208-411-10 [40480],BRIMONIDINE 0.2 % EYE DROPS [17881],93.55,,26.194,80.453,83
NDC,24208-411-15 [40481],BRIMONIDINE 0.2 % EYE DROPS [17881],150.15,,42.042,129.129,83
NDC,24208-434-05 [104635],OFLOXACIN 0.3 % EYE DROPS [19746],70.2,,19.656,60.372,83
NDC,24208-443-35 [210617],LOTEPREDNOL ETABONATE 0.5 % EYE OINTMENT [110267],1194.25,,334.39,1027.055,83
NDC,24208-457-05 [156896],DICLOFENAC 0.1 % EYE DROPS [19714],53.95,,15.106,46.397,83
NDC,24208-463-25 [204787],LATANOPROST 0.005 % EYE DROPS [18621],61.8,,17.304,53.148,83
NDC,24208-485-10 [193833],DORZOLAMIDE 2 % EYE DROPS [14471],116.7,,32.676,100.362,83
NDC,24208-486-10 [193834],DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],171.6,,48.048,147.576,83
NDC,24208-535-35 [202615],GANCICLOVIR 0.15 % EYE GEL [104575],1563.05,,437.654,1344.223,83
NDC,24208-539-20 [210618],ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT [76641],427.75,,119.77,367.865,83
NDC,24208-555-55 [40498],"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT [856]",78.7,,22.036,67.682,83
NDC,24208-580-60 [40500],GENTAMICIN 0.3 % EYE DROPS [3428],122.6,,34.328,105.436,83
NDC,24208-585-64 [40503],TROPICAMIDE 1 % EYE DROPS [8250],103.0,,28.84,88.58,83
NDC,24208-635-62 [40507],"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP [28810]",274.9,,76.972,236.414,83
NDC,24208-670-04 [40508],SULFACETAMIDE SODIUM 10 % EYE DROPS [7359],167.35,,46.858,143.921,83
NDC,24208-720-02 [40515],DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS [2335],185.0,,51.8,159.1,83
NDC,24208-735-01 [40519],CYCLOPENTOLATE 1 % EYE DROPS [2025],46.65,,13.062,40.119,83
NDC,24208-735-06 [40520],CYCLOPENTOLATE 1 % EYE DROPS [2025],97.3,,27.244,83.678,83
NDC,24208-780-55 [40528],"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [38701]",156.4,,43.792,134.504,83
NDC,24208-795-35 [40531],"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [106249]",61.25,,17.15,52.675,83
NDC,24208-825-55 [40535],ATROPINE 1 % EYE OINTMENT [735],60.1,,16.828,51.686,83
NDC,24208-830-60 [40536],"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS [10708]",61.25,,17.15,52.675,83
NDC,24208-910-19 [40537],ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],38.3,,10.724,32.938,83
NDC,24208-910-55 [40538],ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],58.55,,16.394,50.353,83
NDC,24286-1533-8 [328945],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",28.35,,7.938,24.381,83
NDC,24286-162-40 [328944],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",22.55,,6.314,19.393,83
NDC,24338-102-13 [210619],ERYTHROMYCIN 250 MG TABLET [2889],44.7,,12.516,38.442,83
NDC,24338-130-13 [227276],ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION [2900],2167.35,,606.858,1863.921,83
NDC,24338-260-08 [347914],NIMODIPINE 60 MG/10 ML ORAL SOLUTION [195233],8768.3,,2455.124,7540.738,83
NDC,24357-701-05 [277433],LIDOCAINE 4 % TOPICAL CREAM [23461],16.6,,4.648,14.276,83
NDC,24357-701-30 [187417],LIDOCAINE 4 % TOPICAL CREAM [23461],85.8,,24.024,73.788,83
NDC,24385-210-03 [192272],DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM [16299],9.8,,2.744,8.428,83
NDC,24385-595-23 [40971],"CALCIUM 400 MG (AS CALCIUM CARBONATE 1,000 MG) CHEWABLE TABLET [76968]",1.65,,0.462,1.419,83
NDC,24385-998-74 [192354],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,2438514976 [40679],"LACTASE 3,000 UNIT TABLET [22469]",1.65,,0.462,1.419,83
NDC,24470-917-10 [294046],ERGOTAMINE 1 MG-CAFFEINE 100 MG TABLET [9949],42.8,,11.984,36.808,83
NDC,24510-050-10 [324660],TAPENTADOL 50 MG TABLET [98253],52.8,,14.784,45.408,83
NDC,24510-058-60 [326097],"TAPENTADOL ER 50 MG TABLET,EXTENDED RELEASE,12 HR [110262]",55.2,,15.456,47.472,83
NDC,24510-075-10 [324661],TAPENTADOL 75 MG TABLET [98254],61.5,,17.22,52.89,83
NDC,24510-100-10 [324662],TAPENTADOL 100 MG TABLET [98255],72.75,,20.37,62.565,83
NDC,24510-116-60 [326098],"TAPENTADOL ER 100 MG TABLET,EXTENDED RELEASE,12 HR [110263]",90.15,,25.242,77.529,83
NDC,24689-781-01 [312223],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,24689-907-01 [312225],BUSPIRONE 10 MG TABLET [9323],1.65,,0.462,1.419,83
NDC,24689-961-01 [336564],TERAZOSIN 10 MG CAPSULE [14552],1.65,,0.462,1.419,83
NDC,24979-028-07 [320933],"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",1.65,,0.462,1.419,83
NDC,24979-039-01 [327230],"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",1.65,,0.462,1.419,83
NDC,24979-101-06 [312229],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.65,,0.462,1.419,83
NDC,24979-102-06 [312232],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",1.65,,0.462,1.419,83
NDC,24979-102-07 [312233],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",1.65,,0.462,1.419,83
NDC,24979-710-51 [356658],PACLITAXEL PROTEIN-BOUND INTRA-ARTERIAL INFUSION 5 MG/ML [40800000750],4658.65,,6.02,4006.439,86
NDC,24979-710-51 [356658],PACLITAXEL PROTEIN-BOUND IVPB 5 MG/ML (INGREDIENT) [40800000106],4658.65,,6.02,4006.439,86
NDC,25010-215-15 [227295],ETHACRYNIC ACID 25 MG TABLET [9980],83.9,,23.492,72.154,83
NDC,25021-052-05 [391949],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,25021-053-01 [391950],DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],6.9,,0.12,5.934,84
NDC,25021-106-10 [170310],CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002647],10.55,,0.48,9.073,84
NDC,25021-106-10 [170310],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],10.55,,0.48,9.073,84
NDC,25021-106-10 [170310],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],11.4,,0.48,9.804,84
NDC,25021-106-67 [277444],CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002647],6.4,,0.48,5.504,84
NDC,25021-106-67 [277444],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],6.4,,0.48,5.504,84
NDC,25021-106-67 [277444],CEFTRIAXONE 100 MG/ML INJ CONTAINER [40800000308],6.9,,0.48,5.934,84
NDC,25021-107-20 [170311],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],19.3,,0.48,16.598,84
NDC,25021-107-20 [170311],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],19.3,,0.48,16.598,84
NDC,25021-109-10 [187440],CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003353],26.3,,5.13,22.618,84
NDC,25021-109-10 [187440],CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],26.3,,5.13,22.618,84
NDC,25021-109-10 [187440],CEFOXITIN 95 MG/ML INJ [40800000023],28.45,,5.13,24.467,84
NDC,25021-110-20 [187441],CEFOXITIN 180 MG/ML INJ [40800000024],38.55,,5.13,33.153,84
NDC,25021-110-20 [187441],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003354],35.65,,5.13,30.659,84
NDC,25021-110-20 [187441],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],35.65,,5.13,30.659,84
NDC,25021-114-82 [164222],CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],63.3,,2.32,54.438,84
NDC,25021-114-87 [164223],CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],63.3,,2.32,54.438,84
NDC,25021-114-87 [164223],CIPROFLOXACIN INTRA-CATHETER LOCK SOLUTION 2 MG/ML [40800002658],63.3,,2.32,54.438,84
NDC,25021-115-04 [217146],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],19.15,,1.67,16.469,84
NDC,25021-115-06 [217147],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],25.9,,1.67,22.274,84
NDC,25021-118-10 [170312],CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003367],13.45,,2.29,11.567,84
NDC,25021-118-10 [170312],CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],13.45,,2.29,11.567,84
NDC,25021-121-20 [164224],CEFEPIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002651],26.3,,1.23,22.618,84
NDC,25021-121-20 [164224],CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],26.3,,1.23,22.618,84
NDC,25021-121-20 [164224],CEFEPIME 100 MG/ML INJ [40800000049],28.45,,1.23,24.467,84
NDC,25021-121-20 [164224],CEFEPIME INJ CONTAINER (ONE-STEP) [40800000472],26.3,,1.23,22.618,84
NDC,25021-121-66 [277447],CEFEPIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002651],13.8,,1.23,11.868,84
NDC,25021-121-66 [277447],CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],13.8,,1.23,11.868,84
NDC,25021-121-66 [277447],CEFEPIME 100 MG/ML INJ [40800000049],14.9,,1.23,12.814,84
NDC,25021-121-66 [277447],CEFEPIME INJ CONTAINER (ONE-STEP) [40800000472],13.8,,1.23,11.868,84
NDC,25021-122-50 [164225],CEFEPIME 160 MG/ML INJ FOR CONTINUOUS/HOME-USE INFUSIONS [40800000350],38.55,,1.23,33.153,84
NDC,25021-122-50 [164225],CEFEPIME 160 MG/ML INJ [40800000050],38.55,,1.23,33.153,84
NDC,25021-122-50 [164225],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],35.65,,1.23,30.659,84
NDC,25021-122-50 [164225],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],35.65,,1.23,30.659,84
NDC,25021-122-50 [164225],CEFEPIME INJ CONTAINER (ONE-STEP) [40800000472],35.65,,1.23,30.659,84
NDC,25021-122-67 [277448],CEFEPIME 160 MG/ML INJ FOR CONTINUOUS/HOME-USE INFUSIONS [40800000350],27.05,,1.23,23.263,84
NDC,25021-122-67 [277448],CEFEPIME 160 MG/ML INJ [40800000050],27.05,,1.23,23.263,84
NDC,25021-122-67 [277448],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],25.0,,1.23,21.5,84
NDC,25021-122-67 [277448],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],25.0,,1.23,21.5,84
NDC,25021-122-67 [277448],CEFEPIME INJ CONTAINER (ONE-STEP) [40800000472],25.0,,1.23,21.5,84
NDC,25021-127-20 [170315],CEFTAZIDIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002652],22.8,,1.64,19.608,84
NDC,25021-127-20 [170315],CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],22.8,,1.64,19.608,84
NDC,25021-127-20 [170315],CEFTAZIDIME 100 MG/ML INJ [40800000332],24.65,,1.64,21.199,84
NDC,25021-127-66 [277449],CEFTAZIDIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002652],14.3,,1.64,12.298,84
NDC,25021-127-66 [277449],CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],14.3,,1.64,12.298,84
NDC,25021-127-66 [277449],CEFTAZIDIME 100 MG/ML INJ [40800000332],15.5,,1.64,13.33,84
NDC,25021-128-50 [170316],CEFTAZIDIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002653],39.25,,1.64,33.755,84
NDC,25021-128-50 [170316],CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],39.25,,1.64,33.755,84
NDC,25021-128-67 [277450],CEFTAZIDIME 170 MG/ML INJ [40800000302],28.5,,1.64,24.51,84
NDC,25021-128-67 [277450],CEFTAZIDIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002653],26.35,,1.64,22.661,84
NDC,25021-128-67 [277450],CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],26.35,,1.64,22.661,84
NDC,25021-132-81 [210632],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,25021-132-81 [210632],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,25021-132-81 [210632],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,25021-132-82 [210633],LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,84
NDC,25021-132-82 [210633],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,25021-132-82 [210633],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,25021-132-83 [210634],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],66.8,,1.96,57.448,84
NDC,25021-132-83 [210634],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],66.8,,1.96,57.448,84
NDC,25021-132-83 [210634],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],66.8,,1.96,57.448,84
NDC,25021-137-20 [197718],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],32.85,,0.49,28.251,84
NDC,25021-137-20 [197718],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],32.85,,0.49,28.251,84
NDC,25021-137-20 [197718],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],35.55,,0.49,30.573,84
NDC,25021-137-20 [197718],AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (2 GRAM VIAL) [40800002995],32.85,,0.49,28.251,84
NDC,25021-140-10 [227297],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],36.0,,0.06,30.96,84
NDC,25021-140-10 [227297],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],36.0,,0.06,30.96,84
NDC,25021-140-10 [227297],NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],38.95,,0.06,33.497,84
NDC,25021-142-20 [197720],AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],24.1,,1.49,20.726,84
NDC,25021-143-30 [197721],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],85.9,,1.49,73.874,84
NDC,25021-143-30 [197721],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],85.9,,1.49,73.874,84
NDC,25021-151-20 [373611],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",22.8,,0.03,19.608,84
NDC,25021-151-20 [373611],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",22.8,,0.03,19.608,84
NDC,25021-153-20 [392947],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],48.15,,0.88,41.409,84
NDC,25021-157-99 [227300],VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],171.6,,0.03,147.576,84
NDC,25021-162-24 [227301],OXACILLIN 100 MG/ML INJ CONTAINER [40800000203],34.7,,0.82,29.842,84
NDC,25021-162-24 [227301],OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],32.1,,0.82,27.606,84
NDC,25021-162-24 [227301],OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],32.1,,0.82,27.606,84
NDC,25021-162-68 [318028],OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],32.1,,0.82,27.606,84
NDC,25021-162-68 [318028],OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],32.1,,0.82,27.606,84
NDC,25021-166-48 [210637],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],51.7,,1.11,44.462,84
NDC,25021-169-87 [310524],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],70.8,,3.47,60.888,84
NDC,25021-173-04 [288412],"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",55.1,,0.62,47.386,84
NDC,25021-174-15 [330467],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],59.25,,0.03,50.955,84
NDC,25021-174-16 [330468],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],59.25,,0.03,50.955,84
NDC,25021-174-16 [330468],DAPTOMYCIN INJ 50 MG/ML [40800000042],59.25,,0.03,50.955,84
NDC,25021-180-66 [389154],AZITHROMYCIN 100 MG/ML INJ [40800000019],13.9,,2.61,11.954,84
NDC,25021-180-66 [389154],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],13.9,,2.61,11.954,84
NDC,25021-184-66 [333817],FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],63.3,,2.26,54.438,84
NDC,25021-184-67 [333818],FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],63.3,,2.26,54.438,84
NDC,25021-184-82 [307938],FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],64.1,,2.26,55.126,84
NDC,25021-184-87 [307939],FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],70.8,,2.26,60.888,84
NDC,25021-189-84 [348928],FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1548.6,,15.58,1331.796,84
NDC,25021-191-10 [348930],MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],612.65,,0.31,526.879,84
NDC,25021-191-10 [348930],MICAFUNGIN 100 MG/5 ML INTRAVENOUS SOLUTION [40800001704],612.65,,0.31,526.879,84
NDC,25021-191-11 [362331],MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [77685],612.65,,0.31,526.879,84
NDC,25021-191-11 [362331],MICAFUNGIN 100 MG/5 ML INTRAVENOUS SOLUTION [40800001704],612.65,,0.31,526.879,84
NDC,25021-192-82 [368077],CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],63.3,,2.32,54.438,84
NDC,25021-192-87 [368078],CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],63.3,,2.32,54.438,84
NDC,25021-194-10 [373614],CASPOFUNGIN 5 MG/ML INJ [40800000012],236.85,,2.27,203.691,84
NDC,25021-194-10 [373614],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003344],236.85,,2.27,203.691,84
NDC,25021-194-10 [373614],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],236.85,,2.27,203.691,84
NDC,25021-195-10 [373615],CASPOFUNGIN 7 MG/ML INJ [40800000013],271.15,,2.27,233.189,84
NDC,25021-195-10 [373615],CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],271.15,,2.27,233.189,84
NDC,25021-196-10 [400431],"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",57.6,,16.128,49.536,83
NDC,25021-199-20 [399311],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],63.6,,9.02,54.696,84
NDC,25021-199-20 [399311],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],63.6,,9.02,54.696,84
NDC,25021-199-20 [399311],ERTAPENEM 100 MG/ML INJ [40800000062],68.65,,9.02,59.039,84
NDC,25021-201-10 [202618],MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],68.65,,1.33,59.039,84
NDC,25021-201-11 [202619],MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],68.65,,1.33,59.039,84
NDC,25021-204-01 [187446],VINORELBINE 10 MG/ML INJ CONTAINER [40800000424],85.8,,1.96,73.788,84
NDC,25021-204-01 [187446],VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],85.8,,1.96,73.788,84
NDC,25021-204-05 [187447],VINORELBINE 10 MG/ML INJ CONTAINER [40800000424],294.85,,1.96,253.571,84
NDC,25021-204-05 [187447],VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [41673],294.85,,1.96,253.571,84
NDC,25021-207-25 [249397],DOXORUBICIN 2 MG/ML INJ CONTAINER [40800000109],84.1,,2.72,72.326,84
NDC,25021-207-25 [249397],DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [128848],84.1,,2.72,72.326,84
NDC,25021-207-25 [249397],DOXORUBICIN INFUSION 2 MG/ML (MAX CONC) (PEDI) [40800004211],84.1,,2.72,72.326,84
NDC,25021-207-25 [249397],DOXORUBICIN IVPB 2 MG/ML (MAX CONC) (PEDI) [40800004210],84.1,,2.72,72.326,84
NDC,25021-207-51 [249398],DOXORUBICIN 2 MG/ML INJ CONTAINER [40800000109],435.75,,2.72,374.745,84
NDC,25021-207-51 [249398],DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],435.75,,2.72,374.745,84
NDC,25021-207-51 [249398],DOXORUBICIN INFUSION 2 MG/ML (MAX CONC) (PEDI) [40800004211],435.75,,2.72,374.745,84
NDC,25021-207-51 [249398],DOXORUBICIN IVPB 2 MG/ML (MAX CONC) (PEDI) [40800004210],435.75,,2.72,374.745,84
NDC,25021-215-98 [291670],FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],61.65,,1.72,53.019,84
NDC,25021-215-98 [291670],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],61.65,,1.72,53.019,84
NDC,25021-215-98 [291670],FLUOROURACIL INTRALESIONAL 50 MG/ML INJ CONTAINER [40800000748],61.65,,1.72,53.019,84
NDC,25021-215-98 [291670],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],61.65,,1.72,53.019,84
NDC,25021-215-99 [291671],FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],100.7,,1.72,86.602,84
NDC,25021-215-99 [291671],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],100.7,,1.72,86.602,84
NDC,25021-215-99 [291671],FLUOROURACIL INTRALESIONAL 50 MG/ML INJ CONTAINER [40800000748],100.7,,1.72,86.602,84
NDC,25021-215-99 [291671],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],100.7,,1.72,86.602,84
NDC,25021-219-20 [377522],DECITABINE 5 MG/ML INJ [40800000413],327.6,,1.59,281.736,84
NDC,25021-219-20 [377522],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],327.6,,1.59,281.736,84
NDC,25021-223-20 [371237],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],63.1,,0.81,54.266,84
NDC,25021-223-20 [371237],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) IV INJECTION SOLUTION [40800002451],63.1,,0.81,54.266,84
NDC,25021-223-20 [371237],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) IV PUSH INJECTION [40800004009],63.1,,0.81,54.266,84
NDC,25021-223-20 [371237],CYTARABINE IVPB 100 MG/ML (MAX CONC) (PEDI) [40800004206],63.1,,0.81,54.266,84
NDC,25021-226-10 [368079],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],1235.1,,5.86,1062.186,84
NDC,25021-229-05 [371238],CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ (RETAIL PHARMACY USE) [40800003972],29.4,,0.81,25.284,84
NDC,25021-229-05 [371238],CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION [96982],29.4,,0.81,25.284,84
NDC,25021-230-05 [259852],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],29.1,,1.4,25.026,84
NDC,25021-231-20 [312240],DECITABINE 5 MG/ML INJ [40800000413],327.6,,1.59,281.736,84
NDC,25021-231-20 [312240],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],327.6,,1.59,281.736,84
NDC,25021-234-10 [271906],GEMCITABINE 200 MG INTRAVENOUS SOLUTION [17121],46.45,,2.96,39.947,84
NDC,25021-234-10 [271906],GEMCITABINE 38 MG/ML INJ CONTAINER [40800000110],46.45,,2.96,39.947,84
NDC,25021-235-50 [271907],GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],170.4,,2.96,146.544,84
NDC,25021-235-50 [271907],GEMCITABINE 38 MG/ML INJ CONTAINER [40800000110],170.4,,2.96,146.544,84
NDC,25021-235-51 [367051],GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],170.4,,2.96,146.544,84
NDC,25021-235-51 [367051],GEMCITABINE 38 MG/ML INJ CONTAINER [40800000110],170.4,,2.96,146.544,84
NDC,25021-241-10 [299180],BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],1638.0,,0.68,1408.68,86
NDC,25021-242-02 [294060],FLUDARABINE 25 MG/ML INJ CONTAINER [40800000415],712.55,,71.65,612.793,84
NDC,25021-242-02 [294060],FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION [41294],712.55,,71.65,612.793,84
NDC,25021-244-10 [357318],BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],240.25,,1.59,206.615,84
NDC,25021-245-01 [305923],DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [106443],85.8,,0.38,73.788,84
NDC,25021-245-04 [305924],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],278.5,,0.38,239.51,84
NDC,25021-245-04 [305924],DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],278.5,,0.38,239.51,84
NDC,25021-247-50 [381222],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],386.6,,0.62,332.476,86
NDC,25021-247-50 [381222],CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],386.6,,0.62,332.476,86
NDC,25021-247-50 [381222],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],386.6,,0.62,332.476,86
NDC,25021-248-51 [381223],CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],828.85,,0.62,712.811,86
NDC,25021-248-51 [381223],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],828.85,,0.62,712.811,86
NDC,25021-248-51 [381223],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],828.85,,0.62,712.811,86
NDC,25021-249-51 [381224],CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],1480.8,,0.62,1273.488,86
NDC,25021-249-51 [381224],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],1480.8,,0.62,1273.488,86
NDC,25021-249-51 [381224],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],1480.8,,0.62,1273.488,86
NDC,25021-250-20 [373616],MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],797.0,,28.27,685.42,86
NDC,25021-251-50 [373617],MITOMYCIN 0.1 MG/ML INJ CONTAINER [40800002659],2070.4,,28.27,1780.544,86
NDC,25021-251-50 [373617],MITOMYCIN 0.25 MG/ML INJ CONTAINER [40800002660],2070.4,,28.27,1780.544,86
NDC,25021-251-50 [373617],MITOMYCIN 0.5 MG/ML INJ CONTAINER [40800000212],2070.4,,28.27,1780.544,86
NDC,25021-251-50 [373617],MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],2070.4,,28.27,1780.544,86
NDC,25021-251-50 [373617],MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],2070.4,,28.27,1780.544,86
NDC,25021-251-50 [373617],MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],2070.4,,28.27,1780.544,86
NDC,25021-251-50 [373617],MITOMYCIN HIPEC 0.5 MG/ML INJ CONTAINER [40800000749],2070.4,,28.27,1780.544,86
NDC,25021-252-51 [373618],MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],4140.65,,28.27,3560.959,86
NDC,25021-252-51 [373618],MITOMYCIN HIPEC 0.5 MG/ML INJ CONTAINER [40800000749],4140.65,,28.27,3560.959,86
NDC,25021-253-50 [371150],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],96.1,,1.95,82.646,84
NDC,25021-253-51 [371151],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],137.3,,1.95,118.078,84
NDC,25021-255-50 [381227],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",205.95,,0.11,177.117,84
NDC,25021-256-10 [382439],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,25021-256-10 [382439],MELPHALAN INJ 5 MG/ML [40800000435],655.2,,99.9833,563.472,86
NDC,25021-258-61 [382440],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,25021-258-61 [382440],MELPHALAN INJ 5 MG/ML [40800000435],655.2,,99.9833,563.472,86
NDC,25021-259-50 [387251],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2164.8,,52.71,1861.728,86
NDC,25021-259-50 [387251],NELARABINE INFUSION 5 MG/ML [40800000417],2164.8,,52.71,1861.728,86
NDC,25021-259-51 [387252],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2164.8,,52.71,1861.728,86
NDC,25021-259-51 [387252],NELARABINE INFUSION 5 MG/ML [40800000417],2164.8,,52.71,1861.728,86
NDC,25021-261-50 [391952],PEMETREXED 25 MG/ML INJ CONTAINER [40800000036],475.05,,3.73,408.543,86
NDC,25021-261-50 [391952],PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],475.05,,3.73,408.543,86
NDC,25021-303-05 [197723],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],12.5,,0.13,10.75,84
NDC,25021-305-20 [280948],CHLOROTHIAZIDE SODIUM 28 MG/ML INJ [40800000310],205.95,,40.38,177.117,84
NDC,25021-305-20 [280948],CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],205.95,,40.38,177.117,84
NDC,25021-305-66 [334766],CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],108.75,,30.45,93.525,84
NDC,25021-308-84 [332707],"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",271.9,,0.28,233.834,84
NDC,25021-308-84 [332707],"ESMOLOL TITRATABLE INFUSION 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [40800000374]",271.9,,0.28,233.834,84
NDC,25021-310-02 [294061],SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],425.9,,119.252,366.274,83
NDC,25021-311-02 [345860],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.6,,0.02,5.676,84
NDC,25021-311-02 [345860],FUROSEMIDE INFUSION 10 MG/ML [40800000767],7.15,,0.02,6.149,84
NDC,25021-311-02 [345860],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],7.15,,0.02,6.149,84
NDC,25021-311-04 [345861],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],8.8,,0.02,7.568,84
NDC,25021-311-04 [345861],FUROSEMIDE INFUSION 10 MG/ML [40800000767],9.5,,0.02,8.17,84
NDC,25021-311-04 [345861],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],9.5,,0.02,8.17,84
NDC,25021-311-10 [345862],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],7.05,,0.02,6.063,84
NDC,25021-311-10 [345862],FUROSEMIDE INFUSION 10 MG/ML [40800000767],7.6,,0.02,6.536,84
NDC,25021-311-10 [345862],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],7.6,,0.02,6.536,84
NDC,25021-313-82 [343217],MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [122186],64.8,,1.4,55.728,84
NDC,25021-315-98 [340497],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],45.8,,12.824,39.388,83
NDC,25021-317-20 [362332],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],13.15,,0.39,11.309,84
NDC,25021-318-02 [368081],ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],26.3,,0.46,22.618,84
NDC,25021-319-05 [385240],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],12.35,,0.04,10.621,84
NDC,25021-319-10 [385241],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],17.1,,0.04,14.706,84
NDC,25021-319-25 [391953],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],32.45,,0.04,27.907,84
NDC,25021-321-04 [387253],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],10.0,,0.61,8.6,84
NDC,25021-322-10 [392949],PROCAINAMIDE 100 MG/ML INJECTION SOLUTION [6562],301.4,,84.392,396.2095,86
NDC,25021-333-10 [404745],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],65.7,,0.09,56.502,84
NDC,25021-400-10 [197725],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",15.8,,0.22,13.588,84
NDC,25021-400-10 [197725],"HEPARIN 1,000 UNIT/ML INJ (EXTRACORPOREAL USE) [40800000270]",15.8,,0.22,13.588,84
NDC,25021-401-02 [197727],"HEPARIN (PF) 1,000 UNIT/ML INJ (EXTRACORPOREAL USE) [40800000758]",37.1,,0.22,31.906,84
NDC,25021-401-02 [197727],HEPARIN 5000 UNITS/5 ML VORTEX PORT FLUSH [40800002029],37.1,,0.22,31.906,84
NDC,25021-401-02 [197727],"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [127226]",37.1,,0.22,31.906,84
NDC,25021-402-01 [197728],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",7.15,,0.22,6.149,84
NDC,25021-402-10 [197729],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",32.4,,0.22,27.864,84
NDC,25021-403-04 [197731],"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",36.05,,0.22,31.003,84
NDC,25021-410-70 [377523],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],10.95,,0.57,9.417,84
NDC,25021-410-71 [377524],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],31.3,,0.57,26.918,84
NDC,25021-410-76 [377525],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],32.8,,0.57,28.208,84
NDC,25021-410-78 [377527],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],34.5,,0.57,29.67,84
NDC,25021-411-70 [377528],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],42.8,,0.57,36.808,84
NDC,25021-411-71 [377529],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],47.45,,0.57,40.807,84
NDC,25021-416-01 [387254],PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],1638.0,,32.74,1408.68,86
NDC,25021-451-01 [259857],OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],19.75,,0.61,16.985,84
NDC,25021-452-01 [259858],OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],28.5,,0.61,24.51,84
NDC,25021-453-01 [259859],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],111.3,,0.61,95.718,84
NDC,25021-453-01 [259859],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],111.3,,0.61,95.718,84
NDC,25021-460-01 [344489],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],100.85,,3.57,86.731,84
NDC,25021-461-10 [344490],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],974.6,,3.57,838.156,84
NDC,25021-462-74 [326099],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],455.4,,6.98,391.644,84
NDC,25021-463-01 [370211],OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [91278],12.75,,0.61,10.965,84
NDC,25021-468-10 [380119],LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [113060],278.75,,7.7,239.725,84
NDC,25021-481-01 [392953],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],6.4,,0.9,5.504,84
NDC,25021-500-02 [342315],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],35.5,,1.79,30.53,84
NDC,25021-608-50 [271913],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],52.15,,0.09,44.849,84
NDC,25021-608-51 [265409],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],91.1,,0.09,78.346,84
NDC,25021-608-51 [265409],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],91.1,,0.09,78.346,84
NDC,25021-611-10 [357320],NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [122267],17.55,,4.914,15.093,83
NDC,25021-612-81 [345865],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],69.25,,0.5,59.555,84
NDC,25021-612-82 [345866],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,25021-615-51 [382444],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],118.75,,33.25,102.125,83
NDC,25021-655-02 [217154],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,25021-662-05 [217162],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],16.6,,4.648,14.276,83
NDC,25021-662-05 [217162],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],16.6,,4.648,14.276,83
NDC,25021-669-20 [354039],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],219.65,,61.502,188.899,83
NDC,25021-671-66 [333820],ROPIVACAINE (PF) 2 MG/ML (0.2 %) CONTINUOUS ONLY NERVE BLOCK INFUSION [40800000384],62.05,,0.06,53.363,84
NDC,25021-671-66 [333820],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],62.05,,0.06,53.363,84
NDC,25021-671-66 [333820],ROPIVACAINE (PF) 2 MG/ML (0.2 %) NERVE BLOCK INFUSION [40800000382],62.05,,0.06,53.363,84
NDC,25021-671-66 [333820],ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],62.05,,0.06,53.363,84
NDC,25021-671-82 [318030],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],123.0,,0.06,105.78,84
NDC,25021-671-82 [318030],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],123.0,,0.06,105.78,84
NDC,25021-671-82 [318030],ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],123.0,,0.06,105.78,84
NDC,25021-673-76 [271914],LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [128819],28.25,,7.91,24.295,83
NDC,25021-673-77 [265417],LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [128819],30.15,,8.442,25.929,83
NDC,25021-674-10 [227309],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],9.95,,2.786,8.557,83
NDC,25021-675-10 [309116],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],31.4,,4.79,27.004,84
NDC,25021-682-20 [376287],KETAMINE 10 MG/ML INJECTION SOLUTION [4236],84.5,,23.66,72.67,83
NDC,25021-685-10 [385243],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],20.9,,5.852,17.974,83
NDC,25021-685-10 [385243],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],20.9,,5.852,17.974,83
NDC,25021-685-10 [385243],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],19.3,,5.404,16.598,83
NDC,25021-701-01 [265419],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],21.9,,0.34,18.834,86
NDC,25021-705-87 [398191],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",63.3,,0.05,54.438,84
NDC,25021-705-87 [398191],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",63.3,,0.05,54.438,84
NDC,25021-753-02 [392954],FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,84
NDC,25021-777-02 [227311],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,25021-783-05 [312243],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003382],57.25,,0.45,49.235,84
NDC,25021-783-05 [312243],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],57.25,,0.45,49.235,84
NDC,25021-790-02 [354041],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],23.25,,2.52,19.995,84
NDC,25021-790-03 [354042],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],23.25,,2.52,19.995,84
NDC,25021-791-20 [356662],LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],225.85,,63.238,194.231,83
NDC,25021-796-01 [388205],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],10.35,,0.43,8.901,84
NDC,25021-796-01 [388205],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],10.35,,0.43,8.901,84
NDC,25021-797-05 [391050],VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],30.85,,8.638,26.531,83
NDC,25021-798-02 [392955],FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],22.75,,1.33,19.565,85
NDC,25021-801-66 [233900],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003391],589.7,,5.2,507.142,84
NDC,25021-801-66 [233900],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],589.7,,5.2,507.142,84
NDC,25021-812-30 [311470],ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],159.0,,0.37,136.74,84
NDC,25021-816-30 [227316],LEUCOVORIN CALCIUM 20 MG/ML INJECTION [40800000309],240.25,,3.95,206.615,84
NDC,25021-816-30 [227316],LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],240.25,,3.95,206.615,84
NDC,25021-816-67 [239597],LEUCOVORIN CALCIUM 20 MG/ML INJECTION [40800000309],60.45,,3.95,51.987,84
NDC,25021-816-67 [239597],LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],60.45,,3.95,51.987,84
NDC,25021-827-61 [265422],IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [110306],759.0,,30.8,652.74,84
NDC,25021-830-82 [249404],ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],518.35,,5.2,445.781,84
NDC,25682-001-01 [148859],ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [81696],21369.35,,44.7,18377.641,86
NDC,25682-025-01 [339397],RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [192897],21934.1,,223.68,18863.326,86
NDC,25682-028-01 [339398],RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [192897],80424.95,,223.68,69165.457,86
NDC,27241-001-06 [259871],RISPERIDONE 1 MG TABLET [18313],1.65,,0.462,1.419,83
NDC,27241-015-31 [282275],MONTELUKAST 4 MG ORAL GRANULES IN PACKET [36023],14.25,,3.99,12.255,83
NDC,27241-021-68 [305925],ZOLMITRIPTAN 2.5 MG TABLET [21588],7.9,,2.212,6.794,83
NDC,27241-022-38 [305926],ZOLMITRIPTAN 5 MG TABLET [22219],7.9,,2.212,6.794,83
NDC,27241-049-10 [302386],ENTACAPONE 200 MG TABLET [26547],2.85,,0.798,2.451,83
NDC,27241-062-03 [292668],VORICONAZOLE 50 MG TABLET [33008],10.3,,2.884,8.858,83
NDC,27241-063-03 [292669],VORICONAZOLE 200 MG TABLET [33009],35.55,,9.954,30.573,83
NDC,27241-098-09 [300718],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.65,,0.462,1.419,83
NDC,27241-112-03 [319982],TADALAFIL 5 MG TABLET [37400],1.65,,0.462,1.419,83
NDC,27241-116-03 [313296],FENOFIBRATE 54 MG TABLET [31336],1.65,,0.462,1.419,83
NDC,27241-125-02 [322562],"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",2.4,,0.672,2.064,83
NDC,27241-134-21 [339406],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],4.75,,1.33,4.085,83
NDC,27241-134-36 [339407],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],4.75,,1.33,4.085,83
NDC,27241-156-04 [323559],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",1.65,,0.462,1.419,83
NDC,27241-159-19 [331385],VALGANCICLOVIR 5 GRAM ORAL SOLUTION BOTTLE [40800004434],2621.75,,734.09,2254.705,83
NDC,27241-159-19 [331385],VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],2621.75,,734.09,2254.705,83
NDC,27241-167-01 [331386],DOXEPIN 10 MG CAPSULE [2608],1.65,,0.462,1.419,83
NDC,27241-173-56 [384249],VARENICLINE TARTRATE 0.5 MG TABLET [76444],4.7,,1.316,4.042,83
NDC,27241-192-30 [337451],"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",4.75,,1.33,4.085,83
NDC,27241-256-11 [367052],PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET [89791],54.55,,15.274,46.913,83
NDC,27241-256-38 [367053],PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET [89791],54.55,,15.274,46.913,83
NDC,27808-002-01 [343222],RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],68.65,,19.222,59.039,83
NDC,27808-051-02 [351803],PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],92.0,,25.76,79.12,83
NDC,27808-086-02 [277460],HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [106413],1495.3,,418.684,1285.958,83
NDC,27808-155-01 [305928],ROSUVASTATIN 5 MG TABLET [36612],1.65,,0.462,1.419,83
NDC,27808-158-01 [305931],ROSUVASTATIN 40 MG TABLET [35136],1.65,,0.462,1.419,83
NDC,28595-120-12 [337453],NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL [27096],915.0,,256.2,786.9,83
NDC,29033-003-01 [148876],SUCRALFATE 1 GRAM TABLET [11442],1.65,,0.462,1.419,83
NDC,29300-113-16 [233920],LAMOTRIGINE 150 MG TABLET [14266],1.65,,0.462,1.419,83
NDC,29300-126-01 [187462],BISOPROLOL FUMARATE 5 MG TABLET [18288],1.65,,0.462,1.419,83
NDC,29300-126-13 [187463],BISOPROLOL FUMARATE 5 MG TABLET [18288],1.65,,0.462,1.419,83
NDC,29300-127-01 [187464],BISOPROLOL FUMARATE 10 MG TABLET [18287],1.65,,0.462,1.419,83
NDC,29300-128-01 [180426],HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],1.65,,0.462,1.419,83
NDC,29300-131-01 [180430],ZALEPLON 5 MG CAPSULE [25997],3.55,,0.994,3.053,83
NDC,29300-132-01 [180431],ZALEPLON 10 MG CAPSULE [25998],3.55,,0.994,3.053,83
NDC,29300-147-01 [292681],QUETIAPINE 25 MG TABLET [21823],1.65,,0.462,1.419,83
NDC,29300-155-01 [292690],"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",1.7,,0.476,1.462,83
NDC,29300-187-01 [204797],BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18291],2.05,,0.574,1.763,83
NDC,29300-187-13 [204799],BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18291],2.3,,0.644,1.978,83
NDC,29300-188-13 [204802],BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18290],2.3,,0.644,1.978,83
NDC,29300-189-01 [204803],BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18289],2.05,,0.574,1.763,83
NDC,29300-189-13 [204805],BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18289],2.3,,0.644,1.978,83
NDC,29300-227-01 [265429],METRONIDAZOLE 500 MG TABLET [5016],1.85,,0.518,1.591,83
NDC,29300-239-16 [337455],TOLTERODINE 1 MG TABLET [22782],3.95,,1.106,3.397,83
NDC,29300-287-13 [319986],TADALAFIL 5 MG TABLET [37400],1.65,,0.462,1.419,83
NDC,29300-289-13 [319990],TADALAFIL 20 MG TABLET [36986],1.75,,0.49,1.505,83
NDC,29300-396-19 [346791],AMLODIPINE 2.5 MG TABLET [9070],1.65,,0.462,1.419,83
NDC,29300-413-01 [343224],CYCLOBENZAPRINE 5 MG TABLET [35184],1.65,,0.462,1.419,83
NDC,29300-419-01 [348940],AMITRIPTYLINE 10 MG TABLET [432],1.65,,0.462,1.419,83
NDC,29300-485-01 [398193],HYDROCHLOROTHIAZIDE 12.5 MG TABLET [76988],1.65,,0.462,1.419,83
NDC,30237-8900-6 [193937],SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION [104852],190061.2,,53217.136,163452.632,86
NDC,30698-455-01 [394146],TRAZODONE 10 MG/ML ORAL SOLUTION [207928],1592.15,,445.802,1369.249,83
NDC,30698-455-02 [394147],TRAZODONE 10 MG/ML ORAL SOLUTION [207928],1264.55,,354.074,1087.513,83
NDC,3076815745 [265486],MELATONIN 5 MG TABLET [91665],1.65,,0.462,1.419,83
NDC,3076816836 [227351],MELATONIN 1 MG/ML ORAL LIQUID [117750],24.95,,6.986,21.457,83
NDC,3160401269 [148893],MAGNESIUM 250 MG (AS MAGNESIUM OXIDE) TABLET [4716],1.65,,0.462,1.419,83
NDC,3160401281 [164253],THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129927],1.65,,0.462,1.419,83
NDC,31722-006-31 [341397],ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],819.0,,229.32,704.34,83
NDC,31722-008-60 [340508],ZAFIRLUKAST 20 MG TABLET [17960],5.85,,1.638,5.031,83
NDC,31722-014-90 [351809],DROXIDOPA 100 MG CAPSULE [165584],5.3,,1.484,4.558,83
NDC,31722-016-47 [359304],GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [107829],556.55,,155.834,478.633,83
NDC,31722-103-30 [341398],CINACALCET 30 MG TABLET [38100],1.65,,0.462,1.419,83
NDC,31722-116-20 [385257],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],15.65,,4.382,13.459,83
NDC,31722-116-31 [385258],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],15.65,,4.382,13.459,83
NDC,31722-116-32 [388210],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],15.65,,4.382,13.459,83
NDC,31722-116-33 [388211],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],26.3,,7.364,22.618,83
NDC,31722-116-34 [388212],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],26.3,,7.364,22.618,83
NDC,31722-116-50 [388213],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],26.3,,7.364,22.618,83
NDC,31722-117-02 [388214],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],6.4,,1.792,5.504,83
NDC,31722-117-31 [388216],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],6.4,,1.792,5.504,83
NDC,31722-119-01 [339410],"HYDROMORPHONE ER 8 MG TABLET,EXTENDED RELEASE 24 HR [103926]",37.75,,10.57,32.465,83
NDC,31722-121-01 [339412],"HYDROMORPHONE ER 16 MG TABLET,EXTENDED RELEASE 24 HR [103928]",60.35,,16.898,51.901,83
NDC,31722-131-30 [292697],DUTASTERIDE 0.5 MG CAPSULE [34089],1.75,,0.49,1.505,83
NDC,31722-131-90 [292698],DUTASTERIDE 0.5 MG CAPSULE [34089],1.75,,0.49,1.505,83
NDC,31722-165-31 [349985],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],223.1,,0.11,191.866,84
NDC,31722-165-31 [349985],FOSAPREPITANT 30 MG/ML INJ [40800000315],223.1,,0.11,191.866,84
NDC,31722-216-01 [370234],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],103.0,,0.03,88.58,84
NDC,31722-216-01 [370234],DAPTOMYCIN INJ 50 MG/ML [40800000042],103.0,,0.03,88.58,84
NDC,31722-411-31 [393000],TEMOZOLOMIDE 5 MG CAPSULE [25892],12.6,,0.36,10.836,84
NDC,31722-412-14 [393001],TEMOZOLOMIDE 20 MG CAPSULE [25893],29.1,,0.36,25.026,84
NDC,31722-413-14 [393003],TEMOZOLOMIDE 100 MG CAPSULE [25894],85.8,,0.36,73.788,84
NDC,31722-414-14 [393005],TEMOZOLOMIDE 140 MG CAPSULE [81461],124.25,,0.36,106.855,84
NDC,31722-414-31 [393006],TEMOZOLOMIDE 140 MG CAPSULE [81461],124.25,,0.36,106.855,84
NDC,31722-415-31 [393008],TEMOZOLOMIDE 180 MG CAPSULE [81462],161.8,,0.36,139.148,84
NDC,31722-416-31 [393009],TEMOZOLOMIDE 250 MG CAPSULE [25895],175.55,,0.36,150.973,84
NDC,31722-504-30 [307960],EFAVIRENZ 600 MG TABLET [32298],12.65,,3.542,10.879,83
NDC,31722-519-01 [170363],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,31722-520-01 [170364],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,31722-521-01 [170366],HYDRALAZINE 50 MG TABLET [3701],1.65,,0.462,1.419,83
NDC,31722-522-01 [170368],HYDRALAZINE 100 MG TABLET [3699],1.65,,0.462,1.419,83
NDC,31722-525-90 [197772],FINASTERIDE 5 MG TABLET [10037],1.65,,0.462,1.419,83
NDC,31722-526-30 [239666],FINASTERIDE 1 MG TABLET [22243],1.65,,0.462,1.419,83
NDC,31722-529-01 [187482],TORSEMIDE 5 MG TABLET [18295],1.65,,0.462,1.419,83
NDC,31722-530-01 [187483],TORSEMIDE 10 MG TABLET [18292],1.65,,0.462,1.419,83
NDC,31722-533-01 [197773],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,31722-534-01 [197775],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,31722-537-05 [217307],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,31722-537-12 [217308],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,31722-539-60 [217311],"LEVETIRACETAM 1,000 MG TABLET [70773]",1.65,,0.462,1.419,83
NDC,31722-543-01 [217314],INDOMETHACIN 50 MG CAPSULE [3898],1.65,,0.462,1.419,83
NDC,31722-557-60 [259988],ABACAVIR 300 MG TABLET [24438],11.85,,3.318,10.191,83
NDC,31722-564-24 [305933],CITALOPRAM 10 MG/5 ML ORAL SOLUTION [28228],223.1,,62.468,191.866,83
NDC,31722-565-60 [233938],"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE [14628]",5.95,,1.666,5.117,83
NDC,31722-569-24 [227368],ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION [34897],498.65,,139.622,428.839,83
NDC,31722-574-47 [239668],LEVETIRACETAM 100 MG/ML ORAL SOLUTION [36590],102.85,,28.798,88.451,83
NDC,31722-597-30 [312246],RITONAVIR 100 MG TABLET [100995],12.65,,3.542,10.879,83
NDC,31722-629-21 [313301],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION SYRINGE (PEDI) [40800003875],1310.6,,366.968,1127.116,83
NDC,31722-629-21 [313301],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],1310.6,,366.968,1127.116,83
NDC,31722-644-30 [319992],TADALAFIL 5 MG TABLET [37400],1.65,,0.462,1.419,83
NDC,31722-646-30 [319994],TADALAFIL 20 MG TABLET [36986],1.65,,0.462,1.419,83
NDC,31722-681-47 [361229],ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],274.65,,76.902,236.199,83
NDC,31722-708-30 [272027],FAMCICLOVIR 500 MG TABLET [13358],5.55,,1.554,4.773,83
NDC,31722-726-30 [272031],MONTELUKAST 10 MG TABLET [22509],1.65,,0.462,1.419,83
NDC,31722-726-90 [272032],MONTELUKAST 10 MG TABLET [22509],1.65,,0.462,1.419,83
NDC,31722-737-90 [277608],DONEPEZIL 5 MG TABLET [18786],1.65,,0.462,1.419,83
NDC,31722-749-20 [282298],LINEZOLID 600 MG TABLET [28224],27.85,,7.798,23.951,83
NDC,31722-749-30 [282299],LINEZOLID 600 MG TABLET [28224],27.85,,7.798,23.951,83
NDC,31722-777-01 [259992],ACYCLOVIR 400 MG TABLET [8971],1.65,,0.462,1.419,83
NDC,31722-805-60 [353479],TOLTERODINE 1 MG TABLET [22782],1.65,,0.462,1.419,83
NDC,31722-812-60 [355783],LACOSAMIDE 50 MG TABLET [96968],2.85,,0.798,2.451,83
NDC,31722-813-60 [355784],LACOSAMIDE 100 MG TABLET [96969],2.85,,0.798,2.451,83
NDC,31722-832-60 [284392],VALGANCICLOVIR 450 MG TABLET [30148],19.75,,5.53,16.985,83
NDC,31722-833-30 [277611],ENTECAVIR 0.5 MG TABLET [41147],6.35,,1.778,5.461,83
NDC,31722-833-90 [277612],ENTECAVIR 0.5 MG TABLET [41147],6.35,,1.778,5.461,83
NDC,31722-843-30 [396169],ELTROMBOPAG OLAMINE 50 MG TABLET [94580],1219.25,,341.39,1048.555,83
NDC,31722-844-30 [396170],ELTROMBOPAG OLAMINE 75 MG TABLET [104003],1828.85,,512.078,1572.811,83
NDC,31722-865-25 [367087],LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],1809.2,,506.576,1555.912,83
NDC,31722-868-31 [361231],TOLVAPTAN 15 MG TABLET [97893],205.95,,57.666,177.117,83
NDC,31722-869-01 [350884],TOLVAPTAN 30 MG TABLET [97894],393.15,,110.082,338.109,83
NDC,31722-869-03 [350885],TOLVAPTAN 30 MG TABLET [97894],393.15,,110.082,338.109,83
NDC,31722-869-31 [366058],TOLVAPTAN 30 MG TABLET [97894],393.15,,110.082,338.109,83
NDC,31722-884-90 [292705],ROSUVASTATIN 20 MG TABLET [35135],1.65,,0.462,1.419,83
NDC,31722-935-02 [318032],ALBENDAZOLE 200 MG TABLET [8979],103.0,,28.84,88.58,83
NDC,31722-946-01 [320943],METHADONE 5 MG TABLET [4954],2.85,,0.798,2.451,83
NDC,31722-954-01 [327244],"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR [28751]",4.95,,1.386,4.257,83
NDC,3172293747 [320942],SIMPLE SYRUP [7242],53.15,,14.882,45.709,83
NDC,3172293947 [326109],GLYCERIN 99%-100% LIQUID FOR COMPOUNDING CONTAINER [40800003602],70.35,,19.698,60.501,83
NDC,3172293947 [326109],GLYCERIN TOPICAL LIQUID [28813],70.35,,19.698,60.501,83
NDC,3255106569 [300740],CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID [28188],17.75,,4.97,15.265,83
NDC,33342-001-09 [326114],LAMIVUDINE 150 MG TABLET [15880],3.95,,1.106,3.397,83
NDC,33342-025-07 [227489],FAMCICLOVIR 250 MG TABLET [16081],2.55,,0.714,2.193,83
NDC,33342-026-07 [227490],FAMCICLOVIR 500 MG TABLET [13358],5.55,,1.554,4.773,83
NDC,33342-048-10 [240142],IRBESARTAN 150 MG TABLET [21848],1.65,,0.462,1.419,83
NDC,33342-056-07 [260009],PIOGLITAZONE 45 MG TABLET [25530],1.65,,0.462,1.419,83
NDC,33342-062-07 [295038],VALSARTAN 40 MG TABLET [33541],1.95,,0.546,1.677,83
NDC,33342-063-10 [295039],VALSARTAN 80 MG TABLET [31209],1.65,,0.462,1.419,83
NDC,33342-065-10 [295041],VALSARTAN 320 MG TABLET [31211],2.55,,0.714,2.193,83
NDC,33342-083-07 [277641],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],4.1,,1.148,3.526,83
NDC,33342-093-02 [310538],RIZATRIPTAN 5 MG DISINTEGRATING TABLET [27629],4.55,,1.274,3.913,83
NDC,33342-093-41 [310539],RIZATRIPTAN 5 MG DISINTEGRATING TABLET [27629],4.55,,1.274,3.913,83
NDC,33342-096-07 [305054],TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],2.55,,0.714,2.193,83
NDC,33342-098-09 [289153],TOLTERODINE 2 MG TABLET [22783],2.0,,0.56,1.72,83
NDC,33342-109-37 [298120],RISEDRONATE 35 MG TABLET [32895],29.65,,8.302,25.499,83
NDC,33342-114-07 [296231],CANDESARTAN 4 MG TABLET [23229],6.05,,1.694,5.203,83
NDC,33342-115-07 [296232],CANDESARTAN 8 MG TABLET [23230],6.35,,1.778,5.461,83
NDC,33342-117-07 [296235],CANDESARTAN 32 MG TABLET [23232],8.1,,2.268,6.966,83
NDC,33342-179-10 [297258],OLMESARTAN 20 MG TABLET [32762],1.65,,0.462,1.419,83
NDC,33342-180-10 [297260],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,33342-256-66 [314870],OSELTAMIVIR 30 MG CAPSULE [88704],9.15,,2.562,7.869,83
NDC,33342-258-66 [305055],OSELTAMIVIR 75 MG CAPSULE [26546],1.65,,0.462,1.419,83
NDC,33342-288-68 [391970],SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],6.35,,1.778,5.461,83
NDC,33342-299-07 [277655],ESZOPICLONE 1 MG TABLET [40320],4.0,,1.12,3.44,83
NDC,33342-300-11 [277656],ESZOPICLONE 2 MG TABLET [40321],2.85,,0.798,2.451,83
NDC,33342-301-11 [277657],ESZOPICLONE 3 MG TABLET [40322],2.85,,0.798,2.451,83
NDC,33342-329-15 [318039],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],17.1,,4.788,14.706,83
NDC,33342-329-54 [318040],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],85.7,,23.996,73.702,83
NDC,33342-333-54 [320951],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],85.7,,23.996,73.702,83
NDC,33342-333-80 [320952],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],38.3,,10.724,32.938,83
NDC,34843-3202-30 [283737],MINERAL OIL ORAL SYRINGE (PEDI) [40800004004],1.65,,0.462,1.419,83
NDC,34843-3202-30 [283737],MINERAL OIL ORAL [5086],1.65,,0.462,1.419,83
NDC,35573-433-30 [333831],KETOCONAZOLE 200 MG TABLET [10369],5.0,,1.4,4.3,83
NDC,35573-435-56 [333833],SODIUM FLUORIDE 1.1 % DENTAL GEL [19760],38.65,,10.822,33.239,83
NDC,35573-444-25 [347932],LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION [24915],5.7,,1.596,4.902,83
NDC,35573-445-25 [347933],LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],5.7,,1.596,4.902,83
NDC,35573-453-91 [356677],BENZOYL PEROXIDE 5 % TOPICAL CLEANSER [993],35.7,,9.996,30.702,83
NDC,36000-008-24 [194371],CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],63.3,,2.32,54.438,84
NDC,36000-008-24 [194371],CIPROFLOXACIN INTRA-CATHETER LOCK SOLUTION 2 MG/ML [40800002658],63.3,,2.32,54.438,84
NDC,36000-008-24 [194371],CIPROFLOXACIN IVPB IN D5W 2 MG/ML (MAX CONC) [40840002473],63.3,,2.32,54.438,84
NDC,36000-009-24 [194372],CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],63.3,,2.32,54.438,84
NDC,36000-009-24 [194372],CIPROFLOXACIN INTRA-CATHETER LOCK SOLUTION 2 MG/ML [40800002658],63.3,,2.32,54.438,84
NDC,36000-009-24 [194372],CIPROFLOXACIN IVPB IN D5W 2 MG/ML (MAX CONC) [40840002473],63.3,,2.32,54.438,84
NDC,36000-012-25 [181622],ONDANSETRON (PF) IVPB 4 MG/2 ML (PEDI < 20.5 KG) (> 4 MG) [40800000078],6.9,,0.09,5.934,84
NDC,36000-012-25 [181622],ONDANSETRON 2 MG/ML INJ CONTAINER (HOME-USE) [40800003392],6.4,,0.09,5.504,84
NDC,36000-012-25 [181622],ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],6.4,,0.09,5.504,84
NDC,36000-012-25 [181622],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,36000-033-10 [240411],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,36000-046-24 [260102],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,36000-046-24 [260102],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,36000-046-24 [260102],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,36000-047-24 [260103],LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,84
NDC,36000-047-24 [260103],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,36000-047-24 [260103],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,36000-048-24 [260104],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],63.3,,1.96,54.438,84
NDC,36000-048-24 [260104],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,36000-048-24 [260104],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,36000-148-01 [292734],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],31.05,,8.694,26.703,83
NDC,36000-148-10 [292735],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],31.05,,8.694,26.703,83
NDC,36000-244-01 [291698],TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],11.2,,2.46,9.632,84
NDC,36000-244-25 [291699],TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],11.2,,2.46,9.632,84
NDC,36000-282-25 [265514],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.4,,0.02,5.504,84
NDC,36000-282-25 [265514],FUROSEMIDE INFUSION 10 MG/ML [40800000767],6.9,,0.02,5.934,84
NDC,36000-282-25 [265514],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],6.9,,0.02,5.934,84
NDC,36000-283-25 [265515],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.4,,0.02,5.504,84
NDC,36000-283-25 [265515],FUROSEMIDE INFUSION 10 MG/ML [40800000767],6.9,,0.02,5.934,84
NDC,36000-283-25 [265515],FUROSEMIDE IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000248],6.9,,0.02,5.934,84
NDC,36000-283-25 [265515],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],6.9,,0.02,5.934,84
NDC,36000-284-25 [265516],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.9,,0.02,5.934,84
NDC,36000-284-25 [265516],FUROSEMIDE INFUSION 10 MG/ML [40800000767],7.45,,0.02,6.407,84
NDC,36000-284-25 [265516],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],7.45,,0.02,6.407,84
NDC,36000-297-24 [329759],CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108130],63.3,,2.32,54.438,84
NDC,36000-298-24 [329760],CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108132],63.3,,2.32,54.438,84
NDC,36000-308-01 [352668],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],21.9,,0.07,18.834,84
NDC,36000-308-10 [352669],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],21.9,,0.07,18.834,84
NDC,36000-320-01 [345885],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],18.5,,0.39,15.91,84
NDC,36000-320-10 [345886],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],18.5,,0.39,15.91,84
NDC,36000-322-01 [345887],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],9.3,,0.39,7.998,84
NDC,36000-322-02 [345888],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],9.3,,0.39,7.998,84
NDC,36800-974-26 [198257],CETIRIZINE 1 MG/ML ORAL SOLUTION [70838],23.8,,6.664,20.468,83
NDC,37000-019-02 [42611],BISMUTH SUBSALICYLATE 525 MG/15 ML ORAL SUSPENSION [124626],24.25,,6.79,20.855,83
NDC,37000-024-04 [42622],PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET CONTAINER [40800002968],1.75,,0.49,1.505,83
NDC,37000-024-04 [42622],PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET [11218],1.75,,0.49,1.505,83
NDC,3700025445 [198264],PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET [11218],1.65,,0.462,1.419,83
NDC,3700033710 [127588],PSYLLIUM HUSK 3.4 GRAM/5.8 GRAM ORAL POWDER [128872],32.35,,9.058,27.821,83
NDC,3700074085 [42834],PSYLLIUM HUSK 3.4 GRAM/5.8 GRAM ORAL POWDER [128872],83.1,,23.268,71.466,83
NDC,3700074091 [42836],PSYLLIUM HUSK (WITH SUGAR) 2 GRAM ORAL WAFER [40800003331],1.65,,0.462,1.419,83
NDC,3700074108 [42838],PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET CONTAINER [40800002968],1.75,,0.49,1.505,83
NDC,3700074108 [42838],PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET [11218],1.75,,0.49,1.505,83
NDC,3786408289 [234363],CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],1.65,,0.462,1.419,83
NDC,3786476099 [228131],FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],1.65,,0.462,1.419,83
NDC,3786486001 [228141],SIMETHICONE 80 MG CHEWABLE TABLET [7227],1.65,,0.462,1.419,83
NDC,3786490599 [228143],THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129927],1.65,,0.462,1.419,83
NDC,3848598018 [135600],UREA 10 % LOTION [19779],33.75,,9.45,29.025,83
NDC,38779-0009-4 [43899],HYDROCORTISONE (BULK) POWDER [3735],1488.1,,416.668,1279.766,83
NDC,38779-0053-4 [44027],TETRACYCLINE HCL (BULK) POWDER [7799],555.6,,155.568,477.816,83
NDC,38779-0053-8 [44029],TETRACYCLINE HCL (BULK) POWDER [7799],11111.1,,3111.108,9555.546,83
NDC,38779-0053-9 [228163],TETRACYCLINE HCL (BULK) POWDER [7799],22222.2,,6222.216,19111.092,83
NDC,38779-0071-3 [44072],DEXAMETHASONE SOD PHOS (BULK) 100 % POWDER [2336],1668.35,,0.12,1434.781,84
NDC,38779-0081-4 [44095],LIDOCAINE (BULK) POWDER [12855],297.6,,83.328,255.936,83
NDC,38779-0081-8 [44097],LIDOCAINE (BULK) POWDER [12855],5952.8,,1666.784,5119.408,83
NDC,38779-0096-1 [44137],SPIRONOLACTONE (BULK) 100% POWDER [7438],1252.3,,350.644,1076.978,83
NDC,38779-0123-4 [44204],RIFAMPIN (BULK) POWDER [17173],677.25,,189.63,582.435,83
NDC,38779-0146-4 [44263],METRONIDAZOLE (BULK) POWDER [5017],337.3,,94.444,290.078,83
NDC,38779-0189-3 [44374],AMITRIPTYLINE (BULK) POWDER [17037],248.6,,69.608,213.796,83
NDC,38779-0189-5 [44376],AMITRIPTYLINE (BULK) POWDER [17037],4709.15,,1318.562,4049.869,83
NDC,38779-0227-1 [44458],DILTIAZEM HCL (BULK) POWDER [22862],476.2,,133.336,409.532,83
NDC,38779-0227-3 [44459],DILTIAZEM HCL (BULK) POWDER [22862],249.45,,69.846,214.527,83
NDC,38779-0253-5 [44526],PROMETHAZINE (BULK) 100 % POWDER [13093],8946.25,,2504.95,7693.775,83
NDC,38779-0280-3 [139876],NIFEDIPINE (BULK) POWDER CONTAINER [40800003162],615.05,,172.214,528.943,83
NDC,38779-0280-3 [139876],NIFEDIPINE (BULK) POWDER [17204],615.05,,172.214,528.943,83
NDC,38779-0282-5 [44590],DIPHENHYDRAMINE (BULK) POWDER [12308],568.1,,159.068,488.566,83
NDC,38779-0309-5 [44656],THYMOL (BULK) CRYSTALS [7935],752.2,,210.616,646.892,83
NDC,38779-0330-5 [44708],HALOPERIDOL (BULK) POWDER [17126],38421.5,,10758.02,33042.49,83
NDC,38779-0348-5 [44740],NEOMYCIN SULFATE (BULK) POWDER [5473],1389.8,,389.144,1195.228,83
NDC,38779-0364-6 [44767],BECLOMETHASONE DIPROP (BULK) POWDER [22672],773.85,,216.678,665.511,83
NDC,38779-0388-3 [44803],BACLOFEN (BULK) 100 % POWDER [17050],496.1,,138.908,426.646,83
NDC,38779-0524-3 [45027],BUPIVACAINE (BULK) 100 % POWDER [15595],588.4,,164.752,506.024,83
NDC,38779-0534-5 [45042],CIPROFLOXACIN (BULK) 100 % POWDER [38995],1012.05,,283.374,870.363,83
NDC,38779-0534-8 [45043],CIPROFLOXACIN (BULK) 100 % POWDER [38995],5060.1,,1416.828,4351.686,83
NDC,38779-0561-6 [45100],CLONIDINE HCL (BULK) POWDER [17085],575.4,,161.112,494.844,83
NDC,38779-0578-4 [45135],METOPROLOL TARTRATE (BULK) 100 % POWDER [17154],2083.3,,583.324,1791.638,83
NDC,38779-0640-9 [45234],SODIUM BICARBONATE (BULK) POWDER [7310],715.3,,200.284,615.158,83
NDC,38779-0767-6 [45375],NALOXONE (BULK) POWDER [24013],1964.2,,549.976,1689.212,83
NDC,38779-0822-4 [45455],CHOLESTYRAMINE (BULK) POWDER [23430],2275.05,,637.014,1956.543,83
NDC,38779-0822-5 [171249],CHOLESTYRAMINE (BULK) POWDER [23430],9100.2,,2548.056,7826.172,83
NDC,38779-0927-3 [45577],LORAZEPAM (BULK) 100 % POWDER [26060],2384.5,,667.66,2050.67,83
NDC,38779-0927-4 [45578],LORAZEPAM (BULK) 100 % POWDER [26060],11917.3,,3336.844,10248.878,83
NDC,38779-1754-4 [46072],KETAMINE (BULK) 100 % POWDER [23101],2334.55,,653.674,2007.713,83
NDC,38779-1754-8 [148958],KETAMINE (BULK) 100 % POWDER [23101],46665.15,,13066.242,40132.029,83
NDC,38779-1938-5 [198346],PHENOL (BULK) 89 % LIQUID [41124],280.4,,78.512,241.144,83
NDC,38779-1987-4 [124442],URSODIOL (BULK) 100 % POWDER [35168],1646.75,,461.09,1416.205,83
NDC,38779-2550-4 [272212],VALACYCLOVIR (BULK) 100 % POWDER [112697],1455.0,,407.4,1251.3,83
NDC,38779-2698-0 [234802],TACROLIMUS (BULK) 100 % POWDER [130136],13147.55,,3681.314,11306.893,83
NDC,3877900688 [44064],CITRIC ACID (BULK) POWDER CONTAINER [40800003869],925.5,,259.14,795.93,83
NDC,3877900688 [44064],CITRIC ACID (BULK) POWDER [1703],925.5,,259.14,795.93,83
NDC,3877900808 [44094],LACTOSE (BULK) POWDER [4333],247.4,,69.272,212.764,83
NDC,3877905518 [45076],SODIUM BENZOATE (BULK) POWDER [7305],228.0,,63.84,196.08,83
NDC,3877905655 [204998],LACTIC ACID (BULK) 88 % TO 92 % (USP) LIQUID [4321],242.95,,68.026,208.937,83
NDC,3877905658 [45109],LACTIC ACID (BULK) 88 % TO 92 % (USP) LIQUID [4321],1151.95,,322.546,990.677,83
NDC,3877906138 [45185],GLYCERIN (BULK) 100 % LIQUID [28815],277.45,,77.686,238.607,83
NDC,3877906138 [45185],GLYCERIN 99%-100% LIQUID FOR COMPOUNDING CONTAINER [40800003602],277.45,,77.686,238.607,83
NDC,3877906155 [45190],BENZOIC ACID (BULK) POWDER [17048],213.65,,59.822,183.739,83
NDC,3877909498 [45601],MINERAL OIL ORAL [5086],235.95,,66.066,202.917,83
NDC,3877912764 [234496],FD AND C BLUE NO.2 (BULK) POWDER [43235],354.5,,99.26,304.87,83
NDC,3877914394 [45886],METHYLPARABEN (BULK) POWDER [13296],212.0,,59.36,182.32,83
NDC,3877915515 [187788],PROPYLPARABEN (BULK) CRYSTALS [13102],648.4,,181.552,557.624,83
NDC,3877919035 [217747],ETHOXYDIGLYCOL (BULK) 100 % LIQUID [42293],94.55,,26.474,81.313,83
NDC,3877920381 [217767],CORN OIL (BULK) [22841],3013.95,,843.906,2591.997,83
NDC,3877920388 [217768],CORN OIL (BULK) [22841],376.75,,105.49,324.005,83
NDC,3877923035 [217803],POLOXAMER (BULK) 20 % GEL [124678],201.35,,56.378,173.161,83
NDC,3877924718 [234682],GLUTAMINE (BULK) POWDER [13713],37035.2,,10369.856,31850.272,83
NDC,3877924719 [234683],GLUTAMINE (BULK) POWDER [13713],74070.4,,20739.712,63700.544,83
NDC,3877925325 [217875],SUPPOSITORY BASE NO.55 (BULK) WAX [130460],292.4,,81.872,251.464,83
NDC,39328-020-08 [343255],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],38.05,,10.654,32.723,83
NDC,39328-062-50 [217932],SODIUM HYPOCHLORITE 0.5 % SOLUTION [2110],39.5,,11.06,33.97,83
NDC,39328-063-25 [217933],SODIUM HYPOCHLORITE 0.25 % SOLUTION [15950],37.4,,10.472,32.164,83
NDC,39328-120-05 [358149],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],7.7,,2.156,6.622,83
NDC,39328-120-50 [358150],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],7.7,,2.156,6.622,83
NDC,3932806412 [235031],SODIUM HYPOCHLORITE 0.125 % SOLUTION [76720],33.45,,9.366,28.767,83
NDC,3932806712 [326118],SODIUM HYPOCHLORITE 0.125 % SOLUTION [76720],96.05,,26.894,82.603,83
NDC,3932835760 [176870],"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",222.4,,62.272,191.264,83
NDC,39822-0151-1 [135602],LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION [10442],1385.75,,39.29,1191.745,85
NDC,39822-0190-1 [181925],ACETAZOLAMIDE 100 MG/ML INJ [4080000011],108.15,,17.23,93.009,84
NDC,39822-0190-1 [181925],ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],100.2,,17.23,86.172,84
NDC,39822-0260-1 [384276],CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],1146.6,,0.62,986.076,86
NDC,39822-0260-1 [384276],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],1146.6,,0.62,986.076,86
NDC,39822-0310-5 [194415],NEOMYCIN 500 MG TABLET [5472],6.45,,1.806,5.547,83
NDC,39822-0310-7 [228336],NEOMYCIN 500 MG TABLET [5472],6.45,,1.806,5.547,83
NDC,39822-0412-1 [46151],TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],274.6,,2.46,236.156,84
NDC,39822-0412-1 [46151],TOBRAMYCIN INJECTION 40 MG/ML (PF) [40800000261],274.6,,2.46,236.156,84
NDC,39822-0412-6 [46152],TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],257.4,,2.46,221.364,84
NDC,39822-0412-6 [46152],TOBRAMYCIN INJECTION 40 MG/ML (PF) [40800000261],257.4,,2.46,221.364,84
NDC,39822-0706-2 [46155],STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION [7508],257.4,,31.35,221.364,84
NDC,39822-0706-2 [46155],STREPTOMYCIN SULFATE 250 MG/ML INJECTION [40800003406],257.4,,31.35,221.364,84
NDC,39822-1000-1 [240806],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",28.45,,7.966,24.467,83
NDC,39822-1000-1 [240806],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],28.45,,7.966,24.467,83
NDC,39822-1055-5 [46162],AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],164.75,,34.12,141.685,84
NDC,39822-1055-5 [46162],AMPHOTERICIN B 8.33 MG/ML SOLUTION FOR INJECTION [40800001039],164.75,,34.12,141.685,84
NDC,39822-1055-5 [46162],AMPHOTERICIN B INJ 5 MG/ML [40840000089],164.75,,34.12,141.685,84
NDC,39822-1100-1 [333836],FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],120.15,,0.06,103.329,84
NDC,39822-2000-1 [260315],"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",85.8,,17.67,73.788,84
NDC,39822-2100-1 [326120],DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2416.05,,302.92,2077.803,86
NDC,39822-2100-1 [326120],DACTINOMYCIN 500 MCG/ML INJ [40800000105],2416.05,,302.92,2077.803,86
NDC,39822-2100-1 [326120],DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],2416.05,,302.92,2077.803,86
NDC,39822-2100-2 [326121],DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2416.05,,302.92,2077.803,86
NDC,39822-2100-2 [326121],DACTINOMYCIN 500 MCG/ML INJ [40800000105],2416.05,,302.92,2077.803,86
NDC,39822-2100-2 [326121],DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],2416.05,,302.92,2077.803,86
NDC,39822-3015-1 [265617],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",57.8,,16.184,49.708,83
NDC,39822-3050-1 [370238],PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],294.85,,82.558,253.571,83
NDC,39822-3050-1 [370238],PENTAMIDINE INJ 100 MG/ML [40800000433],294.85,,82.558,253.571,83
NDC,39822-3050-2 [370239],PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],294.85,,82.558,253.571,83
NDC,39822-3050-2 [370239],PENTAMIDINE INJ 100 MG/ML [40800000433],294.85,,82.558,253.571,83
NDC,39822-4200-1 [235032],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],21.35,,5.978,18.361,83
NDC,39822-4200-2 [235033],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],21.35,,5.978,18.361,83
NDC,39822-5525-2 [290046],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],9.5,,2.66,8.17,84
NDC,39822-5525-3 [290047],PROMETHAZINE 25 MG/ML INJECTION SOLUTION  [40800000089],9.5,,2.66,8.17,84
NDC,39822-5525-3 [290047],PROMETHAZINE 25 MG/ML INJECTION SOLUTION [6618],9.5,,2.66,8.17,84
NDC,39822-5525-3 [290047],PROMETHAZINE IVPB 25 MG/ML (MAX CONC) [40800002433],9.5,,2.66,8.17,84
NDC,39822-9900-1 [46183],AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION [439],2.05,,0.574,1.763,83
NDC,40028-512-30 [302220],"SODIUM FLUORIDE F-18 10-200 MCI/ML (370-7,400 MBQ/ML) INTRAVENOUS SOLN [192065]",341.0,,95.48,293.26,83
NDC,4009310144 [348973],"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE [8639]",1.65,,0.462,1.419,83
NDC,4056512249 [139894],CADEXOMER IODINE 0.9 % TOPICAL GEL [12858],280.45,,78.526,241.187,83
NDC,4056512250 [371266],CADEXOMER IODINE 0.9 % TOPICAL PADS [87871],61.85,,17.318,53.191,83
NDC,4056512251 [139895],CADEXOMER IODINE 0.9 % TOPICAL PADS [87871],46.3,,12.964,39.818,83
NDC,4056512256 [205029],CADEXOMER IODINE 0.9 % TOPICAL GEL [12858],109.95,,30.786,94.557,83
NDC,4098521154 [210972],SELENIUM 200 MCG CAPSULE [81409],1.65,,0.462,1.419,83
NDC,4098521245 [295100],"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [108850]",1.65,,0.462,1.419,83
NDC,4098527062 [148968],"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",1.65,,0.462,1.419,83
NDC,4098527086 [158189],"ARGININE HCL (L-ARGININE) 1,000 MG TABLET [39390]",1.65,,0.462,1.419,83
NDC,4110056656 [357191],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],5.3,,1.484,4.558,83
NDC,4110059877 [382250],LORATADINE 5 MG CHEWABLE TABLET [77516],6.25,,1.75,5.375,83
NDC,4110059879 [392013],LORATADINE 5 MG CHEWABLE TABLET [77516],2.9,,0.812,2.494,83
NDC,4110080676 [181954],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],5.9,,1.652,5.074,83
NDC,4110081086 [260388],"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",6.7,,1.876,5.762,83
NDC,4110081088 [260389],"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",6.45,,1.806,5.547,83
NDC,4110081122 [294088],VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [8723],10.6,,2.968,9.116,83
NDC,4110081123 [284503],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],29.0,,8.12,24.94,83
NDC,4110081127 [331405],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],30.25,,8.47,26.015,83
NDC,4110082067 [140441],LORATADINE 5 MG CHEWABLE TABLET [77516],4.95,,1.386,4.257,83
NDC,41167-0600-3 [284505],METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],10.1,,2.828,8.686,83
NDC,41167-4131-4 [272358],FEXOFENADINE 60 MG TABLET [21529],2.25,,0.63,1.935,83
NDC,41167-4244-4 [211128],FEXOFENADINE 30 MG/5 ML ORAL SUSPENSION [78148],35.1,,9.828,30.186,83
NDC,41167-4310-4 [211130],"FEXOFENADINE 60 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXT.RELEASE,12 HR [27522]",3.75,,1.05,3.225,83
NDC,41167-4320-7 [218065],"FEXOFENADINE-PSEUDOEPHEDRINE ER 180 MG-240 MG TABLET,EXT.RELEASE 24 HR [40389]",5.5,,1.54,4.73,83
NDC,41167-5800-5 [260401],TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],59.5,,16.66,51.17,83
NDC,4116706003 [171457],METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],10.1,,2.828,8.686,83
NDC,4116706006 [381278],METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],10.1,,2.828,8.686,83
NDC,4116742444 [205056],FEXOFENADINE 30 MG/5 ML ORAL SUSPENSION [78148],35.1,,9.828,30.186,83
NDC,4160808747 [47068],ACETIC ACID VAGINAL SOLUTION [28793],8.45,,2.366,7.267,83
NDC,4160887474 [158295],ACETIC ACID VAGINAL SOLUTION [28793],14.75,,4.13,12.685,83
NDC,4167936503 [272380],MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL [10518],221.9,,62.132,190.834,83
NDC,42023-103-01 [158303],EPINEPHRINE 1 MG/ML NASAL SOLUTION [19604],820.9,,2.28,705.974,84
NDC,42023-104-01 [164593],TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [8259],383.05,,107.254,329.423,83
NDC,42023-104-05 [164594],TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [8259],1492.45,,417.886,1283.507,83
NDC,42023-113-10 [164599],KETAMINE 10 MG/ML INJECTION SOLUTION [4236],69.15,,19.362,59.469,83
NDC,42023-113-10 [164599],KETAMINE IVPB 10 MG/ML (MAX CONC) (MUST USE ORDER SET) [40800000273],69.15,,19.362,59.469,83
NDC,42023-113-10 [164599],KETAMINE IVPB 10 MG/ML (MAX CONC) (PEDI > 20.5 KG) (MUST USE ORDER SET) [40800002435],69.15,,19.362,59.469,83
NDC,42023-113-10 [164599],KETAMINE LOW-DOSE IV BOLUS INJECTION SOLUTION 10 MG/ML (ADULT) [40800000338],69.15,,19.362,59.469,83
NDC,42023-113-10 [164599],KETAMINE LOW-DOSE IV BOLUS INJECTION SOLUTION 10 MG/ML (PEDI) [40800003089],69.15,,19.362,59.469,83
NDC,42023-146-25 [265653],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],25.7,,7.196,22.102,83
NDC,42023-157-01 [277966],ETHACRYNATE SODIUM 1 MG/ML INJ [40800000063],3276.0,,14.8143,2817.36,85
NDC,42023-157-01 [277966],ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],3276.0,,14.8143,2817.36,85
NDC,42023-157-01 [277966],ETHACRYNIC ACID IVPB 1 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800002434],3276.0,,14.8143,2817.36,85
NDC,42023-157-01 [277966],ETHACRYNIC ACID IVPB 1 MG/ML (MAX CONC) [40800002428],3276.0,,14.8143,2817.36,85
NDC,42023-159-01 [326128],EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],35.95,,2.26,30.917,84
NDC,42023-159-25 [240868],EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],35.95,,2.26,30.917,84
NDC,42023-159-25 [240868],EPINEPHRINE 1 MG/ML (1:1000) INJ CONTAINER [40800000426],35.95,,2.26,30.917,84
NDC,42023-164-01 [272386],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],49.7,,1.26,42.742,84
NDC,42023-164-01 [272386],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],49.7,,1.26,42.742,84
NDC,42023-164-10 [337495],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],49.7,,1.26,42.742,84
NDC,42023-164-25 [272387],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],38.25,,1.26,32.895,84
NDC,42023-164-25 [272387],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],38.25,,1.26,32.895,84
NDC,42023-168-01 [260451],EPINEPHRINE 1 MG/ML (1:1000) INJ CONTAINER [40800000426],297.55,,0.72,255.893,84
NDC,42023-168-01 [260451],EPINEPHRINE 1 MG/ML INJECTION SOLUTION [121505],297.55,,0.72,255.893,84
NDC,42023-168-99 [341414],EPINEPHRINE 1 MG/ML INJECTION SOLUTION [121505],297.55,,0.72,255.893,84
NDC,42023-172-04 [292766],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],230.55,,0.41,198.273,84
NDC,42023-179-01 [277967],BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [126977],53.75,,4.13,46.225,84
NDC,42023-179-05 [277968],BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [126977],53.75,,4.13,46.225,84
NDC,42023-182-01 [277969],ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],1670.8,,0.70035,1436.888,86
NDC,42023-187-01 [339422],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],158.7,,44.436,136.482,83
NDC,42023-187-10 [339423],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],158.7,,44.436,136.482,83
NDC,42023-195-01 [370253],POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [162662],1737.75,,0.35,1494.465,85
NDC,42023-201-01 [290071],LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [113060],320.55,,7.7,275.673,84
NDC,42023-205-01 [352678],CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],2428.8,,680.064,2088.768,83
NDC,42023-216-01 [295110],EPHEDRINE SULFATE 50 MG/ML INJ CONTAINER [40800003111],92.35,,25.858,79.421,83
NDC,42023-216-01 [295110],EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [178537],92.35,,25.858,79.421,83
NDC,42023-216-25 [295111],EPHEDRINE SULFATE 50 MG/ML INJ CONTAINER [40800003111],92.35,,25.858,79.421,83
NDC,42023-216-25 [295111],EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [178537],92.35,,25.858,79.421,83
NDC,42023-221-01 [310556],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],127.2,,9.02,109.392,84
NDC,42023-221-01 [310556],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],127.2,,9.02,109.392,84
NDC,42023-221-10 [310557],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],127.2,,9.02,109.392,84
NDC,42023-221-10 [310557],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],127.2,,9.02,109.392,84
NDC,42023-221-10 [310557],ERTAPENEM 100 MG/ML INJ [40800000062],137.3,,9.02,118.078,84
NDC,4203710479 [240882],CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],30.7,,8.596,26.402,83
NDC,42043-390-20 [287482],GRANISETRON HCL 1 MG TABLET [14720],5.0,,1.4,4.3,83
NDC,42192-329-01 [198442],THYROID (PORK) 30 MG TABLET [129292],3.3,,0.924,2.838,83
NDC,42192-330-01 [198443],THYROID (PORK) 60 MG TABLET [129293],3.65,,1.022,3.139,83
NDC,42192-339-01 [240899],HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],2.15,,0.602,1.849,83
NDC,42192-608-16 [228541],GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],305.4,,85.512,262.644,83
NDC,42192-614-05 [353484],PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],21.85,,0.66,18.791,84
NDC,42192-614-30 [353486],PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],21.85,,0.66,18.791,84
NDC,42192-615-01 [337496],NIFEDIPINE 10 MG CAPSULE [5558],3.25,,0.91,2.795,83
NDC,42192-801-01 [272399],PHENAZOPYRIDINE 100 MG TABLET [6193],4.05,,1.134,3.483,83
NDC,42291-868-90 [340519],TRAZODONE 50 MG TABLET [8085],1.65,,0.462,1.419,83
NDC,42292-001-01 [272509],METRONIDAZOLE 500 MG TABLET [5016],3.15,,0.882,2.709,83
NDC,42292-001-20 [272510],METRONIDAZOLE 500 MG TABLET [5016],3.15,,0.882,2.709,83
NDC,42292-038-01 [295121],LEVOTHYROXINE 88 MCG TABLET [10403],2.4,,0.672,2.064,83
NDC,42292-038-20 [295122],LEVOTHYROXINE 88 MCG TABLET [10403],2.4,,0.672,2.064,83
NDC,42292-039-01 [295123],LEVOTHYROXINE 112 MCG TABLET [10404],2.8,,0.784,2.408,83
NDC,42292-039-20 [295124],LEVOTHYROXINE 112 MCG TABLET [10404],2.8,,0.784,2.408,83
NDC,42292-040-01 [295125],LEVOTHYROXINE 175 MCG TABLET [10406],3.5,,0.98,3.01,83
NDC,42292-040-20 [295126],LEVOTHYROXINE 175 MCG TABLET [10406],3.5,,0.98,3.01,83
NDC,42292-041-01 [318058],LEVOTHYROXINE 137 MCG TABLET [10405],2.9,,0.812,2.494,83
NDC,42292-041-20 [318059],LEVOTHYROXINE 137 MCG TABLET [10405],2.9,,0.812,2.494,83
NDC,42292-054-01 [332739],COLCHICINE 0.6 MG TABLET [1821],35.8,,10.024,30.788,83
NDC,42292-054-03 [332740],COLCHICINE 0.6 MG TABLET [1821],35.8,,10.024,30.788,83
NDC,42367-540-32 [265757],DANTROLENE 250 MG INTRAVENOUS SUSPENSION [165844],10666.15,,2986.522,9172.889,83
NDC,42367-570-22 [354108],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],517.8,,1.26,445.308,84
NDC,42367-570-22 [354108],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],517.8,,1.26,445.308,84
NDC,42367-570-87 [354109],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],517.8,,1.26,445.308,84
NDC,42367-570-87 [354109],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],517.8,,1.26,445.308,84
NDC,42385-946-01 [345908],URSODIOL 300 MG CAPSULE [11624],4.85,,1.358,4.171,83
NDC,42385-978-01 [384296],"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR [35771]",1.65,,0.462,1.419,83
NDC,42494-340-01 [299871],FLUCYTOSINE 500 MG CAPSULE [10052],84.05,,23.534,72.283,83
NDC,42494-415-01 [334698],PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],91.1,,25.508,78.346,84
NDC,42494-415-03 [333861],PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],91.1,,25.508,78.346,84
NDC,42494-415-25 [331416],PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],91.1,,25.508,78.346,84
NDC,42494-416-01 [334809],PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],179.05,,27.36,153.983,84
NDC,42494-416-03 [333862],PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],234.5,,27.36,201.67,84
NDC,42494-416-25 [331417],PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],145.3,,27.36,124.958,84
NDC,42494-450-20 [380170],VANCOMYCIN 125 MG CAPSULE [11628],5.35,,1.498,4.601,83
NDC,42494-451-20 [380172],VANCOMYCIN 250 MG CAPSULE [11629],16.55,,4.634,14.233,83
NDC,42494-454-10 [373657],"NAPROXEN 500 MG TABLET,DELAYED RELEASE [13523]",9.65,,2.702,8.299,83
NDC,42543-140-50 [299873],HYDROCORTISONE 5 MG TABLET [10209],1.65,,0.462,1.419,83
NDC,42543-141-01 [299874],HYDROCORTISONE 10 MG TABLET [3733],1.65,,0.462,1.419,83
NDC,42543-142-01 [299875],HYDROCORTISONE 20 MG TABLET [3734],2.45,,0.686,2.107,83
NDC,42543-407-01 [301553],"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [11083]",1.65,,0.462,1.419,83
NDC,42543-493-01 [299876],AMANTADINE HCL 100 MG CAPSULE [364],1.9,,0.532,1.634,83
NDC,42571-103-01 [241178],GLIMEPIRIDE 4 MG TABLET [16357],1.65,,0.462,1.419,83
NDC,42571-130-21 [345914],TRAVOPROST 0.004 % EYE DROPS [113077],903.3,,252.924,776.838,83
NDC,42571-137-25 [348984],KETOROLAC 0.5 % EYE DROPS [19733],103.0,,28.84,88.58,83
NDC,42571-144-01 [313342],CELECOXIB 200 MG CAPSULE [24501],1.65,,0.462,1.419,83
NDC,42571-147-26 [335723],DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],171.6,,48.048,147.576,83
NDC,42571-161-42 [299882],AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],2.4,,0.672,2.064,83
NDC,42571-162-01 [300776],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],2.85,,0.798,2.451,83
NDC,42571-162-42 [300777],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],2.85,,0.798,2.451,83
NDC,42571-228-30 [333865],TELMISARTAN 80 MG TABLET [24336],4.0,,1.12,3.44,83
NDC,42571-342-30 [339434],CLOMIPRAMINE 25 MG CAPSULE [9635],1.65,,0.462,1.419,83
NDC,42571-360-07 [333866],METFORMIN 500 MG/5 ML ORAL SOLUTION [37125],490.7,,137.396,422.002,83
NDC,42571-375-01 [373658],RAMELTEON 8 MG TABLET [42064],6.75,,1.89,5.805,83
NDC,42571-375-30 [373659],RAMELTEON 8 MG TABLET [42064],6.75,,1.89,5.805,83
NDC,42658-008-01 [382486],DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],1638.0,,302.92,1408.68,86
NDC,42658-008-01 [382486],DACTINOMYCIN 500 MCG/ML INJ [40800000105],1638.0,,302.92,1408.68,86
NDC,42658-008-01 [382486],DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],1638.0,,302.92,1408.68,86
NDC,42658-010-01 [334810],CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],1146.6,,8.53185,986.076,86
NDC,42658-010-91 [369245],CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],1146.6,,8.53185,986.076,86
NDC,42658-021-01 [330514],DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],429.65,,19.76,369.499,84
NDC,42658-021-01 [330514],DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],429.65,,19.76,369.499,84
NDC,42658-021-02 [342355],DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],429.65,,19.76,369.499,84
NDC,42658-021-02 [342355],DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],429.65,,19.76,369.499,84
NDC,42658-021-91 [366144],DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],429.65,,19.76,369.499,84
NDC,42658-021-91 [366144],DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],429.65,,19.76,369.499,84
NDC,42658-021-92 [366243],DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION [22661],429.65,,19.76,369.499,84
NDC,42658-021-92 [366243],DAUNORUBICIN IVPB 5 MG/ML (MAX CONC) (PEDI) [40800004204],429.65,,19.76,369.499,84
NDC,42702-102-10 [356702],PHENYLEPHRINE 2.5 % EYE DROPS [6246],205.95,,57.666,177.117,83
NDC,42747-726-01 [171578],GRANISETRON 3.1 MG/24 HOUR WEEKLY TRANSDERMAL PATCH [93997],2169.45,,607.446,1865.727,83
NDC,42747-761-01 [311492],MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION [186083],15980.5,,248.5,13743.23,86
NDC,42794-003-08 [241184],ADEFOVIR 10 MG TABLET [33816],102.4,,28.672,88.064,83
NDC,42794-018-02 [235322],LIOTHYRONINE 5 MCG TABLET [10443],3.05,,0.854,2.623,83
NDC,42794-018-12 [308009],LIOTHYRONINE 5 MCG TABLET [10443],3.25,,0.91,2.795,83
NDC,42794-019-02 [235324],LIOTHYRONINE 25 MCG TABLET [4504],3.95,,1.106,3.397,83
NDC,42799-110-02 [322598],ALBENDAZOLE 200 MG TABLET [8979],317.2,,88.816,272.792,83
NDC,42799-131-01 [332755],DILTIAZEM 90 MG TABLET [2477],1.65,,0.462,1.419,83
NDC,42799-806-01 [272548],IVERMECTIN 3 MG TABLET [25820],19.65,,5.502,16.899,83
NDC,42799-921-30 [337512],BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET [18290],2.3,,0.644,1.978,83
NDC,42806-008-01 [284568],OXYCODONE 30 MG TABLET [28900],3.6,,1.008,3.096,83
NDC,42806-087-01 [297363],ESTRADIOL 0.5 MG TABLET [12491],1.65,,0.462,1.419,83
NDC,42806-143-01 [282398],DEMECLOCYCLINE 150 MG TABLET [9726],48.8,,13.664,41.968,83
NDC,42806-144-48 [282399],DEMECLOCYCLINE 300 MG TABLET [9727],78.7,,22.036,67.682,83
NDC,42806-150-33 [308017],AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],54.0,,15.12,46.44,83
NDC,42806-186-15 [376303],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",33.2,,9.296,28.552,83
NDC,42806-266-95 [353487],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],4.75,,1.33,4.085,83
NDC,42806-266-98 [363412],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],4.75,,1.33,4.085,83
NDC,42806-339-01 [311493],DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [124596],3.0,,0.84,2.58,83
NDC,42806-343-01 [311494],DEXTROAMPHETAMINE-AMPHETAMINE 15 MG TABLET [124433],3.0,,0.84,2.58,83
NDC,42806-358-01 [337519],LEUCOVORIN CALCIUM 5 MG TABLET [4398],5.7,,1.596,4.902,83
NDC,42806-362-01 [330516],DOXYCYCLINE HYCLATE 20 MG TABLET [30579],2.95,,0.826,2.537,83
NDC,42806-503-01 [198527],URSODIOL 300 MG CAPSULE [11624],5.95,,1.666,5.117,83
NDC,42806-552-12 [337520],OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],1.65,,0.462,1.419,83
NDC,42806-658-30 [338518],ENTECAVIR 0.5 MG TABLET [41147],1.65,,0.462,1.419,83
NDC,42806-714-01 [324694],BENZONATATE 100 MG CAPSULE [988],1.65,,0.462,1.419,83
NDC,42806-757-60 [354115],SULFADIAZINE 500 MG TABLET [7554],61.75,,17.29,53.105,83
NDC,42858-001-01 [265775],OXYCODONE 5 MG TABLET [10814],2.85,,0.798,2.451,83
NDC,42858-001-10 [272563],OXYCODONE 5 MG TABLET [10814],3.4,,0.952,2.924,83
NDC,42858-002-01 [265776],OXYCODONE 10 MG TABLET [87795],2.85,,0.798,2.451,83
NDC,42858-002-10 [272564],OXYCODONE 10 MG TABLET [87795],4.35,,1.218,3.741,83
NDC,42858-103-01 [265782],OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],2.85,,0.798,2.451,83
NDC,42858-104-01 [265784],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],2.85,,0.798,2.451,83
NDC,42858-122-01 [297386],HYDROMORPHONE 2 MG TABLET [3760],14.05,,3.934,12.083,83
NDC,42858-301-01 [188116],HYDROMORPHONE 2 MG TABLET [3760],2.85,,0.798,2.451,83
NDC,42858-301-25 [188117],HYDROMORPHONE 2 MG TABLET [3760],2.85,,0.798,2.451,83
NDC,42858-302-01 [188118],HYDROMORPHONE 4 MG TABLET [3761],2.9,,0.812,2.494,83
NDC,42858-302-25 [188119],HYDROMORPHONE 4 MG TABLET [3761],2.85,,0.798,2.451,83
NDC,42858-302-50 [188120],HYDROMORPHONE 4 MG TABLET [3761],2.85,,0.798,2.451,83
NDC,42858-304-16 [228967],HYDROMORPHONE 1 MG/ML ORAL LIQUID [10225],497.15,,139.202,427.549,83
NDC,42858-353-40 [299211],BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [165282],259.25,,72.59,222.955,83
NDC,42858-493-40 [299213],BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107661],277.65,,77.742,238.779,83
NDC,42858-586-40 [299214],BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH [122909],381.85,,106.918,328.391,83
NDC,42858-750-40 [299216],BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107660],185.55,,51.954,159.573,83
NDC,42858-802-01 [205108],"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [119007]",3.8,,1.064,3.268,83
NDC,42858-805-01 [205111],"MORPHINE ER 200 MG TABLET,EXTENDED RELEASE [119249]",12.05,,3.374,10.363,83
NDC,42858-839-40 [299217],BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107662],468.35,,131.138,402.781,83
NDC,42858-867-06 [309691],DRONABINOL 2.5 MG CAPSULE [9904],11.05,,1.68,9.503,84
NDC,43066-007-10 [326150],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],10.0,,2.8,8.6,83
NDC,43066-015-01 [342356],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],21.9,,0.06,18.834,84
NDC,43066-015-10 [342357],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],21.9,,0.06,18.834,84
NDC,43066-019-01 [342358],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003809],30.7,,0.06,26.402,84
NDC,43066-019-01 [342358],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],30.7,,0.06,26.402,84
NDC,43066-019-10 [342359],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003809],30.7,,0.06,26.402,84
NDC,43066-019-10 [342359],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],30.7,,0.06,26.402,84
NDC,43066-023-01 [342360],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],35.05,,0.06,30.143,84
NDC,43066-023-10 [342361],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],6.4,,0.06,5.504,84
NDC,43066-089-10 [373662],FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1179.4,,15.58,1014.284,84
NDC,43066-090-01 [350908],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],23.25,,2.52,19.995,84
NDC,43066-090-25 [350909],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],23.25,,2.52,19.995,84
NDC,43066-150-10 [211226],"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [110257]",98.3,,2.61,84.538,84
NDC,43066-360-20 [211227],"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [110258]",113.65,,2.61,97.739,84
NDC,43066-993-24 [362366],CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626],66.35,,1.72,57.061,84
NDC,43066-995-24 [362367],CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],69.5,,1.67,59.77,84
NDC,43066-997-01 [358169],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],23.7,,6.636,20.382,83
NDC,43066-997-10 [358170],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],23.7,,6.636,20.382,83
NDC,43386-038-60 [292951],VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [38103],2765.8,,774.424,2378.588,83
NDC,43386-060-19 [182641],PEG 3350 240 GRAM-ELECTROLYTES 22.72 GRAM-6.72 G-5.84 G POWDR FOR SOLN [38965],68.65,,19.222,59.039,83
NDC,43386-060-19 [182641],PEG-ELECTROLYTE ORAL SOLUTION CONTAINER [40800003811],68.65,,19.222,59.039,83
NDC,43386-090-19 [182642],PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION [10839],80.1,,22.428,68.886,83
NDC,43386-090-19 [182642],PEG-ELECTROLYTE ORAL SOLUTION CONTAINER [40800003811],80.1,,22.428,68.886,83
NDC,43386-770-01 [303557],FLUCYTOSINE 500 MG CAPSULE [10052],68.65,,19.222,59.039,83
NDC,43538-510-99 [269372],HYDROSOLUBLE NAIL LACQUER (GENADUR) TOPICAL LIQUID [130445],1.65,,0.462,1.419,83
NDC,43547-049-03 [363414],TADALAFIL 5 MG TABLET [37400],1.65,,0.462,1.419,83
NDC,43547-051-03 [363416],TADALAFIL 20 MG TABLET [36986],1.75,,0.49,1.505,83
NDC,43547-226-10 [235605],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,43547-226-50 [235606],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,43547-268-10 [218863],ROPINIROLE 0.25 MG TABLET [21688],1.65,,0.462,1.419,83
NDC,43547-269-10 [218864],ROPINIROLE 0.5 MG TABLET [21800],1.65,,0.462,1.419,83
NDC,43547-270-10 [218865],ROPINIROLE 1 MG TABLET [21689],1.65,,0.462,1.419,83
NDC,43547-273-10 [218868],ROPINIROLE 4 MG TABLET [26429],1.65,,0.462,1.419,83
NDC,43547-280-10 [284759],ESCITALOPRAM 5 MG TABLET [37635],1.65,,0.462,1.419,83
NDC,43547-280-11 [284760],ESCITALOPRAM 5 MG TABLET [37635],1.65,,0.462,1.419,83
NDC,43547-282-10 [284763],ESCITALOPRAM 20 MG TABLET [33513],1.65,,0.462,1.419,83
NDC,43547-288-10 [284765],"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",1.65,,0.462,1.419,83
NDC,43547-301-09 [370289],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,43547-341-06 [278218],RISPERIDONE 1 MG TABLET [18313],1.65,,0.462,1.419,83
NDC,43547-346-06 [278227],"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR [97382]",2.8,,0.784,2.408,83
NDC,43547-351-10 [272972],LISINOPRIL 2.5 MG TABLET [13089],1.65,,0.462,1.419,83
NDC,43547-354-10 [272978],LISINOPRIL 20 MG TABLET [4526],1.65,,0.462,1.419,83
NDC,43547-367-03 [278228],VALSARTAN 40 MG TABLET [33541],1.65,,0.462,1.419,83
NDC,43547-368-09 [278229],VALSARTAN 80 MG TABLET [31209],1.65,,0.462,1.419,83
NDC,43547-370-09 [278231],VALSARTAN 320 MG TABLET [31211],2.1,,0.588,1.806,83
NDC,43547-374-09 [291788],IRBESARTAN 75 MG TABLET [21847],1.65,,0.462,1.419,83
NDC,43547-376-03 [291793],IRBESARTAN 300 MG TABLET [21849],1.65,,0.462,1.419,83
NDC,43547-376-09 [291794],IRBESARTAN 300 MG TABLET [21849],1.65,,0.462,1.419,83
NDC,43547-380-03 [300792],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",2.35,,0.658,2.021,83
NDC,43547-381-03 [300795],"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",2.35,,0.658,2.021,83
NDC,43547-399-10 [296396],CYCLOBENZAPRINE 5 MG TABLET [35184],1.65,,0.462,1.419,83
NDC,43547-400-10 [296398],CYCLOBENZAPRINE 10 MG TABLET [2017],1.65,,0.462,1.419,83
NDC,43547-401-10 [305125],FUROSEMIDE 20 MG TABLET [3294],1.65,,0.462,1.419,83
NDC,43547-402-10 [302466],FUROSEMIDE 40 MG TABLET [3295],1.65,,0.462,1.419,83
NDC,43547-405-10 [305129],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,43547-405-50 [305130],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,43547-406-10 [306003],CLONAZEPAM 0.5 MG TABLET [9637],2.85,,0.798,2.451,83
NDC,43547-407-10 [306006],CLONAZEPAM 1 MG TABLET [9638],2.85,,0.798,2.451,83
NDC,43547-545-10 [360336],ENALAPRIL MALEATE 2.5 MG TABLET [9925],1.65,,0.462,1.419,83
NDC,43547-547-10 [360340],ENALAPRIL MALEATE 10 MG TABLET [9924],1.65,,0.462,1.419,83
NDC,43547-548-10 [360342],ENALAPRIL MALEATE 20 MG TABLET [9926],1.65,,0.462,1.419,83
NDC,43547-639-01 [350910],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],11.95,,0.43,10.277,84
NDC,43547-639-01 [350910],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],11.95,,0.43,10.277,84
NDC,43547-639-25 [350911],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],11.95,,0.43,10.277,84
NDC,43547-639-25 [350911],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],11.95,,0.43,10.277,84
NDC,43547-688-10 [377579],CIPROFLOXACIN 250 MG TABLET [25118],1.65,,0.462,1.419,83
NDC,43598-050-11 [368188],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],28.05,,1.79,24.123,84
NDC,43598-050-25 [368189],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],28.05,,1.79,24.123,84
NDC,43598-053-11 [360352],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],1593.9,,3.57,1370.754,84
NDC,43598-078-11 [370290],ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],23.3,,6.524,20.038,83
NDC,43598-078-58 [370291],ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],23.3,,6.524,20.038,83
NDC,43598-085-11 [354980],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],517.8,,1.26,445.308,84
NDC,43598-085-11 [354980],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],517.8,,1.26,445.308,84
NDC,43598-085-25 [354979],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],517.8,,1.26,445.308,84
NDC,43598-085-25 [354979],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],517.8,,1.26,445.308,84
NDC,43598-086-11 [398223],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],52.3,,0.12,44.978,84
NDC,43598-086-11 [398223],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],52.3,,0.12,44.978,84
NDC,43598-086-11 [398223],DOXYCYCLINE HYCLATE 100 MG/10 ML INJ [40800001602],56.55,,0.12,48.633,84
NDC,43598-086-58 [398224],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],52.3,,0.12,44.978,84
NDC,43598-086-58 [398224],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],52.3,,0.12,44.978,84
NDC,43598-086-58 [398224],DOXYCYCLINE HYCLATE 100 MG/10 ML INJ [40800001602],56.55,,0.12,48.633,84
NDC,43598-087-11 [382501],LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],138.55,,38.794,119.153,83
NDC,43598-087-58 [382502],LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],138.55,,38.794,119.153,83
NDC,43598-106-10 [385313],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],85.75,,6.17,73.745,84
NDC,43598-106-11 [385314],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],85.75,,6.17,73.745,84
NDC,43598-125-11 [404787],ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],2784.6,,76.76,2394.756,86
NDC,43598-128-11 [355844],METHYLPREDNISOLONE 62.5 MG/ML INJ CONTAINER [40800000428],75.55,,0.26,64.973,84
NDC,43598-128-11 [355844],METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003376],70.0,,0.26,60.2,84
NDC,43598-128-11 [355844],METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10581],70.0,,0.26,60.2,84
NDC,43598-130-74 [355847],"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",103.35,,0.26,88.881,84
NDC,43598-133-01 [364362],HYDROXYCHLOROQUINE 100 MG TABLET [195858],1.65,,0.462,1.419,83
NDC,43598-140-11 [386504],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],85.7,,23.996,73.702,84
NDC,43598-140-25 [386505],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],85.7,,23.996,73.702,84
NDC,43598-142-06 [364363],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2165.45,,52.71,1862.287,86
NDC,43598-142-11 [364364],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2165.45,,52.71,1862.287,86
NDC,43598-143-62 [358179],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],327.6,,0.21,281.736,84
NDC,43598-164-05 [260720],OLANZAPINE 5 MG TABLET [17936],1.65,,0.462,1.419,83
NDC,43598-164-30 [260721],OLANZAPINE 5 MG TABLET [17936],1.65,,0.462,1.419,83
NDC,43598-166-30 [260725],OLANZAPINE 10 MG TABLET [17937],1.65,,0.462,1.419,83
NDC,43598-169-11 [370292],ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],33.8,,9.464,29.068,83
NDC,43598-169-58 [370293],ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],33.8,,9.464,29.068,83
NDC,43598-204-52 [207676],AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],369.45,,103.446,317.727,83
NDC,43598-210-40 [207679],SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],181.9,,50.932,156.434,83
NDC,43598-210-55 [207681],SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],47.85,,13.398,41.151,83
NDC,43598-230-18 [313387],COLESEVELAM 625 MG TABLET [28372],4.35,,1.218,3.741,83
NDC,43598-262-02 [337525],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],303.6,,6.98,261.096,84
NDC,43598-262-11 [337526],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],303.6,,6.98,261.096,84
NDC,43598-262-23 [387336],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],303.6,,6.98,261.096,84
NDC,43598-283-35 [298259],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",1474.2,,71.86,1267.812,86
NDC,43598-292-90 [324714],PREGABALIN 50 MG CAPSULE [42163],2.85,,0.798,2.451,83
NDC,43598-305-62 [241288],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],524.2,,0.21,450.812,84
NDC,43598-305-62 [241288],AZACITIDINE INJECTION 10 MG/ML [40800000411],524.2,,0.21,450.812,84
NDC,43598-305-62 [241288],AZACITIDINE SUBCUTANEOUS SOLUTION 25 MG/ML [40800000410],524.2,,0.21,450.812,84
NDC,43598-308-23 [374957],PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],3931.2,,32.74,3380.832,86
NDC,43598-309-20 [303559],CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],3276.0,,10.94,2817.36,86
NDC,43598-330-11 [241289],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],154.45,,5.2,132.827,84
NDC,43598-386-62 [358182],PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [89350],520.9,,3.73,447.974,86
NDC,43598-387-11 [358183],PEMETREXED 25 MG/ML INJ CONTAINER [40800000036],2597.9,,3.73,2234.194,86
NDC,43598-387-11 [358183],PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],2597.9,,3.73,2234.194,86
NDC,43598-391-50 [304388],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1470.95,,99.9833,1265.017,86
NDC,43598-391-50 [304388],MELPHALAN INJ 5 MG/ML [40800000435],1470.95,,99.9833,1265.017,86
NDC,43598-392-48 [304389],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1470.95,,99.9833,1265.017,86
NDC,43598-392-48 [304389],MELPHALAN INJ 5 MG/ML [40800000435],1470.95,,99.9833,1265.017,86
NDC,43598-405-11 [323612],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],136.0,,2.84,116.96,84
NDC,43598-405-16 [323613],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],136.0,,2.84,116.96,84
NDC,43598-413-11 [321059],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],274.6,,0.03,236.156,84
NDC,43598-426-60 [359385],BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],257.4,,1.59,221.364,84
NDC,43598-426-60 [359385],BORTEZOMIB IV INJ 1 MG/ML INJECTION [40800000444],257.4,,1.59,221.364,84
NDC,43598-426-60 [359385],BORTEZOMIB SUBCUTANEOUS 1 MG/ML INJECTION [40800002483],257.4,,1.59,221.364,84
NDC,43598-426-60 [359385],BORTEZOMIB SUBCUTANEOUS INJ 2.5 MG/ML [40800000445],257.4,,1.59,221.364,84
NDC,43598-436-11 [291136],NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],72.65,,20.342,62.479,83
NDC,43598-446-70 [272996],NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],9.95,,2.786,8.557,83
NDC,43598-446-71 [291138],NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],8.15,,2.282,7.009,83
NDC,43598-446-74 [272997],NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],8.45,,2.366,7.267,83
NDC,43598-447-70 [272998],NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],9.95,,2.786,8.557,83
NDC,43598-447-71 [291139],NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],8.15,,2.282,7.009,83
NDC,43598-447-74 [272999],NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],8.45,,2.366,7.267,83
NDC,43598-448-70 [273001],NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],9.95,,2.786,8.557,83
NDC,43598-448-71 [290183],NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],7.6,,2.128,6.536,83
NDC,43598-448-74 [273002],NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],8.45,,2.366,7.267,83
NDC,43598-452-02 [344564],ALBENDAZOLE 200 MG TABLET [8979],61.5,,17.22,52.89,83
NDC,43598-458-04 [358184],SORAFENIB 200 MG TABLET [43675],424.15,,118.762,364.769,83
NDC,43598-465-62 [278235],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],257.4,,0.21,221.364,84
NDC,43598-465-62 [278235],AZACITIDINE INJECTION 10 MG/ML [40800000411],257.4,,0.21,221.364,84
NDC,43598-470-60 [356707],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [132662]",40.8,,11.424,35.088,83
NDC,43598-478-01 [324721],SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],36.45,,10.206,31.347,83
NDC,43598-478-90 [318112],SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],36.45,,10.206,31.347,83
NDC,43598-541-25 [298260],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",4095.0,,71.86,3521.7,86
NDC,43598-553-30 [291800],LAMOTRIGINE 200 MG DISINTEGRATING TABLET [96942],32.25,,9.03,27.735,83
NDC,43598-555-30 [291802],ARIPIPRAZOLE 5 MG TABLET [36438],3.35,,0.938,2.881,83
NDC,43598-655-30 [300803],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",2.0,,0.56,1.72,83
NDC,43598-666-11 [339450],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],38.2,,10.696,32.852,83
NDC,43598-666-25 [339451],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],38.2,,10.696,32.852,83
NDC,43598-676-11 [398232],TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION [11584],39.95,,0.86,34.357,84
NDC,43598-682-35 [307058],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",1474.2,,71.86,1267.812,86
NDC,43598-683-25 [307059],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",4095.0,,71.86,3521.7,86
NDC,43598-721-01 [310610],HYDROXYCHLOROQUINE 200 MG TABLET [10235],2.5,,0.7,2.15,83
NDC,43598-751-60 [309744],"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",1.65,,0.462,1.419,83
NDC,43598-752-01 [309745],"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",1.65,,0.462,1.419,83
NDC,43598-839-11 [320080],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],35.65,,4.79,30.659,84
NDC,43598-839-36 [320081],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],35.65,,4.79,30.659,84
NDC,43598-854-30 [329783],DEFERASIROX 500 MG DISPERSIBLE TABLET [43417],87.0,,24.36,74.82,83
NDC,43598-856-30 [329785],DEFERASIROX 250 MG DISPERSIBLE TABLET [43416],48.8,,13.664,41.968,83
NDC,43598-901-11 [345926],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],303.6,,9.02,261.096,84
NDC,43598-901-11 [345926],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],303.6,,9.02,261.096,84
NDC,43598-901-11 [345926],ERTAPENEM 100 MG/ML INJ [40800000062],327.6,,9.02,281.736,84
NDC,43598-901-58 [345927],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],303.6,,9.02,261.096,84
NDC,43598-901-58 [345927],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],303.6,,9.02,261.096,84
NDC,43598-901-58 [345927],ERTAPENEM 100 MG/ML INJ [40800000062],327.6,,9.02,281.736,84
NDC,43598-909-90 [332776],FENOFIBRATE 54 MG TABLET [31336],1.65,,0.462,1.419,83
NDC,43598-914-11 [383395],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],78.95,,1.26,67.897,84
NDC,43598-914-11 [383395],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],78.95,,1.26,67.897,84
NDC,43598-914-25 [383396],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],78.95,,1.26,67.897,84
NDC,43598-914-25 [383396],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],78.95,,1.26,67.897,84
NDC,43598-948-11 [338540],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],282.05,,0.11,242.563,84
NDC,43598-948-11 [338540],FOSAPREPITANT 30 MG/ML INJ [40800000315],282.05,,0.11,242.563,84
NDC,43598-966-30 [340530],ARIPIPRAZOLE 5 MG TABLET [36438],3.35,,0.938,2.881,83
NDC,43598-975-11 [338541],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],158.7,,44.436,136.482,83
NDC,43598-975-58 [338542],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],158.7,,44.436,136.482,83
NDC,43825-102-01 [205200],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",115.2,,0.05,99.072,84
NDC,43825-102-01 [205200],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",115.2,,0.05,99.072,84
NDC,43825-102-01 [205200],ACETAMINOPHEN IVPB 10 MG/ML (IV PREP; DOSES NOT 1000 MG) [40800000120],162.45,,0.05,139.707,84
NDC,43825-102-01 [205200],ACETAMINOPHEN IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001422],162.45,,0.05,139.707,84
NDC,43825-200-01 [362387],TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [199211],3430.0,,960.4,2949.8,83
NDC,43825-200-01 [362387],TERLIPRESSIN INJECTION 0.17 MG/ML (USE ORDER SET) [40800003882],3430.0,,960.4,2949.8,83
NDC,43825-606-41 [296402],"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION [89570]",281.75,,78.89,242.305,83
NDC,43825-707-50 [296404],"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION [91965]",1143.35,,320.138,983.281,83
NDC,43975-217-10 [294234],INDAPAMIDE 1.25 MG TABLET [10264],1.65,,0.462,1.419,83
NDC,44087-3535-1 [296119],AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [40800002637],4927.15,,100.3,4237.349,86
NDC,44206-251-10 [47616],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800000377]",546.5,,53.08,469.99,86
NDC,44206-251-10 [47616],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",546.5,,53.08,469.99,86
NDC,44206-251-91 [282479],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800000377]",546.5,,53.08,469.99,86
NDC,44206-251-91 [282479],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",546.5,,53.08,469.99,86
NDC,44206-310-25 [47617],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",273.25,,53.08,234.995,86
NDC,44206-310-50 [47618],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003502]",546.5,,53.08,469.99,86
NDC,44206-310-50 [47618],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",546.5,,53.08,469.99,86
NDC,44206-310-90 [273016],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",273.25,,53.08,234.995,86
NDC,44206-310-91 [282480],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003502]",546.5,,53.08,469.99,86
NDC,44206-310-91 [282480],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",546.5,,53.08,469.99,86
NDC,44206-436-05 [158328],"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [173701]",3237.0,,49.53,2783.82,86
NDC,44206-436-05 [158328],IMMUNE GLOBULIN (HUMAN (IGG) 10% (INJ FOR PO USE) [40800000260],3237.0,,49.53,2783.82,86
NDC,44206-436-90 [265014],"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [173701]",3237.0,,49.53,2783.82,86
NDC,44206-436-90 [265014],IMMUNE GLOBULIN (HUMAN (IGG) 10% (INJ FOR PO USE) [40800000260],3237.0,,49.53,2783.82,86
NDC,44206-437-10 [158329],"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [173701]",6473.95,,49.53,5567.597,86
NDC,44206-437-10 [158329],IMMUNE GLOBULIN (HUMAN (IGG) 10% (INJ FOR PO USE) [40800000260],6473.95,,49.53,5567.597,86
NDC,44206-437-91 [265012],"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [173701]",6473.95,,49.53,5567.597,86
NDC,44206-437-91 [265012],IMMUNE GLOBULIN (HUMAN (IGG) 10% (INJ FOR PO USE) [40800000260],6473.95,,49.53,5567.597,86
NDC,44206-438-20 [158330],"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [173701]",12947.85,,49.53,11135.151,86
NDC,44206-438-20 [158330],IMMUNE GLOBULIN (HUMAN (IGG) 10% (INJ FOR PO USE) [40800000260],12947.85,,49.53,11135.151,86
NDC,44206-438-92 [265013],"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [173701]",12947.85,,49.53,11135.151,86
NDC,44206-438-92 [265013],IMMUNE GLOBULIN (HUMAN (IGG) 10% (INJ FOR PO USE) [40800000260],12947.85,,49.53,11135.151,86
NDC,44206-439-40 [241305],"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [173701]",25895.7,,49.53,22270.302,86
NDC,44206-439-93 [284772],"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [173701]",25895.7,,49.53,22270.302,86
NDC,44523-410-01 [391142],"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [11083]",1.65,,0.462,1.419,83
NDC,44567-102-10 [182665],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003337],26.3,,0.49,22.618,84
NDC,44567-102-10 [182665],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],26.3,,0.49,22.618,84
NDC,44567-102-10 [182665],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],28.45,,0.49,24.467,84
NDC,44567-103-10 [182666],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],39.25,,0.49,33.755,84
NDC,44567-103-10 [182666],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],39.25,,0.49,33.755,84
NDC,44567-103-10 [182666],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],42.4,,0.49,36.464,84
NDC,44567-210-10 [260764],AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002644],30.7,,1.49,26.402,84
NDC,44567-210-10 [260764],AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],30.7,,1.49,26.402,84
NDC,44567-210-10 [260764],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],33.2,,1.49,28.552,84
NDC,44567-211-10 [241316],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],53.5,,1.49,46.01,84
NDC,44567-211-10 [241316],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],53.5,,1.49,46.01,84
NDC,44567-211-10 [241316],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],57.8,,1.49,49.708,84
NDC,44567-222-10 [241319],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],70.0,,0.06,60.2,84
NDC,44567-222-10 [241319],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],70.0,,0.06,60.2,84
NDC,44567-222-10 [241319],NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],75.55,,0.06,64.973,84
NDC,44567-235-25 [241320],CEFTAZIDIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002652],19.75,,1.64,16.985,84
NDC,44567-235-25 [241320],CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [9474],19.75,,1.64,16.985,84
NDC,44567-235-25 [241320],CEFTAZIDIME 100 MG/ML INJ [40800000332],21.35,,1.64,18.361,84
NDC,44567-236-10 [241321],CEFTAZIDIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002653],35.65,,1.64,30.659,84
NDC,44567-236-10 [241321],CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [9476],35.65,,1.64,30.659,84
NDC,44567-240-10 [241323],CEFEPIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002651],25.0,,1.23,21.5,84
NDC,44567-240-10 [241323],CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],25.0,,1.23,21.5,84
NDC,44567-240-10 [241323],CEFEPIME 100 MG/ML INJ [40800000049],27.05,,1.23,23.263,84
NDC,44567-240-10 [241323],CEFEPIME INJ CONTAINER (ONE-STEP) [40800000472],25.0,,1.23,21.5,84
NDC,44567-241-10 [241324],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],34.95,,1.23,30.057,84
NDC,44567-241-10 [241324],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],34.95,,1.23,30.057,84
NDC,44567-245-25 [278243],CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003353],35.5,,5.13,30.53,84
NDC,44567-245-25 [278243],CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],35.5,,5.13,30.53,84
NDC,44567-246-25 [278244],CEFOXITIN 180 MG/ML INJ [40800000024],68.5,,5.13,58.91,84
NDC,44567-246-25 [278244],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003354],63.45,,5.13,54.567,84
NDC,44567-246-25 [278244],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],63.45,,5.13,54.567,84
NDC,44567-311-10 [273020],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],20.7,,0.88,17.802,84
NDC,44567-420-00 [311542],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],63.3,,0.5,54.438,84
NDC,44567-420-24 [311543],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],63.3,,0.5,54.438,84
NDC,44567-421-00 [311544],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,44567-421-24 [311545],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,44567-435-24 [290195],LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108118],63.3,,1.96,54.438,84
NDC,44567-435-24 [290195],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,44567-435-24 [290195],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,44567-436-24 [290196],LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108119],63.3,,1.96,54.438,84
NDC,44567-436-24 [290196],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,44567-436-24 [290196],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,44567-437-24 [290197],LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [108120],63.3,,1.96,54.438,84
NDC,44567-437-24 [290197],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) (PEDI < 20.5 KG) SYRINGE [40800003912],63.3,,1.96,54.438,84
NDC,44567-437-24 [290197],LEVOFLOXACIN IVPB 5 MG/ML IN D5W (IV PREP) [40800003911],63.3,,1.96,54.438,84
NDC,44567-450-01 [369273],"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",175.9,,0.28,151.274,84
NDC,44567-450-10 [369274],"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",175.9,,0.28,151.274,84
NDC,44567-620-01 [318119],"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [187428]",78.45,,0.08,67.467,84
NDC,44567-620-24 [318120],"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [187428]",78.45,,0.08,67.467,84
NDC,44567-641-01 [367151],NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [129841],117.35,,32.858,100.921,83
NDC,44567-641-10 [367152],NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [129841],117.35,,32.858,100.921,83
NDC,44567-705-01 [353508],IMIPENEM-CILASTATIN 50 MG/ML INJ [40800000048],93.9,,6.97,80.754,84
NDC,44567-705-01 [353508],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003371],87.0,,6.97,74.82,84
NDC,44567-705-01 [353508],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],87.0,,6.97,74.82,84
NDC,44567-705-10 [353509],IMIPENEM-CILASTATIN 50 MG/ML INJ [40800000048],93.9,,6.97,80.754,84
NDC,44567-705-10 [353509],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003371],87.0,,6.97,74.82,84
NDC,44567-705-10 [353509],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],87.0,,6.97,74.82,84
NDC,44567-707-25 [211565],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],7.25,,0.84,6.235,84
NDC,44567-801-10 [229319],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],13.1,,1.11,11.266,84
NDC,44567-801-10 [229319],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],13.1,,1.11,11.266,84
NDC,44567-801-10 [229319],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],14.2,,1.11,12.212,84
NDC,44567-802-10 [241330],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],24.4,,1.11,20.984,84
NDC,44567-802-10 [241330],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],22.55,,1.11,19.393,84
NDC,44567-802-10 [241330],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],22.55,,1.11,19.393,84
NDC,44567-820-01 [339457],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],421.4,,9.02,362.404,84
NDC,44567-820-01 [339457],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],421.4,,9.02,362.404,84
NDC,44567-820-01 [339457],ERTAPENEM 100 MG/ML INJ [40800000062],454.75,,9.02,391.085,84
NDC,44567-820-10 [339458],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],421.4,,9.02,362.404,84
NDC,44567-820-10 [339458],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],421.4,,9.02,362.404,84
NDC,44567-820-10 [339458],ERTAPENEM 100 MG/ML INJ [40800000062],454.75,,9.02,391.085,84
NDC,4533430001 [47779],EMOLLIENT TOPICAL CREAM [125480],34.9,,9.772,30.014,83
NDC,4533430004 [127648],EMOLLIENT TOPICAL CREAM [125480],19.2,,5.376,16.512,83
NDC,4533430016 [47781],EMOLLIENT TOPICAL CREAM [125480],36.4,,10.192,31.304,83
NDC,45567-0030-1 [251241],KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLUTION (FILTERED) [40800002889],310.0,,86.8,266.6,83
NDC,45567-0030-1 [251241],KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLUTION [130088],310.0,,86.8,266.6,83
NDC,45567-0040-2 [251243],KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM 20 MG IV SOLUTION [129715],81.0,,22.68,69.66,83
NDC,45567-0455-2 [251247],KIT FOR THE PREPARATION OF TC-99M-MEBROFENIN 45 MG IV SOLUTION [129722],89.0,,24.92,76.54,83
NDC,45567-0555-2 [251249],KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION [130092],78.0,,21.84,67.08,83
NDC,45567-100-01 [302236],IODINE-131 METAIODOBENZYLGUANIDINE INJECTION [40800003014],1675.85,,469.238,1441.231,85
NDC,45728-444-98 [355678],DEXTROMETHORPHAN HBR 10 MG/5 ML ORAL LIQUID [27328],37.3,,10.444,32.078,83
NDC,45802-004-02 [47813],HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],12.35,,3.458,10.621,83
NDC,45802-004-03 [47814],HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],18.05,,5.054,15.523,83
NDC,45802-018-94 [360357],MUPIROCIN CALCIUM 2 % TOPICAL CREAM [22251],155.15,,43.442,133.429,83
NDC,45802-044-75 [319019],ACYCLOVIR 5 % TOPICAL CREAM [8967],655.2,,183.456,563.472,83
NDC,45802-046-35 [47836],GENTAMICIN 0.1 % TOPICAL OINTMENT [3424],135.6,,37.968,116.616,83
NDC,45802-048-35 [47839],"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",53.95,,15.106,46.397,83
NDC,45802-055-05 [140478],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],115.6,,32.368,99.416,83
NDC,45802-055-36 [47850],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT [8118],39.55,,11.074,34.013,83
NDC,45802-059-11 [47853],"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",72.1,,20.188,62.006,83
NDC,45802-059-35 [47854],"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",53.95,,15.106,46.397,83
NDC,45802-063-36 [140480],TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM [8112],38.9,,10.892,33.454,83
NDC,45802-064-35 [47865],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],15.35,,4.298,13.201,83
NDC,45802-064-36 [140482],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],37.65,,10.542,32.379,83
NDC,45802-065-35 [47866],TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM [8114],38.85,,10.878,33.411,83
NDC,45802-097-35 [342370],ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM [9969],247.15,,69.202,212.549,83
NDC,45802-098-46 [251283],MESALAMINE 4 GRAM/60 ML ENEMA CONTAINER [40800002923],50.5,,14.14,43.43,83
NDC,45802-098-51 [108126],MESALAMINE 4 GRAM/60 ML ENEMA CONTAINER [40800002923],38.55,,10.794,33.153,83
NDC,45802-098-51 [108126],MESALAMINE 4 GRAM/60 ML ENEMA [10535],38.55,,10.794,33.153,83
NDC,45802-107-52 [260774],"PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE [6716]",1.65,,0.462,1.419,83
NDC,45802-109-01 [304393],TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL [19808],54.1,,15.148,46.526,83
NDC,45802-112-22 [98238],MUPIROCIN 2 % TOPICAL OINTMENT [10674],34.7,,9.716,29.842,83
NDC,45802-122-46 [308120],"LORATADINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [124415]",4.85,,1.358,4.171,83
NDC,45802-124-64 [205208],HYDROCORTISONE-PRAMOXINE 2.5 %-1 % TOPICAL CREAM [11104],387.75,,108.57,333.465,83
NDC,45802-128-01 [344567],CLINDAMYCIN 1 % LOTION [19711],137.3,,38.444,118.078,83
NDC,45802-139-70 [324739],METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],68.7,,19.236,59.082,83
NDC,45802-143-00 [351845],"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [127482]",1.65,,0.462,1.419,83
NDC,45802-143-70 [273035],"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [127482]",1.65,,0.462,1.419,83
NDC,45802-147-62 [332792],"CETIRIZINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [31239]",3.55,,0.994,3.053,83
NDC,45802-174-53 [47923],METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],13.8,,3.864,11.868,83
NDC,45802-210-02 [242587],NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL [27096],915.0,,256.2,786.9,83
NDC,45802-216-96 [218937],BENZOYL PEROXIDE 5 % TOPICAL GEL [991],53.0,,14.84,45.58,83
NDC,45802-244-94 [302487],"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT [5755]",84.1,,23.548,72.326,83
NDC,45802-257-35 [116416],MOMETASONE 0.1 % TOPICAL CREAM [10646],60.1,,16.828,51.686,83
NDC,45802-276-03 [47955],HYDROCORTISONE 1 % TOPICAL OINTMENT [3731],10.0,,2.8,8.6,83
NDC,45802-280-01 [236322],BENZOYL PEROXIDE 5 % TOPICAL CLEANSER [993],35.35,,9.898,30.401,83
NDC,45802-358-03 [47974],DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM [16299],10.2,,2.856,8.772,83
NDC,45802-368-62 [198709],IMIQUIMOD 5 % TOPICAL CREAM PACKET [20718],9.9,,2.772,8.514,83
NDC,45802-410-59 [47975],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],10.0,,2.8,8.6,83
NDC,45802-422-37 [47979],DESONIDE 0.05 % TOPICAL CREAM [2291],247.15,,69.202,212.549,83
NDC,45802-425-78 [211571],FEXOFENADINE 60 MG TABLET [21529],2.75,,0.77,2.365,83
NDC,45802-432-62 [171672],PSEUDOEPHEDRINE 30 MG TABLET [6714],1.65,,0.462,1.419,83
NDC,45802-434-11 [47989],CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],21.6,,6.048,18.576,83
NDC,45802-437-33 [164641],CLOBETASOL 0.05 % TOPICAL FOAM [28973],327.6,,91.728,281.736,83
NDC,45802-438-03 [47990],HYDROCORTISONE 1 % TOPICAL CREAM [3726],10.0,,2.8,8.6,83
NDC,45802-465-64 [101143],KETOCONAZOLE 2 % SHAMPOO [14132],75.85,,21.238,65.231,83
NDC,45802-466-53 [108129],ECONAZOLE NITRATE 1 % TOPICAL CREAM [9915],327.7,,91.756,281.822,83
NDC,45802-486-78 [171673],DOCUSATE SODIUM 100 MG CAPSULE [2566],1.65,,0.462,1.419,83
NDC,45802-495-37 [47998],DESOXIMETASONE 0.25 % TOPICAL CREAM [2296],454.75,,127.33,391.085,83
NDC,45802-562-02 [242590],CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],165.6,,46.368,142.416,83
NDC,45802-580-01 [300813],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],36.6,,10.248,31.476,83
NDC,45802-580-01 [300813],SCOPOLAMINE PARTIAL PATCH [40800003954],36.6,,10.248,31.476,83
NDC,45802-580-46 [299903],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],36.6,,10.248,31.476,83
NDC,45802-580-46 [299903],SCOPOLAMINE PARTIAL PATCH [40800003954],36.6,,10.248,31.476,83
NDC,45802-580-62 [299904],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],38.15,,10.682,32.809,83
NDC,45802-580-62 [299904],SCOPOLAMINE PARTIAL PATCH [40800003954],38.15,,10.682,32.809,83
NDC,45802-580-84 [299905],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],36.6,,10.248,31.476,83
NDC,45802-580-84 [299905],SCOPOLAMINE PARTIAL PATCH [40800003954],36.6,,10.248,31.476,83
NDC,45802-626-26 [171674],CETIRIZINE 1 MG/ML ORAL SOLUTION [70838],19.45,,5.446,16.727,83
NDC,45802-650-78 [188489],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,45802-730-30 [48046],ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],1.7,,0.476,1.462,83
NDC,45802-730-32 [48047],ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],1.65,,0.462,1.419,83
NDC,45802-732-00 [218943],ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],1.65,,0.462,1.419,83
NDC,45802-759-00 [242592],PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],37.55,,10.514,32.293,83
NDC,45802-759-30 [48058],PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],37.55,,10.514,32.293,83
NDC,45802-880-14 [303561],"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM [5754]",71.95,,20.146,61.877,83
NDC,45802-900-94 [342371],CLINDAMYCIN 1 % TOPICAL GEL [9623],68.65,,19.222,59.039,83
NDC,45802-919-87 [158355],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,45802-923-41 [188493],MESALAMINE 4 GRAM/60 ML ENEMA CONTAINER [40800002923],448.3,,125.524,385.538,83
NDC,45802-923-41 [188493],MESALAMINE RECTAL SUSP ENEMA WITH CLEANSING WIPES 4 GRAM/60 ML KIT [92860],448.3,,125.524,385.538,83
NDC,45802-974-26 [164658],CETIRIZINE 1 MG/ML ORAL SOLUTION [70838],38.25,,10.71,32.895,83
NDC,45963-142-30 [273051],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",7.1,,1.988,6.106,83
NDC,45963-142-90 [278257],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",7.1,,1.988,6.106,83
NDC,45963-438-64 [229448],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],33.65,,9.422,28.939,83
NDC,45963-454-30 [320084],DEFERASIROX 125 MG DISPERSIBLE TABLET [43415],85.95,,24.066,73.917,83
NDC,45963-609-55 [273059],FLUDARABINE 25 MG/ML INJ CONTAINER [40800000415],309.6,,71.65,266.256,84
NDC,45963-609-55 [273059],FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],309.6,,71.65,266.256,84
NDC,45963-614-55 [273067],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],103.2,,1.4,88.752,84
NDC,45963-614-85 [312345],IRINOTECAN 100 MG/5 ML INJECTION FOR PO USE [40800000264],103.2,,28.896,88.752,83
NDC,45963-614-85 [312345],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],103.2,,1.4,88.752,84
NDC,45963-621-51 [296406],FLUDARABINE 25 MG/ML INJ CONTAINER [40800000415],356.3,,71.65,306.418,84
NDC,45963-621-51 [296406],FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION [41294],356.3,,71.65,306.418,84
NDC,45963-678-11 [328151],"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [30072]",2.85,,0.798,2.451,83
NDC,45963-686-02 [295199],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1638.0,,99.9833,1408.68,86
NDC,45963-686-02 [295199],MELPHALAN INJ 5 MG/ML [40800000435],1638.0,,99.9833,1408.68,86
NDC,45963-687-49 [295200],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],5382.8,,99.9833,4629.208,86
NDC,45963-687-49 [295200],MELPHALAN INJ 5 MG/ML [40800000435],5382.8,,99.9833,4629.208,86
NDC,45963-709-11 [328152],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",1.65,,0.462,1.419,83
NDC,4601701816 [218963],CAFFEINE 200 MG TABLET [1259],1.65,,0.462,1.419,83
NDC,4601701840 [218964],CAFFEINE 200 MG TABLET [1259],1.65,,0.462,1.419,83
NDC,46122-165-10 [251309],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],11.65,,3.262,10.019,83
NDC,46122-383-22 [301588],"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",2.75,,0.77,2.365,83
NDC,46122-395-16 [321075],MINERAL OIL ORAL SYRINGE (PEDI) [40800004004],28.05,,7.854,24.123,83
NDC,46122-395-16 [321075],MINERAL OIL ORAL [5086],28.05,,7.854,24.123,83
NDC,46122-414-05 [331443],"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT [854]",11.0,,3.08,9.46,83
NDC,46122-440-62 [318123],DIPHENHYDRAMINE 25 MG CAPSULE [2509],1.65,,0.462,1.419,83
NDC,46122-462-65 [343303],FEXOFENADINE 180 MG TABLET [25425],2.8,,0.784,2.408,83
NDC,46122-547-03 [331444],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",24.55,,6.874,21.113,83
NDC,46122-573-10 [337533],CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION [23063],25.45,,7.126,21.887,83
NDC,46122-598-87 [344576],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,46122-608-51 [344577],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],2.65,,0.742,2.279,83
NDC,46122-689-03 [346890],PHENYLEPHRINE 1 % NASAL SPRAY [124348],14.05,,3.934,12.083,83
NDC,46122-691-78 [346891],ASPIRIN 325 MG TABLET [681],1.65,,0.462,1.419,83
NDC,46122-701-65 [354125],BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [9285],1.65,,0.462,1.419,83
NDC,46122-714-26 [364379],WHITE PETROLATUM TOPICAL JELLY [28809],6.25,,1.75,5.375,83
NDC,46122-714-27 [364380],WHITE PETROLATUM TOPICAL JELLY [28809],16.0,,4.48,13.76,83
NDC,46122-735-75 [373670],FAMOTIDINE 10 MG TABLET [15065],1.65,,0.462,1.419,83
NDC,46122-737-71 [373675],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,46122-779-66 [388276],FEXOFENADINE 180 MG TABLET [25425],1.65,,0.462,1.419,83
NDC,46287-006-60 [48104],SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP [179432],85.15,,23.842,73.229,83
NDC,46287-006-60 [48104],SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSPENSION CONTAINER [40800002839],85.15,,23.842,73.229,83
NDC,46287-009-01 [48105],ISONIAZID 50 MG/5 ML ORAL SOLUTION [4025],1100.2,,308.056,946.172,83
NDC,46287-020-01 [300819],SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION [183059],5672.65,,1588.342,4878.479,83
NDC,46287-020-04 [300820],SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION [183059],1415.85,,396.438,1217.631,83
NDC,4628750001 [48112],SORBITOL 70 % SOLUTION [7413],44.05,,12.334,37.883,83
NDC,46414-3333-3 [348804],AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION [439],5.95,,1.666,5.117,83
NDC,47335-049-40 [236411],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",1474.2,,71.86,1267.812,86
NDC,47335-050-40 [236412],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",4095.0,,71.86,3521.7,86
NDC,47335-063-86 [316757],DOFETILIDE 500 MCG CAPSULE [26967],7.6,,2.128,6.536,83
NDC,47335-171-48 [333904],TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],45.3,,12.684,38.958,83
NDC,47335-171-49 [333905],TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],45.3,,12.684,38.958,83
NDC,47335-188-88 [278279],CARBIDOPA 25 MG-LEVODOPA 250 MG DISINTEGRATING TABLET [39498],5.35,,1.498,4.601,83
NDC,47335-220-90 [307075],KETOROLAC 0.5 % EYE DROPS [19733],110.0,,30.8,94.6,83
NDC,47335-307-88 [303564],"ZOLPIDEM ER 6.25 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42677]",2.85,,0.798,2.451,83
NDC,47335-308-88 [303565],"ZOLPIDEM ER 12.5 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42678]",2.85,,0.798,2.451,83
NDC,47335-330-40 [219014],CHLOROTHIAZIDE SODIUM 28 MG/ML INJ [40800000310],326.95,,40.38,281.177,84
NDC,47335-330-40 [219014],CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],326.95,,40.38,281.177,84
NDC,47335-472-81 [284803],IMATINIB 100 MG TABLET [32979],7.8,,2.184,6.708,83
NDC,47335-475-83 [284040],IMATINIB 400 MG TABLET [36092],23.9,,6.692,20.554,83
NDC,47335-539-81 [266042],"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [27181]",1.9,,0.532,1.634,83
NDC,47335-582-81 [290203],ROSUVASTATIN 5 MG TABLET [36612],1.65,,0.462,1.419,83
NDC,47335-584-81 [290205],ROSUVASTATIN 20 MG TABLET [35135],1.65,,0.462,1.419,83
NDC,47335-585-83 [290206],ROSUVASTATIN 40 MG TABLET [35136],1.65,,0.462,1.419,83
NDC,47335-588-88 [260946],ESZOPICLONE 3 MG TABLET [40322],6.5,,1.82,5.59,83
NDC,47335-668-68 [282498],RISEDRONATE 35 MG TABLET [32895],47.75,,13.37,41.065,83
NDC,47335-703-48 [350929],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,47335-703-49 [350930],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,47335-703-52 [350931],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,47335-703-54 [350932],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,47335-706-48 [332803],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,47335-706-49 [332804],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,47335-706-54 [332806],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,47335-859-83 [219030],"TRAMADOL ER 100 MG TABLET,EXTENDED RELEASE 24 HR [70352]",14.05,,3.934,12.083,83
NDC,47335-860-83 [219031],"TRAMADOL ER 200 MG TABLET,EXTENDED RELEASE 24 HR [70353]",22.4,,6.272,19.264,83
NDC,47335-861-83 [219032],"TRAMADOL ER 300 MG TABLET,EXTENDED RELEASE 24 HR [70354]",36.9,,10.332,31.734,83
NDC,47335-891-60 [316760],TEMOZOLOMIDE 20 MG CAPSULE [25893],29.1,,0.36,25.026,84
NDC,47335-891-72 [310618],TEMOZOLOMIDE 20 MG CAPSULE [25893],29.1,,0.36,25.026,84
NDC,47335-891-74 [310619],TEMOZOLOMIDE 20 MG CAPSULE [25893],54.25,,0.36,46.655,84
NDC,47335-892-60 [316761],TEMOZOLOMIDE 100 MG CAPSULE [25894],85.8,,0.36,73.788,84
NDC,47335-892-72 [310620],TEMOZOLOMIDE 100 MG CAPSULE [25894],85.8,,0.36,73.788,84
NDC,47335-892-74 [310621],TEMOZOLOMIDE 100 MG CAPSULE [25894],85.8,,0.36,73.788,84
NDC,47335-895-40 [341428],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],278.5,,0.38,239.51,84
NDC,47335-895-40 [341428],DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],278.5,,0.38,239.51,84
NDC,47335-902-88 [219034],QUETIAPINE 25 MG TABLET [21823],1.65,,0.462,1.419,83
NDC,47335-929-60 [316763],TEMOZOLOMIDE 140 MG CAPSULE [81461],124.25,,0.36,106.855,84
NDC,47335-929-72 [310623],TEMOZOLOMIDE 140 MG CAPSULE [81461],124.25,,0.36,106.855,84
NDC,47335-929-74 [310624],TEMOZOLOMIDE 140 MG CAPSULE [81461],124.25,,0.36,106.855,84
NDC,47335-930-60 [316764],TEMOZOLOMIDE 180 MG CAPSULE [81462],151.05,,0.36,129.903,84
NDC,47335-930-72 [310625],TEMOZOLOMIDE 180 MG CAPSULE [81462],151.05,,0.36,129.903,84
NDC,47335-931-40 [273131],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],30.3,,8.484,26.058,83
NDC,47335-931-44 [273132],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],30.3,,8.484,26.058,83
NDC,47335-938-90 [198756],AZELASTINE 0.05 % EYE DROPS [28351],120.15,,33.642,103.329,83
NDC,47335-956-88 [211649],"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",1.7,,0.476,1.462,83
NDC,47335-992-01 [351848],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],68.9,,0.5,59.254,84
NDC,47335-992-02 [351849],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,47335-993-01 [352702],METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],63.3,,0.03,54.438,84
NDC,4736001721 [48200],INHALATIONAL SPACING DEVICE [125749],20.05,,5.614,17.243,83
NDC,47682-223-35 [149282],"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [127482]",1.65,,0.462,1.419,83
NDC,47682-803-13 [48410],ACETAMINOPHEN 325 MG TABLET [101],1.65,,0.462,1.419,83
NDC,47781-104-44 [309765],ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM [9969],547.9,,153.412,471.194,83
NDC,47781-108-30 [266047],EXEMESTANE 25 MG TABLET [26551],15.8,,4.424,13.588,83
NDC,47781-178-01 [342397],DEXTROAMPHETAMINE-AMPHETAMINE 15 MG TABLET [124433],3.05,,0.854,2.623,83
NDC,47781-196-01 [284809],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],2.85,,0.798,2.451,83
NDC,47781-230-01 [229506],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],2.95,,0.826,2.537,83
NDC,47781-303-01 [205230],NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],3.0,,0.84,2.58,83
NDC,47781-304-03 [278286],RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],43.7,,12.236,37.582,83
NDC,47781-304-11 [287528],RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],43.7,,12.236,37.582,83
NDC,47781-307-01 [211655],NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],6.6,,1.848,5.676,83
NDC,47781-308-01 [211656],NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],11.15,,3.122,9.589,83
NDC,47781-333-31 [289305],DAPSONE 25 MG TABLET [2132],9.35,,2.618,8.041,83
NDC,47781-384-26 [302490],OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [110998],328.45,,91.966,282.467,83
NDC,47781-392-60 [344596],"HYDROCODONE BITARTRATE ER 20 MG TABLET,CRUSH RESIST,EXTENDED REL. 24HR [170411]",39.35,,11.018,33.841,83
NDC,47781-393-60 [344597],"HYDROCODONE BITARTRATE ER 30 MG TABLET,CRUSH RESIST,EXTENDED REL. 24HR [170412]",45.2,,12.656,38.872,83
NDC,47781-395-60 [344599],"HYDROCODONE BITARTRATE ER 60 MG TABLET,CRUSH RESIST,EXTENDED REL. 24HR [170414]",74.25,,20.79,63.855,83
NDC,47781-423-11 [305142],FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],63.85,,17.878,54.911,83
NDC,47781-423-47 [292985],FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],63.85,,17.878,54.911,83
NDC,47781-426-11 [307079],FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],50.05,,14.014,43.043,83
NDC,47781-426-47 [292987],FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],50.05,,14.014,43.043,83
NDC,47781-427-11 [332807],FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],70.0,,19.6,60.2,83
NDC,47781-427-47 [292988],FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],70.0,,19.6,60.2,83
NDC,47781-428-11 [311556],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],95.85,,26.838,82.431,83
NDC,47781-428-47 [292989],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],95.85,,26.838,82.431,83
NDC,47781-466-71 [290208],VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],399.95,,0.78,343.957,84
NDC,47781-468-13 [294246],OSELTAMIVIR 30 MG CAPSULE [88704],36.1,,10.108,31.046,83
NDC,47781-470-13 [293972],OSELTAMIVIR 75 MG CAPSULE [26546],39.3,,11.004,33.798,83
NDC,47781-530-73 [295209],CICLOPIROX 0.77 % TOPICAL GEL [27426],207.85,,58.198,178.751,83
NDC,47781-530-84 [295210],CICLOPIROX 0.77 % TOPICAL GEL [27426],298.45,,83.566,256.667,83
NDC,47781-569-73 [309766],FLUOCINONIDE 0.05 % TOPICAL OINTMENT [3189],281.7,,78.876,242.262,83
NDC,47781-584-93 [302501],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],6.4,,0.34,5.504,86
NDC,47781-587-17 [303569],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,47781-587-20 [303570],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,47781-589-22 [300826],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],29.25,,0.16,25.155,84
NDC,47781-595-07 [305146],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",188.8,,0.11,162.368,84
NDC,47781-624-07 [308154],DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],106.4,,9.02,91.504,84
NDC,47781-643-90 [322635],LEVOTHYROXINE 50 MCG TABLET [4421],1.65,,0.462,1.419,83
NDC,47781-914-13 [352703],DEXAMETHASONE 4 MG TABLET [2327],4.8,,0.02,4.128,84
NDC,47781-914-51 [352704],DEXAMETHASONE 4 MG TABLET [2327],4.8,,0.02,4.128,84
NDC,48433-106-01 [329082],CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],1.65,,0.462,1.419,83
NDC,48433-129-01 [365180],ASPIRIN 81 MG CHEWABLE TABLET [679],1.65,,0.462,1.419,83
NDC,48433-202-30 [284815],MINERAL OIL ORAL SYRINGE (PEDI) [40800004004],9.5,,2.66,8.17,83
NDC,48433-202-30 [284815],MINERAL OIL ORAL [5086],9.5,,2.66,8.17,83
NDC,48433-211-05 [289932],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],7.85,,2.198,6.751,83
NDC,48433-217-15 [342406],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],32.7,,9.156,28.122,83
NDC,48433-217-40 [342407],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],32.7,,9.156,28.122,83
NDC,48433-219-05 [332134],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],11.3,,3.164,9.718,83
NDC,48433-230-15 [48597],IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION [124003],127.75,,35.77,109.865,83
NDC,4843310401 [291155],"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",1.65,,0.462,1.419,83
NDC,4858251201 [124506],SALIVA STIMULANT COMBINATION NO.7 ORAL MUCOSAL GEL [180721],26.75,,7.49,23.005,83
NDC,48783-112-08 [269391],FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR [119255],60.5,,16.94,52.03,83
NDC,48818-001-01 [188563],PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [99982],22235.95,,388.83,19122.917,86
NDC,48818-001-01 [188563],PRALATREXATE 20 MG/ML INJ CONTAINER [40800000211],22235.95,,388.83,19122.917,86
NDC,48818-001-02 [188564],PRALATREXATE 20 MG/ML INJ CONTAINER [40800000211],44471.85,,388.83,38245.791,86
NDC,48818-001-02 [188564],PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073],44471.85,,388.83,38245.791,86
NDC,4898500155 [273153],NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],8.45,,2.366,7.267,83
NDC,4898500170 [314996],FEXOFENADINE 180 MG TABLET [25425],1.65,,0.462,1.419,83
NDC,49281-125-65 [397240],FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE [209111],259.55,,72.674,223.213,84
NDC,49281-125-88 [397241],FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE [209111],259.55,,72.674,223.213,84
NDC,49281-215-10 [219090],TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM CONTAINER [40800000341],141.25,,36.37,121.475,84
NDC,49281-215-15 [219091],TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM CONTAINER [40800000341],141.25,,36.37,121.475,84
NDC,49281-215-15 [219091],TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [128550],141.25,,36.37,121.475,84
NDC,49281-215-58 [273166],TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM CONTAINER [40800000341],141.25,,36.37,121.475,84
NDC,49281-215-88 [273167],TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [128550],141.25,,36.37,121.475,84
NDC,49281-286-10 [48971],"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP [128548]",93.1,,26.068,80.066,83
NDC,49281-286-58 [273168],"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP [128548]",93.1,,26.068,80.066,83
NDC,49281-400-10 [121514],"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP CONTAINER [40800003961]",155.3,,39.71,133.558,84
NDC,49281-400-10 [121514],"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP [41628]",155.3,,39.71,133.558,84
NDC,49281-400-20 [302506],"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE [128616]",155.3,,39.71,133.558,84
NDC,49281-400-20 [302506],"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP CONTAINER [40800003961]",155.3,,39.71,133.558,84
NDC,49281-400-58 [260983],"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP CONTAINER [40800003961]",155.3,,39.71,133.558,84
NDC,49281-400-58 [260983],"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP [41628]",155.3,,39.71,133.558,84
NDC,49281-400-89 [302507],"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE [128616]",155.3,,39.71,133.558,84
NDC,49281-400-89 [302507],"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP CONTAINER [40800003961]",155.3,,39.71,133.558,84
NDC,49281-752-21 [48988],TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [8259],383.05,,107.254,329.423,83
NDC,49281-752-78 [260988],TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [8259],383.05,,107.254,329.423,83
NDC,49281-860-10 [48994],POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [108127],1428.8,,44.79,1228.768,84
NDC,49281-860-78 [260990],POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [108127],1428.8,,44.79,1228.768,84
NDC,49401-101-01 [205801],BELIMUMAB 120 MG INTRAVENOUS SOLUTION [108842],2163.5,,56.01,1860.61,86
NDC,49401-102-01 [205802],BELIMUMAB 400 MG INTRAVENOUS SOLUTION [108843],7211.05,,56.01,6201.503,86
NDC,49401-102-01 [205802],BELIMUMAB 80 MG/ML INTRAVENOUS SOLUTION [40800003851],7211.05,,56.01,6201.503,86
NDC,49452-3544-1 [316776],HYDRALAZINE HCL (BULK) POWDER [22371],1050.95,,294.266,903.817,83
NDC,49452-4881-1 [98270],DILTIAZEM HCL (BULK) POWDER [22862],103.65,,29.022,89.139,83
NDC,49452-5965-1 [51399],POVIDONE (BULK) K-30 POWDER [24063],355.0,,99.4,305.3,83
NDC,49471-001-01 [273184],BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION [9260],360.4,,100.912,309.944,83
NDC,49471-001-05 [188587],BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION [9260],360.4,,100.912,309.944,83
NDC,49483-080-10 [133950],SENNOSIDES 8.6 MG TABLET [11349],1.65,,0.462,1.419,83
NDC,49483-081-10 [278378],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,49483-340-10 [313426],ACETAMINOPHEN 325 MG TABLET [101],1.65,,0.462,1.419,83
NDC,49483-481-10 [298279],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,49483-481-12 [298280],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,49483-602-01 [282541],IBUPROFEN 400 MG TABLET [3843],1.65,,0.462,1.419,83
NDC,49483-623-01 [291837],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,49483-623-09 [299937],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,49483-682-01 [360399],CETIRIZINE 5 MG TABLET [15349],1.65,,0.462,1.419,83
NDC,49483-687-03 [295226],PARICALCITOL 1 MCG CAPSULE [41497],4.75,,1.33,4.085,83
NDC,49483-688-03 [295227],PARICALCITOL 2 MCG CAPSULE [41498],9.5,,2.66,8.17,83
NDC,49502-102-02 [294272],"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [100491]",455.4,,0.72,391.644,84
NDC,49502-203-01 [52107],INHALATIONAL SPACING DEVICE [125749],68.7,,19.236,59.082,83
NDC,49502-500-02 [52115],"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [100491]",923.9,,0.72,794.554,84
NDC,49580-0329-1 [313428],MAGNESIUM CITRATE ORAL SOLUTION [4712],9.4,,2.632,8.084,83
NDC,49591-532-50 [373693],CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],5928.1,,1659.868,5098.166,86
NDC,49591-532-51 [373694],CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],5928.1,,1659.868,5098.166,86
NDC,49702-205-48 [203716],LAMIVUDINE 10 MG/ML ORAL SOLUTION [15881],363.0,,101.64,312.18,83
NDC,49702-223-18 [212356],MARAVIROC 150 MG TABLET [87998],99.0,,27.72,85.14,83
NDC,49702-228-13 [242848],DOLUTEGRAVIR 50 MG TABLET [122784],274.0,,76.72,235.64,83
NDC,49702-238-01 [355857],"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE [196559]",11683.8,,7.03,10048.068,85
NDC,49702-238-03 [360401],"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE [196559]",13854.25,,7.03,11914.655,85
NDC,49702-240-15 [342415],"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER [194463]",23367.6,,23.63,20096.136,86
NDC,49702-243-02 [355858],"RILPIVIRINE ER 900 MG/3 ML (300 MG/ML) IM SUSPENSION, EXTENDED RELEASE [197093]",11683.8,,3271.464,10048.068,83
NDC,49702-245-01 [355859],"CABOTEGRAVIR ER 400 MG/2 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE [197092]",7218.6,,7.03,6207.996,85
NDC,49702-253-15 [342416],"CABOTEGRAVIR ER 400 MG/2 ML-RILPIVIRINE ER 600 MG/2ML IM SUSPENSION,ER [193641]",14437.15,,23.63,12415.949,86
NDC,49702-264-23 [353513],"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE [196559]",13854.25,,7.03,11914.655,85
NDC,49781-090-01 [322471],PHENYLEPHRINE 0.25 %-PRAMOXINE 1 %-GLYCERIN-WH.PETROLATUM RECTAL CREAM [77868],10.5,,2.94,9.03,83
NDC,49884-020-01 [52776],ISOSORBIDE DINITRATE 5 MG TABLET [4068],3.75,,1.05,3.225,83
NDC,49884-054-01 [52794],IMIPRAMINE 10 MG TABLET [3860],1.65,,0.462,1.419,83
NDC,49884-055-01 [52796],IMIPRAMINE 25 MG TABLET [3861],1.65,,0.462,1.419,83
NDC,49884-065-01 [140585],GLYCOPYRROLATE 1 MG TABLET [10130],2.1,,0.588,1.806,83
NDC,49884-117-01 [52824],AMILORIDE 5 MG TABLET [391],4.3,,1.204,3.698,83
NDC,49884-124-01 [229585],LABETALOL 300 MG TABLET [10375],3.7,,1.036,3.182,83
NDC,49884-155-76 [350946],VARENICLINE TARTRATE 0.5 MG TABLET [76444],4.7,,1.316,4.042,83
NDC,49884-156-76 [350947],VARENICLINE TARTRATE 1 MG TABLET [76445],4.7,,1.316,4.042,83
NDC,49884-161-11 [182732],CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY [15738],137.3,,38.444,118.078,83
NDC,49884-210-02 [205831],"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR [37644]",35.15,,9.842,30.229,83
NDC,49884-211-02 [205834],"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR [37645]",35.15,,9.842,30.229,83
NDC,49884-231-83 [308162],PRAZIQUANTEL 600 MG TABLET [11113],228.0,,63.84,196.08,83
NDC,49884-256-01 [52862],MINOXIDIL 2.5 MG TABLET [5115],1.65,,0.462,1.419,83
NDC,49884-289-01 [52867],MEGESTROL 20 MG TABLET [4870],1.65,,0.462,1.419,83
NDC,49884-307-02 [124658],CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],5.65,,1.582,4.859,83
NDC,49884-307-52 [219128],CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],5.65,,1.582,4.859,83
NDC,49884-308-52 [219129],CLONAZEPAM 0.5 MG DISINTEGRATING TABLET [35627],5.65,,1.582,4.859,83
NDC,49884-320-52 [219134],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],4.1,,1.148,3.526,83
NDC,49884-320-55 [219135],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],4.1,,1.148,3.526,83
NDC,49884-321-52 [219136],OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],6.0,,1.68,5.16,83
NDC,49884-364-01 [284849],DANTROLENE 100 MG CAPSULE [9717],6.25,,1.75,5.375,83
NDC,49884-412-01 [242878],URSODIOL 250 MG TABLET [22660],6.75,,1.89,5.805,83
NDC,49884-424-11 [320101],ALISKIREN 150 MG TABLET [78653],26.3,,7.364,22.618,83
NDC,49884-465-64 [229586],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],9.75,,2.73,8.385,83
NDC,49884-465-65 [124662],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],9.75,,2.73,8.385,83
NDC,49884-487-11 [281135],LAMOTRIGINE 200 MG DISINTEGRATING TABLET [96942],37.3,,10.444,32.078,83
NDC,49884-487-54 [328034],LAMOTRIGINE 200 MG DISINTEGRATING TABLET [96942],37.3,,10.444,32.078,83
NDC,49884-554-02 [282551],ZAFIRLUKAST 20 MG TABLET [17960],7.2,,2.016,6.192,83
NDC,49884-605-11 [236494],"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [109452]",64.05,,17.934,55.083,83
NDC,49884-658-09 [242881],CANDESARTAN 4 MG TABLET [23229],11.15,,3.122,9.589,83
NDC,49884-659-09 [242882],CANDESARTAN 8 MG TABLET [23230],11.15,,3.122,9.589,83
NDC,49884-660-09 [242883],CANDESARTAN 16 MG TABLET [23231],11.2,,3.136,9.632,83
NDC,49884-661-09 [242884],CANDESARTAN 32 MG TABLET [23232],15.1,,4.228,12.986,83
NDC,49884-689-01 [278429],METOCLOPRAMIDE 10 MG TABLET [5005],1.65,,0.462,1.419,83
NDC,49884-724-01 [53035],HYDROXYUREA 500 MG CAPSULE (ACCC AND ICU USE ONLY) [40800002701],1.9,,0.532,1.634,83
NDC,49884-724-01 [53035],HYDROXYUREA 500 MG CAPSULE [10236],1.9,,0.532,1.634,83
NDC,49884-768-52 [355864],TOLVAPTAN 15 MG TABLET [97893],205.95,,57.666,177.117,83
NDC,49884-768-54 [355701],TOLVAPTAN 15 MG TABLET [97893],205.95,,57.666,177.117,83
NDC,49884-849-01 [315013],MIDODRINE 5 MG TABLET [10610],5.85,,1.638,5.031,83
NDC,49884-985-01 [188669],NATEGLINIDE 120 MG TABLET [29438],5.85,,1.638,5.031,83
NDC,5002443100 [352711],OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],18.95,,5.306,16.297,83
NDC,5003561501 [354137],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,5003561502 [354138],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,5003561503 [354139],MELATONIN 5 MG TABLET [91665],1.65,,0.462,1.419,83
NDC,5003561504 [354140],MELATONIN 5 MG TABLET [91665],1.65,,0.462,1.419,83
NDC,50111-398-01 [53704],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,50111-560-01 [338563],TRAZODONE 50 MG TABLET [8085],1.65,,0.462,1.419,83
NDC,50111-648-01 [53809],FLUOXETINE 20 MG CAPSULE [10070],1.65,,0.462,1.419,83
NDC,50111-787-51 [229599],AZITHROMYCIN 250 MG TABLET [20943],11.85,,3.318,10.191,83
NDC,50111-789-10 [127778],AZITHROMYCIN 600 MG TABLET [17387],21.85,,6.118,18.791,83
NDC,50111-915-01 [104907],TORSEMIDE 5 MG TABLET [18295],2.3,,0.644,1.978,83
NDC,50111-916-01 [104908],TORSEMIDE 10 MG TABLET [18292],2.5,,0.7,2.15,83
NDC,5019014263 [212392],SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],3.05,,0.854,2.623,83
NDC,5019074060 [251661],SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],3.2,,0.896,2.752,83
NDC,50227-1030-5 [283897],"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE [128677]",6.4,,1.792,5.504,83
NDC,50227-1080-5 [348802],MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE [178455],6.4,,1.792,5.504,84
NDC,50228-109-01 [318153],CARISOPRODOL 350 MG TABLET [1395],2.85,,0.798,2.451,83
NDC,50228-116-90 [379140],ROSUVASTATIN 5 MG TABLET [36612],1.65,,0.462,1.419,83
NDC,50228-117-05 [379141],ROSUVASTATIN 10 MG TABLET [35134],1.65,,0.462,1.419,83
NDC,50228-117-90 [379143],ROSUVASTATIN 10 MG TABLET [35134],1.65,,0.462,1.419,83
NDC,50228-118-90 [379146],ROSUVASTATIN 20 MG TABLET [35135],1.65,,0.462,1.419,83
NDC,50228-119-90 [379150],ROSUVASTATIN 40 MG TABLET [35136],1.65,,0.462,1.419,83
NDC,50228-174-60 [333937],"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",1.65,,0.462,1.419,83
NDC,50228-181-01 [316823],GABAPENTIN 400 MG CAPSULE [18307],1.65,,0.462,1.419,83
NDC,50228-339-30 [316826],OLMESARTAN 5 MG TABLET [32761],1.65,,0.462,1.419,83
NDC,50228-457-01 [346921],CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],1.65,,0.462,1.419,83
NDC,50228-465-01 [324811],NABUMETONE 500 MG TABLET [10676],1.65,,0.462,1.419,83
NDC,50242-037-06 [307105],TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [184741],25190.5,,171.94,21663.83,86
NDC,50242-037-06 [307105],TENECTEPLASE INJECTION 5 MG/ML [40800003968],25190.5,,171.94,21663.83,86
NDC,50242-041-64 [53873],ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [31310],590.3,,94.15,507.658,86
NDC,50242-044-06 [251663],ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003],14415.0,,94.15,12396.9,86
NDC,50242-044-06 [251663],ALTEPLASE INJ 1 MG/ML [40800000000],14415.0,,94.15,12396.9,86
NDC,50242-044-06 [251663],ALTEPLASE IVPB 1 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000088],14415.0,,94.15,12396.9,86
NDC,50242-044-06 [251663],ALTEPLASE IVPB 1 MG/ML [40840001471],14415.0,,94.15,12396.9,86
NDC,50242-044-13 [53876],ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003],14415.0,,94.15,12396.9,86
NDC,50242-044-13 [53876],ALTEPLASE INJ 1 MG/ML [40800000000],14415.0,,94.15,12396.9,86
NDC,50242-044-13 [53876],ALTEPLASE IVPB 1 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000088],14415.0,,94.15,12396.9,86
NDC,50242-044-13 [53876],ALTEPLASE IVPB 1 MG/ML [40840001471],14415.0,,94.15,12396.9,86
NDC,50242-051-21 [53877],"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",3077.9,,74.16,2646.994,86
NDC,50242-051-21 [53877],RITUXIMAB 10 MG/ML INTRALESIONAL INJECTION [40800002605],3077.9,,74.16,2646.994,86
NDC,50242-051-21 [53877],RITUXIMAB INTRAVITREAL INJECTION 4 MG/0.4 ML [40800004438],3077.9,,74.16,2646.994,86
NDC,50242-053-06 [53878],"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]",15389.3,,74.16,13234.798,86
NDC,50242-053-06 [53878],RITUXIMAB 10 MG/ML INTRALESIONAL INJECTION [40800002605],15389.3,,74.16,13234.798,86
NDC,50242-053-06 [53878],RITUXIMAB INTRAVITREAL INJECTION 4 MG/0.4 ML [40800004438],15389.3,,74.16,13234.798,86
NDC,50242-060-01 [101329],BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [108065],2610.8,,73.05,2245.288,86
NDC,50242-061-01 [108266],BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [108065],10443.15,,73.05,8981.109,86
NDC,50242-062-01 [112005],ERLOTINIB 25 MG TABLET [40089],297.1,,83.188,255.506,83
NDC,50242-064-01 [112007],ERLOTINIB 150 MG TABLET [40091],922.9,,258.412,793.694,83
NDC,50242-070-01 [251664],"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [132573]",30959.2,,78.46,26624.912,86
NDC,50242-077-01 [321669],"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION [187994]",15316.1,,59.91,13171.846,86
NDC,50242-087-01 [236544],ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [120087],21748.55,,41.85,18703.753,86
NDC,50242-087-01 [236544],ADO-TRASTUZUMAB EMTANSINE 20 MG/ML INJ CONTAINER [40840000512],21748.55,,41.85,18703.753,86
NDC,50242-088-01 [236545],ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [120086],13592.85,,41.85,11689.851,86
NDC,50242-088-01 [236545],ADO-TRASTUZUMAB EMTANSINE 20 MG/ML INJ CONTAINER [40840000512],13592.85,,41.85,11689.851,86
NDC,50242-091-30 [325991],ENTRECTINIB 100 MG CAPSULE [188979],804.35,,225.218,691.741,83
NDC,50242-094-90 [325992],ENTRECTINIB 200 MG CAPSULE [188980],804.35,,225.218,691.741,83
NDC,50242-096-01 [354155],FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION [196725],7880.65,,32.87,6777.359,86
NDC,50242-100-39 [53881],DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [12211],451.4,,126.392,388.204,83
NDC,50242-100-39 [53881],DORNASE ALFA INTRAPLEURAL SOLN 1 MG/ML [40800002807],418.35,,117.138,359.781,83
NDC,50242-100-40 [53882],DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [12211],451.4,,126.392,388.204,83
NDC,50242-100-40 [53882],DORNASE ALFA INTRAPLEURAL SOLN 1 MG/ML [40800002807],418.35,,117.138,359.781,83
NDC,50242-103-01 [338565],POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION [192677],13849.2,,136.23,11910.312,86
NDC,50242-103-01 [338565],POLATUZUMAB VEDOTIN-PIIQ INJECTION 20 MG/ML [40800002676],13849.2,,136.23,11910.312,86
NDC,50242-105-01 [323683],POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [188465],64629.25,,136.23,55581.155,86
NDC,50242-105-01 [323683],POLATUZUMAB VEDOTIN-PIIQ INJECTION 20 MG/ML [40800002676],64629.25,,136.23,55581.155,86
NDC,50242-108-01 [299246],"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN [182370]",21544.9,,36.28,18528.614,86
NDC,50242-120-47 [327335],TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [184741],25190.5,,171.94,21663.83,86
NDC,50242-120-47 [327335],TENECTEPLASE INJECTION 5 MG/ML [40800003968],25190.5,,171.94,21663.83,86
NDC,50242-121-01 [284863],PIRFENIDONE 267 MG CAPSULE [165580],132.85,,37.198,114.251,83
NDC,50242-125-01 [370394],GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION [201679],9012.2,,2523.416,7750.492,86
NDC,50242-127-01 [370395],GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION [201679],36048.95,,2770.57,31002.097,86
NDC,50242-130-01 [282555],ALECTINIB 150 MG CAPSULE [176106],279.0,,78.12,239.94,83
NDC,50242-132-01 [298291],TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [182089],5105.4,,73.43,4390.644,86
NDC,50242-132-01 [298291],TRASTUZUMAB 21 MG/ML INJ CONTAINER [40800000057],5105.4,,73.43,4390.644,86
NDC,50242-135-01 [188697],TOCILIZUMAB 20 MG/ML INJ CONTAINER [40800002484],1740.1,,5.53,1496.486,86
NDC,50242-135-01 [188697],TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108061],1740.1,,5.53,1496.486,86
NDC,50242-136-01 [188698],TOCILIZUMAB 20 MG/ML INJ CONTAINER [40800002484],4350.25,,5.53,3741.215,86
NDC,50242-136-01 [188698],TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION [108062],4350.25,,5.53,3741.215,86
NDC,50242-137-01 [188699],TOCILIZUMAB 20 MG/ML INJ CONTAINER [40800002484],8700.5,,5.53,7482.43,86
NDC,50242-137-01 [188699],TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [108063],8700.5,,5.53,7482.43,86
NDC,50242-138-01 [251666],TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE [132553],3848.7,,5.53,3309.882,86
NDC,50242-142-01 [364462],MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION [199784],63437.8,,652.75,54556.508,86
NDC,50242-145-01 [229608],PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [116596],22567.35,,16.89,19407.921,86
NDC,50242-159-01 [364463],MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION [199784],2114.6,,592.088,1818.556,86
NDC,50242-176-01 [397329],TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [184741],25946.25,,171.94,22313.775,86
NDC,50242-176-01 [397329],TENECTEPLASE INJECTION 5 MG/ML [40800003968],25946.25,,171.94,22313.775,86
NDC,50242-214-01 [315372],OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE [186873],2545.1,,40.56,2188.786,86
NDC,50242-215-01 [315373],OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE [186875],5090.15,,40.56,4377.529,86
NDC,50242-215-03 [393187],OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE [186875],5090.15,,40.56,4377.529,86
NDC,50242-227-01 [379153],OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [203665],10180.3,,40.56,8755.058,86
NDC,50242-245-01 [335798],"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [191789]",47642.15,,60.23,40972.249,86
NDC,50242-260-01 [335799],PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN [191790],31760.2,,60.23,27313.772,86
NDC,50242-717-01 [282556],COBIMETINIB 20 MG TABLET [175945],436.75,,122.29,375.605,83
NDC,50242-917-01 [288227],"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [178549]",39105.75,,91.02,33630.945,86
NDC,50242-917-01 [288227],ATEZOLIZUMAB 60 MG/ML INJECTION CONTAINER [40800003336],39105.75,,91.02,33630.945,86
NDC,50242-918-01 [320144],ATEZOLIZUMAB 60 MG/ML INJECTION CONTAINER [40800003336],27374.05,,91.02,23541.683,86
NDC,50242-918-01 [320144],ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION [187802],27374.05,,91.02,23541.683,86
NDC,50268-035-11 [401356],ALPRAZOLAM 1 MG TABLET [326],3.15,,0.882,2.709,83
NDC,50268-035-15 [401357],ALPRAZOLAM 1 MG TABLET [326],3.15,,0.882,2.709,83
NDC,50268-037-11 [370396],AMITRIPTYLINE 10 MG TABLET [432],2.0,,0.56,1.72,83
NDC,50268-037-15 [370397],AMITRIPTYLINE 10 MG TABLET [432],2.0,,0.56,1.72,83
NDC,50268-038-11 [370398],AMITRIPTYLINE 25 MG TABLET [435],2.0,,0.56,1.72,83
NDC,50268-038-15 [370399],AMITRIPTYLINE 25 MG TABLET [435],2.0,,0.56,1.72,83
NDC,50268-041-11 [370404],AMITRIPTYLINE 100 MG TABLET [433],3.4,,0.952,2.924,83
NDC,50268-041-15 [370405],AMITRIPTYLINE 100 MG TABLET [433],3.4,,0.952,2.924,83
NDC,50268-054-11 [337578],ACETAZOLAMIDE 250 MG TABLET [113],12.75,,3.57,10.965,83
NDC,50268-054-15 [337579],ACETAZOLAMIDE 250 MG TABLET [113],12.75,,3.57,10.965,83
NDC,50268-061-11 [273243],ACYCLOVIR 400 MG TABLET [8971],1.65,,0.462,1.419,83
NDC,50268-061-15 [219198],ACYCLOVIR 400 MG TABLET [8971],1.65,,0.462,1.419,83
NDC,50268-069-11 [273246],AMANTADINE HCL 100 MG CAPSULE [364],9.5,,2.66,8.17,83
NDC,50268-075-11 [328208],ANASTROZOLE 1 MG TABLET [16205],4.7,,1.316,4.042,83
NDC,50268-075-15 [328209],ANASTROZOLE 1 MG TABLET [16205],4.7,,1.316,4.042,83
NDC,50268-086-11 [334833],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],58.55,,16.394,50.353,83
NDC,50268-086-12 [334834],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],58.55,,16.394,50.353,83
NDC,50268-087-11 [290253],ARIPIPRAZOLE 2 MG TABLET [70306],4.95,,1.386,4.257,83
NDC,50268-087-12 [290254],ARIPIPRAZOLE 2 MG TABLET [70306],4.95,,1.386,4.257,83
NDC,50268-089-11 [290257],ARIPIPRAZOLE 10 MG TABLET [34369],2.95,,0.826,2.537,83
NDC,50268-089-15 [290258],ARIPIPRAZOLE 10 MG TABLET [34369],2.95,,0.826,2.537,83
NDC,50268-093-11 [290265],ATORVASTATIN 10 MG TABLET [19176],1.65,,0.462,1.419,83
NDC,50268-093-15 [290266],ATORVASTATIN 10 MG TABLET [19176],1.65,,0.462,1.419,83
NDC,50268-095-11 [290269],ATORVASTATIN 40 MG TABLET [19177],1.8,,0.504,1.548,83
NDC,50268-095-15 [290270],ATORVASTATIN 40 MG TABLET [19177],1.8,,0.504,1.548,83
NDC,50268-096-11 [290271],ATORVASTATIN 80 MG TABLET [28645],2.5,,0.7,2.15,83
NDC,50268-098-11 [278448],AZITHROMYCIN 250 MG TABLET [20943],7.15,,2.002,6.149,83
NDC,50268-105-11 [346930],BACLOFEN 5 MG TABLET [185170],6.8,,1.904,5.848,83
NDC,50268-105-15 [346931],BACLOFEN 5 MG TABLET [185170],6.8,,1.904,5.848,83
NDC,50268-106-11 [344672],BACLOFEN 10 MG TABLET [860],2.5,,0.7,2.15,83
NDC,50268-106-15 [344673],BACLOFEN 10 MG TABLET [860],2.5,,0.7,2.15,83
NDC,50268-127-11 [354161],BISOPROLOL FUMARATE 5 MG TABLET [18288],5.55,,1.554,4.773,83
NDC,50268-127-15 [354162],BISOPROLOL FUMARATE 5 MG TABLET [18288],5.55,,1.554,4.773,83
NDC,50268-131-11 [322819],BUMETANIDE 1 MG TABLET [9310],4.75,,1.33,4.085,83
NDC,50268-131-15 [322820],BUMETANIDE 1 MG TABLET [9310],4.75,,1.33,4.085,83
NDC,50268-132-11 [322821],BUMETANIDE 2 MG TABLET [9311],8.15,,2.282,7.009,83
NDC,50268-132-15 [322822],BUMETANIDE 2 MG TABLET [9311],8.15,,2.282,7.009,83
NDC,50268-140-11 [318159],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",7.15,,2.002,6.149,83
NDC,50268-140-13 [318160],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",7.15,,2.002,6.149,83
NDC,50268-143-11 [302525],BUPROPION HCL 100 MG TABLET [9321],8.4,,2.352,7.224,83
NDC,50268-143-15 [302526],BUPROPION HCL 100 MG TABLET [9321],8.4,,2.352,7.224,83
NDC,50268-145-11 [295251],BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET [34714],25.05,,7.014,21.543,83
NDC,50268-152-11 [278450],CEPHALEXIN 500 MG CAPSULE [9500],1.65,,0.462,1.419,83
NDC,50268-163-11 [331601],CHLORPROMAZINE 25 MG TABLET [1656],10.65,,2.982,9.159,83
NDC,50268-163-15 [331602],CHLORPROMAZINE 25 MG TABLET [1656],10.65,,2.982,9.159,83
NDC,50268-168-11 [328210],CELECOXIB 100 MG CAPSULE [24500],5.25,,1.47,4.515,83
NDC,50268-168-15 [328211],CELECOXIB 100 MG CAPSULE [24500],5.25,,1.47,4.515,83
NDC,50268-169-11 [328212],CELECOXIB 200 MG CAPSULE [24501],5.6,,1.568,4.816,83
NDC,50268-169-15 [328213],CELECOXIB 200 MG CAPSULE [24501],5.6,,1.568,4.816,83
NDC,50268-174-11 [365324],CLONAZEPAM 1 MG TABLET [9638],3.5,,0.98,3.01,83
NDC,50268-174-15 [365325],CLONAZEPAM 1 MG TABLET [9638],3.5,,0.98,3.01,83
NDC,50268-176-11 [295253],CILOSTAZOL 50 MG TABLET [24473],4.5,,1.26,3.87,83
NDC,50268-176-15 [295254],CILOSTAZOL 50 MG TABLET [24473],4.5,,1.26,3.87,83
NDC,50268-177-11 [295255],CILOSTAZOL 100 MG TABLET [24474],5.05,,1.414,4.343,83
NDC,50268-177-15 [295256],CILOSTAZOL 100 MG TABLET [24474],5.05,,1.414,4.343,83
NDC,50268-189-11 [345953],CYPROHEPTADINE 4 MG TABLET [2033],3.1,,0.868,2.666,83
NDC,50268-189-15 [345954],CYPROHEPTADINE 4 MG TABLET [2033],3.1,,0.868,2.666,83
NDC,50268-190-11 [273275],CYCLOBENZAPRINE 5 MG TABLET [35184],3.25,,0.91,2.795,83
NDC,50268-190-15 [273276],CYCLOBENZAPRINE 5 MG TABLET [35184],3.25,,0.91,2.795,83
NDC,50268-191-11 [360444],CYCLOBENZAPRINE 10 MG TABLET [2017],1.65,,0.462,1.419,83
NDC,50268-195-60 [364464],CAPSAICIN 0.025 % TOPICAL CREAM [1350],1.65,,0.462,1.419,83
NDC,50268-260-11 [361429],"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",5.6,,1.568,4.816,83
NDC,50268-260-13 [361430],"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",5.6,,1.568,4.816,83
NDC,50268-270-11 [357392],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",4.95,,1.386,4.257,83
NDC,50268-270-13 [357393],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",4.95,,1.386,4.257,83
NDC,50268-287-11 [338566],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",5.85,,1.638,5.031,83
NDC,50268-287-13 [338567],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",5.85,,1.638,5.031,83
NDC,50268-297-11 [333944],"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",6.65,,1.862,5.719,83
NDC,50268-297-15 [333945],"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",6.65,,1.862,5.719,83
NDC,50268-298-11 [316835],EZETIMIBE 10 MG TABLET [34153],23.7,,6.636,20.382,83
NDC,50268-298-12 [316836],EZETIMIBE 10 MG TABLET [34153],23.7,,6.636,20.382,83
NDC,50268-299-11 [358443],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,50268-299-15 [358444],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,50268-303-11 [273290],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,50268-303-15 [273291],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,50268-304-11 [273292],FAMOTIDINE 40 MG TABLET [10012],1.65,,0.462,1.419,83
NDC,50268-304-15 [273293],FAMOTIDINE 40 MG TABLET [10012],1.65,,0.462,1.419,83
NDC,50268-312-11 [278451],FENOFIBRATE 54 MG TABLET [31336],6.25,,1.75,5.375,83
NDC,50268-312-15 [278452],FENOFIBRATE 54 MG TABLET [31336],6.25,,1.75,5.375,83
NDC,50268-314-11 [320145],FINASTERIDE 5 MG TABLET [10037],2.7,,0.756,2.322,83
NDC,50268-314-15 [320146],FINASTERIDE 5 MG TABLET [10037],2.7,,0.756,2.322,83
NDC,50268-320-11 [273297],FLECAINIDE 50 MG TABLET [10043],4.9,,1.372,4.214,83
NDC,50268-320-15 [273298],FLECAINIDE 50 MG TABLET [10043],4.9,,1.372,4.214,83
NDC,50268-330-11 [273305],FLUDROCORTISONE 0.1 MG TABLET [10054],2.3,,0.644,1.978,83
NDC,50268-330-15 [219202],FLUDROCORTISONE 0.1 MG TABLET [10054],2.3,,0.644,1.978,83
NDC,50268-339-11 [293036],FLUCONAZOLE 200 MG TABLET [10045],11.85,,3.318,10.191,83
NDC,50268-339-15 [293037],FLUCONAZOLE 200 MG TABLET [10045],11.85,,3.318,10.191,83
NDC,50268-350-11 [273315],GEMFIBROZIL 600 MG TABLET [3378],1.65,,0.462,1.419,83
NDC,50268-350-15 [266125],GEMFIBROZIL 600 MG TABLET [3378],1.65,,0.462,1.419,83
NDC,50268-360-11 [328220],GLIMEPIRIDE 4 MG TABLET [16357],2.75,,0.77,2.365,83
NDC,50268-360-15 [328221],GLIMEPIRIDE 4 MG TABLET [16357],2.75,,0.77,2.365,83
NDC,50268-362-11 [336690],GLIPIZIDE 10 MG TABLET [10116],2.9,,0.812,2.494,83
NDC,50268-362-15 [336691],GLIPIZIDE 10 MG TABLET [10116],2.9,,0.812,2.494,83
NDC,50268-401-11 [266126],HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],3.35,,0.938,2.881,83
NDC,50268-401-15 [266127],HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],3.35,,0.938,2.881,83
NDC,50268-402-11 [266128],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],3.4,,0.952,2.924,83
NDC,50268-402-15 [266129],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],3.4,,0.952,2.924,83
NDC,50268-405-11 [366347],HYDROCORTISONE 5 MG TABLET [10209],7.75,,2.17,6.665,83
NDC,50268-405-15 [366348],HYDROCORTISONE 5 MG TABLET [10209],7.75,,2.17,6.665,83
NDC,50268-407-11 [366351],HYDROCORTISONE 20 MG TABLET [3734],9.15,,2.562,7.869,83
NDC,50268-407-15 [366352],HYDROCORTISONE 20 MG TABLET [3734],9.15,,2.562,7.869,83
NDC,50268-411-11 [298298],HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],7.9,,2.212,6.794,83
NDC,50268-411-12 [298299],HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],7.9,,2.212,6.794,83
NDC,50268-411-24 [298300],HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],6.8,,1.904,5.848,83
NDC,50268-412-11 [334839],HYDROXYCHLOROQUINE 200 MG TABLET [10235],7.05,,1.974,6.063,83
NDC,50268-412-15 [334840],HYDROXYCHLOROQUINE 200 MG TABLET [10235],7.05,,1.974,6.063,83
NDC,50268-430-11 [278455],INDOMETHACIN 25 MG CAPSULE [3897],1.7,,0.476,1.462,83
NDC,50268-430-15 [278456],INDOMETHACIN 25 MG CAPSULE [3897],1.7,,0.476,1.462,83
NDC,50268-431-11 [278457],INDOMETHACIN 50 MG CAPSULE [3898],1.65,,0.462,1.419,83
NDC,50268-431-15 [278458],INDOMETHACIN 50 MG CAPSULE [3898],1.65,,0.462,1.419,83
NDC,50268-441-11 [281144],IRBESARTAN 150 MG TABLET [21848],2.7,,0.756,2.322,83
NDC,50268-441-15 [281145],IRBESARTAN 150 MG TABLET [21848],2.7,,0.756,2.322,83
NDC,50268-447-11 [293040],ISOSORBIDE DINITRATE 5 MG TABLET [4068],4.2,,1.176,3.612,83
NDC,50268-447-15 [293041],ISOSORBIDE DINITRATE 5 MG TABLET [4068],4.2,,1.176,3.612,83
NDC,50268-448-11 [302529],ISOSORBIDE DINITRATE 10 MG TABLET [4064],3.9,,1.092,3.354,83
NDC,50268-450-11 [308175],ITRACONAZOLE 100 MG CAPSULE [10364],14.25,,3.99,12.255,83
NDC,50268-450-12 [308176],ITRACONAZOLE 100 MG CAPSULE [10364],14.25,,3.99,12.255,83
NDC,50268-470-11 [328224],LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [129014],16.5,,4.62,14.19,83
NDC,50268-470-13 [328225],LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [129014],16.5,,4.62,14.19,83
NDC,50268-476-11 [328226],LETROZOLE 2.5 MG TABLET [21509],2.65,,0.742,2.279,83
NDC,50268-476-15 [328227],LETROZOLE 2.5 MG TABLET [21509],2.65,,0.742,2.279,83
NDC,50268-477-11 [338574],LEFLUNOMIDE 10 MG TABLET [23872],11.75,,3.29,10.105,83
NDC,50268-477-15 [338575],LEFLUNOMIDE 10 MG TABLET [23872],11.75,,3.29,10.105,83
NDC,50268-482-11 [368330],LOPERAMIDE 2 MG CAPSULE [4560],3.95,,1.106,3.397,83
NDC,50268-482-15 [368331],LOPERAMIDE 2 MG CAPSULE [4560],3.95,,1.106,3.397,83
NDC,50268-489-11 [328228],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,50268-489-15 [328229],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,50268-504-11 [335802],LOSARTAN 25 MG TABLET [14823],1.65,,0.462,1.419,83
NDC,50268-504-15 [335803],LOSARTAN 25 MG TABLET [14823],1.65,,0.462,1.419,83
NDC,50268-505-11 [335804],LOSARTAN 50 MG TABLET [14824],1.65,,0.462,1.419,83
NDC,50268-505-15 [335805],LOSARTAN 50 MG TABLET [14824],1.65,,0.462,1.419,83
NDC,50268-520-11 [344688],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,50268-520-15 [344689],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,50268-522-11 [273343],MECLIZINE 12.5 MG TABLET [12024],2.3,,0.644,1.978,83
NDC,50268-522-15 [242991],MECLIZINE 12.5 MG TABLET [12024],2.3,,0.644,1.978,83
NDC,50268-525-11 [273346],MELOXICAM 7.5 MG TABLET [20566],1.65,,0.462,1.419,83
NDC,50268-525-15 [236550],MELOXICAM 7.5 MG TABLET [20566],1.65,,0.462,1.419,83
NDC,50268-528-11 [336692],METHYLPHENIDATE 10 MG TABLET [4986],8.15,,2.282,7.009,83
NDC,50268-528-15 [336693],METHYLPHENIDATE 10 MG TABLET [4986],8.15,,2.282,7.009,83
NDC,50268-530-11 [273348],METAXALONE 800 MG TABLET [33963],10.6,,2.968,9.116,83
NDC,50268-530-15 [273349],METAXALONE 800 MG TABLET [33963],10.6,,2.968,9.116,83
NDC,50268-535-11 [329127],METRONIDAZOLE 500 MG TABLET [5016],3.0,,0.84,2.58,83
NDC,50268-535-15 [329128],METRONIDAZOLE 500 MG TABLET [5016],3.0,,0.84,2.58,83
NDC,50268-540-11 [316842],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",3.05,,0.854,2.623,83
NDC,50268-540-15 [316843],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",3.05,,0.854,2.623,83
NDC,50268-541-11 [316844],"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",2.15,,0.602,1.849,83
NDC,50268-541-15 [316845],"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",2.15,,0.602,1.849,83
NDC,50268-542-11 [316846],"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",2.7,,0.756,2.322,83
NDC,50268-542-15 [316847],"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",2.7,,0.756,2.322,83
NDC,50268-547-11 [346946],"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR [28751]",24.7,,6.916,21.242,83
NDC,50268-547-12 [346947],"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR [28751]",2.85,,0.798,2.451,83
NDC,50268-550-11 [356002],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",2.35,,0.658,2.021,83
NDC,50268-550-15 [356003],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",2.35,,0.658,2.021,83
NDC,50268-551-11 [357396],"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR [35771]",2.0,,0.56,1.72,83
NDC,50268-551-15 [357397],"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR [35771]",2.0,,0.56,1.72,83
NDC,50268-556-11 [355160],MONTELUKAST 10 MG TABLET [22509],1.65,,0.462,1.419,83
NDC,50268-556-15 [355161],MONTELUKAST 10 MG TABLET [22509],1.65,,0.462,1.419,83
NDC,50268-557-11 [369468],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],2.15,,0.16,1.849,84
NDC,50268-557-15 [369469],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],2.15,,0.16,1.849,84
NDC,50268-558-11 [369470],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],3.9,,0.16,3.354,84
NDC,50268-558-15 [369471],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],3.9,,0.16,3.354,84
NDC,50268-561-11 [326221],MIDODRINE 2.5 MG TABLET [10609],3.3,,0.924,2.838,83
NDC,50268-561-15 [326222],MIDODRINE 2.5 MG TABLET [10609],3.3,,0.924,2.838,83
NDC,50268-563-11 [326225],MIDODRINE 10 MG TABLET [33083],6.35,,1.778,5.461,83
NDC,50268-563-15 [326226],MIDODRINE 10 MG TABLET [33083],6.35,,1.778,5.461,83
NDC,50268-568-11 [329129],MUPIROCIN 2 % TOPICAL OINTMENT [10674],16.95,,4.746,14.577,83
NDC,50268-568-15 [329130],MUPIROCIN 2 % TOPICAL OINTMENT [10674],16.95,,4.746,14.577,83
NDC,50268-571-11 [291185],MODAFINIL 200 MG TABLET [24703],24.15,,6.762,20.769,83
NDC,50268-571-12 [291186],MODAFINIL 200 MG TABLET [24703],24.15,,6.762,20.769,83
NDC,50268-574-11 [273366],MONTELUKAST 5 MG CHEWABLE TABLET [22510],4.5,,1.26,3.87,83
NDC,50268-574-15 [273367],MONTELUKAST 5 MG CHEWABLE TABLET [22510],4.5,,1.26,3.87,83
NDC,50268-576-11 [291187],MOXIFLOXACIN 400 MG TABLET [26854],32.0,,8.96,27.52,83
NDC,50268-576-13 [291188],MOXIFLOXACIN 400 MG TABLET [26854],32.0,,8.96,27.52,83
NDC,50268-584-11 [308181],"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [27181]",7.9,,2.212,6.794,83
NDC,50268-584-13 [308182],"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [27181]",7.9,,2.212,6.794,83
NDC,50268-585-11 [343365],"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",1.65,,0.462,1.419,83
NDC,50268-585-15 [343366],"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",1.65,,0.462,1.419,83
NDC,50268-594-11 [273372],NAPROXEN 250 MG TABLET [5391],1.65,,0.462,1.419,83
NDC,50268-595-11 [273374],NAPROXEN 375 MG TABLET [5392],1.65,,0.462,1.419,83
NDC,50268-595-15 [273375],NAPROXEN 375 MG TABLET [5392],1.65,,0.462,1.419,83
NDC,50268-597-11 [273378],"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",5.45,,1.526,4.687,83
NDC,50268-597-15 [212404],"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",5.45,,1.526,4.687,83
NDC,50268-603-11 [297472],NORTRIPTYLINE 10 MG CAPSULE [5674],1.9,,0.532,1.634,83
NDC,50268-603-15 [297473],NORTRIPTYLINE 10 MG CAPSULE [5674],1.9,,0.532,1.634,83
NDC,50268-604-11 [297474],NORTRIPTYLINE 25 MG CAPSULE [5675],2.35,,0.658,2.021,83
NDC,50268-622-11 [291193],ONDANSETRON HCL 8 MG TABLET [10779],2.9,,0.01,2.494,84
NDC,50268-622-15 [291194],ONDANSETRON HCL 8 MG TABLET [10779],2.9,,0.01,2.494,84
NDC,50268-623-11 [328230],NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],8.55,,2.394,7.353,83
NDC,50268-623-15 [328231],NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE [5595],8.55,,2.394,7.353,83
NDC,50268-624-11 [305151],NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],13.65,,3.822,11.739,83
NDC,50268-624-15 [305152],NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE [5593],13.65,,3.822,11.739,83
NDC,50268-625-11 [318161],NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],12.35,,3.458,10.621,83
NDC,50268-625-15 [318162],NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],12.35,,3.458,10.621,83
NDC,50268-628-11 [273393],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",14.55,,4.074,12.513,83
NDC,50268-628-15 [229613],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",14.55,,4.074,12.513,83
NDC,50268-630-11 [289325],QUETIAPINE 25 MG TABLET [21823],1.65,,0.462,1.419,83
NDC,50268-630-15 [289326],QUETIAPINE 25 MG TABLET [21823],1.65,,0.462,1.419,83
NDC,50268-632-11 [289329],QUETIAPINE 100 MG TABLET [21824],1.65,,0.462,1.419,83
NDC,50268-632-15 [289330],QUETIAPINE 100 MG TABLET [21824],1.65,,0.462,1.419,83
NDC,50268-646-11 [315376],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],7.25,,2.03,6.235,83
NDC,50268-646-15 [315377],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],7.25,,2.03,6.235,83
NDC,50268-652-11 [343367],PILOCARPINE 5 MG TABLET [12803],10.15,,2.842,8.729,83
NDC,50268-652-12 [343368],PILOCARPINE 5 MG TABLET [12803],10.15,,2.842,8.729,83
NDC,50268-662-11 [372722],PROPRANOLOL 10 MG TABLET [6656],1.65,,0.462,1.419,83
NDC,50268-662-15 [372723],PROPRANOLOL 10 MG TABLET [6656],1.65,,0.462,1.419,83
NDC,50268-666-11 [343371],PRAVASTATIN 20 MG TABLET [11111],2.45,,0.686,2.107,83
NDC,50268-666-15 [343372],PRAVASTATIN 20 MG TABLET [11111],2.45,,0.686,2.107,83
NDC,50268-671-11 [284891],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",4.65,,1.302,3.999,83
NDC,50268-671-13 [284892],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",4.65,,1.302,3.999,83
NDC,50268-680-11 [370414],OXCARBAZEPINE 300 MG TABLET [21061],4.35,,1.218,3.741,83
NDC,50268-680-15 [370415],OXCARBAZEPINE 300 MG TABLET [21061],4.35,,1.218,3.741,83
NDC,50268-684-11 [321673],PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],5.25,,1.47,4.515,83
NDC,50268-684-15 [321674],PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],5.25,,1.47,4.515,83
NDC,50268-685-11 [321675],PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],5.7,,1.596,4.902,83
NDC,50268-685-15 [321676],PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],5.7,,1.596,4.902,83
NDC,50268-686-11 [273397],PRIMIDONE 50 MG TABLET [11129],2.4,,0.672,2.064,83
NDC,50268-686-15 [198911],PRIMIDONE 50 MG TABLET [11129],2.4,,0.672,2.064,83
NDC,50268-687-11 [273398],PRIMIDONE 250 MG TABLET [6544],3.1,,0.868,2.666,83
NDC,50268-687-15 [198912],PRIMIDONE 250 MG TABLET [6544],3.1,,0.868,2.666,83
NDC,50268-694-11 [316850],RALOXIFENE 60 MG TABLET [22143],14.75,,4.13,12.685,83
NDC,50268-694-15 [316851],RALOXIFENE 60 MG TABLET [22143],14.75,,4.13,12.685,83
NDC,50268-709-11 [322825],ROSUVASTATIN 10 MG TABLET [35134],3.25,,0.91,2.795,83
NDC,50268-709-15 [322826],ROSUVASTATIN 10 MG TABLET [35134],3.25,,0.91,2.795,83
NDC,50268-710-11 [320149],ROSUVASTATIN 20 MG TABLET [35135],3.75,,1.05,3.225,83
NDC,50268-710-15 [320150],ROSUVASTATIN 20 MG TABLET [35135],3.75,,1.05,3.225,83
NDC,50268-711-11 [320151],ROSUVASTATIN 40 MG TABLET [35136],6.3,,1.764,5.418,83
NDC,50268-711-15 [320152],ROSUVASTATIN 40 MG TABLET [35136],6.3,,1.764,5.418,83
NDC,50268-718-11 [312409],SIROLIMUS 1 MG TABLET [28958],36.3,,0.96,31.218,84
NDC,50268-718-13 [312410],SIROLIMUS 1 MG TABLET [28958],36.3,,0.96,31.218,84
NDC,50268-724-11 [344694],SOTALOL 80 MG TABLET [11421],1.65,,0.462,1.419,83
NDC,50268-724-15 [344695],SOTALOL 80 MG TABLET [11421],1.65,,0.462,1.419,83
NDC,50268-725-11 [344696],SOTALOL 120 MG TABLET [15723],1.65,,0.462,1.419,83
NDC,50268-725-15 [344697],SOTALOL 120 MG TABLET [15723],1.65,,0.462,1.419,83
NDC,50268-728-11 [273424],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],1.65,,0.462,1.419,83
NDC,50268-728-15 [273425],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],1.65,,0.462,1.419,83
NDC,50268-731-11 [346951],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],11.8,,3.304,10.148,83
NDC,50268-731-24 [346952],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],11.8,,3.304,10.148,83
NDC,50268-738-11 [332922],TADALAFIL 5 MG TABLET [37400],5.1,,1.428,4.386,83
NDC,50268-738-13 [332923],TADALAFIL 5 MG TABLET [37400],5.1,,1.428,4.386,83
NDC,50268-739-11 [332924],TADALAFIL 20 MG TABLET [36986],15.35,,4.298,13.201,83
NDC,50268-739-13 [332925],TADALAFIL 20 MG TABLET [36986],15.35,,4.298,13.201,83
NDC,50268-740-11 [306057],TAMSULOSIN 0.4 MG CAPSULE [103890],1.65,,0.462,1.419,83
NDC,50268-740-15 [306058],TAMSULOSIN 0.4 MG CAPSULE [103890],1.65,,0.462,1.419,83
NDC,50268-748-11 [376467],VALSARTAN 160 MG TABLET [31210],6.25,,1.75,5.375,83
NDC,50268-748-15 [376468],VALSARTAN 160 MG TABLET [31210],6.25,,1.75,5.375,83
NDC,50268-754-11 [273437],TORSEMIDE 5 MG TABLET [18295],1.7,,0.476,1.462,83
NDC,50268-754-15 [273438],TORSEMIDE 5 MG TABLET [18295],1.7,,0.476,1.462,83
NDC,50268-755-11 [273439],TORSEMIDE 10 MG TABLET [18292],1.65,,0.462,1.419,83
NDC,50268-755-15 [273440],TORSEMIDE 10 MG TABLET [18292],1.65,,0.462,1.419,83
NDC,50268-756-11 [273441],TORSEMIDE 20 MG TABLET [18293],1.65,,0.462,1.419,83
NDC,50268-756-15 [273442],TORSEMIDE 20 MG TABLET [18293],1.65,,0.462,1.419,83
NDC,50268-758-11 [333946],TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],11.2,,3.136,9.632,83
NDC,50268-758-12 [333947],TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],11.2,,3.136,9.632,83
NDC,50268-759-11 [307113],TIZANIDINE 2 MG TABLET [14792],4.15,,1.162,3.569,83
NDC,50268-759-15 [307114],TIZANIDINE 2 MG TABLET [14792],4.15,,1.162,3.569,83
NDC,50268-764-11 [331611],TERAZOSIN 1 MG CAPSULE [14550],3.95,,1.106,3.397,83
NDC,50268-764-15 [331612],TERAZOSIN 1 MG CAPSULE [14550],3.95,,1.106,3.397,83
NDC,50268-765-11 [331613],TERAZOSIN 2 MG CAPSULE [14551],4.0,,1.12,3.44,83
NDC,50268-765-15 [331614],TERAZOSIN 2 MG CAPSULE [14551],4.0,,1.12,3.44,83
NDC,50268-766-11 [331615],TERAZOSIN 5 MG CAPSULE [14553],4.0,,1.12,3.44,83
NDC,50268-766-15 [331616],TERAZOSIN 5 MG CAPSULE [14553],4.0,,1.12,3.44,83
NDC,50268-767-11 [331617],TERAZOSIN 10 MG CAPSULE [14552],4.05,,1.134,3.483,83
NDC,50268-767-15 [331618],TERAZOSIN 10 MG CAPSULE [14552],4.05,,1.134,3.483,83
NDC,50268-772-11 [361439],TRANEXAMIC ACID 650 MG TABLET [104576],19.95,,5.586,17.157,83
NDC,50268-772-13 [361440],TRANEXAMIC ACID 650 MG TABLET [104576],19.95,,5.586,17.157,83
NDC,50268-779-11 [376471],TEMAZEPAM 15 MG CAPSULE [7753],5.15,,1.442,4.429,83
NDC,50268-779-15 [376472],TEMAZEPAM 15 MG CAPSULE [7753],5.15,,1.442,4.429,83
NDC,50268-780-11 [376473],TEMAZEPAM 30 MG CAPSULE [7754],5.3,,1.484,4.558,83
NDC,50268-780-13 [376474],TEMAZEPAM 30 MG CAPSULE [7754],5.3,,1.484,4.558,83
NDC,50268-788-11 [273448],VALACYCLOVIR 500 MG TABLET [13133],8.3,,2.324,7.138,83
NDC,50268-788-15 [273449],VALACYCLOVIR 500 MG TABLET [13133],8.3,,2.324,7.138,83
NDC,50268-803-11 [360452],VORICONAZOLE 200 MG TABLET [33009],61.3,,17.164,52.718,83
NDC,50268-803-12 [360453],VORICONAZOLE 200 MG TABLET [33009],61.3,,17.164,52.718,83
NDC,50268-814-11 [346959],ZIPRASIDONE 80 MG CAPSULE [29781],12.75,,3.57,10.965,83
NDC,50268-816-11 [273453],ZONISAMIDE 100 MG CAPSULE [27780],2.7,,0.756,2.322,83
NDC,50268-816-15 [273454],ZONISAMIDE 100 MG CAPSULE [27780],2.7,,0.756,2.322,83
NDC,5026815011 [273268],CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 10 MCG (400 UNIT) TABLET [76978],1.8,,0.504,1.548,83
NDC,5026815015 [242984],CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 10 MCG (400 UNIT) TABLET [76978],1.8,,0.504,1.548,83
NDC,5026834611 [284872],FOLIC ACID 400 MCG TABLET [3234],1.65,,0.462,1.419,83
NDC,5026834615 [284873],FOLIC ACID 400 MCG TABLET [3234],1.65,,0.462,1.419,83
NDC,5026852411 [273345],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,5026852415 [242993],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,5026853311 [307724],MELATONIN 5 MG TABLET [91665],1.85,,0.518,1.591,83
NDC,5026853315 [307685],MELATONIN 5 MG TABLET [91665],1.85,,0.518,1.591,83
NDC,5026885111 [273455],THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129927],1.65,,0.462,1.419,83
NDC,5026885115 [242996],THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129927],1.65,,0.462,1.419,83
NDC,5026885211 [273456],CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],1.65,,0.462,1.419,83
NDC,5026885215 [242997],CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],1.65,,0.462,1.419,83
NDC,5026885311 [273457],CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET [2010],1.65,,0.462,1.419,83
NDC,5026885315 [242998],CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET [2010],1.65,,0.462,1.419,83
NDC,5026885411 [273458],CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],1.65,,0.462,1.419,83
NDC,5026885415 [242999],CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],1.65,,0.462,1.419,83
NDC,5026885811 [284897],PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],1.65,,0.462,1.419,83
NDC,5026885815 [284898],PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],1.65,,0.462,1.419,83
NDC,5026886011 [284901],ASCORBIC ACID (VITAMIN C) 250 MG TABLET [663],1.65,,0.462,1.419,83
NDC,5026886015 [284902],ASCORBIC ACID (VITAMIN C) 250 MG TABLET [663],1.65,,0.462,1.419,83
NDC,5026886311 [284905],CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [24559],1.65,,0.462,1.419,83
NDC,5026886315 [284906],CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [24559],1.65,,0.462,1.419,83
NDC,50289-3250-1 [53885],GLYCERIN-WITCH HAZEL 12.5 %-50 % TOPICAL PADS [127076],12.65,,3.542,10.879,83
NDC,50289-4200-1 [158633],GLYCERIN-WITCH HAZEL 12.5 %-50 % TOWELETTE [127078],1.65,,0.462,1.419,83
NDC,50383-267-30 [198916],CLOBETASOL 0.05 % TOPICAL CREAM [9630],167.35,,46.858,143.921,83
NDC,50383-311-47 [205848],GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],365.7,,102.396,314.502,83
NDC,50419-171-03 [229625],REGORAFENIB 40 MG TABLET [117575],975.85,,273.238,839.231,83
NDC,50419-188-84 [296439],GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN [128691],504.0,,1.47,433.44,84
NDC,50419-208-01 [243012],"RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN [122091]",484.0,,135.52,416.24,85
NDC,50419-320-01 [174161],GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [93574],431.0,,14.7,370.66,84
NDC,50419-320-05 [198929],GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [93574],431.0,,14.7,370.66,84
NDC,50419-320-15 [243013],GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [93574],769.65,,14.7,661.899,84
NDC,50419-325-01 [268325],GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [130369],198.0,,0.26,170.28,84
NDC,50419-325-02 [268326],GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [130370],263.95,,0.26,226.997,84
NDC,50419-325-07 [299954],GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [164056],59.2,,0.26,50.912,84
NDC,50419-325-11 [208016],GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [130369],198.0,,0.26,170.28,84
NDC,50419-325-12 [208017],GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [130370],263.95,,0.26,226.997,84
NDC,50419-325-37 [261096],GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [164056],59.2,,0.26,50.912,84
NDC,50419-344-05 [54046],IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION [14348],1.85,,0.15,1.591,84
NDC,50419-344-10 [54047],IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION [14348],1.8,,0.15,1.548,84
NDC,50419-344-15 [54048],IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION [14348],187.65,,0.15,161.379,84
NDC,50419-346-05 [54050],IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION [14349],76.35,,0.15,65.661,84
NDC,50419-346-10 [54051],IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION [14349],149.5,,0.15,128.57,84
NDC,50419-346-15 [54052],IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION [14349],222.6,,0.15,191.436,84
NDC,50419-346-62 [357947],IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION [14349],149.5,,0.15,128.57,84
NDC,50419-346-63 [357948],IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION [14349],224.2,,0.15,192.812,84
NDC,50419-385-01 [301605],COPANLISIB INJECTION 15 MG/ML [40800002885],17210.8,,4819.024,14801.288,83
NDC,50419-390-01 [337590],LAROTRECTINIB 25 MG CAPSULE [187003],774.35,,216.818,665.941,83
NDC,50419-391-01 [331620],LAROTRECTINIB 100 MG CAPSULE [187004],2323.1,,650.468,1997.866,83
NDC,50419-402-01 [212418],DROSPIRENONE 3 MG-ETHINYL ESTRADIOL 0.03 MG TABLET [30433],421.95,,118.146,362.877,83
NDC,50419-422-01 [236557],LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE [119672],3216.75,,900.69,2766.405,83
NDC,50419-423-01 [266146],LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE [29280],3863.15,,1081.682,3322.309,83
NDC,50419-451-01 [219228],ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH [28408],65.5,,18.34,56.33,83
NDC,50419-451-04 [54068],ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH [28408],65.5,,18.34,56.33,83
NDC,50419-452-01 [219229],ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [28409],65.5,,18.34,56.33,83
NDC,50419-452-04 [54069],ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [28409],65.5,,18.34,56.33,83
NDC,50419-488-58 [174162],SORAFENIB 200 MG TABLET [43675],348.3,,97.524,299.538,83
NDC,50419-537-01 [296441],MOXIFLOXACIN 400 MG/250 ML INTRAVENOUS PIGGYBACK CONTAINER [40800003114],120.1,,8.71,103.286,84
NDC,50419-537-01 [296441],MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [31906],120.1,,8.71,103.286,84
NDC,50419-537-01 [296441],MOXIFLOXACIN IVPB 1.6 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001627],120.1,,8.71,103.286,84
NDC,50419-537-01 [296441],MOXIFLOXACIN IVPB 1.6 MG/ML IN NS (IV PREP) [40800000201],120.1,,8.71,103.286,84
NDC,50419-747-01 [212425],PRAZIQUANTEL 600 MG TABLET [11113],285.0,,79.8,245.1,83
NDC,50419-773-01 [212429],CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION [22988],499.05,,139.734,429.183,83
NDC,50458-098-01 [188752],PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE [12912],48.7,,13.636,41.882,83
NDC,50458-290-01 [54792],ITRACONAZOLE 100 MG CAPSULE [10364],101.0,,28.28,86.86,83
NDC,50458-295-15 [54795],ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],1145.4,,320.712,985.044,83
NDC,50458-551-01 [140916],"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR [78065]",49.65,,13.902,42.699,83
NDC,50458-577-01 [315432],RIVAROXABAN 2.5 MG TABLET [186530],39.3,,11.004,33.798,83
NDC,50458-577-10 [313949],RIVAROXABAN 2.5 MG TABLET [186530],39.3,,11.004,33.798,83
NDC,50458-577-18 [313950],RIVAROXABAN 2.5 MG TABLET [186530],39.3,,11.004,33.798,83
NDC,50458-577-60 [313951],RIVAROXABAN 2.5 MG TABLET [186530],39.3,,11.004,33.798,83
NDC,50458-578-01 [338588],RIVAROXABAN 15 MG TABLET [112834],70.0,,19.6,60.2,83
NDC,50458-578-10 [219654],RIVAROXABAN 15 MG TABLET [112834],70.0,,19.6,60.2,83
NDC,50458-578-90 [219656],RIVAROXABAN 15 MG TABLET [112834],70.0,,19.6,60.2,83
NDC,50458-579-01 [337216],RIVAROXABAN 20 MG TABLET [112835],70.0,,19.6,60.2,83
NDC,50458-579-10 [219657],RIVAROXABAN 20 MG TABLET [112835],70.0,,19.6,60.2,83
NDC,50458-580-01 [338589],RIVAROXABAN 10 MG TABLET [110250],70.0,,19.6,60.2,83
NDC,50458-580-10 [212482],RIVAROXABAN 10 MG TABLET [110250],70.0,,19.6,60.2,83
NDC,50458-580-30 [212483],RIVAROXABAN 10 MG TABLET [110250],70.0,,19.6,60.2,83
NDC,50458-580-90 [303635],RIVAROXABAN 10 MG TABLET [110250],70.0,,19.6,60.2,83
NDC,50458-596-01 [174214],RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],398.95,,111.706,343.097,83
NDC,50458-830-02 [182849],TAPENTADOL 75 MG TABLET [98254],35.85,,10.038,30.831,83
NDC,50474-002-63 [140922],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],240.25,,0.05,206.615,84
NDC,50474-597-66 [133012],"LEVETIRACETAM 1,000 MG TABLET [70773]",71.3,,19.964,61.318,83
NDC,50474-598-66 [174215],"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR [93834]",36.3,,10.164,31.218,83
NDC,50474-599-66 [182853],"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR [97382]",54.45,,15.246,46.827,83
NDC,50484-010-30 [289353],COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT [9682],1092.1,,305.788,939.206,83
NDC,50484-010-90 [284957],COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT [9682],3113.8,,871.864,2677.868,83
NDC,50580-457-11 [342448],ACETAMINOPHEN 500 MG TABLET [102],1.65,,0.462,1.419,83
NDC,50580-458-11 [342449],ACETAMINOPHEN 325 MG TABLET [101],1.65,,0.462,1.419,83
NDC,50580-534-08 [188780],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],34.85,,9.758,29.971,83
NDC,50580-728-24 [198996],"CETIRIZINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [31239]",3.95,,1.106,3.397,83
NDC,50580-730-05 [278554],CETIRIZINE 1 MG/ML ORAL SOLUTION [70838],44.35,,12.418,38.141,83
NDC,50580-937-07 [395464],ACETAMINOPHEN 500 MG TABLET [102],1.65,,0.462,1.419,83
NDC,50633-120-11 [199005],DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432],16294.85,,4562.558,14013.571,85
NDC,50633-120-11 [199005],DIGOXIN IMMUNE FAB IVPB 10 MG/ML (MAX CONC) [40800000311],16294.85,,4562.558,14013.571,85
NDC,50633-120-12 [369475],DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432],16294.85,,4562.558,14013.571,85
NDC,50633-120-12 [369475],DIGOXIN IMMUNE FAB IVPB 10 MG/ML (MAX CONC) [40800000311],16294.85,,4562.558,14013.571,85
NDC,50633-121-11 [337600],DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [31432],16294.85,,4562.558,14013.571,85
NDC,50633-121-11 [337600],DIGOXIN IMMUNE FAB IVPB 10 MG/ML (MAX CONC) [40800000311],16294.85,,4562.558,14013.571,85
NDC,50633-210-11 [229846],"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION [116024]",141631.35,,515.99465,121802.961,84
NDC,50633-210-11 [229846],GLUCARPIDASE INTRATHECAL INJECTION [40800000246],141631.35,,515.99465,121802.961,84
NDC,50633-220-04 [385444],URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET [176594],15220.3,,4261.684,13089.458,83
NDC,50633-220-10 [399425],URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET [176594],15220.3,,4261.684,13089.458,83
NDC,50633-220-20 [385445],URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET [176594],15220.3,,4261.684,13089.458,83
NDC,50742-118-08 [312493],CABERGOLINE 0.5 MG TABLET [19226],14.85,,4.158,12.771,83
NDC,50742-183-24 [338600],LEUCOVORIN CALCIUM 15 MG TABLET [4396],6.95,,1.946,5.977,83
NDC,50742-184-25 [338601],LEUCOVORIN CALCIUM 25 MG TABLET [4397],9.5,,2.66,8.17,83
NDC,50742-190-01 [281153],CYPROHEPTADINE 4 MG TABLET [2033],1.65,,0.462,1.419,83
NDC,50742-257-01 [372735],"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR [27634]",1.65,,0.462,1.419,83
NDC,50742-260-01 [320169],"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",1.65,,0.462,1.419,83
NDC,50742-304-01 [300867],CLOBETASOL 0.05 % TOPICAL FOAM [28973],327.6,,91.728,281.736,83
NDC,50742-317-25 [359530],FLUNISOLIDE 25 MCG (0.025 %) NASAL SPRAY [19720],182.15,,51.002,156.649,83
NDC,50742-341-01 [358451],PEMETREXED 25 MG/ML INJ CONTAINER [40800000036],2620.8,,3.73,2253.888,86
NDC,50742-341-01 [358451],PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],2620.8,,3.73,2253.888,86
NDC,50742-375-01 [375132],BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH [122909],129.95,,36.386,111.757,83
NDC,50742-375-04 [375133],BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH [122909],129.95,,36.386,111.757,83
NDC,50742-376-01 [375134],BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107662],287.9,,80.612,247.594,83
NDC,50742-376-04 [375135],BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107662],287.9,,80.612,247.594,83
NDC,50742-406-20 [319104],OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],260.85,,0.09,224.331,84
NDC,50742-406-20 [319104],OXALIPLATIN 5 MG/ML INJ CONTAINER [40800000056],260.85,,0.09,224.331,84
NDC,50742-447-45 [305169],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],257.4,,2.11,221.364,84
NDC,50742-447-45 [305169],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],257.4,,2.11,221.364,84
NDC,50742-505-01 [345991],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],36.6,,10.248,31.476,83
NDC,50742-505-01 [345991],SCOPOLAMINE PARTIAL PATCH [40800003954],36.6,,10.248,31.476,83
NDC,50742-505-04 [341463],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],36.6,,10.248,31.476,83
NDC,50742-505-04 [341463],SCOPOLAMINE PARTIAL PATCH [40800003954],36.6,,10.248,31.476,83
NDC,50742-505-10 [341464],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],36.6,,10.248,31.476,83
NDC,50742-505-10 [341464],SCOPOLAMINE PARTIAL PATCH [40800003954],36.6,,10.248,31.476,83
NDC,50742-505-24 [341465],SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [27696],38.15,,10.682,32.809,83
NDC,50742-505-24 [341465],SCOPOLAMINE PARTIAL PATCH [40800003954],38.15,,10.682,32.809,83
NDC,50742-615-01 [306074],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",1.65,,0.462,1.419,83
NDC,50742-665-04 [354168],PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR [6225],258.65,,72.422,222.439,83
NDC,50742-666-04 [354170],PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR [6225],258.65,,72.422,222.439,83
NDC,50881-005-60 [219680],RUXOLITINIB 5 MG TABLET [112936],993.2,,278.096,854.152,83
NDC,50881-006-03 [367267],RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION [200729],49264.5,,29.98,42367.47,86
NDC,50881-010-60 [219681],RUXOLITINIB 10 MG TABLET [112937],993.2,,278.096,854.152,83
NDC,50881-013-03 [391229],TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION [192300],4665.05,,14.08,4011.943,86
NDC,50881-013-03 [391229],TAFASITAMAB-CXIX 40 MG/ML INTRAVENOUS SOLUTION [40800003417],4665.05,,14.08,4011.943,86
NDC,50881-020-60 [219683],RUXOLITINIB 20 MG TABLET [112939],993.2,,278.096,854.152,83
NDC,50881-023-11 [392113],AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION [207071],38414.4,,55.65,33036.384,85
NDC,50881-034-12 [392114],AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION [207071],15715.0,,55.65,13514.9,85
NDC,51079-020-01 [212504],"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",62.65,,17.542,53.879,83
NDC,51079-020-03 [212505],"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",62.65,,17.542,53.879,83
NDC,51079-023-01 [140974],METOLAZONE 2.5 MG TABLET [10587],13.0,,3.64,11.18,83
NDC,51079-023-20 [121646],METOLAZONE 2.5 MG TABLET [10587],13.0,,3.64,11.18,83
NDC,51079-024-01 [140975],METOLAZONE 5 MG TABLET [10588],14.75,,4.13,12.685,83
NDC,51079-024-20 [117687],METOLAZONE 5 MG TABLET [10588],14.75,,4.13,12.685,83
NDC,51079-051-01 [205915],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,51079-051-20 [205916],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,51079-058-01 [55688],CHLORTHALIDONE 25 MG TABLET [1661],9.1,,2.548,7.826,83
NDC,51079-058-20 [55689],CHLORTHALIDONE 25 MG TABLET [1661],9.1,,2.548,7.826,83
NDC,51079-072-01 [55714],FUROSEMIDE 20 MG TABLET [3294],1.65,,0.462,1.419,83
NDC,51079-072-20 [55717],FUROSEMIDE 20 MG TABLET [3294],1.65,,0.462,1.419,83
NDC,51079-073-01 [55720],FUROSEMIDE 40 MG TABLET [3295],1.65,,0.462,1.419,83
NDC,51079-073-20 [55723],FUROSEMIDE 40 MG TABLET [3295],1.65,,0.462,1.419,83
NDC,51079-074-01 [158708],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,51079-074-20 [158709],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,51079-083-01 [140981],ISONIAZID 300 MG TABLET [4027],4.9,,1.372,4.214,83
NDC,51079-083-20 [55732],ISONIAZID 300 MG TABLET [4027],4.9,,1.372,4.214,83
NDC,51079-086-01 [140982],MIRTAZAPINE 15 MG TABLET [17466],1.65,,0.462,1.419,83
NDC,51079-086-20 [55737],MIRTAZAPINE 15 MG TABLET [17466],1.65,,0.462,1.419,83
NDC,51079-087-01 [140983],MIRTAZAPINE 30 MG TABLET [17465],1.65,,0.462,1.419,83
NDC,51079-087-20 [55738],MIRTAZAPINE 30 MG TABLET [17465],1.65,,0.462,1.419,83
NDC,51079-093-01 [205917],VALACYCLOVIR 500 MG TABLET [13133],14.5,,4.06,12.47,83
NDC,51079-093-03 [205918],VALACYCLOVIR 500 MG TABLET [13133],14.5,,4.06,12.47,83
NDC,51079-103-01 [55751],SPIRONOLACTONE 25 MG TABLET [7437],1.65,,0.462,1.419,83
NDC,51079-103-20 [55754],SPIRONOLACTONE 25 MG TABLET [7437],1.65,,0.462,1.419,83
NDC,51079-109-01 [212510],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",9.7,,2.716,8.342,83
NDC,51079-109-03 [212511],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",9.7,,2.716,8.342,83
NDC,51079-118-01 [55766],DICYCLOMINE 10 MG CAPSULE [2418],2.4,,0.672,2.064,83
NDC,51079-118-20 [55767],DICYCLOMINE 10 MG CAPSULE [2418],2.4,,0.672,2.064,83
NDC,51079-133-01 [55784],AMITRIPTYLINE 50 MG TABLET [436],2.75,,0.77,2.365,83
NDC,51079-133-20 [55785],AMITRIPTYLINE 50 MG TABLET [436],2.75,,0.77,2.365,83
NDC,51079-141-01 [55786],CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],3.8,,1.064,3.268,83
NDC,51079-141-20 [55787],CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],3.8,,1.064,3.268,83
NDC,51079-164-01 [205921],VORICONAZOLE 50 MG TABLET [33008],32.9,,9.212,28.294,83
NDC,51079-164-03 [212518],VORICONAZOLE 50 MG TABLET [33008],32.9,,9.212,28.294,83
NDC,51079-169-01 [219692],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",4.15,,1.162,3.569,83
NDC,51079-169-20 [219693],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",4.15,,1.162,3.569,83
NDC,51079-182-01 [208071],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,51079-182-20 [208072],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,51079-204-01 [229874],ABACAVIR 300 MG TABLET [24438],33.3,,9.324,28.638,83
NDC,51079-204-06 [229875],ABACAVIR 300 MG TABLET [24438],33.3,,9.324,28.638,83
NDC,51079-205-01 [55811],ALLOPURINOL 100 MG TABLET [310],1.65,,0.462,1.419,83
NDC,51079-205-20 [55814],ALLOPURINOL 100 MG TABLET [310],1.65,,0.462,1.419,83
NDC,51079-206-01 [55815],ALLOPURINOL 300 MG TABLET [311],3.0,,0.84,2.58,83
NDC,51079-206-20 [55818],ALLOPURINOL 300 MG TABLET [311],3.0,,0.84,2.58,83
NDC,51079-211-01 [261163],ATORVASTATIN 80 MG TABLET [28645],2.6,,0.728,2.236,83
NDC,51079-211-03 [261164],ATORVASTATIN 80 MG TABLET [28645],2.6,,0.728,2.236,83
NDC,51079-246-01 [251958],LORATADINE 10 MG TABLET [10466],2.0,,0.56,1.72,83
NDC,51079-255-01 [140998],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,51079-255-20 [108312],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,51079-273-01 [261165],ENTACAPONE 200 MG TABLET [26547],26.9,,7.532,23.134,83
NDC,51079-273-03 [261166],ENTACAPONE 200 MG TABLET [26547],26.9,,7.532,23.134,83
NDC,51079-284-01 [55864],DIAZEPAM 2 MG TABLET [2404],2.85,,0.798,2.451,83
NDC,51079-284-20 [55865],DIAZEPAM 2 MG TABLET [2404],2.85,,0.798,2.451,83
NDC,51079-285-01 [55867],DIAZEPAM 5 MG TABLET [2405],2.85,,0.798,2.451,83
NDC,51079-285-20 [55868],DIAZEPAM 5 MG TABLET [2405],2.85,,0.798,2.451,83
NDC,51079-294-01 [194591],TAMSULOSIN 0.4 MG CAPSULE [103890],2.75,,0.77,2.365,83
NDC,51079-294-20 [194594],TAMSULOSIN 0.4 MG CAPSULE [103890],2.75,,0.77,2.365,83
NDC,51079-306-01 [188818],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],7.15,,2.002,6.149,83
NDC,51079-306-30 [188819],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],7.15,,2.002,6.149,83
NDC,51079-374-01 [55903],CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],4.3,,1.204,3.698,83
NDC,51079-375-01 [55906],CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],3.6,,1.008,3.096,83
NDC,51079-375-20 [55907],CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],3.6,,1.008,3.096,83
NDC,51079-379-01 [182861],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],4.75,,0.16,4.085,84
NDC,51079-379-20 [182862],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],4.75,,0.16,4.085,84
NDC,51079-418-01 [55935],TEMAZEPAM 15 MG CAPSULE [7753],2.85,,0.798,2.451,83
NDC,51079-418-20 [55936],TEMAZEPAM 15 MG CAPSULE [7753],2.85,,0.798,2.451,83
NDC,51079-419-01 [55938],TEMAZEPAM 30 MG CAPSULE [7754],2.85,,0.798,2.451,83
NDC,51079-419-20 [55939],TEMAZEPAM 30 MG CAPSULE [7754],2.85,,0.798,2.451,83
NDC,51079-436-01 [55962],DOXEPIN 10 MG CAPSULE [2608],2.55,,0.714,2.193,83
NDC,51079-436-20 [55963],DOXEPIN 10 MG CAPSULE [2608],2.55,,0.714,2.193,83
NDC,51079-437-01 [55964],DOXEPIN 25 MG CAPSULE [2611],3.35,,0.938,2.881,83
NDC,51079-437-20 [55965],DOXEPIN 25 MG CAPSULE [2611],3.35,,0.938,2.881,83
NDC,51079-438-01 [55966],DOXEPIN 50 MG CAPSULE [2612],4.65,,1.302,3.999,83
NDC,51079-438-20 [55967],DOXEPIN 50 MG CAPSULE [2612],4.65,,1.302,3.999,83
NDC,51079-440-01 [141019],LEVOTHYROXINE 50 MCG TABLET [4421],2.4,,0.672,2.064,83
NDC,51079-440-20 [141020],LEVOTHYROXINE 50 MCG TABLET [4421],2.4,,0.672,2.064,83
NDC,51079-441-01 [141021],LEVOTHYROXINE 75 MCG TABLET [4422],2.65,,0.742,2.279,83
NDC,51079-441-20 [141022],LEVOTHYROXINE 75 MCG TABLET [4422],2.65,,0.742,2.279,83
NDC,51079-442-01 [141023],LEVOTHYROXINE 100 MCG TABLET [4423],2.7,,0.756,2.322,83
NDC,51079-443-01 [141025],LEVOTHYROXINE 125 MCG TABLET [4424],3.15,,0.882,2.709,83
NDC,51079-443-20 [141026],LEVOTHYROXINE 125 MCG TABLET [4424],3.15,,0.882,2.709,83
NDC,51079-444-01 [141027],LEVOTHYROXINE 25 MCG TABLET [4420],2.1,,0.588,1.806,83
NDC,51079-444-20 [141028],LEVOTHYROXINE 25 MCG TABLET [4420],2.1,,0.588,1.806,83
NDC,51079-445-01 [141029],LEVOTHYROXINE 150 MCG TABLET [4425],3.25,,0.91,2.795,83
NDC,51079-445-20 [141030],LEVOTHYROXINE 150 MCG TABLET [4425],3.25,,0.91,2.795,83
NDC,51079-453-01 [141037],MIDODRINE 5 MG TABLET [10610],5.45,,1.526,4.687,83
NDC,51079-453-20 [141038],MIDODRINE 5 MG TABLET [10610],5.45,,1.526,4.687,83
NDC,51079-454-01 [133998],SIMVASTATIN 10 MG TABLET [11364],1.65,,0.462,1.419,83
NDC,51079-455-01 [134000],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,51079-455-20 [134001],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,51079-456-01 [134002],SIMVASTATIN 40 MG TABLET [11366],1.65,,0.462,1.419,83
NDC,51079-499-01 [182873],LAMOTRIGINE 100 MG TABLET [13982],1.65,,0.462,1.419,83
NDC,51079-499-20 [182874],LAMOTRIGINE 100 MG TABLET [13982],1.65,,0.462,1.419,83
NDC,51079-513-01 [229886],PIOGLITAZONE 15 MG TABLET [25528],7.7,,2.156,6.622,83
NDC,51079-514-01 [229888],PIOGLITAZONE 30 MG TABLET [25529],15.4,,4.312,13.244,83
NDC,51079-514-20 [229889],PIOGLITAZONE 30 MG TABLET [25529],15.4,,4.312,13.244,83
NDC,51079-518-01 [55990],CHLORPROMAZINE 10 MG TABLET [1653],20.95,,5.866,18.017,83
NDC,51079-519-01 [55992],CHLORPROMAZINE 25 MG TABLET [1656],30.25,,8.47,26.015,83
NDC,51079-519-20 [55994],CHLORPROMAZINE 25 MG TABLET [1656],30.25,,8.47,26.015,83
NDC,51079-542-01 [56010],PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],3.85,,1.078,3.311,83
NDC,51079-542-20 [56013],PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],3.85,,1.078,3.311,83
NDC,51079-544-01 [219704],ESCITALOPRAM 20 MG TABLET [33513],1.65,,0.462,1.419,83
NDC,51079-544-20 [219705],ESCITALOPRAM 20 MG TABLET [33513],1.65,,0.462,1.419,83
NDC,51079-563-01 [56018],AMITRIPTYLINE 100 MG TABLET [433],5.45,,1.526,4.687,83
NDC,51079-563-20 [56019],AMITRIPTYLINE 100 MG TABLET [433],5.45,,1.526,4.687,83
NDC,51079-581-01 [56040],LEUCOVORIN CALCIUM 5 MG TABLET [4398],12.45,,3.486,10.707,83
NDC,51079-581-06 [56041],LEUCOVORIN CALCIUM 5 MG TABLET [4398],12.45,,3.486,10.707,83
NDC,51079-597-01 [158735],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,51079-597-20 [158736],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,51079-599-01 [251961],FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],5.95,,1.666,5.117,83
NDC,51079-599-20 [243172],FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [40009],5.95,,1.666,5.117,83
NDC,51079-608-01 [251962],FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],15.65,,4.382,13.459,83
NDC,51079-608-20 [243173],FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [40010],15.65,,4.382,13.459,83
NDC,51079-632-01 [56087],PRAZOSIN 5 MG CAPSULE [6470],17.05,,4.774,14.663,83
NDC,51079-632-20 [56088],PRAZOSIN 5 MG CAPSULE [6470],1.65,,0.462,1.419,83
NDC,51079-670-01 [141052],METHOTREXATE SODIUM 2.5 MG TABLET [4973],13.15,,0.2,11.309,84
NDC,51079-670-05 [56115],METHOTREXATE SODIUM 2.5 MG TABLET [4973],13.15,,0.2,11.309,84
NDC,51079-684-01 [56123],ATENOLOL 50 MG TABLET [718],1.65,,0.462,1.419,83
NDC,51079-684-20 [56126],ATENOLOL 50 MG TABLET [718],1.65,,0.462,1.419,83
NDC,51079-690-01 [141053],LOPERAMIDE 2 MG CAPSULE [4560],3.45,,0.966,2.967,83
NDC,51079-690-20 [56132],LOPERAMIDE 2 MG CAPSULE [4560],3.45,,0.966,2.967,83
NDC,51079-721-01 [182877],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],2.2,,0.16,1.892,84
NDC,51079-721-20 [182878],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],2.2,,0.16,1.892,84
NDC,51079-723-01 [141057],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",12.95,,3.626,11.137,83
NDC,51079-723-20 [141058],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",12.95,,3.626,11.137,83
NDC,51079-725-01 [149484],ZOLPIDEM 10 MG TABLET [11700],2.85,,0.798,2.451,83
NDC,51079-725-20 [149485],ZOLPIDEM 10 MG TABLET [11700],2.85,,0.798,2.451,83
NDC,51079-733-01 [141060],HALOPERIDOL 0.5 MG TABLET [3578],1.65,,0.462,1.419,83
NDC,51079-733-20 [101374],HALOPERIDOL 0.5 MG TABLET [3578],1.65,,0.462,1.419,83
NDC,51079-734-01 [141061],HALOPERIDOL 1 MG TABLET [3579],1.95,,0.546,1.677,83
NDC,51079-734-20 [101375],HALOPERIDOL 1 MG TABLET [3579],1.95,,0.546,1.677,83
NDC,51079-736-01 [141063],HALOPERIDOL 5 MG TABLET [3583],4.35,,1.218,3.741,83
NDC,51079-736-20 [101377],HALOPERIDOL 5 MG TABLET [3583],4.35,,1.218,3.741,83
NDC,51079-745-01 [56142],DILTIAZEM 30 MG TABLET [2475],1.65,,0.462,1.419,83
NDC,51079-745-20 [56145],DILTIAZEM 30 MG TABLET [2475],1.65,,0.462,1.419,83
NDC,51079-747-01 [56154],DILTIAZEM 90 MG TABLET [2477],1.75,,0.49,1.505,83
NDC,51079-753-01 [261177],SUCRALFATE 1 GRAM TABLET [11442],1.65,,0.462,1.419,83
NDC,51079-753-20 [261178],SUCRALFATE 1 GRAM TABLET [11442],1.65,,0.462,1.419,83
NDC,51079-759-01 [56166],ATENOLOL 25 MG TABLET [717],1.65,,0.462,1.419,83
NDC,51079-759-20 [56169],ATENOLOL 25 MG TABLET [717],1.65,,0.462,1.419,83
NDC,51079-771-01 [158737],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,51079-771-20 [158740],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,51079-778-01 [158743],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],3.0,,0.84,2.58,83
NDC,51079-782-01 [158751],PRAVASTATIN 40 MG TABLET [11112],3.9,,1.092,3.354,83
NDC,51079-782-20 [158752],PRAVASTATIN 40 MG TABLET [11112],3.9,,1.092,3.354,83
NDC,51079-788-01 [56180],ALPRAZOLAM 0.25 MG TABLET [324],2.85,,0.798,2.451,83
NDC,51079-789-01 [56183],ALPRAZOLAM 0.5 MG TABLET [325],2.85,,0.798,2.451,83
NDC,51079-789-20 [56184],ALPRAZOLAM 0.5 MG TABLET [325],2.85,,0.798,2.451,83
NDC,51079-790-01 [56186],ALPRAZOLAM 1 MG TABLET [326],2.85,,0.798,2.451,83
NDC,51079-790-20 [56187],ALPRAZOLAM 1 MG TABLET [326],2.85,,0.798,2.451,83
NDC,51079-801-01 [56201],METOPROLOL TARTRATE 50 MG TABLET [5009],1.65,,0.462,1.419,83
NDC,51079-801-20 [56204],METOPROLOL TARTRATE 50 MG TABLET [5009],1.65,,0.462,1.419,83
NDC,51079-802-01 [141076],METOPROLOL TARTRATE 100 MG TABLET [5008],1.65,,0.462,1.419,83
NDC,51079-802-20 [56209],METOPROLOL TARTRATE 100 MG TABLET [5008],1.65,,0.462,1.419,83
NDC,51079-810-01 [56230],GLIPIZIDE 5 MG TABLET [10117],1.65,,0.462,1.419,83
NDC,51079-810-20 [56232],GLIPIZIDE 5 MG TABLET [10117],1.65,,0.462,1.419,83
NDC,51079-817-20 [199085],TACROLIMUS 0.5 MG CAPSULE FOR SUBLINGUAL USE [40800002960],5.25,,0.15,4.515,84
NDC,51079-817-20 [199085],"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",5.25,,0.15,4.515,84
NDC,51079-818-01 [199086],TACROLIMUS 1 MG CAPSULE FOR SUBLINGUAL USE [40800002961],5.5,,0.15,4.73,84
NDC,51079-818-01 [199086],"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",5.5,,0.15,4.73,84
NDC,51079-818-20 [199087],TACROLIMUS 1 MG CAPSULE FOR SUBLINGUAL USE [40800002961],5.5,,0.15,4.73,84
NDC,51079-818-20 [199087],"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",5.5,,0.15,4.73,84
NDC,51079-820-01 [174265],LEVETIRACETAM 250 MG TABLET [26816],2.65,,0.742,2.279,83
NDC,51079-820-20 [174266],LEVETIRACETAM 250 MG TABLET [26816],2.65,,0.742,2.279,83
NDC,51079-821-01 [174267],LEVETIRACETAM 500 MG TABLET [26817],2.8,,0.784,2.408,83
NDC,51079-821-20 [174268],LEVETIRACETAM 500 MG TABLET [26817],2.8,,0.784,2.408,83
NDC,51079-863-01 [56253],CAPTOPRIL 12.5 MG TABLET [9401],6.8,,1.904,5.848,83
NDC,51079-864-01 [56255],CAPTOPRIL 25 MG TABLET [9402],7.4,,2.072,6.364,83
NDC,51079-864-20 [56256],CAPTOPRIL 25 MG TABLET [9402],7.4,,2.072,6.364,83
NDC,51079-870-01 [56265],CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],1.9,,0.532,1.634,83
NDC,51079-870-20 [56268],CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],1.9,,0.532,1.634,83
NDC,51079-882-01 [56289],CLONAZEPAM 1 MG TABLET [9638],2.85,,0.798,2.451,83
NDC,51079-886-01 [261179],METOCLOPRAMIDE 5 MG TABLET [5006],3.6,,1.008,3.096,83
NDC,51079-886-20 [261180],METOCLOPRAMIDE 5 MG TABLET [5006],3.6,,1.008,3.096,83
NDC,51079-888-01 [261181],METOCLOPRAMIDE 10 MG TABLET [5005],3.8,,1.064,3.268,83
NDC,51079-888-20 [261183],METOCLOPRAMIDE 10 MG TABLET [5005],3.8,,1.064,3.268,83
NDC,51079-923-01 [56345],"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",4.25,,1.19,3.655,83
NDC,51079-924-01 [56349],"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR [14100]",15.7,,4.396,13.502,83
NDC,51079-924-20 [56350],"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR [14100]",15.7,,4.396,13.502,83
NDC,51079-925-01 [56351],"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR [14101]",18.5,,5.18,15.91,83
NDC,51079-925-20 [56352],"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR [14101]",18.5,,5.18,15.91,83
NDC,51079-929-01 [158755],LABETALOL 200 MG TABLET [10374],3.05,,0.854,2.623,83
NDC,51079-929-20 [56356],LABETALOL 200 MG TABLET [10374],3.05,,0.854,2.623,83
NDC,51079-930-01 [158756],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,51079-930-20 [158759],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,51079-931-01 [158760],CARVEDILOL 12.5 MG TABLET [15749],1.65,,0.462,1.419,83
NDC,51079-931-20 [158763],CARVEDILOL 12.5 MG TABLET [15749],1.65,,0.462,1.419,83
NDC,51079-932-01 [158764],CARVEDILOL 25 MG TABLET [15748],1.65,,0.462,1.419,83
NDC,51079-932-20 [158765],CARVEDILOL 25 MG TABLET [15748],1.65,,0.462,1.419,83
NDC,51079-937-01 [56369],TERAZOSIN 2 MG CAPSULE [14551],1.65,,0.462,1.419,83
NDC,51079-943-01 [56376],BUPROPION HCL 75 MG TABLET [9322],5.85,,1.638,5.031,83
NDC,51079-943-20 [56377],BUPROPION HCL 75 MG TABLET [9322],5.85,,1.638,5.031,83
NDC,51079-958-01 [56409],DOXAZOSIN 2 MG TABLET [9895],14.85,,4.158,12.771,83
NDC,51079-959-01 [56411],DOXAZOSIN 4 MG TABLET [9896],15.6,,4.368,13.416,83
NDC,51079-959-20 [56412],DOXAZOSIN 4 MG TABLET [9896],15.6,,4.368,13.416,83
NDC,51079-960-01 [158770],BUSPIRONE 15 MG TABLET [17464],2.2,,0.616,1.892,83
NDC,51079-960-20 [56413],BUSPIRONE 15 MG TABLET [17464],2.2,,0.616,1.892,83
NDC,51079-966-01 [141091],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,51079-966-20 [56419],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,51079-978-01 [141105],"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",1.85,,0.518,1.591,83
NDC,51079-980-01 [141107],SPIRONOLACTONE 100 MG TABLET [11425],5.05,,1.414,4.343,83
NDC,51079-985-01 [141114],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,51079-985-20 [56443],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,51079-986-01 [141115],BUSPIRONE 10 MG TABLET [9323],1.65,,0.462,1.419,83
NDC,51079-986-20 [56444],BUSPIRONE 10 MG TABLET [9323],1.65,,0.462,1.419,83
NDC,51079-991-01 [141118],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,51079-991-20 [56449],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,51079-998-01 [141125],TIZANIDINE 4 MG TABLET [14793],3.55,,0.994,3.053,83
NDC,51079-998-20 [56456],TIZANIDINE 4 MG TABLET [14793],3.55,,0.994,3.053,83
NDC,51144-001-60 [333567],TUCATINIB 50 MG TABLET [191039],369.15,,103.362,317.469,83
NDC,51144-002-12 [333569],TUCATINIB 150 MG TABLET [191040],742.3,,207.844,638.378,83
NDC,51144-002-60 [333568],TUCATINIB 150 MG TABLET [191040],742.3,,207.844,638.378,83
NDC,51144-003-01 [350966],TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION [195917],24245.05,,188.65,20850.743,86
NDC,51144-003-01 [350966],TISOTUMAB VEDOTIN-TFTV INJECTION 10 MG/ML  [40800003817],24245.05,,188.65,20850.743,86
NDC,51144-020-01 [329846],ENFORTUMAB VEDOTIN-EJFV (PADCEV) 10 MG/ML INJ CONTAINER [40800002521],9202.3,,36.66,7913.978,86
NDC,51144-020-01 [329846],ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [40800002519],9202.3,,36.66,7913.978,86
NDC,51144-030-01 [329663],ENFORTUMAB VEDOTIN-EJFV (PADCEV) 10 MG/ML INJ CONTAINER [40800002521],10368.55,,36.66,8916.953,86
NDC,51144-030-01 [329663],ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [190188],10368.55,,36.66,8916.953,86
NDC,51144-050-01 [212963],BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348],43145.45,,258.52,37105.087,86
NDC,51144-050-01 [212963],BRENTUXIMAB VEDOTIN INJ 5 MG/ML (DESENSITIZATION) [40800004111],43145.45,,258.52,37105.087,86
NDC,51144-050-01 [212963],BRENTUXIMAB VEDOTIN INJ 5 MG/ML [40800000443],43145.45,,258.52,37105.087,86
NDC,51224-010-50 [322842],BENZONATATE 100 MG CAPSULE [988],1.65,,0.462,1.419,83
NDC,51224-012-10 [307138],PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1269.05,,257.45,1091.383,86
NDC,51224-012-20 [306087],PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1274.55,,257.45,1096.113,86
NDC,51224-162-12 [229907],"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET [9020]",3.9,,1.092,3.354,83
NDC,51224-162-99 [229909],"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET [9020]",2.95,,0.826,2.537,83
NDC,51248-150-01 [117693],SOLIFENACIN 5 MG TABLET [40392],49.5,,13.86,42.57,83
NDC,51293-611-01 [261190],PHENAZOPYRIDINE 100 MG TABLET [6193],1.65,,0.462,1.419,83
NDC,51293-612-01 [261191],PHENAZOPYRIDINE 200 MG TABLET [6194],2.3,,0.644,1.978,83
NDC,51293-627-01 [273620],PHENOBARBITAL 64.8 MG TABLET [6219],4.45,,1.246,3.827,83
NDC,51293-628-01 [273621],PHENOBARBITAL 97.2 MG TABLET [6220],5.8,,1.624,4.988,83
NDC,51293-810-01 [278572],PHENAZOPYRIDINE 100 MG TABLET [6193],1.65,,0.462,1.419,83
NDC,51293-811-01 [278573],PHENAZOPYRIDINE 200 MG TABLET [6194],2.3,,0.644,1.978,83
NDC,51407-330-01 [335819],HYDROCHLOROTHIAZIDE 12.5 MG TABLET [76988],1.65,,0.462,1.419,83
NDC,51525-0113-1 [288545],HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],2.15,,0.602,1.849,83
NDC,51525-0115-1 [289356],"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR [17010]",3.75,,1.05,3.225,83
NDC,51552-0118-3 [141204],PHENOL (BULK) 89 % LIQUID [41124],58.35,,16.338,50.181,83
NDC,51552-0364-2 [57461],TRICHLOROACETIC ACID 80 % TOPICAL POWDER FOR SOLUTION [130515],90.7,,25.396,78.002,83
NDC,51552-0463-4 [112117],TETRACYCLINE HCL (BULK) POWDER [7799],72.6,,20.328,62.436,83
NDC,51552-0463-7 [266281],TETRACYCLINE HCL (BULK) POWDER [7799],728.95,,204.106,626.897,83
NDC,51552-0480-1 [57686],CLONIDINE HCL (BULK) POWDER [17085],89.25,,24.99,76.755,83
NDC,51552-0613-2 [57804],BACLOFEN (BULK) 100 % POWDER [17050],82.4,,23.072,70.864,83
NDC,51552-0729-2 [101689],LORAZEPAM (BULK) 100 % POWDER [26060],138.55,,38.794,119.153,83
NDC,51552-1323-5 [220083],POVIDONE (BULK) K-30 POWDER [24063],319.1,,89.348,274.426,83
NDC,5155200516 [141189],ACETIC ACID (BULK) 3 % LIQUID [15091],60.1,,16.828,51.686,83
NDC,5155200556 [141192],ACETIC ACID (BULK) 5 % LIQUID [14702],62.95,,17.626,54.137,83
NDC,5155202056 [158874],FORMALDEHYDE (BULK) 37 % SOLUTION [130656],128.7,,36.036,110.682,83
NDC,5155202474 [158898],FD AND C BLUE NO.2 (BULK) POWDER [43235],49.05,,13.734,42.183,83
NDC,5155205497 [236692],POLOXAMER (BULK) 20 % GEL [124678],62.95,,17.626,54.137,83
NDC,5155205504 [112124],LECITHIN-ISOPROPYL PALMITATE (BULK) LIQUID [43206],34.4,,9.632,29.584,83
NDC,51645-850-10 [174448],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,51645-860-01 [174450],SIMETHICONE 80 MG CHEWABLE TABLET [7227],1.65,,0.462,1.419,83
NDC,5164582899 [127859],CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],1.65,,0.462,1.419,83
NDC,5164590599 [273653],THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129927],1.65,,0.462,1.419,83
NDC,5164599101 [174455],ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],1.65,,0.462,1.419,83
NDC,51660-200-30 [299267],EZETIMIBE 10 MG TABLET [34153],1.65,,0.462,1.419,83
NDC,51660-940-24 [349143],"CETIRIZINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [31239]",3.15,,0.882,2.709,83
NDC,51672-1258-2 [58417],CLOBETASOL 0.05 % TOPICAL CREAM [9630],68.65,,19.222,59.039,83
NDC,51672-1259-2 [58421],CLOBETASOL 0.05 % TOPICAL OINTMENT [9631],38.55,,10.794,33.153,83
NDC,51672-1260-3 [58424],CLOTRIMAZOLE 1 % TOPICAL SOLUTION [1768],205.15,,57.442,176.429,83
NDC,51672-1263-1 [58429],"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM [5754]",71.95,,20.146,61.877,83
NDC,51672-1264-2 [58433],FLUOCINONIDE 0.05 % TOPICAL OINTMENT [3189],88.9,,24.892,76.454,83
NDC,51672-1267-5 [58435],TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE [8121],221.3,,61.964,190.318,83
NDC,51672-1272-1 [58442],"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT [5755]",60.1,,16.828,51.686,83
NDC,51672-1272-2 [58443],"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT [5755]",84.1,,23.548,72.326,83
NDC,51672-1273-4 [58446],FLUOCINONIDE 0.05 % TOPICAL SOLUTION [3190],199.1,,55.748,171.226,83
NDC,51672-1280-3 [58457],DESONIDE 0.05 % TOPICAL CREAM [2291],265.5,,74.34,228.33,83
NDC,51672-1281-1 [58458],DESONIDE 0.05 % TOPICAL OINTMENT [9751],79.4,,22.232,68.284,83
NDC,51672-1282-2 [117716],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],29.9,,8.372,25.714,83
NDC,51672-1289-1 [58462],"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",33.65,,9.422,28.939,83
NDC,51672-1289-2 [58463],"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",50.4,,14.112,43.344,83
NDC,51672-1298-2 [58485],KETOCONAZOLE 2 % TOPICAL CREAM [10368],130.6,,36.568,112.316,83
NDC,51672-1303-8 [58490],ECONAZOLE NITRATE 1 % TOPICAL CREAM [9915],257.45,,72.086,221.407,83
NDC,51672-1312-0 [124896],MUPIROCIN 2 % TOPICAL OINTMENT [10674],34.7,,9.716,29.842,83
NDC,51672-1312-1 [297493],MUPIROCIN 2 % TOPICAL OINTMENT [10674],32.75,,9.17,28.165,83
NDC,51672-1361-5 [384408],ACYCLOVIR 5 % TOPICAL CREAM [8967],327.6,,91.728,281.736,83
NDC,51672-1370-2 [333979],MUPIROCIN CALCIUM 2 % TOPICAL CREAM [22251],491.4,,137.592,422.604,83
NDC,51672-1386-2 [296470],FLUOCINONIDE 0.05 % TOPICAL CREAM [3187],99.55,,27.874,85.613,83
NDC,51672-2001-2 [58492],MICONAZOLE NITRATE 2 % TOPICAL CREAM [5039],20.55,,5.754,17.673,83
NDC,51672-2002-2 [58494],CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],31.3,,8.764,26.918,83
NDC,51672-2003-6 [58495],CLOTRIMAZOLE 1 % VAGINAL CREAM [1769],19.2,,5.376,16.512,83
NDC,51672-2035-6 [58522],MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],38.25,,10.71,32.895,83
NDC,51672-2044-2 [319117],"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT [126121]",25.7,,7.196,22.102,83
NDC,51672-2069-2 [112158],HYDROCORTISONE 1 % TOPICAL CREAM [3726],15.6,,4.368,13.416,83
NDC,51672-2073-8 [112159],LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],37.45,,10.486,32.207,83
NDC,51672-2080-2 [182915],TERBINAFINE HCL 1 % TOPICAL CREAM [27023],37.1,,10.388,31.906,83
NDC,51672-2102-8 [230106],CETIRIZINE 1 MG/ML ORAL SOLUTION [70838],29.9,,8.372,25.714,83
NDC,51672-2116-0 [281162],ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY [104],4.85,,1.358,4.171,83
NDC,51672-2116-2 [266387],ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY [104],4.85,,1.358,4.171,83
NDC,51672-2131-8 [305184],LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],37.45,,10.486,32.207,83
NDC,51672-3003-2 [101765],HYDROCORTISONE 2.5 % TOPICAL CREAM [3727],13.8,,3.864,11.868,83
NDC,51672-3007-1 [112160],HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS [24385],443.8,,124.264,381.668,83
NDC,51672-3020-9 [278630],LIDOCAINE 5 % TOPICAL OINTMENT [41831],85.75,,24.01,73.745,83
NDC,51672-4002-1 [284989],NORTRIPTYLINE 25 MG CAPSULE [5675],1.65,,0.462,1.419,83
NDC,51672-4002-5 [124904],NORTRIPTYLINE 25 MG CAPSULE [5675],1.65,,0.462,1.419,83
NDC,51672-4003-1 [284990],NORTRIPTYLINE 50 MG CAPSULE [5676],1.65,,0.462,1.419,83
NDC,51672-4003-5 [124906],NORTRIPTYLINE 50 MG CAPSULE [5676],1.65,,0.462,1.419,83
NDC,51672-4011-6 [124911],CLOMIPRAMINE 25 MG CAPSULE [9635],2.4,,0.672,2.064,83
NDC,51672-4016-1 [58537],ETODOLAC 200 MG CAPSULE [9997],5.15,,1.442,4.429,83
NDC,51672-4022-1 [58540],ACETAZOLAMIDE 125 MG TABLET [112],1.65,,0.462,1.419,83
NDC,51672-4025-4 [58542],AMIODARONE 200 MG TABLET [9066],1.65,,0.462,1.419,83
NDC,51672-4026-1 [58543],KETOCONAZOLE 200 MG TABLET [10369],10.55,,2.954,9.073,83
NDC,51672-4026-6 [58544],KETOCONAZOLE 200 MG TABLET [10369],10.25,,2.87,8.815,83
NDC,51672-4030-1 [58551],WARFARIN 3 MG TABLET [19433],1.65,,0.462,1.419,83
NDC,51672-4037-1 [261203],ENALAPRIL MALEATE 2.5 MG TABLET [9925],1.65,,0.462,1.419,83
NDC,51672-4038-1 [261205],ENALAPRIL MALEATE 5 MG TABLET [9927],1.65,,0.462,1.419,83
NDC,51672-4039-1 [261207],ENALAPRIL MALEATE 10 MG TABLET [9924],1.65,,0.462,1.419,83
NDC,51672-4040-1 [261209],ENALAPRIL MALEATE 20 MG TABLET [9926],1.65,,0.462,1.419,83
NDC,51672-4047-4 [399439],CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [124527],243.25,,68.11,209.195,83
NDC,51672-4047-9 [58575],CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [124527],243.25,,68.11,209.195,83
NDC,51672-4055-6 [243364],AMIODARONE 100 MG TABLET [36959],7.9,,2.212,6.794,83
NDC,51672-4118-6 [192769],FLUOROURACIL 5 % TOPICAL CREAM [10065],337.35,,94.458,290.121,83
NDC,51672-4123-1 [284992],"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR [27634]",2.15,,0.602,1.849,83
NDC,51672-4124-1 [182916],"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR [27635]",4.3,,1.204,3.698,83
NDC,51672-4125-1 [182917],"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR [27636]",7.6,,2.128,6.536,83
NDC,51672-4132-4 [177310],LAMOTRIGINE 150 MG TABLET [14266],1.65,,0.462,1.419,83
NDC,51672-4145-6 [212983],IMIQUIMOD 5 % TOPICAL CREAM PACKET [20718],14.85,,4.158,12.771,83
NDC,51672-4145-8 [212984],IMIQUIMOD 5 % TOPICAL CREAM PACKET [20718],30.25,,8.47,26.015,83
NDC,51672-4146-1 [261211],PHENYTOIN 50 MG CHEWABLE TABLET [11018],2.0,,0.56,1.72,83
NDC,51672-4193-3 [313974],CLOBETASOL 0.05 % TOPICAL FOAM [28973],168.2,,47.096,144.652,83
NDC,51672-4193-7 [313975],CLOBETASOL 0.05 % TOPICAL FOAM [28973],171.6,,48.048,147.576,83
NDC,51672-4215-3 [332948],METRONIDAZOLE 1 % TOPICAL GEL [41899],508.6,,142.408,437.396,83
NDC,51672-4245-1 [373897],ENALAPRIL MALEATE 10 MG TABLET [9924],1.65,,0.462,1.419,83
NDC,51672-5297-1 [278635],PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],37.55,,10.514,32.293,83
NDC,51672-5297-4 [324585],PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],37.55,,10.514,32.293,83
NDC,51672-5316-9 [359539],GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [107829],556.55,,155.834,478.633,83
NDC,51754-0103-1 [372758],CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [124000],89.95,,25.186,77.357,83
NDC,51754-0103-4 [372759],CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [124000],89.95,,25.186,77.357,83
NDC,51754-0203-1 [293076],VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.65,,9.982,30.659,83
NDC,51754-0203-2 [287568],VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.65,,9.982,30.659,83
NDC,51754-0203-4 [294330],VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.65,,9.982,30.659,83
NDC,51754-1000-1 [308248],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],25.6,,0.5,22.016,84
NDC,51754-2001-4 [284993],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],25.6,,7.168,22.016,83
NDC,51754-2004-1 [372760],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],75.55,,21.154,64.973,83
NDC,51754-2004-4 [372761],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],75.55,,21.154,64.973,83
NDC,51754-4250-1 [356027],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [197116],44.05,,12.334,37.883,83
NDC,51754-4250-1 [356027],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) IV SYRINGE CONTAINER [40800003153],44.05,,12.334,37.883,83
NDC,51754-4250-3 [356028],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE [197116],44.05,,12.334,37.883,83
NDC,51754-4250-3 [356028],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) IV SYRINGE CONTAINER [40800003153],44.05,,12.334,37.883,83
NDC,51754-5001-1 [326255],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],31.2,,8.736,26.832,83
NDC,51754-5001-1 [326255],SODIUM BICARBONATE 1 MEQ/ML INFUSION CONTAINER [40800000121],33.75,,9.45,29.025,83
NDC,51754-5001-4 [359540],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],31.2,,8.736,26.832,83
NDC,51754-5001-5 [326256],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],31.2,,8.736,26.832,83
NDC,51754-5001-5 [326256],SODIUM BICARBONATE 1 MEQ/ML INFUSION CONTAINER [40800000121],33.75,,9.45,29.025,83
NDC,51754-5011-1 [337634],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],32.8,,9.184,28.208,83
NDC,51754-5011-4 [337635],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],32.8,,9.184,28.208,83
NDC,51824-003-09 [360189],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET [125741],1.65,,0.462,1.419,83
NDC,51824-052-09 [360497],"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [127482]",1.65,,0.462,1.419,83
NDC,51824-052-14 [360498],"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [127482]",1.65,,0.462,1.419,83
NDC,51862-180-15 [220095],PRAMOXINE 1 % TOPICAL FOAM [19749],140.75,,39.41,121.045,83
NDC,51862-185-01 [293102],"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [119246]",2.85,,0.798,2.451,83
NDC,51862-320-01 [304452],LIOTHYRONINE 5 MCG TABLET [10443],5.05,,1.414,4.343,83
NDC,51862-454-01 [293111],CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],76.65,,21.462,65.919,83
NDC,51862-454-04 [293112],CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [27506],76.65,,21.462,65.919,83
NDC,51862-458-01 [290356],CYCLOSPORINE MODIFIED 25 MG CAPSULE (NEORAL) [28842],3.65,,0.77,3.139,84
NDC,51862-458-47 [290357],CYCLOSPORINE MODIFIED 25 MG CAPSULE (NEORAL) [28842],3.65,,0.77,3.139,84
NDC,51862-460-01 [290358],CYCLOSPORINE MODIFIED 100 MG CAPSULE (NEORAL) [28843],14.6,,2.07,12.556,84
NDC,51862-460-47 [290359],CYCLOSPORINE MODIFIED 100 MG CAPSULE (NEORAL) [28843],14.6,,2.07,12.556,84
NDC,51862-564-01 [291245],NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],78.6,,22.008,67.596,83
NDC,51862-564-06 [291246],NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET [10752],78.6,,22.008,67.596,83
NDC,51862-642-60 [349150],TAMOXIFEN 10 MG TABLET [7711],1.65,,0.462,1.419,83
NDC,51862-643-30 [349152],TAMOXIFEN 20 MG TABLET [11498],1.85,,0.518,1.591,83
NDC,51927-1031-0 [98499],LIDOCAINE (BULK) POWDER [12855],298.95,,83.706,257.097,83
NDC,51927-1084-0 [101779],NYSTATIN (BULK) 1 MILLION UNIT POWDER [190116],660.9,,185.052,568.374,83
NDC,51927-1167-0 [101781],NEOMYCIN SULFATE (BULK) POWDER [5473],1510.95,,423.066,1299.417,83
NDC,51927-1169-0 [125011],POVIDONE (BULK) K-30 POWDER [24063],900.75,,252.21,774.645,83
NDC,51927-1430-0 [98523],DEXAMETHASONE SOD PHOS (BULK) 100 % POWDER [2336],1817.55,,0.12,1563.093,84
NDC,51927-1449-0 [98526],METRONIDAZOLE (BULK) POWDER [5017],254.0,,71.12,218.44,83
NDC,51927-1603-0 [98532],AMITRIPTYLINE (BULK) POWDER [17037],5129.9,,1436.372,4411.714,83
NDC,51927-1671-0 [355638],RIBAVIRIN (BULK) POWDER [40800002041],14742.0,,4127.76,12678.12,83
NDC,51927-1956-0 [98553],RIFAMPIN (BULK) POWDER [17173],737.95,,206.626,634.637,83
NDC,51927-2007-0 [98555],BACLOFEN (BULK) 100 % POWDER [17050],112.75,,31.57,96.965,83
NDC,51927-2148-0 [101800],TRAZODONE (BULK) POWDER [17186],319.45,,89.446,274.727,83
NDC,51927-2197-0 [125387],MINOCYCLINE HCL (BULK) POWDER [17208],1321.75,,370.09,1136.705,83
NDC,51927-2358-0 [125443],BUPIVACAINE (BULK) 100 % POWDER [15595],512.65,,143.542,440.879,83
NDC,51927-2379-0 [98568],CLONIDINE HCL (BULK) POWDER [17085],3064.55,,858.074,2635.513,83
NDC,51927-2655-0 [125526],HYDROXYUREA (BULK) 100 % POWDER [23979],936.95,,262.346,805.777,83
NDC,51927-2697-0 [117787],METOPROLOL TARTRATE (BULK) 100 % POWDER [17154],804.3,,225.204,691.698,83
NDC,51927-2790-0 [98577],KETAMINE (BULK) 100 % POWDER [23101],2542.65,,711.942,2186.679,83
NDC,51927-2909-0 [101816],URSODIOL (BULK) 100 % POWDER [35168],25765.75,,7214.41,22158.545,83
NDC,51927-3335-0 [125744],NALOXONE (BULK) POWDER [24013],1993.8,,558.264,1714.668,83
NDC,51927-4924-0 [284997],TACROLIMUS (BULK) 100 % POWDER [130136],35.8,,10.024,30.788,83
NDC,51927-4962-00 [403418],CHOLESTYRAMINE (BULK) POWDER [23430],9523.35,,2666.538,8190.081,83
NDC,51927-5205-0 [383500],NIFEDIPINE (BULK) POWDER CONTAINER [40800003162],108.55,,30.394,93.353,83
NDC,51927-5205-0 [383500],"NIFEDIPINE, MICRONIZED (BULK) 100 % POWDER [186279]",108.55,,30.394,93.353,83
NDC,51927-9028-0 [98598],HYDROCORTISONE (BULK) POWDER [3735],5382.5,,1507.1,4628.95,83
NDC,5192710550 [124951],"PROPYLENE GLYCOL (BULK) 99.5 % (NOT LESS THAN, USP) LIQUID [6661]",0.25,,0.07,0.215,83
NDC,5192710870 [124968],SODIUM CHLORIDE (BULK) GRANULES [7330],1264.25,,353.99,1087.255,83
NDC,5192710880 [127871],SODIUM BICARBONATE (BULK) POWDER [7310],818.05,,229.054,703.523,83
NDC,5192711000 [124974],TRAGACANTH POWDER [8049],6.1,,1.708,5.246,83
NDC,5192711140 [127877],BENZOIC ACID (BULK) POWDER [17048],229.95,,64.386,197.757,83
NDC,5192711150 [124980],METHYLENE BLUE (BULK-SOLID) POWDER [20825],299.1,,83.748,257.226,83
NDC,5192711630 [125008],METHYLPARABEN (BULK) POWDER [13296],12.8,,3.584,11.008,83
NDC,5192711640 [125009],PROPYLPARABEN (BULK) CRYSTALS [13102],707.65,,198.142,608.579,83
NDC,5192711650 [125010],CITRIC ACID (BULK) POWDER CONTAINER [40800003869],758.55,,212.394,652.353,83
NDC,5192711650 [125010],CITRIC ACID ANHYDROUS (BULK) 100 % GRANULES [1702],758.55,,212.394,652.353,83
NDC,5192717660 [125271],HYDROXYETHYLCELLULOSE (BULK) POWDER [22871],419.35,,117.418,360.641,83
NDC,5192721690 [125373],BANANA CREME FLAVOR (BULK) LIQUID [42149],195.65,,54.782,168.259,83
NDC,5192729990 [125612],ETHYL ALCOHOL (BULK) LIQUID [16626],526.85,,147.518,453.091,83
NDC,5192730970 [125666],FORMALDEHYDE (BULK) 37 % SOLUTION [130656],424.6,,118.888,365.156,83
NDC,5192735730 [125826],ETHOXYDIGLYCOL (BULK) 100 % LIQUID [42293],264.4,,74.032,227.384,83
NDC,5192736410 [188994],VEHICLE BASE NO.24 (BULK) CREAM [129377],2358.75,,660.45,2028.525,83
NDC,5192743980 [208098],ACESULFAME POTASSIUM (BULK) 100 % POWDER [40933],1408.7,,394.436,1211.482,83
NDC,5192744110 [230210],GLUTAMINE (BULK) POWDER [13713],4848.5,,1357.58,4169.71,83
NDC,5192745390 [213068],STEVIOL GLYCOSIDES (BULK) 95 % POWDER [110405],21.7,,6.076,18.662,83
NDC,5192748250 [273689],GEL BASE NO.180 (BULK) [170290],1368.1,,383.068,1176.566,83
NDC,51991-002-98 [392122],METHADONE 10 MG/ML INJECTION SOLUTION [10546],1401.75,,22.91,1205.505,84
NDC,51991-006-33 [316899],"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [170995]",4.65,,1.302,3.999,83
NDC,51991-144-17 [293121],METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],62.85,,17.598,54.051,84
NDC,51991-144-99 [293122],METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [10571],62.85,,17.598,54.051,84
NDC,51991-292-01 [159267],OXCARBAZEPINE 150 MG TABLET [27049],1.65,,0.462,1.419,83
NDC,51991-293-01 [159269],OXCARBAZEPINE 300 MG TABLET [21061],2.65,,0.742,2.279,83
NDC,51991-294-01 [159271],OXCARBAZEPINE 600 MG TABLET [21157],3.8,,1.064,3.268,83
NDC,51991-311-33 [295332],"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [91073]",3.6,,1.008,3.096,83
NDC,51991-312-33 [295335],"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [91074]",3.6,,1.008,3.096,83
NDC,51991-312-90 [295336],"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [91074]",3.6,,1.008,3.096,83
NDC,51991-526-01 [203817],TERBINAFINE HCL 250 MG TABLET [12724],1.65,,0.462,1.419,83
NDC,51991-704-01 [312532],ALPRAZOLAM 0.25 MG TABLET [324],2.85,,0.798,2.451,83
NDC,51991-735-20 [199156],GRANISETRON HCL 1 MG TABLET [14720],17.1,,4.788,14.706,83
NDC,51991-735-32 [220221],GRANISETRON HCL 1 MG TABLET [14720],38.55,,10.794,33.153,83
NDC,51991-735-99 [199157],GRANISETRON HCL 1 MG TABLET [14720],17.1,,4.788,14.706,83
NDC,51991-747-90 [261264],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.65,,0.462,1.419,83
NDC,51991-748-90 [261266],"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.65,,0.462,1.419,83
NDC,51991-759-33 [213075],LETROZOLE 2.5 MG TABLET [21509],1.65,,0.462,1.419,83
NDC,51991-818-01 [236747],"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]",3.05,,0.854,2.623,83
NDC,51991-819-01 [236748],"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE [38226]",3.8,,1.064,3.268,83
NDC,51991-943-33 [298334],MOXIFLOXACIN 400 MG TABLET [26854],13.95,,3.906,11.997,83
NDC,5199101406 [58677],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,52015-080-01 [213076],FIDAXOMICIN 200 MG TABLET [110360],852.6,,238.728,733.236,83
NDC,52268-100-01 [59089],PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION [10839],80.1,,22.428,68.886,83
NDC,52268-100-01 [59089],PEG-ELECTROLYTE ORAL SOLUTION CONTAINER [40800003811],80.1,,22.428,68.886,83
NDC,52376-021-02 [182943],CHLORHEXIDINE GLUCONATE ALCOHOL FREE 0.12 % MOUTHWASH [40800002333],34.95,,9.786,30.057,83
NDC,52536-625-01 [324875],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],63.9,,0.03,54.954,84
NDC,52536-625-10 [324876],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],172.85,,0.03,148.651,84
NDC,52609-0001-5 [208185],MELPHALAN 2 MG TABLET [10523],43.65,,12.222,37.539,83
NDC,52652-2001-1 [298345],METHOTREXATE 2.5 MG/ML ORAL SOLUTION [182118],8437.05,,22.3,7255.863,86
NDC,52652-3001-1 [290380],LISINOPRIL 1 MG/ML ORAL SOLUTION [179171],2303.85,,645.078,1981.311,83
NDC,52652-4001-1 [294364],ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION [180398],2290.75,,641.41,1970.045,83
NDC,52652-5001-1 [324878],AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION [188731],2158.9,,604.492,1856.654,83
NDC,52652-8001-1 [361463],ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION [198891],1415.65,,396.382,1217.459,83
NDC,52652-9001-1 [352751],TOPIRAMATE 25 MG/ML ORAL SOLUTION [196308],2603.25,,728.91,2238.795,83
NDC,52817-180-10 [299281],CLONIDINE HCL 0.1 MG TABLET [1755],1.65,,0.462,1.419,83
NDC,52817-235-30 [336708],RAMELTEON 8 MG TABLET [42064],5.4,,1.512,4.644,83
NDC,52817-268-30 [395487],BISOPROLOL FUMARATE 2.5 MG TABLET [208412],13.05,,3.654,11.223,83
NDC,52817-320-10 [308272],BACLOFEN 10 MG TABLET [860],1.65,,0.462,1.419,83
NDC,52817-324-10 [330693],MIDODRINE 5 MG TABLET [10610],1.75,,0.49,1.505,83
NDC,52817-364-10 [326261],TRIAMTERENE 50 MG CAPSULE [11588],34.5,,9.66,29.67,83
NDC,52817-620-08 [375165],BACLOFEN 10 MG/5 ML (2 MG/ML) ORAL SOLUTION [202954],2166.85,,606.718,1863.491,83
NDC,52817-800-30 [327373],CLOTRIMAZOLE 1 % TOPICAL SOLUTION [1768],103.0,,28.84,88.58,83
NDC,52817-811-54 [358460],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],61.05,,17.094,52.503,83
NDC,52817-815-08 [339526],AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],737.35,,206.458,634.121,83
NDC,52817-816-15 [335857],ACETIC ACID 2 % EAR SOLUTION [17801],96.1,,26.908,82.646,83
NDC,52817-830-04 [356037],LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION [41623],70.2,,19.656,60.372,83
NDC,53276-1010-02 [63064],MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER [10606],622.45,,174.286,535.307,83
NDC,53329-089-86 [314000],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET [125741],1.65,,0.462,1.419,83
NDC,53329-089-87 [314001],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET [125741],1.65,,0.462,1.419,83
NDC,53329-105-44 [357963],MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL PASTE [41818],18.35,,5.138,15.781,83
NDC,53329-156-44 [380998],MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL PASTE [41818],14.15,,3.962,12.169,83
NDC,53329-157-04 [125885],DIMETHICONE 1 % TOPICAL CREAM [20535],32.65,,9.142,28.079,83
NDC,53329-171-10 [365377],MICONAZOLE NITRATE 2 % TOPICAL OINTMENT [13651],18.8,,5.264,16.168,83
NDC,53436-084-01 [285112],PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET [175895],121.85,,34.118,104.791,83
NDC,53436-084-04 [282651],PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET [175895],162.85,,45.598,140.051,83
NDC,53436-084-30 [282652],PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET [175895],121.85,,34.118,104.791,83
NDC,53489-145-01 [63282],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],1.65,,0.462,1.419,83
NDC,53489-156-01 [63294],ALLOPURINOL 100 MG TABLET [310],1.65,,0.462,1.419,83
NDC,53489-177-01 [63303],ALBUTEROL SULFATE 4 MG TABLET [254],2.85,,0.798,2.451,83
NDC,53489-386-01 [63361],MINOXIDIL 2.5 MG TABLET [5115],1.65,,0.462,1.419,83
NDC,53489-552-01 [63418],PROPAFENONE 225 MG TABLET [11147],4.95,,1.386,4.257,83
NDC,53746-110-01 [141684],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],2.85,,0.798,2.451,83
NDC,53746-203-01 [159467],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],2.85,,0.798,2.451,83
NDC,53746-204-01 [159469],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],3.65,,1.022,3.139,83
NDC,53746-361-01 [356766],FOLIC ACID 1 MG TABLET [3233],1.65,,0.462,1.419,83
NDC,53746-511-01 [261500],SPIRONOLACTONE 25 MG TABLET [7437],1.65,,0.462,1.419,83
NDC,53746-515-01 [261505],SPIRONOLACTONE 100 MG TABLET [11425],2.55,,0.714,2.193,83
NDC,53746-542-05 [261508],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",1.65,,0.462,1.419,83
NDC,53746-545-01 [300879],PRIMIDONE 250 MG TABLET [6544],1.75,,0.49,1.505,83
NDC,53746-555-48 [359543],DEMECLOCYCLINE 300 MG TABLET [9727],44.2,,12.376,38.012,83
NDC,53746-574-01 [357452],BETHANECHOL CHLORIDE 50 MG TABLET [1046],3.6,,1.008,3.096,83
NDC,53746-711-01 [357453],GUANFACINE 1 MG TABLET [10149],2.7,,0.756,2.322,83
NDC,53746-745-01 [360505],PROMETHAZINE 12.5 MG TABLET [6621],1.65,,0.462,1.419,83
NDC,54092-189-81 [63907],"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE [10533]",14.4,,4.032,12.384,83
NDC,54092-381-01 [63918],"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE [33005]",35.05,,9.814,30.143,83
NDC,54092-383-01 [63919],"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [31587]",35.05,,9.814,30.143,83
NDC,54092-385-01 [63920],"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE [33006]",35.05,,9.814,30.143,83
NDC,54092-476-12 [141712],"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [78310]",36.1,,10.108,31.046,83
NDC,54288-100-01 [316931],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],77.25,,5.2,66.435,84
NDC,54288-103-01 [273854],EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION [127556],39.25,,2.28,33.755,84
NDC,54288-103-10 [273855],EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION [127556],39.25,,2.28,33.755,84
NDC,54288-105-02 [318298],ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [187423],3020.85,,845.838,2597.931,83
NDC,54288-106-01 [351004],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,54288-109-02 [351005],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,54288-119-01 [382589],EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],48.0,,2.28,41.28,84
NDC,54288-119-25 [382590],EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],48.0,,2.28,41.28,84
NDC,54288-120-01 [357455],EPINEPHRINE 1 MG/ML INJECTION SOLUTION [121505],273.25,,2.28,234.995,84
NDC,54288-125-01 [329172],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],23.7,,6.636,20.382,83
NDC,54288-125-10 [329173],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],23.7,,6.636,20.382,83
NDC,54288-136-01 [359544],PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],75.05,,21.014,64.543,84
NDC,54288-136-10 [359545],PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],75.05,,21.014,64.543,84
NDC,54288-136-25 [373905],PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],63.05,,17.654,54.223,84
NDC,54288-142-01 [349162],PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],103.35,,28.938,88.881,83
NDC,54288-142-10 [349163],PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],103.35,,28.938,88.881,83
NDC,54288-144-01 [396296],ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [187423],2670.35,,747.698,2296.501,83
NDC,54288-144-10 [396297],ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [187423],2670.35,,747.698,2296.501,83
NDC,54288-167-01 [373910],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],294.7,,2.11,253.442,84
NDC,54288-167-01 [373910],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],294.7,,2.11,253.442,84
NDC,54396-111-11 [64447],OXANDROLONE 2.5 MG TABLET [10803],32.3,,9.044,27.778,83
NDC,54482-054-01 [308281],PROCARBAZINE 50 MG CAPSULE [11136],579.0,,162.12,497.94,83
NDC,54482-144-07 [64452],LEVOCARNITINE 330 MG TABLET [20952],6.15,,1.722,5.289,83
NDC,54482-147-01 [64455],LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],133.45,,24.29,114.767,84
NDC,54629-0050-24 [174650],"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",1.65,,0.462,1.419,83
NDC,54629-0076-01 [68809],ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],1.65,,0.462,1.419,83
NDC,54629-0560-01 [68911],VITAMIN B COMPLEX CAPSULE [804],1.65,,0.462,1.419,83
NDC,54629-0800-98 [281183],PEDIATRIC MULTIVITAMIN NO.118 ORAL LIQUID [175397],30.9,,8.652,26.574,83
NDC,54629-600-01 [68924],DOCUSATE SODIUM 100 MG CAPSULE [2566],1.65,,0.462,1.419,83
NDC,54633-712-01 [243910],PHENOL 1.5 % TOPICAL LIQUID [129466],78.95,,22.106,67.897,83
NDC,54643-5646-1 [69050],"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN [126693]",82.55,,23.114,70.993,83
NDC,54643-5649-1 [69052],"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION [130969]",59.3,,16.604,50.998,83
NDC,54643-5650-2 [236940],"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION [130969]",465.75,,130.41,400.545,83
NDC,54643-5657-1 [399204],"MVI,ADULT NO.4,VIT K,COMP(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN [183333]",36.5,,10.22,31.39,83
NDC,54643-5659-1 [399205],"MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN [183334]",36.5,,10.22,31.39,83
NDC,54766-729-06 [278830],HYDROCORTISONE-PRAMOXINE 1 %-1 % LOTION [11106],807.15,,226.002,694.149,83
NDC,54838-501-40 [69354],HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],97.15,,27.202,83.549,83
NDC,54838-502-80 [261718],HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],277.35,,77.658,238.521,83
NDC,54838-510-80 [69358],OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP [10810],59.55,,16.674,51.213,83
NDC,54838-511-80 [69359],HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],101.5,,28.42,87.29,83
NDC,54838-512-40 [69360],DOXEPIN 10 MG/ML ORAL CONCENTRATE [2614],657.85,,184.198,565.751,83
NDC,54838-555-50 [208272],ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],85.8,,0.01,73.788,84
NDC,54838-570-59 [278840],ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION [40446],491.4,,137.592,422.604,83
NDC,54879-023-51 [323744],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],9828.0,,173.64,8452.08,86
NDC,54879-036-64 [323745],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],9828.0,,173.64,8452.08,86
NDC,55111-112-30 [261721],MOXIFLOXACIN 400 MG TABLET [26854],13.95,,3.906,11.997,83
NDC,55111-118-90 [344773],FAMOTIDINE 10 MG TABLET [15065],1.65,,0.462,1.419,83
NDC,55111-119-01 [118153],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,55111-123-90 [230759],ATORVASTATIN 40 MG TABLET [19177],1.65,,0.462,1.419,83
NDC,55111-126-01 [105342],CIPROFLOXACIN 250 MG TABLET [25118],1.65,,0.462,1.419,83
NDC,55111-127-01 [105344],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,55111-127-05 [105345],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,55111-163-30 [221727],OLANZAPINE 2.5 MG TABLET [21057],1.65,,0.462,1.419,83
NDC,55111-170-01 [74237],OXAPROZIN 600 MG TABLET [10825],13.9,,3.892,11.954,83
NDC,55111-256-60 [221745],ZIPRASIDONE 20 MG CAPSULE [29778],2.4,,0.672,2.064,83
NDC,55111-257-60 [221746],ZIPRASIDONE 40 MG CAPSULE [29779],2.4,,0.672,2.064,83
NDC,55111-262-79 [261722],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],8.2,,2.296,7.052,83
NDC,55111-262-81 [221749],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],8.2,,2.296,7.052,83
NDC,55111-263-79 [261723],OLANZAPINE 10 MG DISINTEGRATING TABLET [28160],12.05,,3.374,10.363,83
NDC,55111-280-50 [213299],LEVOFLOXACIN 500 MG TABLET [18919],1.85,,0.518,1.591,83
NDC,55111-281-30 [213300],LEVOFLOXACIN 750 MG TABLET [28964],6.85,,1.918,5.891,83
NDC,55111-320-01 [128835],GLIMEPIRIDE 1 MG TABLET [16355],1.65,,0.462,1.419,83
NDC,55111-360-06 [264997],DESLORATADINE 5 MG DISINTEGRATING TABLET [34593],23.05,,6.454,19.823,83
NDC,55111-360-31 [236953],DESLORATADINE 5 MG DISINTEGRATING TABLET [34593],23.05,,6.454,19.823,83
NDC,55111-428-30 [243928],"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [109452]",11.4,,3.192,9.804,83
NDC,55111-466-01 [230765],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",1.65,,0.462,1.419,83
NDC,55111-468-01 [230769],"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",1.75,,0.49,1.505,83
NDC,55111-469-01 [230771],"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [30072]",2.8,,0.784,2.408,83
NDC,55111-497-04 [342477],CAPECITABINE 500 MG TABLET [22994],3.6,,0.03,3.096,86
NDC,55111-526-01 [195014],TACROLIMUS 1 MG CAPSULE FOR SUBLINGUAL USE [40800002961],2.75,,0.15,2.365,84
NDC,55111-526-01 [195014],"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",2.75,,0.15,2.365,84
NDC,55111-556-10 [243933],DECITABINE 5 MG/ML INJ [40800000413],1572.5,,1.59,1352.35,84
NDC,55111-556-10 [243933],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],1572.5,,1.59,1352.35,84
NDC,55111-556-10 [243933],DECITABINE SUBCUTANEOUS CHEMO INJECTION 10 MG/ML [40800000414],1572.5,,1.59,1352.35,84
NDC,55111-617-01 [261729],ESZOPICLONE 3 MG TABLET [40322],2.85,,0.798,2.451,83
NDC,55111-619-01 [261730],ESZOPICLONE 2 MG TABLET [40321],2.85,,0.798,2.451,83
NDC,55111-629-30 [261731],ESZOPICLONE 1 MG TABLET [40320],2.85,,0.798,2.451,83
NDC,55111-650-01 [300892],METAXALONE 800 MG TABLET [33963],7.15,,2.002,6.149,83
NDC,55111-653-01 [273899],SIROLIMUS 1 MG TABLET [28958],21.35,,0.96,18.361,84
NDC,55111-678-02 [213326],FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],73.4,,0.72,63.124,84
NDC,55111-678-11 [252694],FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],73.4,,0.72,63.124,84
NDC,55111-679-02 [213327],FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [108027],172.75,,0.72,148.565,84
NDC,55111-679-10 [221756],FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [108027],175.9,,0.72,151.274,84
NDC,55111-679-11 [252695],FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [108027],172.75,,0.72,148.565,84
NDC,55111-683-01 [174850],IBUPROFEN 600 MG TABLET [3844],1.65,,0.462,1.419,83
NDC,55111-685-07 [236956],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],257.4,,5.2,221.364,84
NDC,55111-694-07 [307195],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003382],57.25,,0.45,49.235,84
NDC,55111-694-07 [307195],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],57.25,,0.45,49.235,84
NDC,55111-699-90 [230787],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,55111-734-90 [353538],VALSARTAN 320 MG TABLET [31211],1.65,,0.462,1.419,83
NDC,55111-784-01 [315482],FEXOFENADINE 180 MG TABLET [25425],1.65,,0.462,1.419,83
NDC,55111-784-30 [278853],FEXOFENADINE 180 MG TABLET [25425],2.1,,0.588,1.806,83
NDC,55135-132-01 [333995],SACITUZUMAB GOVITECAN-HZIY 10 MG/ML INJ [40800002680],8566.0,,36.26,7366.76,86
NDC,55135-132-01 [333995],SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [191137],8566.0,,36.26,7366.76,86
NDC,55150-113-10 [221764],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003337],21.25,,0.49,18.275,84
NDC,55150-113-10 [221764],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],21.25,,0.49,18.275,84
NDC,55150-113-10 [221764],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],23.0,,0.49,19.78,84
NDC,55150-113-10 [221764],AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (1 GRAM VIAL) [40800002996],21.25,,0.49,18.275,84
NDC,55150-114-20 [221765],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],31.15,,0.49,26.789,84
NDC,55150-114-20 [221765],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],31.15,,0.49,26.789,84
NDC,55150-114-20 [221765],AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (2 GRAM VIAL) [40800002995],31.15,,0.49,26.789,84
NDC,55150-117-20 [230796],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],23.5,,1.49,20.21,84
NDC,55150-117-20 [230796],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],23.5,,1.49,20.21,84
NDC,55150-117-20 [230796],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],25.4,,1.49,21.844,84
NDC,55150-119-30 [221767],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],13.15,,1.11,11.309,84
NDC,55150-119-30 [221767],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],13.15,,1.11,11.309,84
NDC,55150-119-30 [221767],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],14.25,,1.11,12.255,84
NDC,55150-120-30 [221768],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],26.1,,1.11,22.446,84
NDC,55150-120-30 [221768],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],24.1,,1.11,20.726,84
NDC,55150-120-30 [221768],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],24.1,,1.11,20.726,84
NDC,55150-121-50 [221769],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],30.85,,1.11,26.531,84
NDC,55150-121-50 [221769],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],28.5,,1.11,24.51,84
NDC,55150-121-50 [221769],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],28.5,,1.11,24.51,84
NDC,55150-122-15 [236957],NAFCILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003378],41.7,,0.06,35.862,84
NDC,55150-122-15 [236957],NAFCILLIN 1 GRAM SOLUTION FOR INJECTION [5333],41.7,,0.06,35.862,84
NDC,55150-122-15 [236957],NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],45.1,,0.06,38.786,84
NDC,55150-123-16 [273902],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],44.55,,0.06,38.313,84
NDC,55150-123-16 [273902],NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],48.15,,0.06,41.409,84
NDC,55150-128-24 [236961],OXACILLIN 100 MG/ML INJ CONTAINER [40800000203],77.6,,0.82,66.736,84
NDC,55150-128-24 [236961],OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],71.9,,0.82,61.834,84
NDC,55150-128-24 [236961],OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],71.9,,0.82,61.834,84
NDC,55150-129-99 [236962],OXACILLIN 10 GRAM SOLUTION FOR INJECTION [5925],363.65,,0.82,312.739,84
NDC,55150-129-99 [236962],OXACILLIN 100 MG/ML INJ CONTAINER [40800000203],363.65,,0.82,312.739,84
NDC,55150-154-10 [261741],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],43.35,,0.03,37.281,84
NDC,55150-155-20 [261742],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],72.1,,0.03,62.006,84
NDC,55150-159-74 [261744],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],6.5,,1.82,5.59,83
NDC,55150-161-02 [261746],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],9.75,,2.73,8.385,83
NDC,55150-161-02 [261746],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],9.75,,2.73,8.385,83
NDC,55150-162-05 [261747],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],13.0,,3.64,11.18,83
NDC,55150-163-30 [261748],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],14.05,,3.934,12.083,83
NDC,55150-163-30 [261748],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],14.05,,3.934,12.083,83
NDC,55150-164-02 [261749],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],14.6,,4.088,12.556,83
NDC,55150-165-05 [261750],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],11.65,,3.262,10.019,83
NDC,55150-167-10 [261751],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],10.05,,0.01,8.643,84
NDC,55150-167-10 [261751],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],10.05,,0.01,8.643,84
NDC,55150-168-30 [261752],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],10.3,,0.01,8.858,84
NDC,55150-168-30 [261752],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],10.3,,0.01,8.858,84
NDC,55150-170-30 [261754],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) [40800003333],11.4,,0.01,9.804,84
NDC,55150-170-30 [261754],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],11.4,,0.01,9.804,84
NDC,55150-170-30 [261754],BUPIVACAINE (PF) 0.5 % (5 MG/ML) PRIMING INJECTION [40840001576],11.4,,0.01,9.804,84
NDC,55150-171-10 [261755],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],11.5,,0.01,9.89,84
NDC,55150-171-10 [261755],BUPIVACAINE (PF) 0.75% INJ CONTAINER [40800000743],11.5,,0.01,9.89,84
NDC,55150-173-01 [243945],SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],39.25,,10.99,33.755,83
NDC,55150-173-05 [295362],SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],39.25,,10.99,33.755,83
NDC,55150-174-10 [278855],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],29.4,,2.61,25.284,84
NDC,55150-177-05 [287610],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],14.25,,0.05,12.255,84
NDC,55150-180-03 [309218],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],9.5,,0.51,8.17,84
NDC,55150-183-01 [348053],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],72.9,,0.09,62.694,84
NDC,55150-183-02 [356042],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],65.6,,0.09,56.416,84
NDC,55150-183-10 [348054],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],72.9,,0.09,62.694,84
NDC,55150-183-11 [356043],NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [12370],65.6,,0.09,56.416,84
NDC,55150-186-05 [319143],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],26.75,,0.45,23.005,84
NDC,55150-188-10 [285191],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",28.45,,7.966,24.467,83
NDC,55150-188-10 [285191],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],28.45,,7.966,24.467,83
NDC,55150-188-10 [285191],TRANEXAMIC ACID NEBULIZER SOLUTION 100 MG/ML [40800003395],28.45,,7.966,24.467,83
NDC,55150-194-10 [285192],ESMOLOL 10 MG/ML INJ CONTAINER [40800000725],19.3,,0.28,16.598,84
NDC,55150-194-10 [285192],ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],19.3,,0.28,16.598,84
NDC,55150-195-20 [293165],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],32.1,,0.06,27.606,84
NDC,55150-195-20 [293165],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],32.1,,0.06,27.606,84
NDC,55150-196-99 [293166],ROPIVACAINE (PF) 2 MG/ML (0.2 %) CONTINUOUS ONLY NERVE BLOCK INFUSION [40800000384],127.2,,0.06,109.392,84
NDC,55150-196-99 [293166],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],127.2,,0.06,109.392,84
NDC,55150-196-99 [293166],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],127.2,,0.06,109.392,84
NDC,55150-196-99 [293166],ROPIVACAINE (PF) 2 MG/ML (0.2 %) NERVE BLOCK INFUSION [40800000382],127.2,,0.06,109.392,84
NDC,55150-196-99 [293166],ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],127.2,,0.06,109.392,84
NDC,55150-198-30 [293168],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003809],35.05,,0.06,30.143,84
NDC,55150-198-30 [293168],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],35.05,,0.06,30.143,84
NDC,55150-198-30 [293168],ROPIVACAINE (PF) 5 MG/ML (0.5 %) PRIMING INJECTION [40840001577],35.05,,0.06,30.143,84
NDC,55150-202-00 [285193],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],13.15,,3.682,11.309,83
NDC,55150-202-00 [285193],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],13.15,,3.682,11.309,83
NDC,55150-202-10 [285194],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],13.15,,3.682,11.309,83
NDC,55150-202-10 [285194],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],13.15,,3.682,11.309,83
NDC,55150-207-20 [296495],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],28.45,,0.44,24.467,84
NDC,55150-207-20 [296495],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],26.3,,0.44,22.618,84
NDC,55150-207-20 [296495],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],26.3,,0.44,22.618,84
NDC,55150-208-30 [296496],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],39.25,,0.44,33.755,84
NDC,55150-208-30 [296496],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],39.25,,0.44,33.755,84
NDC,55150-209-02 [288594],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],34.15,,9.562,29.369,83
NDC,55150-218-99 [282667],EPTIFIBATIDE 0.75 MG/ML INFUSION [40800000316],251.95,,3.26,216.677,85
NDC,55150-218-99 [282667],EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],251.95,,3.26,216.677,85
NDC,55150-219-10 [282668],EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION [23124],143.1,,3.26,123.066,85
NDC,55150-221-10 [297514],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],24.1,,6.748,20.726,83
NDC,55150-223-10 [290408],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],35.65,,4.79,30.659,84
NDC,55150-225-05 [299294],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],11.85,,3.318,10.191,83
NDC,55150-225-05 [299294],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],11.85,,3.318,10.191,83
NDC,55150-228-10 [323750],TIGECYCLINE 10 MG/ML INJ [40800000059],340.75,,0.51,293.045,84
NDC,55150-228-10 [323750],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],315.75,,0.51,271.545,84
NDC,55150-228-10 [323750],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],315.75,,0.51,271.545,84
NDC,55150-230-00 [305209],FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],76.35,,0.72,65.661,84
NDC,55150-230-10 [305210],FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],76.35,,0.72,65.661,84
NDC,55150-232-00 [305213],FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],184.45,,0.72,158.627,84
NDC,55150-232-10 [305214],FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],184.45,,0.72,158.627,84
NDC,55150-234-10 [300005],"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",38.55,,10.794,33.153,83
NDC,55150-235-01 [316935],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],20.9,,5.852,17.974,83
NDC,55150-235-01 [316935],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],20.9,,5.852,17.974,83
NDC,55150-235-01 [316935],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],19.3,,5.404,16.598,83
NDC,55150-235-02 [359548],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],18.8,,5.264,16.168,83
NDC,55150-235-02 [359548],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],18.8,,5.264,16.168,83
NDC,55150-235-02 [359548],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],17.35,,4.858,14.921,83
NDC,55150-235-10 [316936],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],20.9,,5.852,17.974,83
NDC,55150-235-10 [316936],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],20.9,,5.852,17.974,83
NDC,55150-235-10 [316936],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],19.3,,5.404,16.598,83
NDC,55150-235-11 [359549],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],18.8,,5.264,16.168,83
NDC,55150-235-11 [359549],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],18.8,,5.264,16.168,83
NDC,55150-235-11 [359549],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],17.35,,4.858,14.921,83
NDC,55150-236-01 [316937],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],34.7,,9.716,29.842,83
NDC,55150-236-01 [316937],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],34.7,,9.716,29.842,83
NDC,55150-236-01 [316937],VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION [11635],32.1,,8.988,27.606,83
NDC,55150-236-20 [316938],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],34.7,,9.716,29.842,83
NDC,55150-236-20 [316938],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],34.7,,9.716,29.842,83
NDC,55150-236-20 [316938],VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION [11635],32.1,,8.988,27.606,83
NDC,55150-239-30 [285196],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],34.6,,0.12,29.756,84
NDC,55150-242-51 [291893],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],70.8,,3.47,60.888,84
NDC,55150-249-50 [301657],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],17.0,,0.01,14.62,84
NDC,55150-249-50 [301657],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],17.0,,0.01,14.62,84
NDC,55150-250-50 [301658],BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],14.25,,0.01,12.255,84
NDC,55150-251-10 [309221],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],11.4,,3.192,9.804,83
NDC,55150-251-10 [309221],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],11.4,,3.192,9.804,83
NDC,55150-251-24 [397366],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],11.4,,3.192,9.804,83
NDC,55150-252-20 [309222],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],15.65,,4.382,13.459,83
NDC,55150-252-20 [309222],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],15.65,,4.382,13.459,83
NDC,55150-255-20 [309225],LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],17.75,,4.97,15.265,83
NDC,55150-259-30 [293172],ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],169.35,,0.37,145.641,84
NDC,55150-266-05 [314028],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003391],151.05,,5.2,129.903,84
NDC,55150-266-05 [314028],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],151.05,,5.2,129.903,84
NDC,55150-282-20 [309860],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],95.4,,9.02,82.044,84
NDC,55150-282-20 [309860],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],95.4,,9.02,82.044,84
NDC,55150-282-20 [309860],ERTAPENEM 100 MG/ML INJ [40800000062],103.0,,9.02,88.58,84
NDC,55150-284-01 [344775],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION (OSM) [40800000241],49.9,,13.972,42.914,83
NDC,55150-284-01 [344775],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],53.95,,15.106,46.397,83
NDC,55150-284-10 [344776],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION (OSM) [40800000241],49.9,,13.972,42.914,83
NDC,55150-284-10 [344776],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],53.95,,15.106,46.397,83
NDC,55150-287-01 [340607],MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [122186],72.35,,1.4,62.221,84
NDC,55150-287-10 [340608],MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK [122186],72.35,,1.4,62.221,84
NDC,55150-299-01 [347036],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],223.1,,0.11,191.866,84
NDC,55150-299-01 [347036],FOSAPREPITANT 30 MG/ML INJ [40800000315],223.1,,0.11,191.866,84
NDC,55150-301-01 [342480],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],68.65,,19.222,59.039,83
NDC,55150-301-10 [342481],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],68.65,,19.222,59.039,83
NDC,55150-304-01 [342483],DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],20.9,,0.12,17.974,84
NDC,55150-304-25 [342484],DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],20.9,,0.12,17.974,84
NDC,55150-307-01 [341507],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",63.3,,0.05,54.438,84
NDC,55150-307-01 [341507],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",63.3,,0.05,54.438,84
NDC,55150-307-24 [341508],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",63.3,,0.05,54.438,84
NDC,55150-307-24 [341508],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",63.3,,0.05,54.438,84
NDC,55150-318-01 [338626],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],99.2,,27.07,85.312,84
NDC,55150-318-25 [338627],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],99.2,,27.07,85.312,84
NDC,55150-319-01 [338628],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],113.6,,27.07,97.696,84
NDC,55150-319-25 [338629],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],113.6,,27.07,97.696,84
NDC,55150-322-01 [323751],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],9.2,,0.02,7.912,84
NDC,55150-322-01 [323751],FUROSEMIDE INFUSION 10 MG/ML [40800000767],10.0,,0.02,8.6,84
NDC,55150-322-01 [323751],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],10.0,,0.02,8.6,84
NDC,55150-322-25 [323752],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],9.2,,0.02,7.912,84
NDC,55150-322-25 [323752],FUROSEMIDE INFUSION 10 MG/ML [40800000767],10.0,,0.02,8.6,84
NDC,55150-322-25 [323752],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],10.0,,0.02,8.6,84
NDC,55150-323-01 [323753],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.3,,0.02,10.578,84
NDC,55150-323-25 [323754],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.3,,0.02,10.578,84
NDC,55150-327-01 [330698],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],41.0,,0.07,35.26,84
NDC,55150-327-10 [330699],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],41.0,,0.07,35.26,84
NDC,55150-329-01 [364479],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],125.75,,35.21,108.145,83
NDC,55150-329-25 [364480],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],125.75,,35.21,108.145,83
NDC,55150-330-01 [364481],MEDROXYPROGESTERONE 150 MG/ML INJ CONTAINER [40800000726],240.25,,67.27,206.615,83
NDC,55150-330-01 [364481],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE [125399],222.6,,62.328,191.436,83
NDC,55150-331-01 [336709],OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [99610],85.8,,0.09,73.788,84
NDC,55150-332-01 [336710],OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],171.6,,0.09,147.576,84
NDC,55150-332-01 [336710],OXALIPLATIN 5 MG/ML INJ CONTAINER [40800000056],171.6,,0.09,147.576,84
NDC,55150-335-01 [340611],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],146.75,,2.11,126.205,84
NDC,55150-335-01 [340611],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],146.75,,2.11,126.205,84
NDC,55150-337-01 [357254],BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],144.15,,1.59,123.969,84
NDC,55150-337-01 [357254],BORTEZOMIB IV INJ 1 MG/ML INJECTION [40800000444],144.15,,1.59,123.969,84
NDC,55150-337-01 [357254],BORTEZOMIB SUBCUTANEOUS 1 MG/ML INJECTION [40800002483],144.15,,1.59,123.969,84
NDC,55150-337-01 [357254],BORTEZOMIB SUBCUTANEOUS INJ 2.5 MG/ML [40800000445],144.15,,1.59,123.969,84
NDC,55150-344-01 [354201],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],103.0,,0.03,88.58,84
NDC,55150-344-01 [354201],DAPTOMYCIN INJ 50 MG/ML [40800000042],103.0,,0.03,88.58,84
NDC,55150-353-01 [342488],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],98.2,,1.4,84.452,84
NDC,55150-360-01 [363605],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],32.1,,2.52,27.606,84
NDC,55150-360-25 [363606],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],32.1,,2.52,27.606,84
NDC,55150-370-00 [375176],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],96.1,,1.26,82.646,84
NDC,55150-370-00 [375176],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],96.1,,1.26,82.646,84
NDC,55150-370-01 [360508],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],96.1,,1.26,82.646,84
NDC,55150-370-01 [360508],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],96.1,,1.26,82.646,84
NDC,55150-370-24 [375177],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],96.1,,1.26,82.646,84
NDC,55150-370-24 [375177],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],96.1,,1.26,82.646,84
NDC,55150-370-25 [360509],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],96.1,,1.26,82.646,84
NDC,55150-370-25 [360509],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],96.1,,1.26,82.646,84
NDC,55150-371-01 [358467],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],491.9,,1.26,423.034,84
NDC,55150-371-01 [358467],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],491.9,,1.26,423.034,84
NDC,55150-371-25 [358468],VASOPRESSIN 20 UNIT/ML INJ CONTAINER [40800002323],491.9,,1.26,423.034,84
NDC,55150-376-01 [352761],DECITABINE 5 MG/ML INJ [40800000413],1228.5,,1.59,1056.51,84
NDC,55150-376-01 [352761],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],1228.5,,1.59,1056.51,84
NDC,55150-382-01 [358470],PEMETREXED 25 MG/ML INJ CONTAINER [40800000036],1638.0,,3.73,1408.68,86
NDC,55150-382-01 [358470],PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],1638.0,,3.73,1408.68,86
NDC,55150-386-00 [400555],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],172.15,,2.11,148.049,84
NDC,55150-386-00 [400555],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],172.15,,2.11,148.049,84
NDC,55150-386-01 [340612],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],172.3,,2.11,148.178,84
NDC,55150-388-01 [377816],POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [162662],1081.1,,0.35,929.746,85
NDC,55150-393-01 [365379],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],327.6,,0.21,281.736,84
NDC,55150-393-01 [365379],AZACITIDINE INJECTION 10 MG/ML [40800000411],327.6,,0.21,281.736,84
NDC,55150-402-01 [381400],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],13.05,,2.62,11.223,84
NDC,55150-402-25 [381401],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],13.05,,2.62,11.223,84
NDC,55150-431-01 [365380],DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2416.05,,302.92,2077.803,86
NDC,55150-431-01 [365380],DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],2416.05,,302.92,2077.803,86
NDC,55150-438-01 [363607],KETAMINE 10 MG/ML INJECTION SOLUTION [4236],67.5,,18.9,58.05,83
NDC,55150-438-10 [363608],KETAMINE 10 MG/ML INJECTION SOLUTION [4236],67.5,,18.9,58.05,83
NDC,55150-499-01 [391257],FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],100.7,,1.72,86.602,84
NDC,55150-499-01 [391257],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],100.7,,1.72,86.602,84
NDC,55150-928-02 [365383],DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],2416.05,,302.92,2077.803,86
NDC,55150-928-02 [365383],DACTINOMYCIN 500 MCG/ML INJ [40800000105],2416.05,,302.92,2077.803,86
NDC,55150-928-02 [365383],DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],2416.05,,302.92,2077.803,86
NDC,55292-702-54 [299297],HEMIN IVPB 7 MG/ML [40800000366],37435.4,,34.17,32194.444,86
NDC,55292-702-55 [299298],HEMIN IVPB 7 MG/ML [40800000366],37435.4,,34.17,32194.444,86
NDC,55292-811-55 [252722],DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],8873.2,,302.92,7630.952,86
NDC,55292-811-55 [252722],DACTINOMYCIN 500 MCG/ML INJ [40800000105],8873.2,,302.92,7630.952,86
NDC,55292-811-55 [252722],DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],8873.2,,302.92,7630.952,86
NDC,55292-820-01 [400556],SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION [196868],6677.55,,18.11,5742.693,86
NDC,55513-003-01 [142402],DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [76963],1014.25,,3.0,872.255,86
NDC,55513-003-04 [142403],DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [76963],1014.25,,3.0,872.255,86
NDC,55513-005-01 [142406],DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION [76965],2535.65,,3.0,2180.659,86
NDC,55513-005-04 [142407],DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION [76965],2535.65,,3.0,2180.659,86
NDC,55513-006-01 [142408],DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION [76966],5071.25,,3.0,4361.275,86
NDC,55513-021-04 [142410],DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [108042],939.95,,3.0,808.357,86
NDC,55513-023-01 [142411],DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [108043],1409.95,,3.0,1212.557,86
NDC,55513-025-01 [142413],DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [108044],2349.9,,3.0,2020.914,86
NDC,55513-025-04 [142414],DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [108044],2349.9,,3.0,2020.914,86
NDC,55513-028-01 [142417],DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [108047],4699.75,,3.0,4041.785,86
NDC,55513-032-01 [134662],DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE [76334],11749.35,,3.0,10104.441,86
NDC,55513-059-01 [383508],TARLATAMAB-DLLE 0.9 MG/ML INJECTION [40800003634],5061.45,,1417.206,4352.847,86
NDC,55513-059-01 [383508],TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION [204734],5061.45,,1417.206,4352.847,86
NDC,55513-069-01 [384410],TARLATAMAB-DLLE 2.4 MG/ML INJECTION  [40800003635],50614.2,,1567.49,43528.212,86
NDC,55513-073-30 [102601],CINACALCET 30 MG TABLET [38100],92.3,,25.844,79.378,83
NDC,55513-074-30 [102602],CINACALCET 60 MG TABLET [38101],184.6,,51.688,158.756,83
NDC,55513-077-01 [383509],TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION [204733],50614.2,,1567.49,43528.212,86
NDC,55513-077-01 [383509],TARLATAMAB-DLLE 2.4 MG/ML INJECTION  [40800003635],50614.2,,1567.49,43528.212,86
NDC,55513-078-01 [281196],TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION [175554],251.8,,70.504,216.548,86
NDC,55513-079-01 [281197],TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION [175555],24029.75,,73.55,20665.585,86
NDC,55513-103-01 [384411],TARLATAMAB-DLLE 0.9 MG/ML INJECTION [40800003634],5061.45,,1417.206,4352.847,86
NDC,55513-103-01 [384411],TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION [204734],5061.45,,1417.206,4352.847,86
NDC,55513-111-01 [142431],DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE [108048],7049.6,,3.0,6062.656,86
NDC,55513-132-01 [324889],TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [188675],12475.6,,43.28,10729.016,86
NDC,55513-132-01 [324889],TRASTUZUMAB-ANNS BIOSIMILAR 21 MG/ML INJ CONTAINER [40800003396],12475.6,,43.28,10729.016,86
NDC,55513-132-21 [404835],TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [188675],12475.6,,43.28,10729.016,86
NDC,55513-141-01 [328299],TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION [189654],4455.6,,43.28,3831.816,86
NDC,55513-141-01 [328299],TRASTUZUMAB-ANNS BIOSIMILAR 21 MG/ML INJ CONTAINER [40800003396],4455.6,,43.28,3831.816,86
NDC,55513-141-21 [402333],TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION [189654],4455.6,,43.28,3831.816,86
NDC,55513-150-01 [298369],BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION [182219],19296.25,,163.21,16594.775,86
NDC,55513-160-01 [273959],BLINATUMOMAB 12.5 MCG/ML CONTAINER [40800002487],19296.25,,163.21,16594.775,86
NDC,55513-160-01 [273959],BLINATUMOMAB 35 MCG INTRAVENOUS KIT [170424],19296.25,,163.21,16594.775,86
NDC,55513-164-01 [368394],TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [188675],12475.6,,43.28,10729.016,86
NDC,55513-190-01 [76475],PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [32267],19485.05,,58.4,16757.143,86
NDC,55513-192-01 [273960],PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR [170607],19485.05,,58.4,16757.143,86
NDC,55513-206-01 [324890],BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [188640],2285.8,,23.74,1965.788,86
NDC,55513-206-21 [403663],BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [188640],2285.8,,23.74,1965.788,86
NDC,55513-207-01 [324891],BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [188640],9143.0,,23.74,7862.98,86
NDC,55513-207-21 [404836],BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [188640],9143.0,,23.74,7862.98,86
NDC,55513-209-01 [76476],FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE [108076],1613.45,,0.99,1387.567,86
NDC,55513-209-10 [76477],FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE [108076],1613.45,,0.99,1387.567,86
NDC,55513-209-91 [261759],FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE [108076],1613.45,,0.99,1387.567,86
NDC,55513-221-01 [174919],ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION [93566],9469.85,,11.0,8144.071,86
NDC,55513-221-01 [174919],ROMIPLOSTIM SUBCUTANEOUS 500 MCG/ML INJ CONTAINER [40800002830],9469.85,,11.0,8144.071,86
NDC,55513-222-01 [174920],ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION [93567],18939.65,,11.0,16288.099,86
NDC,55513-222-01 [174920],ROMIPLOSTIM SUBCUTANEOUS 500 MCG/ML INJ CONTAINER [40800002830],18939.65,,11.0,16288.099,86
NDC,55513-223-01 [329179],ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [189922],4735.0,,11.0,4072.1,86
NDC,55513-223-01 [329179],ROMIPLOSTIM SUBCUTANEOUS 500 MCG/ML INJ CONTAINER [40800002830],4735.0,,11.0,4072.1,86
NDC,55513-223-21 [403664],ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [189922],4735.0,,11.0,4072.1,86
NDC,55513-223-21 [403664],ROMIPLOSTIM SUBCUTANEOUS 500 MCG/ML INJ CONTAINER [40800002830],4735.0,,11.0,4072.1,86
NDC,55513-530-01 [76484],FILGRASTIM 300 MCG/ML INJECTION SOLUTION [10036],955.85,,0.99,822.031,86
NDC,55513-530-01 [76484],FILGRASTIM INJ CONTAINER [40840001467],955.85,,0.99,822.031,86
NDC,55513-530-01 [76484],FILGRASTIM SUBCUTANEOUS CONTAINER [40800000114],955.85,,0.99,822.031,86
NDC,55513-530-10 [76485],FILGRASTIM 300 MCG/ML INJECTION SOLUTION [10036],955.85,,0.99,822.031,86
NDC,55513-530-10 [76485],FILGRASTIM INJ CONTAINER [40840001467],955.85,,0.99,822.031,86
NDC,55513-530-10 [76485],FILGRASTIM SUBCUTANEOUS CONTAINER [40800000114],955.85,,0.99,822.031,86
NDC,55513-546-01 [76486],FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [108074],1522.05,,0.99,1308.963,86
NDC,55513-546-01 [76486],FILGRASTIM INJ CONTAINER [40840001467],1522.05,,0.99,1308.963,86
NDC,55513-546-01 [76486],FILGRASTIM SUBCUTANEOUS CONTAINER [40800000114],1522.05,,0.99,1308.963,86
NDC,55513-546-10 [76487],FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [108074],1522.05,,0.99,1308.963,86
NDC,55513-546-10 [76487],FILGRASTIM INJ CONTAINER [40840001467],1522.05,,0.99,1308.963,86
NDC,55513-546-10 [76487],FILGRASTIM SUBCUTANEOUS CONTAINER [40800000114],1522.05,,0.99,1308.963,86
NDC,55513-710-01 [199683],DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [105502],5864.65,,29.24,5043.599,86
NDC,55513-710-21 [387433],DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [105502],5864.65,,29.24,5043.599,86
NDC,55513-730-01 [199684],DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [106804],10787.65,,29.24,9277.379,86
NDC,55513-730-21 [402334],DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [106804],10787.65,,29.24,9277.379,86
NDC,55513-800-60 [273961],IVABRADINE 5 MG TABLET [170183],40.2,,11.256,34.572,83
NDC,55513-880-01 [321764],ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE [188044],4190.3,,12.0,3603.658,86
NDC,55513-880-01 [321764],ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE CONTAINER [40800002948],4190.3,,12.0,3603.658,86
NDC,55513-880-02 [321765],ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE CONTAINER [40800002948],4190.25,,12.0,3603.615,86
NDC,55513-880-02 [321765],ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE [188039],4190.25,,12.0,3603.615,86
NDC,55513-924-01 [76494],FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE [108075],1013.15,,0.99,871.309,86
NDC,55513-924-10 [76495],FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE [108075],1013.15,,0.99,871.309,86
NDC,55513-924-91 [261760],FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE [108075],1013.15,,0.99,871.309,86
NDC,55513-954-01 [142432],PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [108055],6231.75,,172.55,5359.305,86
NDC,55513-954-01 [142432],PANITUMUMAB 20 MG/ML INJ CONTAINER [40800000423],6231.75,,172.55,5359.305,86
NDC,55513-954-21 [404843],PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [108055],6231.75,,172.55,5359.305,86
NDC,55513-956-01 [142434],PANITUMUMAB 20 MG/ML INJ CONTAINER [40800000423],24926.9,,172.55,21437.134,86
NDC,55513-956-01 [142434],PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [108057],24926.9,,172.55,21437.134,86
NDC,55513-998-01 [385493],ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE [188044],4190.3,,12.0,3603.658,86
NDC,55513-998-01 [385493],ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE CONTAINER [40800002948],4190.3,,12.0,3603.658,86
NDC,55513-998-02 [385494],ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE CONTAINER [40800002948],4190.25,,12.0,3603.615,86
NDC,55513-998-02 [385494],ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE [188039],4190.25,,12.0,3603.615,86
NDC,55566-8302-0 [277084],DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [96986],1600.2,,4.36,1376.172,86
NDC,55566-8303-1 [243955],DEGARELIX 20 MG/ML SQ INJ [40800000068],1600.2,,4.36,1376.172,86
NDC,55566-8303-1 [243955],DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [96986],1600.2,,4.36,1376.172,86
NDC,55566-8402-0 [277083],DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [96987],2496.65,,4.36,2147.119,86
NDC,55566-8403-1 [243956],DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [96987],2496.65,,4.36,2147.119,86
NDC,55566-8403-1 [243956],DEGARELIX 40 MG/ML SQ INJ [40800000067],2496.65,,4.36,2147.119,86
NDC,55566-9800-0 [364485],"FECAL MICROBIOTA, LIVE-JSLM 150 ML RECTAL SUSPENSION ENEMA [199654]",30830.85,,64.03,26514.531,86
NDC,55566-9800-2 [364486],"FECAL MICROBIOTA, LIVE-JSLM 150 ML RECTAL SUSPENSION ENEMA [199654]",30830.85,,64.03,26514.531,86
NDC,55792-007-10 [244018],ELLIOTT'S B INTRATHECAL SOLUTION [18788],344.0,,96.32,295.84,83
NDC,5618412041 [330702],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",24.65,,6.902,21.199,83
NDC,57237-006-30 [244359],FLUCONAZOLE 200 MG TABLET [10045],3.2,,0.896,2.752,83
NDC,57237-007-30 [262048],MIRTAZAPINE 7.5 MG TABLET [38421],10.0,,2.8,8.6,83
NDC,57237-008-30 [262050],MIRTAZAPINE 15 MG TABLET [17466],1.65,,0.462,1.419,83
NDC,57237-011-06 [262055],MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],2.9,,0.812,2.494,83
NDC,57237-012-06 [262056],MIRTAZAPINE 30 MG DISINTEGRATING TABLET [29532],3.45,,0.966,2.967,83
NDC,57237-014-01 [266611],TAMSULOSIN 0.4 MG CAPSULE [103890],1.65,,0.462,1.419,83
NDC,57237-017-60 [262058],"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.65,,0.462,1.419,83
NDC,57237-018-30 [262059],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.65,,0.462,1.419,83
NDC,57237-018-90 [262060],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.65,,0.462,1.419,83
NDC,57237-019-30 [262062],"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.65,,0.462,1.419,83
NDC,57237-031-01 [262086],AMOXICILLIN 500 MG CAPSULE [451],1.65,,0.462,1.419,83
NDC,57237-042-90 [262107],VALACYCLOVIR 500 MG TABLET [13133],1.85,,0.518,1.591,83
NDC,57237-045-60 [262111],CLARITHROMYCIN 500 MG TABLET [9617],4.45,,1.246,3.827,83
NDC,57237-075-30 [285461],ONDANSETRON HCL 4 MG TABLET [10778],1.65,,0.01,1.419,84
NDC,57237-076-30 [285462],ONDANSETRON HCL 8 MG TABLET [10779],1.65,,0.01,1.419,84
NDC,57237-077-10 [274090],ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],1.65,,0.01,1.419,84
NDC,57237-078-10 [274091],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],1.9,,0.01,1.634,84
NDC,57237-088-34 [291903],RIZATRIPTAN 10 MG TABLET [23377],4.8,,1.344,4.128,83
NDC,57237-096-01 [274092],CEFADROXIL 500 MG CAPSULE [9436],2.55,,0.714,2.193,83
NDC,57237-100-01 [274098],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,57237-114-90 [274109],"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",1.65,,0.462,1.419,83
NDC,57237-150-35 [285481],FLUCONAZOLE 40 MG/ML ORAL SUSPENSION [14233],137.25,,38.43,118.035,83
NDC,57237-156-30 [285486],MOXIFLOXACIN 400 MG TABLET [26854],27.65,,7.742,23.779,83
NDC,57237-157-01 [287616],REPAGLINIDE 0.5 MG TABLET [22584],1.65,,0.462,1.419,83
NDC,57237-159-01 [287618],REPAGLINIDE 2 MG TABLET [22585],1.65,,0.462,1.419,83
NDC,57237-172-01 [287619],VENLAFAXINE 25 MG TABLET [12203],1.65,,0.462,1.419,83
NDC,57237-173-01 [287621],VENLAFAXINE 37.5 MG TABLET [12207],1.65,,0.462,1.419,83
NDC,57237-175-01 [287625],VENLAFAXINE 75 MG TABLET [12206],1.65,,0.462,1.419,83
NDC,57237-213-30 [285497],MONTELUKAST 5 MG CHEWABLE TABLET [22510],1.65,,0.462,1.419,83
NDC,57237-220-30 [301663],PIOGLITAZONE 30 MG TABLET [25529],1.65,,0.462,1.419,83
NDC,57237-220-90 [327377],PIOGLITAZONE 30 MG TABLET [25529],1.65,,0.462,1.419,83
NDC,57237-233-01 [299306],SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],1.65,,0.462,1.419,83
NDC,57237-239-01 [307219],ZALEPLON 5 MG CAPSULE [25997],2.85,,0.798,2.451,83
NDC,57237-301-24 [361473],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP SYRINGE (PEDI) [40840005205],38.8,,10.864,33.368,83
NDC,57237-301-24 [361473],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],38.8,,10.864,33.368,83
NDC,57237-305-16 [365390],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],34.95,,9.786,30.057,83
NDC,57237-310-05 [369522],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],12.25,,3.43,10.535,83
NDC,57237-310-54 [369523],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],12.25,,3.43,10.535,83
NDC,57237-316-03 [375195],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],15.2,,4.256,13.072,83
NDC,57237-316-31 [375196],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],15.2,,4.256,13.072,83
NDC,57237-325-52 [379197],GLYCERIN (ADULT) RECTAL SUPPOSITORY [41003],1.65,,0.462,1.419,83
NDC,5723731903 [373914],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],20.75,,5.81,17.845,83
NDC,5723731915 [373915],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],19.15,,5.362,16.469,83
NDC,5723731931 [373916],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],20.75,,5.81,17.845,83
NDC,5723731952 [373917],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],19.15,,5.362,16.469,83
NDC,57664-046-88 [372773],LISDEXAMFETAMINE 10 MG CAPSULE [170552],25.05,,7.014,21.543,83
NDC,57664-223-88 [183508],OXYCODONE 5 MG TABLET [10814],2.85,,0.798,2.451,83
NDC,57664-224-88 [183509],OXYCODONE 30 MG TABLET [28900],5.7,,1.596,4.902,83
NDC,57664-228-88 [244373],METHYLPHENIDATE 5 MG TABLET [4988],2.85,,0.798,2.451,83
NDC,57664-229-88 [244374],METHYLPHENIDATE 10 MG TABLET [4986],2.85,,0.798,2.451,83
NDC,57664-336-88 [336714],"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE [33005]",6.5,,1.82,5.59,83
NDC,57664-337-88 [336715],"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [31587]",6.5,,1.82,5.59,83
NDC,57664-370-88 [244377],OXYCODONE 10 MG TABLET [87795],3.65,,1.022,3.139,83
NDC,57664-377-08 [77280],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,57664-392-88 [266628],VENLAFAXINE 25 MG TABLET [12203],1.65,,0.462,1.419,83
NDC,57664-393-88 [266629],VENLAFAXINE 37.5 MG TABLET [12207],1.65,,0.462,1.419,83
NDC,57664-437-88 [99165],DIGOXIN 125 MCG (0.125 MG) TABLET [2444],1.65,,0.462,1.419,83
NDC,57664-502-89 [99174],TIZANIDINE 2 MG TABLET [14792],1.65,,0.462,1.419,83
NDC,57664-506-52 [183512],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,57664-510-83 [105435],MIRTAZAPINE 7.5 MG TABLET [38421],9.85,,2.758,8.471,83
NDC,57664-663-83 [303695],"CARVEDILOL PHOSPHATE ER 10 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77664]",39.15,,10.962,33.669,83
NDC,57664-664-83 [303696],"CARVEDILOL PHOSPHATE ER 20 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77665]",39.15,,10.962,33.669,83
NDC,57664-665-83 [303697],"CARVEDILOL PHOSPHATE ER 40 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE [77666]",39.15,,10.962,33.669,83
NDC,57664-683-31 [300897],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],135.4,,3.47,116.444,84
NDC,57664-683-57 [300898],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],85.45,,3.47,73.487,84
NDC,57841-1300-1 [337667],NALOXEGOL 12.5 MG TABLET [170630],52.1,,14.588,44.806,83
NDC,57841-1301-1 [337668],NALOXEGOL 25 MG TABLET [170631],52.1,,14.588,44.806,83
NDC,57841-1301-3 [337669],NALOXEGOL 25 MG TABLET [170631],52.1,,14.588,44.806,83
NDC,57844-105-01 [274135],DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [124596],50.7,,14.196,43.602,83
NDC,57844-110-01 [262149],DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET [124104],50.7,,14.196,43.602,83
NDC,57844-115-01 [262151],DEXTROAMPHETAMINE-AMPHETAMINE 15 MG TABLET [124433],50.7,,14.196,43.602,83
NDC,57894-030-01 [77950],INFLIXIMAB 10 MG/ML INJ [40800000074],3825.8,,31.04,3290.188,86
NDC,57894-030-01 [77950],INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796],3825.8,,31.04,3290.188,86
NDC,57894-054-27 [291909],USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION [179765],7291.25,,11.62,6270.475,86
NDC,57894-060-02 [296511],USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SOLUTION [99447],50137.65,,14038.542,43118.379,83
NDC,57894-060-03 [189874],USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE [129587],50137.65,,14038.542,43118.379,83
NDC,57894-061-03 [189875],USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE [108054],100275.2,,28077.056,86236.672,83
NDC,57894-111-01 [355195],CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION [196949],1715909.25,,571970.0,1715909.25,16
NDC,57894-111-02 [355196],CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION [196949],1715909.25,,571970.0,1715909.25,16
NDC,57894-150-12 [208380],ABIRATERONE 250 MG TABLET [109776],343.1,,96.068,295.066,83
NDC,57894-160-01 [352769],INFLIXIMAB 10 MG/ML INJ [40800000074],1556.1,,31.04,1338.246,86
NDC,57894-160-01 [352769],INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796],1556.1,,31.04,1338.246,86
NDC,57894-195-06 [298380],ABIRATERONE 500 MG TABLET [182107],686.2,,192.136,590.132,83
NDC,57894-225-01 [400562],GEMCITABINE 225 MG INTRAVESICAL IMPLANT [210339],226044.0,,63292.32,194397.84,84
NDC,57894-449-01 [362635],TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION [199304],6959.35,,33.27,5985.041,86
NDC,57894-450-01 [362636],TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION [199303],35492.55,,33.27,30523.593,86
NDC,57894-469-01 [372788],TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION [202320],2943.65,,72.4,2531.539,86
NDC,57894-470-01 [372789],TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION [202319],39248.1,,72.4,33753.366,86
NDC,57894-501-00 [347059],AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [194921],13031.9,,22.21,11207.434,86
NDC,57894-501-01 [347060],AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [194921],13031.9,,22.21,11207.434,86
NDC,57894-502-05 [282686],DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [175974],2541.0,,69.84,2185.26,86
NDC,57894-502-20 [282687],DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [175974],9635.7,,69.84,8286.702,86
NDC,57894-503-01 [334654],"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [40800002682]",36815.4,,54.67,31661.244,86
NDC,57894-505-05 [373920],DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [175974],2701.05,,69.84,2322.903,86
NDC,57894-505-20 [373921],DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [175974],10804.05,,69.84,9291.483,86
NDC,57894-510-01 [403676],"AMIVANTAMAB 1,600 MG-HYALURONIDASE-LPUJ 20,000 UNIT/10 ML SUBCUT SOLN [211082]",40565.6,,11358.368,34886.416,83
NDC,57894-514-01 [403677],"AMIVANTAMAB 2,240 MG-HYALURONIDASE-LPUJ 28,000 UNIT/14 ML SUBCUT SOLN [211083]",56791.8,,15901.704,48840.948,83
NDC,57894-515-01 [406108],"AMIVANTAMAB 2,400 MG-HYALURONIDASE-LPUJ 30,000 UNIT/15 ML SUBCUT SOLN [211444]",60848.35,,17037.538,52329.581,83
NDC,57894-522-01 [406109],"AMIVANTAMAB 3,520 MG-HYALURONIDASE-LPUJ 44,000 UNIT/22 ML SUBCUT SOLN [40800004043]",89244.25,,24988.39,76750.055,83
NDC,57896-116-03 [356050],METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],18.85,,5.278,16.211,83
NDC,57896-143-09 [380324],"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [127482]",1.65,,0.462,1.419,83
NDC,57896-143-14 [365392],"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [127482]",1.65,,0.462,1.419,83
NDC,57896-145-09 [369527],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET [125741],1.65,,0.462,1.419,83
NDC,57896-145-14 [364494],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET [125741],1.65,,0.462,1.419,83
NDC,57896-204-01 [314043],ACETAMINOPHEN 500 MG TABLET [102],1.65,,0.462,1.419,83
NDC,57896-441-01 [262164],"BISACODYL 5 MG TABLET,DELAYED RELEASE [1079]",1.65,,0.462,1.419,83
NDC,57896-444-12 [301677],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],1.65,,0.462,1.419,83
NDC,57896-555-01 [337670],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,57896-555-10 [332152],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,57896-629-12 [165940],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP SYRINGE (PEDI) [40800003874],15.45,,4.326,13.287,83
NDC,57896-629-12 [165940],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],15.45,,4.326,13.287,83
NDC,57896-639-12 [183523],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],14.05,,3.934,12.083,83
NDC,57896-658-09 [361474],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,57896-693-16 [330708],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],18.7,,5.236,16.082,83
NDC,57896-763-15 [189897],CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],1.65,,0.462,1.419,83
NDC,57896-791-01 [274143],SIMETHICONE 80 MG CHEWABLE TABLET [7227],1.65,,0.462,1.419,83
NDC,57896-901-01 [77985],ASPIRIN 325 MG TABLET [681],1.65,,0.462,1.419,83
NDC,57896-911-36 [77987],ASPIRIN 81 MG CHEWABLE TABLET [679],1.65,,0.462,1.419,83
NDC,57896-921-01 [77988],"ASPIRIN 325 MG TABLET,DELAYED RELEASE [685]",1.65,,0.462,1.419,83
NDC,57896-980-16 [334931],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],20.6,,5.768,17.716,83
NDC,57896-981-01 [189911],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,5789684401 [341518],"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",1.65,,0.462,1.419,83
NDC,57962-140-09 [252997],IBRUTINIB 140 MG CAPSULE [132625],386.6,,108.248,332.476,83
NDC,57970-100-01 [262166],DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [163010],5828.45,,15.0,5012.467,86
NDC,57970-100-01 [262166],DALBAVANCIN INJ 20 MG/ML [40800000470],5828.45,,15.0,5012.467,86
NDC,58151-110-32 [391269],PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],9.55,,2.674,8.213,83
NDC,58151-110-88 [391270],PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],9.55,,2.674,8.213,83
NDC,58151-118-01 [392131],PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE [11019],7.45,,2.086,6.407,83
NDC,58160-723-03 [371484],"RESPIRATORY SYNCYTIAL VIRUS VACCINE, ANTIGEN (2 OF 2) 120 MCG IM SUSP [201916]",930.1,,260.428,799.886,83
NDC,58160-810-43 [203879],"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [19451]",90.45,,25.326,77.787,83
NDC,58160-810-43 [203879],"DIPH,PERTUS(ACEL),TET PEDI (PF) 25LF UNIT-58 MCG-10 LF/0.5ML INJ CONTAINER [40800000732]",90.45,,25.326,77.787,83
NDC,58160-810-52 [203880],"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [19451]",90.45,,25.326,77.787,83
NDC,58160-810-52 [203880],"DIPH,PERTUS(ACEL),TET PEDI (PF) 25LF UNIT-58 MCG-10 LF/0.5ML INJ CONTAINER [40800000732]",90.45,,25.326,77.787,83
NDC,58160-812-43 [253067],"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM CONTAINER [40800003311]",197.85,,55.398,170.151,83
NDC,58160-812-43 [253067],"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE [92788]",197.85,,55.398,170.151,83
NDC,58160-812-52 [199692],"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM CONTAINER [40800003311]",197.85,,55.398,170.151,83
NDC,58160-812-52 [199692],"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE [92788]",197.85,,55.398,170.151,83
NDC,58160-820-43 [253070],HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [127776],93.4,,26.152,80.324,84
NDC,58160-820-43 [253070],HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR INJ CONTAINER [40800000351],93.4,,26.152,80.324,84
NDC,58160-820-52 [199693],HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR INJ CONTAINER [40800000351],93.4,,26.152,80.324,84
NDC,58160-821-01 [253071],HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INJ CONTAINER [40800000734],236.45,,66.206,203.347,84
NDC,58160-821-01 [253071],HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP [127780],236.45,,66.206,203.347,84
NDC,58160-821-43 [199694],HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INJ CONTAINER [40800000734],236.45,,66.206,203.347,84
NDC,58160-821-43 [199694],HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE [127727],236.45,,66.206,203.347,84
NDC,58160-821-52 [208383],HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INJ CONTAINER [40800000734],236.45,,66.206,203.347,84
NDC,58160-821-52 [208383],HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE [127727],236.45,,66.206,203.347,84
NDC,58160-825-43 [253072],HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE [91033],125.7,,35.196,108.102,83
NDC,58160-825-52 [199696],HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE [91033],125.7,,35.196,108.102,83
NDC,58160-826-43 [199697],"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [127835]",269.65,,72.68,231.899,84
NDC,58160-826-43 [199697],"HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM INJ CONTAINER [40800000796]",269.65,,72.68,231.899,84
NDC,58160-826-52 [213357],"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [127835]",269.65,,72.68,231.899,84
NDC,58160-826-52 [213357],"HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM INJ CONTAINER [40800000796]",269.65,,72.68,231.899,84
NDC,58160-827-03 [362637],"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION [199306]",534.25,,149.59,459.455,84
NDC,58160-827-30 [362638],"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION [199306]",534.25,,149.59,459.455,84
NDC,58160-848-11 [371486],"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT [201917]",930.1,,260.428,799.886,83
NDC,58160-849-43 [404864],VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE [211193],736.75,,206.29,633.605,83
NDC,58160-849-52 [404865],VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE [211193],736.75,,206.29,633.605,83
NDC,58160-912-41 [398412],FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [209115],67.75,,18.97,58.265,84
NDC,58160-912-52 [398413],FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [209115],67.75,,18.97,58.265,84
NDC,58160-955-09 [297542],"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) [101034]",534.25,,149.59,459.455,84
NDC,58160-958-01 [297543],MENINGOCOCCAL A CONJ VACC (PF) 10 MCG/0.5 ML IM SOLUTION CONTAINER [40800003398],534.25,,149.59,459.455,84
NDC,58160-958-01 [297543],MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION [170886],534.25,,149.59,459.455,84
NDC,58160-976-02 [295386],"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [170203]",760.7,,212.996,654.202,83
NDC,58160-976-20 [295388],"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [170203]",760.7,,212.996,654.202,83
NDC,58181-3040-5 [274144],LOMUSTINE 10 MG CAPSULE [10459],398.05,,111.454,342.323,83
NDC,58181-3041-5 [274145],LOMUSTINE 40 MG CAPSULE [10461],1592.0,,445.76,1369.12,83
NDC,58394-136-03 [314047],"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION [132228]",11662.6,,1.84,10029.836,86
NDC,58394-635-03 [213363],"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [132227]",5831.3,,1.84,5014.918,86
NDC,58394-636-03 [213364],"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION [132228]",11662.6,,1.84,10029.836,86
NDC,58394-637-03 [221815],"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION [132229]",17493.85,,1.84,15044.711,86
NDC,58406-010-01 [324906],ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [108125],3250.65,,910.182,2795.559,83
NDC,58406-010-04 [324907],ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [108125],3250.65,,910.182,2795.559,83
NDC,58406-055-01 [336724],ETANERCEPT 25 MG/0.5 ML SUBCUTANEOUS SOLUTION [192085],3250.65,,910.182,2795.559,83
NDC,58406-055-04 [336725],ETANERCEPT 25 MG/0.5 ML SUBCUTANEOUS SOLUTION [192085],3250.65,,910.182,2795.559,83
NDC,58406-425-34 [81603],ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION [24276],2886.75,,808.29,2482.605,83
NDC,58406-425-41 [81604],ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION [24276],2886.75,,808.29,2482.605,83
NDC,5843800571 [344786],MELATONIN 1 MG/ML ORAL LIQUID [117750],33.7,,9.436,28.982,83
NDC,58468-0021-1 [81643],SEVELAMER HCL 800 MG TABLET [28715],35.25,,9.87,30.315,83
NDC,58468-0030-1 [274152],THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION [194449],6757.0,,1891.96,5811.02,86
NDC,58468-0030-2 [289393],THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION [194449],6757.0,,1891.96,5811.02,86
NDC,58468-0080-1 [131689],ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION [24585],3759.1,,996.39,3232.826,86
NDC,58468-0080-1 [131689],ANTI-THYMOCYTE GLOBULIN (RABBIT) 5 MG/ML INJECTION [40800000009],3759.1,,996.39,3232.826,86
NDC,58468-0131-1 [189928],SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET [99695],61.3,,17.164,52.718,83
NDC,58468-0131-2 [189929],SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET [99695],61.3,,17.164,52.718,83
NDC,58468-0132-1 [189930],SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],61.3,,17.164,52.718,83
NDC,58468-0132-2 [189931],SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],61.3,,17.164,52.718,83
NDC,58468-4663-1 [81650],IMIGLUCERASE 40 UNITS/ML INTRAVENOUS SOLUTION [40800002677],5317.5,,42.83,4573.05,86
NDC,58468-4663-1 [81650],IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION [26431],5317.5,,42.83,4573.05,86
NDC,5846800901 [118672],HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE [17381],1386.1,,6.96,1192.046,86
NDC,5846800903 [183528],HYLAN G-F 20  48 MG/6 ML INTRA-ARTICULAR SYRINGE [129036],4158.2,,6.96,3576.052,86
NDC,58602-007-39 [339537],OLOPATADINE 0.2 % EYE DROPS [76979],33.9,,9.492,29.154,83
NDC,58602-702-83 [359568],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,58657-151-01 [343432],FOLIC ACID 1 MG TABLET [3233],1.65,,0.462,1.419,83
NDC,58657-504-08 [382600],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],28.1,,7.868,24.166,83
NDC,58657-505-08 [289395],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP SYRINGE (PEDI) [40800003878],28.1,,7.868,24.166,83
NDC,58657-505-08 [289395],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],28.1,,7.868,24.166,83
NDC,58657-528-16 [326282],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],45.55,,12.754,39.173,83
NDC,58657-647-01 [337674],CLONIDINE HCL 0.1 MG TABLET [1755],1.65,,0.462,1.419,83
NDC,58657-676-01 [338658],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,58657-901-01 [399457],HALOPERIDOL 1 MG TABLET [3579],1.65,,0.462,1.419,83
NDC,58657-901-10 [399458],HALOPERIDOL 1 MG TABLET [3579],1.65,,0.462,1.419,83
NDC,5865731016 [282720],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION SYRINGE (PEDI) [40840005206],123.15,,34.482,105.909,83
NDC,5865731016 [282720],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],123.15,,34.482,105.909,83
NDC,58914-170-14 [109409],SUCRALFATE 100 MG/ML ORAL SUSPENSION SYRINGE (PEDI) [40840005207],874.9,,244.972,752.414,83
NDC,58914-170-14 [109409],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],874.9,,244.972,752.414,83
NDC,58914-501-56 [118677],"MESALAMINE 1,000 MG RECTAL SUPPOSITORY [40369]",132.95,,37.226,114.337,83
NDC,58980-410-12 [311298],GLYCERIN (ADULT) RECTAL SUPPOSITORY [41003],1.65,,0.462,1.419,83
NDC,58980-415-01 [329888],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],1.65,,0.462,1.419,83
NDC,58980-415-12 [317015],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],1.65,,0.462,1.419,83
NDC,5898060880 [199817],UREA 10 % LOTION [19779],39.2,,10.976,33.712,83
NDC,5898096012 [213384],EMOLLIENT COMBINATION NO.10 TOPICAL EMULSION [42944],74.65,,20.902,64.199,83
NDC,5898096031 [213385],EMOLLIENT COMBINATION NO.10 TOPICAL EMULSION [42944],122.8,,34.384,105.608,83
NDC,59011-271-60 [274219],"HYDROCODONE BITARTRATE ER 20 MG TABLET,CRUSH RESIST,EXTENDED REL. 24HR [170411]",54.8,,15.344,47.128,83
NDC,59011-272-60 [274220],"HYDROCODONE BITARTRATE ER 30 MG TABLET,CRUSH RESIST,EXTENDED REL. 24HR [170412]",70.9,,19.852,60.974,83
NDC,59011-273-60 [274221],"HYDROCODONE BITARTRATE ER 40 MG TABLET,CRUSH RESIST,EXTENDED REL. 24HR [170413]",95.05,,26.614,81.743,83
NDC,59011-274-60 [274222],"HYDROCODONE BITARTRATE ER 60 MG TABLET,CRUSH RESIST,EXTENDED REL. 24HR [170414]",131.15,,36.722,112.789,83
NDC,59011-275-60 [274223],"HYDROCODONE BITARTRATE ER 80 MG TABLET,CRUSH RESIST,EXTENDED REL. 24HR [170415]",176.4,,49.392,151.704,83
NDC,59011-276-60 [274224],"HYDROCODONE BITARTRATE ER 100 MG TABLET, CRUSH RESIST,EXTEND.REL. 24HR [170416]",224.05,,62.734,192.683,83
NDC,59011-277-60 [274225],"HYDROCODONE BITARTRATE ER 120 MG TABLET, CRUSH RESIST,EXTEND.REL. 24HR [170417]",215.45,,60.326,185.287,83
NDC,59011-410-10 [199819],"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170220]",30.4,,8.512,26.144,83
NDC,59011-410-20 [199820],"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170220]",31.2,,8.736,26.832,83
NDC,59011-415-10 [199821],"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170221]",36.15,,10.122,31.089,83
NDC,59011-415-20 [199822],"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170221]",37.05,,10.374,31.863,83
NDC,59011-420-10 [199823],"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170222]",45.45,,12.726,39.087,83
NDC,59011-420-20 [199824],"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170222]",46.55,,13.034,40.033,83
NDC,59011-430-10 [199825],"OXYCODONE ER 30 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170223]",62.7,,17.556,53.922,83
NDC,59011-430-20 [199826],"OXYCODONE ER 30 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170223]",64.3,,18.004,55.298,83
NDC,59011-440-10 [199827],"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170224]",68.65,,19.222,59.039,83
NDC,59011-440-20 [199828],"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170224]",70.35,,19.698,60.501,83
NDC,59011-460-10 [199829],"OXYCODONE ER 60 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170225]",96.7,,27.076,83.162,83
NDC,59011-480-10 [199831],"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170226]",118.85,,33.278,102.211,83
NDC,59011-480-20 [199832],"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [170226]",121.85,,34.118,104.791,83
NDC,59011-750-04 [203882],BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107660],176.8,,49.504,152.048,83
NDC,59137-231-01 [359569],AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION [186525],9705.15,,2717.442,8346.429,83
NDC,59148-020-50 [183540],TOLVAPTAN 15 MG TABLET [97893],1704.2,,477.176,1465.612,83
NDC,59148-021-50 [183541],TOLVAPTAN 30 MG TABLET [97894],1767.9,,495.012,1520.394,83
NDC,59148-070-90 [175033],BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],1638.0,,0.68,1408.68,86
NDC,59148-070-91 [175034],BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],1638.0,,0.68,1408.68,86
NDC,59148-072-80 [274228],"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE [170572]",9082.45,,7.24,7810.907,86
NDC,59212-002-01 [285564],TRIAMTERENE 50 MG CAPSULE [11588],57.2,,16.016,49.192,83
NDC,59212-200-10 [282724],"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",101.9,,28.532,87.634,83
NDC,59212-423-04 [274231],PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR [6225],1711.0,,479.08,1471.46,83
NDC,59212-425-10 [274233],PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET [6226],54.85,,15.358,47.171,83
NDC,59338-775-01 [183542],FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [98312],3910.35,,0.23,3362.901,86
NDC,59365-5128-1 [311660],COPPER 380 SQUARE MM INTRAUTERINE DEVICE [122184],3888.65,,1088.822,3344.239,83
NDC,59390-175-35 [99963],BALANCED SALT SOLUTION NON-SURGICAL NO.6 EYE [127761],7.5,,2.1,6.45,83
NDC,59390-192-05 [82723],HOMATROPINE 5 % EYE DROPS [3664],59.55,,16.674,51.213,83
NDC,59390-218-05 [307790],FLUORESCEIN 0.25 %-BENOXINATE 0.4 % EYE DROPS [10061],128.7,,36.036,110.682,83
NDC,59417-101-10 [274239],LISDEXAMFETAMINE 10 MG CAPSULE [170552],49.8,,13.944,42.828,83
NDC,59417-102-10 [160448],LISDEXAMFETAMINE 20 MG CAPSULE [89783],51.05,,14.294,43.903,83
NDC,59417-103-10 [150282],LISDEXAMFETAMINE 30 MG CAPSULE [81474],49.8,,13.944,42.828,83
NDC,59572-102-01 [183549],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],1917.25,,0.21,1648.835,84
NDC,59572-102-01 [183549],AZACITIDINE INJECTION 10 MG/ML [40800000411],1917.25,,0.21,1648.835,84
NDC,59572-102-01 [183549],AZACITIDINE SUBCUTANEOUS SOLUTION 25 MG/ML [40800000410],1917.25,,0.21,1648.835,84
NDC,59572-515-01 [344806],IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION [194238],1632485.4,,544162.0,1632485.4,16
NDC,59572-515-02 [344807],IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION [194238],1632485.4,,544162.0,1632485.4,16
NDC,59572-515-03 [344808],IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION [194238],1632485.4,,544162.0,1632485.4,16
NDC,59572-711-01 [329188],LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION [189889],13744.15,,41.96,11819.969,86
NDC,59572-711-01 [329188],LUSPATERCEPT-AAMT 50 MG/ML SUBCUTANEOUS INJECTION [40800003411],13744.15,,41.96,11819.969,86
NDC,59572-775-01 [329189],LUSPATERCEPT-AAMT 50 MG/ML SUBCUTANEOUS INJECTION [40800003411],41232.3,,41.96,35459.778,86
NDC,59572-775-01 [329189],LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [189890],41232.3,,41.96,35459.778,86
NDC,59572-962-10 [293235],ROMIDEPSIN INJ 5 MG/ML [40800000442],10478.8,,30.8,9011.768,86
NDC,59572-984-01 [291930],ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],10478.8,,30.8,9011.768,86
NDC,59572-984-01 [291930],ROMIDEPSIN INJ 5 MG/ML [40800000442],10478.8,,30.8,9011.768,86
NDC,59584-138-01 [266717],CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL [126621],1146.6,,321.048,986.076,83
NDC,59630-266-01 [331674],CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION [190557],808.55,,2.4,695.353,86
NDC,59630-266-01 [331674],CEFIDEROCOL 89.3 MG/ML INJECTION [40800003412],808.55,,2.4,695.353,86
NDC,59630-266-10 [331675],CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION [190557],808.55,,2.4,695.353,86
NDC,59630-266-10 [331675],CEFIDEROCOL 89.3 MG/ML INJECTION [40800003412],808.55,,2.4,695.353,86
NDC,59651-018-90 [307232],"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [27181]",1.7,,0.476,1.462,83
NDC,59651-026-01 [324916],AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],222.0,,62.16,190.92,83
NDC,59651-032-47 [311663],IBUPROFEN 100 MG/5 ML ORAL SUSPENSION SYRINGE (PEDI) [40800003896],86.6,,24.248,74.476,83
NDC,59651-032-47 [311663],IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],86.6,,24.248,74.476,83
NDC,59651-105-06 [320215],ELETRIPTAN 40 MG TABLET [34684],46.05,,12.894,39.603,83
NDC,59651-105-69 [320216],ELETRIPTAN 40 MG TABLET [34684],46.05,,12.894,39.603,83
NDC,59651-152-01 [326294],PROGESTERONE MICRONIZED 100 MG CAPSULE [23122],1.65,,0.462,1.419,83
NDC,59651-214-30 [339539],AZELASTINE 137 MCG (0.1 %) NASAL SPRAY [19179],61.8,,17.304,53.148,83
NDC,59651-236-90 [339541],ANASTROZOLE 1 MG TABLET [16205],2.4,,0.672,2.064,83
NDC,59651-240-90 [339542],IMATINIB 100 MG TABLET [32979],5.8,,1.624,4.988,83
NDC,59651-241-30 [339543],IMATINIB 400 MG TABLET [36092],20.55,,5.754,17.673,83
NDC,59651-257-01 [331679],PROPAFENONE 225 MG TABLET [11147],1.85,,0.518,1.591,83
NDC,59651-269-01 [320218],"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",1.65,,0.462,1.419,83
NDC,59651-270-01 [320220],"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",1.65,,0.462,1.419,83
NDC,59651-292-60 [377841],ZAFIRLUKAST 20 MG TABLET [17960],5.85,,1.638,5.031,83
NDC,59651-332-01 [339548],FLUCYTOSINE 500 MG CAPSULE [10052],68.65,,19.222,59.039,83
NDC,59651-361-01 [341527],IBUPROFEN 600 MG TABLET [3844],1.65,,0.462,1.419,83
NDC,59651-362-01 [341529],IBUPROFEN 800 MG TABLET [3845],1.65,,0.462,1.419,83
NDC,59651-379-01 [348073],ZONISAMIDE 50 MG CAPSULE [36988],1.65,,0.462,1.419,83
NDC,59651-421-01 [365411],URSODIOL 300 MG CAPSULE [11624],3.75,,1.05,3.225,83
NDC,59651-456-01 [368415],CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],1.65,,0.462,1.419,83
NDC,59651-489-01 [367335],PREDNISONE 50 MG TABLET [6498],1.65,,0.462,1.419,83
NDC,59651-589-01 [377845],NADOLOL 20 MG TABLET [5330],1.65,,0.462,1.419,83
NDC,59651-691-01 [379245],LOPERAMIDE 2 MG CAPSULE [4560],1.65,,0.462,1.419,83
NDC,59651-781-01 [368421],"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",1.65,,0.462,1.419,83
NDC,59651-782-01 [368423],"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",1.65,,0.462,1.419,83
NDC,59651-867-01 [384435],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,59651-867-05 [384436],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,59651-873-50 [384437],CIPROFLOXACIN 750 MG TABLET [25120],2.55,,0.714,2.193,83
NDC,59676-278-01 [208387],RILPIVIRINE HCL 25 MG TABLET [109909],169.7,,47.516,145.942,83
NDC,59676-310-00 [160455],"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION [9938]",875.55,,7.31,752.973,86
NDC,59676-310-01 [82868],"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION [9938]",875.55,,7.31,752.973,86
NDC,59676-310-02 [82869],"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION [9938]",875.5,,7.31,752.93,86
NDC,59676-562-01 [166039],DARUNAVIR 600 MG TABLET [92851],123.45,,34.566,106.167,83
NDC,59676-566-30 [237034],DARUNAVIR 800 MG TABLET [119168],246.9,,69.132,212.334,83
NDC,59676-571-01 [206422],ETRAVIRINE 200 MG TABLET [108431],85.7,,23.996,73.702,83
NDC,59676-575-30 [274247],DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET [170309],282.2,,79.016,242.692,83
NDC,59676-610-01 [281225],TRABECTEDIN 1 MG INTRAVENOUS SOLUTION [175367],12932.35,,383.07,11121.821,86
NDC,59676-610-01 [281225],TRABECTEDIN INJECTION 0.05 MG/ML [40800003813],12932.35,,383.07,11121.821,86
NDC,59676-800-30 [310842],DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET [185820],515.1,,144.228,442.986,83
NDC,59746-001-06 [82998],METHYLPREDNISOLONE 4 MG TABLET [4993],1.65,,0.23,1.419,84
NDC,59746-003-14 [150287],METHYLPREDNISOLONE 16 MG TABLET [4992],11.8,,0.23,10.148,84
NDC,59746-020-22 [221885],RISPERIDONE 1 MG DISINTEGRATING TABLET [35687],10.35,,2.898,8.901,83
NDC,59746-113-06 [83008],PROCHLORPERAZINE MALEATE 5 MG TABLET [6583],1.7,,0.476,1.462,83
NDC,59746-115-06 [83010],PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],2.5,,0.7,2.15,83
NDC,59746-171-06 [126434],PREDNISONE 1 MG TABLET [6493],1.65,,0.462,1.419,83
NDC,59746-211-06 [160473],CYCLOBENZAPRINE 5 MG TABLET [35184],1.65,,0.462,1.419,83
NDC,59746-306-12 [266719],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],4.1,,1.148,3.526,83
NDC,59746-306-32 [237038],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],4.1,,1.148,3.526,83
NDC,59746-361-90 [274260],VALSARTAN 80 MG TABLET [31209],1.65,,0.462,1.419,83
NDC,59746-362-90 [274261],VALSARTAN 160 MG TABLET [31210],1.65,,0.462,1.419,83
NDC,59746-363-90 [274262],VALSARTAN 320 MG TABLET [31211],1.65,,0.462,1.419,83
NDC,59746-383-06 [126436],TERAZOSIN 1 MG CAPSULE [14550],1.65,,0.462,1.419,83
NDC,59746-384-06 [126438],TERAZOSIN 2 MG CAPSULE [14551],1.65,,0.462,1.419,83
NDC,59746-385-06 [126440],TERAZOSIN 5 MG CAPSULE [14553],1.65,,0.462,1.419,83
NDC,59746-386-06 [126442],TERAZOSIN 10 MG CAPSULE [14552],1.65,,0.462,1.419,83
NDC,59746-447-30 [279212],IRBESARTAN 75 MG TABLET [21847],1.7,,0.476,1.462,83
NDC,59762-0016-1 [199865],CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],142.15,,39.802,122.249,83
NDC,59762-0050-1 [244546],METHYLPREDNISOLONE 16 MG TABLET [4992],13.45,,0.23,11.567,84
NDC,59762-0067-1 [308449],SERTRALINE 20 MG/ML ORAL CONCENTRATE [28011],191.85,,53.718,164.991,83
NDC,59762-0073-1 [237046],HYDROCORTISONE 5 MG TABLET [10209],1.65,,0.462,1.419,83
NDC,59762-0074-1 [237047],HYDROCORTISONE 10 MG TABLET [3733],1.65,,0.462,1.419,83
NDC,59762-0075-1 [237048],HYDROCORTISONE 20 MG TABLET [3734],2.45,,0.686,2.107,83
NDC,59762-0117-1 [322917],MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [178595],11.05,,3.094,9.503,83
NDC,59762-0131-4 [305241],SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],180.8,,50.624,155.488,83
NDC,59762-0170-6 [262269],TOLTERODINE 1 MG TABLET [22782],7.1,,1.988,6.106,83
NDC,59762-0333-2 [206425],LATANOPROST 0.005 % EYE DROPS [18621],11.85,,3.318,10.191,83
NDC,59762-0401-1 [301682],SUCRALFATE 1 GRAM TABLET [11442],1.65,,0.462,1.419,83
NDC,59762-0401-5 [301683],SUCRALFATE 1 GRAM TABLET [11442],1.65,,0.462,1.419,83
NDC,59762-0540-1 [244548],"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",1.65,,0.462,1.419,83
NDC,59762-0800-2 [262270],TOLTERODINE 2 MG TABLET [22783],7.25,,2.03,6.235,83
NDC,59762-0935-3 [262275],VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [38103],2765.8,,774.424,2378.588,83
NDC,59762-1001-1 [262276],SIROLIMUS 0.5 MG TABLET [104764],20.65,,0.96,17.759,84
NDC,59762-1002-1 [266720],SIROLIMUS 1 MG TABLET [28958],33.6,,0.96,28.896,84
NDC,59762-1061-1 [213432],DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],3.2,,0.896,2.752,83
NDC,59762-1205-4 [324921],SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],3448.35,,0.96,2965.581,84
NDC,59762-1205-6 [324922],SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],3448.35,,0.96,2965.581,84
NDC,59762-1206-1 [319160],LIOTHYRONINE 5 MCG TABLET [10443],3.25,,0.91,2.795,83
NDC,59762-1207-1 [323794],LIOTHYRONINE 25 MCG TABLET [4504],4.2,,1.176,3.612,83
NDC,59762-1210-3 [295420],"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [170995]",3.15,,0.882,2.709,83
NDC,59762-1308-1 [282729],LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],2149.1,,601.748,1848.226,83
NDC,59762-1308-4 [369561],LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],2149.1,,601.748,1848.226,83
NDC,59762-1350-1 [262277],RIFABUTIN 150 MG CAPSULE [11290],53.95,,15.106,46.397,83
NDC,59762-1517-1 [274273],CELECOXIB 200 MG CAPSULE [24501],4.9,,1.372,4.214,83
NDC,59762-1710-1 [175063],EPLERENONE 25 MG TABLET [36983],14.7,,4.116,12.642,83
NDC,59762-3130-1 [135957],AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [15797],68.7,,19.236,59.082,83
NDC,59762-3304-1 [291284],NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],1.8,,0.504,1.548,83
NDC,59762-3304-3 [291285],NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],36.3,,10.164,31.218,83
NDC,59762-3717-9 [295423],TRIAZOLAM 0.125 MG TABLET [8138],15.2,,4.256,13.072,83
NDC,59762-3718-4 [83021],TRIAZOLAM 0.25 MG TABLET [8139],15.2,,4.256,13.072,83
NDC,59762-3719-1 [83022],ALPRAZOLAM 0.25 MG TABLET [324],2.85,,0.798,2.451,83
NDC,59762-3720-1 [83025],ALPRAZOLAM 0.5 MG TABLET [325],2.85,,0.798,2.451,83
NDC,59762-3721-1 [83028],ALPRAZOLAM 1 MG TABLET [326],2.85,,0.798,2.451,83
NDC,59762-3742-2 [83049],MEDROXYPROGESTERONE 10 MG TABLET [4854],1.65,,0.462,1.419,83
NDC,59762-3743-1 [83051],CLINDAMYCIN 1 % TOPICAL GEL [9623],237.2,,66.416,203.992,83
NDC,59762-3743-2 [83052],CLINDAMYCIN 1 % TOPICAL GEL [9623],407.7,,114.156,350.622,83
NDC,59762-3744-1 [83053],CLINDAMYCIN 1 % LOTION [19711],315.0,,88.2,270.9,83
NDC,59762-4537-1 [109419],MEDROXYPROGESTERONE 150 MG/ML INJ CONTAINER [40800000726],209.95,,58.786,180.557,83
NDC,59762-4537-1 [109419],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],209.95,,58.786,180.557,83
NDC,59762-4538-2 [231024],MEDROXYPROGESTERONE 150 MG/ML INJ CONTAINER [40800000726],247.15,,69.202,212.549,83
NDC,59762-4538-2 [231024],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE [125399],229.0,,64.12,196.94,83
NDC,59762-4910-3 [135125],SERTRALINE 100 MG TABLET [11350],1.65,,0.462,1.419,83
NDC,59762-5000-5 [334017],SULFASALAZINE 500 MG TABLET [7562],1.65,,0.462,1.419,83
NDC,59762-5007-1 [83064],MISOPROSTOL 100 MCG TABLET [10628],3.15,,0.882,2.709,83
NDC,59762-5010-2 [83069],CLINDAMYCIN HCL 300 MG CAPSULE [9621],2.2,,0.616,1.892,83
NDC,59762-5017-1 [109423],FLUCONAZOLE 150 MG TABLET [13577],11.2,,3.136,9.632,83
NDC,59762-5050-1 [330713],GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],239.3,,67.004,205.798,83
NDC,59762-5050-7 [359571],GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],239.3,,67.004,205.798,83
NDC,59762-5350-1 [295427],PRAZOSIN 5 MG CAPSULE [6470],3.5,,0.98,3.01,83
NDC,59762-6002-1 [244553],OXAPROZIN 600 MG TABLET [10825],7.85,,2.198,6.751,83
NDC,59883-100-06 [310435],DOXYCYCLINE HYCLATE 10% DENTAL KIT 50 MG  [40800002890],979.55,,274.274,842.413,83
NDC,60219-1522-1 [360533],TETRACYCLINE 250 MG CAPSULE [7796],5.85,,1.638,5.031,83
NDC,60219-1617-1 [379252],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.25,,2.03,6.235,83
NDC,60219-1705-1 [351943],PREDNISONE 1 MG TABLET [6493],1.65,,0.462,1.419,83
NDC,60219-1706-1 [351944],PREDNISONE 5 MG TABLET [6497],1.65,,0.462,1.419,83
NDC,60219-1708-1 [351948],PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,83
NDC,60219-1748-2 [360534],ATROPINE 1 % EYE DROPS [736],123.25,,34.51,105.995,83
NDC,60219-1749-3 [360535],ATROPINE 1 % EYE DROPS [736],150.3,,42.084,129.258,83
NDC,60219-1750-8 [360536],ATROPINE 1 % EYE DROPS [736],405.6,,113.568,348.816,83
NDC,60219-2348-1 [373940],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,60219-2348-5 [373941],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,60219-5511-9 [363627],FENOFIBRATE 54 MG TABLET [31336],1.65,,0.462,1.419,83
NDC,60258-151-01 [83451],SODIUM FLUORIDE 1.1 % DENTAL GEL [19760],33.2,,9.296,28.552,83
NDC,60258-951-06 [83589],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,6025800601 [83420],"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",2.6,,0.728,2.236,83
NDC,6025800615 [301389],"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",2.1,,0.588,1.806,83
NDC,60267-705-50 [221910],SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRALESIONAL INJECTION SOLUTION [40800003812],302.7,,0.88,260.322,85
NDC,60267-705-50 [221910],SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [7364],280.5,,0.88,241.23,85
NDC,60432-150-16 [85772],HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],209.7,,58.716,180.342,83
NDC,60432-465-50 [85803],LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],109.85,,30.758,94.471,83
NDC,60432-465-51 [340635],LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],109.85,,30.758,94.471,83
NDC,60432-466-08 [85805],DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR [2319],174.9,,0.02,150.414,84
NDC,60432-537-16 [85810],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",290.55,,81.354,249.873,83
NDC,60432-608-16 [85835],PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],136.65,,38.262,117.519,83
NDC,60432-651-04 [85850],DOXEPIN 10 MG/ML ORAL CONCENTRATE [2614],123.55,,34.594,106.253,83
NDC,60432-741-15 [85859],ACETIC ACID 2 % EAR SOLUTION [17801],96.1,,26.908,82.646,83
NDC,60432-741-16 [321799],ACETIC ACID 2 % EAR SOLUTION [17801],96.1,,26.908,82.646,83
NDC,60505-0033-6 [85890],"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [21300]",2.05,,0.574,1.763,83
NDC,60505-0039-1 [85894],ETODOLAC 200 MG CAPSULE [9997],5.15,,1.442,4.429,83
NDC,60505-0042-6 [131726],ACYCLOVIR 200 MG CAPSULE [8969],1.65,,0.462,1.419,83
NDC,60505-0083-2 [100001],PAROXETINE 20 MG TABLET [10855],1.65,,0.462,1.419,83
NDC,60505-0084-1 [85909],PAROXETINE 30 MG TABLET [10856],1.65,,0.462,1.419,83
NDC,60505-0084-2 [135156],PAROXETINE 30 MG TABLET [10856],1.65,,0.462,1.419,83
NDC,60505-0093-0 [85912],DOXAZOSIN 1 MG TABLET [9894],2.05,,0.574,1.763,83
NDC,60505-0112-0 [160495],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,60505-0134-0 [85932],CYCLOSPORINE 100 MG CAPSULE [9706],54.45,,2.07,46.827,84
NDC,60505-0141-0 [85933],GLIPIZIDE 5 MG TABLET [10117],1.65,,0.462,1.419,83
NDC,60505-0157-1 [177533],BUPROPION HCL 100 MG TABLET [9321],3.4,,0.952,2.924,83
NDC,60505-0159-0 [85940],SOTALOL 120 MG TABLET [15723],1.65,,0.462,1.419,83
NDC,60505-0169-9 [142833],PRAVASTATIN 20 MG TABLET [11111],1.65,,0.462,1.419,83
NDC,60505-0170-9 [142835],PRAVASTATIN 40 MG TABLET [11112],1.85,,0.518,1.591,83
NDC,60505-0247-1 [160498],MIRTAZAPINE 15 MG TABLET [17466],1.65,,0.462,1.419,83
NDC,60505-0252-3 [106023],TIZANIDINE 4 MG TABLET [14793],1.65,,0.462,1.419,83
NDC,60505-0257-1 [133294],DESMOPRESSIN 0.1 MG TABLET [16052],3.5,,0.98,3.01,83
NDC,60505-0258-1 [133295],DESMOPRESSIN 0.2 MG TABLET [16053],3.95,,1.106,3.397,83
NDC,60505-0363-2 [160506],OFLOXACIN 0.3 % EAR DROPS [22257],425.9,,119.252,366.274,83
NDC,60505-0402-5 [208440],PAROXETINE 10 MG/5 ML ORAL SUSPENSION [22959],1453.05,,406.854,1249.623,83
NDC,60505-0404-5 [281230],ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION [40446],819.0,,229.32,704.34,83
NDC,60505-0564-1 [354251],BRIMONIDINE 0.15 % EYE DROPS [31158],502.35,,140.658,432.021,83
NDC,60505-0575-1 [282753],OLOPATADINE 0.1 % EYE DROPS [19452],135.75,,38.01,116.745,83
NDC,60505-0578-4 [190157],AZELASTINE 0.05 % EYE DROPS [28351],171.6,,48.048,147.576,83
NDC,60505-0582-4 [299314],MOXIFLOXACIN 0.5 % EYE DROPS [35699],229.75,,64.33,197.585,83
NDC,60505-0586-4 [304498],OLOPATADINE 0.2 % EYE DROPS [76979],92.4,,25.872,79.464,83
NDC,60505-0589-1 [362652],BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS [87834],278.5,,77.98,239.51,83
NDC,60505-0593-4 [329898],TRAVOPROST 0.004 % EYE DROPS [113077],412.0,,115.36,354.32,83
NDC,60505-0792-0 [318416],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],26.3,,0.57,22.618,84
NDC,60505-0792-0 [318416],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],26.3,,0.57,22.618,84
NDC,60505-0792-4 [318417],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],26.3,,0.57,22.618,84
NDC,60505-0792-4 [318417],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],26.3,,0.57,22.618,84
NDC,60505-0793-0 [318418],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],32.1,,0.57,27.606,84
NDC,60505-0793-4 [318419],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],32.1,,0.57,27.606,84
NDC,60505-0794-0 [318420],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],42.8,,0.57,36.808,84
NDC,60505-0794-4 [318421],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],42.8,,0.57,36.808,84
NDC,60505-0795-1 [318422],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],53.5,,0.57,46.01,84
NDC,60505-0795-4 [318423],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],53.5,,0.57,46.01,84
NDC,60505-0823-6 [177536],CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY [15738],257.0,,71.96,221.02,83
NDC,60505-0826-1 [86022],IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY [16070],123.6,,34.608,106.296,83
NDC,60505-0829-1 [160512],"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",61.8,,17.304,53.148,83
NDC,60505-0830-1 [284086],MOMETASONE 50 MCG/ACTUATION NASAL SPRAY [21905],393.15,,110.082,338.109,83
NDC,60505-0833-5 [199986],AZELASTINE 137 MCG (0.1 %) NASAL SPRAY [19179],74.65,,20.902,64.199,83
NDC,60505-1003-1 [190163],KETOROLAC 0.5 % EYE DROPS [19733],110.05,,30.814,94.643,83
NDC,60505-1320-1 [142862],MIDODRINE 2.5 MG TABLET [10609],2.5,,0.7,2.15,83
NDC,60505-1321-1 [142863],MIDODRINE 5 MG TABLET [10610],3.5,,0.98,3.01,83
NDC,60505-1325-1 [142864],MIDODRINE 10 MG TABLET [33083],5.95,,1.666,5.117,83
NDC,60505-2503-1 [126502],LEFLUNOMIDE 20 MG TABLET [23873],13.15,,3.682,11.309,83
NDC,60505-2521-1 [113015],CILOSTAZOL 50 MG TABLET [24473],1.75,,0.49,1.505,83
NDC,60505-2522-1 [113016],CILOSTAZOL 100 MG TABLET [24474],1.75,,0.49,1.505,83
NDC,60505-2531-6 [231159],ZIPRASIDONE 80 MG CAPSULE [29781],7.15,,2.002,6.149,83
NDC,60505-2578-9 [231161],ATORVASTATIN 10 MG TABLET [19176],1.65,,0.462,1.419,83
NDC,60505-2653-1 [142872],TRAZODONE 50 MG TABLET [8085],1.65,,0.462,1.419,83
NDC,60505-2654-1 [142874],TRAZODONE 100 MG TABLET [8083],1.65,,0.462,1.419,83
NDC,60505-2657-1 [142880],TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],1.65,,0.462,1.419,83
NDC,60505-3110-0 [222078],OLANZAPINE 2.5 MG TABLET [21057],1.65,,0.462,1.419,83
NDC,60505-3111-0 [222080],OLANZAPINE 5 MG TABLET [17936],1.65,,0.462,1.419,83
NDC,60505-3170-7 [274404],OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],3.85,,1.078,3.311,83
NDC,60505-3246-3 [222101],FAMCICLOVIR 250 MG TABLET [16081],2.55,,0.714,2.193,83
NDC,60505-3247-3 [222102],FAMCICLOVIR 500 MG TABLET [13358],5.55,,1.554,4.773,83
NDC,60505-3250-6 [262378],LAMIVUDINE 100 MG TABLET [24419],45.15,,12.642,38.829,83
NDC,60505-3251-6 [222103],LAMIVUDINE 150 MG TABLET [15880],17.8,,4.984,15.308,83
NDC,60505-3275-0 [222105],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],8.5,,2.38,7.31,83
NDC,60505-3275-3 [222106],OLANZAPINE 5 MG DISINTEGRATING TABLET [28159],4.1,,1.148,3.526,83
NDC,60505-3628-6 [387065],DASATINIB 20 MG TABLET [76717],144.8,,40.544,124.528,83
NDC,60505-4502-9 [290466],ROSUVASTATIN 5 MG TABLET [36612],1.75,,0.49,1.505,83
NDC,60505-4632-3 [329901],CYCLOSPORINE MODIFIED 100 MG CAPSULE (NEORAL) [28843],20.85,,2.07,17.931,84
NDC,60505-4643-3 [302625],PRASUGREL HCL 10 MG TABLET [98373],3.95,,1.106,3.397,83
NDC,60505-4704-0 [339563],TOLVAPTAN 15 MG TABLET [97893],1480.2,,414.456,1272.972,83
NDC,60505-4704-2 [339564],TOLVAPTAN 15 MG TABLET [97893],1480.2,,414.456,1272.972,83
NDC,60505-4766-6 [348880],VARENICLINE TARTRATE 1 MG TABLET [76445],35.2,,9.856,30.272,83
NDC,60505-6116-0 [367341],REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],79.5,,2.89,68.37,84
NDC,60505-6128-1 [305252],IRINOTECAN 100 MG/5 ML INJECTION FOR PO USE [40800000264],57.8,,16.184,49.708,83
NDC,60505-6128-1 [305252],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],57.8,,1.4,49.708,84
NDC,60505-6130-0 [287648],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,60505-6130-5 [287649],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,60505-6132-6 [294418],OXALIPLATIN 5 MG/ML INJ CONTAINER [40800000056],68.65,,0.09,59.039,84
NDC,60505-6132-7 [294419],OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],137.3,,0.09,118.078,84
NDC,60505-6132-7 [294419],OXALIPLATIN 5 MG/ML INJ CONTAINER [40800000056],137.3,,0.09,118.078,84
NDC,60505-6142-0 [300955],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],6.4,,0.84,5.504,84
NDC,60505-6142-5 [300956],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],6.4,,0.84,5.504,84
NDC,60505-6144-0 [307260],CEFEPIME 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002651],26.7,,1.23,22.962,84
NDC,60505-6144-0 [307260],CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],26.7,,1.23,22.962,84
NDC,60505-6145-0 [307262],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],32.1,,1.23,27.606,84
NDC,60505-6145-0 [307262],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],32.1,,1.23,27.606,84
NDC,60505-6145-4 [307263],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],23.05,,1.23,19.823,84
NDC,60505-6145-4 [307263],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],23.05,,1.23,19.823,84
NDC,60505-6146-0 [296546],CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],22.15,,1.23,19.049,84
NDC,60505-6146-4 [296547],CEFEPIME 1 GRAM SOLUTION FOR INJECTION [16369],22.1,,1.23,19.006,84
NDC,60505-6147-0 [296548],CEFEPIME 160 MG/ML INJ FOR CONTINUOUS/HOME-USE INFUSIONS [40800000350],54.45,,1.23,46.827,84
NDC,60505-6147-0 [296548],CEFEPIME 160 MG/ML INJ [40800000050],54.45,,1.23,46.827,84
NDC,60505-6147-0 [296548],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],50.4,,1.23,43.344,84
NDC,60505-6147-0 [296548],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],50.4,,1.23,43.344,84
NDC,60505-6147-4 [296549],CEFEPIME 160 MG/ML INJ FOR CONTINUOUS/HOME-USE INFUSIONS [40800000350],54.45,,1.23,46.827,84
NDC,60505-6147-4 [296549],CEFEPIME 160 MG/ML INJ [40800000050],54.45,,1.23,46.827,84
NDC,60505-6147-4 [296549],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],50.4,,1.23,43.344,84
NDC,60505-6147-4 [296549],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],50.4,,1.23,43.344,84
NDC,60505-6148-0 [299318],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],15.35,,0.48,13.201,84
NDC,60505-6148-4 [299319],CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [9487],6.7,,0.48,5.762,84
NDC,60505-6149-0 [299320],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],26.3,,0.48,22.618,84
NDC,60505-6149-0 [299320],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],26.3,,0.48,22.618,84
NDC,60505-6149-4 [299321],CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002646],19.75,,0.48,16.985,84
NDC,60505-6149-4 [299321],CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [9488],19.75,,0.48,16.985,84
NDC,60505-6156-0 [319177],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],15.35,,1.11,13.201,84
NDC,60505-6156-0 [319177],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],15.35,,1.11,13.201,84
NDC,60505-6156-0 [319177],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],16.6,,1.11,14.276,84
NDC,60505-6156-4 [319178],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],15.35,,1.11,13.201,84
NDC,60505-6156-4 [319178],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],15.35,,1.11,13.201,84
NDC,60505-6156-4 [319178],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],16.6,,1.11,14.276,84
NDC,60505-6157-0 [319179],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],15.35,,1.11,13.201,84
NDC,60505-6157-0 [319179],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],15.35,,1.11,13.201,84
NDC,60505-6157-4 [319180],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],15.35,,1.11,13.201,84
NDC,60505-6157-4 [319180],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],15.35,,1.11,13.201,84
NDC,60505-6159-0 [319181],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],43.7,,1.11,37.582,84
NDC,60505-6159-0 [319181],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],43.7,,1.11,37.582,84
NDC,60505-6159-4 [319182],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],28.5,,1.11,24.51,84
NDC,60505-6159-4 [319182],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],28.5,,1.11,24.51,84
NDC,60505-6169-0 [336746],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",72.1,,20.188,62.006,83
NDC,60505-6169-0 [336746],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],72.1,,20.188,62.006,83
NDC,60505-6169-1 [336747],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",72.1,,20.188,62.006,83
NDC,60505-6169-1 [336747],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],72.1,,20.188,62.006,83
NDC,60505-6193-1 [312613],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],57.25,,0.45,49.235,84
NDC,60505-6197-2 [334026],SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],3448.35,,0.96,2965.581,84
NDC,60505-6202-2 [355215],CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [35209],825.6,,231.168,710.016,83
NDC,60505-6225-0 [354254],BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS [87834],580.85,,162.638,499.531,83
NDC,60505-6226-2 [352790],ATROPINE 1 % EYE DROPS [736],411.0,,115.08,353.46,83
NDC,60505-6230-4 [356779],PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],4720.75,,6.02,4059.845,86
NDC,60505-6230-4 [356779],PACLITAXEL PROTEIN-BOUND INTRA-ARTERIAL INFUSION 5 MG/ML [40800000750],4720.75,,6.02,4059.845,86
NDC,60505-6230-4 [356779],PACLITAXEL PROTEIN-BOUND IVPB 5 MG/ML (INGREDIENT) [40800000106],4720.75,,6.02,4059.845,86
NDC,60505-6231-0 [356077],CEFAZOLIN 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800003915],25.65,,0.84,22.059,84
NDC,60505-6231-0 [356077],CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION [197046],25.65,,0.84,22.059,84
NDC,60505-6231-0 [356077],CEFAZOLIN 330 MG/ML INJ [40800000016],27.75,,0.84,23.865,84
NDC,60505-6231-5 [356078],CEFAZOLIN 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800003915],25.65,,0.84,22.059,84
NDC,60505-6231-5 [356078],CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION [197046],25.65,,0.84,22.059,84
NDC,60505-6231-5 [356078],CEFAZOLIN 330 MG/ML INJ [40800000016],27.75,,0.84,23.865,84
NDC,60505-6236-0 [352791],DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],49.9,,9.02,42.914,84
NDC,60505-6236-0 [352791],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],49.9,,9.02,42.914,84
NDC,60505-6236-6 [352792],DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],49.9,,9.02,42.914,84
NDC,60505-6236-6 [352792],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],49.9,,9.02,42.914,84
NDC,60505-6237-0 [352793],DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],141.4,,9.02,121.604,84
NDC,60505-6237-0 [352793],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],141.4,,9.02,121.604,84
NDC,60505-6237-6 [352794],DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],141.4,,9.02,121.604,84
NDC,60505-6237-6 [352794],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],141.4,,9.02,121.604,84
NDC,60505-6249-1 [375241],DEXAMETHASONE 0.5 MG TABLET [2322],1.65,,0.02,1.419,84
NDC,60505-6251-1 [375243],DEXAMETHASONE 1 MG TABLET [2324],1.65,,0.02,1.419,84
NDC,60505-6272-1 [371503],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],33.2,,1.4,28.552,84
NDC,60505-6277-0 [370486],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],103.0,,1.95,88.58,84
NDC,60505-6277-0 [370486],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],103.0,,1.95,88.58,84
NDC,60505-6287-4 [381450],OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],38.4,,0.09,33.024,84
NDC,60505-6289-0 [383531],ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],4212.7,,76.76,3622.922,86
NDC,60505-7008-0 [237183],FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],48.9,,13.692,42.054,83
NDC,60505-7008-2 [237184],FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],48.95,,13.706,42.097,83
NDC,60505-7009-0 [237185],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],67.85,,18.998,58.351,83
NDC,60505-7009-2 [237186],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],67.85,,18.998,58.351,83
NDC,60505-7075-5 [351032],BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107660],183.0,,51.24,157.38,83
NDC,60505-7077-5 [351034],BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107661],273.9,,76.692,235.554,83
NDC,60505-7078-5 [351035],BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH [122909],376.65,,105.462,323.919,83
NDC,60505-7080-0 [317034],FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],63.85,,17.878,54.911,83
NDC,60505-7080-2 [317035],FENTANYL 12 MCG/HR TRANSDERMAL PATCH [41382],63.85,,17.878,54.911,83
NDC,60505-7081-0 [317036],FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],22.95,,6.426,19.737,83
NDC,60505-7081-2 [317037],FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],22.95,,6.426,19.737,83
NDC,60505-7082-0 [317038],FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],39.0,,10.92,33.54,83
NDC,60505-7082-2 [317039],FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],39.0,,10.92,33.54,83
NDC,60505-7083-0 [317040],FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],48.9,,13.692,42.054,83
NDC,60505-7083-2 [317041],FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],48.95,,13.706,42.097,83
NDC,60505-7084-0 [317042],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],67.85,,18.998,58.351,83
NDC,60505-7084-2 [317043],FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],67.85,,18.998,58.351,83
NDC,60640-9000-1 [334672],BENZOCAINE 20% MUCOSAL GEL CONTAINER [40800003610],1.65,,0.462,1.419,83
NDC,60640-9400-1 [335904],BENZOCAINE 20% MUCOSAL GEL CONTAINER [40800003610],2.55,,0.714,2.193,83
NDC,60687-100-01 [274410],URSODIOL 300 MG CAPSULE [11624],28.25,,7.91,24.295,83
NDC,60687-100-11 [274411],URSODIOL 300 MG CAPSULE [11624],28.25,,7.91,24.295,83
NDC,60687-104-11 [343464],KETOROLAC 10 MG TABLET [10371],28.9,,8.092,24.854,83
NDC,60687-104-21 [343465],KETOROLAC 10 MG TABLET [10371],28.9,,8.092,24.854,83
NDC,60687-105-11 [287650],MEDROXYPROGESTERONE 10 MG TABLET [4854],7.55,,2.114,6.493,83
NDC,60687-105-21 [287651],MEDROXYPROGESTERONE 10 MG TABLET [4854],7.55,,2.114,6.493,83
NDC,60687-112-11 [285628],ANASTROZOLE 1 MG TABLET [16205],4.3,,1.204,3.698,83
NDC,60687-113-01 [336748],CLONIDINE HCL 0.1 MG TABLET [1755],1.65,,0.462,1.419,83
NDC,60687-113-11 [336749],CLONIDINE HCL 0.1 MG TABLET [1755],1.65,,0.462,1.419,83
NDC,60687-119-95 [279309],CANDESARTAN 8 MG TABLET [23230],18.8,,5.264,16.168,83
NDC,60687-122-01 [279310],PREDNISONE 5 MG TABLET [6497],1.65,,0.462,1.419,83
NDC,60687-122-11 [279311],PREDNISONE 5 MG TABLET [6497],1.65,,0.462,1.419,83
NDC,60687-124-01 [336750],CLONIDINE HCL 0.2 MG TABLET [1756],1.65,,0.462,1.419,83
NDC,60687-124-11 [336751],CLONIDINE HCL 0.2 MG TABLET [1756],1.65,,0.462,1.419,83
NDC,60687-127-11 [293253],OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],14.45,,4.046,12.427,83
NDC,60687-127-65 [293254],OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],14.45,,4.046,12.427,83
NDC,60687-129-01 [285634],DOCUSATE SODIUM 100 MG CAPSULE [2566],1.65,,0.462,1.419,83
NDC,60687-129-11 [285635],DOCUSATE SODIUM 100 MG CAPSULE [2566],1.65,,0.462,1.419,83
NDC,60687-134-01 [279312],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,60687-134-11 [279313],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,60687-143-01 [279314],METFORMIN 850 MG TABLET [14719],1.65,,0.462,1.419,83
NDC,60687-143-11 [279315],METFORMIN 850 MG TABLET [14719],1.65,,0.462,1.419,83
NDC,60687-145-01 [281262],PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,83
NDC,60687-145-11 [281263],PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,83
NDC,60687-152-01 [281268],CEPHALEXIN 250 MG CAPSULE [9499],1.65,,0.462,1.419,83
NDC,60687-152-11 [281269],CEPHALEXIN 250 MG CAPSULE [9499],1.65,,0.462,1.419,83
NDC,60687-155-01 [287652],METFORMIN 500 MG TABLET [10544],1.65,,0.462,1.419,83
NDC,60687-155-11 [287653],METFORMIN 500 MG TABLET [10544],1.65,,0.462,1.419,83
NDC,60687-156-25 [282771],PHENYTOIN 50 MG CHEWABLE TABLET [11018],7.15,,2.002,6.149,83
NDC,60687-156-95 [282772],PHENYTOIN 50 MG CHEWABLE TABLET [11018],7.15,,2.002,6.149,83
NDC,60687-161-11 [285651],HALOPERIDOL 5 MG TABLET [3583],4.35,,1.218,3.741,83
NDC,60687-163-01 [281272],CEPHALEXIN 500 MG CAPSULE [9500],1.75,,0.49,1.505,83
NDC,60687-163-11 [281273],CEPHALEXIN 500 MG CAPSULE [9500],1.75,,0.49,1.505,83
NDC,60687-168-01 [279322],ARIPIPRAZOLE 5 MG TABLET [36438],2.3,,0.644,1.978,83
NDC,60687-168-11 [279323],ARIPIPRAZOLE 5 MG TABLET [36438],2.3,,0.644,1.978,83
NDC,60687-169-01 [293980],PRAVASTATIN 10 MG TABLET [11110],2.25,,0.63,1.935,83
NDC,60687-169-11 [293979],PRAVASTATIN 10 MG TABLET [11110],2.25,,0.63,1.935,83
NDC,60687-173-11 [279324],MEMANTINE 5 MG TABLET [37170],2.3,,0.644,1.978,83
NDC,60687-173-57 [279325],MEMANTINE 5 MG TABLET [37170],2.3,,0.644,1.978,83
NDC,60687-178-11 [295445],PRAVASTATIN 20 MG TABLET [11111],3.35,,0.938,2.881,83
NDC,60687-184-11 [279328],MEMANTINE 10 MG TABLET [36966],3.2,,0.896,2.752,83
NDC,60687-184-57 [279329],MEMANTINE 10 MG TABLET [36966],3.2,,0.896,2.752,83
NDC,60687-188-11 [289406],ENTACAPONE 200 MG TABLET [26547],19.55,,5.474,16.813,83
NDC,60687-188-21 [289407],ENTACAPONE 200 MG TABLET [26547],19.55,,5.474,16.813,83
NDC,60687-190-11 [295447],PRAVASTATIN 40 MG TABLET [11112],3.95,,1.106,3.397,83
NDC,60687-195-01 [294424],"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [29270]",3.85,,1.078,3.311,83
NDC,60687-195-11 [294425],"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [29270]",3.85,,1.078,3.311,83
NDC,60687-199-01 [289408],MELOXICAM 15 MG TABLET [20580],1.65,,0.462,1.419,83
NDC,60687-199-11 [289409],MELOXICAM 15 MG TABLET [20580],1.65,,0.462,1.419,83
NDC,60687-206-01 [295448],"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",3.85,,1.078,3.311,83
NDC,60687-206-11 [295449],"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",3.85,,1.078,3.311,83
NDC,60687-210-11 [289411],SIMVASTATIN 40 MG TABLET [11366],1.65,,0.462,1.419,83
NDC,60687-211-11 [291948],"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",3.55,,0.994,3.053,83
NDC,60687-211-21 [291949],"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",3.55,,0.994,3.053,83
NDC,60687-215-01 [295452],"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",9.45,,2.646,8.127,83
NDC,60687-215-11 [295453],"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]",9.45,,2.646,8.127,83
NDC,60687-216-25 [291294],ENTECAVIR 0.5 MG TABLET [41147],63.8,,17.864,54.868,83
NDC,60687-216-95 [291295],ENTECAVIR 0.5 MG TABLET [41147],63.8,,17.864,54.868,83
NDC,60687-217-11 [297580],"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",2.95,,0.826,2.537,83
NDC,60687-224-01 [291296],GEMFIBROZIL 600 MG TABLET [3378],1.65,,0.462,1.419,83
NDC,60687-224-11 [291297],GEMFIBROZIL 600 MG TABLET [3378],1.65,,0.462,1.419,83
NDC,60687-227-11 [295456],LEUCOVORIN CALCIUM 25 MG TABLET [4397],41.25,,11.55,35.475,83
NDC,60687-227-94 [295457],LEUCOVORIN CALCIUM 25 MG TABLET [4397],41.25,,11.55,35.475,83
NDC,60687-228-11 [301693],"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",7.55,,2.114,6.493,83
NDC,60687-229-01 [294426],LOPERAMIDE 2 MG CAPSULE [4560],4.05,,1.134,3.483,83
NDC,60687-229-11 [294427],LOPERAMIDE 2 MG CAPSULE [4560],4.05,,1.134,3.483,83
NDC,60687-231-01 [295460],SERTRALINE 25 MG TABLET [19882],1.8,,0.504,1.548,83
NDC,60687-231-11 [295461],SERTRALINE 25 MG TABLET [19882],1.8,,0.504,1.548,83
NDC,60687-234-01 [293257],ROSUVASTATIN 5 MG TABLET [36612],6.65,,1.862,5.719,83
NDC,60687-234-11 [293258],ROSUVASTATIN 5 MG TABLET [36612],6.65,,1.862,5.719,83
NDC,60687-242-01 [294428],SERTRALINE 50 MG TABLET [11351],1.9,,0.532,1.634,83
NDC,60687-242-11 [294429],SERTRALINE 50 MG TABLET [11351],1.9,,0.532,1.634,83
NDC,60687-245-01 [293261],ROSUVASTATIN 10 MG TABLET [35134],1.65,,0.462,1.419,83
NDC,60687-245-11 [293262],ROSUVASTATIN 10 MG TABLET [35134],6.65,,1.862,5.719,83
NDC,60687-245-65 [370487],ROSUVASTATIN 10 MG TABLET [35134],1.65,,0.462,1.419,83
NDC,60687-249-40 [304499],LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [129014],27.5,,7.7,23.65,83
NDC,60687-249-46 [304500],LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [129014],5.5,,1.54,4.73,83
NDC,60687-249-67 [304501],LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [129014],5.5,,1.54,4.73,83
NDC,60687-249-77 [319185],LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [129014],28.1,,7.868,24.166,83
NDC,60687-249-86 [370488],LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [129014],20.15,,5.642,17.329,83
NDC,60687-253-01 [299326],SERTRALINE 100 MG TABLET [11350],2.1,,0.588,1.806,83
NDC,60687-253-11 [299327],SERTRALINE 100 MG TABLET [11350],2.1,,0.588,1.806,83
NDC,60687-256-01 [291950],ROSUVASTATIN 20 MG TABLET [35135],6.65,,1.862,5.719,83
NDC,60687-256-11 [291951],ROSUVASTATIN 20 MG TABLET [35135],6.65,,1.862,5.719,83
NDC,60687-266-11 [293265],RALOXIFENE 60 MG TABLET [22143],27.05,,7.574,23.263,83
NDC,60687-272-11 [309261],CEFUROXIME AXETIL 250 MG TABLET [9495],17.95,,5.026,15.437,83
NDC,60687-272-94 [309262],CEFUROXIME AXETIL 250 MG TABLET [9495],17.95,,5.026,15.437,83
NDC,60687-273-11 [300957],VORICONAZOLE 200 MG TABLET [33009],108.8,,30.464,93.568,83
NDC,60687-273-21 [300958],VORICONAZOLE 200 MG TABLET [33009],108.8,,30.464,93.568,83
NDC,60687-275-62 [318428],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION SYRINGE (PEDI) [40800004005],31.8,,8.904,27.348,83
NDC,60687-275-62 [318428],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [128582],31.8,,8.904,27.348,83
NDC,60687-275-63 [318429],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION SYRINGE (PEDI) [40800004005],31.8,,8.904,27.348,83
NDC,60687-275-63 [318429],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [128582],31.8,,8.904,27.348,83
NDC,60687-275-66 [318430],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION SYRINGE (PEDI) [40800004005],31.8,,8.904,27.348,83
NDC,60687-275-66 [318430],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [128582],31.8,,8.904,27.348,83
NDC,60687-282-01 [295470],AZITHROMYCIN 250 MG TABLET [20943],8.25,,2.31,7.095,83
NDC,60687-282-11 [295471],AZITHROMYCIN 250 MG TABLET [20943],8.25,,2.31,7.095,83
NDC,60687-292-01 [298434],DONEPEZIL 5 MG TABLET [18786],1.65,,0.462,1.419,83
NDC,60687-292-11 [298435],DONEPEZIL 5 MG TABLET [18786],1.65,,0.462,1.419,83
NDC,60687-293-01 [300047],NORTRIPTYLINE 25 MG CAPSULE [5675],2.0,,0.56,1.72,83
NDC,60687-293-11 [300048],NORTRIPTYLINE 25 MG CAPSULE [5675],2.0,,0.56,1.72,83
NDC,60687-294-11 [307271],VORICONAZOLE 50 MG TABLET [33008],36.3,,10.164,31.218,83
NDC,60687-294-21 [307272],VORICONAZOLE 50 MG TABLET [33008],36.3,,10.164,31.218,83
NDC,60687-299-95 [298437],ITRACONAZOLE 100 MG CAPSULE [10364],15.8,,4.424,13.588,83
NDC,60687-302-95 [298439],NADOLOL 20 MG TABLET [5330],13.85,,3.878,11.911,83
NDC,60687-303-01 [296560],DONEPEZIL 10 MG TABLET [18787],1.65,,0.462,1.419,83
NDC,60687-303-11 [296561],DONEPEZIL 10 MG TABLET [18787],1.65,,0.462,1.419,83
NDC,60687-304-11 [304502],CAPTOPRIL 12.5 MG TABLET [9401],6.75,,1.89,5.805,83
NDC,60687-304-21 [304503],CAPTOPRIL 12.5 MG TABLET [9401],6.75,,1.89,5.805,83
NDC,60687-309-11 [306197],LINEZOLID 600 MG TABLET [28224],29.25,,8.19,25.155,83
NDC,60687-309-21 [306198],LINEZOLID 600 MG TABLET [28224],29.25,,8.19,25.155,83
NDC,60687-315-11 [304506],CAPTOPRIL 25 MG TABLET [9402],7.3,,2.044,6.278,83
NDC,60687-315-21 [304507],CAPTOPRIL 25 MG TABLET [9402],7.3,,2.044,6.278,83
NDC,60687-317-01 [336758],CHLORTHALIDONE 25 MG TABLET [1661],10.7,,2.996,9.202,83
NDC,60687-317-11 [336759],CHLORTHALIDONE 25 MG TABLET [1661],10.7,,2.996,9.202,83
NDC,60687-319-11 [300967],"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR [29434]",38.7,,10.836,33.282,83
NDC,60687-319-21 [300968],"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR [29434]",38.7,,10.836,33.282,83
NDC,60687-325-01 [305813],LISINOPRIL 10 MG TABLET [10449],1.65,,0.462,1.419,83
NDC,60687-325-11 [305814],LISINOPRIL 10 MG TABLET [10449],1.65,,0.462,1.419,83
NDC,60687-327-01 [301700],QUETIAPINE 25 MG TABLET [21823],1.65,,0.462,1.419,83
NDC,60687-327-11 [301701],QUETIAPINE 25 MG TABLET [21823],1.65,,0.462,1.419,83
NDC,60687-330-11 [300973],"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",38.7,,10.836,33.282,83
NDC,60687-330-21 [300974],"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",38.7,,10.836,33.282,83
NDC,60687-333-01 [306199],LISINOPRIL 20 MG TABLET [4526],1.65,,0.462,1.419,83
NDC,60687-333-11 [306200],LISINOPRIL 20 MG TABLET [4526],1.65,,0.462,1.419,83
NDC,60687-336-11 [306201],MINOCYCLINE 100 MG CAPSULE [5110],5.25,,1.47,4.515,83
NDC,60687-336-65 [306202],MINOCYCLINE 100 MG CAPSULE [5110],5.25,,1.47,4.515,83
NDC,60687-338-01 [301704],QUETIAPINE 50 MG TABLET [70397],2.5,,0.7,2.15,83
NDC,60687-338-11 [301705],QUETIAPINE 50 MG TABLET [70397],2.5,,0.7,2.15,83
NDC,60687-340-01 [306203],BUPROPION HCL 75 MG TABLET [9322],5.25,,1.47,4.515,83
NDC,60687-340-11 [306204],BUPROPION HCL 75 MG TABLET [9322],5.25,,1.47,4.515,83
NDC,60687-341-44 [314064],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],59.8,,16.744,51.428,83
NDC,60687-345-01 [319193],CALCITRIOL 0.25 MCG CAPSULE [9350],3.8,,1.064,3.268,83
NDC,60687-345-11 [319194],CALCITRIOL 0.25 MCG CAPSULE [9350],3.8,,1.064,3.268,83
NDC,60687-360-01 [301712],QUETIAPINE 200 MG TABLET [21825],5.0,,1.4,4.3,83
NDC,60687-360-11 [301713],QUETIAPINE 200 MG TABLET [21825],5.0,,1.4,4.3,83
NDC,60687-369-01 [314756],DICYCLOMINE 10 MG CAPSULE [2418],2.65,,0.742,2.279,83
NDC,60687-369-11 [315619],DICYCLOMINE 10 MG CAPSULE [2418],2.65,,0.742,2.279,83
NDC,60687-371-01 [311684],QUETIAPINE 300 MG TABLET [29267],3.2,,0.896,2.752,83
NDC,60687-371-11 [311685],QUETIAPINE 300 MG TABLET [29267],3.2,,0.896,2.752,83
NDC,60687-373-11 [311686],EZETIMIBE 10 MG TABLET [34153],39.8,,11.144,34.228,83
NDC,60687-373-21 [311687],EZETIMIBE 10 MG TABLET [34153],39.8,,11.144,34.228,83
NDC,60687-375-01 [311688],DRONABINOL 2.5 MG CAPSULE [9904],25.7,,1.68,22.102,84
NDC,60687-375-11 [311689],DRONABINOL 2.5 MG CAPSULE [9904],34.8,,1.68,29.928,84
NDC,60687-375-21 [382629],DRONABINOL 2.5 MG CAPSULE [9904],2.85,,0.798,2.451,84
NDC,60687-377-01 [376554],ALPRAZOLAM 0.25 MG TABLET [324],2.85,,0.798,2.451,83
NDC,60687-377-11 [376555],ALPRAZOLAM 0.25 MG TABLET [324],2.85,,0.798,2.451,83
NDC,60687-378-25 [312130],URSODIOL 250 MG TABLET [22660],14.1,,3.948,12.126,83
NDC,60687-381-11 [310859],PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],231.25,,64.75,198.875,83
NDC,60687-381-94 [310860],PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],231.25,,64.75,198.875,83
NDC,60687-384-01 [335905],BUMETANIDE 1 MG TABLET [9310],5.15,,1.442,4.429,83
NDC,60687-384-11 [335906],BUMETANIDE 1 MG TABLET [9310],5.15,,1.442,4.429,83
NDC,60687-384-25 [311690],BUMETANIDE 1 MG TABLET [9310],7.75,,2.17,6.665,83
NDC,60687-384-95 [311691],BUMETANIDE 1 MG TABLET [9310],7.75,,2.17,6.665,83
NDC,60687-385-25 [311692],COLESEVELAM 625 MG TABLET [28372],15.8,,4.424,13.588,83
NDC,60687-385-95 [311693],COLESEVELAM 625 MG TABLET [28372],15.8,,4.424,13.588,83
NDC,60687-386-11 [314074],DRONABINOL 5 MG CAPSULE [9905],56.45,,1.68,48.547,84
NDC,60687-386-94 [382630],DRONABINOL 5 MG CAPSULE [9905],56.45,,1.68,48.547,84
NDC,60687-387-01 [323814],MIDODRINE 2.5 MG TABLET [10609],4.65,,1.302,3.999,83
NDC,60687-387-11 [323815],MIDODRINE 2.5 MG TABLET [10609],4.65,,1.302,3.999,83
NDC,60687-388-01 [377858],ALPRAZOLAM 0.5 MG TABLET [325],2.85,,0.798,2.451,83
NDC,60687-388-11 [377859],ALPRAZOLAM 0.5 MG TABLET [325],3.0,,0.84,2.58,83
NDC,60687-389-11 [311694],COLCHICINE 0.6 MG TABLET [1821],35.8,,10.024,30.788,83
NDC,60687-389-21 [311695],COLCHICINE 0.6 MG TABLET [1821],35.8,,10.024,30.788,83
NDC,60687-390-01 [317048],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",4.65,,1.302,3.999,83
NDC,60687-390-11 [317049],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",4.65,,1.302,3.999,83
NDC,60687-394-79 [319195],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,60687-394-83 [319196],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,60687-395-79 [319197],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,60687-395-83 [319198],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,60687-397-25 [315624],"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [78310]",40.1,,11.228,34.486,83
NDC,60687-397-95 [315625],"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [78310]",40.1,,11.228,34.486,83
NDC,60687-398-01 [323816],MIDODRINE 5 MG TABLET [10610],3.6,,1.008,3.096,83
NDC,60687-398-11 [323817],MIDODRINE 5 MG TABLET [10610],3.6,,1.008,3.096,83
NDC,60687-402-01 [317050],"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",4.65,,1.302,3.999,83
NDC,60687-402-11 [317051],"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",4.65,,1.302,3.999,83
NDC,60687-405-79 [319199],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],3.1,,0.868,2.666,83
NDC,60687-405-83 [319200],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],3.1,,0.868,2.666,83
NDC,60687-406-40 [321816],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],34.45,,9.646,29.627,83
NDC,60687-407-01 [318431],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],4.2,,1.176,3.612,83
NDC,60687-407-11 [318432],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],4.2,,1.176,3.612,83
NDC,60687-409-25 [312617],MIDODRINE 10 MG TABLET [33083],6.7,,1.876,5.762,83
NDC,60687-409-95 [312618],MIDODRINE 10 MG TABLET [33083],6.7,,1.876,5.762,83
NDC,60687-413-01 [320234],"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",6.65,,1.862,5.719,83
NDC,60687-413-11 [320235],"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [30071]",6.65,,1.862,5.719,83
NDC,60687-416-11 [319203],SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],4.7,,1.316,4.042,83
NDC,60687-416-21 [319204],SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],4.7,,1.316,4.042,83
NDC,60687-417-44 [324944],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],23.45,,6.566,20.167,83
NDC,60687-417-50 [324945],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],23.45,,6.566,20.167,83
NDC,60687-417-71 [324946],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],23.45,,6.566,20.167,83
NDC,60687-418-01 [318433],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],4.5,,1.26,3.87,83
NDC,60687-418-11 [318434],HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],4.5,,1.26,3.87,83
NDC,60687-419-01 [322937],CHLORPROMAZINE 10 MG TABLET [1653],20.35,,5.698,17.501,83
NDC,60687-419-11 [322938],CHLORPROMAZINE 10 MG TABLET [1653],20.35,,5.698,17.501,83
NDC,60687-420-25 [317058],RITONAVIR 100 MG TABLET [100995],36.15,,10.122,31.089,83
NDC,60687-420-95 [317059],RITONAVIR 100 MG TABLET [100995],36.15,,10.122,31.089,83
NDC,60687-422-01 [322939],AMANTADINE HCL 100 MG CAPSULE [364],8.65,,2.422,7.439,83
NDC,60687-422-11 [322940],AMANTADINE HCL 100 MG CAPSULE [364],8.65,,2.422,7.439,83
NDC,60687-423-11 [317062],CLOBAZAM 10 MG TABLET [112703],13.6,,3.808,11.696,83
NDC,60687-423-21 [317063],CLOBAZAM 10 MG TABLET [112703],13.6,,3.808,11.696,83
NDC,60687-428-01 [326310],FINASTERIDE 5 MG TABLET [10037],4.3,,1.204,3.698,83
NDC,60687-428-11 [326311],FINASTERIDE 5 MG TABLET [10037],4.3,,1.204,3.698,83
NDC,60687-428-65 [330730],FINASTERIDE 5 MG TABLET [10037],3.8,,1.064,3.268,83
NDC,60687-429-45 [343466],MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [124286],9.5,,2.66,8.17,83
NDC,60687-429-51 [343467],MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [124286],9.5,,2.66,8.17,83
NDC,60687-429-76 [343468],MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [124286],9.5,,2.66,8.17,83
NDC,60687-431-27 [373947],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],6.95,,1.946,5.977,83
NDC,60687-431-92 [332985],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],7.6,,2.128,6.536,83
NDC,60687-431-98 [323820],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],8.0,,2.24,6.88,83
NDC,60687-431-99 [323821],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],6.95,,1.946,5.977,83
NDC,60687-433-01 [324949],AMITRIPTYLINE 25 MG TABLET [435],2.05,,0.574,1.763,83
NDC,60687-433-11 [324950],AMITRIPTYLINE 25 MG TABLET [435],2.05,,0.574,1.763,83
NDC,60687-436-01 [323822],CELECOXIB 100 MG CAPSULE [24500],6.9,,1.932,5.934,83
NDC,60687-436-11 [323823],CELECOXIB 100 MG CAPSULE [24500],6.9,,1.932,5.934,83
NDC,60687-437-01 [326312],AMIODARONE 200 MG TABLET [9066],1.75,,0.49,1.505,83
NDC,60687-437-11 [326313],AMIODARONE 200 MG TABLET [9066],1.75,,0.49,1.505,83
NDC,60687-438-01 [324951],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],5.25,,0.16,4.515,84
NDC,60687-438-11 [324952],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],5.25,,0.16,4.515,84
NDC,60687-439-01 [324953],LABETALOL 100 MG TABLET [10373],2.15,,0.602,1.849,83
NDC,60687-439-11 [324954],LABETALOL 100 MG TABLET [10373],2.15,,0.602,1.849,83
NDC,60687-442-24 [387477],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],57.4,,16.072,49.364,83
NDC,60687-442-53 [387478],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],57.4,,16.072,49.364,83
NDC,60687-442-75 [387479],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],57.4,,16.072,49.364,83
NDC,60687-443-01 [320236],TRAZODONE 50 MG TABLET [8085],1.65,,0.462,1.419,83
NDC,60687-443-11 [320237],TRAZODONE 50 MG TABLET [8085],1.65,,0.462,1.419,83
NDC,60687-444-01 [324955],AMITRIPTYLINE 50 MG TABLET [436],2.75,,0.77,2.365,83
NDC,60687-444-11 [324956],AMITRIPTYLINE 50 MG TABLET [436],2.75,,0.77,2.365,83
NDC,60687-446-01 [326314],IBUPROFEN 400 MG TABLET [3843],1.65,,0.462,1.419,83
NDC,60687-446-11 [326315],IBUPROFEN 400 MG TABLET [3843],1.65,,0.462,1.419,83
NDC,60687-447-01 [324957],CELECOXIB 200 MG CAPSULE [24501],9.6,,2.688,8.256,83
NDC,60687-447-11 [324958],CELECOXIB 200 MG CAPSULE [24501],9.6,,2.688,8.256,83
NDC,60687-449-01 [328312],SEVELAMER HCL 800 MG TABLET [28715],35.3,,9.884,30.358,83
NDC,60687-449-11 [328313],SEVELAMER HCL 800 MG TABLET [28715],35.3,,9.884,30.358,83
NDC,60687-450-01 [324959],LABETALOL 200 MG TABLET [10374],2.8,,0.784,2.408,83
NDC,60687-450-11 [324960],LABETALOL 200 MG TABLET [10374],2.8,,0.784,2.408,83
NDC,60687-451-11 [323824],EPLERENONE 25 MG TABLET [36983],19.75,,5.53,16.985,83
NDC,60687-451-21 [323825],EPLERENONE 25 MG TABLET [36983],19.75,,5.53,16.985,83
NDC,60687-453-01 [328314],LEVOTHYROXINE 25 MCG TABLET [4420],2.25,,0.63,1.935,83
NDC,60687-453-11 [328315],LEVOTHYROXINE 25 MCG TABLET [4420],2.25,,0.63,1.935,83
NDC,60687-454-01 [320238],TRAZODONE 100 MG TABLET [8083],1.65,,0.462,1.419,83
NDC,60687-454-11 [320239],TRAZODONE 100 MG TABLET [8083],1.65,,0.462,1.419,83
NDC,60687-457-01 [323826],IBUPROFEN 600 MG TABLET [3844],1.65,,0.462,1.419,83
NDC,60687-457-11 [323827],IBUPROFEN 600 MG TABLET [3844],1.65,,0.462,1.419,83
NDC,60687-461-01 [324961],LABETALOL 300 MG TABLET [10375],4.7,,1.316,4.042,83
NDC,60687-461-11 [324962],LABETALOL 300 MG TABLET [10375],4.7,,1.316,4.042,83
NDC,60687-464-01 [328320],LEVOTHYROXINE 50 MCG TABLET [4421],2.25,,0.63,1.935,83
NDC,60687-464-11 [328321],LEVOTHYROXINE 50 MCG TABLET [4421],2.25,,0.63,1.935,83
NDC,60687-465-01 [323828],SPIRONOLACTONE 25 MG TABLET [7437],1.65,,0.462,1.419,83
NDC,60687-465-11 [323829],SPIRONOLACTONE 25 MG TABLET [7437],1.65,,0.462,1.419,83
NDC,60687-468-01 [331704],IBUPROFEN 800 MG TABLET [3845],1.65,,0.462,1.419,83
NDC,60687-468-11 [331705],IBUPROFEN 800 MG TABLET [3845],1.65,,0.462,1.419,83
NDC,60687-473-01 [324965],PREGABALIN 25 MG CAPSULE [42162],7.65,,2.142,6.579,83
NDC,60687-473-11 [324966],PREGABALIN 25 MG CAPSULE [42162],7.65,,2.142,6.579,83
NDC,60687-475-01 [328322],LEVOTHYROXINE 75 MCG TABLET [4422],2.8,,0.784,2.408,83
NDC,60687-475-11 [328323],LEVOTHYROXINE 75 MCG TABLET [4422],2.8,,0.784,2.408,83
NDC,60687-479-01 [330737],CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],2.35,,0.658,2.021,83
NDC,60687-479-11 [330738],CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],2.35,,0.658,2.021,83
NDC,60687-480-11 [354257],"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",5.4,,1.512,4.644,83
NDC,60687-480-21 [354258],"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",5.4,,1.512,4.644,83
NDC,60687-484-01 [324967],PREGABALIN 50 MG CAPSULE [42163],7.65,,2.142,6.579,83
NDC,60687-484-11 [324968],PREGABALIN 50 MG CAPSULE [42163],7.65,,2.142,6.579,83
NDC,60687-486-01 [328324],LEVOTHYROXINE 88 MCG TABLET [10403],2.8,,0.784,2.408,83
NDC,60687-486-11 [328325],LEVOTHYROXINE 88 MCG TABLET [10403],2.8,,0.784,2.408,83
NDC,60687-487-01 [323832],SPIRONOLACTONE 100 MG TABLET [11425],3.5,,0.98,3.01,83
NDC,60687-487-11 [323833],SPIRONOLACTONE 100 MG TABLET [11425],3.5,,0.98,3.01,83
NDC,60687-488-01 [326316],AMLODIPINE 5 MG TABLET [9071],1.65,,0.462,1.419,83
NDC,60687-488-11 [326317],AMLODIPINE 5 MG TABLET [9071],1.65,,0.462,1.419,83
NDC,60687-493-01 [334970],"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [13184]",6.7,,1.876,5.762,83
NDC,60687-493-11 [334971],"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [13184]",6.7,,1.876,5.762,83
NDC,60687-494-01 [331710],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],3.0,,0.16,2.58,84
NDC,60687-494-11 [331711],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],3.0,,0.16,2.58,84
NDC,60687-495-01 [324969],PREGABALIN 75 MG CAPSULE [42164],7.65,,2.142,6.579,83
NDC,60687-495-11 [324970],PREGABALIN 75 MG CAPSULE [42164],7.65,,2.142,6.579,83
NDC,60687-496-01 [326318],AMLODIPINE 10 MG TABLET [9069],1.65,,0.462,1.419,83
NDC,60687-496-11 [326319],AMLODIPINE 10 MG TABLET [9069],1.65,,0.462,1.419,83
NDC,60687-497-01 [328326],LEVOTHYROXINE 100 MCG TABLET [4423],2.9,,0.812,2.494,83
NDC,60687-497-11 [328327],LEVOTHYROXINE 100 MCG TABLET [4423],2.9,,0.812,2.494,83
NDC,60687-502-01 [344815],PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],5.9,,1.652,5.074,83
NDC,60687-502-11 [344816],PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],5.9,,1.652,5.074,83
NDC,60687-506-01 [324971],PREGABALIN 100 MG CAPSULE [42165],7.65,,2.142,6.579,83
NDC,60687-506-11 [324972],PREGABALIN 100 MG CAPSULE [42165],7.65,,2.142,6.579,83
NDC,60687-507-01 [330741],GABAPENTIN 600 MG TABLET [25855],3.15,,0.882,2.709,83
NDC,60687-507-11 [330742],GABAPENTIN 600 MG TABLET [25855],3.15,,0.882,2.709,83
NDC,60687-508-01 [328330],LEVOTHYROXINE 112 MCG TABLET [10404],1.65,,0.462,1.419,83
NDC,60687-508-11 [328331],LEVOTHYROXINE 112 MCG TABLET [10404],3.25,,0.91,2.795,83
NDC,60687-516-11 [396335],CINACALCET 30 MG TABLET [38100],75.8,,21.224,65.188,83
NDC,60687-516-21 [396336],CINACALCET 30 MG TABLET [38100],75.8,,21.224,65.188,83
NDC,60687-517-11 [324974],PREGABALIN 150 MG CAPSULE [42166],7.65,,2.142,6.579,83
NDC,60687-518-11 [330744],GABAPENTIN 800 MG TABLET [25856],4.4,,1.232,3.784,83
NDC,60687-519-01 [328332],LEVOTHYROXINE 125 MCG TABLET [4424],3.4,,0.952,2.924,83
NDC,60687-519-11 [328333],LEVOTHYROXINE 125 MCG TABLET [4424],3.4,,0.952,2.924,83
NDC,60687-523-11 [335909],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [132662]",161.9,,45.332,139.234,83
NDC,60687-523-21 [335910],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [132662]",161.9,,45.332,139.234,83
NDC,60687-524-79 [329905],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],36.0,,10.08,30.96,83
NDC,60687-524-83 [329906],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],36.0,,10.08,30.96,83
NDC,60687-526-01 [332988],METRONIDAZOLE 250 MG TABLET [5015],1.95,,0.546,1.677,83
NDC,60687-526-11 [332989],METRONIDAZOLE 250 MG TABLET [5015],1.95,,0.546,1.677,83
NDC,60687-527-11 [337706],URSODIOL 250 MG TABLET [22660],16.6,,4.648,14.276,83
NDC,60687-527-21 [337707],URSODIOL 250 MG TABLET [22660],16.6,,4.648,14.276,83
NDC,60687-528-11 [334030],CIPROFLOXACIN 250 MG TABLET [25118],1.65,,0.462,1.419,83
NDC,60687-530-01 [328336],LEVOTHYROXINE 150 MCG TABLET [4425],1.65,,0.462,1.419,83
NDC,60687-530-11 [328337],LEVOTHYROXINE 150 MCG TABLET [4425],3.5,,0.98,3.01,83
NDC,60687-532-11 [334976],"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR [28750]",20.65,,5.782,17.759,83
NDC,60687-532-21 [334977],"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR [28750]",20.65,,5.782,17.759,83
NDC,60687-534-40 [338677],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],98.1,,27.468,84.366,83
NDC,60687-534-52 [338678],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],101.75,,28.49,87.505,83
NDC,60687-534-78 [338679],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],101.75,,28.49,87.505,83
NDC,60687-535-01 [335911],BUMETANIDE 2 MG TABLET [9311],7.0,,1.96,6.02,83
NDC,60687-535-11 [335912],BUMETANIDE 2 MG TABLET [9311],7.0,,1.96,6.02,83
NDC,60687-541-01 [328338],LEVOTHYROXINE 175 MCG TABLET [10406],4.05,,1.134,3.483,83
NDC,60687-541-11 [328339],LEVOTHYROXINE 175 MCG TABLET [10406],4.05,,1.134,3.483,83
NDC,60687-544-11 [335916],CLONAZEPAM 0.5 MG TABLET [9637],4.05,,1.134,3.483,83
NDC,60687-549-11 [337708],"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",6.65,,1.862,5.719,83
NDC,60687-549-21 [337709],"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",6.65,,1.862,5.719,83
NDC,60687-550-01 [331714],METRONIDAZOLE 500 MG TABLET [5016],3.6,,1.008,3.096,83
NDC,60687-550-11 [331715],METRONIDAZOLE 500 MG TABLET [5016],3.6,,1.008,3.096,83
NDC,60687-552-01 [341542],LEVOTHYROXINE 200 MCG TABLET [4426],4.75,,1.33,4.085,83
NDC,60687-552-11 [341543],LEVOTHYROXINE 200 MCG TABLET [4426],4.75,,1.33,4.085,83
NDC,60687-553-01 [338680],ISONIAZID 300 MG TABLET [4027],5.25,,1.47,4.515,83
NDC,60687-553-11 [338681],ISONIAZID 300 MG TABLET [4027],5.25,,1.47,4.515,83
NDC,60687-554-11 [334980],"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR [28751]",21.05,,5.894,18.103,83
NDC,60687-554-21 [334981],"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR [28751]",21.05,,5.894,18.103,83
NDC,60687-555-01 [335917],CLONAZEPAM 1 MG TABLET [9638],4.05,,1.134,3.483,83
NDC,60687-555-11 [335918],CLONAZEPAM 1 MG TABLET [9638],4.05,,1.134,3.483,83
NDC,60687-556-32 [340640],MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [178595],32.9,,9.212,28.294,83
NDC,60687-556-33 [340641],MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [178595],32.9,,9.212,28.294,83
NDC,60687-558-01 [354259],CYCLOBENZAPRINE 10 MG TABLET [2017],1.65,,0.462,1.419,83
NDC,60687-558-11 [354260],CYCLOBENZAPRINE 10 MG TABLET [2017],1.65,,0.462,1.419,83
NDC,60687-559-01 [334675],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,60687-559-11 [334982],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,60687-563-01 [332992],LEVOTHYROXINE 137 MCG TABLET [10405],3.4,,0.952,2.924,83
NDC,60687-563-11 [332993],LEVOTHYROXINE 137 MCG TABLET [10405],3.4,,0.952,2.924,83
NDC,60687-568-01 [334674],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,60687-568-11 [334985],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,60687-570-01 [337710],PRAMIPEXOLE 0.25 MG TABLET [21290],1.65,,0.462,1.419,83
NDC,60687-570-11 [337711],PRAMIPEXOLE 0.25 MG TABLET [21290],1.65,,0.462,1.419,83
NDC,60687-572-32 [344817],PRAZOSIN 5 MG CAPSULE [6470],16.3,,4.564,14.018,83
NDC,60687-572-33 [344818],PRAZOSIN 5 MG CAPSULE [6470],16.3,,4.564,14.018,83
NDC,60687-575-11 [343469],RIFAMPIN 150 MG CAPSULE [11292],15.1,,4.228,12.986,83
NDC,60687-575-21 [343470],RIFAMPIN 150 MG CAPSULE [11292],15.1,,4.228,12.986,83
NDC,60687-576-03 [348079],MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],26.55,,7.434,22.833,83
NDC,60687-576-04 [348080],MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],26.55,,7.434,22.833,83
NDC,60687-576-10 [348081],MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],26.55,,7.434,22.833,83
NDC,60687-577-01 [347069],ROPINIROLE 0.25 MG TABLET [21688],2.65,,0.742,2.279,83
NDC,60687-577-11 [347070],ROPINIROLE 0.25 MG TABLET [21688],2.65,,0.742,2.279,83
NDC,60687-579-01 [347071],HYDROMORPHONE 2 MG TABLET [3760],3.2,,0.896,2.752,83
NDC,60687-579-11 [347072],HYDROMORPHONE 2 MG TABLET [3760],3.2,,0.896,2.752,83
NDC,60687-580-01 [341544],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,60687-580-11 [341545],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,60687-581-11 [337714],PRAMIPEXOLE 0.5 MG TABLET [22719],3.95,,1.106,3.397,83
NDC,60687-581-21 [337715],PRAMIPEXOLE 0.5 MG TABLET [22719],3.95,,1.106,3.397,83
NDC,60687-582-01 [343471],HYDROCORTISONE 10 MG TABLET [3733],7.95,,2.226,6.837,83
NDC,60687-582-11 [343472],HYDROCORTISONE 10 MG TABLET [3733],7.95,,2.226,6.837,83
NDC,60687-583-11 [352795],"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR [27635]",15.95,,4.466,13.717,83
NDC,60687-583-21 [352796],"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR [27635]",15.95,,4.466,13.717,83
NDC,60687-584-11 [359585],MIRTAZAPINE 7.5 MG TABLET [38421],13.5,,3.78,11.61,83
NDC,60687-584-21 [359586],MIRTAZAPINE 7.5 MG TABLET [38421],13.5,,3.78,11.61,83
NDC,60687-585-01 [343473],"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",1.65,,0.462,1.419,83
NDC,60687-585-11 [343474],"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",1.65,,0.462,1.419,83
NDC,60687-586-01 [343475],RIFAMPIN 300 MG CAPSULE [11293],8.85,,2.478,7.611,83
NDC,60687-586-11 [343476],RIFAMPIN 300 MG CAPSULE [11293],8.85,,2.478,7.611,83
NDC,60687-587-01 [347073],PROPRANOLOL 10 MG TABLET [6656],1.65,,0.462,1.419,83
NDC,60687-587-11 [347074],PROPRANOLOL 10 MG TABLET [6656],1.65,,0.462,1.419,83
NDC,60687-588-01 [347075],ROPINIROLE 1 MG TABLET [21689],2.75,,0.77,2.365,83
NDC,60687-588-11 [347076],ROPINIROLE 1 MG TABLET [21689],2.75,,0.77,2.365,83
NDC,60687-590-01 [347077],HYDROMORPHONE 4 MG TABLET [3761],3.55,,0.994,3.053,83
NDC,60687-590-11 [347078],HYDROMORPHONE 4 MG TABLET [3761],3.55,,0.994,3.053,83
NDC,60687-591-01 [341546],GABAPENTIN 300 MG CAPSULE [18308],1.65,,0.462,1.419,83
NDC,60687-591-11 [341547],GABAPENTIN 300 MG CAPSULE [18308],1.65,,0.462,1.419,83
NDC,60687-593-01 [343477],HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],1.65,,0.462,1.419,83
NDC,60687-593-11 [343478],HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],1.65,,0.462,1.419,83
NDC,60687-595-01 [343479],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,60687-595-11 [343480],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,60687-596-32 [343481],"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",52.05,,14.574,44.763,83
NDC,60687-596-33 [343482],"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",52.05,,14.574,44.763,83
NDC,60687-598-01 [351955],PROPRANOLOL 20 MG TABLET [6657],2.2,,0.616,1.892,83
NDC,60687-598-11 [351956],PROPRANOLOL 20 MG TABLET [6657],2.2,,0.616,1.892,83
NDC,60687-602-01 [341548],GABAPENTIN 400 MG CAPSULE [18307],1.65,,0.462,1.419,83
NDC,60687-602-11 [341549],GABAPENTIN 400 MG CAPSULE [18307],1.65,,0.462,1.419,83
NDC,60687-603-11 [353560],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],1.65,,0.462,1.419,83
NDC,60687-603-65 [353561],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],1.65,,0.462,1.419,83
NDC,60687-609-01 [352799],PROPRANOLOL 40 MG TABLET [6658],2.65,,0.742,2.279,83
NDC,60687-609-11 [352800],PROPRANOLOL 40 MG TABLET [6658],2.65,,0.742,2.279,83
NDC,60687-612-11 [348085],VALSARTAN 40 MG TABLET [33541],3.95,,1.106,3.397,83
NDC,60687-612-21 [348086],VALSARTAN 40 MG TABLET [33541],3.95,,1.106,3.397,83
NDC,60687-614-01 [353562],SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],1.65,,0.462,1.419,83
NDC,60687-614-11 [353563],SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],1.65,,0.462,1.419,83
NDC,60687-616-16 [351051],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],8.55,,2.394,7.353,83
NDC,60687-616-44 [351052],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],8.55,,2.394,7.353,83
NDC,60687-617-01 [351055],MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],6.15,,1.722,5.289,83
NDC,60687-617-11 [351056],MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],6.15,,1.722,5.289,83
NDC,60687-619-01 [355220],ACETAZOLAMIDE 250 MG TABLET [113],16.55,,4.634,14.233,83
NDC,60687-619-11 [355221],ACETAZOLAMIDE 250 MG TABLET [113],16.55,,4.634,14.233,83
NDC,60687-620-01 [351961],METOCLOPRAMIDE 5 MG TABLET [5006],2.75,,0.77,2.365,83
NDC,60687-620-11 [351962],METOCLOPRAMIDE 5 MG TABLET [5006],2.75,,0.77,2.365,83
NDC,60687-622-01 [349183],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,60687-622-11 [349184],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,60687-623-01 [348087],VALSARTAN 80 MG TABLET [31209],5.1,,1.428,4.386,83
NDC,60687-623-11 [348088],VALSARTAN 80 MG TABLET [31209],5.1,,1.428,4.386,83
NDC,60687-624-01 [357475],METOLAZONE 2.5 MG TABLET [10587],13.05,,3.654,11.223,83
NDC,60687-624-11 [357476],METOLAZONE 2.5 MG TABLET [10587],13.05,,3.654,11.223,83
NDC,60687-627-01 [355222],LORAZEPAM 0.5 MG TABLET [4572],2.85,,0.798,2.451,83
NDC,60687-627-11 [355223],LORAZEPAM 0.5 MG TABLET [4572],2.85,,0.798,2.451,83
NDC,60687-628-07 [357477],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],59.8,,16.744,51.428,83
NDC,60687-628-44 [355225],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],59.8,,16.744,51.428,83
NDC,60687-628-50 [355227],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],59.8,,16.744,51.428,83
NDC,60687-628-58 [358505],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],59.8,,16.744,51.428,83
NDC,60687-628-64 [355229],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],59.8,,16.744,51.428,83
NDC,60687-628-71 [358506],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],53.65,,15.022,46.139,83
NDC,60687-631-01 [354263],METOCLOPRAMIDE 10 MG TABLET [5005],2.85,,0.798,2.451,83
NDC,60687-631-11 [354264],METOCLOPRAMIDE 10 MG TABLET [5005],2.85,,0.798,2.451,83
NDC,60687-632-01 [365432],"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",2.85,,0.798,2.451,83
NDC,60687-632-11 [365433],"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",2.85,,0.798,2.451,83
NDC,60687-633-01 [360542],NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],13.95,,3.906,11.997,83
NDC,60687-633-11 [360543],NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],13.95,,3.906,11.997,83
NDC,60687-634-01 [348091],VALSARTAN 160 MG TABLET [31210],5.75,,1.61,4.945,83
NDC,60687-634-11 [348092],VALSARTAN 160 MG TABLET [31210],5.75,,1.61,4.945,83
NDC,60687-637-11 [354265],BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET [34714],17.4,,4.872,14.964,83
NDC,60687-637-65 [354266],BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET [34714],17.4,,4.872,14.964,83
NDC,60687-638-01 [356082],LORAZEPAM 1 MG TABLET [4573],2.85,,0.798,2.451,83
NDC,60687-639-11 [353564],CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],25.5,,7.14,21.93,83
NDC,60687-639-94 [353565],CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],25.5,,7.14,21.93,83
NDC,60687-640-01 [351057],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",2.5,,0.7,2.15,83
NDC,60687-640-11 [351058],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",2.5,,0.7,2.15,83
NDC,60687-642-01 [353566],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],3.4,,0.952,2.924,83
NDC,60687-642-11 [353567],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],3.4,,0.952,2.924,83
NDC,60687-653-01 [360548],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",4.05,,1.134,3.483,83
NDC,60687-653-11 [360549],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",4.05,,1.134,3.483,83
NDC,60687-656-11 [359595],LISINOPRIL 2.5 MG TABLET [13089],2.65,,0.742,2.279,83
NDC,60687-656-21 [359596],LISINOPRIL 2.5 MG TABLET [13089],2.65,,0.742,2.279,83
NDC,60687-657-01 [356782],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,60687-657-11 [356783],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,60687-660-01 [358507],PROMETHAZINE 12.5 MG TABLET [6621],2.45,,0.686,2.107,83
NDC,60687-660-11 [358508],PROMETHAZINE 12.5 MG TABLET [6621],2.45,,0.686,2.107,83
NDC,60687-661-01 [357478],CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],1.75,,0.49,1.505,83
NDC,60687-661-11 [357479],CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],1.75,,0.49,1.505,83
NDC,60687-662-91 [365434],ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 6.7 GRAM (ANES OSM) [40800000343],85.85,,24.038,73.831,83
NDC,60687-664-01 [360550],HYDROXYZINE HCL 10 MG TABLET [3772],1.65,,0.462,1.419,83
NDC,60687-664-11 [360551],HYDROXYZINE HCL 10 MG TABLET [3772],1.65,,0.462,1.419,83
NDC,60687-667-01 [359601],LISINOPRIL 5 MG TABLET [10451],1.65,,0.462,1.419,83
NDC,60687-667-11 [359602],LISINOPRIL 5 MG TABLET [10451],1.65,,0.462,1.419,83
NDC,60687-668-01 [356784],"LEVETIRACETAM 1,000 MG TABLET [70773]",4.35,,1.218,3.741,83
NDC,60687-668-11 [356785],"LEVETIRACETAM 1,000 MG TABLET [70773]",4.35,,1.218,3.741,83
NDC,60687-669-01 [361492],METHIMAZOLE 5 MG TABLET [10553],2.85,,0.798,2.451,83
NDC,60687-669-11 [361493],METHIMAZOLE 5 MG TABLET [10553],2.85,,0.798,2.451,83
NDC,60687-672-11 [360554],BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],9.0,,2.52,7.74,83
NDC,60687-672-65 [360555],BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],9.0,,2.52,7.74,83
NDC,60687-675-01 [360556],HYDROXYZINE HCL 25 MG TABLET [3774],1.65,,0.462,1.419,83
NDC,60687-675-11 [360557],HYDROXYZINE HCL 25 MG TABLET [3774],1.65,,0.462,1.419,83
NDC,60687-676-11 [356786],LACOSAMIDE 50 MG TABLET [96968],10.6,,2.968,9.116,83
NDC,60687-676-57 [356787],LACOSAMIDE 50 MG TABLET [96968],10.6,,2.968,9.116,83
NDC,60687-677-01 [360558],ALLOPURINOL 100 MG TABLET [310],2.0,,0.56,1.72,83
NDC,60687-677-11 [360559],ALLOPURINOL 100 MG TABLET [310],2.0,,0.56,1.72,83
NDC,60687-679-11 [366387],BISOPROLOL FUMARATE 5 MG TABLET [18288],6.2,,1.736,5.332,83
NDC,60687-679-21 [366388],BISOPROLOL FUMARATE 5 MG TABLET [18288],6.2,,1.736,5.332,83
NDC,60687-681-01 [358509],FOLIC ACID 1 MG TABLET [3233],1.65,,0.462,1.419,83
NDC,60687-681-11 [358510],FOLIC ACID 1 MG TABLET [3233],1.65,,0.462,1.419,83
NDC,60687-687-11 [356790],LACOSAMIDE 100 MG TABLET [96969],15.85,,4.438,13.631,83
NDC,60687-687-57 [356791],LACOSAMIDE 100 MG TABLET [96969],15.85,,4.438,13.631,83
NDC,60687-695-01 [368440],SUCRALFATE 1 GRAM TABLET [11442],1.85,,0.518,1.591,83
NDC,60687-695-11 [368441],SUCRALFATE 1 GRAM TABLET [11442],1.85,,0.518,1.591,83
NDC,60687-696-01 [373948],HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],2.3,,0.644,1.978,83
NDC,60687-696-11 [373949],HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],2.3,,0.644,1.978,83
NDC,60687-705-11 [363646],DEMECLOCYCLINE 300 MG TABLET [9727],53.45,,14.966,45.967,83
NDC,60687-705-65 [363647],DEMECLOCYCLINE 300 MG TABLET [9727],53.45,,14.966,45.967,83
NDC,60687-709-01 [361498],PROPAFENONE 150 MG TABLET [11146],3.75,,1.05,3.225,83
NDC,60687-709-11 [361499],PROPAFENONE 150 MG TABLET [11146],3.75,,1.05,3.225,83
NDC,60687-710-11 [365443],GUANFACINE 1 MG TABLET [10149],13.15,,3.682,11.309,83
NDC,60687-710-21 [365444],GUANFACINE 1 MG TABLET [10149],13.15,,3.682,11.309,83
NDC,60687-714-16 [377862],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],1.65,,0.462,1.419,83
NDC,60687-714-44 [377863],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],8.55,,2.394,7.353,83
NDC,60687-714-50 [377864],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],8.55,,2.394,7.353,83
NDC,60687-714-64 [377865],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],9.25,,2.59,7.955,83
NDC,60687-718-01 [363650],DEXAMETHASONE 4 MG TABLET [2327],4.8,,0.02,4.128,84
NDC,60687-718-11 [363651],DEXAMETHASONE 4 MG TABLET [2327],4.8,,0.02,4.128,84
NDC,60687-720-11 [365447],LAMIVUDINE 150 MG TABLET [15880],35.55,,9.954,30.573,83
NDC,60687-720-21 [365448],LAMIVUDINE 150 MG TABLET [15880],231.7,,64.876,199.262,83
NDC,60687-722-01 [365449],OXCARBAZEPINE 300 MG TABLET [21061],4.2,,1.176,3.612,83
NDC,60687-722-11 [365450],OXCARBAZEPINE 300 MG TABLET [21061],4.2,,1.176,3.612,83
NDC,60687-723-11 [368448],"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",8.4,,2.352,7.224,83
NDC,60687-725-01 [373952],"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",1.65,,0.462,1.419,83
NDC,60687-725-11 [373953],"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",1.65,,0.462,1.419,83
NDC,60687-727-11 [371508],COLCHICINE 0.6 MG TABLET [1821],35.8,,10.024,30.788,83
NDC,60687-727-21 [371509],COLCHICINE 0.6 MG TABLET [1821],1.65,,0.462,1.419,83
NDC,60687-730-01 [368452],MECLIZINE 25 MG TABLET [12025],2.85,,0.798,2.451,83
NDC,60687-730-11 [368453],MECLIZINE 25 MG TABLET [12025],2.85,,0.798,2.451,83
NDC,60687-730-65 [377868],MECLIZINE 25 MG TABLET [12025],3.35,,0.938,2.881,83
NDC,60687-732-11 [379266],DESMOPRESSIN 0.2 MG TABLET [16053],14.9,,4.172,12.814,83
NDC,60687-732-21 [379267],DESMOPRESSIN 0.2 MG TABLET [16053],14.9,,4.172,12.814,83
NDC,60687-733-01 [363652],OXCARBAZEPINE 600 MG TABLET [21157],7.4,,2.072,6.364,83
NDC,60687-733-11 [363653],OXCARBAZEPINE 600 MG TABLET [21157],7.4,,2.072,6.364,83
NDC,60687-734-01 [366395],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",7.6,,2.128,6.536,83
NDC,60687-734-11 [366396],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",7.6,,2.128,6.536,83
NDC,60687-736-01 [371510],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,60687-736-09 [375248],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,60687-736-11 [371511],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,60687-736-65 [371512],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,60687-738-08 [369565],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],35.25,,9.87,30.315,83
NDC,60687-738-23 [369566],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],39.5,,11.06,33.97,83
NDC,60687-738-42 [369567],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],35.25,,9.87,30.315,83
NDC,60687-738-56 [369568],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],35.0,,9.8,30.1,83
NDC,60687-739-25 [367348],AMINOCAPROIC ACID 500 MG TABLET [9063],82.1,,22.988,70.606,83
NDC,60687-739-95 [367349],AMINOCAPROIC ACID 500 MG TABLET [9063],82.1,,22.988,70.606,83
NDC,60687-740-24 [371513],ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [129461],9.75,,2.73,8.385,83
NDC,60687-740-37 [371514],ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [129461],9.75,,2.73,8.385,83
NDC,60687-742-11 [368456],AZITHROMYCIN 250 MG TABLET [20943],8.25,,2.31,7.095,83
NDC,60687-742-65 [368457],AZITHROMYCIN 250 MG TABLET [20943],7.4,,2.072,6.364,83
NDC,60687-745-01 [366397],"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",7.6,,2.128,6.536,83
NDC,60687-745-11 [366398],"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",7.6,,2.128,6.536,83
NDC,60687-752-32 [368464],DABIGATRAN ETEXILATE 150 MG CAPSULE [106491],46.15,,12.922,39.689,83
NDC,60687-752-33 [368465],DABIGATRAN ETEXILATE 150 MG CAPSULE [106491],46.15,,12.922,39.689,83
NDC,60687-754-05 [375253],LINEZOLID 100 MG/5 ML ORAL SUSPENSION [28225],1103.2,,308.896,948.752,83
NDC,60687-755-40 [371517],DIAZEPAM 5 MG/5 ML ORAL SOLUTION CONTAINER [40800003091],21.75,,6.09,18.705,83
NDC,60687-755-86 [371518],DIAZEPAM 5 MG/5 ML ORAL SOLUTION CONTAINER [40800003091],21.75,,6.09,18.705,83
NDC,60687-756-09 [379268],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",2.45,,0.686,2.107,83
NDC,60687-756-11 [379269],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",2.0,,0.56,1.72,83
NDC,60687-760-40 [372813],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],7.75,,2.17,6.665,83
NDC,60687-760-86 [372814],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],7.75,,2.17,6.665,83
NDC,60687-765-13 [373954],VALGANCICLOVIR 5 GRAM ORAL SOLUTION BOTTLE [40800004434],2036.3,,570.164,1751.218,83
NDC,60687-765-13 [373954],VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],2036.3,,570.164,1751.218,83
NDC,60687-768-11 [379272],"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",7.6,,2.128,6.536,83
NDC,60687-768-21 [379273],"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR [37648]",7.6,,2.128,6.536,83
NDC,60687-770-79 [372819],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],30.45,,8.526,26.187,83
NDC,60687-770-83 [372820],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],30.45,,8.526,26.187,83
NDC,60687-770-84 [382631],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],30.45,,8.526,26.187,83
NDC,60687-773-01 [377869],DEXAMETHASONE 2 MG TABLET [2326],3.4,,0.02,2.924,84
NDC,60687-773-11 [377870],DEXAMETHASONE 2 MG TABLET [2326],3.4,,0.02,2.924,84
NDC,60687-775-01 [372821],MECLIZINE 12.5 MG TABLET [12024],2.35,,0.658,2.021,83
NDC,60687-775-11 [372822],MECLIZINE 12.5 MG TABLET [12024],2.35,,0.658,2.021,83
NDC,60687-775-65 [377871],MECLIZINE 12.5 MG TABLET [12024],2.3,,0.644,1.978,83
NDC,60687-778-11 [379276],MEXILETINE 150 MG CAPSULE [10595],10.2,,2.856,8.772,83
NDC,60687-778-21 [379277],MEXILETINE 150 MG CAPSULE [10595],10.2,,2.856,8.772,83
NDC,60687-782-01 [379278],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",8.8,,2.464,7.568,83
NDC,60687-782-11 [379279],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",8.8,,2.464,7.568,83
NDC,60687-787-01 [393249],AMOXICILLIN 500 MG CAPSULE [451],5.35,,1.498,4.601,83
NDC,60687-787-11 [393250],AMOXICILLIN 500 MG CAPSULE [451],5.35,,1.498,4.601,83
NDC,60687-788-11 [376560],SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],5.55,,1.554,4.773,83
NDC,60687-788-21 [376561],SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],5.55,,1.554,4.773,83
NDC,60687-792-01 [381455],AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],7.05,,1.974,6.063,83
NDC,60687-792-11 [381456],AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],7.05,,1.974,6.063,83
NDC,60687-793-11 [381457],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",12.0,,3.36,10.32,83
NDC,60687-793-21 [381458],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",1.65,,0.462,1.419,83
NDC,60687-794-01 [372823],"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",2.0,,0.56,1.72,83
NDC,60687-794-11 [372824],"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",2.0,,0.56,1.72,83
NDC,60687-795-01 [380369],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,60687-795-11 [380370],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,60687-800-17 [380371],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",9.05,,2.534,7.783,83
NDC,60687-800-40 [380372],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",9.05,,2.534,7.783,83
NDC,60687-803-01 [381461],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],7.5,,2.1,6.45,83
NDC,60687-803-11 [381462],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],7.5,,2.1,6.45,83
NDC,60687-804-11 [383533],BACLOFEN 5 MG TABLET [185170],6.8,,1.904,5.848,83
NDC,60687-804-65 [383534],BACLOFEN 5 MG TABLET [185170],6.8,,1.904,5.848,83
NDC,60687-811-01 [387481],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,60687-811-11 [387482],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,60687-812-01 [380375],BUSPIRONE 10 MG TABLET [9323],1.65,,0.462,1.419,83
NDC,60687-812-11 [380376],BUSPIRONE 10 MG TABLET [9323],1.65,,0.462,1.419,83
NDC,60687-815-01 [383537],BACLOFEN 10 MG TABLET [860],2.3,,0.644,1.978,83
NDC,60687-815-11 [383538],BACLOFEN 10 MG TABLET [860],2.3,,0.644,1.978,83
NDC,60687-818-40 [387485],METHADONE 5 MG/5 ML ORAL SOLUTION [4952],12.95,,3.626,11.137,83
NDC,60687-818-46 [387486],METHADONE 5 MG/5 ML ORAL SOLUTION [4952],12.95,,3.626,11.137,83
NDC,60687-818-86 [387487],METHADONE 5 MG/5 ML ORAL SOLUTION [4952],12.95,,3.626,11.137,83
NDC,60687-820-01 [402380],LORAZEPAM 0.5 MG TABLET [4572],2.85,,0.798,2.451,83
NDC,60687-820-11 [402381],LORAZEPAM 0.5 MG TABLET [4572],4.85,,1.358,4.171,83
NDC,60687-822-01 [380379],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,60687-822-11 [380380],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,60687-823-01 [380381],BUSPIRONE 15 MG TABLET [17464],1.65,,0.462,1.419,83
NDC,60687-823-11 [380382],BUSPIRONE 15 MG TABLET [17464],2.6,,0.728,2.236,83
NDC,60687-825-11 [387488],PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],6.9,,1.932,5.934,83
NDC,60687-825-65 [387489],PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],6.9,,1.932,5.934,83
NDC,60687-829-40 [385553],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],9.8,,2.744,8.428,83
NDC,60687-829-86 [385554],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],9.8,,2.744,8.428,83
NDC,60687-831-01 [402387],LORAZEPAM 1 MG TABLET [4573],5.15,,1.442,4.429,83
NDC,60687-831-11 [402388],LORAZEPAM 1 MG TABLET [4573],5.15,,1.442,4.429,83
NDC,60687-833-01 [380383],HYDRALAZINE 50 MG TABLET [3701],1.65,,0.462,1.419,83
NDC,60687-833-11 [380384],HYDRALAZINE 50 MG TABLET [3701],1.65,,0.462,1.419,83
NDC,60687-836-01 [381463],CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],1.75,,0.49,1.505,83
NDC,60687-836-11 [381464],CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],1.75,,0.49,1.505,83
NDC,60687-838-01 [387493],ZOLPIDEM 5 MG TABLET [11701],2.85,,0.798,2.451,83
NDC,60687-838-11 [387494],ZOLPIDEM 5 MG TABLET [11701],2.85,,0.798,2.451,83
NDC,60687-841-01 [387495],PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],7.4,,2.072,6.364,83
NDC,60687-841-11 [387496],PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],7.4,,2.072,6.364,83
NDC,60687-844-11 [387497],HYDROCORTISONE 5 MG TABLET [10209],8.1,,2.268,6.966,83
NDC,60687-844-21 [397399],HYDROCORTISONE 5 MG TABLET [10209],8.1,,2.268,6.966,83
NDC,60687-847-42 [391276],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],194.15,,54.362,166.969,83
NDC,60687-847-48 [391278],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],194.15,,54.362,166.969,83
NDC,60687-851-40 [389676],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],10.35,,2.898,8.901,83
NDC,60687-851-77 [389677],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],10.35,,2.898,8.901,83
NDC,60687-854-01 [389678],PREDNISONE 50 MG TABLET [6498],2.15,,0.602,1.849,83
NDC,60687-854-11 [389679],PREDNISONE 50 MG TABLET [6498],2.15,,0.602,1.849,83
NDC,60687-856-01 [393258],ACYCLOVIR 400 MG TABLET [8971],2.05,,0.574,1.763,83
NDC,60687-856-11 [393259],ACYCLOVIR 400 MG TABLET [8971],2.05,,0.574,1.763,83
NDC,60687-858-01 [392164],DIGOXIN 125 MCG (0.125 MG) TABLET [2444],5.8,,1.624,4.988,83
NDC,60687-858-11 [392165],DIGOXIN 125 MCG (0.125 MG) TABLET [2444],5.8,,1.624,4.988,83
NDC,60687-860-01 [387499],CIPROFLOXACIN 500 MG TABLET [25119],1.75,,0.49,1.505,83
NDC,60687-860-11 [387500],CIPROFLOXACIN 500 MG TABLET [25119],1.75,,0.49,1.505,83
NDC,60687-861-01 [393262],CLONAZEPAM 0.5 MG TABLET [9637],4.05,,1.134,3.483,83
NDC,60687-861-11 [393263],CLONAZEPAM 0.5 MG TABLET [9637],4.05,,1.134,3.483,83
NDC,60687-863-42 [388556],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],8.85,,2.478,7.611,83
NDC,60687-863-56 [388557],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],8.85,,2.478,7.611,83
NDC,60687-865-01 [393264],ESCITALOPRAM 5 MG TABLET [37635],1.7,,0.476,1.462,83
NDC,60687-865-11 [393265],ESCITALOPRAM 5 MG TABLET [37635],1.7,,0.476,1.462,83
NDC,60687-868-01 [393268],"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",1.65,,0.462,1.419,83
NDC,60687-868-11 [393269],"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",1.65,,0.462,1.419,83
NDC,60687-869-01 [392166],DIGOXIN 250 MCG (0.25 MG) TABLET [2445],6.5,,1.82,5.59,83
NDC,60687-869-11 [392167],DIGOXIN 250 MCG (0.25 MG) TABLET [2445],6.5,,1.82,5.59,83
NDC,60687-872-01 [393270],CLONAZEPAM 1 MG TABLET [9638],4.05,,1.134,3.483,83
NDC,60687-872-11 [393271],CLONAZEPAM 1 MG TABLET [9638],4.05,,1.134,3.483,83
NDC,60687-877-45 [397402],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],14.95,,4.186,12.857,83
NDC,60687-877-76 [397403],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],14.95,,4.186,12.857,83
NDC,60687-878-42 [395533],DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],6.2,,1.736,5.332,83
NDC,60687-878-56 [395534],DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [36962],6.2,,1.736,5.332,83
NDC,60687-879-11 [392168],"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",1.7,,0.476,1.462,83
NDC,60687-879-61 [392169],"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",1.7,,0.476,1.462,83
NDC,60687-883-11 [394460],PRASUGREL HCL 10 MG TABLET [98373],8.7,,2.436,7.482,83
NDC,60687-883-21 [394461],PRASUGREL HCL 10 MG TABLET [98373],8.7,,2.436,7.482,83
NDC,60687-884-07 [395535],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],20.05,,5.614,17.243,83
NDC,60687-884-16 [395536],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],13.45,,3.766,11.567,83
NDC,60687-884-44 [395309],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],20.05,,5.614,17.243,83
NDC,60687-884-50 [395537],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],20.05,,5.614,17.243,83
NDC,60687-884-58 [395538],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],26.35,,7.378,22.661,83
NDC,60687-886-01 [394468],PRAVASTATIN 10 MG TABLET [11110],2.35,,0.658,2.021,83
NDC,60687-886-11 [394469],PRAVASTATIN 10 MG TABLET [11110],2.35,,0.658,2.021,83
NDC,60687-890-01 [399501],DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],7.65,,2.142,6.579,83
NDC,60687-890-11 [399502],DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],7.65,,2.142,6.579,83
NDC,60687-896-11 [403686],LISDEXAMFETAMINE 20 MG CAPSULE [89783],35.1,,9.828,30.186,83
NDC,60687-896-21 [403687],LISDEXAMFETAMINE 20 MG CAPSULE [89783],35.1,,9.828,30.186,83
NDC,60687-897-01 [394470],PRAVASTATIN 20 MG TABLET [11111],3.3,,0.924,2.838,83
NDC,60687-897-11 [394471],PRAVASTATIN 20 MG TABLET [11111],3.3,,0.924,2.838,83
NDC,60687-903-01 [404923],PREDNISONE 5 MG TABLET [6497],1.65,,0.462,1.419,83
NDC,60687-903-11 [404924],PREDNISONE 5 MG TABLET [6497],1.65,,0.462,1.419,83
NDC,60687-908-01 [394472],PRAVASTATIN 40 MG TABLET [11112],4.3,,1.204,3.698,83
NDC,60687-908-11 [394473],PRAVASTATIN 40 MG TABLET [11112],4.3,,1.204,3.698,83
NDC,60687-911-01 [403694],NORTRIPTYLINE 25 MG CAPSULE [5675],2.95,,0.826,2.537,83
NDC,60687-911-11 [403695],NORTRIPTYLINE 25 MG CAPSULE [5675],2.95,,0.826,2.537,83
NDC,60687-914-01 [403696],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,60687-914-11 [403697],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,60687-925-01 [404935],PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,83
NDC,60687-925-11 [404936],PREDNISONE 20 MG TABLET [6496],1.65,,0.462,1.419,83
NDC,6068783445 [385560],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],26.0,,7.28,22.36,83
NDC,6068783476 [385561],SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],26.0,,7.28,22.36,83
NDC,60758-119-05 [86235],"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",151.05,,42.294,129.903,83
NDC,60758-119-15 [86237],"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",432.45,,121.086,371.907,83
NDC,60758-188-05 [86238],GENTAMICIN 0.3 % EYE DROPS [3428],20.7,,5.796,17.802,83
NDC,60758-801-05 [86242],TIMOLOL MALEATE 0.5 % EYE DROPS [11562],25.95,,7.266,22.317,83
NDC,60758-802-05 [86245],TIMOLOL MALEATE 0.25 % EYE DROPS [11561],14.15,,3.962,12.169,83
NDC,60758-880-05 [86251],"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION [3208]",265.8,,74.424,228.588,83
NDC,60758-880-10 [86252],"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION [3208]",507.35,,142.058,436.321,83
NDC,60793-115-01 [126508],LIOTHYRONINE 5 MCG TABLET [10443],1.95,,0.546,1.677,83
NDC,60793-116-01 [129055],LIOTHYRONINE 25 MCG TABLET [4504],2.65,,0.742,2.279,83
NDC,60793-205-05 [160540],"THROMBIN (BOVINE) 5,000 UNIT NASAL SPRAY SYRINGE [131346]",289.85,,81.158,249.271,83
NDC,60793-215-05 [166124],"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION [128323]",260.1,,72.828,223.686,83
NDC,60793-215-05 [166124],"THROMBIN (BOVINE) 5,000 UNITS (1,000 U/ML) TOP SOL (RN OSM) [40800000815]",260.1,,72.828,223.686,83
NDC,60793-215-05 [166124],"THROMBIN (BOVINE) 5,000 UNITS (2,000 U/ML) TOP SOL (RN OSM) [40800000816]",260.1,,72.828,223.686,83
NDC,60793-217-21 [166126],"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY [124232]",1120.6,,313.768,963.716,83
NDC,60793-217-21 [166126],"THROMBIN (BOVINE) 20,000 UNITS (1,000 UNITS/ML) TOP SPRAY (RN OSM) [40800000811]",1120.6,,313.768,963.716,83
NDC,60793-217-21 [166126],"THROMBIN (BOVINE) 20,000 UNITS (2,000 UNITS/ML) TOP SPRAY (RN OSM) [40800000812]",1120.6,,313.768,963.716,83
NDC,60793-217-22 [166127],"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE [131345]",1120.6,,313.768,963.716,83
NDC,60793-217-22 [166127],"THROMBIN (BOVINE) 20,000 UNITS (1,000 U/ML) TOP SYRINGE (RN OSM) [40800000813]",1120.6,,313.768,963.716,83
NDC,60793-217-22 [166127],"THROMBIN (BOVINE) 20,000 UNITS (2,000 U/ML) TOP SYRINGE (RN OSM) [40800000814]",1120.6,,313.768,963.716,83
NDC,60793-315-01 [333525],"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION [128323]",246.35,,68.978,211.861,83
NDC,60793-701-02 [237253],"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [108049]",1232.45,,29.3,1059.907,86
NDC,60793-701-10 [142935],"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [108049]",1232.45,,29.3,1059.907,86
NDC,60793-854-01 [160559],LEVOTHYROXINE 100 MCG TABLET [4423],4.8,,1.344,4.128,83
NDC,60846-810-01 [262418],LEVOTHYROXINE 175 MCG TABLET [10406],21.05,,5.894,18.103,83
NDC,60951-602-70 [86474],OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],2.85,,0.798,2.451,83
NDC,60951-795-70 [200016],OXYMORPHONE 10 MG TABLET [76676],20.5,,5.74,17.63,83
NDC,61269-220-41 [348097],CLOTRIMAZOLE 1 % VAGINAL CREAM [1769],19.05,,5.334,16.383,83
NDC,61269-343-56 [349195],HYDROCORTISONE 1 % TOPICAL CREAM [3726],6.35,,1.778,5.461,83
NDC,61269-410-20 [331721],ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION [17451],558.1,,1.3,479.966,84
NDC,61269-410-20 [331721],ETOPOSIDE PHOSPHATE INFUSION 20 MG/ML (MAX CONC) [40800003872],558.1,,1.3,479.966,84
NDC,61269-410-20 [331721],ETOPOSIDE PHOSPHATE INJ 20 MG/ML [40800000116],558.1,,1.3,479.966,84
NDC,61269-410-20 [331721],ETOPOSIDE PHOSPHATE IVPB 20 MG/ML (MAX CONC) [40800004208],558.1,,1.3,479.966,84
NDC,61269-485-10 [372831],VALGANCICLOVIR 5 GRAM ORAL SOLUTION BOTTLE [40800004434],3505.85,,981.638,3015.031,83
NDC,61269-485-10 [372831],VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],3505.85,,981.638,3015.031,83
NDC,61269-610-10 [354277],CLONAZEPAM 1 MG TABLET [9638],15.05,,4.214,12.943,83
NDC,61269-735-56 [348101],MICONAZOLE NITRATE 2 % TOPICAL CREAM [5039],11.3,,3.164,9.718,83
NDC,61269-736-07 [347083],MICONAZOLE NITRATE 100 MG VAGINAL SUPPOSITORY [10603],38.7,,10.836,33.282,83
NDC,61314-014-05 [160594],DICLOFENAC 0.1 % EYE DROPS [19714],53.95,,15.106,46.397,83
NDC,61314-014-25 [160595],DICLOFENAC 0.1 % EYE DROPS [19714],40.45,,11.326,34.787,83
NDC,61314-016-01 [86597],PROPARACAINE 0.5 % EYE DROPS [6644],120.5,,33.74,103.63,83
NDC,61314-019-10 [183780],DORZOLAMIDE 2 % EYE DROPS [14471],85.8,,24.024,73.788,83
NDC,61314-030-02 [190199],DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],68.65,,19.222,59.039,83
NDC,61314-126-05 [190200],KETOROLAC 0.5 % EYE DROPS [19733],96.1,,26.908,82.646,83
NDC,61314-144-05 [190202],BRIMONIDINE 0.15 % EYE DROPS [31158],502.4,,140.672,432.064,83
NDC,61314-203-15 [86602],PILOCARPINE 1 % EYE DROPS [6279],270.65,,75.782,232.759,83
NDC,61314-206-15 [86604],PILOCARPINE 4 % EYE DROPS [6282],277.0,,77.56,238.22,83
NDC,61314-226-05 [86609],TIMOLOL MALEATE 0.25 % EYE DROPS [11561],24.55,,6.874,21.113,83
NDC,61314-227-05 [86612],TIMOLOL MALEATE 0.5 % EYE DROPS [11562],37.2,,10.416,31.992,83
NDC,61314-227-10 [86613],TIMOLOL MALEATE 0.5 % EYE DROPS [11562],54.45,,15.246,46.827,83
NDC,61314-227-15 [86614],TIMOLOL MALEATE 0.5 % EYE DROPS [11562],70.4,,19.712,60.544,83
NDC,61314-318-01 [308472],FILGRASTIM-SNDZ (ZARXIO) INJ CONTAINER [40800002662],833.0,,0.35,716.38,86
NDC,61314-318-01 [308472],FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE (DOSES < 300 MCG) [40800002671],833.0,,0.35,716.38,86
NDC,61314-318-01 [308472],FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [173703],833.0,,0.35,716.38,86
NDC,61314-318-05 [311287],FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE (DOSES < 300 MCG) [40800002671],836.95,,0.35,719.777,86
NDC,61314-318-05 [311287],FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [173703],836.95,,0.35,719.777,86
NDC,61314-318-10 [310450],FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE (DOSES < 300 MCG) [40800002671],833.0,,0.35,716.38,86
NDC,61314-318-10 [310450],FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [173703],833.0,,0.35,716.38,86
NDC,61314-326-01 [308473],FILGRASTIM-SNDZ (ZARXIO) INJ CONTAINER [40800002662],1332.75,,0.35,1146.165,86
NDC,61314-326-01 [308473],FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE (DOSES > 300 MCG AND < 480 MCG) [40800002672],1332.75,,0.35,1146.165,86
NDC,61314-326-01 [308473],FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [173702],1332.75,,0.35,1146.165,86
NDC,61314-326-05 [311696],FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [173702],1332.75,,0.35,1146.165,86
NDC,61314-326-10 [310872],FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE (DOSES > 300 MCG AND < 480 MCG) [40800002672],1332.75,,0.35,1146.165,86
NDC,61314-326-10 [310872],FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [173702],1332.75,,0.35,1146.165,86
NDC,61314-355-02 [86637],TROPICAMIDE 1 % EYE DROPS [8250],105.05,,29.414,90.343,83
NDC,61314-396-01 [86638],CYCLOPENTOLATE 1 % EYE DROPS [2025],46.05,,12.894,39.603,83
NDC,61314-396-03 [86639],CYCLOPENTOLATE 1 % EYE DROPS [2025],96.1,,26.908,82.646,83
NDC,61314-547-01 [206450],LATANOPROST 0.005 % EYE DROPS [18621],41.25,,11.55,35.475,83
NDC,61314-547-03 [206451],LATANOPROST 0.005 % EYE DROPS [18621],51.65,,14.462,44.419,83
NDC,61314-630-06 [86643],"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS [10708]",61.8,,17.304,53.148,83
NDC,61314-631-36 [86644],"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [106249]",61.8,,17.304,53.148,83
NDC,61314-633-05 [86645],GENTAMICIN 0.3 % EYE DROPS [3428],23.7,,6.636,20.382,83
NDC,61314-637-05 [86646],"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",151.9,,42.532,130.634,83
NDC,61314-637-10 [86647],"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",289.75,,81.13,249.185,83
NDC,61314-637-15 [86648],"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",418.45,,117.166,359.867,83
NDC,61314-643-05 [86652],TOBRAMYCIN 0.3 % EYE DROPS [7995],59.75,,16.73,51.385,83
NDC,61314-656-05 [106040],CIPROFLOXACIN 0.3 % EYE DROPS [9610],53.95,,15.106,46.397,83
NDC,61314-656-10 [106041],CIPROFLOXACIN 0.3 % EYE DROPS [9610],75.55,,21.154,64.973,83
NDC,61314-665-05 [190205],APRACLONIDINE 0.5 % EYE DROPS [9119],220.55,,61.754,189.673,83
NDC,61314-672-25 [291961],GATIFLOXACIN 0.5 % EYE DROPS [105011],162.25,,45.43,139.535,83
NDC,61364-181-01 [274436],PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [170179],1037.4,,1.68,892.164,85
NDC,61364-181-03 [274437],PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [170179],1037.4,,1.68,892.164,85
NDC,61442-112-01 [86705],ACYCLOVIR 400 MG TABLET [8971],1.65,,0.462,1.419,83
NDC,61442-115-01 [206454],GLIMEPIRIDE 1 MG TABLET [16355],2.0,,0.56,1.72,83
NDC,61442-117-01 [206456],GLIMEPIRIDE 4 MG TABLET [16357],6.0,,1.68,5.16,83
NDC,61442-121-01 [195086],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,61442-223-01 [190225],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,61553-236-93 [290898],FENTANYL (PF) 25 MCG/ML IN 0.9 % SODIUM CHLORIDE INJECTION [127039],28.6,,0.96,24.596,84
NDC,61553-287-50 [293849],BUPIVACAINE 0.075%-FENTANYL 5 MCG/ML EPIDURAL INFUSION (PREMIX) [40800000704],26381.25,,7386.75,22687.875,83
NDC,61553-477-50  [268358],BUPIVACAINE 0.075%-HYDROMORPHONE 5 MCG/ML EPIDURAL INFUSION (PREMIX) [40800000702],69.25,,19.39,59.555,83
NDC,61553-480-50  [268359],BUPIVACAINE 0.075%-HYDROMORPHONE 10 MCG/ML EPIDURAL INFUSION (PREMIX) [40800000703],65.1,,18.228,55.986,83
NDC,61570-131-20 [86811],SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],35.0,,9.8,30.1,83
NDC,61570-131-40 [86812],SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],169.35,,47.418,145.641,83
NDC,61703-262-05 [358515],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],66.2,,2.11,56.932,84
NDC,61703-262-05 [358515],CARBOPLATIN 10 MG/ML SUBCONJUNCTIVAL INJECTION [40800000113],66.2,,2.11,56.932,84
NDC,61703-305-38 [86973],CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ (RETAIL PHARMACY USE) [40800003972],31.15,,0.81,26.789,84
NDC,61703-305-38 [86973],CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION [96982],31.15,,0.81,26.789,84
NDC,61703-305-58 [323867],CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ (RETAIL PHARMACY USE) [40800003972],31.15,,0.81,26.789,84
NDC,61703-305-58 [323867],CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION [96982],31.15,,0.81,26.789,84
NDC,61703-309-06 [86975],VINCRISTINE 1 MG/ML INJ CONTAINER [40800000422],64.0,,7.86,55.04,84
NDC,61703-309-06 [86975],VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],64.0,,7.86,55.04,84
NDC,61703-309-16 [86976],VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [128821],65.05,,7.86,55.943,84
NDC,61703-309-25 [262505],VINCRISTINE 1 MG/ML INJ CONTAINER [40800000422],42.5,,7.86,36.55,84
NDC,61703-309-25 [262505],VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [128821],42.5,,7.86,36.55,84
NDC,61703-309-26 [262506],VINCRISTINE 1 MG/ML INJ CONTAINER [40800000422],28.15,,7.86,24.209,84
NDC,61703-309-26 [262506],VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],28.15,,7.86,24.209,84
NDC,61703-319-22 [86982],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],69.75,,0.81,59.985,84
NDC,61703-319-22 [86982],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) IV INJECTION SOLUTION [40800002451],69.75,,0.81,59.985,84
NDC,61703-319-22 [86982],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) IV PUSH INJECTION [40800004009],69.75,,0.81,59.985,84
NDC,61703-319-22 [86982],CYTARABINE IVPB 100 MG/ML (MAX CONC) (PEDI) [40800004206],69.75,,0.81,59.985,84
NDC,61703-323-22 [86991],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR INFUSION) [40800002695],306.7,,20.9,263.762,84
NDC,61703-323-22 [86991],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR IVPB) [40800000102],306.7,,20.9,263.762,84
NDC,61703-323-22 [86991],BLEOMYCIN 3 UNITS/ML INTRALESIONAL INJ CONTAINER [40800003129],306.7,,20.9,263.762,84
NDC,61703-323-22 [86991],BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],306.7,,20.9,263.762,84
NDC,61703-323-22 [86991],BLEOMYCIN 6 UNITS/ML SCLEROTHERAPY INJ CONTAINER [40800002630],306.7,,20.9,263.762,84
NDC,61703-324-18 [142945],PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],55.65,,11.16,47.859,84
NDC,61703-326-18 [126510],PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],128.65,,11.16,110.639,84
NDC,61703-339-50 [113027],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],161.8,,2.11,139.148,84
NDC,61703-339-56 [118709],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],203.05,,2.11,174.623,84
NDC,61703-342-22 [106052],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",96.8,,0.11,83.248,84
NDC,61703-342-50 [106053],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",244.7,,0.11,210.442,84
NDC,61703-343-65 [133314],"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [93747]",706.65,,29.6,607.719,86
NDC,61703-349-09 [160599],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],75.45,,1.4,64.887,84
NDC,61703-350-09 [285696],METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION [4974],25.1,,2.26,21.586,84
NDC,61703-350-38 [126512],METHOTREXATE SODIUM 25 MG/ML INJ CONTAINER [40840000843],34.5,,2.26,29.67,84
NDC,61703-350-38 [126512],METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION [4974],34.5,,2.26,29.67,84
NDC,61703-408-25 [262507],METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],48.8,,2.26,41.968,84
NDC,61703-408-41 [102919],METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [117032],132.4,,2.26,113.864,84
NDC,61703-600-05 [358516],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],94.6,,2.11,81.356,84
NDC,61748-012-11 [87019],PYRAZINAMIDE 500 MG TABLET [6738],24.65,,6.902,21.199,83
NDC,61755-005-01 [329915],AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SYRINGE [190086],6073.85,,731.89,5223.511,86
NDC,61755-008-01 [313044],CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [186523],37132.35,,28.7,31933.821,86
NDC,61755-054-00 [398453],LINVOSELTAMAB-GCPT 2 MG/ML INTRAVENOUS SOLUTION [209547],1539.75,,111.343,1324.185,84
NDC,61755-054-01 [398454],LINVOSELTAMAB-GCPT 2 MG/ML INTRAVENOUS SOLUTION [209547],1539.75,,111.343,1324.185,84
NDC,61755-056-00 [398455],LINVOSELTAMAB-GCPT 20 MG/ML INTRAVENOUS SOLUTION [209545],61588.8,,111.343,52966.368,84
NDC,61755-056-01 [398456],LINVOSELTAMAB-GCPT 20 MG/ML INTRAVENOUS SOLUTION [209545],61588.8,,111.343,52966.368,84
NDC,61802-9800-31 [268297],VITAMIN E-COCONUT OIL MOUTH MOISTURIZER [40800000427],11.4,,3.192,9.804,83
NDC,61924-0304-12 [322403],LANOLIN 50 % TOPICAL OINTMENT [129174],40.4,,11.312,34.744,83
NDC,61924-304-04 [323478],LANOLIN 50 % TOPICAL OINTMENT [129174],23.45,,6.566,20.167,83
NDC,61958-0401-1 [87183],TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [31684],143.45,,40.166,123.367,83
NDC,61958-0501-1 [87184],ADEFOVIR 10 MG TABLET [33816],186.55,,52.234,160.433,83
NDC,61958-0601-1 [87185],EMTRICITABINE 200 MG CAPSULE [36252],61.4,,17.192,52.804,83
NDC,61958-0602-1 [129058],EMTRICITABINE 10 MG/ML ORAL SOLUTION [42989],414.95,,116.186,356.857,83
NDC,61958-1003-1 [222143],"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",32.5,,9.1,27.95,83
NDC,61958-1101-1 [213539],EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR DISPROX 300 MG TABLET [111273],439.55,,123.074,378.013,83
NDC,61958-1401-1 [266874],COBICISTAT 150 MG TABLET [166197],40.45,,11.326,34.787,83
NDC,61958-2002-1 [285736],EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET [177129],251.95,,70.546,216.677,83
NDC,61958-2301-1 [293290],TENOFOVIR ALAFENAMIDE 25 MG TABLET [180140],185.0,,51.8,159.1,83
NDC,61958-2501-1 [306210],BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [184596],460.4,,128.912,395.944,83
NDC,61958-2501-3 [347091],BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [184596],460.4,,128.912,395.944,83
NDC,61958-2901-2 [340661],REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION [191358],2321.5,,6.73,1996.49,86
NDC,61958-2901-2 [340661],REMDESIVIR 100 MG/20 ML (5 MG/ML) INTRAVENOUS POWDER [40800003542],2321.5,,6.73,1996.49,86
NDC,61959-001-01 [368480],LIDOCAINE 5 % TOPICAL PATCH [28203],95.45,,26.726,82.087,83
NDC,61959-001-30 [368481],LIDOCAINE 5 % TOPICAL PATCH [28203],95.45,,26.726,82.087,83
NDC,61990-0611-0 [328375],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",37.95,,10.626,32.637,83
NDC,61990-0611-0 [328375],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],37.95,,10.626,32.637,83
NDC,61990-0611-2 [328376],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",37.95,,10.626,32.637,83
NDC,61990-0611-2 [328376],TRANEXAMIC ACID 100 MG/ML TOPICAL SOAK [40800003646],37.95,,10.626,32.637,83
NDC,62037-560-01 [175190],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",2.85,,0.798,2.451,83
NDC,62135-010-47 [365474],AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION [365],1637.4,,458.472,1408.164,83
NDC,62135-191-22 [321853],CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],3.35,,0.938,2.881,83
NDC,62135-417-46 [333001],DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION [9902],62.5,,17.5,53.75,83
NDC,62135-502-47 [362681],HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],1637.4,,458.472,1408.164,83
NDC,62135-576-30 [373957],AMIODARONE 100 MG TABLET [36959],13.55,,3.794,11.653,83
NDC,62135-625-60 [350178],DOXYCYCLINE HYCLATE 50 MG TABLET [179418],41.75,,11.69,35.905,83
NDC,62135-929-43 [360590],RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],393.15,,110.082,338.109,83
NDC,62135-960-01 [347105],SULFASALAZINE 500 MG TABLET [7562],9.5,,2.66,8.17,83
NDC,62175-310-37 [245309],"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR [28750]",25.85,,7.238,22.231,83
NDC,62175-470-32 [289463],"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR [32631]",5.3,,1.484,4.558,83
NDC,62175-471-32 [289464],"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [32632]",5.55,,1.554,4.773,83
NDC,62225-300-00 [404944],NARSOPLIMAB-WUUG 370 MG/2 ML (185 MG/ML) INTRAVENOUS SOLUTION [211232],120573.2,,33760.496,103692.952,83
NDC,62327-222-02 [307283],STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION [184814],447.2,,125.216,384.592,83
NDC,62327-222-42 [307284],STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION [184814],447.2,,125.216,384.592,83
NDC,62327-333-03 [307285],STERILE TALC 3 GRAM INTRAPLEURAL AEROSOL POWDER [184815],463.0,,129.64,398.18,83
NDC,62327-333-43 [307286],STERILE TALC 3 GRAM INTRAPLEURAL AEROSOL POWDER [184815],463.0,,129.64,398.18,83
NDC,62327-444-04 [302161],STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION [184816],458.65,,128.422,394.439,83
NDC,62332-025-31 [285762],"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR [12098]",6.2,,1.736,5.332,83
NDC,62332-028-30 [291975],LOSARTAN 50 MG TABLET [14824],2.05,,0.574,1.763,83
NDC,62332-030-31 [285764],ROPINIROLE 0.25 MG TABLET [21688],1.65,,0.462,1.419,83
NDC,62332-035-31 [285769],ROPINIROLE 4 MG TABLET [26429],1.65,,0.462,1.419,83
NDC,62332-039-60 [306217],LAMOTRIGINE 150 MG TABLET [14266],1.65,,0.462,1.419,83
NDC,62332-041-30 [291981],IRBESARTAN 75 MG TABLET [21847],1.7,,0.476,1.462,83
NDC,62332-042-30 [291983],IRBESARTAN 150 MG TABLET [21848],1.8,,0.504,1.548,83
NDC,62332-042-90 [291985],IRBESARTAN 150 MG TABLET [21848],1.8,,0.504,1.548,83
NDC,62332-043-30 [291986],IRBESARTAN 300 MG TABLET [21849],2.15,,0.602,1.849,83
NDC,62332-043-90 [291988],IRBESARTAN 300 MG TABLET [21849],2.15,,0.602,1.849,83
NDC,62332-046-90 [289471],VALSARTAN 160 MG TABLET [31210],2.4,,0.672,2.064,83
NDC,62332-099-30 [296590],ARIPIPRAZOLE 10 MG TABLET [34369],1.65,,0.462,1.419,83
NDC,62332-113-31 [285778],METOPROLOL TARTRATE 50 MG TABLET [5009],1.65,,0.462,1.419,83
NDC,62332-132-30 [297595],OLMESARTAN 20 MG TABLET [32762],1.9,,0.532,1.634,83
NDC,62332-133-30 [297597],OLMESARTAN 40 MG TABLET [32763],1.9,,0.532,1.634,83
NDC,62332-141-31 [285781],CELECOXIB 100 MG CAPSULE [24500],1.65,,0.462,1.419,83
NDC,62332-142-31 [285782],CELECOXIB 200 MG CAPSULE [24501],2.85,,0.798,2.451,83
NDC,62332-246-31 [299349],AMANTADINE HCL 100 MG CAPSULE [364],1.9,,0.532,1.634,83
NDC,62332-324-30 [329229],DEFERASIROX 125 MG DISPERSIBLE TABLET [43415],6.55,,1.834,5.633,83
NDC,62332-325-30 [329230],DEFERASIROX 250 MG DISPERSIBLE TABLET [43416],12.45,,3.486,10.707,83
NDC,62332-326-30 [329231],DEFERASIROX 500 MG DISPERSIBLE TABLET [43417],24.3,,6.804,20.898,83
NDC,62332-365-06 [327414],CLONAZEPAM 0.25 MG DISINTEGRATING TABLET [35626],5.7,,1.596,4.902,83
NDC,62332-415-10 [327420],OSELTAMIVIR 75 MG CAPSULE [26546],37.95,,10.626,32.637,83
NDC,62332-423-05 [376605],ACYCLOVIR 5 % TOPICAL CREAM [8967],327.6,,91.728,281.736,83
NDC,62332-499-60 [351987],DOXYCYCLINE HYCLATE 50 MG TABLET [179418],41.75,,11.69,35.905,83
NDC,62332-556-60 [398461],SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [173967],6.5,,1.82,5.59,83
NDC,62332-557-60 [398463],SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [173968],6.5,,1.82,5.59,83
NDC,62332-582-04 [363672],LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],39.2,,10.976,33.712,83
NDC,62332-582-31 [358534],LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],77.75,,21.77,66.865,83
NDC,62332-619-31 [368514],CYCLOPHOSPHAMIDE 50 MG CAPSULE [162638],13.9,,1.98,11.954,84
NDC,62332-623-60 [381504],CLINDAMYCIN 1 % TOPICAL GEL [9623],103.0,,28.84,88.58,83
NDC,62332-632-60 [366429],DESONIDE 0.05 % TOPICAL CREAM [2291],282.3,,79.044,242.778,83
NDC,62332-741-30 [387529],ACITRETIN 10 MG CAPSULE [13980],15.8,,4.424,13.588,83
NDC,62332-751-50 [368515],FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],88.25,,1.72,75.895,84
NDC,62332-751-50 [368515],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],88.25,,1.72,75.895,84
NDC,62332-788-31 [387532],FLUPHENAZINE 1 MG TABLET [3218],1.65,,0.462,1.419,83
NDC,62484-0020-2 [304534],MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION [164320],4694.25,,4.3,4037.055,84
NDC,62559-138-07 [231320],HYDROCORTISONE 100 MG/60 ML ENEMA [10210],73.65,,20.622,63.339,83
NDC,62559-149-01 [222260],ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET [9960],15.5,,4.34,13.33,83
NDC,62559-150-01 [222261],ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET [9959],15.5,,4.34,13.33,83
NDC,62559-153-04 [206464],OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL [99405],1475.4,,413.112,1268.844,83
NDC,62559-157-10 [333006],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],6.35,,1.778,5.461,83
NDC,62559-157-17 [340734],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],6.35,,1.778,5.461,83
NDC,62559-157-30 [333007],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],6.35,,1.778,5.461,83
NDC,62559-190-16 [274558],METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION SYRINGE (PEDI) [40840005202],240.8,,67.424,207.088,83
NDC,62559-190-16 [274558],METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [77725],240.8,,67.424,207.088,83
NDC,62559-230-01 [274559],PROPAFENONE 150 MG TABLET [11146],1.65,,0.462,1.419,83
NDC,62559-231-01 [274560],PROPAFENONE 225 MG TABLET [11147],1.95,,0.546,1.677,83
NDC,62559-265-30 [349201],TRANEXAMIC ACID 650 MG TABLET [104576],12.65,,3.542,10.879,83
NDC,62559-356-01 [383555],SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP [179432],85.15,,23.842,73.229,83
NDC,62559-356-60 [383556],SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP [179432],85.15,,23.842,73.229,83
NDC,62559-390-20 [281287],VANCOMYCIN 125 MG CAPSULE [11628],11.85,,3.318,10.191,83
NDC,62559-431-30 [285789],HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],237.85,,66.598,204.551,83
NDC,62559-461-90 [288732],FENOFIBRATE 150 MG CAPSULE [88131],27.85,,7.798,23.951,83
NDC,62559-490-01 [299351],DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],2.85,,0.798,2.451,83
NDC,62559-510-01 [297609],INDAPAMIDE 1.25 MG TABLET [10264],1.65,,0.462,1.419,83
NDC,62559-511-01 [297610],INDAPAMIDE 2.5 MG TABLET [3879],1.65,,0.462,1.419,83
NDC,62559-631-01 [320263],ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION [2900],1197.15,,335.202,1029.549,83
NDC,62559-740-01 [370601],THYROID (PORK) 15 MG TABLET [129291],2.55,,0.714,2.193,83
NDC,62559-993-30 [346063],FLUCONAZOLE 200 MG TABLET [10045],3.15,,0.882,2.709,83
NDC,62584-265-01 [160634],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,62584-265-11 [160635],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,62584-266-01 [160636],METOPROLOL TARTRATE 50 MG TABLET [5009],1.65,,0.462,1.419,83
NDC,62584-266-11 [160637],METOPROLOL TARTRATE 50 MG TABLET [5009],1.65,,0.462,1.419,83
NDC,62584-267-01 [160638],METOPROLOL TARTRATE 100 MG TABLET [5008],1.65,,0.462,1.419,83
NDC,62584-267-11 [160639],METOPROLOL TARTRATE 100 MG TABLET [5008],1.65,,0.462,1.419,83
NDC,62584-693-11 [200043],DOXYCYCLINE HYCLATE 100 MG TABLET [2625],18.2,,5.096,15.652,83
NDC,62584-693-21 [237276],DOXYCYCLINE HYCLATE 100 MG TABLET [2625],18.2,,5.096,15.652,83
NDC,62584-733-01 [166155],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,62584-733-11 [166156],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,62584-734-01 [166157],HYDRALAZINE 50 MG TABLET [3701],1.65,,0.462,1.419,83
NDC,62584-734-11 [166158],HYDRALAZINE 50 MG TABLET [3701],1.65,,0.462,1.419,83
NDC,62584-984-01 [102957],WARFARIN 2 MG TABLET [8749],1.65,,0.462,1.419,83
NDC,62584-984-11 [142994],WARFARIN 2 MG TABLET [8749],1.65,,0.462,1.419,83
NDC,62756-015-40 [254396],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],67.35,,0.03,57.921,84
NDC,62756-071-60 [337736],PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET [89791],54.55,,15.274,46.913,83
NDC,62756-071-64 [337737],PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET [89791],54.55,,15.274,46.913,83
NDC,62756-090-40 [329234],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],135.6,,37.968,116.616,83
NDC,62756-129-40 [328386],PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],38.55,,10.794,33.153,83
NDC,62756-129-40 [328386],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],35.65,,9.982,30.659,83
NDC,62756-129-40 [328386],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],35.65,,9.982,30.659,83
NDC,62756-129-44 [328387],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],21.9,,6.132,18.834,83
NDC,62756-129-44 [328387],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],21.9,,6.132,18.834,83
NDC,62756-137-02 [143000],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,62756-137-05 [143001],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,62756-139-02 [143004],GABAPENTIN 400 MG CAPSULE [18307],1.65,,0.462,1.419,83
NDC,62756-142-01 [133323],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,62756-142-02 [133324],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,62756-143-01 [133325],"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR [35771]",1.65,,0.462,1.419,83
NDC,62756-184-88 [160647],OXCARBAZEPINE 300 MG TABLET [21061],2.65,,0.742,2.279,83
NDC,62756-202-01 [150397],GABAPENTIN 600 MG TABLET [25855],1.65,,0.462,1.419,83
NDC,62756-260-02 [143012],ZONISAMIDE 100 MG CAPSULE [27780],1.75,,0.49,1.505,83
NDC,62756-277-01 [358544],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],19.8,,5.544,17.028,83
NDC,62756-277-02 [358545],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],19.8,,5.544,17.028,83
NDC,62756-277-03 [358546],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],19.8,,5.544,17.028,83
NDC,62756-356-60 [262771],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],2.9,,0.01,2.494,84
NDC,62756-356-64 [160657],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],2.9,,0.01,2.494,84
NDC,62756-356-66 [160658],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],2.9,,0.01,2.494,84
NDC,62756-427-90 [361522],"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [36576]",734.45,,205.646,631.627,83
NDC,62756-457-88 [160662],"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE [26371]",3.35,,0.938,2.881,83
NDC,62756-517-88 [175208],CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],1.65,,0.462,1.419,83
NDC,62756-518-88 [175211],CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],1.65,,0.462,1.419,83
NDC,62756-520-69 [190254],SUMATRIPTAN 25 MG TABLET [15327],8.45,,2.366,7.267,83
NDC,62756-529-40 [237279],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],1804.0,,3.57,1551.44,84
NDC,62756-569-83 [329925],DEFERASIROX 250 MG DISPERSIBLE TABLET [43416],48.8,,13.664,41.968,83
NDC,62756-570-83 [329926],DEFERASIROX 500 MG DISPERSIBLE TABLET [43417],87.0,,24.36,74.82,83
NDC,62756-589-88 [335000],LIOTHYRONINE 5 MCG TABLET [10443],2.65,,0.742,2.279,83
NDC,62756-590-88 [335001],LIOTHYRONINE 25 MCG TABLET [4504],3.45,,0.966,2.967,83
NDC,62756-796-88 [175215],"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [2551]",1.65,,0.462,1.419,83
NDC,62756-797-88 [175217],"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",1.65,,0.462,1.419,83
NDC,62756-798-88 [175219],"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",1.65,,0.462,1.419,83
NDC,62756-955-01 [356107],MEXILETINE 150 MG CAPSULE [10595],2.3,,0.644,1.978,83
NDC,62856-272-30 [262774],PERAMPANEL 2 MG TABLET [163631],71.05,,19.894,61.103,83
NDC,62856-290-38 [289512],PERAMPANEL 0.5 MG/ML ORAL SUSPENSION [178741],5192.4,,1453.872,4465.464,83
NDC,62856-389-01 [200064],ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [106773],4619.2,,76.76,3972.512,86
NDC,62856-704-05 [311705],LENVATINIB 4 MG CAPSULE [186035],2809.95,,786.786,2416.557,83
NDC,62856-704-30 [311706],LENVATINIB 4 MG CAPSULE [186035],2809.95,,786.786,2416.557,83
NDC,62935-221-04 [274581],LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],4114.0,,155.42,3538.04,86
NDC,62935-223-05 [274582],LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],4114.0,,155.42,3538.04,86
NDC,62935-227-10 [376616],LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE [33669],4114.0,,155.42,3538.04,86
NDC,62935-303-30 [279399],LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE [35236],5485.35,,155.42,4717.401,86
NDC,62935-305-29 [279400],LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE [35236],5485.35,,155.42,4717.401,86
NDC,62935-306-40 [379308],LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE [35236],5485.35,,155.42,4717.401,86
NDC,62935-453-45 [279401],LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],8228.0,,155.42,7076.08,86
NDC,62935-454-44 [279402],LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],8228.0,,155.42,7076.08,86
NDC,62935-461-50 [366430],LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE [40801],8228.0,,155.42,7076.08,86
NDC,62935-753-75 [279403],LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],1371.35,,155.42,1179.361,86
NDC,62935-754-74 [279404],LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE [32893],1371.35,,155.42,1179.361,86
NDC,62991-1106-1 [88390],NIFEDIPINE (BULK) POWDER [17204],647.45,,181.286,556.807,83
NDC,62991-1422-1 [88819],CLONIDINE HCL (BULK) POWDER [17085],605.7,,169.596,520.902,83
NDC,62991-2897-3 [208728],METOPROLOL TARTRATE (BULK) 100 % POWDER [17154],7377.85,,2065.798,6344.951,83
NDC,63304-017-60 [323904],"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [70434]",2.0,,0.56,1.72,83
NDC,63304-076-01 [329245],"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",1.65,,0.462,1.419,83
NDC,63304-090-01 [331746],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",2.85,,0.798,2.451,83
NDC,63304-135-30 [329250],ERLOTINIB 150 MG TABLET [40091],208.85,,58.478,179.611,83
NDC,63304-175-13 [330767],"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [78310]",21.1,,5.908,18.146,83
NDC,63304-450-01 [281298],"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [119246]",2.85,,0.798,2.451,83
NDC,63304-451-01 [281299],"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [119007]",4.0,,1.12,3.44,83
NDC,63304-452-01 [281300],"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [119248]",9.1,,2.548,7.826,83
NDC,63304-479-01 [231341],CEVIMELINE 30 MG CAPSULE [27253],12.25,,3.43,10.535,83
NDC,63304-692-01 [89556],CLINDAMYCIN HCL 150 MG CAPSULE [1740],1.65,,0.462,1.419,83
NDC,63304-721-90 [326421],"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",3.8,,1.064,3.268,83
NDC,63304-723-30 [342564],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.65,,0.462,1.419,83
NDC,63304-772-10 [375288],LORAZEPAM 0.5 MG TABLET [4572],2.85,,0.798,2.451,83
NDC,63304-829-90 [223159],ATORVASTATIN 40 MG TABLET [19177],1.65,,0.462,1.419,83
NDC,63304-900-90 [135202],FENOFIBRATE 54 MG TABLET [31336],1.65,,0.462,1.419,83
NDC,63323-010-01 [351988],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],25.05,,2.62,21.543,84
NDC,63323-010-02 [89669],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],25.05,,2.62,21.543,84
NDC,63323-010-03 [351100],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],130.35,,2.62,112.101,84
NDC,63323-010-20 [89670],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],130.35,,2.62,112.101,84
NDC,63323-010-94 [254445],GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],6.9,,1.932,5.934,84
NDC,63323-012-02 [331748],OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],185.35,,51.898,159.401,83
NDC,63323-013-01 [334676],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],35.5,,1.79,30.53,84
NDC,63323-013-02 [89674],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],35.5,,1.79,30.53,84
NDC,63323-013-02 [89674],THIAMINE IVPB 100 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000473],38.35,,1.79,32.981,84
NDC,63323-013-26 [290519],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],22.35,,1.79,19.221,84
NDC,63323-013-41 [342569],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],22.35,,1.79,19.221,84
NDC,63323-030-11 [293373],"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION [1676]",1166.15,,17.51,1002.889,84
NDC,63323-044-00 [327445],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",14.9,,0.95,12.814,84
NDC,63323-044-01 [89694],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",14.9,,0.95,12.814,84
NDC,63323-047-01 [338721],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",59.7,,0.22,51.342,84
NDC,63323-047-10 [89695],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",59.7,,0.22,51.342,84
NDC,63323-064-01 [305313],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],12.25,,0.5,10.535,84
NDC,63323-064-02 [89700],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],7.5,,0.5,6.45,84
NDC,63323-064-02 [89700],MAGNESIUM SULFATE 500 MG/ML (50 %) ORAL SOLUTION [40800000126],7.5,,0.5,6.45,84
NDC,63323-064-03 [305314],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],12.25,,0.5,10.535,84
NDC,63323-064-04 [305315],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],15.25,,0.5,13.115,84
NDC,63323-064-10 [89701],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],8.25,,0.5,7.095,84
NDC,63323-064-10 [89701],MAGNESIUM SULFATE 500 MG/ML (50 %) ORAL SOLUTION [40800000126],8.25,,0.5,7.095,84
NDC,63323-064-11 [305316],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],15.25,,0.5,13.115,84
NDC,63323-064-21 [315742],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],6.9,,0.5,5.934,84
NDC,63323-064-23 [315743],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],6.9,,0.5,5.934,84
NDC,63323-064-41 [310023],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],6.9,,0.5,5.934,84
NDC,63323-083-05 [300104],SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [124251],74.85,,20.958,64.371,83
NDC,63323-086-05 [89714],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],57.05,,15.974,49.063,83
NDC,63323-086-15 [89715],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],103.95,,29.106,89.397,83
NDC,63323-086-50 [89716],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],230.85,,64.638,198.531,83
NDC,63323-088-63 [89719],SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],109.3,,30.604,93.998,83
NDC,63323-088-63 [89719],SODIUM CHLORIDE 4 MEQ/ML IV PUSH INJECTION [40800002491],109.3,,30.604,93.998,83
NDC,63323-089-50 [300105],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],79.0,,22.12,67.94,83
NDC,63323-089-50 [300105],SODIUM BICARBONATE SOLN 8.4% (1 MEQ/ML) (INJ FOR TUBE USE) [40800000243],79.0,,22.12,67.94,83
NDC,63323-093-01 [348147],SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],33.65,,9.422,28.939,83
NDC,63323-093-01 [348147],SODIUM CHLORIDE 4 MEQ/ML IV PUSH INJECTION [40800002491],33.65,,9.422,28.939,83
NDC,63323-093-30 [348148],SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],33.65,,9.422,28.939,83
NDC,63323-093-30 [348148],SODIUM CHLORIDE 4 MEQ/ML IV PUSH INJECTION [40800002491],33.65,,9.422,28.939,83
NDC,63323-095-02 [357504],SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],60.35,,16.898,51.901,83
NDC,63323-095-61 [357505],SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],60.35,,16.898,51.901,83
NDC,63323-103-51 [89722],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],70.65,,1.95,60.759,84
NDC,63323-103-64 [89723],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],282.6,,1.95,243.036,84
NDC,63323-103-64 [89723],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],282.6,,1.95,243.036,84
NDC,63323-103-65 [89724],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],141.3,,1.95,121.518,84
NDC,63323-103-65 [89724],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],141.3,,1.95,121.518,84
NDC,63323-103-65 [89724],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML (PEDI) [40840003500],141.3,,1.95,121.518,84
NDC,63323-103-65 [89724],CISPLATIN INTRAPLEURAL INJECTION 1 MG/ML [40840002352],141.3,,1.95,121.518,84
NDC,63323-104-25 [89728],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],213.45,,1.3,183.567,84
NDC,63323-104-50 [89729],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],407.5,,1.3,350.45,84
NDC,63323-106-00 [336300],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],64.25,,0.5,55.255,84
NDC,63323-106-01 [289529],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],64.25,,0.5,55.255,84
NDC,63323-106-02 [336339],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],69.25,,0.5,59.555,84
NDC,63323-106-02 [336339],MAGNESIUM SULFATE 2 GRAM/50 ML PREMIX (ANES OSM) [40800000826],69.25,,0.5,59.555,84
NDC,63323-106-03 [341610],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],63.3,,0.5,54.438,84
NDC,63323-106-05 [289530],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],69.25,,0.5,59.555,84
NDC,63323-106-05 [289530],MAGNESIUM SULFATE 2 GRAM/50 ML PREMIX (ANES OSM) [40800000826],69.25,,0.5,59.555,84
NDC,63323-106-26 [296637],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],63.3,,0.5,54.438,84
NDC,63323-113-01 [375290],PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],546.75,,153.09,470.205,83
NDC,63323-113-01 [375290],PENTAMIDINE INJ 100 MG/ML [40800000433],546.75,,153.09,470.205,83
NDC,63323-113-10 [89733],PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],546.75,,153.09,470.205,83
NDC,63323-113-10 [89733],PENTAMIDINE INJ 100 MG/ML [40800000433],546.75,,153.09,470.205,83
NDC,63323-117-00 [344875],FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],16.2,,1.72,13.932,84
NDC,63323-117-00 [344875],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],16.2,,1.72,13.932,84
NDC,63323-117-10 [89735],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],16.2,,1.72,13.932,84
NDC,63323-117-10 [89735],FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [82200],16.2,,1.72,13.932,84
NDC,63323-117-10 [89735],FLUOROURACIL INTRALESIONAL 50 MG/ML INJ CONTAINER [40800000748],16.2,,1.72,13.932,84
NDC,63323-117-10 [89735],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],16.2,,1.72,13.932,84
NDC,63323-117-51 [89737],FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],56.5,,1.72,48.59,84
NDC,63323-117-51 [89737],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],56.5,,1.72,48.59,84
NDC,63323-117-51 [89737],FLUOROURACIL INTRALESIONAL 50 MG/ML INJ CONTAINER [40800000748],56.5,,1.72,48.59,84
NDC,63323-117-51 [89737],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],56.5,,1.72,48.59,84
NDC,63323-117-59 [262900],FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],35.8,,1.72,30.788,84
NDC,63323-117-59 [262900],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],35.8,,1.72,30.788,84
NDC,63323-117-59 [262900],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],35.8,,1.72,30.788,84
NDC,63323-117-61 [89738],FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],100.7,,1.72,86.602,84
NDC,63323-117-61 [89738],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],100.7,,1.72,86.602,84
NDC,63323-117-61 [89738],FLUOROURACIL INTRALESIONAL 50 MG/ML INJ CONTAINER [40800000748],100.7,,1.72,86.602,84
NDC,63323-117-61 [89738],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],100.7,,1.72,86.602,84
NDC,63323-117-68 [266966],FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],63.25,,1.72,54.395,84
NDC,63323-117-68 [266966],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],63.25,,1.72,54.395,84
NDC,63323-117-68 [266966],FLUOROURACIL INTRALESIONAL 50 MG/ML INJ CONTAINER [40800000748],63.25,,1.72,54.395,84
NDC,63323-117-68 [266966],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],63.25,,1.72,54.395,84
NDC,63323-117-69 [262901],FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],63.25,,1.72,54.395,84
NDC,63323-120-20 [103012],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],71.75,,0.81,61.705,84
NDC,63323-120-20 [103012],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) IV INJECTION SOLUTION [40800002451],71.75,,0.81,61.705,84
NDC,63323-120-20 [103012],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) IV PUSH INJECTION [40800004009],71.75,,0.81,61.705,84
NDC,63323-120-20 [103012],CYTARABINE IVPB 100 MG/ML (MAX CONC) (PEDI) [40800004206],71.75,,0.81,61.705,84
NDC,63323-123-10 [89748],METHOTREXATE SODIUM 25 MG/ML INJ CONTAINER [40840000843],115.3,,2.26,99.158,84
NDC,63323-123-10 [89748],METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION [4974],115.3,,2.26,99.158,84
NDC,63323-125-94 [287715],GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],143.75,,2.96,123.625,84
NDC,63323-125-94 [287715],GEMCITABINE 38 MG/ML INJ CONTAINER [40800000110],143.75,,2.96,123.625,84
NDC,63323-127-10 [89749],DACARBAZINE 100 MG INTRAVENOUS SOLUTION [2090],47.75,,3.82,41.065,84
NDC,63323-128-00 [371090],DACARBAZINE 10 MG/ML INJ CONTAINER [40800000412],46.25,,3.82,39.775,84
NDC,63323-128-00 [371090],DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],46.25,,3.82,39.775,84
NDC,63323-128-00 [371090],DACARBAZINE IVPB 10 MG/ML (MAX CONC) (PEDI) [40800004205],46.25,,3.82,39.775,84
NDC,63323-128-20 [89751],DACARBAZINE 10 MG/ML INJ CONTAINER [40800000412],46.25,,3.82,39.775,84
NDC,63323-128-20 [89751],DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],46.25,,3.82,39.775,84
NDC,63323-128-20 [89751],DACARBAZINE IVPB 10 MG/ML (MAX CONC) (PEDI) [40800004205],46.25,,3.82,39.775,84
NDC,63323-130-02 [332287],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],83.75,,0.12,72.025,84
NDC,63323-130-11 [100088],DOXYCYCLINE HYCLATE 10 MG/ML SCLEROSIS INJ [40800000345],90.4,,0.12,77.744,84
NDC,63323-130-11 [100088],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],83.75,,0.12,72.025,84
NDC,63323-130-11 [100088],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],83.75,,0.12,72.025,84
NDC,63323-130-11 [100088],DOXYCYCLINE HYCLATE 100 MG/10 ML INJ [40800001602],90.4,,0.12,77.744,84
NDC,63323-130-11 [100088],DOXYCYCLINE INTRAPLEURAL/CHEST TUBE INJECTION IN 50 ML [40800000262],90.4,,0.12,77.744,84
NDC,63323-132-12 [135205],"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [93747]",1845.25,,29.6,1586.915,86
NDC,63323-137-20 [177582],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR INFUSION) [40800002695],7197.05,,20.9,6189.463,84
NDC,63323-137-20 [177582],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR IVPB) [40800000102],7197.05,,20.9,6189.463,84
NDC,63323-137-20 [177582],BLEOMYCIN 3 UNITS/ML INTRALESIONAL INJ CONTAINER [40800003129],7197.05,,20.9,6189.463,84
NDC,63323-137-20 [177582],BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],7197.05,,20.9,6189.463,84
NDC,63323-137-20 [177582],BLEOMYCIN 6 UNITS/ML SCLEROTHERAPY INJ CONTAINER [40800002630],7197.05,,20.9,6189.463,84
NDC,63323-140-10 [109685],CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],1425.1,,8.53185,1225.586,86
NDC,63323-162-00 [340341],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],25.0,,0.34,21.5,86
NDC,63323-162-01 [89767],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],25.0,,0.34,21.5,86
NDC,63323-162-02 [89768],KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349],35.95,,0.34,30.917,86
NDC,63323-162-12 [274695],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],6.4,,0.34,5.504,86
NDC,63323-162-16 [281304],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],6.4,,0.34,5.504,86
NDC,63323-162-23 [343521],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],6.4,,0.34,5.504,86
NDC,63323-164-24 [326422],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,63323-164-24 [326422],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,63323-164-24 [326422],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,63323-164-24 [326422],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,63323-164-24 [326422],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,63323-164-25 [326423],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,63323-164-25 [326423],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,63323-164-25 [326423],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,63323-164-25 [326423],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,63323-164-25 [326423],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,63323-164-26 [326424],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,63323-164-26 [326424],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,63323-164-75 [326426],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,63323-164-75 [326426],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,63323-164-75 [326426],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,63323-164-75 [326426],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,63323-164-75 [326426],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,63323-165-01 [89769],DEXAMETHASONE IV 4 MG/ML INJECTION (PHARMACY USE ONLY) [40800000352],12.65,,0.12,10.879,84
NDC,63323-165-01 [89769],DEXAMETHASONE IVPB 4 MG/ML (MAX CONC) (PEDI < 20.5  KG) [40800000073],13.7,,0.12,11.782,84
NDC,63323-165-01 [89769],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],12.65,,0.12,10.879,84
NDC,63323-165-03 [304995],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,63323-165-05 [89770],DEXAMETHASONE IV 4 MG/ML INJECTION (PHARMACY USE ONLY) [40800000352],30.3,,0.12,26.058,84
NDC,63323-165-05 [89770],DEXAMETHASONE IVPB 4 MG/ML (MAX CONC) (PEDI < 20.5  KG) [40800000073],32.75,,0.12,28.165,84
NDC,63323-165-05 [89770],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],30.3,,0.12,26.058,84
NDC,63323-165-16 [282912],DEXAMETHASONE IV 4 MG/ML INJECTION (PHARMACY USE ONLY) [40800000352],6.4,,0.12,5.504,84
NDC,63323-165-16 [282912],DEXAMETHASONE IVPB 4 MG/ML (MAX CONC) (PEDI < 20.5  KG) [40800000073],6.9,,0.12,5.934,84
NDC,63323-165-16 [282912],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,63323-165-30 [89771],DEXAMETHASONE IV 4 MG/ML INJECTION (PHARMACY USE ONLY) [40800000352],147.6,,0.12,126.936,84
NDC,63323-165-30 [89771],DEXAMETHASONE IVPB 4 MG/ML (MAX CONC) (PEDI < 20.5  KG) [40800000073],159.25,,0.12,136.955,84
NDC,63323-165-30 [89771],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],147.6,,0.12,126.936,84
NDC,63323-172-60 [133327],CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39265],211.45,,2.11,181.847,84
NDC,63323-173-02 [89774],GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [128272],33.35,,2.62,28.681,84
NDC,63323-178-26 [393962],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,63323-178-76 [314126],"WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION [28400]",69.65,,19.502,59.899,83
NDC,63323-180-00 [339343],PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION [6744],85.05,,12.8,73.143,84
NDC,63323-180-01 [89775],PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION [6744],85.05,,12.8,73.143,84
NDC,63323-184-10 [89776],FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],250.05,,0.06,215.043,84
NDC,63323-185-07 [353964],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",21.9,,6.132,18.834,83
NDC,63323-185-08 [356826],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",28.65,,8.022,24.639,83
NDC,63323-185-09 [356609],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",30.15,,8.442,25.929,83
NDC,63323-185-10 [89779],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",21.9,,6.132,18.834,83
NDC,63323-185-20 [89780],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",28.65,,8.022,24.639,83
NDC,63323-185-50 [89781],"WATER FOR INJECTION, STERILE 100 % INJECTION SOLUTION [11671]",30.15,,8.442,25.929,83
NDC,63323-186-01 [321880],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],6.4,,1.792,5.504,83
NDC,63323-186-03 [331752],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],9.15,,2.562,7.869,83
NDC,63323-186-10 [89784],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION (PULM OSM) [40800001976],6.4,,1.792,5.504,83
NDC,63323-186-10 [89784],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],6.4,,1.792,5.504,83
NDC,63323-186-20 [89785],SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [41463],9.15,,2.562,7.869,83
NDC,63323-192-02 [177583],FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION [41294],890.7,,71.65,766.002,84
NDC,63323-201-01 [366436],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],12.4,,3.472,10.664,83
NDC,63323-201-01 [366436],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],12.4,,3.472,10.664,83
NDC,63323-201-02 [89789],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],12.4,,3.472,10.664,83
NDC,63323-201-02 [89789],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],12.4,,3.472,10.664,83
NDC,63323-201-03 [365534],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],13.3,,3.724,11.438,83
NDC,63323-201-10 [89790],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],13.3,,3.724,11.438,83
NDC,63323-201-10 [89790],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],13.3,,3.724,11.438,83
NDC,63323-203-20 [292006],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003390],33.9,,0.03,29.154,84
NDC,63323-203-20 [292006],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],33.9,,0.03,29.154,84
NDC,63323-203-41 [308508],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003390],24.5,,0.03,21.07,84
NDC,63323-203-41 [308508],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],24.5,,0.03,21.07,84
NDC,63323-205-00 [315745],FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [186870],317.8,,88.984,273.308,83
NDC,63323-205-21 [315746],FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [186870],233.2,,65.296,200.552,83
NDC,63323-205-31 [315747],FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [186870],317.8,,88.984,273.308,83
NDC,63323-205-50 [315748],FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION [186870],233.2,,65.296,200.552,83
NDC,63323-221-01 [350206],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],30.7,,0.03,26.402,84
NDC,63323-221-10 [89793],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],33.2,,0.03,28.552,84
NDC,63323-221-10 [89793],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],30.7,,0.03,26.402,84
NDC,63323-221-10 [89793],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],30.7,,0.03,26.402,84
NDC,63323-221-16 [279471],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],10.85,,0.03,9.331,84
NDC,63323-221-16 [279471],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],10.85,,0.03,9.331,84
NDC,63323-221-33 [305317],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],33.2,,0.03,28.552,84
NDC,63323-221-33 [305317],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],30.7,,0.03,26.402,84
NDC,63323-221-33 [305317],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],30.7,,0.03,26.402,84
NDC,63323-221-38 [305318],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],33.2,,0.03,28.552,84
NDC,63323-221-38 [305318],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],30.7,,0.03,26.402,84
NDC,63323-221-38 [305318],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],30.7,,0.03,26.402,84
NDC,63323-229-01 [376643],PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],56.15,,1.64,48.289,84
NDC,63323-229-05 [89794],PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],56.15,,1.64,48.289,84
NDC,63323-229-15 [166259],PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],39.75,,1.64,34.185,84
NDC,63323-229-21 [307345],PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],39.75,,1.64,34.185,84
NDC,63323-229-30 [89795],PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],191.8,,1.64,164.948,84
NDC,63323-237-01 [358554],CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002645],7.65,,0.84,6.579,84
NDC,63323-237-01 [358554],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],7.65,,0.84,6.579,84
NDC,63323-237-01 [358554],CEFAZOLIN 330 MG/ML INJ [40800000016],8.25,,0.84,7.095,84
NDC,63323-237-10 [89799],CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002645],7.65,,0.84,6.579,84
NDC,63323-237-10 [89799],CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],7.65,,0.84,6.579,84
NDC,63323-237-10 [89799],CEFAZOLIN 330 MG/ML INJ [40800000016],8.25,,0.84,7.095,84
NDC,63323-249-30 [89807],WATER FOR INJECT BACT PARABENS INJECTION SOLUTION [123993],8.25,,2.31,7.095,83
NDC,63323-260-01 [336799],MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [105637],39.75,,3.82,34.185,84
NDC,63323-260-37 [237304],MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [105637],39.75,,3.82,34.185,84
NDC,63323-262-03 [334091],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",19.75,,0.22,16.985,84
NDC,63323-262-06 [334092],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",19.75,,0.22,16.985,84
NDC,63323-262-09 [337738],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",6.9,,0.22,5.934,84
NDC,63323-262-26 [337740],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",6.9,,0.22,5.934,84
NDC,63323-265-30 [113060],"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003375]",108.85,,0.26,93.611,84
NDC,63323-265-30 [113060],"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]",108.85,,0.26,93.611,84
NDC,63323-269-10 [266970],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],13.15,,0.09,11.309,84
NDC,63323-269-10 [266970],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],13.15,,0.09,11.309,84
NDC,63323-269-22 [359255],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],26.3,,0.09,22.618,84
NDC,63323-269-22 [359255],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],26.3,,0.09,22.618,84
NDC,63323-269-25 [389712],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],6.4,,0.09,5.504,84
NDC,63323-269-25 [389712],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.4,,0.09,5.504,84
NDC,63323-269-29 [237305],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],26.3,,0.09,22.618,84
NDC,63323-269-35 [399207],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],92.1,,0.09,79.206,84
NDC,63323-269-35 [399207],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],92.1,,0.09,79.206,84
NDC,63323-269-37 [245360],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],6.4,,0.09,5.504,84
NDC,63323-269-37 [245360],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],6.4,,0.09,5.504,84
NDC,63323-269-65 [166264],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],92.1,,0.09,79.206,84
NDC,63323-269-65 [166264],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],92.1,,0.09,79.206,84
NDC,63323-269-67 [166265],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],68.1,,0.09,58.566,84
NDC,63323-269-70 [266971],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],10.55,,0.09,9.073,84
NDC,63323-269-78 [266973],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],68.1,,0.09,58.566,84
NDC,63323-269-78 [266973],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],68.1,,0.09,58.566,84
NDC,63323-273-01 [183831],SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [97343],155.85,,43.638,134.031,83
NDC,63323-276-01 [343524],"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [127226]",47.05,,0.22,40.463,84
NDC,63323-276-02 [89817],"HEPARIN (PF) 1,000 UNIT/ML INJ (EXTRACORPOREAL USE) [40800000758]",47.05,,0.22,40.463,84
NDC,63323-276-02 [89817],"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [127226]",47.05,,0.22,40.463,84
NDC,63323-278-10 [89818],VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION [8594],210.35,,5.29,180.901,84
NDC,63323-280-02 [89819],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],9.2,,0.02,7.912,84
NDC,63323-280-02 [89819],FUROSEMIDE INFUSION 10 MG/ML [40800000767],10.0,,0.02,8.6,84
NDC,63323-280-02 [89819],FUROSEMIDE IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000248],10.0,,0.02,8.6,84
NDC,63323-280-02 [89819],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],10.0,,0.02,8.6,84
NDC,63323-280-03 [40889820],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],44.35,,0.02,38.141,84
NDC,63323-280-03 [40889820],FUROSEMIDE INFUSION 10 MG/ML [40800000767],47.9,,0.02,41.194,84
NDC,63323-280-03 [40889820],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],47.9,,0.02,41.194,84
NDC,63323-280-04 [89820],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],12.3,,0.02,10.578,84
NDC,63323-280-04 [89820],FUROSEMIDE INFUSION 10 MG/ML [40800000767],13.3,,0.02,11.438,84
NDC,63323-280-04 [89820],FUROSEMIDE IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000248],13.3,,0.02,11.438,84
NDC,63323-280-04 [89820],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],13.3,,0.02,11.438,84
NDC,63323-280-05 [299719],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.05,,0.02,12.083,84
NDC,63323-280-05 [299719],FUROSEMIDE INFUSION 10 MG/ML [40800000767],15.2,,0.02,13.072,84
NDC,63323-280-05 [299719],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],15.2,,0.02,13.072,84
NDC,63323-280-10 [89821],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],14.05,,0.02,12.083,84
NDC,63323-280-10 [89821],FUROSEMIDE INFUSION 10 MG/ML [40800000767],15.2,,0.02,13.072,84
NDC,63323-280-10 [89821],FUROSEMIDE IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000248],15.2,,0.02,13.072,84
NDC,63323-280-10 [89821],FUROSEMIDE TITRATABLE INFUSION 10 MG/ML [40840001896],15.2,,0.02,13.072,84
NDC,63323-284-01 [348149],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",56.7,,0.03,48.762,84
NDC,63323-284-20 [89823],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",56.7,,0.03,48.762,84
NDC,63323-284-20 [89823],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",56.7,,0.03,48.762,84
NDC,63323-284-20 [89823],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],61.25,,0.03,52.675,84
NDC,63323-284-26 [279472],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",18.85,,0.03,16.211,84
NDC,63323-284-26 [279472],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",18.85,,0.03,16.211,84
NDC,63323-284-26 [279472],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],20.4,,0.03,17.544,84
NDC,63323-285-07 [307721],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],39.35,,0.06,33.841,84
NDC,63323-285-20 [183833],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],34.55,,0.06,29.713,84
NDC,63323-285-20 [183833],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],34.55,,0.06,29.713,84
NDC,63323-285-23 [231345],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],39.35,,0.06,33.841,84
NDC,63323-285-23 [231345],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],39.35,,0.06,33.841,84
NDC,63323-285-51 [341611],ROPIVACAINE (PF) 2 MG/ML (0.2 %) CONTINUOUS ONLY NERVE BLOCK INFUSION [40800000384],129.35,,0.06,111.241,84
NDC,63323-285-51 [341611],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],129.35,,0.06,111.241,84
NDC,63323-285-51 [341611],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],129.35,,0.06,111.241,84
NDC,63323-285-51 [341611],ROPIVACAINE (PF) 2 MG/ML (0.2 %) NERVE BLOCK INFUSION [40800000382],129.35,,0.06,111.241,84
NDC,63323-285-51 [341611],ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],129.35,,0.06,111.241,84
NDC,63323-285-55 [341612],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],64.95,,0.06,55.857,84
NDC,63323-285-55 [341612],ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],64.95,,0.06,55.857,84
NDC,63323-285-61 [274697],ROPIVACAINE (PF) 2 MG/ML (0.2 %) CONTINUOUS ONLY NERVE BLOCK INFUSION [40800000384],123.0,,0.06,105.78,84
NDC,63323-285-61 [274697],ROPIVACAINE (PF) 2 MG/ML (0.2 %) NERVE BLOCK INFUSION [40800000382],123.0,,0.06,105.78,84
NDC,63323-285-65 [190304],ROPIVACAINE (PF) 2 MG/ML (0.2 %) CONTINUOUS ONLY NERVE BLOCK INFUSION [40800000384],129.35,,0.06,111.241,84
NDC,63323-285-65 [190304],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],129.35,,0.06,111.241,84
NDC,63323-285-65 [190304],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],129.35,,0.06,111.241,84
NDC,63323-285-65 [190304],ROPIVACAINE (PF) 2 MG/ML (0.2 %) NERVE BLOCK INFUSION [40800000382],129.35,,0.06,111.241,84
NDC,63323-285-65 [190304],ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],129.35,,0.06,111.241,84
NDC,63323-285-67 [183835],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],64.95,,0.06,55.857,84
NDC,63323-285-67 [183835],ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],64.95,,0.06,55.857,84
NDC,63323-285-68 [254449],ROPIVACAINE (PF) 2 MG/ML (0.2 %) CONTINUOUS ONLY NERVE BLOCK INFUSION [40800000384],64.95,,0.06,55.857,84
NDC,63323-285-68 [254449],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003802],64.95,,0.06,55.857,84
NDC,63323-285-68 [254449],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],64.95,,0.06,55.857,84
NDC,63323-285-68 [254449],ROPIVACAINE (PF) 2 MG/ML (0.2 %) NERVE BLOCK INFUSION [40800000382],64.95,,0.06,55.857,84
NDC,63323-285-68 [254449],ROPIVACAINE 0.2% EPIDURAL INFUSION [40800003976],64.95,,0.06,55.857,84
NDC,63323-286-05 [317101],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],58.9,,0.06,50.654,84
NDC,63323-286-11 [307346],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003809],71.8,,0.06,61.748,84
NDC,63323-286-11 [307346],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],71.8,,0.06,61.748,84
NDC,63323-286-23 [231346],ROPIVACAINE (PF) 5 MG/ML (0.5 %) PRIMING INJECTION [40840001577],58.9,,0.06,50.654,84
NDC,63323-286-31 [190305],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003809],69.05,,0.06,59.383,84
NDC,63323-286-31 [190305],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],69.05,,0.06,59.383,84
NDC,63323-286-31 [190305],ROPIVACAINE (PF) 5 MG/ML (0.5 %) PRIMING INJECTION [40840001577],69.05,,0.06,59.383,84
NDC,63323-286-35 [245362],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003809],71.8,,0.06,61.748,84
NDC,63323-286-35 [245362],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],71.8,,0.06,61.748,84
NDC,63323-286-35 [245362],ROPIVACAINE (PF) 5 MG/ML (0.5 %) PRIMING INJECTION [40840001577],71.8,,0.06,61.748,84
NDC,63323-288-06 [343535],ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],72.2,,0.06,62.092,84
NDC,63323-288-20 [183838],ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [18194],72.2,,0.06,62.092,84
NDC,63323-294-01 [336800],MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [105638],50.2,,3.82,43.172,84
NDC,63323-294-27 [237311],MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [105638],50.2,,3.82,43.172,84
NDC,63323-295-61 [89824],VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],272.85,,0.03,234.651,84
NDC,63323-306-01 [385613],TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],16.1,,2.46,13.846,84
NDC,63323-306-02 [106130],TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],16.1,,2.46,13.846,84
NDC,63323-314-61 [89833],VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],696.15,,0.03,598.689,84
NDC,63323-314-66 [279478],VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],94.1,,0.03,80.926,84
NDC,63323-315-01 [339345],GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],318.7,,39.62,274.082,84
NDC,63323-315-10 [200229],GANCICLOVIR INJ 50 MG/ML [40800000429],318.7,,39.62,274.082,84
NDC,63323-315-10 [200229],GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],318.7,,39.62,274.082,84
NDC,63323-315-94 [262914],GANCICLOVIR INJ 50 MG/ML [40800000429],247.15,,39.62,212.549,84
NDC,63323-315-94 [262914],GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],247.15,,39.62,212.549,84
NDC,63323-318-01 [166268],GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [128500],63.6,,0.23,54.696,84
NDC,63323-322-01 [351654],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],95.35,,6.97,82.001,84
NDC,63323-322-25 [237313],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003371],95.35,,6.97,82.001,84
NDC,63323-322-25 [237313],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],95.35,,6.97,82.001,84
NDC,63323-322-94 [262915],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003371],40.0,,6.97,34.4,84
NDC,63323-322-94 [262915],IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [9603],40.0,,6.97,34.4,84
NDC,63323-325-03 [342571],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],57.8,,0.03,49.708,84
NDC,63323-325-09 [343146],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],120.15,,0.03,103.329,84
NDC,63323-325-10 [89834],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],57.8,,0.03,49.708,84
NDC,63323-325-20 [89835],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],120.15,,0.03,103.329,84
NDC,63323-328-20 [213755],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],91.9,,0.06,79.034,84
NDC,63323-328-20 [213755],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],91.9,,0.06,79.034,84
NDC,63323-328-20 [213755],NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],99.2,,0.06,85.312,84
NDC,63323-328-21 [316547],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],91.9,,0.06,79.034,84
NDC,63323-328-21 [316547],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],91.9,,0.06,79.034,84
NDC,63323-328-22 [300106],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],27.6,,0.06,23.736,84
NDC,63323-328-22 [300106],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],27.6,,0.06,23.736,84
NDC,63323-330-60 [213756],NAFCILLIN 10 GRAM SOLUTION FOR INJECTION [5334],463.75,,0.06,398.825,84
NDC,63323-340-20 [200230],CEFEPIME 160 MG/ML INJ [40800000050],41.8,,1.23,35.948,84
NDC,63323-340-20 [200230],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],38.65,,1.23,33.239,84
NDC,63323-340-20 [200230],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],38.65,,1.23,33.239,84
NDC,63323-340-21 [315749],CEFEPIME 160 MG/ML INJ [40800000050],41.8,,1.23,35.948,84
NDC,63323-340-21 [315749],CEFEPIME 2 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002650],38.65,,1.23,33.239,84
NDC,63323-340-21 [315749],CEFEPIME 2 GRAM SOLUTION FOR INJECTION [16371],38.65,,1.23,33.239,84
NDC,63323-341-25 [213757],CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003353],30.65,,5.13,26.359,84
NDC,63323-341-25 [213757],CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],30.65,,5.13,26.359,84
NDC,63323-341-25 [213757],CEFOXITIN 95 MG/ML INJ [40800000023],33.15,,5.13,28.509,84
NDC,63323-341-29 [274702],CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003353],14.1,,3.948,12.126,84
NDC,63323-341-29 [274702],CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],14.1,,3.948,12.126,84
NDC,63323-341-29 [274702],CEFOXITIN 95 MG/ML INJ [40800000023],15.25,,4.27,13.115,84
NDC,63323-342-01 [360627],CEFOXITIN 180 MG/ML INJ [40800000024],53.8,,5.13,46.268,84
NDC,63323-342-01 [360627],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003354],49.8,,5.13,42.828,84
NDC,63323-342-01 [360627],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],49.8,,5.13,42.828,84
NDC,63323-342-25 [213758],CEFOXITIN 180 MG/ML INJ [40800000024],53.8,,5.13,46.268,84
NDC,63323-342-25 [213758],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003354],49.8,,5.13,42.828,84
NDC,63323-342-25 [213758],CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],49.8,,5.13,42.828,84
NDC,63323-351-20 [274704],RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],501.25,,0.16,431.075,84
NDC,63323-356-01 [329941],CASPOFUNGIN 5 MG/ML INJ [40800000012],1104.05,,2.27,949.483,84
NDC,63323-356-01 [329941],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003344],1104.05,,2.27,949.483,84
NDC,63323-356-01 [329941],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],1104.05,,2.27,949.483,84
NDC,63323-356-10 [300107],CASPOFUNGIN 5 MG/ML INJ [40800000012],1104.05,,2.27,949.483,84
NDC,63323-356-10 [300107],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003344],1104.05,,2.27,949.483,84
NDC,63323-356-10 [300107],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],1104.05,,2.27,949.483,84
NDC,63323-358-01 [329942],CASPOFUNGIN 7 MG/ML INJ [40800000013],1146.6,,2.27,986.076,84
NDC,63323-358-01 [329942],CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],1146.6,,2.27,986.076,84
NDC,63323-358-10 [300108],CASPOFUNGIN 7 MG/ML INJ [40800000013],1146.6,,2.27,986.076,84
NDC,63323-358-10 [300108],CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION [29568],1146.6,,2.27,986.076,84
NDC,63323-360-01 [301001],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],44.0,,0.04,37.84,84
NDC,63323-360-03 [301002],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],92.7,,0.04,79.722,84
NDC,63323-360-05 [301003],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],185.35,,0.04,159.401,84
NDC,63323-360-19 [301004],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],44.0,,0.04,37.84,84
NDC,63323-360-59 [301005],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],92.7,,0.04,79.722,84
NDC,63323-360-61 [301006],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],185.35,,0.04,159.401,84
NDC,63323-376-00 [366143],OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],35.45,,0.61,30.487,84
NDC,63323-376-01 [133329],OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],35.45,,0.61,30.487,84
NDC,63323-376-04 [266975],OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],11.55,,0.61,9.933,84
NDC,63323-377-00 [364962],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],158.05,,0.61,135.923,84
NDC,63323-377-01 [133330],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],158.05,,0.61,135.923,84
NDC,63323-377-01 [133330],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],158.05,,0.61,135.923,84
NDC,63323-377-04 [266976],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],42.8,,0.61,36.808,84
NDC,63323-377-04 [266976],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],42.8,,0.61,36.808,84
NDC,63323-378-05 [135983],OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [91280],301.75,,0.61,259.505,84
NDC,63323-393-06 [166272],COLISTIMETHATE 75 MG/ML INJ [40800000041],96.1,,11.39,82.646,84
NDC,63323-393-06 [166272],COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],96.1,,11.39,82.646,84
NDC,63323-398-01 [334593],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],35.25,,2.61,30.315,84
NDC,63323-398-10 [131791],AZITHROMYCIN 100 MG/ML INJ [40800000019],35.25,,2.61,30.315,84
NDC,63323-398-10 [131791],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],35.25,,2.61,30.315,84
NDC,63323-398-14 [266977],AZITHROMYCIN 100 MG/ML INJ [40800000019],16.6,,2.61,14.276,84
NDC,63323-398-14 [266977],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],16.6,,2.61,14.276,84
NDC,63323-398-41 [337191],AZITHROMYCIN 100 MG/ML INJ [40800000019],16.6,,2.61,14.276,84
NDC,63323-398-41 [337191],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],16.6,,2.61,14.276,84
NDC,63323-400-05 [282915],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],19.5,,0.05,16.77,84
NDC,63323-400-41 [321881],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],8.3,,0.05,7.138,84
NDC,63323-400-44 [321882],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],8.3,,0.05,7.138,84
NDC,63323-401-01 [350209],AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],114.75,,2.67,98.685,84
NDC,63323-401-20 [200234],AZTREONAM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003342],114.75,,2.67,98.685,84
NDC,63323-401-20 [200234],AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],114.75,,2.67,98.685,84
NDC,63323-401-20 [200234],AZTREONAM 251 MG/ML INJECTION [40800003408],123.85,,2.67,106.511,84
NDC,63323-401-24 [266978],AZTREONAM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003342],80.15,,2.67,68.929,84
NDC,63323-401-24 [266978],AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],80.15,,2.67,68.929,84
NDC,63323-401-26 [274705],AZTREONAM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003342],80.15,,2.67,68.929,84
NDC,63323-401-26 [274705],AZTREONAM 1 GRAM SOLUTION FOR INJECTION [9185],80.15,,2.67,68.929,84
NDC,63323-402-01 [347870],AZTREONAM 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003343],181.9,,2.67,156.434,84
NDC,63323-402-01 [347870],AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],181.9,,2.67,156.434,84
NDC,63323-402-01 [347870],AZTREONAM 243 MG/ML INJECTION [40800003409],196.35,,2.67,168.861,84
NDC,63323-402-03 [353392],AZTREONAM 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003343],163.65,,2.67,140.739,84
NDC,63323-402-03 [353392],AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],163.65,,2.67,140.739,84
NDC,63323-402-03 [353392],AZTREONAM 243 MG/ML INJECTION [40800003409],176.6,,2.67,151.876,84
NDC,63323-402-20 [200235],AZTREONAM 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003343],181.9,,2.67,156.434,84
NDC,63323-402-20 [200235],AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],181.9,,2.67,156.434,84
NDC,63323-402-20 [200235],AZTREONAM 243 MG/ML INJECTION [40800003409],196.35,,2.67,168.861,84
NDC,63323-402-24 [266979],AZTREONAM 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003343],163.65,,2.67,140.739,84
NDC,63323-402-24 [266979],AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],163.65,,2.67,140.739,84
NDC,63323-402-30 [274706],AZTREONAM 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003343],163.65,,2.67,140.739,84
NDC,63323-402-30 [274706],AZTREONAM 2 GRAM SOLUTION FOR INJECTION [9186],163.65,,2.67,140.739,84
NDC,63323-402-30 [274706],AZTREONAM 243 MG/ML INJECTION [40800003409],176.6,,2.67,151.876,84
NDC,63323-411-12 [89857],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],8.05,,0.16,6.923,84
NDC,63323-411-12 [89857],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,63323-411-15 [317102],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,63323-415-10 [274709],NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [122267],89.05,,24.934,76.583,83
NDC,63323-418-01 [368530],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],545.8,,152.824,469.388,83
NDC,63323-418-20 [279481],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],545.8,,152.824,469.388,83
NDC,63323-421-01 [353853],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],135.95,,38.066,116.917,83
NDC,63323-421-02 [281307],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],135.95,,38.066,116.917,83
NDC,63323-424-05 [113061],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION (PULM OSM) [40800001974],32.55,,9.114,27.993,83
NDC,63323-424-05 [113061],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],32.55,,9.114,27.993,83
NDC,63323-424-10 [113062],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION (PULM OSM) [40800001974],247.75,,69.37,213.065,83
NDC,63323-424-10 [113062],FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [39744],247.75,,69.37,213.065,83
NDC,63323-434-00 [342572],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",64.9,,0.06,55.814,84
NDC,63323-434-00 [342572],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",64.9,,0.06,55.814,84
NDC,63323-434-00 [342572],ACETAMINOPHEN IVPB 10 MG/ML (IV PREP; DOSES NOT 1000 MG) [40800000120],36.95,,0.06,31.777,84
NDC,63323-434-00 [342572],ACETAMINOPHEN IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001422],36.95,,0.06,31.777,84
NDC,63323-434-41 [342573],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",64.9,,0.06,55.814,84
NDC,63323-434-41 [342573],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",64.9,,0.06,55.814,84
NDC,63323-434-41 [342573],ACETAMINOPHEN IVPB 10 MG/ML (IV PREP; DOSES NOT 1000 MG) [40800000120],36.95,,0.06,31.777,84
NDC,63323-434-41 [342573],ACETAMINOPHEN IVPB 10 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001422],36.95,,0.06,31.777,84
NDC,63323-450-50 [358558],PEMETREXED 25 MG/ML INJ CONTAINER [40800000036],1944.65,,3.73,1672.399,86
NDC,63323-450-50 [358558],PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],1944.65,,3.73,1672.399,86
NDC,63323-461-01 [328400],"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION [14983]",61.75,,17.29,53.105,83
NDC,63323-461-57 [206527],"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION [14983]",61.75,,17.29,53.105,83
NDC,63323-463-01 [328402],"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [14984]",66.0,,18.48,56.76,83
NDC,63323-463-57 [213763],"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [14984]",66.0,,18.48,56.76,83
NDC,63323-464-01 [329253],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],31.35,,0.01,26.961,84
NDC,63323-464-02 [331755],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],35.95,,0.01,30.917,84
NDC,63323-464-02 [331755],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],35.95,,0.01,30.917,84
NDC,63323-464-17 [223165],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],31.35,,0.01,26.961,84
NDC,63323-464-17 [223165],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],31.35,,0.01,26.961,84
NDC,63323-464-31 [190329],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],30.25,,0.01,26.015,84
NDC,63323-464-31 [190329],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],30.25,,0.01,26.015,84
NDC,63323-464-37 [206529],BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [1222],35.95,,0.01,30.917,84
NDC,63323-464-37 [206529],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],35.95,,0.01,30.917,84
NDC,63323-465-01 [339597],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],45.0,,0.01,38.7,84
NDC,63323-465-01 [339597],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],45.0,,0.01,38.7,84
NDC,63323-465-57 [213764],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],45.0,,0.01,38.7,84
NDC,63323-465-57 [213764],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],45.0,,0.01,38.7,84
NDC,63323-466-37 [206530],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) [40800003333],34.65,,0.01,29.799,84
NDC,63323-466-37 [206530],BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [105640],34.65,,0.01,29.799,84
NDC,63323-467-57 [213765],BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223],50.05,,0.01,43.043,84
NDC,63323-472-03 [352844],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],26.1,,0.01,22.446,84
NDC,63323-472-03 [352844],BUPIVACAINE (PF) 0.75% INJ CONTAINER [40800000743],26.1,,0.01,22.446,84
NDC,63323-472-17 [223166],BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [122185],26.1,,0.01,22.446,84
NDC,63323-472-17 [223166],BUPIVACAINE (PF) 0.75% INJ CONTAINER [40800000743],26.1,,0.01,22.446,84
NDC,63323-474-00 [307725],HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],26.25,,0.84,22.575,84
NDC,63323-474-01 [89872],HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],26.25,,0.84,22.575,84
NDC,63323-477-27 [223168],CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [1634],88.05,,0.04,75.723,84
NDC,63323-481-01 [339321],"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [10426]",32.55,,9.114,27.993,83
NDC,63323-481-57 [208825],"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [10426]",32.55,,9.114,27.993,83
NDC,63323-482-01 [328404],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",17.35,,4.858,14.921,83
NDC,63323-482-03 [326431],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",24.55,,6.874,21.113,83
NDC,63323-482-05 [327105],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",46.35,,12.978,39.861,83
NDC,63323-482-17 [213767],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",17.35,,4.858,14.921,83
NDC,63323-482-27 [213768],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",24.55,,6.874,21.113,83
NDC,63323-482-57 [206533],"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10427]",46.35,,12.978,39.861,83
NDC,63323-483-03 [324504],"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",24.9,,6.972,21.414,83
NDC,63323-483-27 [213769],"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [10430]",24.9,,6.972,21.414,83
NDC,63323-485-03 [327454],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],25.05,,7.014,21.543,83
NDC,63323-485-26 [290521],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],7.05,,1.974,6.063,83
NDC,63323-485-26 [290521],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],7.05,,1.974,6.063,83
NDC,63323-485-27 [208826],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],14.85,,4.158,12.771,83
NDC,63323-485-27 [208826],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],14.85,,4.158,12.771,83
NDC,63323-485-41 [329943],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],7.05,,1.974,6.063,83
NDC,63323-485-57 [213771],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],25.05,,7.014,21.543,83
NDC,63323-486-02 [327456],LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],16.8,,4.704,14.448,83
NDC,63323-486-26 [293952],LIDOCAINE 20 MG/ML (2 %) INJ FOR INTRANASAL USE [40800000268],6.4,,1.792,5.504,83
NDC,63323-486-26 [293952],LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],6.4,,1.792,5.504,83
NDC,63323-486-27 [213773],LIDOCAINE 20 MG/ML (2 %) INJ FOR INTRANASAL USE [40800000268],16.8,,4.704,14.448,83
NDC,63323-486-27 [213773],LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION [4454],16.8,,4.704,14.448,83
NDC,63323-487-01 [333023],"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [10428]",39.4,,11.032,33.884,83
NDC,63323-487-03 [348811],"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [10428]",36.3,,10.164,31.218,83
NDC,63323-487-07 [328405],"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [10428]",54.8,,15.344,47.128,83
NDC,63323-487-17 [206536],"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [10428]",39.4,,11.032,33.884,83
NDC,63323-487-31 [190349],"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [10428]",36.3,,10.164,31.218,83
NDC,63323-487-37 [200241],"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION [10428]",54.8,,15.344,47.128,83
NDC,63323-488-01 [340743],"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION [10429]",38.95,,10.906,33.497,83
NDC,63323-488-17 [213774],"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION [10429]",38.95,,10.906,33.497,83
NDC,63323-488-37 [208827],"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION [10429]",56.7,,15.876,48.762,83
NDC,63323-489-01 [333024],"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",41.75,,11.69,35.905,83
NDC,63323-489-02 [328979],"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",56.05,,15.694,48.203,83
NDC,63323-489-17 [206538],"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",41.75,,11.69,35.905,83
NDC,63323-489-27 [206539],"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION [10431]",74.75,,20.93,64.285,83
NDC,63323-491-01 [336801],LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [106363],51.7,,14.476,44.462,83
NDC,63323-491-57 [206540],LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [106363],51.7,,14.476,44.462,83
NDC,63323-492-04 [337228],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],10.35,,2.898,8.901,83
NDC,63323-492-07 [327957],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],42.1,,11.788,36.206,83
NDC,63323-492-09 [331246],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],17.25,,4.83,14.835,83
NDC,63323-492-27 [213775],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],10.35,,2.898,8.901,83
NDC,63323-492-27 [213775],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],10.35,,2.898,8.901,83
NDC,63323-492-31 [195115],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],33.8,,9.464,29.068,83
NDC,63323-492-37 [206541],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],42.1,,11.788,36.206,83
NDC,63323-492-37 [206541],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],42.1,,11.788,36.206,83
NDC,63323-492-57 [206542],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],17.25,,4.83,14.835,83
NDC,63323-492-57 [206542],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],17.25,,4.83,14.835,83
NDC,63323-492-97 [183843],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (PULM OSM) [40800001977],26.1,,7.308,22.446,83
NDC,63323-494-01 [320774],VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],31.8,,8.904,27.348,83
NDC,63323-494-05 [89875],VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],31.8,,8.904,27.348,83
NDC,63323-495-04 [331759],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],15.75,,4.41,13.545,83
NDC,63323-495-07 [208828],LIDOCAINE (PF) 20 MG/ML (2 %) INJ CONTAINER [40800000736],15.75,,4.41,13.545,83
NDC,63323-495-07 [208828],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],15.75,,4.41,13.545,83
NDC,63323-495-09 [338724],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],12.85,,3.598,11.051,83
NDC,63323-495-26 [288779],LIDOCAINE (PF) 20 MG/ML (2 %) INJ CONTAINER [40800000736],6.4,,1.792,5.504,83
NDC,63323-495-26 [288779],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],6.4,,1.792,5.504,83
NDC,63323-495-27 [203999],LIDOCAINE (PF) 20 MG/ML (2 %) INJ CONTAINER [40800000736],12.85,,3.598,11.051,83
NDC,63323-495-27 [203999],LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104208],12.85,,3.598,11.051,83
NDC,63323-506-00 [395281],DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],35.55,,0.12,30.573,84
NDC,63323-506-01 [89876],DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],35.55,,0.12,30.573,84
NDC,63323-506-16 [282918],DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],7.35,,0.12,6.321,84
NDC,63323-507-01 [351993],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],14.25,,0.44,12.255,84
NDC,63323-507-01 [351993],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],13.15,,0.44,11.309,84
NDC,63323-507-01 [351993],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],13.15,,0.44,11.309,84
NDC,63323-507-19 [367433],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],14.25,,0.44,12.255,84
NDC,63323-507-19 [367433],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],13.15,,0.44,11.309,84
NDC,63323-507-19 [367433],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],13.15,,0.44,11.309,84
NDC,63323-507-20 [223170],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],14.25,,0.44,12.255,84
NDC,63323-507-20 [223170],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],13.15,,0.44,11.309,84
NDC,63323-507-20 [223170],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],13.15,,0.44,11.309,84
NDC,63323-507-21 [237316],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],14.25,,0.44,12.255,84
NDC,63323-507-21 [237316],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],13.15,,0.44,11.309,84
NDC,63323-507-21 [237316],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],13.15,,0.44,11.309,84
NDC,63323-507-25 [266981],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],14.25,,0.44,12.255,84
NDC,63323-507-25 [266981],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],13.15,,0.44,11.309,84
NDC,63323-507-25 [266981],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],13.15,,0.44,11.309,84
NDC,63323-508-01 [350210],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],25.85,,0.44,22.231,84
NDC,63323-508-01 [350210],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.85,,0.44,22.231,84
NDC,63323-508-01 [350210],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],28.0,,0.44,24.08,84
NDC,63323-508-21 [350211],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.85,,0.44,22.231,84
NDC,63323-508-25 [266982],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],25.85,,0.44,22.231,84
NDC,63323-508-25 [266982],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.85,,0.44,22.231,84
NDC,63323-508-25 [266982],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],28.0,,0.44,24.08,84
NDC,63323-508-30 [223171],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],25.85,,0.44,22.231,84
NDC,63323-508-30 [223171],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.85,,0.44,22.231,84
NDC,63323-508-30 [223171],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],28.0,,0.44,24.08,84
NDC,63323-508-31 [237317],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.85,,0.44,22.231,84
NDC,63323-518-77 [310026],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL INFUSION [40800003544]",63.3,,0.22,54.438,84
NDC,63323-518-77 [310026],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE INTRA-ARTERIAL TITRATABLE INFUSION [40840003392]",63.3,,0.22,54.438,84
NDC,63323-518-77 [310026],"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15848]",63.3,,0.22,54.438,84
NDC,63323-519-02 [344879],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,0.22,54.438,84
NDC,63323-519-77 [344881],"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [15847]",63.3,,0.22,54.438,84
NDC,63323-526-03 [274710],ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],1058.15,,0.70035,910.009,86
NDC,63323-530-21 [330770],SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],69.65,,19.502,59.899,83
NDC,63323-530-75 [330771],SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],69.65,,19.502,59.899,83
NDC,63323-531-01 [327458],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],56.7,,0.57,48.762,84
NDC,63323-531-90 [327459],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],56.7,,0.57,48.762,84
NDC,63323-533-01 [331761],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],26.15,,0.57,22.489,84
NDC,63323-533-83 [331762],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],26.15,,0.57,22.489,84
NDC,63323-535-01 [335020],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],34.8,,0.57,29.928,84
NDC,63323-535-01 [335020],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],34.8,,0.57,29.928,84
NDC,63323-535-87 [335021],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],34.8,,0.57,29.928,84
NDC,63323-535-87 [335021],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],34.8,,0.57,29.928,84
NDC,63323-540-05 [334095],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",31.85,,0.22,27.391,84
NDC,63323-540-11 [89879],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",31.85,,0.22,27.391,84
NDC,63323-540-11 [89879],"HEPARIN 1,000 UNIT/ML INJ (EXTRACORPOREAL USE) [40800000270]",31.85,,0.22,27.391,84
NDC,63323-540-15 [334096],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",31.85,,0.22,27.391,84
NDC,63323-542-04 [340744],"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",88.15,,0.22,75.809,84
NDC,63323-542-14 [340747],"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",88.15,,0.22,75.809,84
NDC,63323-559-21 [328406],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],12.15,,0.57,10.449,84
NDC,63323-559-63 [356114],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],11.35,,0.57,9.761,84
NDC,63323-559-65 [356115],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],11.35,,0.57,9.761,84
NDC,63323-559-93 [328407],ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [105899],12.15,,0.57,10.449,84
NDC,63323-562-10 [293375],BIVALIRUDIN 50 MG/ML INJ [40800000001],475.05,,0.17,408.543,84
NDC,63323-564-63 [359661],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],13.7,,0.57,11.782,84
NDC,63323-564-65 [359662],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],13.7,,0.57,11.782,84
NDC,63323-566-21 [328410],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],23.55,,0.57,20.253,84
NDC,63323-566-98 [328411],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],23.55,,0.57,20.253,84
NDC,63323-572-70 [298535],CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],9614.2,,10.94,8268.212,86
NDC,63323-578-03 [310031],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],34.65,,0.43,29.799,84
NDC,63323-584-21 [328412],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],32.45,,0.57,27.907,84
NDC,63323-584-99 [328413],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],32.45,,0.57,27.907,84
NDC,63323-586-21 [328414],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],33.25,,0.57,28.595,84
NDC,63323-586-63 [365537],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],33.25,,0.57,28.595,84
NDC,63323-586-65 [365538],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],33.25,,0.57,28.595,84
NDC,63323-586-96 [328415],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],33.25,,0.57,28.595,84
NDC,63323-589-21 [328416],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],49.8,,0.57,42.828,84
NDC,63323-589-94 [328417],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],49.8,,0.57,42.828,84
NDC,63323-597-10 [190368],DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],56.9,,9.02,48.934,84
NDC,63323-597-10 [190368],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],56.9,,9.02,48.934,84
NDC,63323-599-30 [190369],DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],141.4,,9.02,121.604,84
NDC,63323-599-30 [190369],DEFEROXAMINE 95 MG/ML INJ CONTAINER [40800000043],141.4,,9.02,121.604,84
NDC,63323-605-01 [329257],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],63.25,,0.57,54.395,84
NDC,63323-605-84 [329259],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],63.25,,0.57,54.395,84
NDC,63323-614-01 [89891],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],54.2,,5.19,46.612,84
NDC,63323-614-16 [279488],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],15.35,,4.298,13.201,84
NDC,63323-614-21 [326434],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],15.35,,4.298,13.201,84
NDC,63323-614-55 [143073],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],15.35,,4.298,13.201,84
NDC,63323-616-01 [351994],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],9.5,,0.51,8.17,84
NDC,63323-616-02 [351995],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],25.95,,0.51,22.317,84
NDC,63323-616-03 [89892],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],9.5,,0.51,8.17,84
NDC,63323-616-09 [100090],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],25.95,,0.51,22.317,84
NDC,63323-623-53 [303783],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,18.522,56.889,83
NDC,63323-623-53 [303783],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,18.522,56.889,83
NDC,63323-623-53 [303783],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,63323-623-53 [303783],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,18.522,56.889,83
NDC,63323-623-53 [303783],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,18.522,56.889,83
NDC,63323-623-61 [303784],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,18.522,56.889,83
NDC,63323-623-61 [303784],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,18.522,56.889,83
NDC,63323-623-61 [303784],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,63323-623-74 [303785],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,0.71,56.889,84
NDC,63323-623-74 [303785],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,63323-623-74 [303785],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,84
NDC,63323-623-74 [303785],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,84
NDC,63323-624-03 [355256],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],69.65,,3.04,59.899,84
NDC,63323-624-04 [340748],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,2.03,56.889,84
NDC,63323-624-04 [340748],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,84
NDC,63323-624-04 [340748],DEXTROSE 5% INJECTION [40800003082],66.15,,2.03,56.889,84
NDC,63323-624-04 [340748],DEXTROSE 5% IV FLUSH [40800000220],66.15,,2.03,56.889,84
NDC,63323-624-06 [341615],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,18.522,56.889,83
NDC,63323-624-07 [335955],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,84
NDC,63323-624-10 [299390],DEXTROSE 5 % IV BOLUS [40800000219],69.65,,3.04,59.899,84
NDC,63323-624-10 [299390],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],69.65,,3.04,59.899,84
NDC,63323-626-00 [328419],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],66.15,,18.522,56.889,83
NDC,63323-626-00 [328419],SODIUM CHLORIDE 0.45 % IV BOLUS [40800002442],69.65,,19.502,59.899,83
NDC,63323-626-00 [328419],SODIUM CHLORIDE 0.45% IV REPLENISHMENT [40800002467],69.65,,19.502,59.899,83
NDC,63323-626-02 [328421],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],66.15,,18.522,56.889,83
NDC,63323-626-02 [328421],SODIUM CHLORIDE 0.45 % IV BOLUS [40800002442],69.65,,19.502,59.899,83
NDC,63323-626-02 [328421],SODIUM CHLORIDE 0.45% IV REPLENISHMENT [40800002467],69.65,,19.502,59.899,83
NDC,63323-626-03 [328422],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],66.15,,18.522,56.889,83
NDC,63323-626-03 [328422],SODIUM CHLORIDE 0.45 % IV BOLUS [40800002442],69.65,,19.502,59.899,83
NDC,63323-626-03 [328422],SODIUM CHLORIDE 0.45% IV REPLENISHMENT [40800002467],69.65,,19.502,59.899,83
NDC,63323-626-04 [328423],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],66.15,,18.522,56.889,83
NDC,63323-626-04 [328423],SODIUM CHLORIDE 0.45 % IV BOLUS [40800002442],66.15,,18.522,56.889,83
NDC,63323-626-05 [328424],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],69.65,,19.502,59.899,83
NDC,63323-626-10 [328425],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],69.65,,19.502,59.899,83
NDC,63323-626-25 [328426],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],66.15,,18.522,56.889,83
NDC,63323-626-25 [328426],SODIUM CHLORIDE 0.45 % IV BOLUS [40800002442],69.65,,19.502,59.899,83
NDC,63323-626-25 [328426],SODIUM CHLORIDE 0.45% IV REPLENISHMENT [40800002467],69.65,,19.502,59.899,83
NDC,63323-626-55 [328428],SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],66.15,,18.522,56.889,83
NDC,63323-626-55 [328428],SODIUM CHLORIDE 0.45 % IV BOLUS [40800002442],66.15,,18.522,56.889,83
NDC,63323-637-03 [314129],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],1945.95,,5.86,1673.517,84
NDC,63323-637-10 [314130],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],1945.95,,5.86,1673.517,84
NDC,63323-642-01 [357204],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],34.9,,0.5,30.014,84
NDC,63323-642-02 [358562],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],79.95,,0.5,68.757,84
NDC,63323-642-20 [288782],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],34.9,,0.5,30.014,84
NDC,63323-642-20 [288782],MAGNESIUM SULFATE 500 MG/ML (50 %) ORAL SOLUTION [40800000126],34.9,,0.5,30.014,84
NDC,63323-642-50 [288783],MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],79.95,,0.5,68.757,84
NDC,63323-648-10 [223172],LEVOTHYROXINE 100 MCG/ML INJ [40800000047],1602.75,,7.7,1378.365,84
NDC,63323-648-10 [223172],LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION [113058],1602.75,,7.7,1378.365,84
NDC,63323-649-07 [223173],LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [113060],365.45,,7.7,314.287,84
NDC,63323-649-07 [223173],LEVOTHYROXINE 20 MCG/ML INJ [40800000046],365.45,,7.7,314.287,84
NDC,63323-649-16 [266983],LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [113060],268.05,,7.7,230.523,84
NDC,63323-651-02 [122780],ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],39.05,,0.46,33.583,84
NDC,63323-652-10 [122782],ESMOLOL 10 MG/ML INJ CONTAINER [40800000725],57.15,,0.28,49.149,84
NDC,63323-652-10 [122782],ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],57.15,,0.28,49.149,84
NDC,63323-655-21 [328429],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],39.55,,0.57,34.013,84
NDC,63323-655-99 [328430],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],39.55,,0.57,34.013,84
NDC,63323-658-20 [190370],CHLOROTHIAZIDE SODIUM 28 MG/ML INJ [40800000310],975.3,,40.38,838.758,84
NDC,63323-658-20 [190370],CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [9526],975.3,,40.38,838.758,84
NDC,63323-660-05 [206544],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],9.7,,0.13,8.342,84
NDC,63323-664-00 [336433],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],12.05,,0.9,10.363,84
NDC,63323-664-01 [89897],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],13.2,,0.9,11.352,84
NDC,63323-664-16 [285872],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],6.4,,0.9,5.504,84
NDC,63323-664-41 [335024],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],6.4,,0.9,5.504,84
NDC,63323-665-00 [371651],TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],62.65,,2.74,53.879,84
NDC,63323-665-01 [106134],TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],62.65,,2.74,53.879,84
NDC,63323-673-05 [321883],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003382],71.55,,0.45,61.533,84
NDC,63323-673-05 [321883],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],71.55,,0.45,61.533,84
NDC,63323-685-17 [377916],POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [162662],884.55,,0.35,760.713,85
NDC,63323-686-01 [362704],POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [11081],69.65,,0.17,59.899,84
NDC,63323-686-10 [362705],POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [11081],69.65,,0.17,59.899,84
NDC,63323-690-30 [231357],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],101.8,,28.504,87.548,83
NDC,63323-690-30 [231357],ACETYLCYSTEINE ORAL SOLUTION 200 MG/ML (20%) [40800000530],101.8,,28.504,87.548,83
NDC,63323-692-10 [254452],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],59.35,,16.618,51.041,83
NDC,63323-692-22 [385616],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],58.4,,16.352,50.224,83
NDC,63323-694-04 [262929],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],61.55,,17.234,52.933,83
NDC,63323-694-04 [262929],ACETYLCYSTEINE ORAL SOLUTION 200 MG/ML (20%) [40800000530],61.55,,17.234,52.933,83
NDC,63323-694-04 [262929],ACETYLCYSTEINE ORAL SOLUTION SYRINGE 200 MG/ML (20%) (PEDI) [40800004001],61.55,,17.234,52.933,83
NDC,63323-696-02 [389713],EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],44.5,,2.28,38.27,84
NDC,63323-696-25 [389714],EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [2850],44.5,,2.28,38.27,84
NDC,63323-712-15 [266988],AMINO ACID 3.31 %-DEXTROSE 10.8 %-FATS 3.9 %-E-LYTES NO.10 IV EMULSION [205184],179.6,,50.288,154.456,83
NDC,63323-712-20 [266989],AMINO ACID 3.31 %-DEXTROSE 10.8 %-FATS 3.9 %-E-LYTES NO.10 IV EMULSION [205184],201.3,,56.364,173.118,83
NDC,63323-713-03 [340749],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],112.75,,3.47,96.965,84
NDC,63323-713-13 [285873],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],112.75,,3.47,96.965,84
NDC,63323-723-01 [305322],REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],252.85,,70.798,217.451,83
NDC,63323-723-03 [305323],REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],252.85,,70.798,217.451,83
NDC,63323-738-09 [237318],FAMOTIDINE 10 MG/ML INJ CONTAINER [40800000064],7.9,,0.01,6.794,84
NDC,63323-738-09 [237318],FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],7.9,,0.01,6.794,84
NDC,63323-738-20 [89906],FAMOTIDINE 10 MG/ML INJ CONTAINER [40800000064],32.1,,0.01,27.606,84
NDC,63323-738-20 [89906],FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],32.1,,0.01,27.606,84
NDC,63323-739-11 [334580],FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,84
NDC,63323-739-11 [334580],FAMOTIDINE 10 MG/ML INJ CONTAINER [40800000064],6.4,,0.01,5.504,84
NDC,63323-739-12 [89908],FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,84
NDC,63323-739-12 [89908],FAMOTIDINE 10 MG/ML INJ CONTAINER [40800000064],6.4,,0.01,5.504,84
NDC,63323-739-16 [279489],FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,84
NDC,63323-739-16 [279489],FAMOTIDINE 10 MG/ML INJ CONTAINER [40800000064],6.4,,0.01,5.504,84
NDC,63323-750-10 [279490],OXALIPLATIN 5 MG/ML INJ CONTAINER [40800000056],294.85,,0.09,253.571,84
NDC,63323-750-10 [279490],OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [99610],294.85,,0.09,253.571,84
NDC,63323-750-10 [279490],OXALIPLATIN HIPEC 5 MG/ML INFUSION [40800000339],294.85,,0.09,253.571,84
NDC,63323-750-20 [282920],OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],589.7,,0.09,507.142,84
NDC,63323-750-20 [282920],OXALIPLATIN 5 MG/ML INJ CONTAINER [40800000056],589.7,,0.09,507.142,84
NDC,63323-750-20 [282920],OXALIPLATIN HIPEC 5 MG/ML INFUSION [40800000339],589.7,,0.09,507.142,84
NDC,63323-751-03 [338727],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],6.9,,1.932,5.934,83
NDC,63323-751-13 [338728],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],6.9,,1.932,5.934,83
NDC,63323-760-20 [306253],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,63323-762-10 [206545],TOPOTECAN 1 MG/ML INJECTION CONTAINER [40800000312],445.65,,1.34,383.259,84
NDC,63323-762-10 [206545],TOPOTECAN 4 MG INTRAVENOUS SOLUTION [17285],445.65,,1.34,383.259,84
NDC,63323-762-10 [206545],TOPOTECAN INTRAVITREAL INJ 1000 MCG/ML (MAX CONC) [40840005239],445.65,,1.34,383.259,84
NDC,63323-762-17 [206546],TOPOTECAN 4 MG INTRAVENOUS SOLUTION [17285],769.9,,1.34,662.114,84
NDC,63323-762-17 [206546],TOPOTECAN INTRAVITREAL INJ 1000 MCG/ML (MAX CONC) [40840005239],769.9,,1.34,662.114,84
NDC,63323-762-94 [245370],TOPOTECAN 1 MG/ML INJECTION CONTAINER [40800000312],458.65,,1.34,394.439,84
NDC,63323-771-39 [297622],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],294.9,,0.21,253.614,84
NDC,63323-771-39 [297622],AZACITIDINE INJECTION 10 MG/ML [40800000411],294.9,,0.21,253.614,84
NDC,63323-778-10 [317104],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],35.65,,4.79,30.659,84
NDC,63323-778-21 [317105],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],35.65,,4.79,30.659,84
NDC,63323-781-10 [295577],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],27.0,,7.56,23.22,83
NDC,63323-781-10 [295577],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],27.0,,7.56,23.22,83
NDC,63323-781-10 [295577],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],24.95,,6.986,21.457,83
NDC,63323-781-21 [329946],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],27.0,,7.56,23.22,83
NDC,63323-781-21 [329946],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],27.0,,7.56,23.22,83
NDC,63323-781-21 [329946],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],24.95,,6.986,21.457,83
NDC,63323-782-20 [295578],VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION [11635],42.95,,12.026,36.937,83
NDC,63323-806-02 [323017],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],12.15,,0.96,10.449,84
NDC,63323-806-02 [323017],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],12.15,,0.96,10.449,84
NDC,63323-806-02 [323017],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],12.15,,0.96,10.449,84
NDC,63323-806-05 [323018],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],14.8,,0.96,12.728,84
NDC,63323-806-05 [323018],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],14.8,,0.96,12.728,84
NDC,63323-806-12 [323020],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],12.15,,0.96,10.449,84
NDC,63323-806-12 [323020],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],12.15,,0.96,10.449,84
NDC,63323-806-12 [323020],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],12.15,,0.96,10.449,84
NDC,63323-806-13 [323021],FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],14.8,,0.96,12.728,84
NDC,63323-806-13 [323021],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],14.8,,0.96,12.728,84
NDC,63323-808-01 [343540],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],14.35,,0.96,12.341,84
NDC,63323-808-01 [343540],FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE [193778],14.35,,0.96,12.341,84
NDC,63323-808-01 [343540],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],14.35,,0.96,12.341,84
NDC,63323-808-11 [343541],FENTANYL (PF) 50 MCG/ML INJ CONTAINER [40800000066],14.35,,0.96,12.341,84
NDC,63323-808-11 [343541],FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE [193778],14.35,,0.96,12.341,84
NDC,63323-808-11 [343541],FENTANYL IV PUSH INJECTION 50 MCG/ML [40840002305],14.35,,0.96,12.341,84
NDC,63323-811-00 [341616],OXACILLIN 10 GRAM SOLUTION FOR INJECTION [5925],382.65,,0.82,329.079,84
NDC,63323-811-00 [341616],OXACILLIN 100 MG/ML INJ CONTAINER [40800000203],382.65,,0.82,329.079,84
NDC,63323-812-01 [341617],OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],74.3,,0.82,63.898,84
NDC,63323-812-01 [341617],OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],74.3,,0.82,63.898,84
NDC,63323-812-20 [341618],OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],74.3,,0.82,63.898,84
NDC,63323-812-20 [341618],OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],74.3,,0.82,63.898,84
NDC,63323-815-02 [285874],AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],44.9,,0.62,38.614,84
NDC,63323-815-02 [285874],AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],44.9,,0.62,38.614,84
NDC,63323-815-04 [285875],"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [108133]",80.0,,0.62,68.8,84
NDC,63323-815-04 [285875],AMIKACIN 250 MG/ML INJ CONTAINER [40800000728],80.0,,0.62,68.8,84
NDC,63323-815-21 [312072],AMIKACIN 500 MG/2 ML INJECTION SOLUTION [108131],44.9,,0.62,38.614,84
NDC,63323-820-00 [291374],FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [179416],76.85,,21.518,66.091,83
NDC,63323-820-50 [291375],FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [179416],119.25,,33.39,102.555,83
NDC,63323-820-74 [290954],FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [179416],90.8,,25.424,78.088,83
NDC,63323-824-26 [328437],DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [2357],69.65,,19.502,59.899,83
NDC,63323-824-76 [328440],DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [2357],69.65,,19.502,59.899,83
NDC,63323-850-74 [279491],MOXIFLOXACIN 400 MG/250 ML INTRAVENOUS PIGGYBACK CONTAINER [40800003114],113.45,,7.76,97.567,84
NDC,63323-850-74 [279491],"MOXIFLOXACIN 400 MG/250 ML-SODIUM ACET,SUL-WATER INTRAVENOUS PIGGYBACK [174062]",113.45,,7.76,97.567,84
NDC,63323-851-07 [310038],HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],58.5,,0.09,50.31,84
NDC,63323-851-50 [310041],HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [116809],558.35,,0.09,480.181,84
NDC,63323-853-03 [310044],HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [127829],21.75,,0.09,18.705,84
NDC,63323-853-25 [310045],HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [127829],21.75,,0.09,18.705,84
NDC,63323-869-10 [346073],DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9814],69.65,,19.502,59.899,83
NDC,63323-870-01 [396381],DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],69.65,,1.36,59.899,84
NDC,63323-870-10 [346076],DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],69.65,,1.36,59.899,84
NDC,63323-870-74 [346077],DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9815],69.65,,1.36,59.899,84
NDC,63323-873-10 [346078],DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [9812],69.65,,19.502,59.899,83
NDC,63323-875-50 [343134],FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1548.6,,15.58,1331.796,84
NDC,63323-877-15 [89909],PENTAMIDINE 300 MG SOLUTION FOR INHALATION [28235],546.75,,82.37,470.205,84
NDC,63323-877-15 [89909],PENTAMIDINE NEBULIZER SOLN 50 MG/ML [40800000432],546.75,,82.37,470.205,84
NDC,63323-881-01 [359664],SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],141.45,,39.606,121.647,83
NDC,63323-881-16 [359665],SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],141.45,,39.606,121.647,83
NDC,63323-884-01 [362708],SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],75.95,,21.266,65.317,83
NDC,63323-884-06 [362709],SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],75.95,,21.266,65.317,83
NDC,63323-886-01 [358563],SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],450.05,,126.014,387.043,83
NDC,63323-886-56 [358564],SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],450.05,,126.014,387.043,83
NDC,63323-924-01 [351996],"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",7.85,,2.198,6.751,83
NDC,63323-924-03 [349886],"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",19.3,,5.404,16.598,83
NDC,63323-925-17 [355258],ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],10380.5,,30.8,8927.23,86
NDC,63323-925-17 [355258],ROMIDEPSIN INJ 5 MG/ML [40800000442],10380.5,,30.8,8927.23,86
NDC,63323-926-88 [355259],ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344],10380.5,,30.8,8927.23,86
NDC,63323-926-88 [355259],ROMIDEPSIN INJ 5 MG/ML [40800000442],10380.5,,30.8,8927.23,86
NDC,63323-930-00 [370622],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],61.85,,1.26,53.191,84
NDC,63323-930-01 [370623],VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [170316],61.85,,1.26,53.191,84
NDC,63323-960-10 [294486],TIGECYCLINE 10 MG/ML INJ [40800000059],511.1,,0.51,439.546,84
NDC,63323-960-10 [294486],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],473.65,,0.51,407.339,84
NDC,63323-960-10 [294486],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],473.65,,0.51,407.339,84
NDC,63323-963-30 [237319],ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],334.0,,0.37,287.24,84
NDC,63323-965-10 [89922],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],12.4,,0.17,10.664,84
NDC,63323-965-20 [89924],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],12.45,,0.17,10.707,84
NDC,63323-967-01 [327465],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],18.65,,0.17,16.039,84
NDC,63323-967-30 [89925],POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [6429],18.65,,0.17,16.039,84
NDC,63323-970-02 [237320],BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],174.9,,17.27,150.414,84
NDC,63323-972-10 [327466],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],409.5,,0.11,352.17,84
NDC,63323-983-21 [325255],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],49.45,,1.11,42.527,84
NDC,63323-983-21 [325255],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],49.45,,1.11,42.527,84
NDC,63323-983-23 [325256],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],49.45,,1.11,42.527,84
NDC,63323-983-23 [325256],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],49.45,,1.11,42.527,84
NDC,6332325410 [89809],MINERAL OIL TOPICAL CONTAINER [40800003064],89.1,,24.948,76.626,83
NDC,6332354901 [200243],"HEPARIN, PORCINE (PF) 100 UNIT/ML (1 ML) INTRAVENOUS SOLUTION [127225]",12.35,,0.02,10.621,84
NDC,63402-202-30 [262931],ESLICARBAZEPINE 200 MG TABLET [163869],158.75,,44.45,136.525,83
NDC,63402-204-30 [262932],ESLICARBAZEPINE 400 MG TABLET [163871],158.75,,44.45,136.525,83
NDC,63402-302-30 [223175],LURASIDONE 20 MG TABLET [113587],167.2,,46.816,143.792,83
NDC,63402-304-30 [204002],LURASIDONE 40 MG TABLET [107668],167.2,,46.816,143.792,83
NDC,63402-306-30 [245371],LURASIDONE 60 MG TABLET [122968],167.2,,46.816,143.792,83
NDC,63402-308-30 [204005],LURASIDONE 80 MG TABLET [107669],167.2,,46.816,143.792,83
NDC,63402-312-30 [231359],LURASIDONE 120 MG TABLET [117256],249.55,,69.874,214.613,83
NDC,63402-911-01 [254459],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],67.65,,18.942,58.179,83
NDC,63402-911-30 [143074],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],67.65,,18.942,58.179,83
NDC,63459-205-30 [204008],ARMODAFINIL 50 MG TABLET [96965],47.95,,13.426,41.237,83
NDC,63459-225-30 [204010],ARMODAFINIL 250 MG TABLET [96967],126.4,,35.392,108.704,83
NDC,63459-348-04 [282921],BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [176082],8104.2,,12.9,6969.612,86
NDC,63459-601-06 [304546],ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION [184158],4574.15,,5.86,3933.769,84
NDC,63459-601-11 [304547],ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION [184158],4574.15,,5.86,3933.769,84
NDC,6373614308 [306257],WHITE PETROLATUM 57.7 %-MINERAL OIL 31.9 % EYE OINTMENT [174404],29.7,,8.316,25.542,83
NDC,6373614308 [306257],WHITE PETROLATUM-MINERAL OIL OPHTHALMIC OINTMENT CONTAINER [40800002898],29.7,,8.316,25.542,83
NDC,6373624797 [283763],PERMETHRIN 1 % TOPICAL LIQUID AND 0.25 % SURFACE SPRAY COMBO PACK [179454],61.35,,17.178,52.761,83
NDC,63739-051-10 [331765],AMIODARONE 200 MG TABLET [9066],1.65,,0.462,1.419,83
NDC,63739-052-74 [343699],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],8.0,,2.24,6.88,83
NDC,63739-067-02 [356157],"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [162381]",3.3,,0.924,2.838,83
NDC,63739-070-10 [354367],ARIPIPRAZOLE 5 MG TABLET [36438],27.0,,7.56,23.22,83
NDC,63739-077-10 [356841],VALACYCLOVIR 500 MG TABLET [13133],6.5,,1.82,5.59,83
NDC,63739-086-10 [351192],VALPROIC ACID 250 MG CAPSULE [8429],2.05,,0.574,1.763,83
NDC,63739-087-02 [351193],ACETAMINOPHEN 325 MG TABLET [101],1.65,,0.462,1.419,83
NDC,63739-098-10 [331766],MIRTAZAPINE 15 MG TABLET [17466],1.65,,0.462,1.419,83
NDC,63739-108-10 [333033],CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],1.75,,0.49,1.505,83
NDC,63739-145-10 [363688],MIDODRINE 5 MG TABLET [10610],2.0,,0.56,1.72,83
NDC,63739-168-33 [285880],DOXYCYCLINE HYCLATE 100 MG TABLET [2625],11.3,,3.164,9.718,83
NDC,63739-196-01 [379327],MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [124286],9.25,,2.59,7.955,83
NDC,63739-196-10 [379328],MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [124286],9.25,,2.59,7.955,83
NDC,63739-212-02 [347292],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,63739-213-10 [143173],PROMETHAZINE 25 MG TABLET [6622],2.05,,0.574,1.763,83
NDC,63739-236-10 [287735],GABAPENTIN 300 MG CAPSULE [18308],1.65,,0.462,1.419,83
NDC,63739-327-10 [334102],HYDRALAZINE 25 MG TABLET [3700],1.65,,0.462,1.419,83
NDC,63739-328-10 [334103],HYDRALAZINE 50 MG TABLET [3701],1.65,,0.462,1.419,83
NDC,63739-410-10 [296643],ALLOPURINOL 100 MG TABLET [310],1.65,,0.462,1.419,83
NDC,63739-434-02 [349873],ASPIRIN 81 MG CHEWABLE TABLET [679],1.65,,0.462,1.419,83
NDC,63739-478-02 [352510],DOCUSATE SODIUM 100 MG CAPSULE [2566],1.65,,0.462,1.419,83
NDC,63739-479-10 [206554],BACLOFEN 10 MG TABLET [860],2.2,,0.616,1.892,83
NDC,63739-483-10 [206555],HYDROXYZINE HCL 10 MG TABLET [3772],1.65,,0.462,1.419,83
NDC,63739-486-10 [206556],HYDROXYZINE HCL 25 MG TABLET [3774],1.65,,0.462,1.419,83
NDC,63739-526-10 [208841],ZOLPIDEM 10 MG TABLET [11700],2.85,,0.798,2.451,83
NDC,63739-544-10 [213899],SPIRONOLACTONE 25 MG TABLET [7437],1.65,,0.462,1.419,83
NDC,63739-564-10 [231478],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,63739-567-10 [231479],TAMSULOSIN 0.4 MG CAPSULE [103890],1.9,,0.532,1.634,83
NDC,63739-571-10 [237351],SIMVASTATIN 10 MG TABLET [11364],1.65,,0.462,1.419,83
NDC,63739-572-10 [237352],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,63739-573-10 [237353],SIMVASTATIN 40 MG TABLET [11366],1.65,,0.462,1.419,83
NDC,63739-591-10 [285882],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,63739-645-10 [274734],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,63739-673-10 [293390],LOSARTAN 25 MG TABLET [14823],2.4,,0.672,2.064,83
NDC,63739-686-10 [293391],LOSARTAN 50 MG TABLET [14824],2.5,,0.7,2.15,83
NDC,63739-700-10 [279501],CIPROFLOXACIN 250 MG TABLET [25118],1.65,,0.462,1.419,83
NDC,63739-902-10 [354372],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,63739-903-10 [354373],GABAPENTIN 300 MG CAPSULE [18308],1.65,,0.462,1.419,83
NDC,63739-904-10 [354374],GABAPENTIN 400 MG CAPSULE [18307],1.65,,0.462,1.419,83
NDC,63739-931-14 [274740],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",16.4,,0.22,14.104,84
NDC,63739-953-11 [262964],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",16.0,,0.22,13.76,84
NDC,63739-953-25 [262965],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",16.0,,0.22,13.76,84
NDC,63739-973-10 [343700],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",3.45,,0.966,2.967,83
NDC,63739-984-10 [285885],GABAPENTIN 400 MG CAPSULE [18307],1.65,,0.462,1.419,83
NDC,63739-991-10 [351194],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,63739-992-10 [351195],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,6373915710 [359683],FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],13.8,,3.864,11.868,83
NDC,6373915770 [359684],FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],13.8,,3.864,11.868,83
NDC,6380760005 [177707],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,84
NDC,6380760005 [177707],"HEPARIN, PORCINE (PF) 100 UNIT/ML TOPICAL SOAK [40800004029]",6.4,,0.02,5.504,84
NDC,6380760051 [100108],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,84
NDC,6380760051 [100108],"HEPARIN, PORCINE (PF) 100 UNIT/ML TOPICAL SOAK [40800004029]",6.4,,0.02,5.504,84
NDC,63824-008-34 [184038],"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [162381]",2.45,,0.686,2.107,83
NDC,63824-008-50 [90710],"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [162381]",1.8,,0.504,1.548,83
NDC,63824-056-01 [339640],DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [24844],2.1,,0.588,1.806,83
NDC,63824-056-32 [184040],DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [24844],3.05,,0.854,2.623,83
NDC,63824-056-34 [184041],DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [24844],2.7,,0.756,2.322,83
NDC,63824-713-16 [262994],BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES [94141],1.65,,0.462,1.419,83
NDC,63824-715-16 [325269],BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES [94141],1.65,,0.462,1.419,83
NDC,63824-715-16 [325269],BENZOCAINE 15 MG-MENTHOL LOZENGES CONTAINER [40800002946],1.65,,0.462,1.419,83
NDC,63824-732-16 [262996],BENZOCAINE 15 MG-MENTHOL 2.6 MG LOZENGES [111183],1.65,,0.462,1.419,83
NDC,63824-732-16 [262996],BENZOCAINE 15 MG-MENTHOL LOZENGES CONTAINER [40800002946],1.65,,0.462,1.419,83
NDC,63833-386-02 [245408],"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [162970]",4881.25,,2.05,4197.875,85
NDC,63833-396-01 [263007],"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [162970]",4881.25,,2.05,4197.875,85
NDC,63833-396-01 [263007],PROTHROMBIN COMPLEX CONCENTRATE - DOSE GREATER THAN 2500 UNITS [40800000239],4881.25,,2.05,4197.875,85
NDC,63833-615-02 [201519],ANTIHEMOPHILIC FACTOR VIII/VWF (HUMATE-P) INJ CONTAINER [40800000051],6.9,,1.49,5.934,86
NDC,63833-615-02 [201519],ANTIHEMOPHILIC FACTOR VIII/VWF (HUMATE-P) IVPB IN EMPTY BAG [40800004040],6.9,,1.49,5.934,86
NDC,63833-616-02 [201520],ANTIHEMOPHILIC FACTOR VIII/VWF (HUMATE-P) INJ CONTAINER [40800000051],6.9,,1.49,5.934,86
NDC,63833-616-02 [201520],ANTIHEMOPHILIC FACTOR VIII/VWF (HUMATE-P) IVPB IN EMPTY BAG [40800004040],6.9,,1.49,5.934,86
NDC,63833-616-02 [201520],"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION [70405]",6.9,,1.49,5.934,86
NDC,63833-627-01 [311722],ANTIHEMOPHILIC FACTOR VIII/VWF (HUMATE-P) INJ CONTAINER [40800000051],8.15,,1.49,7.009,86
NDC,63833-627-01 [311722],ANTIHEMOPHILIC FACTOR VIII/VWF (HUMATE-P) IVPB IN EMPTY BAG [40800004040],8.15,,1.49,7.009,86
NDC,63833-627-01 [311722],"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION [70406]",8.15,,1.49,7.009,86
NDC,64067-216-01 [91027],METHOXSALEN 20 MCG/ML INJECTION SOLUTION [24933],2067.2,,578.816,1777.792,83
NDC,64253-400-30 [368535],ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],35.65,,0.07,30.659,84
NDC,64253-400-91 [368536],ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],35.65,,0.07,30.659,84
NDC,64253-900-30 [326465],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER (CRRT INFUSION) [40800003814],32.1,,8.988,27.606,83
NDC,64253-900-30 [326465],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],32.1,,8.988,27.606,83
NDC,64253-900-30 [326465],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],32.1,,8.988,27.606,83
NDC,64253-900-36 [326466],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER (CRRT INFUSION) [40800003814],32.1,,8.988,27.606,83
NDC,64253-900-36 [326466],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],32.1,,8.988,27.606,83
NDC,64253-900-36 [326466],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],32.1,,8.988,27.606,83
NDC,64253-900-91 [338759],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],35.65,,9.982,30.659,83
NDC,6425322221 [91103],"HEPARIN, PORCINE (PF) 10 UNIT/ML INJ CONTAINER [40800000214]",6.4,,0.02,5.504,84
NDC,6425322221 [91103],"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [105460]",6.4,,0.02,5.504,84
NDC,6425322235 [91109],"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [105460]",6.4,,0.02,5.504,84
NDC,6425333323 [91114],HEPARIN 600 UNITS/6 ML VORTEX PORT FLUSH [40800002028],6.4,,0.02,5.504,84
NDC,6425333323 [91114],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,84
NDC,6425333323 [91114],"HEPARIN, PORCINE (PF) 100 UNIT/ML TOPICAL SOAK [40800004029]",6.4,,0.02,5.504,84
NDC,6425333330 [91116],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,84
NDC,6425333330 [91116],"HEPARIN, PORCINE (PF) 100 UNIT/ML TOPICAL SOAK [40800004029]",6.4,,0.02,5.504,84
NDC,6425333333 [91117],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,84
NDC,6425333333 [91117],"HEPARIN, PORCINE (PF) 100 UNIT/ML TOPICAL SOAK [40800004029]",6.4,,0.02,5.504,84
NDC,6425333335 [91118],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,84
NDC,6425333335 [91118],"HEPARIN, PORCINE (PF) 100 UNIT/ML TOPICAL SOAK [40800004029]",6.4,,0.02,5.504,84
NDC,64281-100-00 [263013],METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION [27032],298.15,,1.73,256.409,84
NDC,64281-100-06 [91119],METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION [27032],298.15,,1.73,256.409,84
NDC,64281-110-05 [361539],METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [192322],442.3,,1.73,380.378,84
NDC,64380-158-01 [356844],MEGESTROL 20 MG TABLET [4870],1.65,,0.462,1.419,83
NDC,64380-159-02 [356845],MEGESTROL 40 MG TABLET [4871],1.65,,0.462,1.419,83
NDC,64380-169-01 [356848],IMIPRAMINE 10 MG TABLET [3860],1.65,,0.462,1.419,83
NDC,64380-170-01 [356850],IMIPRAMINE 25 MG TABLET [3861],1.65,,0.462,1.419,83
NDC,64380-188-01 [359717],ZAFIRLUKAST 20 MG TABLET [17960],7.2,,2.016,6.192,83
NDC,64380-712-06 [279536],BENZONATATE 100 MG CAPSULE [988],1.65,,0.462,1.419,83
NDC,64380-724-06 [274757],CALCITRIOL 0.5 MCG CAPSULE [9351],2.05,,0.574,1.763,83
NDC,64380-725-06 [263024],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.95,,0.16,1.677,84
NDC,64380-735-06 [263030],HYDRALAZINE 50 MG TABLET [3701],1.65,,0.462,1.419,83
NDC,64380-737-06 [267019],"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.65,,0.462,1.419,83
NDC,64380-741-06 [274758],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,64380-742-06 [274759],BUSPIRONE 10 MG TABLET [9323],1.65,,0.462,1.419,83
NDC,64380-747-05 [343703],PRAMIPEXOLE 0.25 MG TABLET [21290],1.65,,0.462,1.419,83
NDC,64380-769-21 [279542],PEG-ELECTROLYTE ORAL SOLUTION CONTAINER [40800003811],194.5,,54.46,167.27,83
NDC,64380-769-21 [279542],PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION [18232],194.5,,54.46,167.27,83
NDC,64380-782-06 [350219],PREDNISONE 1 MG TABLET [6493],1.65,,0.462,1.419,83
NDC,64380-784-06 [350222],PREDNISONE 10 MG TABLET [6494],1.65,,0.462,1.419,83
NDC,64380-797-01 [312660],OSELTAMIVIR 30 MG CAPSULE [88704],5.7,,1.596,4.902,83
NDC,64380-799-01 [312662],OSELTAMIVIR 75 MG CAPSULE [26546],8.8,,2.464,7.568,83
NDC,64380-809-06 [311729],IBUPROFEN 400 MG TABLET [3843],1.65,,0.462,1.419,83
NDC,64380-860-06 [315757],"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE [12185]",2.05,,0.574,1.763,83
NDC,64380-883-04 [323913],CINACALCET 30 MG TABLET [38100],2.4,,0.672,2.064,83
NDC,64380-884-04 [323914],CINACALCET 60 MG TABLET [38101],4.3,,1.204,3.698,83
NDC,64380-918-06 [341656],URSODIOL 250 MG TABLET [22660],3.6,,1.008,3.096,83
NDC,64380-949-06 [358617],PREDNISONE 50 MG TABLET [6498],1.65,,0.462,1.419,83
NDC,64380-970-25 [338760],HYDROCORTISONE 5 MG TABLET [10209],2.45,,0.686,2.107,83
NDC,64679-012-01 [301010],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],30.85,,1.11,26.531,84
NDC,64679-012-01 [301010],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],28.5,,1.11,24.51,84
NDC,64679-012-01 [301010],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],28.5,,1.11,24.51,84
NDC,64679-012-02 [301011],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],30.85,,1.11,26.531,84
NDC,64679-012-02 [301011],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],28.5,,1.11,24.51,84
NDC,64679-012-02 [301011],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],28.5,,1.11,24.51,84
NDC,64679-034-01 [301012],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],14.5,,1.11,12.47,84
NDC,64679-034-01 [301012],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],14.5,,1.11,12.47,84
NDC,64679-034-01 [301012],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],15.65,,1.11,13.459,84
NDC,64679-034-02 [301013],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],14.5,,1.11,12.47,84
NDC,64679-034-02 [301013],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],14.5,,1.11,12.47,84
NDC,64679-034-02 [301013],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],15.65,,1.11,13.459,84
NDC,64679-056-02 [301015],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],21.9,,1.11,18.834,84
NDC,64679-056-02 [301015],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],21.9,,1.11,18.834,84
NDC,64679-096-01 [294508],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],393.15,,0.21,338.109,84
NDC,64679-096-02 [294509],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],393.15,,0.21,338.109,84
NDC,64679-699-01 [307365],OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],59.1,,0.82,50.826,84
NDC,64679-699-01 [307365],OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],59.1,,0.82,50.826,84
NDC,64679-699-02 [307366],OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],59.1,,0.82,50.826,84
NDC,64679-699-02 [307366],OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],59.1,,0.82,50.826,84
NDC,64679-923-02 [110230],ENALAPRIL MALEATE 2.5 MG TABLET [9925],1.8,,0.504,1.548,83
NDC,64679-924-02 [110232],ENALAPRIL MALEATE 5 MG TABLET [9927],2.25,,0.63,1.935,83
NDC,64679-926-02 [110236],ENALAPRIL MALEATE 20 MG TABLET [9926],3.35,,0.938,2.881,83
NDC,64764-119-01 [231538],COLCHICINE 0.6 MG TABLET [1821],34.1,,9.548,29.326,83
NDC,64764-119-07 [231539],COLCHICINE 0.6 MG TABLET [1821],34.1,,9.548,29.326,83
NDC,64764-300-20 [263056],VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [164372],33116.15,,20.98,28479.889,86
NDC,64764-300-20 [263056],VEDOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION [40800002823],33116.15,,20.98,28479.889,86
NDC,64764-720-30 [287739],VORTIOXETINE 5 MG TABLET [132456],61.8,,17.304,53.148,83
NDC,64764-730-30 [287740],VORTIOXETINE 10 MG TABLET [132457],61.8,,17.304,53.148,83
NDC,64764-750-30 [287741],VORTIOXETINE 20 MG TABLET [132458],61.8,,17.304,53.148,83
NDC,64764-800-28 [352552],MARIBAVIR 200 MG TABLET [196254],768.95,,215.306,661.297,83
NDC,64764-800-56 [352575],MARIBAVIR 200 MG TABLET [196254],768.95,,215.306,661.297,83
NDC,64764-805-30 [126573],RAMELTEON 8 MG TABLET [42064],50.0,,14.0,43.0,83
NDC,64764-918-30 [184136],FEBUXOSTAT 40 MG TABLET [97133],42.4,,11.872,36.464,83
NDC,64842-0727-9 [337807],DECITABINE 35 MG-CEDAZURIDINE 100 MG TABLET [192291],5896.95,,1651.146,5071.377,83
NDC,64850-500-01 [367445],DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET [124596],2.85,,0.798,2.451,83
NDC,64850-504-01 [367449],DEXTROAMPHETAMINE-AMPHETAMINE 15 MG TABLET [124433],2.85,,0.798,2.451,83
NDC,64850-910-01 [365572],ISRADIPINE 2.5 MG CAPSULE [10362],15.95,,4.466,13.717,83
NDC,64896-663-01 [274776],"CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE [170594]",19.7,,5.516,16.942,83
NDC,64896-672-50 [223501],ZOLMITRIPTAN 5 MG TABLET [22219],423.8,,118.664,364.468,83
NDC,64896-695-13 [323921],"OXYMORPHONE ER 5 MG TABLET,EXTENDED RELEASE,12 HR [76677]",28.75,,8.05,24.725,83
NDC,64896-697-13 [323925],"OXYMORPHONE ER 10 MG TABLET,EXTENDED RELEASE,12 HR [76678]",44.15,,12.362,37.969,83
NDC,64896-698-13 [323927],"OXYMORPHONE ER 15 MG TABLET,EXTENDED RELEASE,12 HR [91179]",60.7,,16.996,52.202,83
NDC,64896-699-01 [323928],"OXYMORPHONE ER 20 MG TABLET,EXTENDED RELEASE,12 HR [76679]",69.4,,19.432,59.684,83
NDC,64896-699-13 [323929],"OXYMORPHONE ER 20 MG TABLET,EXTENDED RELEASE,12 HR [76679]",69.0,,19.32,59.34,83
NDC,64896-700-01 [323930],"OXYMORPHONE ER 30 MG TABLET,EXTENDED RELEASE,12 HR [91180]",98.8,,27.664,84.968,83
NDC,64896-700-13 [323931],"OXYMORPHONE ER 30 MG TABLET,EXTENDED RELEASE,12 HR [91180]",98.8,,27.664,84.968,83
NDC,64896-701-13 [323933],"OXYMORPHONE ER 40 MG TABLET,EXTENDED RELEASE,12 HR [76680]",128.55,,35.994,110.553,83
NDC,64950-206-03 [360661],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG TABLET [10204],6.8,,1.904,5.848,83
NDC,64950-206-10 [360662],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG TABLET [10204],6.75,,1.89,5.805,83
NDC,64950-216-10 [389743],ISONIAZID 100 MG TABLET [4026],8.45,,2.366,7.267,83
NDC,64950-217-03 [389744],ISONIAZID 300 MG TABLET [4027],16.6,,4.648,14.276,83
NDC,64950-342-05 [342613],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION [131611],38.85,,10.878,33.411,83
NDC,64950-342-05 [342613],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP CONTAINER [40800000735],38.85,,10.878,33.411,83
NDC,64950-342-45 [342614],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION [131611],38.85,,10.878,33.411,83
NDC,64950-342-45 [342614],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP CONTAINER [40800000735],38.85,,10.878,33.411,83
NDC,64950-354-05 [267041],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],29.25,,8.19,25.155,83
NDC,64950-354-50 [254552],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],375.3,,105.084,322.758,83
NDC,64950-362-04 [309288],COCAINE 4 % NASAL SOLUTION [185335],803.9,,225.092,691.354,83
NDC,64950-371-47 [361553],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION [3724],173.1,,48.468,148.866,83
NDC,64950-371-47 [361553],HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP CONTAINER [40800000735],173.1,,48.468,148.866,83
NDC,64950-374-16 [372896],ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML ORAL SOLUTION [14468],849.65,,237.902,730.699,83
NDC,64980-133-01 [150545],DIPYRIDAMOLE 25 MG TABLET [2528],5.65,,1.582,4.859,83
NDC,64980-210-01 [293397],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",1.65,,0.462,1.419,83
NDC,64980-281-01 [298551],"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",1.65,,0.462,1.419,83
NDC,64980-307-60 [91746],SODIUM FLUORIDE 1.1 % DENTAL GEL [19760],23.45,,6.566,20.167,83
NDC,64980-320-05 [201571],TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE [8121],85.8,,24.024,73.788,83
NDC,64980-322-12 [190487],MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT [91352],17.0,,4.76,14.62,83
NDC,64980-324-30 [279561],HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],68.25,,19.11,58.695,83
NDC,64980-341-14 [310957],ALENDRONATE 35 MG TABLET [29072],4.15,,1.162,3.569,83
NDC,64980-342-14 [310958],ALENDRONATE 70 MG TABLET [29048],3.0,,0.84,2.58,83
NDC,64980-403-10 [308525],CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION 100 ML BOTTLE [40800004411],429.75,,120.33,369.585,83
NDC,64980-403-10 [308525],CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION [9466],429.75,,120.33,369.585,83
NDC,64980-403-50 [308526],CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION 50 ML BOTTLE [40800004412],236.55,,66.234,203.433,83
NDC,64980-407-09 [304551],EFAVIRENZ 200 MG CAPSULE [23900],36.3,,10.164,31.218,83
NDC,64980-409-06 [301018],SERTRALINE 20 MG/ML ORAL CONCENTRATE [28011],191.85,,53.718,164.991,83
NDC,64980-442-01 [311732],ALBUTEROL SULFATE 2 MG TABLET [253],11.85,,3.318,10.191,83
NDC,64980-447-15 [327491],CALCITRIOL 1 MCG/ML ORAL SOLUTION [16218],1310.4,,366.912,1126.944,83
NDC,64980-503-12 [110247],LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION [41623],127.25,,35.63,109.435,83
NDC,64980-504-48 [136036],CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],184.0,,51.52,158.24,83
NDC,64980-509-24 [223507],DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR [2319],151.2,,0.02,130.032,84
NDC,64980-513-05 [274783],TIMOLOL MALEATE 0.25 % EYE DROPS [11561],24.65,,6.902,21.199,83
NDC,64980-514-05 [274786],TIMOLOL MALEATE 0.5 % EYE DROPS [11562],37.4,,10.472,32.164,83
NDC,64980-515-05 [274789],OFLOXACIN 0.3 % EYE DROPS [19746],57.8,,16.184,49.708,83
NDC,64980-526-03 [341659],NITAZOXANIDE 500 MG TABLET [39254],186.7,,52.276,160.562,83
NDC,64980-526-21 [341660],NITAZOXANIDE 500 MG TABLET [39254],200.95,,56.266,172.817,83
NDC,64980-526-60 [356172],NITAZOXANIDE 500 MG TABLET [39254],426.2,,119.336,366.532,83
NDC,64980-562-01 [362733],FUROSEMIDE 20 MG TABLET [3294],1.65,,0.462,1.419,83
NDC,64980-563-01 [362735],FUROSEMIDE 40 MG TABLET [3295],1.65,,0.462,1.419,83
NDC,64980-592-48 [369618],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],37.4,,10.472,32.164,83
NDC,6498012950 [110246],LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [129376],1.65,,0.462,1.419,83
NDC,6498014612 [175324],"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [10384]",6.2,,1.736,5.332,83
NDC,6498014698 [254554],"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [10384]",6.2,,1.736,5.332,83
NDC,65145-129-01 [387582],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],26.8,,1.79,23.048,84
NDC,65145-129-25 [387583],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],26.8,,1.79,23.048,84
NDC,65162-002-03 [311735],PRASUGREL HCL 10 MG TABLET [98373],3.1,,0.868,2.666,83
NDC,65162-033-10 [175333],ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [14087],2.85,,0.798,2.451,83
NDC,65162-034-16 [285895],OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],1.65,,0.462,1.419,83
NDC,65162-047-10 [267044],OXYCODONE 5 MG TABLET [10814],2.85,,0.798,2.451,83
NDC,65162-062-05 [328981],SUCRALFATE 100 MG/ML ORAL SUSPENSION SYRINGE (PEDI) [40840005207],624.9,,174.972,537.414,83
NDC,65162-062-05 [328981],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],624.9,,174.972,537.414,83
NDC,65162-087-74 [312086],ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],962.35,,269.458,827.621,83
NDC,65162-101-10 [263064],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,65162-102-50 [263069],GABAPENTIN 300 MG CAPSULE [18308],1.65,,0.462,1.419,83
NDC,65162-188-10 [267049],NAPROXEN 250 MG TABLET [5391],1.65,,0.462,1.419,83
NDC,65162-189-10 [267052],NAPROXEN 375 MG TABLET [5392],1.65,,0.462,1.419,83
NDC,65162-351-09 [237440],SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],1.65,,0.462,1.419,83
NDC,65162-372-10 [282970],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",1.65,,0.462,1.419,83
NDC,65162-468-19 [267058],CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],161.35,,45.178,138.761,83
NDC,65162-555-48 [166988],DEMECLOCYCLINE 300 MG TABLET [9727],44.2,,12.376,38.012,83
NDC,65162-556-10 [289542],TEMAZEPAM 15 MG CAPSULE [7753],2.85,,0.798,2.451,83
NDC,65162-571-10 [166989],BETHANECHOL CHLORIDE 5 MG TABLET [1045],1.65,,0.462,1.419,83
NDC,65162-627-10 [150555],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,65162-627-50 [150557],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,65162-649-78 [231561],OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479],541.95,,151.746,466.077,83
NDC,65162-673-84 [213984],RISPERIDONE 1 MG/ML ORAL SOLUTION [17377],72.1,,20.188,62.006,83
NDC,65162-676-84 [302728],AZELASTINE 137 MCG (0.1 %) NASAL SPRAY [19179],68.65,,19.222,59.039,83
NDC,65162-681-10 [339645],PHENAZOPYRIDINE 100 MG TABLET [6193],1.65,,0.462,1.419,83
NDC,65162-682-10 [339646],PHENAZOPYRIDINE 200 MG TABLET [6194],2.3,,0.644,1.978,83
NDC,65162-691-79 [213985],ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [18877],85.8,,0.01,73.788,84
NDC,65162-693-88 [263073],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],19.45,,5.446,16.727,83
NDC,65162-698-90 [223513],GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],364.15,,101.962,313.169,83
NDC,65162-705-88 [223517],ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION [34897],344.0,,96.32,295.84,83
NDC,65162-711-10 [184170],GUANFACINE 1 MG TABLET [10149],2.7,,0.756,2.322,83
NDC,65162-745-10 [208895],PROMETHAZINE 12.5 MG TABLET [6621],1.65,,0.462,1.419,83
NDC,65162-761-10 [245463],WARFARIN 1 MG TABLET [11664],1.65,,0.462,1.419,83
NDC,65162-766-10 [245473],WARFARIN 5 MG TABLET [8751],1.65,,0.462,1.419,83
NDC,65162-768-10 [245477],WARFARIN 7.5 MG TABLET [8752],1.65,,0.462,1.419,83
NDC,65162-769-10 [245479],WARFARIN 10 MG TABLET [8748],1.65,,0.462,1.419,83
NDC,65162-778-10 [304562],"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [31576]",10.55,,2.954,9.073,83
NDC,65162-791-04 [341661],LIDOCAINE 5 % TOPICAL PATCH [28203],11.95,,3.346,10.277,83
NDC,65162-791-08 [341662],LIDOCAINE 5 % TOPICAL PATCH [28203],11.95,,3.346,10.277,83
NDC,65162-801-14 [274793],TEMOZOLOMIDE 5 MG CAPSULE [25892],12.6,,0.36,10.836,84
NDC,65162-801-51 [274794],TEMOZOLOMIDE 5 MG CAPSULE [25892],12.6,,0.36,10.836,84
NDC,65162-802-14 [274795],TEMOZOLOMIDE 20 MG CAPSULE [25893],29.1,,0.36,25.026,84
NDC,65162-803-14 [274797],TEMOZOLOMIDE 100 MG CAPSULE [25894],85.8,,0.36,73.788,84
NDC,65162-803-51 [274798],TEMOZOLOMIDE 100 MG CAPSULE [25894],85.8,,0.36,73.788,84
NDC,65162-804-14 [274799],TEMOZOLOMIDE 140 MG CAPSULE [81461],124.25,,0.36,106.855,84
NDC,65162-805-14 [274801],TEMOZOLOMIDE 180 MG CAPSULE [81462],161.8,,0.36,139.148,84
NDC,65162-806-51 [274803],TEMOZOLOMIDE 250 MG CAPSULE [25895],175.55,,0.36,150.973,84
NDC,65162-807-10 [304563],PROGESTERONE MICRONIZED 100 MG CAPSULE [23122],1.9,,0.532,1.634,83
NDC,65162-836-14 [340776],ACYCLOVIR 5 % TOPICAL CREAM [8967],1075.4,,301.112,924.844,83
NDC,65162-891-29 [296681],MOMETASONE 50 MCG/ACTUATION NASAL SPRAY [21905],393.15,,110.082,338.109,83
NDC,65162-896-03 [290527],ARIPIPRAZOLE 2 MG TABLET [70306],1.65,,0.462,1.419,83
NDC,65162-898-03 [290531],ARIPIPRAZOLE 10 MG TABLET [34369],1.65,,0.462,1.419,83
NDC,65162-913-22 [289548],VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [38103],2627.4,,735.672,2259.564,83
NDC,65162-914-46 [279567],TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [22240],58.25,,16.31,50.095,83
NDC,65162-958-03 [328479],"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [97966]",8.7,,2.436,7.482,83
NDC,65174-270-30 [254562],KIT FOR PREPARATION OF TC 99M-ALBUMIN 2.5 MG INTRAVENOUS SOLUTION [130605],356.0,,99.68,306.16,83
NDC,65174-288-30 [237446],KIT FOR PREPARATION OF TC 99M-PENTETIC ACID 20 MG IV SOLUTION [109481],299.0,,83.72,257.14,83
NDC,65174-880-50 [281327],IODINE-131 SODIUM IODIDE CAPSULE (DIAGNOSTIC) [40800002884],175.0,,49.0,150.5,83
NDC,65174-880-50 [281327],IODINE-131 SODIUM IODIDE CAPSULE (TREATMENT) [40800003303],175.0,,24.07,150.5,85
NDC,65197-400-10 [375300],VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [8723],12.6,,3.528,10.836,83
NDC,65219-027-05 [402428],ASCORBIC ACID (VITAMIN C) 500 MG/ML INTRAVENOUS SOLUTION [184749],886.45,,248.206,762.347,83
NDC,65219-027-50 [402429],ASCORBIC ACID (VITAMIN C) 500 MG/ML INTRAVENOUS SOLUTION [184749],886.45,,248.206,762.347,83
NDC,65219-052-09 [333043],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],82.3,,23.044,70.778,83
NDC,65219-052-29 [333044],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],82.3,,23.044,70.778,83
NDC,65219-054-09 [333045],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],164.65,,46.102,141.599,83
NDC,65219-054-29 [333046],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],164.65,,46.102,141.599,83
NDC,65219-056-09 [333047],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],388.9,,108.892,334.454,83
NDC,65219-056-29 [333048],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],388.9,,108.892,334.454,83
NDC,65219-118-01 [369621],POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [9795],69.65,,0.17,59.899,84
NDC,65219-118-10 [369622],POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [9795],69.65,,0.17,59.899,84
NDC,65219-120-12 [402436],DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [163010],5828.05,,15.0,5012.123,86
NDC,65219-120-12 [402436],DALBAVANCIN INJ 20 MG/ML [40800000470],5828.05,,15.0,5012.123,86
NDC,65219-131-20 [379341],CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],1179.4,,0.62,1014.284,86
NDC,65219-144-04 [369627],POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9801],69.65,,0.17,59.899,84
NDC,65219-144-10 [369628],POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [9801],69.65,,0.17,59.899,84
NDC,65219-184-01 [381529],KETAMINE 10 MG/ML INJECTION SOLUTION [4236],69.15,,19.362,59.469,83
NDC,65219-184-01 [381529],KETAMINE HIGH-DOSE IV INFUSION 10 MG/ML (ADULT) (MUST USE ORDER SET) [40800003083],69.15,,19.362,59.469,83
NDC,65219-184-20 [381530],KETAMINE 10 MG/ML INJECTION SOLUTION [4236],69.15,,19.362,59.469,83
NDC,65219-184-20 [381530],KETAMINE HIGH-DOSE IV INFUSION 10 MG/ML (ADULT) (MUST USE ORDER SET) [40800003083],69.15,,19.362,59.469,83
NDC,65219-200-05 [346253],TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],1546.3,,23.3634,1329.818,86
NDC,65219-205-05 [346254],TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],1546.3,,23.3634,1329.818,86
NDC,65219-258-01 [369639],CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION [30275],156.35,,43.778,134.461,83
NDC,65219-258-10 [369640],CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION [30275],156.35,,43.778,134.461,83
NDC,65219-284-12 [371751],PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],1638.0,,32.74,1408.68,86
NDC,65219-368-01 [389768],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],11.5,,1.32,9.89,84
NDC,65219-368-02 [389769],LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],11.5,,1.32,9.89,84
NDC,65219-380-30 [357545],ALLOPURINOL 500 MG INTRAVENOUS SOLUTION [25408],9500.4,,3.81,8170.344,86
NDC,65219-380-30 [357545],ALLOPURINOL 500 MG/25 ML INJ [40840000088],9500.4,,3.81,8170.344,86
NDC,65219-389-00 [370633],ELECTROLYTE-A INTRAVENOUS SOLUTION [28113],69.65,,19.502,59.899,83
NDC,65219-389-00 [370633],ELECTROLYTE-A IV REPLENISHMENT  [40800004041],69.65,,19.502,59.899,83
NDC,65219-389-02 [370634],ELECTROLYTE-A INTRAVENOUS SOLUTION [28113],69.65,,19.502,59.899,83
NDC,65219-389-02 [370634],ELECTROLYTE-A IV REPLENISHMENT  [40800004041],69.65,,19.502,59.899,83
NDC,65219-389-05 [370635],ELECTROLYTE-A INTRAVENOUS SOLUTION [28113],69.65,,19.502,59.899,83
NDC,65219-389-05 [370635],ELECTROLYTE-A IV REPLENISHMENT  [40800004041],69.65,,19.502,59.899,83
NDC,65219-389-10 [370636],ELECTROLYTE-A INTRAVENOUS SOLUTION [28113],69.65,,19.502,59.899,83
NDC,65219-389-10 [370636],ELECTROLYTE-A IV REPLENISHMENT  [40800004041],69.65,,19.502,59.899,83
NDC,65219-405-02 [365583],ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION [8879],120.15,,33.642,103.329,83
NDC,65219-405-05 [365584],ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION [8879],120.15,,33.642,103.329,83
NDC,65219-433-01 [351200],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],21.4,,5.992,18.404,83
NDC,65219-433-15 [351201],PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],23.15,,6.482,19.909,83
NDC,65219-433-15 [351201],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],21.4,,5.992,18.404,83
NDC,65219-433-15 [351201],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],21.4,,5.992,18.404,83
NDC,65219-434-02 [376660],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],13.15,,1.11,11.309,84
NDC,65219-434-02 [376660],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],13.15,,1.11,11.309,84
NDC,65219-434-02 [376660],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],14.25,,1.11,12.255,84
NDC,65219-434-20 [376661],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],13.15,,1.11,11.309,84
NDC,65219-434-20 [376661],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],13.15,,1.11,11.309,84
NDC,65219-434-20 [376661],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],14.25,,1.11,12.255,84
NDC,65219-436-02 [376662],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],19.0,,1.11,16.34,84
NDC,65219-436-02 [376662],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],17.55,,1.11,15.093,84
NDC,65219-436-02 [376662],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],17.55,,1.11,15.093,84
NDC,65219-436-20 [376663],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],19.0,,1.11,16.34,84
NDC,65219-436-20 [376663],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],17.55,,1.11,15.093,84
NDC,65219-436-20 [376663],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],17.55,,1.11,15.093,84
NDC,65219-445-01 [350234],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],24.1,,6.748,20.726,83
NDC,65219-445-10 [350235],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],24.1,,6.748,20.726,83
NDC,65219-456-05 [386754],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,65219-456-05 [386754],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,18.522,56.889,83
NDC,65219-456-05 [386754],DEXTROSE 5% INJECTION [40800003082],66.15,,18.522,56.889,83
NDC,65219-456-60 [386755],DEXTROSE 5 % IV BOLUS [40800000219],66.15,,18.522,56.889,83
NDC,65219-456-60 [386755],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,18.522,56.889,83
NDC,65219-456-60 [386755],DEXTROSE 5% INJECTION [40800003082],66.15,,18.522,56.889,83
NDC,65219-458-05 [388586],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,84
NDC,65219-458-30 [388587],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,84
NDC,65219-460-05 [388588],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,84
NDC,65219-460-20 [388589],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,84
NDC,65219-462-05 [393346],DEXTROSE 5 % IV BOLUS [40800000219],69.65,,3.04,59.899,84
NDC,65219-462-05 [393346],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],69.65,,3.04,59.899,84
NDC,65219-462-05 [393346],DEXTROSE 5% INJECTION [40800003082],69.65,,3.04,59.899,84
NDC,65219-462-05 [393346],DEXTROSE 5% IV FLUSH [40800000220],69.65,,3.04,59.899,84
NDC,65219-462-10 [393347],DEXTROSE 5 % IV BOLUS [40800000219],69.65,,3.04,59.899,84
NDC,65219-462-10 [393347],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],69.65,,3.04,59.899,84
NDC,65219-462-10 [393347],DEXTROSE 5% INJECTION [40800003082],69.65,,3.04,59.899,84
NDC,65219-462-10 [393347],DEXTROSE 5% IV FLUSH [40800000220],69.65,,3.04,59.899,84
NDC,65219-464-05 [388590],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,18.522,56.889,83
NDC,65219-464-50 [388591],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,18.522,56.889,83
NDC,65219-466-05 [389772],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,65219-466-60 [389773],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,65219-468-05 [389774],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,18.522,56.889,83
NDC,65219-468-05 [389774],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,65219-468-05 [389774],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,18.522,56.889,83
NDC,65219-468-05 [389774],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,18.522,56.889,83
NDC,65219-468-05 [389774],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,18.522,56.889,83
NDC,65219-468-50 [389775],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,18.522,56.889,83
NDC,65219-468-50 [389775],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,18.522,56.889,83
NDC,65219-468-50 [389775],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,18.522,56.889,83
NDC,65219-468-50 [389775],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,18.522,56.889,83
NDC,65219-468-50 [389775],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,18.522,56.889,83
NDC,65219-470-05 [372910],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,0.71,56.889,84
NDC,65219-470-05 [372910],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,0.71,56.889,84
NDC,65219-470-05 [372910],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,65219-470-05 [372910],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,84
NDC,65219-470-05 [372910],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,84
NDC,65219-470-30 [372911],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,0.71,56.889,84
NDC,65219-470-30 [372911],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,0.71,56.889,84
NDC,65219-470-30 [372911],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,0.71,56.889,84
NDC,65219-470-30 [372911],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,65219-470-30 [372911],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,84
NDC,65219-470-30 [372911],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,84
NDC,65219-472-05 [368539],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,1.38,56.889,84
NDC,65219-472-05 [368539],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,1.38,56.889,84
NDC,65219-472-05 [368539],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,1.38,56.889,84
NDC,65219-472-05 [368539],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,1.38,56.889,84
NDC,65219-472-05 [368539],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,1.38,56.889,84
NDC,65219-472-20 [368540],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,1.38,56.889,84
NDC,65219-472-20 [368540],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,1.38,56.889,84
NDC,65219-472-20 [368540],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,1.38,56.889,84
NDC,65219-472-20 [368540],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,1.38,56.889,84
NDC,65219-472-20 [368540],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,1.38,56.889,84
NDC,65219-474-05 [368541],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],69.65,,2.28,59.899,84
NDC,65219-474-05 [368541],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,84
NDC,65219-474-05 [368541],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,65219-474-05 [368541],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],69.65,,2.28,59.899,84
NDC,65219-474-05 [368541],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],69.65,,2.28,59.899,84
NDC,65219-474-10 [368542],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],69.65,,2.28,59.899,84
NDC,65219-474-10 [368542],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,84
NDC,65219-474-10 [368542],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,65219-474-10 [368542],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],69.65,,2.28,59.899,84
NDC,65219-474-10 [368542],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],69.65,,2.28,59.899,84
NDC,65219-477-05 [389778],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,65219-477-05 [389778],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,65219-477-05 [389778],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,65219-477-05 [389778],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,65219-477-05 [389778],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,65219-477-20 [389779],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,65219-477-20 [389779],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,65219-477-20 [389779],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,65219-477-20 [389779],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,65219-477-20 [389779],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,65219-479-05 [376664],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,65219-479-05 [376664],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,65219-479-05 [376664],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,65219-479-05 [376664],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,65219-479-05 [376664],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,65219-479-10 [376665],LACTATED RINGERS FLUSH [40800000097],69.65,,2.46,59.899,84
NDC,65219-479-10 [376665],LACTATED RINGERS INTRAVENOUS SOLUTION (NON-ALARIS) [40800003501],69.65,,2.46,59.899,84
NDC,65219-479-10 [376665],LACTATED RINGERS INTRAVENOUS SOLUTION [4318],69.65,,2.46,59.899,84
NDC,65219-479-10 [376665],LACTATED RINGERS IV BOLUS [40800000206],69.65,,2.46,59.899,84
NDC,65219-479-10 [376665],LACTATED RINGERS IV REPLENISHMENT [40800002469],69.65,,2.46,59.899,84
NDC,65219-506-03 [391318],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],55.65,,15.582,47.859,83
NDC,65219-506-30 [391319],SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],55.65,,15.582,47.859,83
NDC,65219-510-02 [389780],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],25.55,,7.154,21.973,83
NDC,65219-510-20 [389781],POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],25.55,,7.154,21.973,83
NDC,65219-531-01 [370637],FAT EMULSION 20 % INTRAVENOUS [10014],100.7,,28.196,86.602,83
NDC,65219-531-10 [370638],FAT EMULSION 20 % INTRAVENOUS [10014],100.7,,28.196,86.602,83
NDC,65219-533-01 [370639],FAT EMULSION 20 % INTRAVENOUS [10014],153.7,,43.036,132.182,83
NDC,65219-533-25 [370640],FAT EMULSION 20 % INTRAVENOUS [10014],153.7,,43.036,132.182,83
NDC,65219-535-01 [370641],FAT EMULSION 20 % INTRAVENOUS [10014],136.5,,38.22,117.39,83
NDC,65219-535-50 [370642],FAT EMULSION 20 % INTRAVENOUS [10014],136.5,,38.22,117.39,83
NDC,65219-570-01 [365585],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],17.3,,0.61,14.878,84
NDC,65219-570-04 [365586],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],17.3,,0.61,14.878,84
NDC,65219-572-01 [365587],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],21.25,,0.61,18.275,84
NDC,65219-572-10 [365588],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],21.25,,0.61,18.275,84
NDC,65219-622-02 [396410],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],59.15,,0.03,50.869,84
NDC,65219-622-10 [396411],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],59.15,,0.03,50.869,84
NDC,65219-624-04 [397499],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],98.4,,0.03,84.624,84
NDC,65219-624-20 [397500],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],98.4,,0.03,84.624,84
NDC,65250-266-09 [295605],BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION (2019-0237) [40800004201],1270.95,,1.41,1093.017,86
NDC,65250-266-09 [295605],BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [112781],1270.95,,1.41,1093.017,86
NDC,65250-266-20 [223526],BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION (2019-0237) [40800004201],1270.95,,1.41,1093.017,86
NDC,65250-266-20 [223526],BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [112781],1270.95,,1.41,1093.017,86
NDC,65597-406-01 [329959],FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [190191],10616.85,,30.0,9130.491,86
NDC,65597-406-01 [329959],FAM-TRASTUZUMAB DERUXTECAN-NXKI 20 MG/ML INJECTION [40800003410],10616.85,,30.0,9130.491,86
NDC,65597-801-01 [392201],DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION [207184],16343.15,,51.52,14055.109,85
NDC,65597-801-01 [392201],DATOPOTAMAB DERUXTECAN-DLNK 20 MG/ML INJECTION [40800004214],16343.15,,51.52,14055.109,85
NDC,65628-016-05 [329960],VANCOMYCIN 50 MG/ML ORAL SOLUTION [11630],466.05,,130.494,400.803,83
NDC,65628-206-05 [307377],VANCOMYCIN 50 MG/ML ORAL SOLUTION [11630],600.75,,168.21,516.645,83
NDC,65649-301-03 [110257],RIFAXIMIN 200 MG TABLET [39063],45.85,,12.838,39.431,83
NDC,65649-303-02 [195158],RIFAXIMIN 550 MG TABLET [104604],210.0,,58.8,180.6,83
NDC,65649-303-03 [195159],RIFAXIMIN 550 MG TABLET [104604],210.0,,58.8,180.6,83
NDC,65649-551-02 [214000],METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION [91651],611.8,,171.304,526.148,83
NDC,65649-551-07 [245483],METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE [130964],611.8,,171.304,526.148,83
NDC,65649-701-41 [135242],SOD PHOS MONO-SOD PHOS DIBASIC 1.5 GRAM (1.102-0.398) TABLET [29469],39.5,,11.06,33.97,83
NDC,65857-450-05 [314148],KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION [186650],2178.0,,609.84,1873.08,83
NDC,65862-008-01 [119961],METFORMIN 500 MG TABLET [10544],1.65,,0.462,1.419,83
NDC,65862-010-01 [119965],"METFORMIN 1,000 MG TABLET [24398]",1.65,,0.462,1.419,83
NDC,65862-012-01 [305346],SERTRALINE 50 MG TABLET [11351],1.65,,0.462,1.419,83
NDC,65862-015-01 [143579],AMOXICILLIN 875 MG TABLET (IMS WITH CAPSULES) [40800002899],1.7,,0.476,1.462,83
NDC,65862-021-06 [131866],MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],2.05,,0.574,1.763,83
NDC,65862-022-06 [131867],MIRTAZAPINE 30 MG DISINTEGRATING TABLET [29532],2.4,,0.672,2.064,83
NDC,65862-050-90 [143601],SIMVASTATIN 5 MG TABLET [11367],1.65,,0.462,1.419,83
NDC,65862-052-90 [143607],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,65862-062-01 [161138],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,65862-076-01 [190515],CIPROFLOXACIN 250 MG TABLET [25118],1.65,,0.462,1.419,83
NDC,65862-077-01 [190516],CIPROFLOXACIN 500 MG TABLET [25119],1.65,,0.462,1.419,83
NDC,65862-078-50 [195160],CIPROFLOXACIN 750 MG TABLET [25120],2.55,,0.714,2.193,83
NDC,65862-079-30 [150580],TERBINAFINE HCL 250 MG TABLET [12724],1.65,,0.462,1.419,83
NDC,65862-096-20 [161149],CEFPODOXIME 200 MG TABLET [9469],17.7,,4.956,15.222,83
NDC,65862-146-36 [190518],SUMATRIPTAN 25 MG TABLET [15327],1.65,,0.462,1.419,83
NDC,65862-159-01 [150585],ZOLPIDEM 5 MG TABLET [11701],2.85,,0.798,2.451,83
NDC,65862-160-01 [150587],ZOLPIDEM 10 MG TABLET [11700],2.85,,0.798,2.451,83
NDC,65862-175-01 [190523],PENICILLIN V POTASSIUM 250 MG TABLET [6092],1.65,,0.462,1.419,83
NDC,65862-177-60 [167038],CEFDINIR 300 MG CAPSULE [22289],3.95,,1.106,3.397,83
NDC,65862-186-01 [190529],CLINDAMYCIN HCL 300 MG CAPSULE [9621],2.05,,0.574,1.763,83
NDC,65862-187-30 [161179],ONDANSETRON HCL 4 MG TABLET [10778],1.65,,0.01,1.419,84
NDC,65862-192-01 [175387],FLUOXETINE 10 MG CAPSULE [10069],1.65,,0.462,1.419,83
NDC,65862-193-01 [175390],FLUOXETINE 20 MG CAPSULE [10070],1.65,,0.462,1.419,83
NDC,65862-199-99 [195166],GABAPENTIN 300 MG CAPSULE [18308],1.65,,0.462,1.419,83
NDC,65862-202-30 [201614],LOSARTAN 50 MG TABLET [14824],1.65,,0.462,1.419,83
NDC,65862-202-90 [201615],LOSARTAN 50 MG TABLET [14824],1.65,,0.462,1.419,83
NDC,65862-203-90 [201618],LOSARTAN 100 MG TABLET [22588],1.65,,0.462,1.419,83
NDC,65862-207-68 [223551],RIBAVIRIN 200 MG TABLET [11287],2.95,,0.826,2.537,83
NDC,65862-218-01 [167041],CEFDINIR 125 MG/5 ML ORAL SUSPENSION [22290],85.8,,24.024,73.788,83
NDC,65862-247-08 [184226],LEVETIRACETAM 750 MG TABLET [26818],1.65,,0.462,1.419,83
NDC,65862-293-90 [312665],ROSUVASTATIN 5 MG TABLET [36612],1.65,,0.462,1.419,83
NDC,65862-295-90 [312667],ROSUVASTATIN 20 MG TABLET [35135],1.65,,0.462,1.419,83
NDC,65862-296-30 [312668],ROSUVASTATIN 40 MG TABLET [35136],1.65,,0.462,1.419,83
NDC,65862-301-30 [371758],EMTRICITABINE 200 MG CAPSULE [36252],61.9,,17.332,53.234,83
NDC,65862-329-04 [175397],ALENDRONATE 70 MG TABLET [29048],6.55,,1.834,5.633,83
NDC,65862-357-90 [231586],CLOPIDOGREL 75 MG TABLET [22142],1.65,,0.462,1.419,83
NDC,65862-373-01 [231587],ESCITALOPRAM 5 MG TABLET [37635],1.65,,0.462,1.419,83
NDC,65862-375-01 [231591],ESCITALOPRAM 20 MG TABLET [33513],1.65,,0.462,1.419,83
NDC,65862-390-10 [223552],ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],2.9,,0.01,2.494,84
NDC,65862-391-10 [223553],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],4.05,,0.01,3.483,84
NDC,65862-419-01 [204039],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [7557],1.65,,0.462,1.419,83
NDC,65862-420-01 [204041],SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],1.65,,0.462,1.419,83
NDC,65862-448-90 [201620],VALACYCLOVIR 500 MG TABLET [13133],3.9,,1.092,3.354,83
NDC,65862-496-47 [208912],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION (DESENSITIZATION #5-7) [40800003065],147.5,,41.3,126.85,83
NDC,65862-496-47 [208912],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],147.5,,41.3,126.85,83
NDC,65862-502-20 [223585],AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],2.1,,0.588,1.806,83
NDC,65862-503-01 [223586],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],2.3,,0.644,1.978,83
NDC,65862-503-20 [223587],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],1.75,,0.49,1.505,83
NDC,65862-514-30 [237551],PIOGLITAZONE 45 MG TABLET [25530],1.65,,0.462,1.419,83
NDC,65862-524-05 [223599],GABAPENTIN 800 MG TABLET [25856],1.65,,0.462,1.419,83
NDC,65862-527-30 [214017],"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",1.65,,0.462,1.419,83
NDC,65862-527-90 [214018],"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",1.65,,0.462,1.419,83
NDC,65862-528-30 [214019],"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",1.65,,0.462,1.419,83
NDC,65862-528-90 [214020],"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",1.65,,0.462,1.419,83
NDC,65862-534-01 [223607],AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],54.05,,15.134,46.483,83
NDC,65862-537-50 [214024],LEVOFLOXACIN 500 MG TABLET [18919],1.85,,0.518,1.591,83
NDC,65862-559-90 [245488],"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [26224]",1.65,,0.462,1.419,83
NDC,65862-560-90 [245490],"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [26225]",1.65,,0.462,1.419,83
NDC,65862-570-30 [274836],VALSARTAN 40 MG TABLET [33541],1.95,,0.546,1.677,83
NDC,65862-596-02 [374023],CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642],161.35,,45.178,138.761,83
NDC,65862-598-01 [263089],TAMSULOSIN 0.4 MG CAPSULE [103890],1.65,,0.462,1.419,83
NDC,65862-601-01 [231613],MODAFINIL 100 MG TABLET [24702],3.15,,0.882,2.709,83
NDC,65862-603-30 [263093],MOXIFLOXACIN 400 MG TABLET [26854],13.95,,3.906,11.997,83
NDC,65862-641-63 [311743],AZITHROMYCIN 250 MG TABLET [20943],3.5,,0.98,3.01,83
NDC,65862-641-69 [311744],AZITHROMYCIN 250 MG TABLET [20943],3.5,,0.98,3.01,83
NDC,65862-670-01 [263096],REPAGLINIDE 0.5 MG TABLET [22584],1.65,,0.462,1.419,83
NDC,65862-672-01 [263098],REPAGLINIDE 2 MG TABLET [22585],1.65,,0.462,1.419,83
NDC,65862-676-01 [333051],ALPRAZOLAM 0.25 MG TABLET [324],2.85,,0.798,2.451,83
NDC,65862-676-99 [306279],ALPRAZOLAM 0.25 MG TABLET [324],2.85,,0.798,2.451,83
NDC,65862-677-01 [333053],ALPRAZOLAM 0.5 MG TABLET [325],2.85,,0.798,2.451,83
NDC,65862-678-01 [332288],ALPRAZOLAM 1 MG TABLET [326],2.85,,0.798,2.451,83
NDC,65862-687-30 [312671],RITONAVIR 100 MG TABLET [100995],12.65,,3.542,10.879,83
NDC,65862-700-60 [263110],CEFUROXIME AXETIL 500 MG TABLET [9496],6.5,,1.82,5.59,83
NDC,65862-707-80 [274853],AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],15.8,,4.424,13.588,83
NDC,65862-732-60 [290542],AMIODARONE 200 MG TABLET [9066],1.65,,0.462,1.419,83
NDC,65862-741-30 [297626],OLMESARTAN 5 MG TABLET [32761],1.65,,0.462,1.419,83
NDC,65862-743-30 [297629],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,65862-759-90 [376672],PREGABALIN 50 MG CAPSULE [42163],2.85,,0.798,2.451,83
NDC,65862-760-90 [376673],PREGABALIN 75 MG CAPSULE [42164],2.85,,0.798,2.451,83
NDC,65862-762-90 [376675],PREGABALIN 150 MG CAPSULE [42166],2.85,,0.798,2.451,83
NDC,65862-763-90 [376676],PREGABALIN 200 MG CAPSULE [42167],2.85,,0.798,2.451,83
NDC,65862-765-90 [376678],PREGABALIN 300 MG CAPSULE [42169],2.85,,0.798,2.451,83
NDC,65862-805-30 [310959],ARMODAFINIL 50 MG TABLET [96965],3.0,,0.84,2.58,83
NDC,65862-807-30 [310961],ARMODAFINIL 250 MG TABLET [96967],6.45,,1.806,5.547,83
NDC,65862-859-01 [287750],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,65862-908-01 [289552],CELECOXIB 100 MG CAPSULE [24500],1.65,,0.462,1.419,83
NDC,65862-909-01 [289553],CELECOXIB 200 MG CAPSULE [24501],1.65,,0.462,1.419,83
NDC,65862-927-30 [267067],FINASTERIDE 1 MG TABLET [22243],1.65,,0.462,1.419,83
NDC,65862-930-08 [299398],SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],9.0,,2.52,7.74,83
NDC,65862-930-90 [299399],SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET [99694],9.0,,2.52,7.74,83
NDC,65862-967-01 [293426],ESZOPICLONE 1 MG TABLET [40320],2.85,,0.798,2.451,83
NDC,65862-969-01 [293430],ESZOPICLONE 3 MG TABLET [40322],2.85,,0.798,2.451,83
NDC,65862-986-01 [319265],"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE [12185]",2.05,,0.574,1.763,83
NDC,65976-100-01 [161183],MINOCYCLINE MICROSPHERES 1 MG DENTAL CARTRIDGE [35838],331.45,,92.806,285.047,83
NDC,65976-100-24 [337255],MINOCYCLINE MICROSPHERES 1 MG DENTAL CARTRIDGE [35838],94.55,,26.474,81.313,83
NDC,66220-315-11 [342619],TELAVANCIN 15 MG/ML INJ CONTAINER [40800000450],2205.1,,7.03,1896.386,86
NDC,66220-315-11 [342619],TELAVANCIN 750 MG INTRAVENOUS SOLUTION [99997],2205.1,,7.03,1896.386,86
NDC,66220-315-22 [342620],TELAVANCIN 15 MG/ML INJ CONTAINER [40800000450],2205.1,,7.03,1896.386,86
NDC,66220-315-22 [342620],TELAVANCIN 750 MG INTRAVENOUS SOLUTION [99997],2205.1,,7.03,1896.386,86
NDC,66302-014-01 [279600],DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION [173725],68576.35,,19201.378,58975.661,83
NDC,66312-110-20 [327497],LIDOCAINE 2.5 %-PRILOCAINE 2.5 % DENTAL CARTRIDGE [189281],26.3,,7.364,22.618,83
NDC,66312-176-16 [269375],"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE [128677]",6.4,,1.792,5.504,83
NDC,66490-650-20 [93180],DIAZEPAM 2.5 MG RECTAL KIT (IP) [40800002632],969.9,,271.572,834.114,83
NDC,66553-001-01 [93213],ASPIRIN 325 MG TABLET [681],1.65,,0.462,1.419,83
NDC,66553-002-01 [93214],ASPIRIN 81 MG CHEWABLE TABLET [679],1.65,,0.462,1.419,83
NDC,66553-004-01 [93215],CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],1.65,,0.462,1.419,83
NDC,66553-008-01 [100201],SODIUM BICARBONATE 650 MG TABLET [7312],1.65,,0.462,1.419,83
NDC,66658-113-01 [375325],PALIFERMIN INJ 5 MG/ML [40800000431],12563.05,,35.91,10804.223,86
NDC,66658-113-03 [375326],PALIFERMIN INJ 5 MG/ML [40800000431],12563.05,,35.91,10804.223,86
NDC,66658-113-06 [375327],PALIFERMIN INJ 5 MG/ML [40800000431],10855.4,,35.91,9335.644,86
NDC,66658-231-01 [352058],PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION [41675],11262.65,,436.75,9685.879,86
NDC,66658-234-01 [201747],ANAKINRA 100 MG/0.67 ML IV INJECTION [40800003815],684.45,,191.646,588.627,83
NDC,66658-234-01 [201747],ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],684.45,,191.646,588.627,83
NDC,66658-234-07 [201748],ANAKINRA 100 MG/0.67 ML IV INJECTION [40800003815],684.45,,191.646,588.627,83
NDC,66658-234-07 [201748],ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE [31784],684.45,,191.646,588.627,83
NDC,66658-501-01 [347308],EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION [187168],12157.25,,381.64,10455.235,86
NDC,66658-505-01 [343711],EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION [187168],60786.2,,381.64,52276.132,86
NDC,66658-510-01 [343712],EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION [187168],121572.4,,381.64,104552.264,86
NDC,66685-1001-0 [93278],AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],5.4,,1.512,4.644,83
NDC,66689-008-16 [231773],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION SYRINGE (PEDI) [40840005203]",116.7,,32.676,100.362,83
NDC,66689-008-16 [231773],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",116.7,,32.676,100.362,83
NDC,66689-020-01 [175517],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],27.8,,7.784,23.908,83
NDC,66689-020-50 [175518],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],27.8,,7.784,23.908,83
NDC,66689-023-01 [223781],HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [37848],21.4,,5.992,18.404,83
NDC,66689-025-30 [237632],OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],328.85,,92.078,282.811,83
NDC,66689-036-01 [195303],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION SYRINGE (PEDI) [40800004005],34.85,,9.758,29.971,83
NDC,66689-036-01 [195303],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [128582],34.85,,9.758,29.971,83
NDC,66689-036-50 [195304],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION SYRINGE (PEDI) [40800004005],34.85,,9.758,29.971,83
NDC,66689-036-50 [195304],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [128582],34.85,,9.758,29.971,83
NDC,66689-047-01 [285920],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],53.1,,14.868,45.666,83
NDC,66689-047-50 [285921],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],53.1,,14.868,45.666,83
NDC,66689-062-01 [312674],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],123.4,,34.552,106.124,83
NDC,66689-062-42 [312676],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],101.25,,28.35,87.075,83
NDC,66689-110-01 [353343],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],270.45,,75.726,232.587,83
NDC,66689-202-08 [144024],ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION [126593],103.0,,28.84,88.58,83
NDC,66689-305-16 [356180],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],302.9,,84.812,260.494,83
NDC,66689-307-08 [319269],MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],1482.1,,414.988,1274.606,83
NDC,66689-327-02 [328487],DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION [43556],389.85,,109.158,335.271,83
NDC,66689-330-08 [333058],AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],2326.3,,651.364,2000.618,83
NDC,66689-347-02 [318494],SIROLIMUS 1 MG/ML ORAL SOLUTION [26336],1971.35,,0.96,1695.361,84
NDC,66689-401-01 [231775],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],34.0,,9.52,29.24,83
NDC,66689-403-16 [231777],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],375.3,,105.084,322.758,83
NDC,66689-711-16 [201750],METHADONE 5 MG/5 ML ORAL SOLUTION [4952],345.25,,96.67,296.915,83
NDC,66689-735-05 [335981],ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION [40446],491.4,,137.592,422.604,83
NDC,66689-775-08 [292034],PHENYTOIN 125 MG/5 ML ORAL SUSPENSION [6255],257.6,,72.128,221.536,83
NDC,66733-948-23 [103086],CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION [37989],2781.5,,78.47,2392.09,86
NDC,66733-948-23 [103086],CETUXIMAB 2 MG/ML INJ CONTAINER [40800000112],2781.5,,78.47,2392.09,86
NDC,66733-948-23 [103086],CETUXIMAB IVPB 2 MG/ML SYRINGE [40800004213],2781.5,,78.47,2392.09,86
NDC,66733-958-23 [150606],CETUXIMAB 2 MG/ML INJ CONTAINER [40800000112],5562.95,,78.47,4784.137,86
NDC,66733-958-23 [150606],CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [108072],5562.95,,78.47,4784.137,86
NDC,66733-958-23 [150606],CETUXIMAB IVPB 2 MG/ML SYRINGE [40800004213],5562.95,,78.47,4784.137,86
NDC,66758-071-38 [394583],CIPROFLOXACIN 0.3 % EYE OINTMENT [23234],890.6,,249.368,765.916,83
NDC,66758-087-70 [389786],"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION [22986]",1194.1,,334.348,1026.926,83
NDC,66758-959-85 [346258],ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 6.7 GRAM (ANES OSM) [40800000343],273.65,,76.622,235.339,83
NDC,66794-015-25 [214111],SEVOFLURANE 99.97 % INHALATION LIQUID [15119],356.95,,99.946,306.977,83
NDC,66794-162-02 [310968],MORPHINE (PF) 25 MG/ML INJECTION SOLUTION [27392],1265.2,,10.79,1088.072,84
NDC,66794-207-02 [321927],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],27.4,,1.49,23.564,84
NDC,66794-207-02 [321927],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],27.4,,1.49,23.564,84
NDC,66794-207-02 [321927],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],29.65,,1.49,25.499,84
NDC,66794-207-41 [321928],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],27.4,,1.49,23.564,84
NDC,66794-207-41 [321928],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],27.4,,1.49,23.564,84
NDC,66794-207-41 [321928],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],29.65,,1.49,25.499,84
NDC,66794-219-43 [330792],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],77.45,,3.47,66.607,84
NDC,66794-219-63 [330793],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],77.45,,3.47,66.607,84
NDC,66794-230-02 [343713],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],24.9,,6.972,21.414,83
NDC,66794-230-42 [343714],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],24.9,,6.972,21.414,83
NDC,66794-233-02 [347309],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],16.6,,4.648,14.276,83
NDC,66794-233-42 [347310],DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [123049],16.6,,4.648,14.276,83
NDC,66794-236-43 [358641],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],68.1,,3.47,58.566,84
NDC,66794-236-63 [358642],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],68.1,,3.47,58.566,84
NDC,66887-003-01 [190693],COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.58 MG/0.25 ML INJECTION [40800004000],24194.05,,73.16,20806.883,86
NDC,66887-003-01 [190693],COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION [101010],24194.05,,73.16,20806.883,86
NDC,66993-002-10 [352061],ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM [9969],247.15,,69.202,212.549,83
NDC,66993-078-96 [357548],FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER [40697],435.55,,121.954,374.573,83
NDC,66993-079-96 [357549],FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER [40698],583.1,,163.268,501.466,83
NDC,66993-080-96 [357550],FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER [40699],905.7,,253.596,778.902,83
NDC,66993-081-69 [336840],SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY [20038],168.9,,47.292,145.254,83
NDC,66993-082-69 [336841],SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY [20039],168.9,,47.292,145.254,83
NDC,66993-141-30 [320321],ALISKIREN 150 MG TABLET [78653],29.55,,8.274,25.413,83
NDC,66993-343-85 [352062],EPLERENONE 25 MG TABLET [36983],6.65,,1.862,5.719,83
NDC,66993-370-83 [349230],MEDROXYPROGESTERONE 150 MG/ML INJ CONTAINER [40800000726],135.6,,37.968,116.616,83
NDC,66993-370-83 [349230],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],135.6,,37.968,116.616,83
NDC,66993-371-79 [352064],MEDROXYPROGESTERONE 150 MG/ML INJ CONTAINER [40800000726],188.8,,52.864,162.368,83
NDC,66993-371-79 [352064],MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE [125399],174.9,,48.972,150.414,83
NDC,66993-456-30 [377939],DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET [163721],48.6,,13.608,41.796,83
NDC,66993-457-30 [377940],DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET [163722],48.6,,13.608,41.796,83
NDC,66993-473-02 [223828],"NISOLDIPINE ER 17 MG TABLET,EXTENDED RELEASE 24 HR [91079]",30.45,,8.526,26.187,83
NDC,66993-478-60 [267114],LAMIVUDINE 100 MG TABLET [24419],45.15,,12.642,38.829,83
NDC,66993-489-83 [304579],DACTINOMYCIN 500 MCG/ML INJ [40800000105],4973.7,,302.92,4277.382,86
NDC,66993-585-97 [319271],FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104565],381.5,,106.82,328.09,83
NDC,66993-586-97 [319272],FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION [104566],501.75,,140.49,431.505,83
NDC,66993-606-30 [371771],MIRTAZAPINE 7.5 MG TABLET [38421],10.1,,2.828,8.686,83
NDC,66993-661-30 [282999],RALOXIFENE 60 MG TABLET [22143],14.25,,3.99,12.255,83
NDC,66993-680-30 [279623],OLANZAPINE 2.5 MG TABLET [21057],1.65,,0.462,1.419,83
NDC,66993-831-02 [326495],TRIAMTERENE 50 MG CAPSULE [11588],36.8,,10.304,31.648,83
NDC,66993-877-61 [231796],CALCIPOTRIENE 0.005 % TOPICAL CREAM [16034],688.3,,192.724,591.938,83
NDC,67108-3565-9 [115547],MESNA 400 MG TABLET [20077],269.75,,75.53,231.985,83
NDC,67253-651-10 [263167],PROPYLTHIOURACIL 50 MG TABLET [6662],3.6,,1.008,3.096,83
NDC,67308-101-01 [93504],AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION [29588],1288.2,,360.696,1107.852,86
NDC,67308-101-06 [93505],AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION [29588],1288.2,,360.696,1107.852,86
NDC,67386-130-51 [333071],EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [190795],6565.4,,19.85,5646.244,86
NDC,67386-314-01 [263169],CLOBAZAM 10 MG TABLET [112703],108.7,,30.436,93.482,83
NDC,67405-825-05 [223834],BENZOYL PEROXIDE 5 % TOPICAL CLEANSER [993],35.7,,9.996,30.702,83
NDC,67457-153-00 [254919],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],20.9,,0.51,17.974,84
NDC,67457-153-03 [100292],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],20.9,,0.51,17.974,84
NDC,67457-153-09 [150638],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],34.3,,0.51,29.498,84
NDC,67457-153-99 [283001],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],34.3,,0.51,29.498,84
NDC,67457-163-00 [279651],SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [41793],268.15,,75.082,230.609,83
NDC,67457-163-02 [126692],SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [41793],268.15,,75.082,230.609,83
NDC,67457-177-50 [150640],DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION [128815],2390.7,,669.396,2056.002,86
NDC,67457-182-00 [264999],ESMOLOL 10 MG/ML INJ CONTAINER [40800000725],30.7,,0.28,26.402,84
NDC,67457-182-00 [264999],ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],30.7,,0.28,26.402,84
NDC,67457-182-10 [150643],ESMOLOL 10 MG/ML INJ CONTAINER [40800000725],30.7,,0.28,26.402,84
NDC,67457-182-10 [150643],ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [82085],30.7,,0.28,26.402,84
NDC,67457-187-50 [184537],ALLOPURINOL 500 MG INTRAVENOUS SOLUTION [25408],13061.65,,3.81,11233.019,86
NDC,67457-187-50 [184537],ALLOPURINOL 500 MG/25 ML INJ [40840000088],13061.65,,3.81,11233.019,86
NDC,67457-193-50 [291390],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1638.0,,99.9833,1408.68,86
NDC,67457-193-50 [291390],MELPHALAN INJ 5 MG/ML [40800000435],1638.0,,99.9833,1408.68,86
NDC,67457-195-01 [190713],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1638.0,,99.9833,1408.68,86
NDC,67457-195-01 [190713],MELPHALAN INJ 5 MG/ML [40800000435],1638.0,,99.9833,1408.68,86
NDC,67457-196-00 [231807],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],30.45,,1.79,26.187,84
NDC,67457-196-00 [231807],THIAMINE IVPB 100 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40800000473],32.9,,1.79,28.294,84
NDC,67457-196-02 [231808],THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],30.45,,1.79,26.187,84
NDC,67457-197-00 [223842],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",19.0,,5.32,16.34,83
NDC,67457-197-10 [223843],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",19.0,,5.32,16.34,83
NDC,67457-198-00 [263172],REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],232.45,,65.086,199.907,83
NDC,67457-198-03 [184538],REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],232.45,,65.086,199.907,83
NDC,67457-210-05 [237649],CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378],3239.05,,529.38,2785.583,86
NDC,67457-212-02 [303808],ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28947],1670.8,,0.70035,1436.888,86
NDC,67457-217-20 [195315],METHADONE 10 MG/ML INJECTION SOLUTION [10546],1540.4,,22.91,1324.744,84
NDC,67457-218-10 [214118],"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION [19333]",107.6,,17.67,92.536,84
NDC,67457-220-00 [265002],ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],3686.3,,10.29,3170.218,85
NDC,67457-220-05 [201758],ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [10358],3686.3,,10.29,3170.218,85
NDC,67457-227-00 [231809],COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [9686],75.65,,21.182,65.059,84
NDC,67457-228-00 [263173],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],23.0,,6.44,19.78,83
NDC,67457-228-00 [263173],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],23.0,,6.44,19.78,83
NDC,67457-228-05 [223850],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],23.0,,6.44,19.78,83
NDC,67457-228-05 [223850],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],23.0,,6.44,19.78,83
NDC,67457-239-00 [254924],OCTREOTIDE ACETATE 50 MCG/ML (1 ML) INJECTION SYRINGE [130358],17.15,,0.61,14.749,84
NDC,67457-239-01 [209032],OCTREOTIDE ACETATE 50 MCG/ML (1 ML) INJECTION SYRINGE [130358],17.15,,0.61,14.749,84
NDC,67457-245-00 [254925],OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE [130360],29.4,,0.61,25.284,84
NDC,67457-245-01 [209033],OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE [130360],29.4,,0.61,25.284,84
NDC,67457-246-00 [254926],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],106.65,,0.61,91.719,84
NDC,67457-246-01 [209034],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],106.65,,0.61,91.719,84
NDC,67457-256-00 [309294],BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],327.6,,0.17,281.736,84
NDC,67457-273-00 [274917],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],54.1,,4.79,46.526,84
NDC,67457-273-10 [274918],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],54.1,,4.79,46.526,84
NDC,67457-291-00 [287765],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],42.8,,5.19,36.808,84
NDC,67457-291-01 [287766],HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],42.8,,5.19,36.808,84
NDC,67457-292-00 [263174],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],35.65,,0.07,30.659,84
NDC,67457-292-02 [263175],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],35.65,,0.07,30.659,84
NDC,67457-297-50 [291393],ETHACRYNATE SODIUM 1 MG/ML INJ [40800000063],6224.4,,14.8143,5352.984,85
NDC,67457-297-50 [291393],ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],6224.4,,14.8143,5352.984,85
NDC,67457-316-25 [314159],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],1294.05,,1.59,1112.883,84
NDC,67457-317-25 [312678],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003382],79.5,,0.45,68.37,84
NDC,67457-317-25 [312678],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],79.5,,0.45,68.37,84
NDC,67457-323-25 [301781],MOXIFLOXACIN 400 MG/250 ML INTRAVENOUS PIGGYBACK CONTAINER [40800003114],110.95,,8.71,95.417,84
NDC,67457-323-25 [301781],MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [31906],110.95,,8.71,95.417,84
NDC,67457-323-25 [301781],MOXIFLOXACIN IVPB 1.6 MG/ML (MAX CONC) (PEDI < 20.5 KG) [40840001627],110.95,,8.71,95.417,84
NDC,67457-323-25 [301781],MOXIFLOXACIN IVPB 1.6 MG/ML IN NS (IV PREP) [40800000201],110.95,,8.71,95.417,84
NDC,67457-340-00 [254929],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",57.2,,0.03,49.192,84
NDC,67457-340-01 [254930],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",57.2,,0.03,49.192,84
NDC,67457-348-10 [304580],AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002644],13.15,,1.49,11.309,84
NDC,67457-348-10 [304580],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],14.25,,1.49,12.255,84
NDC,67457-348-15 [279652],AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION CONTAINER (MBP INGREDIENT) [40800002644],13.15,,1.49,11.309,84
NDC,67457-348-15 [279652],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],14.25,,1.49,12.255,84
NDC,67457-351-01 [292042],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003337],21.25,,0.49,18.275,84
NDC,67457-351-01 [292042],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],21.25,,0.49,18.275,84
NDC,67457-351-01 [292042],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],23.0,,0.49,19.78,84
NDC,67457-351-10 [292043],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003337],21.25,,0.49,18.275,84
NDC,67457-351-10 [292043],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],21.25,,0.49,18.275,84
NDC,67457-351-10 [292043],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],23.0,,0.49,19.78,84
NDC,67457-352-02 [295632],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],31.15,,0.49,26.789,84
NDC,67457-352-02 [295632],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],31.15,,0.49,26.789,84
NDC,67457-352-02 [295632],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],33.75,,0.49,29.025,84
NDC,67457-352-02 [295632],AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (2 GRAM VIAL) [40800002995],31.15,,0.49,26.789,84
NDC,67457-352-10 [293439],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],31.15,,0.49,26.789,84
NDC,67457-352-10 [293439],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],31.15,,0.49,26.789,84
NDC,67457-352-10 [293439],AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (2 GRAM VIAL) [40800002995],31.15,,0.49,26.789,84
NDC,67457-374-12 [307387],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",14.2,,0.22,12.212,84
NDC,67457-374-99 [307388],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",14.2,,0.22,12.212,84
NDC,67457-385-10 [308538],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",18.15,,0.22,15.609,84
NDC,67457-385-99 [308539],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",18.15,,0.22,15.609,84
NDC,67457-386-00 [342640],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],230.55,,0.41,198.273,84
NDC,67457-386-00 [342640],MYCOPHENOLATE INJ 35.7 MG/ML [40800000430],248.85,,0.41,214.011,84
NDC,67457-386-81 [342641],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],230.55,,0.41,198.273,84
NDC,67457-386-81 [342641],MYCOPHENOLATE INJ 35.7 MG/ML [40800000430],248.85,,0.41,214.011,84
NDC,67457-390-54 [274919],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003391],151.05,,5.2,129.903,84
NDC,67457-390-54 [274919],ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [35640],151.05,,5.2,129.903,84
NDC,67457-418-00 [335987],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],8.55,,0.12,7.353,84
NDC,67457-418-05 [335988],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],8.55,,0.12,7.353,84
NDC,67457-419-00 [335989],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,67457-419-01 [335990],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,67457-421-00 [263182],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],34.6,,0.12,29.756,84
NDC,67457-422-00 [263184],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],8.55,,0.12,7.353,84
NDC,67457-422-54 [263185],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],8.55,,0.12,7.353,84
NDC,67457-423-00 [263186],DEXAMETHASONE IV 4 MG/ML INJECTION (PHARMACY USE ONLY) [40800000352],6.4,,0.12,5.504,84
NDC,67457-423-00 [263186],DEXAMETHASONE IVPB 4 MG/ML (MAX CONC) (PEDI < 20.5  KG) [40800000073],6.9,,0.12,5.934,84
NDC,67457-423-00 [263186],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,67457-423-12 [263187],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],6.4,,0.12,5.504,84
NDC,67457-426-00 [263190],HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],6.4,,0.84,5.504,84
NDC,67457-426-12 [263191],HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],6.4,,0.84,5.504,84
NDC,67457-430-10 [263194],PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],92.7,,11.16,79.722,84
NDC,67457-433-00 [263195],FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,84
NDC,67457-433-00 [263195],FAMOTIDINE 10 MG/ML INJ CONTAINER [40800000064],6.4,,0.01,5.504,84
NDC,67457-433-22 [263196],FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,84
NDC,67457-436-50 [263197],DOXORUBICIN 50 MG INTRAVENOUS SOLUTION [2619],861.7,,2.72,741.062,84
NDC,67457-436-50 [263197],DOXORUBICIN 50 MG/2 ML INJ (LC BEADS) [40800000117],861.7,,2.72,741.062,84
NDC,67457-436-50 [263197],DOXORUBICIN 50 MG/2.5 ML INJ (ONCOZENE BEADS) [40800000123],861.7,,2.72,741.062,84
NDC,67457-436-50 [263197],DOXORUBICIN 75 MG/2 ML INJ (LC BEADS)  [40800000467],861.7,,2.72,741.062,84
NDC,67457-436-50 [263197],DOXORUBICIN INJ 50 MG/1.5 ML (CHEMOEMBOLIZATION) [40800000786],861.7,,2.72,741.062,84
NDC,67457-436-50 [263197],DOXORUBICIN INJ 50 MG/1.5 ML (TACE) [40800002654],861.7,,2.72,741.062,84
NDC,67457-437-00 [263198],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],53.05,,0.12,45.623,84
NDC,67457-437-00 [263198],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],53.05,,0.12,45.623,84
NDC,67457-437-10 [263199],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],53.05,,0.12,45.623,84
NDC,67457-437-10 [263199],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],53.05,,0.12,45.623,84
NDC,67457-438-00 [263200],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],27.05,,7.574,23.263,83
NDC,67457-438-00 [263200],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],27.05,,7.574,23.263,83
NDC,67457-438-00 [263200],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],25.0,,7.0,21.5,83
NDC,67457-438-10 [263201],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],27.05,,7.574,23.263,83
NDC,67457-438-10 [263201],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],27.05,,7.574,23.263,83
NDC,67457-438-10 [263201],VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],25.0,,7.0,21.5,83
NDC,67457-440-00 [274924],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,67457-442-20 [263202],OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],327.6,,0.09,281.736,84
NDC,67457-442-20 [263202],OXALIPLATIN 5 MG/ML INJ CONTAINER [40800000056],327.6,,0.09,281.736,84
NDC,67457-442-20 [263202],OXALIPLATIN HIPEC 5 MG/ML INFUSION [40800000339],327.6,,0.09,281.736,84
NDC,67457-445-60 [267158],RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],504.85,,0.16,434.171,84
NDC,67457-446-10 [267159],PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],306.5,,11.16,263.59,84
NDC,67457-448-00 [267161],FAMOTIDINE 10 MG/ML INJ CONTAINER [40800000064],7.8,,0.01,6.708,84
NDC,67457-448-00 [267161],FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],7.8,,0.01,6.708,84
NDC,67457-450-10 [263206],CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION [9615],1146.6,,8.53185,986.076,86
NDC,67457-452-20 [263207],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],68.65,,0.81,59.039,84
NDC,67457-452-20 [263207],CYTARABINE IVPB 100 MG/ML (MAX CONC) (PEDI) [40800004206],68.65,,0.81,59.039,84
NDC,67457-457-00 [274930],FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],31.75,,0.01,27.305,84
NDC,67457-457-20 [274931],FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [10009],31.75,,0.01,27.305,84
NDC,67457-473-00 [267173],TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [39918],9.4,,2.46,8.084,84
NDC,67457-475-00 [267176],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],43.95,,12.306,37.797,83
NDC,67457-475-00 [267176],VECURONIUM 1 MG/ML INJ CONTAINER [40800000004],43.95,,12.306,37.797,83
NDC,67457-475-00 [267176],VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION [11635],40.65,,11.382,34.959,83
NDC,67457-484-00 [335991],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],34.6,,0.12,29.756,84
NDC,67457-484-30 [335992],DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],34.6,,0.12,29.756,84
NDC,67457-513-05 [304581],DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],4776.65,,302.92,4107.919,86
NDC,67457-513-05 [304581],DACTINOMYCIN 500 MCG/ML INJ [40800000105],4776.65,,302.92,4107.919,86
NDC,67457-513-05 [304581],DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],4776.65,,302.92,4107.919,86
NDC,67457-517-00 [299416],FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],164.75,,1.33,141.685,85
NDC,67457-517-01 [294524],FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [88010],164.75,,1.33,141.685,85
NDC,67457-518-05 [307389],MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],797.0,,28.27,685.42,86
NDC,67457-519-20 [307390],MITOMYCIN 0.5 MG/ML INJ CONTAINER [40800000212],2070.4,,28.27,1780.544,86
NDC,67457-519-20 [307390],MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],2070.4,,28.27,1780.544,86
NDC,67457-520-40 [307391],MITOMYCIN 0.5 MG/ML INJ CONTAINER [40800000212],4140.75,,28.27,3561.045,86
NDC,67457-520-40 [307391],MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],4140.75,,28.27,3561.045,86
NDC,67457-520-40 [307391],MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],4140.75,,28.27,3561.045,86
NDC,67457-520-40 [307391],MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],4140.75,,28.27,3561.045,86
NDC,67457-524-33 [267185],IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [110306],743.85,,30.8,639.711,84
NDC,67457-530-35 [317125],LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],65.05,,3.95,55.943,84
NDC,67457-546-20 [303809],CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],8297.55,,10.94,7135.893,86
NDC,67457-553-00 [339654],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],68.9,,0.5,59.254,84
NDC,67457-554-00 [339655],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,67457-573-00 [267186],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],23.0,,6.44,19.78,83
NDC,67457-573-00 [267186],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],23.0,,6.44,19.78,83
NDC,67457-573-05 [267187],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],23.0,,6.44,19.78,83
NDC,67457-573-05 [267187],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],23.0,,6.44,19.78,83
NDC,67457-577-50 [298601],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1638.0,,99.9833,1408.68,86
NDC,67457-577-50 [298601],MELPHALAN INJ 5 MG/ML [40800000435],1638.0,,99.9833,1408.68,86
NDC,67457-579-01 [274936],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1638.0,,99.9833,1408.68,86
NDC,67457-579-01 [274936],MELPHALAN INJ 5 MG/ML [40800000435],1638.0,,99.9833,1408.68,86
NDC,67457-582-00 [274937],FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],79.05,,0.72,67.983,84
NDC,67457-582-10 [274938],FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],79.05,,0.72,67.983,84
NDC,67457-583-00 [274939],FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [108027],186.05,,0.72,160.003,84
NDC,67457-583-04 [274940],FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE [108027],186.05,,0.72,160.003,84
NDC,67457-584-00 [274941],FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],186.05,,0.72,160.003,84
NDC,67457-584-06 [274942],FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],186.05,,0.72,160.003,84
NDC,67457-585-00 [274943],FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [108029],186.05,,0.72,160.003,84
NDC,67457-599-00 [274949],NALOXONE 0.4 MG/ML INJECTION SOLUTION (PULM OSM) [40800001973],35.65,,0.07,30.659,84
NDC,67457-599-00 [274949],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],35.65,,0.07,30.659,84
NDC,67457-599-00 [274949],NALOXONE INJECTION FOR PO USE 0.4 MG/ML [40800002012],38.55,,0.07,33.153,84
NDC,67457-599-02 [274950],NALOXONE 0.4 MG/ML INJECTION SOLUTION (PULM OSM) [40800001973],35.65,,0.07,30.659,84
NDC,67457-599-02 [274950],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],35.65,,0.07,30.659,84
NDC,67457-619-10 [298602],ZOLEDRONIC ACID (RECLAST) IVPB 0.05 MG/ML IN MANNITOL 5 % IN SYRINGE (PEDI) [40800001205],769.9,,5.2,662.114,84
NDC,67457-619-10 [298602],ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK (BOTTLE) [40800003599],365.15,,5.2,314.029,84
NDC,67457-621-02 [369641],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],31.7,,0.86,27.262,84
NDC,67457-621-99 [386762],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],31.7,,0.86,27.262,84
NDC,67457-622-05 [369642],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],143.55,,0.86,123.453,84
NDC,67457-631-10 [317129],EPTIFIBATIDE 0.75 MG/ML INFUSION [40800000316],185.35,,3.26,159.401,85
NDC,67457-631-10 [317129],EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],185.35,,3.26,159.401,85
NDC,67457-638-00 [399577],IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],190.55,,0.22,163.873,84
NDC,67457-638-00 [399577],IRON SUCROSE 20 MG/ML INJ CONTAINER [40840000529],205.65,,0.22,176.859,84
NDC,67457-638-10 [399578],IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],190.55,,0.22,163.873,84
NDC,67457-638-10 [399578],IRON SUCROSE 20 MG/ML INJ CONTAINER [40840000529],205.65,,0.22,176.859,84
NDC,67457-638-25 [399579],IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [29132],190.55,,0.22,163.873,84
NDC,67457-638-25 [399579],IRON SUCROSE 20 MG/ML INJ CONTAINER [40840000529],205.65,,0.22,176.859,84
NDC,67457-640-00 [321934],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],58.85,,2.52,50.611,84
NDC,67457-640-02 [321935],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],58.85,,2.52,50.611,84
NDC,67457-645-00 [330803],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],35.65,,0.07,30.659,84
NDC,67457-645-02 [330804],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],35.65,,0.07,30.659,84
NDC,67457-657-25 [312680],"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [29805]",482.25,,0.28,414.735,84
NDC,67457-657-25 [312680],"ESMOLOL TITRATABLE INFUSION 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [40800000374]",482.25,,0.28,414.735,84
NDC,67457-665-20 [381541],POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [162662],1650.9,,0.35,1419.774,85
NDC,67457-675-02 [292045],CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],3036.0,,850.08,2610.96,83
NDC,67457-754-10 [405003],"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170196]",9242.35,,188.35,7948.421,86
NDC,67457-756-10 [405004],"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170196]",9242.35,,188.35,7948.421,86
NDC,67457-757-20 [405005],"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170194]",12109.05,,188.35,10413.783,86
NDC,67457-759-20 [405006],"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170194]",12109.05,,188.35,10413.783,86
NDC,67457-760-30 [405007],"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170195]",18132.4,,188.35,15593.864,86
NDC,67457-762-30 [405008],"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [170195]",18132.4,,188.35,15593.864,86
NDC,67457-778-00 [302740],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],29.75,,0.05,25.585,84
NDC,67457-779-30 [302742],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],129.15,,0.05,111.069,84
NDC,67457-790-00 [300130],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.45,,0.05,34.787,84
NDC,67457-790-05 [300131],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],40.45,,0.05,34.787,84
NDC,67457-794-10 [309302],ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],198.65,,5.2,170.839,84
NDC,67457-798-10 [381542],ROPIVACAINE (PF) 2 MG/ML (0.2 %) CONTINUOUS ONLY NERVE BLOCK INFUSION [40800000384],116.6,,0.06,100.276,84
NDC,67457-798-10 [381542],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],116.6,,0.06,100.276,84
NDC,67457-798-99 [381543],ROPIVACAINE (PF) 2 MG/ML (0.2 %) CONTINUOUS ONLY NERVE BLOCK INFUSION [40800000384],116.6,,0.06,100.276,84
NDC,67457-798-99 [381543],ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192],116.6,,0.06,100.276,84
NDC,67457-813-50 [312684],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],103.0,,0.03,88.58,84
NDC,67457-839-02 [311753],SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],68.65,,19.222,59.039,83
NDC,67457-843-00 [310973],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],144.05,,3.47,123.883,84
NDC,67457-843-30 [310974],LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [125339],144.05,,3.47,123.883,84
NDC,67457-852-00 [314165],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],59.95,,16.786,51.557,83
NDC,67457-852-04 [314166],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],59.95,,16.786,51.557,83
NDC,67457-853-50 [312687],ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],127.2,,17.23,109.392,84
NDC,67457-855-00 [317135],ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],26.3,,0.46,22.618,84
NDC,67457-855-02 [308542],ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],26.3,,0.46,22.618,84
NDC,67457-857-30 [301784],ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [15330],595.1,,0.46,511.786,84
NDC,67457-863-01 [307392],GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION [128500],35.65,,0.23,30.659,84
NDC,67457-863-01 [307392],GRANISETRON HCL 1 MG/ML INJ CONTAINER [40800002817],35.65,,0.23,30.659,84
NDC,67457-889-10 [327501],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],946.15,,0.11,813.689,84
NDC,67457-893-00 [303817],BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],317.4,,0.68,272.964,86
NDC,67457-893-08 [303818],BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],317.4,,0.68,272.964,86
NDC,67457-902-00 [320323],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],35.0,,9.8,30.1,83
NDC,67457-902-10 [320324],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],35.0,,9.8,30.1,83
NDC,67457-922-30 [339660],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],129.15,,0.05,111.069,84
NDC,67457-925-00 [340781],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (PALLIATIVE CARE) (USE ORDER SET) [40840004807],161.35,,45.178,138.761,83
NDC,67457-925-00 [340781],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],161.35,,45.178,138.761,83
NDC,67457-925-10 [340782],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (PALLIATIVE CARE) (USE ORDER SET) [40840004807],161.35,,45.178,138.761,83
NDC,67457-925-10 [340782],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],161.35,,45.178,138.761,83
NDC,67457-928-02 [323965],DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],4776.65,,302.92,4107.919,86
NDC,67457-928-02 [323965],DACTINOMYCIN 500 MCG/ML INJ [40800000105],4776.65,,302.92,4107.919,86
NDC,67457-928-02 [323965],DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],4776.65,,302.92,4107.919,86
NDC,67457-940-10 [341673],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS CONTAINER [40800002993]",68.1,,0.05,58.566,84
NDC,67457-940-10 [341673],"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [108021]",68.1,,0.05,58.566,84
NDC,67457-978-50 [340783],ALLOPURINOL 500 MG INTRAVENOUS SOLUTION [25408],13061.65,,3.81,11233.019,86
NDC,67457-978-50 [340783],ALLOPURINOL 500 MG/25 ML INJ [40840000088],13061.65,,3.81,11233.019,86
NDC,67457-994-05 [374024],REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],95.4,,2.89,82.044,84
NDC,67546-111-12 [161640],NITAZOXANIDE 500 MG TABLET [39254],441.1,,123.508,379.346,83
NDC,67546-111-14 [279674],NITAZOXANIDE 500 MG TABLET [39254],474.75,,132.93,408.285,83
NDC,67546-212-21 [93522],NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION [34708],1710.1,,478.828,1470.686,83
NDC,67618-101-60 [93532],DOCUSATE SODIUM 100 MG CAPSULE [2566],1.65,,0.462,1.419,83
NDC,67618-110-60 [301788],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,67618-150-04 [122907],POVIDONE-IODINE 10 % TOPICAL SOLUTION [6458],8.4,,2.352,7.224,83
NDC,67618-300-10 [106318],SENNOSIDES 8.6 MG TABLET [11349],1.65,,0.462,1.419,83
NDC,67618-300-50 [106320],SENNOSIDES 8.6 MG TABLET [11349],1.65,,0.462,1.419,83
NDC,6761811128 [297656],DOCUSATE SODIUM 50 MG CAPSULE [2568],1.65,,0.462,1.419,83
NDC,67684-1901-2 [331777],ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION [162661],371.65,,104.062,319.619,83
NDC,67684-4230-1 [363704],GADOPICLENOL (ELUCIREM) 0.5 MMOL/ML INTRAVENOUS SOLUTION [40800012902],105.35,,3.41,90.601,84
NDC,67684-4230-2 [363705],GADOPICLENOL (ELUCIREM) 0.5 MMOL/ML INTRAVENOUS SOLUTION [40800012902],105.35,,3.41,90.601,84
NDC,67684-4231-1 [363706],GADOPICLENOL (ELUCIREM) 0.5 MMOL/ML INTRAVENOUS SOLUTION [40800012902],263.35,,3.41,226.481,84
NDC,67684-4231-2 [363707],GADOPICLENOL (ELUCIREM) 0.5 MMOL/ML INTRAVENOUS SOLUTION [40800012902],263.35,,3.41,226.481,84
NDC,67684-4232-1 [363708],GADOPICLENOL (ELUCIREM) 0.5 MMOL/ML INTRAVENOUS SOLUTION [40800012902],335.2,,3.41,288.272,84
NDC,67684-4232-2 [363709],GADOPICLENOL (ELUCIREM) 0.5 MMOL/ML INTRAVENOUS SOLUTION [40800012902],335.2,,3.41,288.272,84
NDC,67684-4250-3 [363720],GADOPICLENOL (ELUCIREM) 0.5 MMOL/ML INTRAVENOUS SOLUTION [40800012902],1675.9,,3.41,1441.274,84
NDC,67684-4250-4 [363721],GADOPICLENOL (ELUCIREM) 0.5 MMOL/ML INTRAVENOUS SOLUTION [40800012902],1675.9,,3.41,1441.274,84
NDC,67850-032-00 [326509],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],44.55,,0.06,38.313,84
NDC,67850-032-00 [326509],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],44.55,,0.06,38.313,84
NDC,67850-032-00 [326509],NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],48.15,,0.06,41.409,84
NDC,67850-032-10 [326510],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],44.55,,0.06,38.313,84
NDC,67850-032-10 [326510],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],44.55,,0.06,38.313,84
NDC,67850-032-10 [326510],NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],48.15,,0.06,41.409,84
NDC,67850-150-00 [357553],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],16.0,,4.48,13.76,83
NDC,67850-150-25 [357554],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],15.6,,4.368,13.416,83
NDC,67877-116-01 [223903],METHADONE 10 MG TABLET [4953],2.85,,0.798,2.451,83
NDC,67877-124-20 [190800],SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],35.25,,9.87,30.315,83
NDC,67877-124-40 [167210],SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],231.1,,64.708,198.746,83
NDC,67877-124-50 [167211],SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],58.25,,16.31,50.095,83
NDC,67877-146-01 [190801],TEMAZEPAM 15 MG CAPSULE [7753],2.85,,0.798,2.451,83
NDC,67877-147-01 [190803],TEMAZEPAM 30 MG CAPSULE [7754],2.85,,0.798,2.451,83
NDC,67877-159-01 [245585],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,67877-159-05 [245586],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,67877-197-90 [206664],AMLODIPINE 2.5 MG TABLET [9070],1.65,,0.462,1.419,83
NDC,67877-198-90 [206667],AMLODIPINE 5 MG TABLET [9071],1.65,,0.462,1.419,83
NDC,67877-199-90 [206670],AMLODIPINE 10 MG TABLET [9069],1.65,,0.462,1.419,83
NDC,67877-215-60 [206674],CEFUROXIME AXETIL 250 MG TABLET [9495],2.5,,0.7,2.15,83
NDC,67877-216-60 [206676],CEFUROXIME AXETIL 500 MG TABLET [9496],6.5,,1.82,5.59,83
NDC,67877-219-01 [214151],CEPHALEXIN 500 MG CAPSULE [9500],1.65,,0.462,1.419,83
NDC,67877-222-01 [209052],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,67877-223-01 [209054],GABAPENTIN 300 MG CAPSULE [18308],1.65,,0.462,1.419,83
NDC,67877-223-10 [223905],GABAPENTIN 300 MG CAPSULE [18308],1.65,,0.462,1.419,83
NDC,67877-224-01 [209056],GABAPENTIN 400 MG CAPSULE [18307],1.65,,0.462,1.419,83
NDC,67877-225-01 [223907],MYCOPHENOLATE MOFETIL 500 MG TABLET [21374],1.65,,0.16,1.419,84
NDC,67877-230-22 [274975],MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION [25005],3800.2,,1064.056,3268.172,83
NDC,67877-242-01 [237738],QUETIAPINE 25 MG TABLET [21823],1.65,,0.462,1.419,83
NDC,67877-251-15 [223909],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],20.15,,5.642,17.329,83
NDC,67877-251-45 [223910],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],76.65,,21.462,65.919,83
NDC,67877-251-80 [223911],TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],33.9,,9.492,29.154,83
NDC,67877-260-30 [302744],RASAGILINE 1 MG TABLET [76481],37.8,,10.584,32.508,83
NDC,67877-262-06 [317141],RIZATRIPTAN 10 MG TABLET [23377],3.95,,1.106,3.397,83
NDC,67877-262-18 [289566],RIZATRIPTAN 10 MG TABLET [23377],3.95,,1.106,3.397,83
NDC,67877-266-01 [245595],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],1.65,,0.16,1.419,84
NDC,67877-278-01 [340784],"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",1.65,,0.15,1.419,84
NDC,67877-298-09 [352912],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],4.6,,1.288,3.956,83
NDC,67877-298-60 [352914],CHOLESTYRAMINE 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET [207930],4.6,,1.288,3.956,83
NDC,67877-318-15 [283011],TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM [8114],33.35,,9.338,28.681,83
NDC,67877-319-01 [288819],IBUPROFEN 400 MG TABLET [3843],1.65,,0.462,1.419,83
NDC,67877-320-01 [288821],IBUPROFEN 600 MG TABLET [3844],1.65,,0.462,1.419,83
NDC,67877-321-01 [287767],IBUPROFEN 800 MG TABLET [3845],1.65,,0.462,1.419,83
NDC,67877-413-01 [326511],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,67877-413-90 [341674],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,67877-419-20 [283013],LINEZOLID 600 MG TABLET [28224],13.05,,3.654,11.223,83
NDC,67877-419-33 [289569],LINEZOLID 600 MG TABLET [28224],16.6,,4.648,14.276,83
NDC,67877-428-05 [293455],GABAPENTIN 600 MG TABLET [25855],1.65,,0.462,1.419,83
NDC,67877-431-03 [325312],ARIPIPRAZOLE 5 MG TABLET [36438],1.65,,0.462,1.419,83
NDC,67877-447-30 [297665],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,67877-454-30 [300134],ITRACONAZOLE 100 MG CAPSULE [10364],7.9,,2.212,6.794,83
NDC,67877-462-90 [328491],PREGABALIN 25 MG CAPSULE [42162],2.85,,0.798,2.451,83
NDC,67877-506-51 [314173],COLESEVELAM 625 MG TABLET [28372],4.25,,1.19,3.655,83
NDC,67877-532-58 [394586],OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479],219.55,,61.474,188.813,83
NDC,67877-537-07 [303823],TEMOZOLOMIDE 5 MG CAPSULE [25892],13.85,,0.36,11.911,84
NDC,67877-537-14 [303824],TEMOZOLOMIDE 5 MG CAPSULE [25892],12.3,,0.36,10.578,84
NDC,67877-542-07 [303833],TEMOZOLOMIDE 250 MG CAPSULE [25895],288.3,,0.36,247.938,84
NDC,67877-545-68 [323055],CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],89.25,,24.99,76.755,83
NDC,67877-547-88 [345093],CEFDINIR 125 MG/5 ML ORAL SUSPENSION [22290],57.8,,16.184,49.708,83
NDC,67877-561-01 [299417],METFORMIN 500 MG TABLET [10544],1.65,,0.462,1.419,83
NDC,67877-617-01 [348199],METHYLPHENIDATE 10 MG TABLET [4986],2.85,,0.798,2.451,83
NDC,67877-635-33 [361570],TOLVAPTAN 15 MG TABLET [97893],207.75,,58.17,178.665,83
NDC,67877-636-02 [335073],TOLVAPTAN 30 MG TABLET [97894],395.1,,110.628,339.786,83
NDC,67877-636-33 [347312],TOLVAPTAN 30 MG TABLET [97894],395.1,,110.628,339.786,83
NDC,67877-731-01 [346264],CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [1738],2.05,,0.574,1.763,83
NDC,67877-732-95 [357555],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],119.1,,33.348,102.426,83
NDC,67877-733-60 [356860],LACOSAMIDE 50 MG TABLET [96968],2.85,,0.798,2.451,83
NDC,67877-746-01 [345109],SIROLIMUS 0.5 MG TABLET [104764],26.2,,0.96,22.532,84
NDC,67877-747-01 [345110],SIROLIMUS 1 MG TABLET [28958],27.25,,0.96,23.435,84
NDC,67877-749-57 [352068],FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],239.6,,67.088,206.056,83
NDC,67877-753-60 [348202],DRONABINOL 2.5 MG CAPSULE [9904],10.1,,1.68,8.686,84
NDC,67877-754-60 [343723],DRONABINOL 5 MG CAPSULE [9905],17.55,,1.68,15.093,84
NDC,67877-879-20 [366481],CEFPODOXIME 200 MG TABLET [9469],17.7,,4.956,15.222,83
NDC,67919-020-10 [237768],ALVIMOPAN 12 MG CAPSULE [91870],595.75,,166.81,512.345,83
NDC,67919-030-01 [274976],CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003361],581.8,,8.84,500.348,86
NDC,67919-030-01 [274976],CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION [170494],581.8,,8.84,500.348,86
NDC,67919-030-01 [274976],CEFTOLOZANE-TAZOBACTAM 131.6 MG/ML INJ [40800000251],627.8,,8.84,539.908,86
NDC,67979-001-01 [161645],VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION [24425],6061.45,,1270.52,5212.847,86
NDC,67979-002-01 [152036],HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT [164961],152351.4,,41173.43,131022.204,86
NDC,68001-113-06 [263325],"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR [93834]",2.5,,0.7,2.15,83
NDC,68001-114-06 [263326],"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR [97382]",3.65,,1.022,3.139,83
NDC,68001-151-00 [263366],CARVEDILOL 12.5 MG TABLET [15749],1.65,,0.462,1.419,83
NDC,68001-152-00 [263368],CARVEDILOL 25 MG TABLET [15748],1.65,,0.462,1.419,83
NDC,68001-153-00 [263370],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,68001-154-00 [263372],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,68001-154-03 [263373],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,68001-155-04 [263374],ANASTROZOLE 1 MG TABLET [16205],2.4,,0.672,2.064,83
NDC,68001-181-00 [263393],QUETIAPINE 400 MG TABLET [70398],2.7,,0.756,2.322,83
NDC,68001-237-00 [263475],CLONIDINE HCL 0.1 MG TABLET [1755],1.65,,0.462,1.419,83
NDC,68001-243-00 [263488],ZONISAMIDE 50 MG CAPSULE [36988],1.65,,0.462,1.419,83
NDC,68001-244-00 [263489],ZONISAMIDE 100 MG CAPSULE [27780],2.35,,0.658,2.021,83
NDC,68001-247-16 [263497],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],5.35,,0.01,4.601,84
NDC,68001-247-17 [263498],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],5.35,,0.01,4.601,84
NDC,68001-249-01 [263502],ZOLMITRIPTAN 2.5 MG TABLET [21588],33.15,,9.282,28.509,83
NDC,68001-249-19 [263503],ZOLMITRIPTAN 2.5 MG TABLET [21588],33.15,,9.282,28.509,83
NDC,68001-251-04 [263506],FLUCONAZOLE 50 MG TABLET [10046],5.35,,1.498,4.601,83
NDC,68001-265-24 [274985],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],307.0,,1.3,264.02,84
NDC,68001-265-27 [274988],ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],307.0,,1.3,264.02,84
NDC,68001-314-00 [301796],LOVASTATIN 10 MG TABLET [10469],1.65,,0.462,1.419,83
NDC,68001-315-00 [301041],LOVASTATIN 20 MG TABLET [10470],1.65,,0.462,1.419,83
NDC,68001-317-00 [295638],NADOLOL 20 MG TABLET [5330],8.75,,2.45,7.525,83
NDC,68001-334-00 [301802],LISINOPRIL 10 MG TABLET [10449],1.65,,0.462,1.419,83
NDC,68001-335-00 [301804],LISINOPRIL 20 MG TABLET [4526],1.65,,0.462,1.419,83
NDC,68001-355-25 [309313],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],159.0,,0.45,136.74,84
NDC,68001-398-00 [327519],FAMOTIDINE 40 MG TABLET [10012],1.65,,0.462,1.419,83
NDC,68001-399-00 [327521],FLUOXETINE 10 MG CAPSULE [10069],1.65,,0.462,1.419,83
NDC,68001-400-00 [327523],FLUOXETINE 20 MG CAPSULE [10070],1.65,,0.462,1.419,83
NDC,68001-411-00 [329295],GABAPENTIN 600 MG TABLET [25855],1.65,,0.462,1.419,83
NDC,68001-418-38 [329308],LEUCOVORIN CALCIUM 20 MG/ML INJECTION [40800000309],89.25,,3.95,76.755,84
NDC,68001-418-38 [329308],LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],89.25,,3.95,76.755,84
NDC,68001-432-90 [337821],NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],8.15,,2.282,7.009,83
NDC,68001-436-16 [341675],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,68001-436-96 [337830],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,68001-438-16 [341676],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,68001-438-96 [341677],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,68001-440-00 [337836],FEXOFENADINE 180 MG TABLET [25425],1.65,,0.462,1.419,83
NDC,68001-449-98 [341678],LORATADINE 5 MG/5 ML ORAL SOLUTION [76472],25.15,,7.042,21.629,83
NDC,68001-475-47 [349240],CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],21.55,,6.034,18.533,83
NDC,68001-481-45 [361578],MICONAZOLE NITRATE 2 % TOPICAL CREAM [5039],11.35,,3.178,9.761,83
NDC,68001-494-04 [347315],FAMOTIDINE 10 MG TABLET [15065],1.65,,0.462,1.419,83
NDC,68001-494-06 [349245],FAMOTIDINE 10 MG TABLET [15065],1.65,,0.462,1.419,83
NDC,68001-507-53 [350254],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],34.8,,1.11,29.928,84
NDC,68001-507-53 [350254],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],32.15,,1.11,27.649,84
NDC,68001-507-53 [350254],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],32.15,,1.11,27.649,84
NDC,68001-507-82 [350255],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],34.8,,1.11,29.928,84
NDC,68001-507-82 [350255],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],32.15,,1.11,27.649,84
NDC,68001-507-82 [350255],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],32.15,,1.11,27.649,84
NDC,68001-525-27 [358660],FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],88.25,,1.72,75.895,84
NDC,68001-525-27 [358660],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],88.25,,1.72,75.895,84
NDC,68001-525-32 [358661],FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],176.5,,1.72,151.79,84
NDC,68001-525-32 [358661],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],176.5,,1.72,151.79,84
NDC,68001-531-46 [360672],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],22.0,,6.16,18.92,83
NDC,68001-532-46 [360674],ZINC OXIDE 20 % TOPICAL OINTMENT [8874],34.4,,9.632,29.584,83
NDC,68001-559-69 [363731],METHYLPREDNISOLONE 16 MG TABLET [4992],1.65,,0.23,1.419,84
NDC,68001-567-00 [366486],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",2.4,,0.672,2.064,83
NDC,68001-574-00 [369677],DESMOPRESSIN 0.1 MG TABLET [16052],3.5,,0.98,3.01,83
NDC,68001-585-00 [370689],GLIMEPIRIDE 2 MG TABLET [16356],1.65,,0.462,1.419,83
NDC,68001-591-00 [371782],ESCITALOPRAM 5 MG TABLET [37635],1.65,,0.462,1.419,83
NDC,68001-594-06 [372921],"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",2.25,,0.63,1.935,83
NDC,68001-595-04 [372922],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",2.25,,0.63,1.935,83
NDC,68001-595-05 [372923],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",2.25,,0.63,1.935,83
NDC,68001-596-04 [372925],"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.65,,0.462,1.419,83
NDC,68001-597-05 [374034],SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [41832],1.8,,0.504,1.548,83
NDC,68001-666-01 [399591],APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,84
NDC,68001-666-17 [399592],APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,84
NDC,68001-668-19 [399596],APREPITANT 125 MG CAPSULE [35489],834.45,,2.72,717.627,84
NDC,68001-668-44 [399597],APREPITANT 125 MG CAPSULE [35489],834.45,,2.72,717.627,84
NDC,68001-674-92 [400684],OLOPATADINE 0.2 % EYE DROPS [76979],33.9,,9.492,29.154,83
NDC,68084-021-11 [237777],ABACAVIR 300 MG TABLET [24438],34.0,,9.52,29.24,83
NDC,68084-021-21 [237778],ABACAVIR 300 MG TABLET [24438],34.0,,9.52,29.24,83
NDC,68084-027-01 [110344],WARFARIN 2.5 MG TABLET [8750],1.65,,0.462,1.419,83
NDC,68084-027-11 [144596],WARFARIN 2.5 MG TABLET [8750],1.65,,0.462,1.419,83
NDC,68084-040-01 [245627],MISOPROSTOL 100 MCG TABLET [10628],9.8,,2.744,8.428,83
NDC,68084-040-11 [245628],MISOPROSTOL 100 MCG TABLET [10628],9.8,,2.744,8.428,83
NDC,68084-041-01 [245629],MISOPROSTOL 200 MCG TABLET [10629],10.8,,3.024,9.288,83
NDC,68084-041-11 [245630],MISOPROSTOL 200 MCG TABLET [10629],10.8,,3.024,9.288,83
NDC,68084-044-11 [144605],PAROXETINE 10 MG TABLET [16632],4.05,,1.134,3.483,83
NDC,68084-045-01 [100305],PAROXETINE 20 MG TABLET [10855],1.65,,0.462,1.419,83
NDC,68084-045-11 [144606],PAROXETINE 20 MG TABLET [10855],1.65,,0.462,1.419,83
NDC,68084-059-11 [245652],ZAFIRLUKAST 20 MG TABLET [17960],13.65,,3.822,11.739,83
NDC,68084-059-21 [245653],ZAFIRLUKAST 20 MG TABLET [17960],13.65,,3.822,11.739,83
NDC,68084-070-01 [110348],CIPROFLOXACIN 500 MG TABLET [25119],1.7,,0.476,1.462,83
NDC,68084-070-11 [144617],CIPROFLOXACIN 500 MG TABLET [25119],1.7,,0.476,1.462,83
NDC,68084-075-11 [245656],TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],94.5,,26.46,81.27,83
NDC,68084-075-11 [245656],TRETINOIN 10 MG CAPSULE (ACCC AND ICU USE ONLY) [40800002702],94.5,,26.46,81.27,83
NDC,68084-075-21 [245657],TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],94.5,,26.46,81.27,83
NDC,68084-075-21 [245657],TRETINOIN 10 MG CAPSULE (ACCC AND ICU USE ONLY) [40800002702],94.5,,26.46,81.27,83
NDC,68084-082-01 [255940],ISOSORBIDE DINITRATE 10 MG TABLET [4064],4.45,,1.246,3.827,83
NDC,68084-082-11 [255941],ISOSORBIDE DINITRATE 10 MG TABLET [4064],4.45,,1.246,3.827,83
NDC,68084-094-11 [144630],CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],2.4,,0.672,2.064,83
NDC,68084-097-11 [245659],ATORVASTATIN 10 MG TABLET [19176],1.8,,0.504,1.548,83
NDC,68084-098-01 [245660],ATORVASTATIN 20 MG TABLET [19178],2.15,,0.602,1.849,83
NDC,68084-098-11 [245661],ATORVASTATIN 20 MG TABLET [19178],2.15,,0.602,1.849,83
NDC,68084-099-01 [245662],ATORVASTATIN 40 MG TABLET [19177],2.15,,0.602,1.849,83
NDC,68084-099-11 [245663],ATORVASTATIN 40 MG TABLET [19177],2.15,,0.602,1.849,83
NDC,68084-103-09 [275029],ZIPRASIDONE 20 MG CAPSULE [29778],13.15,,3.682,11.309,83
NDC,68084-103-11 [275030],ZIPRASIDONE 20 MG CAPSULE [29778],13.15,,3.682,11.309,83
NDC,68084-104-11 [275032],ZIPRASIDONE 40 MG CAPSULE [29779],13.15,,3.682,11.309,83
NDC,68084-106-11 [275036],ZIPRASIDONE 80 MG CAPSULE [29781],13.15,,3.682,11.309,83
NDC,68084-107-11 [263565],ACYCLOVIR 200 MG CAPSULE [8969],1.65,,0.462,1.419,83
NDC,68084-108-11 [263567],ACYCLOVIR 400 MG TABLET [8971],1.85,,0.518,1.591,83
NDC,68084-111-11 [175671],"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR [37649]",2.85,,0.798,2.451,83
NDC,68084-112-11 [175673],"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR [37650]",4.2,,1.176,3.612,83
NDC,68084-119-01 [129214],MIRTAZAPINE 15 MG TABLET [17466],1.65,,0.462,1.419,83
NDC,68084-119-11 [144632],MIRTAZAPINE 15 MG TABLET [17466],1.65,,0.462,1.419,83
NDC,68084-120-01 [129215],MIRTAZAPINE 30 MG TABLET [17465],1.65,,0.462,1.419,83
NDC,68084-120-11 [144633],MIRTAZAPINE 30 MG TABLET [17465],1.65,,0.462,1.419,83
NDC,68084-135-11 [263574],METAXALONE 800 MG TABLET [33963],26.55,,7.434,22.833,83
NDC,68084-135-21 [263575],METAXALONE 800 MG TABLET [33963],26.55,,7.434,22.833,83
NDC,68084-149-11 [255947],METHYLPREDNISOLONE 4 MG TABLET [4993],7.95,,0.23,6.837,84
NDC,68084-155-01 [144654],PROMETHAZINE 25 MG TABLET [6622],2.0,,0.56,1.72,83
NDC,68084-155-11 [144655],PROMETHAZINE 25 MG TABLET [6622],2.0,,0.56,1.72,83
NDC,68084-157-01 [255948],"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [119246]",5.65,,1.582,4.859,83
NDC,68084-157-11 [255949],"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [119246]",5.65,,1.582,4.859,83
NDC,68084-158-01 [245668],"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [119007]",7.95,,2.226,6.837,83
NDC,68084-158-11 [245669],"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [119007]",7.95,,2.226,6.837,83
NDC,68084-189-01 [263576],ZOLPIDEM 5 MG TABLET [11701],2.85,,0.798,2.451,83
NDC,68084-189-11 [263577],ZOLPIDEM 5 MG TABLET [11701],2.85,,0.798,2.451,83
NDC,68084-196-01 [263580],LISINOPRIL 5 MG TABLET [10451],1.65,,0.462,1.419,83
NDC,68084-196-11 [263581],LISINOPRIL 5 MG TABLET [10451],1.65,,0.462,1.419,83
NDC,68084-202-01 [152078],PRIMIDONE 50 MG TABLET [11129],3.9,,1.092,3.354,83
NDC,68084-202-11 [152079],PRIMIDONE 50 MG TABLET [11129],3.9,,1.092,3.354,83
NDC,68084-203-01 [152080],PRIMIDONE 250 MG TABLET [6544],4.15,,1.162,3.569,83
NDC,68084-203-11 [152081],PRIMIDONE 250 MG TABLET [6544],4.15,,1.162,3.569,83
NDC,68084-204-01 [152082],MINOXIDIL 2.5 MG TABLET [5115],2.5,,0.7,2.15,83
NDC,68084-204-11 [152083],MINOXIDIL 2.5 MG TABLET [5115],2.5,,0.7,2.15,83
NDC,68084-205-01 [152084],MINOXIDIL 10 MG TABLET [5114],3.05,,0.854,2.623,83
NDC,68084-205-11 [152085],MINOXIDIL 10 MG TABLET [5114],3.05,,0.854,2.623,83
NDC,68084-214-01 [175674],BENZONATATE 100 MG CAPSULE [988],2.25,,0.63,1.935,83
NDC,68084-214-11 [175675],BENZONATATE 100 MG CAPSULE [988],2.25,,0.63,1.935,83
NDC,68084-215-01 [267332],VALACYCLOVIR 500 MG TABLET [13133],15.2,,4.256,13.072,83
NDC,68084-215-11 [267333],VALACYCLOVIR 500 MG TABLET [13133],15.2,,4.256,13.072,83
NDC,68084-215-21 [349253],VALACYCLOVIR 500 MG TABLET [13133],14.65,,4.102,12.599,83
NDC,68084-220-01 [231913],ONDANSETRON HCL 4 MG TABLET [10778],3.6,,0.01,3.096,84
NDC,68084-220-11 [237779],ONDANSETRON HCL 4 MG TABLET [10778],3.6,,0.01,3.096,84
NDC,68084-221-01 [231914],ONDANSETRON HCL 8 MG TABLET [10779],4.6,,0.01,3.956,84
NDC,68084-221-11 [237780],ONDANSETRON HCL 8 MG TABLET [10779],4.6,,0.01,3.956,84
NDC,68084-229-01 [161715],AZATHIOPRINE 50 MG TABLET [9183],3.25,,0.91,2.795,84
NDC,68084-229-11 [161716],AZATHIOPRINE 50 MG TABLET [9183],3.25,,0.91,2.795,84
NDC,68084-243-01 [167244],CLINDAMYCIN HCL 150 MG CAPSULE [1740],2.1,,0.588,1.806,83
NDC,68084-243-11 [167245],CLINDAMYCIN HCL 150 MG CAPSULE [1740],2.1,,0.588,1.806,83
NDC,68084-244-01 [167246],CLINDAMYCIN HCL 300 MG CAPSULE [9621],5.25,,1.47,4.515,83
NDC,68084-244-11 [167247],CLINDAMYCIN HCL 300 MG CAPSULE [9621],5.25,,1.47,4.515,83
NDC,68084-248-01 [175678],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,68084-248-11 [175679],LORATADINE 10 MG TABLET [10466],1.65,,0.462,1.419,83
NDC,68084-252-11 [167250],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",12.0,,3.36,10.32,83
NDC,68084-252-21 [167251],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",12.0,,3.36,10.32,83
NDC,68084-254-01 [177920],HYDROXYZINE HCL 25 MG TABLET [3774],1.65,,0.462,1.419,83
NDC,68084-254-11 [177921],HYDROXYZINE HCL 25 MG TABLET [3774],1.65,,0.462,1.419,83
NDC,68084-269-01 [175692],HYDROXYCHLOROQUINE 200 MG TABLET [10235],9.25,,2.59,7.955,83
NDC,68084-269-11 [175693],HYDROXYCHLOROQUINE 200 MG TABLET [10235],9.25,,2.59,7.955,83
NDC,68084-270-01 [175694],RISPERIDONE 0.25 MG TABLET [25519],1.65,,0.462,1.419,83
NDC,68084-270-11 [175695],RISPERIDONE 0.25 MG TABLET [25519],1.65,,0.462,1.419,83
NDC,68084-272-01 [175698],RISPERIDONE 1 MG TABLET [18313],2.0,,0.56,1.72,83
NDC,68084-272-11 [175699],RISPERIDONE 1 MG TABLET [18313],2.0,,0.56,1.72,83
NDC,68084-273-01 [175700],RISPERIDONE 2 MG TABLET [18311],2.25,,0.63,1.935,83
NDC,68084-273-11 [175701],RISPERIDONE 2 MG TABLET [18311],2.25,,0.63,1.935,83
NDC,68084-280-01 [190877],ETHAMBUTOL 400 MG TABLET [9983],5.15,,1.442,4.429,83
NDC,68084-280-11 [190878],ETHAMBUTOL 400 MG TABLET [9983],5.15,,1.442,4.429,83
NDC,68084-281-11 [175714],"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",3.75,,1.05,3.225,83
NDC,68084-284-01 [175717],HYDROXYUREA 500 MG CAPSULE (ACCC AND ICU USE ONLY) [40800002701],4.4,,1.232,3.784,83
NDC,68084-284-01 [175717],HYDROXYUREA 500 MG CAPSULE [10236],4.4,,1.232,3.784,83
NDC,68084-284-11 [175718],HYDROXYUREA 500 MG CAPSULE (ACCC AND ICU USE ONLY) [40800002701],4.4,,1.232,3.784,83
NDC,68084-284-11 [175718],HYDROXYUREA 500 MG CAPSULE [10236],4.4,,1.232,3.784,83
NDC,68084-288-01 [175719],FLUDROCORTISONE 0.1 MG TABLET [10054],4.05,,1.134,3.483,83
NDC,68084-288-11 [175720],FLUDROCORTISONE 0.1 MG TABLET [10054],4.05,,1.134,3.483,83
NDC,68084-299-11 [263601],TAMSULOSIN 0.4 MG CAPSULE [103890],2.85,,0.798,2.451,83
NDC,68084-300-11 [175729],DANTROLENE 25 MG CAPSULE [9718],7.75,,2.17,6.665,83
NDC,68084-310-01 [255950],"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",7.0,,1.96,6.02,83
NDC,68084-310-11 [255951],"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [34418]",7.0,,1.96,6.02,83
NDC,68084-313-11 [184850],"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [27631]",4.0,,1.12,3.44,83
NDC,68084-318-01 [184851],LAMOTRIGINE 25 MG TABLET [13981],1.65,,0.462,1.419,83
NDC,68084-318-11 [184852],LAMOTRIGINE 25 MG TABLET [13981],1.65,,0.462,1.419,83
NDC,68084-319-01 [184853],LAMOTRIGINE 100 MG TABLET [13982],1.65,,0.462,1.419,83
NDC,68084-319-11 [184854],LAMOTRIGINE 100 MG TABLET [13982],1.65,,0.462,1.419,83
NDC,68084-326-01 [184857],GLIMEPIRIDE 2 MG TABLET [16356],2.6,,0.728,2.236,83
NDC,68084-326-11 [184858],GLIMEPIRIDE 2 MG TABLET [16356],2.6,,0.728,2.236,83
NDC,68084-327-01 [184859],GLIMEPIRIDE 4 MG TABLET [16357],3.65,,1.022,3.139,83
NDC,68084-327-11 [184860],GLIMEPIRIDE 4 MG TABLET [16357],3.65,,1.022,3.139,83
NDC,68084-342-01 [184873],TOPIRAMATE 25 MG TABLET [18920],1.65,,0.462,1.419,83
NDC,68084-342-11 [184874],TOPIRAMATE 25 MG TABLET [18920],1.65,,0.462,1.419,83
NDC,68084-343-01 [329311],TOPIRAMATE 50 MG TABLET [37616],2.0,,0.56,1.72,83
NDC,68084-343-11 [184875],TOPIRAMATE 50 MG TABLET [37616],2.0,,0.56,1.72,83
NDC,68084-344-01 [184877],TOPIRAMATE 100 MG TABLET [18922],2.3,,0.644,1.978,83
NDC,68084-344-11 [184878],TOPIRAMATE 100 MG TABLET [18922],2.3,,0.644,1.978,83
NDC,68084-345-11 [184879],TOPIRAMATE 200 MG TABLET [18921],4.75,,1.33,4.085,83
NDC,68084-345-21 [184880],TOPIRAMATE 200 MG TABLET [18921],4.75,,1.33,4.085,83
NDC,68084-346-01 [201836],LOSARTAN 25 MG TABLET [14823],2.45,,0.686,2.107,83
NDC,68084-346-11 [201837],LOSARTAN 25 MG TABLET [14823],2.45,,0.686,2.107,83
NDC,68084-347-01 [201838],LOSARTAN 50 MG TABLET [14824],2.9,,0.812,2.494,83
NDC,68084-347-11 [201839],LOSARTAN 50 MG TABLET [14824],2.9,,0.812,2.494,83
NDC,68084-348-01 [201840],LOSARTAN 100 MG TABLET [22588],3.3,,0.924,2.838,83
NDC,68084-348-11 [201841],LOSARTAN 100 MG TABLET [22588],3.3,,0.924,2.838,83
NDC,68084-354-11 [190898],OXYCODONE 5 MG TABLET [10814],3.45,,0.966,2.967,83
NDC,68084-371-01 [190907],AMIODARONE 200 MG TABLET [9066],1.75,,0.49,1.505,83
NDC,68084-371-11 [190908],AMIODARONE 200 MG TABLET [9066],1.75,,0.49,1.505,83
NDC,68084-376-11 [195330],PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [6257],2.55,,0.714,2.193,83
NDC,68084-388-11 [190924],BENZTROPINE 1 MG TABLET [999],2.35,,0.658,2.021,83
NDC,68084-411-11 [192988],"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE [14628]",11.4,,3.192,9.804,83
NDC,68084-411-21 [192989],"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE [14628]",11.4,,3.192,9.804,83
NDC,68084-415-01 [255954],"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",10.4,,2.912,8.944,83
NDC,68084-415-11 [255955],"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [81426]",10.4,,2.912,8.944,83
NDC,68084-430-99 [201855],POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],8.0,,2.24,6.88,83
NDC,68084-444-01 [263612],CARBAMAZEPINE 200 MG TABLET [1357],2.7,,0.756,2.322,83
NDC,68084-444-11 [255956],CARBAMAZEPINE 200 MG TABLET [1357],2.7,,0.756,2.322,83
NDC,68084-446-01 [201866],NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],13.95,,3.906,11.997,83
NDC,68084-446-11 [201867],NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],13.95,,3.906,11.997,83
NDC,68084-447-01 [201868],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,68084-447-11 [201869],HYDRALAZINE 10 MG TABLET [3698],1.65,,0.462,1.419,83
NDC,68084-449-01 [201872],TACROLIMUS 0.5 MG CAPSULE FOR SUBLINGUAL USE [40800002960],9.4,,0.15,8.084,84
NDC,68084-449-01 [201872],"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",9.4,,0.15,8.084,84
NDC,68084-449-11 [201873],TACROLIMUS 0.5 MG CAPSULE FOR SUBLINGUAL USE [40800002960],9.4,,0.15,8.084,84
NDC,68084-449-11 [201873],"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",9.4,,0.15,8.084,84
NDC,68084-450-01 [201874],TACROLIMUS 1 MG CAPSULE FOR SUBLINGUAL USE [40800002961],7.1,,0.15,6.106,84
NDC,68084-450-01 [201874],"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",7.1,,0.15,6.106,84
NDC,68084-450-11 [201875],TACROLIMUS 1 MG CAPSULE FOR SUBLINGUAL USE [40800002961],7.1,,0.15,6.106,84
NDC,68084-450-11 [201875],"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [12933]",7.1,,0.15,6.106,84
NDC,68084-458-11 [209064],NATEGLINIDE 60 MG TABLET [29437],9.0,,2.52,7.74,83
NDC,68084-479-11 [245681],CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [30961],6.65,,1.862,5.719,83
NDC,68084-480-01 [223944],"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [24470]",12.2,,3.416,10.492,83
NDC,68084-480-11 [223945],"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [24470]",12.2,,3.416,10.492,83
NDC,68084-480-65 [366491],"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [24470]",12.5,,3.5,10.75,83
NDC,68084-494-01 [223948],PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],6.6,,1.848,5.676,83
NDC,68084-494-11 [223949],PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],6.6,,1.848,5.676,83
NDC,68084-511-01 [223976],SIMVASTATIN 10 MG TABLET [11364],1.65,,0.462,1.419,83
NDC,68084-511-11 [223977],SIMVASTATIN 10 MG TABLET [11364],1.65,,0.462,1.419,83
NDC,68084-512-01 [223978],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,68084-512-11 [223979],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,68084-525-01 [231922],OLANZAPINE 2.5 MG TABLET [21057],2.1,,0.588,1.806,83
NDC,68084-525-11 [231923],OLANZAPINE 2.5 MG TABLET [21057],2.1,,0.588,1.806,83
NDC,68084-528-01 [231928],OLANZAPINE 15 MG TABLET [26952],3.6,,1.008,3.096,83
NDC,68084-528-11 [231929],OLANZAPINE 15 MG TABLET [26952],3.6,,1.008,3.096,83
NDC,68084-536-01 [263615],CLOPIDOGREL 75 MG TABLET [22142],1.65,,0.462,1.419,83
NDC,68084-536-11 [263616],CLOPIDOGREL 75 MG TABLET [22142],1.65,,0.462,1.419,83
NDC,68084-539-11 [224005],TORSEMIDE 20 MG TABLET [18293],1.7,,0.476,1.462,83
NDC,68084-561-11 [224018],"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR [27635]",15.95,,4.466,13.717,83
NDC,68084-572-11 [285972],"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [162381]",4.0,,1.12,3.44,83
NDC,68084-590-25 [237791],ATORVASTATIN 80 MG TABLET [28645],3.25,,0.91,2.795,83
NDC,68084-590-95 [255962],ATORVASTATIN 80 MG TABLET [28645],3.25,,0.91,2.795,83
NDC,68084-597-01 [231964],"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",7.1,,1.988,6.106,83
NDC,68084-597-11 [231965],"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",7.1,,1.988,6.106,83
NDC,68084-598-01 [231966],"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27659]",11.75,,3.29,10.105,83
NDC,68084-598-11 [231967],"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27659]",11.75,,3.29,10.105,83
NDC,68084-617-11 [231976],ESCITALOPRAM 10 MG TABLET [33512],1.65,,0.462,1.419,83
NDC,68084-618-01 [231977],ESCITALOPRAM 20 MG TABLET [33513],1.65,,0.462,1.419,83
NDC,68084-618-11 [231978],ESCITALOPRAM 20 MG TABLET [33513],1.65,,0.462,1.419,83
NDC,68084-621-11 [245682],MODAFINIL 100 MG TABLET [24702],43.65,,12.222,37.539,83
NDC,68084-621-21 [245683],MODAFINIL 100 MG TABLET [24702],43.65,,12.222,37.539,83
NDC,68084-645-11 [255969],TIZANIDINE 4 MG TABLET [14793],3.05,,0.854,2.623,83
NDC,68084-651-25 [263621],CLARITHROMYCIN 500 MG TABLET [9617],23.65,,6.622,20.339,83
NDC,68084-651-95 [263622],CLARITHROMYCIN 500 MG TABLET [9617],23.65,,6.622,20.339,83
NDC,68084-658-01 [255970],IBUPROFEN 400 MG TABLET [3843],1.65,,0.462,1.419,83
NDC,68084-658-11 [255971],IBUPROFEN 400 MG TABLET [3843],1.65,,0.462,1.419,83
NDC,68084-675-11 [263643],"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",8.4,,2.352,7.224,83
NDC,68084-675-21 [263644],"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",8.4,,2.352,7.224,83
NDC,68084-683-01 [263647],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",7.6,,2.128,6.536,83
NDC,68084-683-11 [263648],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",7.6,,2.128,6.536,83
NDC,68084-697-01 [275043],"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",3.8,,1.064,3.268,83
NDC,68084-697-11 [275044],"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",3.8,,1.064,3.268,83
NDC,68084-698-01 [263651],"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",2.35,,0.658,2.021,83
NDC,68084-698-11 [263652],"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [27857]",2.35,,0.658,2.021,83
NDC,68084-708-25 [275047],"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",2.9,,0.812,2.494,83
NDC,68084-708-95 [275048],"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",2.9,,0.812,2.494,83
NDC,68084-709-01 [263655],"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",2.6,,0.728,2.236,83
NDC,68084-709-11 [263656],"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [27858]",2.6,,0.728,2.236,83
NDC,68084-710-01 [263657],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],9.4,,2.632,8.084,83
NDC,68084-710-11 [263658],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],9.4,,2.632,8.084,83
NDC,68084-713-01 [263659],"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",2.95,,0.826,2.537,83
NDC,68084-713-11 [263660],"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [27859]",2.95,,0.826,2.537,83
NDC,68084-721-11 [263661],MODAFINIL 200 MG TABLET [24703],59.3,,16.604,50.998,83
NDC,68084-721-21 [263662],MODAFINIL 200 MG TABLET [24703],59.3,,16.604,50.998,83
NDC,68084-723-01 [263665],OLANZAPINE 5 MG TABLET [17936],2.4,,0.672,2.064,83
NDC,68084-723-11 [263666],OLANZAPINE 5 MG TABLET [17936],2.4,,0.672,2.064,83
NDC,68084-728-01 [275051],FLUCONAZOLE 100 MG TABLET [10044],8.9,,2.492,7.654,83
NDC,68084-728-11 [275052],FLUCONAZOLE 100 MG TABLET [10044],8.9,,2.492,7.654,83
NDC,68084-735-01 [267349],FLUCONAZOLE 200 MG TABLET [10045],12.8,,3.584,11.008,83
NDC,68084-735-11 [267350],FLUCONAZOLE 200 MG TABLET [10045],12.8,,3.584,11.008,83
NDC,68084-740-01 [263679],OLANZAPINE 10 MG TABLET [17937],3.7,,1.036,3.182,83
NDC,68084-740-11 [263680],OLANZAPINE 10 MG TABLET [17937],3.7,,1.036,3.182,83
NDC,68084-750-25 [285979],TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [8132],3.9,,1.092,3.354,83
NDC,68084-750-95 [285980],TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [8132],3.9,,1.092,3.354,83
NDC,68084-752-19 [370694],CLOPIDOGREL 300 MG TABLET [89346],37.0,,10.36,31.82,83
NDC,68084-752-25 [263699],CLOPIDOGREL 300 MG TABLET [89346],55.0,,15.4,47.3,83
NDC,68084-752-95 [263700],CLOPIDOGREL 300 MG TABLET [89346],55.0,,15.4,47.3,83
NDC,68084-753-11 [263701],CYCLOBENZAPRINE 5 MG TABLET [35184],3.35,,0.938,2.881,83
NDC,68084-753-25 [285981],CYCLOBENZAPRINE 5 MG TABLET [35184],2.4,,0.672,2.064,83
NDC,68084-753-65 [379353],CYCLOBENZAPRINE 5 MG TABLET [35184],3.35,,0.938,2.881,83
NDC,68084-753-95 [285982],CYCLOBENZAPRINE 5 MG TABLET [35184],2.4,,0.672,2.064,83
NDC,68084-765-11 [263713],LISINOPRIL 2.5 MG TABLET [13089],2.65,,0.742,2.279,83
NDC,68084-765-21 [263714],LISINOPRIL 2.5 MG TABLET [13089],2.65,,0.742,2.279,83
NDC,68084-775-25 [285989],TIZANIDINE 2 MG TABLET [14792],5.15,,1.442,4.429,83
NDC,68084-775-95 [285990],TIZANIDINE 2 MG TABLET [14792],5.15,,1.442,4.429,83
NDC,68084-776-01 [275053],"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",1.65,,0.462,1.419,83
NDC,68084-776-11 [275054],"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [2552]",1.65,,0.462,1.419,83
NDC,68084-782-11 [275056],"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",1.7,,0.476,1.462,83
NDC,68084-782-61 [285993],"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [2553]",1.7,,0.476,1.462,83
NDC,68084-788-25 [285994],GLIMEPIRIDE 1 MG TABLET [16355],4.0,,1.12,3.44,83
NDC,68084-788-95 [285995],GLIMEPIRIDE 1 MG TABLET [16355],4.0,,1.12,3.44,83
NDC,68084-805-11 [267397],METHYLPHENIDATE 5 MG TABLET [4988],12.35,,3.458,10.621,83
NDC,68084-805-21 [267398],METHYLPHENIDATE 5 MG TABLET [4988],12.35,,3.458,10.621,83
NDC,68084-808-01 [267401],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,68084-808-11 [267402],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,68084-823-11 [267421],METHYLPHENIDATE 10 MG TABLET [4986],9.15,,2.562,7.869,83
NDC,68084-823-21 [267422],METHYLPHENIDATE 10 MG TABLET [4986],9.15,,2.562,7.869,83
NDC,68084-836-01 [336850],DOXAZOSIN 1 MG TABLET [9894],4.35,,1.218,3.741,83
NDC,68084-836-11 [267441],DOXAZOSIN 1 MG TABLET [9894],4.35,,1.218,3.741,83
NDC,68084-836-25 [286006],DOXAZOSIN 1 MG TABLET [9894],4.05,,1.134,3.483,83
NDC,68084-836-95 [286007],DOXAZOSIN 1 MG TABLET [9894],4.05,,1.134,3.483,83
NDC,68084-844-01 [275068],VENLAFAXINE 37.5 MG TABLET [12207],4.1,,1.148,3.526,83
NDC,68084-844-11 [275069],VENLAFAXINE 37.5 MG TABLET [12207],4.1,,1.148,3.526,83
NDC,68084-845-01 [275070],OXCARBAZEPINE 150 MG TABLET [27049],2.6,,0.728,2.236,83
NDC,68084-845-11 [275071],OXCARBAZEPINE 150 MG TABLET [27049],2.6,,0.728,2.236,83
NDC,68084-847-01 [275072],HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],2.4,,0.672,2.064,83
NDC,68084-847-11 [275073],HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],2.4,,0.672,2.064,83
NDC,68084-850-32 [267457],"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [11083]",11.45,,3.206,9.847,83
NDC,68084-850-33 [267458],"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [11083]",11.45,,3.206,9.847,83
NDC,68084-851-01 [336851],DOXAZOSIN 2 MG TABLET [9895],4.35,,1.218,3.741,83
NDC,68084-851-11 [267459],DOXAZOSIN 2 MG TABLET [9895],4.35,,1.218,3.741,83
NDC,68084-853-01 [275074],OXCARBAZEPINE 300 MG TABLET [21061],4.2,,1.176,3.612,83
NDC,68084-853-11 [275075],OXCARBAZEPINE 300 MG TABLET [21061],4.2,,1.176,3.612,83
NDC,68084-854-01 [275076],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,68084-854-11 [275077],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,68084-855-11 [275079],BACLOFEN 10 MG TABLET [860],2.75,,0.77,2.365,83
NDC,68084-856-01 [275080],VENLAFAXINE 75 MG TABLET [12206],4.45,,1.246,3.827,83
NDC,68084-856-11 [275081],VENLAFAXINE 75 MG TABLET [12206],4.45,,1.246,3.827,83
NDC,68084-859-11 [275083],LEVETIRACETAM 250 MG TABLET [26816],1.65,,0.462,1.419,83
NDC,68084-862-01 [336852],DOXAZOSIN 4 MG TABLET [9896],4.35,,1.218,3.741,83
NDC,68084-862-11 [267465],DOXAZOSIN 4 MG TABLET [9896],4.35,,1.218,3.741,83
NDC,68084-870-11 [275096],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,68084-875-01 [275099],MONTELUKAST 10 MG TABLET [22509],2.4,,0.672,2.064,83
NDC,68084-875-11 [275100],MONTELUKAST 10 MG TABLET [22509],2.4,,0.672,2.064,83
NDC,68084-879-25 [283027],CYCLOSPORINE 25 MG CAPSULE [9707],22.75,,0.77,19.565,84
NDC,68084-879-95 [283028],CYCLOSPORINE 25 MG CAPSULE [9707],22.75,,0.77,19.565,84
NDC,68084-882-01 [275103],LEVETIRACETAM 750 MG TABLET [26818],1.85,,0.518,1.591,83
NDC,68084-882-11 [275104],LEVETIRACETAM 750 MG TABLET [26818],1.85,,0.518,1.591,83
NDC,68084-895-01 [275108],HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],3.8,,1.064,3.268,83
NDC,68084-895-11 [267476],HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],3.8,,1.064,3.268,83
NDC,68084-896-25 [279707],VENLAFAXINE 25 MG TABLET [12203],5.0,,1.4,4.3,83
NDC,68084-896-95 [279708],VENLAFAXINE 25 MG TABLET [12203],5.0,,1.4,4.3,83
NDC,68084-915-25 [283035],SIROLIMUS 1 MG TABLET [28958],53.5,,0.96,46.01,84
NDC,68084-915-95 [283036],SIROLIMUS 1 MG TABLET [28958],53.5,,0.96,46.01,84
NDC,68084-921-25 [283041],CYCLOSPORINE 100 MG CAPSULE [9706],63.75,,2.07,54.825,84
NDC,68084-921-95 [283042],CYCLOSPORINE 100 MG CAPSULE [9706],63.75,,2.07,54.825,84
NDC,68084-928-25 [279711],PILOCARPINE 5 MG TABLET [12803],10.8,,3.024,9.288,83
NDC,68084-928-95 [279712],PILOCARPINE 5 MG TABLET [12803],10.8,,3.024,9.288,83
NDC,68084-949-25 [279713],ALBUTEROL SULFATE 2 MG TABLET [253],29.55,,8.274,25.413,83
NDC,68084-949-95 [279714],ALBUTEROL SULFATE 2 MG TABLET [253],29.55,,8.274,25.413,83
NDC,68084-952-95 [281380],ALBUTEROL SULFATE 4 MG TABLET [254],29.55,,8.274,25.413,83
NDC,68084-964-95 [281382],PROPYLTHIOURACIL 50 MG TABLET [6662],13.3,,3.724,11.438,83
NDC,68084-965-95 [275122],VALGANCICLOVIR 450 MG TABLET [30148],61.45,,17.206,52.847,83
NDC,68084-968-01 [319282],OXYCODONE 10 MG TABLET [87795],4.65,,1.302,3.999,83
NDC,68084-968-11 [319283],OXYCODONE 10 MG TABLET [87795],4.65,,1.302,3.999,83
NDC,68084-975-11 [330811],OXYCODONE 15 MG TABLET [28899],5.8,,1.624,4.988,83
NDC,68084-983-01 [330812],OXYCODONE 30 MG TABLET [28900],7.85,,2.198,6.751,83
NDC,68084-983-11 [330813],OXYCODONE 30 MG TABLET [28900],7.85,,2.198,6.751,83
NDC,68084-988-32 [286030],CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],3.5,,0.98,3.01,83
NDC,68084-988-33 [286031],CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],3.5,,0.98,3.01,83
NDC,68084-996-01 [311766],PRAZOSIN 1 MG CAPSULE [6468],7.1,,1.988,6.106,83
NDC,68084-996-11 [311767],PRAZOSIN 1 MG CAPSULE [6468],7.1,,1.988,6.106,83
NDC,68094-001-59 [286038],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],7.7,,2.156,6.622,83
NDC,68094-001-62 [286039],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],7.7,,2.156,6.622,83
NDC,68094-005-59 [294528],OXYCODONE 15 MG TABLET [28899],4.1,,1.148,3.526,83
NDC,68094-005-61 [294529],OXYCODONE 15 MG TABLET [28899],4.1,,1.148,3.526,83
NDC,68094-018-59 [325331],DIPHENHYDRAMINE 25 MG CAPSULE AND/OR TABLET [40800003154],1.65,,0.462,1.419,83
NDC,68094-018-59 [325331],DIPHENHYDRAMINE 25 MG TABLET [2505],1.65,,0.462,1.419,83
NDC,68094-018-61 [325332],DIPHENHYDRAMINE 25 MG CAPSULE AND/OR TABLET [40800003154],1.65,,0.462,1.419,83
NDC,68094-018-61 [325332],DIPHENHYDRAMINE 25 MG TABLET [2505],1.65,,0.462,1.419,83
NDC,68094-022-59 [317143],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],7.6,,2.128,6.536,83
NDC,68094-022-62 [317144],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],7.6,,2.128,6.536,83
NDC,68094-031-59 [342661],METHADONE 5 MG/5 ML ORAL SOLUTION [4952],10.8,,3.024,9.288,83
NDC,68094-031-62 [342662],METHADONE 5 MG/5 ML ORAL SOLUTION [4952],10.8,,3.024,9.288,83
NDC,68094-041-59 [393367],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],28.45,,7.966,24.467,83
NDC,68094-041-61 [393368],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],28.45,,7.966,24.467,83
NDC,68094-041-62 [393369],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],34.8,,9.744,29.928,83
NDC,68094-043-59 [334151],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],34.75,,9.73,29.885,83
NDC,68094-063-59 [360682],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],22.15,,6.202,19.049,83
NDC,68094-063-59 [360682],MEGESTROL SUSP 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION CONTAINER [40800000738],22.15,,6.202,19.049,83
NDC,68094-063-59 [360682],MEGESTROL SUSP 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION SYRINGE (PEDI) [40800004003],22.15,,6.202,19.049,83
NDC,68094-063-61 [360683],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],22.15,,6.202,19.049,83
NDC,68094-063-61 [360683],MEGESTROL SUSP 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION CONTAINER [40800000738],22.15,,6.202,19.049,83
NDC,68094-063-61 [360683],MEGESTROL SUSP 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION SYRINGE (PEDI) [40800004003],22.15,,6.202,19.049,83
NDC,68094-101-10 [319285],PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1269.05,,257.45,1091.383,86
NDC,68094-101-20 [305356],PHENTOLAMINE 5 MG INJECTION SOLUTION [10947],1274.55,,257.45,1096.113,86
NDC,68094-129-59 [335077],LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],12.55,,3.514,10.793,83
NDC,68094-129-62 [335078],LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],14.95,,4.186,12.857,83
NDC,68094-193-59 [144680],VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [130847],2.95,,0.826,2.537,83
NDC,68094-247-01 [353636],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],90.1,,25.228,77.486,83
NDC,68094-247-10 [353637],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],90.1,,25.228,77.486,83
NDC,68094-250-59 [267477],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],16.7,,4.676,14.362,83
NDC,68094-250-59 [267477],MEGESTROL SUSP 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION CONTAINER [40800000738],16.7,,4.676,14.362,83
NDC,68094-250-59 [267477],MEGESTROL SUSP 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION SYRINGE (PEDI) [40800004003],16.7,,4.676,14.362,83
NDC,68094-494-59 [144686],IBUPROFEN ORAL SUSPENSION 100 MG/5 ML ORAL SUSPENSION 5 ML CUP [40800004115],3.7,,1.036,3.182,83
NDC,68094-503-59 [144688],IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],6.25,,1.75,5.375,83
NDC,68094-599-59 [144700],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",6.55,,1.834,5.633,83
NDC,68094-750-59 [224043],DIAZEPAM 5 MG/5 ML ORAL SOLUTION CONTAINER [40800003091],19.45,,5.446,16.727,83
NDC,68094-750-62 [224044],DIAZEPAM 5 MG/5 ML ORAL SOLUTION CONTAINER [40800003091],19.45,,5.446,16.727,83
NDC,68094-756-59 [237830],FUROSEMIDE 40 MG/4 ML ORAL SOLUTION [97803],9.75,,2.73,8.385,83
NDC,68094-756-62 [237831],FUROSEMIDE 40 MG/4 ML ORAL SOLUTION [97803],9.75,,2.73,8.385,83
NDC,68094-762-59 [275131],MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],26.25,,7.35,22.575,83
NDC,68094-762-62 [275132],MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],26.25,,7.35,22.575,83
NDC,6809411059 [307397],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,6809411659 [366496],THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129927],1.65,,0.462,1.419,83
NDC,6809411661 [361583],THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129927],1.65,,0.462,1.419,83
NDC,68134-402-05 [355306],TRAMADOL 5 MG/ML ORAL SOLUTION [192829],38.2,,10.696,32.852,83
NDC,68134-402-40 [355307],TRAMADOL 5 MG/ML ORAL SOLUTION [192829],38.2,,10.696,32.852,83
NDC,68180-113-02 [184911],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,68180-113-16 [177934],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,68180-114-16 [177935],LEVETIRACETAM 750 MG TABLET [26818],1.65,,0.462,1.419,83
NDC,68180-135-01 [231993],ESCITALOPRAM 10 MG TABLET [33512],1.65,,0.462,1.419,83
NDC,68180-150-01 [201882],FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],103.0,,28.84,88.58,83
NDC,68180-159-01 [329312],ETHACRYNIC ACID 25 MG TABLET [9980],9.25,,2.59,7.955,83
NDC,68180-166-11 [275139],VANCOMYCIN 125 MG CAPSULE [11628],11.85,,3.318,10.191,83
NDC,68180-166-13 [275140],VANCOMYCIN 125 MG CAPSULE [11628],11.85,,3.318,10.191,83
NDC,68180-167-11 [275141],VANCOMYCIN 250 MG CAPSULE [11629],23.7,,6.636,20.382,83
NDC,68180-167-13 [275142],VANCOMYCIN 250 MG CAPSULE [11629],23.7,,6.636,20.382,83
NDC,68180-180-01 [167265],CEFADROXIL 500 MG CAPSULE [9436],2.55,,0.714,2.193,83
NDC,68180-180-08 [167266],CEFADROXIL 500 MG CAPSULE [9436],2.85,,0.798,2.451,83
NDC,68180-214-30 [357561],CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [35209],276.3,,77.364,237.618,83
NDC,68180-280-01 [184914],ETHAMBUTOL 100 MG TABLET [9982],2.2,,0.616,1.892,83
NDC,68180-281-01 [184915],ETHAMBUTOL 400 MG TABLET [9983],6.05,,1.694,5.203,83
NDC,68180-291-06 [396429],ESLICARBAZEPINE 400 MG TABLET [163871],10.65,,2.982,9.159,83
NDC,68180-294-07 [263752],"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [39275]",1.65,,0.462,1.419,83
NDC,68180-295-06 [263754],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.65,,0.462,1.419,83
NDC,68180-295-09 [263755],"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [39276]",1.65,,0.462,1.419,83
NDC,68180-296-09 [267490],"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [39277]",1.65,,0.462,1.419,83
NDC,68180-302-20 [135369],CEFUROXIME AXETIL 250 MG TABLET [9495],8.75,,2.45,7.525,83
NDC,68180-302-60 [175749],CEFUROXIME AXETIL 250 MG TABLET [9495],8.0,,2.24,6.88,83
NDC,68180-303-60 [175750],CEFUROXIME AXETIL 500 MG TABLET [9496],15.45,,4.326,13.287,83
NDC,68180-319-06 [298615],"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [36775]",1.65,,0.462,1.419,83
NDC,68180-320-06 [298618],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",1.65,,0.462,1.419,83
NDC,68180-320-09 [298619],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",1.65,,0.462,1.419,83
NDC,68180-322-01 [263758],ESZOPICLONE 1 MG TABLET [40320],4.6,,1.288,3.956,83
NDC,68180-324-01 [263760],ESZOPICLONE 3 MG TABLET [40322],4.6,,1.288,3.956,83
NDC,68180-351-09 [144782],SERTRALINE 25 MG TABLET [19882],1.65,,0.462,1.419,83
NDC,68180-352-06 [144786],SERTRALINE 50 MG TABLET [11351],1.65,,0.462,1.419,83
NDC,68180-422-01 [299432],MOXIFLOXACIN 0.5 % EYE DROPS [35699],23.7,,6.636,20.382,83
NDC,68180-441-01 [301810],CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],78.95,,22.106,67.897,83
NDC,68180-441-02 [301050],CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],140.75,,39.41,121.045,83
NDC,68180-450-01 [224069],QUETIAPINE 400 MG TABLET [70398],1.65,,0.462,1.419,83
NDC,68180-464-06 [290560],SIMVASTATIN 40 MG TABLET [11366],1.65,,0.462,1.419,83
NDC,68180-464-09 [286058],SIMVASTATIN 40 MG TABLET [11366],1.65,,0.462,1.419,83
NDC,68180-467-07 [167273],LOVASTATIN 10 MG TABLET [10469],1.65,,0.462,1.419,83
NDC,68180-468-01 [161761],LOVASTATIN 20 MG TABLET [10470],1.65,,0.462,1.419,83
NDC,68180-468-07 [161763],LOVASTATIN 20 MG TABLET [10470],1.65,,0.462,1.419,83
NDC,68180-469-07 [161766],LOVASTATIN 40 MG TABLET [10471],1.65,,0.462,1.419,83
NDC,68180-479-01 [152124],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,68180-479-02 [152125],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,68180-512-01 [129257],LISINOPRIL 2.5 MG TABLET [13089],1.65,,0.462,1.419,83
NDC,68180-513-01 [129259],LISINOPRIL 5 MG TABLET [10451],1.65,,0.462,1.419,83
NDC,68180-592-06 [295643],"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [91073]",4.65,,1.302,3.999,83
NDC,68180-593-06 [295645],"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [91074]",4.65,,1.302,3.999,83
NDC,68180-602-07 [275168],LAMIVUDINE 150 MG TABLET [15880],27.2,,7.616,23.392,83
NDC,68180-657-01 [245709],DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION [9902],62.5,,17.5,53.75,83
NDC,68180-659-07 [263768],RIFAMPIN 300 MG CAPSULE [11293],17.45,,4.886,15.007,83
NDC,68180-675-11 [305368],OSELTAMIVIR 30 MG CAPSULE [88704],12.35,,3.458,10.621,83
NDC,68180-676-11 [305369],OSELTAMIVIR 45 MG CAPSULE [88705],12.35,,3.458,10.621,83
NDC,68180-677-11 [305370],OSELTAMIVIR 75 MG CAPSULE [26546],12.35,,3.458,10.621,83
NDC,68180-678-01 [306304],OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [110998],57.8,,16.184,49.708,83
NDC,68180-697-06 [267492],"TRAMADOL ER 100 MG TABLET,EXTENDED RELEASE 24 HR [70352]",14.05,,3.934,12.083,83
NDC,68180-698-06 [267493],"TRAMADOL ER 200 MG TABLET,EXTENDED RELEASE 24 HR [70353]",22.4,,6.272,19.264,83
NDC,68180-711-60 [152138],CEFDINIR 300 MG CAPSULE [22289],3.2,,0.896,2.752,83
NDC,68180-720-09 [318525],AMLODIPINE 5 MG TABLET [9071],1.65,,0.462,1.419,83
NDC,68180-721-09 [317149],AMLODIPINE 10 MG TABLET [9069],1.65,,0.462,1.419,83
NDC,68180-722-05 [337842],CEFDINIR 125 MG/5 ML ORAL SUSPENSION [22290],85.8,,24.024,73.788,83
NDC,68180-779-01 [263769],"ZOLPIDEM ER 6.25 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42677]",2.85,,0.798,2.451,83
NDC,68180-780-01 [263770],"ZOLPIDEM ER 12.5 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42678]",2.85,,0.798,2.451,83
NDC,68180-780-04 [381559],"ZOLPIDEM ER 12.5 MG TABLET,EXTENDED RELEASE,MULTIPHASE [42678]",2.85,,0.798,2.451,83
NDC,68180-799-01 [286066],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",1.65,,0.462,1.419,83
NDC,68180-799-02 [286067],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",1.65,,0.462,1.419,83
NDC,68180-863-06 [365633],AZITHROMYCIN 600 MG TABLET [17387],21.85,,6.118,18.791,83
NDC,68180-876-71 [346274],NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET [19743],17.7,,4.956,15.222,83
NDC,68180-876-73 [346275],NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET [19743],17.7,,4.956,15.222,83
NDC,68180-965-01 [320341],LEVOTHYROXINE 25 MCG TABLET [4420],1.65,,0.462,1.419,83
NDC,68180-965-09 [338798],LEVOTHYROXINE 25 MCG TABLET [4420],1.65,,0.462,1.419,83
NDC,68180-966-09 [338799],LEVOTHYROXINE 50 MCG TABLET [4421],1.65,,0.462,1.419,83
NDC,68180-967-01 [320343],LEVOTHYROXINE 75 MCG TABLET [4422],1.65,,0.462,1.419,83
NDC,68180-968-09 [338801],LEVOTHYROXINE 88 MCG TABLET [10403],1.65,,0.462,1.419,83
NDC,68180-969-01 [320347],LEVOTHYROXINE 100 MCG TABLET [4423],1.65,,0.462,1.419,83
NDC,68180-970-09 [338803],LEVOTHYROXINE 112 MCG TABLET [10404],1.65,,0.462,1.419,83
NDC,68180-972-01 [320353],LEVOTHYROXINE 137 MCG TABLET [10405],1.65,,0.462,1.419,83
NDC,68180-973-01 [320355],LEVOTHYROXINE 150 MCG TABLET [4425],1.65,,0.462,1.419,83
NDC,68180-974-01 [320357],LEVOTHYROXINE 175 MCG TABLET [10406],1.65,,0.462,1.419,83
NDC,68180-975-01 [320359],LEVOTHYROXINE 200 MCG TABLET [4426],1.65,,0.462,1.419,83
NDC,68180-980-01 [296729],LISINOPRIL 10 MG TABLET [10449],1.65,,0.462,1.419,83
NDC,68180-981-01 [296731],LISINOPRIL 20 MG TABLET [4526],1.65,,0.462,1.419,83
NDC,68180-981-03 [296732],LISINOPRIL 20 MG TABLET [4526],1.65,,0.462,1.419,83
NDC,68180-984-05 [321963],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],4.75,,1.33,4.085,83
NDC,68180-984-30 [321964],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],4.75,,1.33,4.085,83
NDC,68308-152-15 [191028],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",33.2,,9.296,28.552,83
NDC,68308-152-30 [191029],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",53.95,,15.106,46.397,83
NDC,68308-152-60 [191030],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",75.55,,21.154,64.973,83
NDC,68308-475-47 [245772],OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET [31863],8.5,,2.38,7.31,83
NDC,68382-003-01 [152155],AZATHIOPRINE 50 MG TABLET [9183],1.65,,0.462,2.14,84
NDC,68382-006-01 [177940],LAMOTRIGINE 25 MG TABLET [13981],1.65,,0.462,1.419,83
NDC,68382-009-14 [177947],LAMOTRIGINE 150 MG TABLET [14266],1.65,,0.462,1.419,83
NDC,68382-021-01 [167294],VENLAFAXINE 75 MG TABLET [12206],1.75,,0.49,1.505,83
NDC,68382-050-01 [136064],MELOXICAM 7.5 MG TABLET [20566],1.65,,0.462,1.419,83
NDC,68382-079-01 [267502],HALOPERIDOL 5 MG TABLET [3583],3.0,,0.84,2.58,83
NDC,68382-092-01 [161799],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,68382-092-05 [161800],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,68382-093-05 [161803],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,68382-094-01 [161805],CARVEDILOL 12.5 MG TABLET [15749],1.65,,0.462,1.419,83
NDC,68382-095-01 [161808],CARVEDILOL 25 MG TABLET [15748],1.65,,0.462,1.419,83
NDC,68382-096-01 [161811],HYDROXYCHLOROQUINE 200 MG TABLET [10235],3.3,,0.924,2.838,83
NDC,68382-099-06 [144864],PAROXETINE 30 MG TABLET [10856],1.65,,0.462,1.419,83
NDC,68382-099-16 [144865],PAROXETINE 30 MG TABLET [10856],1.65,,0.462,1.419,83
NDC,68382-114-14 [175775],RISPERIDONE 1 MG TABLET [18313],1.65,,0.462,1.419,83
NDC,68382-132-01 [195391],TAMSULOSIN 0.4 MG CAPSULE [103890],1.65,,0.462,1.419,83
NDC,68382-135-10 [202014],LOSARTAN 25 MG TABLET [14823],1.65,,0.462,1.419,83
NDC,68382-135-16 [202015],LOSARTAN 25 MG TABLET [14823],1.65,,0.462,1.419,83
NDC,68382-138-14 [184947],TOPIRAMATE 25 MG TABLET [18920],1.65,,0.462,1.419,83
NDC,68382-139-14 [184949],TOPIRAMATE 50 MG TABLET [37616],1.65,,0.462,1.419,83
NDC,68382-141-14 [184953],TOPIRAMATE 200 MG TABLET [18921],1.65,,0.462,1.419,83
NDC,68382-180-01 [267504],BUSPIRONE 5 MG TABLET [9324],1.65,,0.462,1.419,83
NDC,68382-227-14 [184959],AMIODARONE 200 MG TABLET [9066],1.65,,0.462,1.419,83
NDC,68382-247-01 [152159],BENZONATATE 100 MG CAPSULE [988],1.65,,0.462,1.419,83
NDC,68382-256-01 [306310],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",1.65,,0.462,1.419,83
NDC,68382-256-05 [306311],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",1.65,,0.462,1.419,83
NDC,68382-316-01 [298626],MINOCYCLINE 50 MG CAPSULE [5111],1.65,,0.462,1.419,83
NDC,68382-318-18 [296735],MINOCYCLINE 100 MG CAPSULE [5110],2.15,,0.602,1.849,83
NDC,68382-370-01 [352934],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",33.2,,9.296,28.552,83
NDC,68382-383-06 [315791],EXEMESTANE 25 MG TABLET [26551],7.9,,2.212,6.794,83
NDC,68382-472-30 [281393],TELMISARTAN 40 MG TABLET [24335],7.15,,2.002,6.149,83
NDC,68382-472-78 [267517],TELMISARTAN 40 MG TABLET [24335],7.15,,2.002,6.149,83
NDC,68382-473-30 [281394],TELMISARTAN 80 MG TABLET [24336],7.15,,2.002,6.149,83
NDC,68382-473-78 [267518],TELMISARTAN 80 MG TABLET [24336],7.15,,2.002,6.149,83
NDC,68382-520-01 [263797],SIROLIMUS 0.5 MG TABLET [104764],25.9,,0.96,22.274,84
NDC,68382-537-01 [267520],"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [11083]",2.7,,0.756,2.322,83
NDC,68382-596-16 [315793],"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",2.65,,0.742,2.279,83
NDC,68382-597-16 [315794],"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",3.6,,1.008,3.096,83
NDC,68382-598-16 [315795],"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR [29276]",4.9,,1.372,4.214,83
NDC,68382-623-01 [369695],BUSPIRONE 7.5 MG TABLET [29967],1.65,,0.462,1.419,83
NDC,68382-659-06 [296736],PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],4.85,,1.358,4.171,83
NDC,68382-711-19 [300138],"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [78310]",21.1,,5.908,18.146,83
NDC,68382-721-16 [293489],NATEGLINIDE 60 MG TABLET [29437],2.4,,0.672,2.064,83
NDC,68382-733-01 [302764],NADOLOL 40 MG TABLET [5331],3.15,,0.882,2.709,83
NDC,68382-791-01 [267525],ACYCLOVIR 400 MG TABLET [8971],1.65,,0.462,1.419,83
NDC,68382-798-01 [307409],LABETALOL 100 MG TABLET [10373],1.65,,0.462,1.419,83
NDC,68382-800-01 [307413],LABETALOL 300 MG TABLET [10375],1.8,,0.504,1.548,83
NDC,68382-860-02 [279758],BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],149.5,,17.27,128.57,84
NDC,68382-860-10 [279759],BENZTROPINE 1 MG/ML INJECTION SOLUTION [9259],149.5,,17.27,128.57,84
NDC,68382-897-06 [320365],TADALAFIL 5 MG TABLET [37400],3.95,,1.106,3.397,83
NDC,68382-910-01 [309341],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],76.85,,0.12,66.091,84
NDC,68382-910-01 [309341],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],76.85,,0.12,66.091,84
NDC,68382-910-10 [309342],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],76.85,,0.12,66.091,84
NDC,68382-910-10 [309342],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],76.85,,0.12,66.091,84
NDC,68382-915-06 [336012],ERLOTINIB 150 MG TABLET [40091],40.45,,11.326,34.787,83
NDC,68382-918-18 [310990],METHYLPREDNISOLONE 16 MG TABLET [4992],11.2,,0.23,9.632,84
NDC,68382-997-01 [317172],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],1241.8,,5.86,1067.948,84
NDC,68382-997-10 [317173],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],1241.8,,5.86,1067.948,84
NDC,68462-101-30 [133397],FLUCONAZOLE 50 MG TABLET [10046],3.2,,0.896,2.752,83
NDC,68462-104-30 [133400],FLUCONAZOLE 200 MG TABLET [10045],6.35,,1.778,5.461,83
NDC,68462-108-60 [185032],TOPIRAMATE 25 MG TABLET [18920],1.65,,0.462,1.419,83
NDC,68462-110-60 [185036],TOPIRAMATE 200 MG TABLET [18921],1.65,,0.462,1.419,83
NDC,68462-126-01 [144947],GABAPENTIN 600 MG TABLET [25855],1.65,,0.462,1.419,83
NDC,68462-127-01 [144949],GABAPENTIN 800 MG TABLET [25856],1.65,,0.462,1.419,83
NDC,68462-129-01 [132767],ZONISAMIDE 50 MG CAPSULE [36988],1.65,,0.462,1.419,83
NDC,68462-137-01 [161858],OXCARBAZEPINE 150 MG TABLET [27049],1.65,,0.462,1.419,83
NDC,68462-143-01 [369697],CLINDAMYCIN HCL 150 MG CAPSULE [1740],1.65,,0.462,1.419,83
NDC,68462-157-13 [152241],ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],2.2,,0.01,1.892,84
NDC,68462-157-40 [255994],ONDANSETRON 4 MG DISINTEGRATING TABLET [27697],2.2,,0.01,1.892,84
NDC,68462-158-11 [152242],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],3.05,,0.01,2.623,84
NDC,68462-158-13 [152243],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],3.05,,0.01,2.623,84
NDC,68462-158-40 [255995],ONDANSETRON 8 MG DISINTEGRATING TABLET [27698],3.05,,0.01,2.623,84
NDC,68462-162-01 [161861],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,68462-163-01 [161863],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,68462-164-01 [161865],CARVEDILOL 12.5 MG TABLET [15749],1.65,,0.462,1.419,83
NDC,68462-165-01 [161867],CARVEDILOL 25 MG TABLET [15748],1.65,,0.462,1.419,83
NDC,68462-180-22 [202066],MUPIROCIN 2 % TOPICAL OINTMENT [10674],34.7,,9.716,29.842,83
NDC,68462-181-35 [202068],CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],62.5,,17.5,53.75,83
NDC,68462-192-17 [175812],MOMETASONE 0.1 % TOPICAL CREAM [10646],60.1,,16.828,51.686,83
NDC,68462-200-11 [267532],TELMISARTAN 40 MG TABLET [24335],3.8,,1.064,3.268,83
NDC,68462-200-13 [267533],TELMISARTAN 40 MG TABLET [24335],3.8,,1.064,3.268,83
NDC,68462-201-11 [267534],TELMISARTAN 80 MG TABLET [24336],3.8,,1.064,3.268,83
NDC,68462-201-13 [267535],TELMISARTAN 80 MG TABLET [24336],3.8,,1.064,3.268,83
NDC,68462-201-30 [345136],TELMISARTAN 80 MG TABLET [24336],2.3,,0.644,1.978,83
NDC,68462-254-01 [193019],ROPINIROLE 0.5 MG TABLET [21800],1.65,,0.462,1.419,83
NDC,68462-255-01 [193020],ROPINIROLE 1 MG TABLET [21689],1.65,,0.462,1.419,83
NDC,68462-260-01 [191582],"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE [13073]",1.65,,0.462,1.419,83
NDC,68462-261-90 [290577],ROSUVASTATIN 5 MG TABLET [36612],1.65,,0.462,1.419,83
NDC,68462-262-90 [290578],ROSUVASTATIN 10 MG TABLET [35134],1.65,,0.462,1.419,83
NDC,68462-292-01 [214337],"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [13184]",2.9,,0.812,2.494,83
NDC,68462-293-01 [214338],"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [14626]",1.65,,0.462,1.419,83
NDC,68462-298-55 [283090],CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM [29424],74.8,,20.944,64.328,83
NDC,68462-302-01 [204084],INDOMETHACIN 50 MG CAPSULE [3898],1.65,,0.462,1.419,83
NDC,68462-304-50 [202081],NORETHINDRONE ACETATE 5 MG TABLET [10747],2.85,,0.798,2.451,83
NDC,68462-314-17 [293492],"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM [5754]",71.95,,20.146,61.877,83
NDC,68462-314-65 [293494],"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM [5754]",150.0,,42.0,129.0,83
NDC,68462-330-90 [202084],PRAMIPEXOLE 0.125 MG TABLET [21287],1.65,,0.462,1.419,83
NDC,68462-331-90 [202085],PRAMIPEXOLE 0.25 MG TABLET [21290],1.65,,0.462,1.419,83
NDC,68462-332-90 [202086],PRAMIPEXOLE 0.5 MG TABLET [22719],1.65,,0.462,1.419,83
NDC,68462-383-01 [263804],ESZOPICLONE 2 MG TABLET [40321],3.65,,1.022,3.139,83
NDC,68462-394-29 [224352],NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET [10742],67.75,,18.97,58.265,83
NDC,68462-394-84 [255996],NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET [10742],67.75,,18.97,58.265,83
NDC,68462-406-01 [204090],INDOMETHACIN 25 MG CAPSULE [3897],1.65,,0.462,1.419,83
NDC,68462-418-20 [292080],LIDOCAINE 5 % TOPICAL OINTMENT [41831],94.7,,26.516,81.442,83
NDC,68462-421-69 [335090],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],101.25,,28.35,87.075,83
NDC,68462-433-18 [309345],COLESEVELAM 625 MG TABLET [28372],2.0,,0.56,1.72,83
NDC,68462-436-30 [298636],OLMESARTAN 5 MG TABLET [32761],1.65,,0.462,1.419,83
NDC,68462-437-30 [298637],OLMESARTAN 20 MG TABLET [32762],1.65,,0.462,1.419,83
NDC,68462-438-90 [298640],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,68462-446-26 [319294],SEVELAMER HCL 400 MG TABLET [28714],15.3,,4.284,13.158,83
NDC,68462-447-18 [319295],SEVELAMER HCL 800 MG TABLET [28715],13.2,,3.696,11.352,83
NDC,68462-455-35 [206753],CICLOPIROX 0.77 % TOPICAL GEL [27426],243.8,,68.264,209.668,83
NDC,68462-455-47 [206754],CICLOPIROX 0.77 % TOPICAL GEL [27426],349.05,,97.734,300.183,83
NDC,68462-466-40 [255999],RIZATRIPTAN 10 MG TABLET [23377],5.95,,1.666,5.117,83
NDC,68462-466-99 [238028],RIZATRIPTAN 10 MG TABLET [23377],5.95,,1.666,5.117,83
NDC,68462-467-06 [245800],RIZATRIPTAN 5 MG DISINTEGRATING TABLET [27629],6.95,,1.946,5.977,83
NDC,68462-467-40 [263808],RIZATRIPTAN 5 MG DISINTEGRATING TABLET [27629],6.95,,1.946,5.977,83
NDC,68462-467-46 [263809],RIZATRIPTAN 5 MG DISINTEGRATING TABLET [27629],6.95,,1.946,5.977,83
NDC,68462-469-40 [365640],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],10.0,,0.61,8.6,84
NDC,68462-469-54 [365641],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],10.0,,0.61,8.6,84
NDC,68462-470-40 [365642],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],12.05,,0.61,10.363,84
NDC,68462-473-01 [214346],URSODIOL 250 MG TABLET [22660],3.6,,1.008,3.096,83
NDC,68462-477-20 [394594],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],37.35,,0.12,32.121,84
NDC,68462-477-20 [394594],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003390],34.55,,0.12,29.713,84
NDC,68462-477-20 [394594],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],34.55,,0.12,29.713,84
NDC,68462-477-74 [394595],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],37.35,,0.12,32.121,84
NDC,68462-477-74 [394595],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003390],34.55,,0.12,29.713,84
NDC,68462-477-74 [394595],VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [97371],34.55,,0.12,29.713,84
NDC,68462-564-17 [238029],MUPIROCIN CALCIUM 2 % TOPICAL CREAM [22251],642.55,,179.914,552.593,83
NDC,68462-564-35 [238030],MUPIROCIN CALCIUM 2 % TOPICAL CREAM [22251],1089.15,,304.962,936.669,83
NDC,68462-572-30 [279779],VORICONAZOLE 50 MG TABLET [33008],10.3,,2.884,8.858,83
NDC,68462-573-30 [279780],VORICONAZOLE 200 MG TABLET [33009],35.55,,9.954,30.573,83
NDC,68462-583-40 [302769],APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,84
NDC,68462-583-85 [302770],APREPITANT 40 MG CAPSULE [76843],288.15,,2.72,247.809,84
NDC,68462-584-40 [302771],APREPITANT 80 MG CAPSULE [35488],534.05,,2.72,459.283,84
NDC,68462-584-58 [302772],APREPITANT 80 MG CAPSULE [35488],534.1,,2.72,459.326,84
NDC,68462-584-76 [302773],APREPITANT 80 MG CAPSULE [35488],534.05,,2.72,459.283,84
NDC,68462-585-40 [302774],APREPITANT 125 MG CAPSULE [35489],834.45,,2.72,717.627,84
NDC,68462-621-02 [376689],FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],23.35,,1.33,20.081,85
NDC,68462-621-54 [376690],FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [88011],23.35,,1.33,20.081,85
NDC,68462-639-25 [301816],NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],1.65,,0.462,1.419,83
NDC,68462-639-45 [301817],NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],1.65,,0.462,1.419,83
NDC,68462-682-01 [339682],SIROLIMUS 0.5 MG TABLET [104764],19.0,,0.96,16.34,84
NDC,68462-683-01 [339683],SIROLIMUS 1 MG TABLET [28958],21.35,,0.96,18.361,84
NDC,68462-711-82 [312731],ESTRADIOL 10 MCG VAGINAL TABLET [100745],66.6,,18.648,57.276,83
NDC,68462-711-88 [312732],ESTRADIOL 10 MCG VAGINAL TABLET [100745],66.6,,18.648,57.276,83
NDC,68462-721-01 [348222],"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR [12098]",6.2,,1.736,5.332,83
NDC,68462-746-35 [301820],ACYCLOVIR 5 % TOPICAL OINTMENT [8968],103.0,,28.84,88.58,83
NDC,68462-758-01 [392241],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],136.0,,2.84,116.96,84
NDC,68462-758-05 [392242],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],136.0,,2.84,116.96,84
NDC,68462-758-25 [392243],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],136.0,,2.84,116.96,84
NDC,68462-792-01 [295659],TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE [16005],101.1,,28.308,86.946,83
NDC,68462-851-01 [345143],"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR [14101]",15.0,,4.2,12.9,83
NDC,68462-896-01 [377968],OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],14.25,,0.61,12.255,84
NDC,68462-896-10 [377969],OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [91279],14.25,,0.61,12.255,84
NDC,68462-897-01 [377970],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],111.3,,0.61,95.718,84
NDC,68462-897-01 [377970],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],111.3,,0.61,95.718,84
NDC,68462-897-10 [377971],OCTREOTIDE ACETATE 500 MCG/ML INJ CONTAINER [40800001053],111.3,,0.61,95.718,84
NDC,68462-897-10 [377971],OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [91281],111.3,,0.61,95.718,84
NDC,68462-904-01 [377972],POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [162662],884.55,,0.35,760.713,85
NDC,68462-911-01 [385662],POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION [162662],425.9,,0.35,366.274,85
NDC,68462-943-05 [391345],TRAVOPROST 0.004 % EYE DROPS [113077],221.75,,62.09,190.705,83
NDC,68516-5214-1 [185085],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",149.1,,41.748,128.226,86
NDC,68516-5214-2 [185086],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003502]",284.65,,53.08,244.799,86
NDC,68516-5214-2 [185086],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",284.65,,53.08,244.799,86
NDC,68516-5214-3 [267541],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",149.1,,41.748,128.226,86
NDC,68516-5214-4 [267542],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003502]",284.65,,53.08,244.799,86
NDC,68516-5214-4 [267542],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",284.65,,53.08,244.799,86
NDC,68516-5214-7 [352074],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",147.75,,41.37,127.065,86
NDC,68516-5216-8 [345150],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800000377]",284.15,,53.08,244.369,86
NDC,68516-5216-8 [345150],"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",284.15,,53.08,244.369,86
NDC,68546-172-60 [296742],DEUTETRABENAZINE 12 MG TABLET [181348],432.3,,121.044,371.778,83
NDC,68547-111-10 [372948],SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION [202245],573.3,,160.524,493.038,83
NDC,68547-211-20 [383601],SULBACTAM 200 MG/ML INJECTION SOLUTION [40800003889],573.3,,160.524,493.038,83
NDC,68547-311-30 [383602],DURLOBACTAM 200 MG/ML INJECTION SOLUTION [40800003890],573.3,,160.524,493.038,83
NDC,68547-501-02 [305387],ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION [184366],6221.15,,1741.922,5350.189,83
NDC,6858500801 [93586],ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],1.65,,0.462,1.419,83
NDC,68599-1981-1 [351255],SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN [10782],11.95,,3.346,10.277,83
NDC,68682-008-10 [293507],DILTIAZEM 90 MG TABLET [2477],8.5,,2.38,7.31,83
NDC,68682-108-10 [294554],"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",5.1,,1.428,4.386,83
NDC,68682-109-10 [294556],"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27659]",8.8,,2.464,7.568,83
NDC,68682-111-02 [317184],PIMECROLIMUS 1 % TOPICAL CREAM [32052],1661.8,,465.304,1429.148,83
NDC,68682-299-05 [325363],"LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION [22710]",700.15,,196.042,602.129,83
NDC,68682-302-10 [161881],PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],4.85,,1.358,4.171,83
NDC,68682-652-20 [301065],DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT (IP) [40800002631],995.15,,278.642,855.829,83
NDC,68682-655-20 [301066],DIAZEPAM 12.5 MG-15 MG-17.5 MG-20 MG RECTAL KIT (IP) [40800002633],995.15,,278.642,855.829,83
NDC,68682-711-01 [279797],ENALAPRIL MALEATE 5 MG TABLET [9927],2.65,,0.742,2.279,83
NDC,68682-813-05 [336858],TIMOLOL MALEATE 0.5 % EYE DROPS [11562],42.4,,11.872,36.464,83
NDC,68682-920-64 [325367],TETRACAINE 0.5 % EYE DROPS [7795],294.85,,82.558,253.571,83
NDC,68682-997-98 [275260],"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR [29274]",6.3,,1.764,5.418,83
NDC,68727-712-01 [335635],LURBINECTEDIN 0.5 MG/ML INTRAVENOUS SOLUTION  [40800003600],27551.2,,206.13,23694.032,86
NDC,68727-712-01 [335635],LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [191741],27551.2,,206.13,23694.032,86
NDC,68727-745-01 [301067],DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION [183121],37575.75,,255.09,32315.145,86
NDC,68727-745-01 [301067],DAUNORUBICIN-CYTARABINE LIPOSOMAL INJECTION 2.2 MG-5 MG/ML [40800002855],37575.75,,255.09,32315.145,86
NDC,68727-745-02 [301068],DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION [183121],37575.75,,255.09,32315.145,86
NDC,68727-800-01 [286102],DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION [176559],4062.25,,1137.43,3493.535,83
NDC,68727-800-02 [286103],DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION [176559],4062.25,,1137.43,3493.535,83
NDC,68727-900-01 [349272],ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION [195401],18247.35,,55.3,15692.721,86
NDC,68727-900-03 [349273],ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION [195401],18247.35,,55.3,15692.721,86
NDC,68727-950-01 [389806],ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION [206400],11990.2,,25.0,10311.572,86
NDC,68727-950-01 [389806],ZANIDATAMAB-HRII 50 MG/ML INTRAVENOUS SOLUTION [40800003643],11990.2,,25.0,10311.572,86
NDC,68727-950-02 [389807],ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION [206400],11990.2,,25.0,10311.572,86
NDC,68727-950-02 [389807],ZANIDATAMAB-HRII 50 MG/ML INTRAVENOUS SOLUTION [40800003643],11990.2,,25.0,10311.572,86
NDC,68784-102-12 [224382],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],1.65,,0.462,1.419,83
NDC,68803-612-10 [161888],TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE [88317],283.85,,79.478,244.111,83
NDC,68817-134-50 [120469],PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [40475],5176.3,,6.02,4451.618,86
NDC,68817-134-50 [120469],PACLITAXEL PROTEIN-BOUND INTRA-ARTERIAL INFUSION 5 MG/ML [40800000750],5176.3,,6.02,4451.618,86
NDC,68817-134-50 [120469],PACLITAXEL PROTEIN-BOUND IVPB 5 MG/ML (INGREDIENT) [40800000106],5176.3,,6.02,4451.618,86
NDC,68850-012-02 [110396],ETHAMBUTOL 400 MG TABLET [9983],3.7,,1.036,3.182,83
NDC,68968-0514-1 [281407],ESTRADIOL 0.05 MG-NORETHINDRONE 0.14 MG/24 HR SEMIWKLY TRANSDERM PATCH [27464],114.15,,31.962,98.169,83
NDC,68968-0514-8 [267558],ESTRADIOL 0.05 MG-NORETHINDRONE 0.14 MG/24 HR SEMIWKLY TRANSDERM PATCH [27464],114.15,,31.962,98.169,83
NDC,68968-0525-1 [281408],ESTRADIOL 0.05 MG-NORETHINDRONE 0.25 MG/24 HR SEMIWKLY TRANSDERM PATCH [27465],114.15,,31.962,98.169,83
NDC,68968-0525-8 [267559],ESTRADIOL 0.05 MG-NORETHINDRONE 0.25 MG/24 HR SEMIWKLY TRANSDERM PATCH [27465],114.15,,31.962,98.169,83
NDC,68968-5553-3 [206759],METHYLPHENIDATE 15 MG/9 HR DAILY TRANSDERMAL PATCH [76394],29.8,,8.344,25.628,83
NDC,69097-004-67 [387620],HYDROCORTISONE (PF) 50 MG/ML INJ [40800001987],60.5,,16.94,52.03,84
NDC,69097-004-67 [387620],HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION [124284],56.0,,15.68,48.16,84
NDC,69097-027-50 [401471],GLUCAGON 1 MG SOLUTION FOR INJECTION [41569],850.1,,135.0,731.086,86
NDC,69097-027-50 [401471],GLUCAGON 1 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003921],850.1,,135.0,731.086,86
NDC,69097-028-32 [401472],GLUCAGON 1 MG SOLUTION FOR INJECTION [41569],850.1,,135.0,731.086,86
NDC,69097-028-32 [401472],GLUCAGON 1 MG/ML SOLUTION FOR INJECTION CONTAINER [40800003921],850.1,,135.0,731.086,86
NDC,69097-127-05 [275302],AMLODIPINE 5 MG TABLET [9071],1.65,,0.462,1.419,83
NDC,69097-142-60 [334161],ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 6.7 GRAM (ANES OSM) [40800000343],89.2,,24.976,76.712,83
NDC,69097-159-07 [275323],MELOXICAM 15 MG TABLET [20580],1.65,,0.462,1.419,83
NDC,69097-168-32 [362767],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],30.45,,8.526,26.187,83
NDC,69097-168-48 [348241],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],11.85,,3.318,10.191,83
NDC,69097-168-53 [362768],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],30.45,,8.526,26.187,83
NDC,69097-168-64 [348242],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],11.85,,3.318,10.191,83
NDC,69097-168-87 [348243],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],11.85,,3.318,10.191,83
NDC,69097-173-48 [279828],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],1.65,,0.462,1.419,83
NDC,69097-173-64 [279830],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],1.65,,0.462,1.419,83
NDC,69097-223-16 [279835],ALENDRONATE 35 MG TABLET [29072],4.15,,1.162,3.569,83
NDC,69097-224-16 [279837],ALENDRONATE 70 MG TABLET [29048],4.15,,1.162,3.569,83
NDC,69097-301-02 [310088],EFAVIRENZ 600 MG TABLET [32298],12.65,,3.542,10.879,83
NDC,69097-319-32 [334162],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],35.85,,10.038,30.831,83
NDC,69097-319-53 [334163],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],35.85,,10.038,30.831,83
NDC,69097-319-86 [311786],BUDESONIDE 0.5 MG/2 ML NEBULIZER SOLUTION FOR ORAL USE [40800003416],9.2,,2.576,7.912,83
NDC,69097-319-86 [311786],BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [28775],9.2,,2.576,7.912,83
NDC,69097-407-07 [321984],"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [30070]",1.65,,0.462,1.419,83
NDC,69097-410-02 [320382],CINACALCET 30 MG TABLET [38100],2.4,,0.672,2.064,83
NDC,69097-411-02 [320383],CINACALCET 60 MG TABLET [38101],4.3,,1.204,3.698,83
NDC,69097-421-07 [286106],CELECOXIB 200 MG CAPSULE [24501],1.65,,0.462,1.419,83
NDC,69097-422-07 [286108],CELECOXIB 100 MG CAPSULE [24500],1.65,,0.462,1.419,83
NDC,69097-537-31 [310092],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],53.3,,0.03,45.838,84
NDC,69097-579-67 [356201],FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],205.95,,57.666,177.117,83
NDC,69097-708-31 [357563],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],136.05,,2.84,117.003,84
NDC,69097-708-96 [357564],PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [11023],136.05,,2.84,117.003,84
NDC,69097-731-02 [342681],TERBINAFINE HCL 250 MG TABLET [12724],1.65,,0.462,1.419,83
NDC,69097-770-32 [391349],CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [9347],4554.0,,1275.12,3916.44,83
NDC,69097-789-05 [385667],PRAVASTATIN 20 MG TABLET [11111],1.65,,0.462,1.419,83
NDC,69097-802-32 [320386],TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [7784],53.3,,0.03,45.838,84
NDC,69097-813-07 [283108],GABAPENTIN 100 MG CAPSULE [18309],1.65,,0.462,1.419,83
NDC,69097-821-03 [283122],GEMFIBROZIL 600 MG TABLET [3378],1.65,,0.462,1.419,83
NDC,69097-825-02 [283130],RALOXIFENE 60 MG TABLET [22143],2.0,,0.56,1.72,83
NDC,69097-840-34 [335096],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],3.1,,0.868,2.666,83
NDC,69097-840-53 [335097],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],3.1,,0.868,2.666,83
NDC,69097-840-64 [343745],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],1.65,,0.462,1.419,83
NDC,69097-840-87 [343746],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],1.65,,0.462,1.419,83
NDC,69097-844-07 [283156],"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR [36982]",1.7,,0.476,1.462,83
NDC,69097-846-07 [283159],CYCLOBENZAPRINE 10 MG TABLET [2017],1.65,,0.462,1.419,83
NDC,69097-859-02 [283174],TERBINAFINE HCL 250 MG TABLET [12724],1.65,,0.462,1.419,83
NDC,69097-861-07 [288854],ZONISAMIDE 100 MG CAPSULE [27780],1.75,,0.49,1.505,83
NDC,69097-867-07 [286111],NADOLOL 20 MG TABLET [5330],1.65,,0.462,1.419,83
NDC,69097-876-02 [292107],"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE [36776]",1.9,,0.532,1.634,83
NDC,69097-948-08 [311000],CAPECITABINE 500 MG TABLET [22994],4.85,,0.03,4.171,86
NDC,69097-999-02 [379360],PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],77.25,,21.63,66.435,83
NDC,69194-740-01 [350807],LIDOCAINE 4 % OPHTHALMIC SOLUTION [40800002983],37.75,,10.57,32.465,83
NDC,69230-300-01 [311795],FEXOFENADINE 180 MG TABLET [25425],1.65,,0.462,1.419,83
NDC,69238-1069-1 [342685],"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",1.65,,0.462,1.419,83
NDC,69238-1123-9 [301826],NADOLOL 20 MG TABLET [5330],1.65,,0.462,1.419,83
NDC,69238-1202-2 [334166],BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [107660],52.25,,14.63,44.935,83
NDC,69238-1204-2 [334168],BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH [122909],376.65,,105.462,323.919,83
NDC,69238-1250-1 [312741],BEXAROTENE 75 MG CAPSULE [27027],97.35,,27.258,83.721,83
NDC,69238-1310-9 [325380],PREGABALIN 25 MG CAPSULE [42162],2.85,,0.798,2.451,83
NDC,69238-1347-3 [320397],TADALAFIL 5 MG TABLET [37400],1.95,,0.546,1.677,83
NDC,69238-1476-6 [365646],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [132662]",53.0,,14.84,45.58,83
NDC,69238-1490-1 [303853],BUMETANIDE 1 MG TABLET [9310],1.65,,0.462,1.419,83
NDC,69238-1491-1 [303855],BUMETANIDE 2 MG TABLET [9311],3.25,,0.91,2.795,83
NDC,69238-1505-2 [334170],BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH [165282],259.25,,72.59,222.955,83
NDC,69238-1522-1 [321988],TETRACYCLINE 250 MG CAPSULE [7796],5.85,,1.638,5.031,83
NDC,69238-1534-3 [349275],FLUOCINONIDE 0.05 % TOPICAL CREAM [3187],100.05,,28.014,86.043,83
NDC,69238-1540-1 [323100],URSODIOL 300 MG CAPSULE [11624],5.0,,1.4,4.3,83
NDC,69238-1596-8 [327164],AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],2326.3,,651.364,2000.618,83
NDC,69238-1617-1 [323996],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.25,,2.03,6.235,83
NDC,69238-1617-8 [323998],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.25,,2.03,6.235,83
NDC,69238-1637-3 [344381],AMINOCAPROIC ACID 500 MG TABLET [9063],41.75,,11.69,35.905,83
NDC,69238-1733-6 [372955],DOXEPIN 5 % TOPICAL CREAM [12666],1609.1,,450.548,1383.826,83
NDC,69238-1830-1 [315820],LEVOTHYROXINE 25 MCG TABLET [4420],1.65,,0.462,1.419,83
NDC,69238-2016-3 [362779],IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY [16070],117.4,,32.872,100.964,83
NDC,69238-2027-8 [375350],SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION [183059],1291.5,,361.62,1110.69,83
NDC,69238-2077-1 [354414],PROPRANOLOL 10 MG TABLET [6656],1.65,,0.462,1.419,83
NDC,69238-2078-1 [354415],PROPRANOLOL 20 MG TABLET [6657],1.65,,0.462,1.419,83
NDC,69292-530-01 [329327],PROPRANOLOL 10 MG TABLET [6656],1.65,,0.462,1.419,83
NDC,69315-116-01 [287832],FUROSEMIDE 20 MG TABLET [3294],1.65,,0.462,1.419,83
NDC,69315-117-01 [287834],FUROSEMIDE 40 MG TABLET [3295],1.65,,0.462,1.419,83
NDC,69315-127-01 [287838],FOLIC ACID 1 MG TABLET [3233],1.65,,0.462,1.419,83
NDC,69315-155-01 [328522],HYDROCHLOROTHIAZIDE 12.5 MG TABLET [76988],1.65,,0.462,1.419,83
NDC,69315-184-03 [342698],LEUCOVORIN CALCIUM 5 MG TABLET [4398],5.3,,1.484,4.558,83
NDC,69315-187-25 [343755],LEUCOVORIN CALCIUM 25 MG TABLET [4397],34.45,,9.646,29.627,83
NDC,69315-211-01 [294566],NIFEDIPINE 10 MG CAPSULE [5558],4.1,,1.148,3.526,83
NDC,69315-286-06 [358674],ETRAVIRINE 200 MG TABLET [108431],73.65,,20.622,63.339,83
NDC,69315-306-15 [308582],"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",66.6,,18.648,57.276,83
NDC,69315-308-05 [315846],CIPROFLOXACIN 0.3 % EYE DROPS [9610],53.95,,15.106,46.397,83
NDC,69315-312-28 [328526],HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],240.25,,67.27,206.615,83
NDC,69315-701-50 [340819],ETHACRYNATE SODIUM 1 MG/ML INJ [40800000063],6224.4,,14.8143,5352.984,85
NDC,69315-701-50 [340819],ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [9979],6224.4,,14.8143,5352.984,85
NDC,69315-904-01 [287859],LORAZEPAM 0.5 MG TABLET [4572],2.85,,0.798,2.451,83
NDC,69315-904-05 [287860],LORAZEPAM 0.5 MG TABLET [4572],2.85,,0.798,2.451,83
NDC,69315-905-01 [287862],LORAZEPAM 1 MG TABLET [4573],2.85,,0.798,2.451,83
NDC,69315-906-01 [287865],LORAZEPAM 2 MG TABLET [4574],2.85,,0.798,2.451,83
NDC,69315-910-01 [336024],DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],3.5,,0.98,3.01,83
NDC,69339-136-03 [346284],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],85.75,,6.17,73.745,84
NDC,69339-136-34 [346285],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],85.75,,6.17,73.745,84
NDC,69339-136-93 [396443],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],48.7,,6.17,41.882,84
NDC,69339-136-97 [396444],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],48.7,,6.17,41.882,84
NDC,69339-138-15 [308589],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],9.05,,2.534,7.783,83
NDC,69339-138-17 [308590],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],9.05,,2.534,7.783,83
NDC,69339-138-19 [308591],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],8.45,,2.366,7.267,83
NDC,69339-150-01 [339704],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],10.95,,3.066,9.417,83
NDC,69339-150-19 [339705],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],10.95,,3.066,9.417,83
NDC,69339-151-05 [341714],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],10.1,,2.828,8.686,83
NDC,69339-151-17 [341715],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],10.1,,2.828,8.686,83
NDC,69339-151-19 [341716],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],9.75,,2.73,8.385,83
NDC,69339-157-05 [352945],LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [129014],27.3,,7.644,23.478,83
NDC,69339-157-17 [352946],LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [129014],27.3,,7.644,23.478,83
NDC,69339-160-01 [371811],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],28.45,,7.966,24.467,83
NDC,69339-160-16 [371812],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],28.45,,7.966,24.467,83
NDC,69339-160-17 [371813],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],26.55,,7.434,22.833,83
NDC,69339-160-18 [371814],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],27.8,,7.784,23.908,83
NDC,69339-160-19 [371815],MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [76824],19.85,,5.558,17.071,83
NDC,69344-102-33 [325388],INDOMETHACIN 50 MG RECTAL SUPPOSITORY [3901],1185.65,,331.982,1019.659,83
NDC,69367-203-01 [323105],BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],4.45,,1.246,3.827,83
NDC,69367-235-01 [330855],FLUOXETINE 10 MG CAPSULE [10069],1.65,,0.462,1.419,83
NDC,69367-236-01 [330857],FLUOXETINE 20 MG CAPSULE [10070],1.65,,0.462,1.419,83
NDC,69367-255-05 [340821],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,69367-301-01 [347322],CELECOXIB 100 MG CAPSULE [24500],1.65,,0.462,1.419,83
NDC,69367-310-56 [345169],SODIUM FLUORIDE 1.1 % DENTAL GEL [19760],26.15,,7.322,22.489,83
NDC,69367-678-01 [398556],HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],2.15,,0.602,1.849,83
NDC,6936728302 [340824],"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",101.25,,28.35,87.075,83
NDC,69374-988-10 [318541],ARGININE 25 MG/ML-LYSINE 25 MG/ML IN 0.9 % NACL INTRAVENOUS SOLUTION [187474],270.0,,75.6,232.2,83
NDC,69452-143-20 [298658],BENZONATATE 100 MG CAPSULE [988],1.65,,0.462,1.419,83
NDC,69452-150-20 [293522],VALPROIC ACID 250 MG CAPSULE [8429],1.7,,0.476,1.462,83
NDC,69452-151-20 [289604],"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [2863]",1.65,,0.462,1.419,83
NDC,69452-156-73 [297710],RIZATRIPTAN 5 MG DISINTEGRATING TABLET [27629],4.55,,1.274,3.913,83
NDC,69452-156-74 [297711],RIZATRIPTAN 5 MG DISINTEGRATING TABLET [27629],4.55,,1.274,3.913,83
NDC,69452-158-25 [336870],COLESEVELAM 625 MG TABLET [28372],1.65,,0.462,1.419,83
NDC,69452-159-13 [330018],DEFERASIROX 125 MG DISPERSIBLE TABLET [43415],30.05,,8.414,25.843,83
NDC,69452-208-20 [310103],CALCITRIOL 0.5 MCG CAPSULE [9351],2.05,,0.574,1.763,83
NDC,69452-209-07 [304627],NIMODIPINE 30 MG CAPSULE [10722],13.65,,3.822,11.739,83
NDC,69452-209-13 [304628],NIMODIPINE 30 MG CAPSULE [10722],13.65,,3.822,11.739,83
NDC,69452-209-20 [304629],NIMODIPINE 30 MG CAPSULE [10722],13.65,,3.822,11.739,83
NDC,69452-233-20 [319331],PROGESTERONE MICRONIZED 100 MG CAPSULE [23122],1.65,,0.462,1.419,83
NDC,69452-241-20 [318542],TRIHEXYPHENIDYL 2 MG TABLET [8166],1.65,,0.462,1.419,83
NDC,69452-290-20 [339708],ACYCLOVIR 400 MG TABLET [8971],1.65,,0.462,1.419,83
NDC,69452-389-98 [367524],MAGNESIUM CITRATE ORAL SOLUTION [4712],5.85,,1.638,5.031,83
NDC,69452-390-98 [367525],MAGNESIUM CITRATE ORAL SOLUTION [4712],5.85,,1.638,5.031,83
NDC,69468-151-04 [286154],URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET [176594],13805.1,,3865.428,11872.386,83
NDC,69488-001-40 [292114],KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN [179648],159.0,,44.52,136.74,85
NDC,69488-003-01 [305402],LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION [184424],915.0,,256.2,786.9,85
NDC,69488-003-70 [326560],LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION [184424],377.25,,105.63,368.87975,85
NDC,69488-010-61 [356207],"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN [197176]",698.0,,195.44,600.28,85
NDC,69488-017-61 [356208],KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION [196853],11248.0,,362.5,9673.28,85
NDC,69528-302-08 [375375],BACLOFEN 10 MG/5 ML (2 MG/ML) ORAL SOLUTION [202954],2674.1,,748.748,2299.726,83
NDC,69543-130-04 [281435],ALENDRONATE 35 MG TABLET [29072],2.25,,0.63,1.935,83
NDC,69543-290-10 [314238],ALBUTEROL SULFATE 2 MG TABLET [253],4.7,,1.316,4.042,83
NDC,69543-381-90 [305406],OLANZAPINE 5 MG TABLET [17936],1.65,,0.462,1.419,83
NDC,69584-092-10 [337892],BUSPIRONE 10 MG TABLET [9323],1.65,,0.462,1.419,83
NDC,69584-111-10 [331796],CARISOPRODOL 350 MG TABLET [1395],2.85,,0.798,2.451,83
NDC,69584-426-10 [336872],IMIPRAMINE 25 MG TABLET [3861],1.65,,0.462,1.419,83
NDC,69584-611-10 [326561],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,69616-272-30 [379367],PERAMPANEL 2 MG TABLET [163631],71.05,,19.894,61.103,83
NDC,69618-027-01 [283243],MECLIZINE 12.5 MG TABLET [12024],1.65,,0.462,1.419,83
NDC,6961801959 [311012],CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [96930],14.45,,4.046,12.427,83
NDC,69784-003-06 [341735],FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],63.3,,2.26,54.438,84
NDC,69784-230-10 [374066],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],62.35,,17.458,53.621,83
NDC,69784-230-20 [349301],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],62.35,,17.458,53.621,83
NDC,69784-231-10 [374067],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],85.55,,23.954,73.573,83
NDC,69784-231-20 [349302],SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],85.55,,23.954,73.573,83
NDC,69784-500-01 [319336],"NAPROXEN 500 MG TABLET,DELAYED RELEASE [13523]",19.95,,5.586,17.157,83
NDC,69865-210-02 [300163],TAPENTADOL 50 MG TABLET [98253],37.7,,10.556,32.422,83
NDC,69865-220-02 [300164],TAPENTADOL 75 MG TABLET [98254],35.85,,10.038,30.831,83
NDC,69865-230-02 [300165],TAPENTADOL 100 MG TABLET [98255],47.35,,13.258,40.721,83
NDC,69918-101-01 [283261],DESMOPRESSIN 0.1 MG TABLET [16052],5.0,,1.4,4.3,83
NDC,69918-201-01 [283262],DESMOPRESSIN 0.2 MG TABLET [16053],5.6,,1.568,4.816,83
NDC,69918-700-01 [322011],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],65.85,,18.438,56.631,83
NDC,69918-700-02 [328534],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],34.55,,9.674,29.713,83
NDC,69918-700-25 [322012],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],40.1,,11.228,34.486,83
NDC,69918-700-26 [328535],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],34.55,,9.674,29.713,83
NDC,69918-720-01 [315861],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],688.0,,5.86,591.68,84
NDC,69918-720-10 [315862],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],688.0,,5.86,591.68,84
NDC,69918-735-01 [350327],ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [123981],458.65,,128.422,394.439,83
NDC,69918-735-10 [350328],ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION [123981],458.65,,128.422,394.439,83
NDC,69918-899-01 [287878],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],120.85,,3.57,103.931,84
NDC,69918-899-10 [286189],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],120.85,,3.57,103.931,84
NDC,69918-901-10 [286190],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],1199.25,,3.57,1031.355,84
NDC,69932-001-01 [301097],FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION [183062],1499.0,,322.27,1289.14,85
NDC,69932-002-01 [369722],"FLOTUFOLASTAT F 18 GALLIUM 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION [201364]",14992.0,,671.22,12893.12,85
NDC,69932-002-50 [369723],"FLOTUFOLASTAT F 18 GALLIUM 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION [201364]",14992.0,,671.22,12893.12,85
NDC,69945-064-01 [338849],COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION [192622],2764.0,,594.28,2377.04,85
NDC,69945-068-20 [302251],TECHNETIUM TC 99M-RED BLOOD CELLS INJECTION [40800003030],561.0,,157.08,482.46,83
NDC,69945-091-20 [326566],KIT FOR PREPARATION OF TC-99M-SODIUM OXIDRONATE 3.15 MG IV SOLUTION [189121],71.0,,19.88,61.06,83
NDC,69945-094-20 [302267],KIT PREPARATION OF TC-99M-SODIUM PYROPHOSPHATE 12 MG IV SOLUTION [129729],225.0,,63.0,193.5,83
NDC,69945-096-20 [302249],TECHNETIUM TC 99M-MERTIATIDE INJECTION [40800003028],986.0,,276.08,847.96,83
NDC,69945-601-10 [302230],SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE [98462],530.0,,148.4,455.8,83
NDC,69945-602-20 [302231],SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE [98463],289.0,,80.92,248.54,83
NDC,70000-0021-1 [330031],MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES [27322],7.2,,2.016,6.192,83
NDC,70000-0034-1 [331813],CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],1.65,,0.462,1.419,83
NDC,70000-0051-1 [342715],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",12.1,,3.388,10.406,83
NDC,70000-0060-1 [352957],POVIDONE-IODINE 10 % TOPICAL SOLUTION [6458],17.8,,4.984,15.308,83
NDC,70000-0063-1 [349306],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],14.05,,3.934,12.083,83
NDC,70000-0070-1 [350333],"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT [126121]",36.6,,10.248,31.476,83
NDC,70000-0299-1 [314261],GUAIFENESIN 100 MG/5 ML ORAL LIQUID SYRINGE (PEDI) [40800003894],17.25,,4.83,14.835,83
NDC,70000-0299-1 [314261],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],17.25,,4.83,14.835,83
NDC,70000-0388-1 [326572],DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM [16299],5.8,,1.624,4.988,83
NDC,70000-0400-1 [325420],PRAMOXINE-CALAMINE 1 %-8 % LOTION [13384],11.9,,3.332,10.234,83
NDC,70000-0409-1 [328549],CAFFEINE 200 MG TABLET [1259],1.65,,0.462,1.419,83
NDC,70000-0417-1 [322017],LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID SYRINGE (PEDI) [40800003899],23.7,,6.636,20.382,83
NDC,70000-0417-1 [322017],LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],23.7,,6.636,20.382,83
NDC,70000-0424-1 [325434],MAGNESIUM CITRATE ORAL SOLUTION [4712],5.85,,1.638,5.031,83
NDC,70000-0425-1 [328551],PHENYLEPHRINE 0.25 %-PRAMOXINE 1 %-GLYCERIN-WH.PETROLATUM RECTAL CREAM [77868],10.55,,2.954,9.073,83
NDC,70000-0434-1 [331818],SIMETHICONE 80 MG CHEWABLE TABLET [7227],1.65,,0.462,1.419,83
NDC,70000-0436-1 [330887],"CALCIUM 400 MG (AS CALCIUM CARBONATE 1,000 MG) CHEWABLE TABLET [76968]",1.65,,0.462,1.419,83
NDC,70000-0448-1 [325441],MINERAL OIL ORAL [5086],11.25,,3.15,9.675,83
NDC,70000-0458-1 [326579],PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [36976],7.7,,2.156,6.622,83
NDC,70000-0487-1 [333117],WHITE PETROLATUM TOPICAL JELLY [28809],10.8,,3.024,9.288,83
NDC,70000-0487-3 [352112],WHITE PETROLATUM TOPICAL JELLY [28809],5.05,,1.414,4.343,83
NDC,70000-0490-1 [335130],CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],10.7,,2.996,9.202,83
NDC,70000-0526-1 [330897],SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [24216],1.65,,0.462,1.419,83
NDC,70000-0547-1 [350336],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],9.2,,2.576,7.912,83
NDC,70000-0572-1 [353656],GLYCERIN (ADULT) RECTAL SUPPOSITORY [41003],1.65,,0.462,1.419,83
NDC,70000-0575-1 [355729],MAGNESIUM CITRATE ORAL SOLUTION [4712],5.85,,1.638,5.031,83
NDC,70010-002-01 [335192],COLCHICINE 0.6 MG TABLET [1821],1.65,,0.462,1.419,83
NDC,70010-031-01 [370724],"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE [33006]",4.1,,1.148,3.526,83
NDC,70010-051-40 [354438],VALGANCICLOVIR 5 GRAM ORAL SOLUTION BOTTLE [40800004434],2621.75,,734.09,2254.705,83
NDC,70010-051-40 [354438],VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],2621.75,,734.09,2254.705,83
NDC,70010-063-01 [334199],METFORMIN 500 MG TABLET [10544],1.65,,0.462,1.419,83
NDC,70010-065-01 [334205],"METFORMIN 1,000 MG TABLET [24398]",1.65,,0.462,1.419,83
NDC,70010-148-01 [351310],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",1.65,,0.462,1.419,83
NDC,70010-149-01 [358693],BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],2.85,,0.798,2.451,83
NDC,70010-231-01 [386791],TRAZODONE 50 MG TABLET [8085],1.65,,0.462,1.419,83
NDC,70010-232-01 [386794],TRAZODONE 100 MG TABLET [8083],1.65,,0.462,1.419,83
NDC,70010-491-01 [318550],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,70010-491-05 [318551],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,70010-491-09 [336891],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,70010-492-01 [318552],"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR [35771]",1.65,,0.462,1.419,83
NDC,70010-754-01 [311018],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,70010-754-05 [311019],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,70010-770-01 [311020],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,70010-770-05 [311021],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,70020-1910-1 [283263],IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],6599.7,,138.67,5675.742,86
NDC,70020-1910-1 [283263],IXABEPILONE 2 MG/ML INJ CONTAINER [40800000213],6599.7,,138.67,5675.742,86
NDC,70020-1910-2 [307453],IXABEPILONE 15 MG INTRAVENOUS SOLUTION [88652],6599.7,,138.67,5675.742,86
NDC,70020-1910-2 [307453],IXABEPILONE 2 MG/ML INJ CONTAINER [40800000213],6599.7,,138.67,5675.742,86
NDC,70020-1911-1 [283264],IXABEPILONE 2 MG/ML INJ CONTAINER [40800000213],19799.1,,138.67,17027.226,86
NDC,70020-1911-1 [283264],IXABEPILONE 45 MG INTRAVENOUS SOLUTION [88653],19799.1,,138.67,17027.226,86
NDC,70020-1911-2 [307454],IXABEPILONE 45 MG INTRAVENOUS SOLUTION [88653],19799.1,,138.67,17027.226,86
NDC,70069-007-01 [293543],OLOPATADINE 0.1 % EYE DROPS [19452],85.8,,24.024,73.788,83
NDC,70069-011-01 [300171],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],11.75,,0.43,10.105,84
NDC,70069-013-01 [300175],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],39.1,,0.43,33.626,84
NDC,70069-017-01 [382777],OLOPATADINE 0.1 % EYE DROPS [19452],35.8,,10.024,30.788,83
NDC,70069-019-01 [395681],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],60.9,,17.052,52.374,83
NDC,70069-019-25 [395682],ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [123],60.9,,17.052,52.374,83
NDC,70069-021-01 [308638],DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],20.6,,0.12,17.716,84
NDC,70069-021-25 [308639],DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [116345],20.6,,0.12,17.716,84
NDC,70069-051-01 [328565],DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [22982],68.65,,19.222,59.039,83
NDC,70069-064-01 [311023],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION (NERVE BLOCK INFUSION INGREDIENT) [40800003809],30.3,,0.06,26.058,84
NDC,70069-064-01 [311023],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],30.3,,0.06,26.058,84
NDC,70069-064-10 [354442],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],30.3,,0.06,26.058,84
NDC,70069-064-25 [354443],ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [18195],30.3,,0.06,26.058,84
NDC,70069-071-01 [301101],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],35.65,,0.07,30.659,84
NDC,70069-071-10 [301102],NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],35.65,,0.07,30.659,84
NDC,70069-101-01 [301851],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],58.85,,4.79,50.611,84
NDC,70069-121-01 [330899],TROPICAMIDE 1 % EYE DROPS [8250],32.75,,9.17,28.165,83
NDC,70069-131-01 [300179],TOBRAMYCIN 0.3 % EYE DROPS [7995],23.7,,6.636,20.382,83
NDC,70069-141-01 [327556],CISATRACURIUM 2 MG/ML INJ CONTAINER [40800000731],31.3,,8.764,26.918,83
NDC,70069-141-01 [327556],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION (OSM) [40800000241],28.95,,8.106,24.897,83
NDC,70069-141-01 [327556],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],31.3,,8.764,26.918,83
NDC,70069-151-01 [327558],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],326.0,,91.28,280.36,83
NDC,70069-151-10 [327559],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],326.0,,91.28,280.36,83
NDC,70069-231-01 [323136],BRIMONIDINE 0.2 % EYE DROPS [17881],29.0,,8.12,24.94,83
NDC,70069-271-01 [311824],VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.65,,9.982,30.659,83
NDC,70069-271-05 [311825],VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.65,,9.982,30.659,83
NDC,70069-271-25 [311826],VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.65,,9.982,30.659,83
NDC,70069-301-01 [331825],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],32.75,,9.17,28.165,83
NDC,70069-301-10 [334208],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],32.75,,9.17,28.165,83
NDC,70069-301-25 [331826],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],28.45,,7.966,24.467,83
NDC,70069-362-01 [329351],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],46.9,,0.05,40.334,84
NDC,70069-362-10 [329352],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],46.9,,0.05,40.334,84
NDC,70069-363-01 [329353],SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],125.3,,0.05,107.758,84
NDC,70069-371-01 [388632],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],23.75,,2.52,20.425,84
NDC,70069-371-25 [388633],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],23.75,,2.52,20.425,84
NDC,70069-421-01 [333123],LATANOPROST 0.005 % EYE DROPS [18621],23.5,,6.58,20.21,83
NDC,70069-506-01 [383617],CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [124000],89.25,,24.99,76.755,83
NDC,70069-506-25 [383618],CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [124000],89.25,,24.99,76.755,83
NDC,70069-583-01 [396454],ATROPINE 1 % EYE DROPS [736],205.95,,57.666,177.117,83
NDC,70069-601-01 [386805],PROPARACAINE 0.5 % EYE DROPS [6644],120.2,,33.656,103.372,83
NDC,70069-617-01 [385704],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],10.5,,0.43,9.03,84
NDC,70069-617-25 [385705],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],10.5,,0.43,9.03,84
NDC,70069-631-01 [385708],ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [193546],41.35,,11.578,35.561,83
NDC,70069-631-25 [385709],ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [193546],41.35,,11.578,35.561,83
NDC,70069-671-01 [387654],NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],27.1,,3.51,23.306,84
NDC,70069-671-10 [387655],NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],27.1,,3.51,23.306,84
NDC,70069-691-01 [385712],ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION [8879],119.55,,33.474,102.813,83
NDC,70069-691-25 [385713],ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION [8879],119.55,,33.474,102.813,83
NDC,70069-727-01 [375385],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],92.55,,0.04,79.593,84
NDC,70069-727-10 [381590],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],92.55,,0.04,79.593,84
NDC,70069-727-25 [375386],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],92.55,,0.04,79.593,84
NDC,70069-747-01 [385724],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],75.55,,21.154,64.973,83
NDC,70069-747-25 [385725],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],75.55,,21.154,64.973,83
NDC,70069-752-01 [376718],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],39.95,,0.01,34.357,84
NDC,70069-752-01 [376718],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],39.95,,0.01,34.357,84
NDC,70069-752-10 [381592],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],39.95,,0.01,34.357,84
NDC,70069-752-10 [381592],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],39.95,,0.01,34.357,84
NDC,70069-752-25 [376719],BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (MAX DOSE 150 MG) CONTAINER [40800003332],39.95,,0.01,34.357,84
NDC,70069-752-25 [376719],BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION [124066],39.95,,0.01,34.357,84
NDC,70069-773-01 [391364],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],61.8,,17.304,53.148,83
NDC,70069-773-01 [391364],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [124281],61.8,,17.304,53.148,83
NDC,70069-773-10 [391365],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],61.8,,17.304,53.148,83
NDC,70069-773-10 [391365],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [124281],61.8,,17.304,53.148,83
NDC,70069-788-01 [384571],ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],169.35,,0.37,145.641,84
NDC,70069-788-04 [384572],ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],169.35,,0.37,145.641,84
NDC,70069-801-01 [352114],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],10.45,,2.926,8.987,83
NDC,70069-801-25 [352115],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],10.45,,2.926,8.987,83
NDC,70069-802-01 [352116],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],61.25,,17.15,52.675,83
NDC,70069-802-10 [352117],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],61.25,,17.15,52.675,83
NDC,70069-810-01 [355337],VALGANCICLOVIR 5 GRAM ORAL SOLUTION BOTTLE [40800004434],1146.7,,321.076,986.162,83
NDC,70069-810-01 [355337],VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],1146.7,,321.076,986.162,83
NDC,70069-834-01 [396455],PEMETREXED 25 MG/ML INJ CONTAINER [40800000036],85.45,,3.73,73.487,86
NDC,70069-834-01 [396455],PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [89350],85.45,,3.73,73.487,86
NDC,70069-857-01 [401491],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],154.45,,0.21,132.827,84
NDC,70069-857-01 [401491],AZACITIDINE INJECTION 10 MG/ML [40800000411],154.45,,0.21,132.827,84
NDC,70092-1009-44 [305764],LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [130813],19.3,,0.39,16.598,84
NDC,70092-1035-05 [305427],NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [129841],88.5,,24.78,76.11,83
NDC,70092-1046-46 [286246],PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [129869],22.35,,6.258,19.221,83
NDC,70092-1046-46 [286246],PHENYLEPHRINE 100 MCG/ML INJ CONTAINER [40800002634],22.35,,6.258,19.221,83
NDC,70092-1073-44 [286258],ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE [129406],32.5,,9.1,27.95,83
NDC,70092-1087-46 [286268],SUCCINYLCHOLINE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE CONTAINER [40800000342],96.55,,27.034,83.033,83
NDC,70092-1087-46 [286268],SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE [129871],96.55,,27.034,83.033,83
NDC,70092-1118-50 [304982],HYDROMORPHONE 1 MG/ML IN 0.9 % SODIUM CHLORIDE PCA SYRINGE CONTAINER [40800002878],134.05,,0.09,115.283,84
NDC,70092-1118-50 [304982],HYDROMORPHONE 1 MG/ML IN NS PCA SYRINGE (PREMIX) (PALLIATIVE) [40800002305],134.05,,0.09,115.283,84
NDC,70092-1128-50 [341755],MORPHINE 50 MG/50 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE [128950],38.1,,4.55,32.766,84
NDC,70092-1128-50 [341755],MORPHINE 50 MG/50 ML PCA SYRINGE (PREMIX) (PALLIATIVE) [40800002309],38.1,,4.55,32.766,84
NDC,70092-1128-50 [341755],MORPHINE 50 MG/50 ML PCA SYRINGE (PREMIX) (PEDI) [40800002315],38.1,,4.55,32.766,84
NDC,70092-1148-43 [293547],SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE [129544],31.85,,8.918,27.391,83
NDC,70092-1152-44 [292125],EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) IV SYRINGE CONTAINER [40800003153],81.6,,22.848,70.176,83
NDC,70092-1173-43 [286293],ATROPINE 0.4 MG/ML INJ CONTAINER [40800000729],34.0,,0.07,29.24,84
NDC,70092-1173-43 [286293],ATROPINE 0.8 MG/2 ML (0.4 MG/ML) INTRAVENOUS SYRINGE [131571],34.0,,0.07,29.24,84
NDC,70092-1175-46 [304642],LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (10 ML) INJ SYRINGE [130994],35.45,,9.926,30.487,83
NDC,70092-1191-46 [287890],PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [129869],20.85,,5.838,17.931,83
NDC,70092-1191-46 [287890],PHENYLEPHRINE 100 MCG/ML INJ CONTAINER [40800002634],20.85,,5.838,17.931,83
NDC,70092-1285-44 [306361],HYDROMORPHONE (PF) 1 MG/5 ML (0.2 MG/ML) IN 0.9 % NACL IV SYRINGE [184198],19.75,,0.09,16.985,84
NDC,70092-1285-44 [306361],HYDROMORPHONE PF 1 MG/5 ML SYRINGE (ANES OSM) [40800000785],19.75,,0.09,16.985,84
NDC,70092-1380-36 [304655],MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS SOLUTION [131114],35.15,,4.55,30.229,84
NDC,70092-1452-44 [304659],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],32.5,,9.1,27.95,83
NDC,70092-1452-44 [304659],ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE [129406],32.5,,9.1,27.95,83
NDC,70092-1475-50 [305441],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [125335],42.8,,11.984,36.808,83
NDC,70092-1523-50 [316553],MORPHINE (PF) 50 MG/50 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE [178762],34.7,,4.55,29.842,84
NDC,70092-1558-44 [313179],LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [130813],20.35,,0.39,17.501,84
NDC,70092-1566-46 [308648],LIDOCAINE 10 MG/ML (1 %) INJ CONTAINER [40800003103],27.95,,7.826,24.037,83
NDC,70092-1692-44 [395694],SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE [129544],45.5,,12.74,39.13,83
NDC,70092-9045-05 [334211],PHENYLEPHRINE 50 MG/250 ML (200 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (MELANOMA)(USE ORDER SET) [40800003973],129.85,,36.358,111.671,83
NDC,70092-9045-05 [334211],PHENYLEPHRINE 50 MG/250 ML (200 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [175484],129.85,,36.358,111.671,83
NDC,70092-9054-05 [305464],VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129843],87.65,,0.03,75.379,84
NDC,70092-9056-05 [305465],VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129844],91.25,,0.03,78.475,84
NDC,70092-9118-50 [339276],HYDROMORPHONE 1 MG/ML IN 0.9 % SODIUM CHLORIDE PCA SYRINGE CONTAINER [40800002878],134.05,,0.09,115.283,84
NDC,70092-9118-50 [339276],HYDROMORPHONE 1 MG/ML IN NS PCA SYRINGE (PREMIX) (PALLIATIVE) [40800002305],134.05,,0.09,115.283,84
NDC,70092-9118-50 [339276],HYDROMORPHONE 1 MG/ML IN NS PCA SYRINGE (PREMIX) (PEDI) [4080000230],134.05,,37.534,115.283,83
NDC,70092-9118-50 [339276],HYDROMORPHONE 1 MG/ML INFUSION SYRINGE (PREMIX) (USE ORDER SET) [40800000034],134.05,,0.09,115.283,84
NDC,70095-024-01 [369751],PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],23.7,,6.636,20.382,83
NDC,70095-024-01 [369751],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],21.9,,6.132,18.834,83
NDC,70095-024-01 [369751],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],21.9,,6.132,18.834,83
NDC,70095-024-02 [369752],PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],23.7,,6.636,20.382,83
NDC,70095-024-02 [369752],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],21.9,,6.132,18.834,83
NDC,70095-024-02 [369752],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],21.9,,6.132,18.834,83
NDC,70095-024-03 [369753],PANTOPRAZOLE 4 MG/ML INJECTION [40800000003],23.7,,6.636,20.382,83
NDC,70095-024-03 [369753],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003383],21.9,,6.132,18.834,83
NDC,70095-024-03 [369753],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],21.9,,6.132,18.834,83
NDC,70095-025-01 [368622],AZITHROMYCIN 100 MG/ML INJ [40800000019],16.6,,2.61,14.276,84
NDC,70095-025-01 [368622],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],16.6,,2.61,14.276,84
NDC,70095-025-02 [368623],AZITHROMYCIN 100 MG/ML INJ [40800000019],16.6,,2.61,14.276,84
NDC,70095-025-02 [368623],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],16.6,,2.61,14.276,84
NDC,70095-026-01 [371842],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],166.95,,3.57,143.577,84
NDC,70095-026-02 [371843],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],166.95,,3.57,143.577,84
NDC,70095-031-01 [371844],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],975.8,,3.57,839.188,84
NDC,70095-050-01 [381619],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],69.3,,19.404,59.598,83
NDC,70095-050-03 [381620],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],35.65,,9.982,30.659,83
NDC,70100-424-01 [330906],INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],618.6,,173.208,531.996,83
NDC,70100-424-02 [330907],INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],618.6,,173.208,531.996,83
NDC,70100-725-01 [395695],INDOCYANINE GREEN 2.5 MG/ML INJECTION [40800000244],867.8,,242.984,746.308,83
NDC,70100-725-01 [395695],INDOCYANINE GREEN 2.5 MG/ML IVPB (FOR GUIDED TUMOR RESECTION) [40800003962],867.8,,242.984,746.308,83
NDC,70100-725-01 [395695],INDOCYANINE GREEN 2.5 MG/ML IVPB (PEDI) [40800003895],867.8,,242.984,746.308,83
NDC,70100-725-01 [395695],INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],867.8,,242.984,746.308,83
NDC,70100-725-01 [395695],INDOCYANINE GREEN 5 MG/ML INJECTION (GI USE ONLY) [40800002649],867.8,,242.984,746.308,83
NDC,70100-825-02 [395696],INDOCYANINE GREEN 2.5 MG/ML INJECTION [40800000244],867.8,,242.984,746.308,83
NDC,70100-825-02 [395696],INDOCYANINE GREEN 2.5 MG/ML IVPB (FOR GUIDED TUMOR RESECTION) [40800003962],867.8,,242.984,746.308,83
NDC,70100-825-02 [395696],INDOCYANINE GREEN 2.5 MG/ML IVPB (PEDI) [40800003895],867.8,,242.984,746.308,83
NDC,70100-825-02 [395696],INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [10266],867.8,,242.984,746.308,83
NDC,70100-825-02 [395696],INDOCYANINE GREEN 5 MG/ML INJECTION (GI USE ONLY) [40800002649],867.8,,242.984,746.308,83
NDC,70114-340-01 [376722],TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION [203182],31964.8,,39.5,27489.728,86
NDC,70121-1049-1 [304667],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION (KALEIDOSCOPE USE ONLY) [40800003393],30.3,,0.86,26.058,84
NDC,70121-1049-1 [304667],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],30.3,,0.86,26.058,84
NDC,70121-1049-2 [318558],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],30.3,,0.86,26.058,84
NDC,70121-1049-5 [304668],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION (KALEIDOSCOPE USE ONLY) [40800003393],30.3,,0.86,26.058,84
NDC,70121-1049-5 [304668],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],30.3,,0.86,26.058,84
NDC,70121-1168-1 [304669],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION (KALEIDOSCOPE USE ONLY) [40800003393],137.9,,0.86,118.594,84
NDC,70121-1168-1 [304669],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],137.9,,0.86,118.594,84
NDC,70121-1222-1 [383631],DOCETAXEL 20 MG/ML INJ CONTAINER [40800000108],278.5,,0.38,239.51,84
NDC,70121-1222-1 [383631],DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [108122],278.5,,0.38,239.51,84
NDC,70121-1236-1 [303893],CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],6224.4,,10.94,5352.984,86
NDC,70121-1238-1 [310127],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],386.6,,0.62,332.476,86
NDC,70121-1238-1 [310127],CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],386.6,,0.62,332.476,86
NDC,70121-1238-1 [310127],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],386.6,,0.62,332.476,86
NDC,70121-1239-1 [310128],CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],773.15,,0.62,664.909,86
NDC,70121-1239-1 [310128],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],773.15,,0.62,664.909,86
NDC,70121-1239-1 [310128],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],773.15,,0.62,664.909,86
NDC,70121-1240-1 [310129],CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],1212.15,,0.62,1042.449,86
NDC,70121-1240-1 [310129],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],1212.15,,0.62,1042.449,86
NDC,70121-1240-1 [310129],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],1212.15,,0.62,1042.449,86
NDC,70121-1389-1 [336047],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],161.35,,45.178,138.761,83
NDC,70121-1389-7 [336048],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],161.35,,45.178,138.761,83
NDC,70121-1394-1 [299455],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],30.9,,0.43,26.574,84
NDC,70121-1453-1 [292136],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],39.25,,0.44,33.755,84
NDC,70121-1453-1 [292136],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],39.25,,0.44,33.755,84
NDC,70121-1453-7 [292137],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],39.25,,0.44,33.755,84
NDC,70121-1453-7 [292137],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],39.25,,0.44,33.755,84
NDC,70121-1463-2 [327567],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],1138.5,,6.98,979.11,84
NDC,70121-1463-3 [401938],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],1138.5,,6.98,979.11,84
NDC,70121-1479-1 [317270],NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [122267],82.7,,23.156,71.122,83
NDC,70121-1479-7 [317271],NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [122267],82.7,,23.156,71.122,83
NDC,70121-1482-2 [317272],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],2457.0,,173.64,2113.02,86
NDC,70121-1483-1 [351319],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],491.4,,5.86,422.604,84
NDC,70121-1483-7 [351320],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],491.4,,5.86,422.604,84
NDC,70121-1573-1 [336892],METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],34.4,,0.12,29.584,84
NDC,70121-1573-5 [336893],METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],34.35,,0.12,29.541,84
NDC,70121-1576-1 [326592],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],61.85,,17.318,53.191,83
NDC,70121-1576-7 [326593],NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],61.85,,17.318,53.191,83
NDC,70121-1578-1 [317273],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],75.8,,21.224,65.188,83
NDC,70121-1578-7 [317274],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],75.8,,21.224,65.188,83
NDC,70121-1580-1 [367547],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],32.85,,2.52,28.251,84
NDC,70121-1630-1 [301857],THIOTEPA 10 MG/ML INJ (TEPADINA US) [40800002863],982.8,,5.74,845.208,86
NDC,70121-1630-1 [301857],THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],982.8,,5.74,845.208,86
NDC,70121-1631-1 [301858],THIOTEPA 10 MG/ML INJ (TEPADINA US) [40800002863],5896.8,,5.74,5071.248,86
NDC,70121-1631-1 [301858],THIOTEPA 100 MG SOLUTION FOR INJECTION [181698],5896.8,,5.74,5071.248,86
NDC,70121-1637-1 [328579],EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [178537],92.35,,25.858,79.421,83
NDC,70121-1637-5 [328580],EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [178537],92.35,,25.858,79.421,83
NDC,70121-1637-7 [328581],EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [178537],150.4,,42.112,129.344,83
NDC,70121-1647-1 [326594],TIGECYCLINE 10 MG/ML INJ [40800000059],283.15,,0.51,243.509,84
NDC,70121-1647-1 [326594],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],262.35,,0.51,225.621,84
NDC,70121-1647-1 [326594],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],262.35,,0.51,225.621,84
NDC,70121-1647-7 [326595],TIGECYCLINE 10 MG/ML INJ [40800000059],283.15,,0.51,243.509,84
NDC,70121-1647-7 [326595],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],262.35,,0.51,225.621,84
NDC,70121-1647-7 [326595],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],262.35,,0.51,225.621,84
NDC,70121-1651-1 [317276],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],30.3,,0.86,26.058,84
NDC,70121-1651-5 [317277],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],30.3,,0.86,26.058,84
NDC,70121-1652-1 [317278],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],137.9,,0.86,118.594,84
NDC,70121-1668-1 [317283],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],2457.0,,173.64,2113.02,86
NDC,70121-1694-2 [371845],PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],3462.75,,32.74,2977.965,86
NDC,70121-1719-1 [372972],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],68.8,,0.5,59.168,84
NDC,70121-1719-9 [372973],MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [128425],68.8,,0.5,59.168,84
NDC,70121-1720-1 [372974],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,70121-1720-9 [372975],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,70121-2494-1 [380965],"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [108156]",774.1,,175.82,665.726,86
NDC,70121-2502-2 [367552],"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [108156]",774.1,,175.82,665.726,86
NDC,70257-126-11 [323141],VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [171243],6626.3,,197.08,5698.618,86
NDC,70257-126-51 [323142],VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION [171243],6626.3,,197.08,5698.618,86
NDC,70257-532-50 [349342],CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],5755.4,,1611.512,4949.644,86
NDC,70257-532-51 [349343],CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634],5755.4,,1611.512,4949.644,86
NDC,70257-561-02 [305493],"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [108156]",774.1,,175.82,665.726,86
NDC,70257-561-05 [305494],"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION [108156]",774.1,,175.82,665.726,86
NDC,70377-003-14 [296783],SIMVASTATIN 20 MG TABLET [11365],1.65,,0.462,1.419,83
NDC,70377-006-12 [296791],ROSUVASTATIN 5 MG TABLET [36612],1.65,,0.462,1.419,83
NDC,70377-007-12 [296792],ROSUVASTATIN 10 MG TABLET [35134],1.65,,0.462,1.419,83
NDC,70377-008-12 [296793],ROSUVASTATIN 20 MG TABLET [35135],1.65,,0.462,1.419,83
NDC,70377-009-11 [296794],ROSUVASTATIN 40 MG TABLET [35136],1.65,,0.462,1.419,83
NDC,70377-014-11 [341762],"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [24914]",1.65,,0.15,1.419,84
NDC,70377-062-12 [348287],LABETALOL 300 MG TABLET [10375],1.8,,0.504,1.548,83
NDC,70377-085-11 [394644],DASATINIB 70 MG TABLET [76719],198.05,,55.454,170.323,83
NDC,70377-102-11 [362847],AMINOCAPROIC ACID 500 MG TABLET [9063],44.95,,12.586,38.657,83
NDC,70377-104-11 [362849],AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION [9062],3603.35,,1008.938,3098.881,83
NDC,70408-239-32 [295748],NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],4678.15,,1309.882,4023.209,83
NDC,70436-001-01 [317294],"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE [12185]",2.0,,0.56,1.72,83
NDC,70436-007-04 [317298],CINACALCET 30 MG TABLET [38100],2.4,,0.672,2.064,83
NDC,70436-008-04 [317299],CINACALCET 60 MG TABLET [38101],4.3,,1.204,3.698,83
NDC,70436-012-04 [336897],"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [91073]",4.85,,1.358,4.171,83
NDC,70436-013-06 [336900],"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [91074]",3.3,,0.924,2.838,83
NDC,70436-019-82 [317306],AZITHROMYCIN 100 MG/ML INJ [40800000019],22.3,,2.61,19.178,84
NDC,70436-019-82 [317306],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],22.3,,2.61,19.178,84
NDC,70436-020-82 [338871],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],13.15,,0.03,11.309,84
NDC,70436-020-82 [338871],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],13.15,,0.03,11.309,84
NDC,70436-029-80 [317307],VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],399.95,,0.78,343.957,84
NDC,70436-030-82 [385732],ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],43.35,,0.03,37.281,84
NDC,70436-051-06 [306371],CILOSTAZOL 100 MG TABLET [24474],1.65,,0.462,1.419,83
NDC,70436-058-01 [338872],"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",1.65,,0.462,1.419,83
NDC,70436-089-55 [317308],GANCICLOVIR INJ 50 MG/ML [40800000429],151.05,,39.62,129.903,84
NDC,70436-089-55 [317308],GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],151.05,,39.62,129.903,84
NDC,70436-160-04 [346309],"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR [29434]",3.95,,1.106,3.397,83
NDC,70436-161-06 [346313],"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR [29435]",3.95,,1.106,3.397,83
NDC,70436-202-01 [365670],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",1.65,,0.462,1.419,83
NDC,70436-230-39 [383645],VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION [38103],1679.4,,470.232,1444.284,83
NDC,70436-231-55 [391384],GANCICLOVIR INJ 50 MG/ML [40800000429],151.05,,39.62,129.903,84
NDC,70436-231-55 [391384],GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [10101],151.05,,39.62,129.903,84
NDC,70436-232-52 [392262],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],14.25,,0.51,12.255,84
NDC,70436-232-72 [392264],AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [93084],14.25,,0.51,12.255,84
NDC,70512-520-05 [359814],OLOPATADINE 0.1 % EYE DROPS [19452],36.05,,10.094,31.003,83
NDC,70512-840-01 [365672],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",6.4,,0.95,5.504,84
NDC,70512-840-25 [365673],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",6.4,,0.95,5.504,84
NDC,70512-841-25 [380493],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,0.71,56.889,84
NDC,70512-841-25 [380493],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,0.71,56.889,84
NDC,70512-841-25 [380493],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,70512-841-25 [380493],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,84
NDC,70512-841-25 [380493],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,84
NDC,70512-841-26 [380494],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,0.71,56.889,84
NDC,70512-841-26 [380494],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,0.71,56.889,84
NDC,70512-841-26 [380494],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,70512-841-26 [380494],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,84
NDC,70512-841-26 [380494],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,84
NDC,70515-712-01 [314358],CICLESONIDE HFA 160 MCG/ACTUATION AEROSOL INHALER [92832],898.35,,251.538,772.581,83
NDC,70594-023-01 [318581],COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],96.1,,11.39,82.646,84
NDC,70594-023-04 [318582],COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],96.1,,11.39,82.646,84
NDC,70594-034-01 [317344],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],205.95,,0.03,177.117,84
NDC,70594-034-01 [317344],DAPTOMYCIN INJ 50 MG/ML [40800000042],205.95,,0.03,177.117,84
NDC,70594-049-02 [322040],"POLYMYXIN B SULFATE 50,000 UNITS/ML INJ [40800000407]",43.35,,12.138,37.281,83
NDC,70594-049-02 [322040],"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",43.35,,12.138,37.281,83
NDC,70594-075-01 [350350],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],13.15,,0.44,11.309,84
NDC,70594-075-01 [350350],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],13.15,,0.44,11.309,84
NDC,70594-075-02 [350351],MEROPENEM 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003374],13.15,,0.44,11.309,84
NDC,70594-075-02 [350351],MEROPENEM 500 MG INTRAVENOUS SOLUTION [17379],13.15,,0.44,11.309,84
NDC,70594-078-01 [352140],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],30.7,,1.11,26.402,84
NDC,70594-078-01 [352140],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],30.7,,1.11,26.402,84
NDC,70594-078-02 [352141],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003384],30.7,,1.11,26.402,84
NDC,70594-078-02 [352141],PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [18304],30.7,,1.11,26.402,84
NDC,70594-086-01 [352998],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003337],15.35,,0.49,13.201,84
NDC,70594-086-01 [352998],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],15.35,,0.49,13.201,84
NDC,70594-086-02 [352999],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003337],15.35,,0.49,13.201,84
NDC,70594-086-02 [352999],AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],15.35,,0.49,13.201,84
NDC,70594-111-01 [372986],ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],119.25,,0.37,102.555,84
NDC,70594-111-02 [372987],ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],119.25,,0.37,102.555,84
NDC,70700-106-16 [312780],CLOBETASOL 0.05 % TOPICAL OINTMENT [9631],82.4,,23.072,70.864,83
NDC,70700-158-01 [339750],MIDODRINE 5 MG TABLET [10610],2.15,,0.602,1.849,83
NDC,70700-167-22 [337941],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],39.1,,0.43,33.626,84
NDC,70700-167-25 [337942],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],39.1,,0.43,33.626,84
NDC,70700-170-22 [335210],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],103.2,,1.4,88.752,84
NDC,70700-188-22 [350367],FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],102.0,,1.72,87.72,84
NDC,70700-188-22 [350367],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],102.0,,1.72,87.72,84
NDC,70700-188-22 [350367],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],102.0,,1.72,87.72,84
NDC,70700-189-22 [350368],FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],203.95,,1.72,175.397,84
NDC,70700-189-22 [350368],FLUOROURACIL IVPB 50 MG/ML (MAX CONC) (PEDI) [40800004109],203.95,,1.72,175.397,84
NDC,70700-268-94 [339752],FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],275.7,,77.196,237.102,83
NDC,70700-268-99 [339753],FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [14825],275.7,,77.196,237.102,83
NDC,70700-284-98 [360741],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],238.5,,6.98,205.11,84
NDC,70700-902-22 [353009],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],33.6,,0.43,28.896,84
NDC,70700-902-25 [353010],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],33.6,,0.43,28.896,84
NDC,70710-1009-2 [295772],OSELTAMIVIR 45 MG CAPSULE [88705],8.45,,2.366,7.267,83
NDC,70710-1010-2 [295773],OSELTAMIVIR 75 MG CAPSULE [26546],9.15,,2.562,7.869,83
NDC,70710-1014-1 [320425],PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],96.6,,27.048,83.076,83
NDC,70710-1014-3 [353676],PHYTONADIONE (VITAMIN K1) 5 MG TABLET [11024],96.6,,27.048,83.076,83
NDC,70710-1021-8 [318585],ALBENDAZOLE 200 MG TABLET [8979],390.0,,109.2,335.4,83
NDC,70710-1061-1 [341768],ALBUTEROL SULFATE 2 MG TABLET [253],4.7,,1.316,4.042,83
NDC,70710-1158-3 [324098],LEFLUNOMIDE 20 MG TABLET [23873],5.2,,1.456,4.472,83
NDC,70710-1196-1 [322047],RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],20.2,,5.656,17.372,83
NDC,70710-1196-7 [322048],RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [82504],20.2,,5.656,17.372,83
NDC,70710-1209-1 [308740],ALLOPURINOL 100 MG TABLET [310],1.65,,0.462,1.419,83
NDC,70710-1210-1 [308741],ALLOPURINOL 300 MG TABLET [311],1.65,,0.462,1.419,83
NDC,70710-1227-1 [310149],AMITRIPTYLINE 50 MG TABLET [436],1.65,,0.462,1.419,83
NDC,70710-1284-3 [329370],FLUOCINONIDE 0.05 % TOPICAL SOLUTION [3190],198.9,,55.692,171.054,83
NDC,70710-1285-1 [317354],BACLOFEN 10 MG TABLET [860],1.65,,0.462,1.419,83
NDC,70710-1359-1 [360742],LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],226.15,,63.322,194.489,83
NDC,70710-1359-6 [360743],LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],226.15,,63.322,194.489,83
NDC,70710-1377-1 [311063],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],65.85,,18.438,56.631,83
NDC,70710-1377-2 [311064],SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],36.95,,10.346,31.777,83
NDC,70710-1463-1 [330917],HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION [10162],144.15,,4.68,123.969,84
NDC,70710-1514-2 [330921],FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],74.75,,0.72,64.285,84
NDC,70710-1514-6 [330922],FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],74.75,,0.72,64.285,84
NDC,70710-1514-9 [330923],FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE [32215],128.45,,0.72,110.467,84
NDC,70710-1516-2 [330927],FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],175.9,,0.72,151.274,84
NDC,70710-1516-6 [330928],FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],175.9,,0.72,151.274,84
NDC,70710-1516-9 [330929],FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE [108028],288.65,,0.72,248.239,84
NDC,70710-1517-2 [330930],FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [108029],175.9,,0.72,151.274,84
NDC,70710-1517-6 [330931],FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [108029],175.9,,0.72,151.274,84
NDC,70710-1517-9 [330932],FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE [108029],288.65,,0.72,248.239,84
NDC,70710-1521-1 [369758],TRIAZOLAM 0.125 MG TABLET [8138],5.6,,1.568,4.816,83
NDC,70710-1524-1 [312787],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],2457.0,,173.64,2113.02,86
NDC,70710-1525-9 [312788],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],2457.0,,173.64,2113.02,86
NDC,70710-1530-1 [338879],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",1151.05,,71.86,989.903,86
NDC,70710-1531-1 [338880],"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [27431]",2877.7,,71.86,2474.822,86
NDC,70710-1643-1 [340846],VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.65,,9.982,30.659,83
NDC,70710-1643-5 [340847],VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],35.65,,9.982,30.659,83
NDC,70710-1663-1 [360744],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",12.0,,0.95,10.32,84
NDC,70710-1663-7 [360745],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",12.0,,0.95,10.32,84
NDC,70710-1726-1 [353013],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2165.45,,52.71,1862.287,86
NDC,70710-1726-8 [353014],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2165.45,,52.71,1862.287,86
NDC,70710-1742-6 [394672],DASATINIB 50 MG TABLET [76718],198.05,,55.454,170.323,83
NDC,70710-1760-2 [349370],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],56.9,,0.57,48.934,84
NDC,70710-1760-6 [349371],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],56.9,,0.57,48.934,84
NDC,70710-1761-2 [349372],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],71.1,,0.57,61.146,84
NDC,70710-1761-6 [349373],ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [105903],71.1,,0.57,61.146,84
NDC,70710-1762-2 [349374],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],85.35,,0.57,73.401,84
NDC,70710-1762-6 [349375],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],85.35,,0.57,73.401,84
NDC,70710-1763-2 [349376],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],106.7,,0.57,91.762,84
NDC,70710-1763-6 [349377],ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [31921],106.7,,0.57,91.762,84
NDC,70710-1838-1 [378032],METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [179421],711.65,,10.29,612.019,85
NDC,70710-1838-5 [378033],METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [179421],711.65,,10.29,612.019,85
NDC,70710-1839-1 [359826],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2165.45,,52.71,1862.287,86
NDC,70710-1839-8 [359827],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2165.45,,52.71,1862.287,86
NDC,70710-1849-1 [381659],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],85.7,,23.996,73.702,84
NDC,70710-1849-7 [381660],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],85.7,,23.996,73.702,84
NDC,70710-1850-1 [381661],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],98.2,,27.07,84.452,84
NDC,70710-1850-7 [381662],CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],98.2,,27.07,84.452,84
NDC,70710-1852-6 [371911],INDOMETHACIN 50 MG RECTAL SUPPOSITORY [3901],1126.35,,315.378,968.661,83
NDC,70710-1852-7 [371912],INDOMETHACIN 50 MG RECTAL SUPPOSITORY [3901],1126.35,,315.378,968.661,83
NDC,70710-1878-1 [380519],ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION [8879],86.5,,24.22,74.39,83
NDC,70710-1878-7 [380520],ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION [8879],86.5,,24.22,74.39,83
NDC,70710-1886-1 [365691],LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],226.15,,63.322,194.489,83
NDC,70710-1886-6 [365692],LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [96972],226.15,,63.322,194.489,83
NDC,70710-1895-1 [368638],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],1241.8,,5.86,1067.948,84
NDC,70710-1895-6 [368639],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],1241.8,,5.86,1067.948,84
NDC,70720-101-02 [329371],ROLAPITANT 90 MG TABLET [175376],1085.7,,1.56,933.702,85
NDC,70720-720-10 [329372],ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION [40574],4113.95,,10.13,3537.997,85
NDC,70720-722-10 [329373],ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION [40574],19521.85,,10.13,16788.791,85
NDC,70720-723-10 [328594],ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION [40573],19521.85,,10.13,16788.791,85
NDC,70720-950-36 [307489],GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [10137],2023.2,,566.496,1739.952,85
NDC,70720-951-30 [305498],GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT [16254],5513.4,,734.15,4741.524,85
NDC,70748-173-26 [354457],SEVELAMER HCL 800 MG TABLET [28715],13.2,,3.696,11.352,83
NDC,70748-175-01 [364623],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],11.1,,3.108,9.546,83
NDC,70748-175-30 [357605],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],11.1,,3.108,9.546,83
NDC,70748-175-60 [357606],ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581],11.1,,3.108,9.546,83
NDC,70748-258-07 [343806],"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE [132662]",35.55,,9.954,30.573,83
NDC,70748-299-01 [347381],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],1310.6,,366.968,1127.116,83
NDC,70748-332-02 [388673],"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",151.05,,42.294,129.903,83
NDC,70752-101-12 [327588],CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP [2032],174.55,,48.874,150.113,83
NDC,70752-104-06 [363788],CETIRIZINE 1 MG/ML ORAL SOLUTION [70838],18.65,,5.222,16.039,83
NDC,70752-107-10 [347382],CYPROHEPTADINE 4 MG TABLET [2033],1.65,,0.462,1.419,83
NDC,70756-051-11 [379438],FAMOTIDINE 20 MG TABLET [10011],1.65,,0.462,1.419,83
NDC,70756-201-11 [345224],AMITRIPTYLINE 10 MG TABLET [432],1.65,,0.462,1.419,83
NDC,70756-205-11 [345231],AMITRIPTYLINE 100 MG TABLET [433],1.65,,0.462,1.419,83
NDC,70756-214-90 [338883],FENOFIBRATE 54 MG TABLET [31336],1.65,,0.462,1.419,83
NDC,70756-404-11 [375439],NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],1.7,,0.476,1.462,83
NDC,70756-423-22 [358736],OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [41822],1.65,,0.462,1.419,83
NDC,70756-607-30 [364624],OFLOXACIN 0.3 % EYE DROPS [19746],57.8,,16.184,49.708,83
NDC,70756-610-30 [361640],OFLOXACIN 0.3 % EAR DROPS [22257],103.0,,28.84,88.58,83
NDC,70756-614-30 [365703],PHENYLEPHRINE 10 % EYE DROPS [19636],137.3,,38.444,118.078,83
NDC,70756-622-10 [362871],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],48.15,,13.482,41.409,83
NDC,70756-622-85 [362872],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],48.15,,13.482,41.409,83
NDC,70756-640-25 [375440],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],6.4,,1.792,5.504,83
NDC,70756-640-82 [375441],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],6.4,,1.792,5.504,83
NDC,70756-645-25 [376763],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],6.85,,1.918,5.891,83
NDC,70756-645-86 [376764],LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452],6.85,,1.918,5.891,83
NDC,70756-649-35 [367585],PHENYLEPHRINE 2.5 % EYE DROPS [6246],294.85,,82.558,253.571,83
NDC,70756-653-35 [380537],ATROPINE 1 % EYE DROPS [736],405.6,,113.568,348.816,83
NDC,70756-721-11 [340855],ACETAZOLAMIDE 250 MG TABLET [113],1.7,,0.476,1.462,83
NDC,70756-816-22 [339755],CAPECITABINE 500 MG TABLET [22994],4.75,,0.03,4.085,86
NDC,70839-150-30 [297737],ALISKIREN 150 MG TABLET [78653],48.35,,13.538,41.581,83
NDC,70839-362-04 [378042],COCAINE 4 % NASAL SOLUTION [185335],1059.4,,296.632,911.084,83
NDC,70842-120-01 [311861],MEROPENEM-VABORBACTAM 0.1 G/ML INTRAVENOUS SOLUTION [40800002668],750.8,,2.17,645.688,85
NDC,70842-120-01 [311861],MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION [183355],750.8,,2.17,645.688,85
NDC,70842-120-06 [311862],MEROPENEM-VABORBACTAM 0.1 G/ML INTRAVENOUS SOLUTION [40800002668],750.8,,2.17,645.688,85
NDC,70842-120-06 [311862],MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION [183355],750.8,,2.17,645.688,85
NDC,70842-140-01 [310155],ORITAVANCIN 400 MG INTRAVENOUS SOLUTION [165408],3916.9,,28.52,3368.534,86
NDC,70842-140-01 [310155],ORITAVANCIN INJ 10 MG/ML [40800000471],3916.9,,28.52,3368.534,86
NDC,70842-140-03 [310156],ORITAVANCIN 400 MG INTRAVENOUS SOLUTION [165408],3916.9,,28.52,3368.534,86
NDC,70842-140-03 [310156],ORITAVANCIN INJ 10 MG/ML [40800000471],3916.9,,28.52,3368.534,86
NDC,70842-160-01 [311863],MINOCYCLINE 100 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003377],808.4,,2.66,695.224,85
NDC,70842-160-01 [311863],MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],808.4,,2.66,695.224,85
NDC,70842-160-01 [311863],MINOCYCLINE 20 MG/ML INJECTION [40800000055],872.3,,2.66,750.178,85
NDC,70842-160-10 [311864],MINOCYCLINE 100 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003377],808.4,,2.66,695.224,85
NDC,70842-160-10 [311864],MINOCYCLINE 100 MG INTRAVENOUS SOLUTION [10612],808.4,,2.66,695.224,85
NDC,70842-160-10 [311864],MINOCYCLINE 20 MG/ML INJECTION [40800000055],872.3,,2.66,750.178,85
NDC,70842-240-01 [370752],REZAFUNGIN 20 MG/ML INTRAVENOUS SOLUTION [40800003887],6982.6,,10.62,6005.036,86
NDC,70860-100-10 [295783],AZITHROMYCIN 100 MG/ML INJ [40800000019],23.7,,2.61,20.382,84
NDC,70860-100-10 [295783],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],23.7,,2.61,20.382,84
NDC,70860-100-41 [320435],AZITHROMYCIN 100 MG/ML INJ [40800000019],23.7,,2.61,20.382,84
NDC,70860-100-41 [320435],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],23.7,,2.61,20.382,84
NDC,70860-106-10 [302869],CASPOFUNGIN 5 MG/ML INJ [40800000012],236.85,,2.27,203.691,84
NDC,70860-106-10 [302869],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003344],236.85,,2.27,203.691,84
NDC,70860-106-10 [302869],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],236.85,,2.27,203.691,84
NDC,70860-115-26 [311075],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],48.15,,0.49,41.409,84
NDC,70860-115-26 [311075],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],48.15,,0.49,41.409,84
NDC,70860-115-26 [311075],AMPICILLIN INTRAMUSCULAR INJECTION 250 MG/ML (2 GRAM VIAL) [40800002995],48.15,,0.49,41.409,84
NDC,70860-125-41 [330935],AZITHROMYCIN 100 MG/ML INJ [40800000019],13.9,,2.61,11.954,84
NDC,70860-125-41 [330935],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],13.9,,2.61,11.954,84
NDC,70860-125-66 [330936],AZITHROMYCIN 100 MG/ML INJ [40800000019],13.9,,2.61,11.954,84
NDC,70860-125-66 [330936],AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],13.9,,2.61,11.954,84
NDC,70860-126-20 [326621],"PENICILLIN G POTASSIUM 1,000,000 UNITS/ML INJECTION [40800000207]",49.9,,0.88,42.914,84
NDC,70860-126-20 [326621],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],49.9,,0.88,42.914,84
NDC,70860-126-41 [326622],"PENICILLIN G POTASSIUM 1,000,000 UNITS/ML INJECTION [40800000207]",49.9,,0.88,42.914,84
NDC,70860-126-41 [326622],PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],49.9,,0.88,42.914,84
NDC,70860-200-50 [299476],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",205.95,,0.11,177.117,84
NDC,70860-205-50 [302871],GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],143.75,,2.96,123.625,84
NDC,70860-205-50 [302871],GEMCITABINE 38 MG/ML INJ CONTAINER [40800000110],143.75,,2.96,123.625,84
NDC,70860-208-51 [304700],DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],393.15,,2.72,338.109,84
NDC,70860-209-10 [309407],MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],70.4,,1.33,60.544,84
NDC,70860-211-41 [331851],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],303.6,,6.98,261.096,84
NDC,70860-211-74 [331852],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],303.6,,6.98,261.096,84
NDC,70860-215-68 [355380],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",130.45,,0.11,112.187,84
NDC,70860-217-10 [343807],ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [29071],478.3,,5.86,411.338,84
NDC,70860-219-20 [351331],DECITABINE 5 MG/ML INJ [40800000413],327.6,,1.59,281.736,84
NDC,70860-219-20 [351331],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],327.6,,1.59,281.736,84
NDC,70860-300-05 [295787],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],7.9,,0.13,6.794,84
NDC,70860-301-05 [331853],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],12.35,,0.04,10.621,84
NDC,70860-301-10 [331854],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],12.8,,0.04,11.008,84
NDC,70860-301-41 [331856],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],12.35,,0.04,10.621,84
NDC,70860-301-42 [331857],DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [97252],12.8,,0.04,11.008,84
NDC,70860-400-10 [298692],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",34.4,,9.632,29.584,83
NDC,70860-405-04 [354458],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],10.0,,0.61,8.6,84
NDC,70860-405-41 [354459],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],10.0,,0.61,8.6,84
NDC,70860-406-10 [354460],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],10.85,,0.61,9.331,84
NDC,70860-406-41 [354461],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],10.85,,0.61,9.331,84
NDC,70860-451-10 [317360],LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [113060],278.75,,7.7,239.725,84
NDC,70860-453-10 [317362],LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION [113058],1444.1,,7.7,1241.926,84
NDC,70860-501-42 [366548],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,70860-501-82 [366550],MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [4719],63.3,,0.5,54.438,84
NDC,70860-600-02 [295788],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],8.05,,0.16,6.923,84
NDC,70860-600-02 [295788],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,70860-600-41 [320441],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],8.05,,0.16,6.923,84
NDC,70860-600-41 [320441],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,70860-601-10 [295790],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],19.05,,0.16,16.383,84
NDC,70860-701-01 [300215],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],8.35,,0.34,7.181,86
NDC,70860-701-03 [305499],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],8.35,,0.34,7.181,86
NDC,70860-701-41 [326632],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],8.35,,0.34,7.181,86
NDC,70860-751-02 [341772],FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,84
NDC,70860-751-41 [341773],FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [128369],6.4,,0.01,5.504,84
NDC,70860-776-02 [295791],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [106348],6.4,,0.09,5.504,84
NDC,70860-777-20 [295792],ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],35.65,,0.09,30.659,84
NDC,70860-777-21 [350371],ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],32.85,,0.09,28.251,84
NDC,70860-781-01 [375452],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],6.4,,0.43,5.504,84
NDC,70860-781-01 [375452],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],6.4,,0.43,5.504,84
NDC,70860-781-05 [375453],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],34.9,,0.43,30.014,84
NDC,70860-781-41 [375455],GLYCOPYRROLATE 0.2 MG/ML INJ CONTAINER [40800000733],6.4,,0.43,5.504,84
NDC,70860-781-41 [375455],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],6.4,,0.43,5.504,84
NDC,70860-781-43 [375456],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],34.9,,0.43,30.014,84
NDC,70860-784-05 [367586],VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],23.7,,6.636,20.382,83
NDC,70860-784-41 [367587],VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],23.7,,6.636,20.382,83
NDC,70954-021-10 [314387],PRAZOSIN 5 MG CAPSULE [6470],1.65,,0.462,1.419,83
NDC,70954-041-10 [353678],RIFABUTIN 150 MG CAPSULE [11290],48.55,,13.594,41.753,83
NDC,70954-056-10 [349379],PREDNISONE 1 MG TABLET [6493],1.65,,0.462,1.419,83
NDC,70954-061-10 [329399],PREDNISONE 50 MG TABLET [6498],1.65,,0.462,1.419,83
NDC,70954-135-10 [309414],DAPSONE 25 MG TABLET [2132],4.7,,1.316,4.042,83
NDC,70954-136-10 [307492],DAPSONE 100 MG TABLET [2131],5.75,,1.61,4.945,83
NDC,70954-139-10 [328596],LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION [41623],119.15,,33.362,102.469,83
NDC,70954-158-40 [394690],CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET [1760],9.6,,2.688,8.256,83
NDC,70954-158-50 [394691],CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET [1760],9.6,,2.688,8.256,83
NDC,70954-188-10 [336929],ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [8970],285.4,,79.912,245.444,83
NDC,70954-258-10 [355386],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],147.5,,41.3,126.85,83
NDC,70954-261-10 [348305],DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [42119],324.15,,90.762,278.769,83
NDC,70954-316-10 [346327],FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION SYRINGE (PEDI) [40800003893],124.0,,34.72,106.64,83
NDC,70954-316-10 [346327],FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],124.0,,34.72,106.64,83
NDC,70954-319-10 [351332],PAROXETINE 10 MG/5 ML ORAL SUSPENSION [22959],1203.25,,336.91,1034.795,83
NDC,70954-399-10 [376772],DEXAMETHASONE 0.75 MG TABLET [2323],1.65,,0.02,1.419,84
NDC,70954-443-10 [356246],MISOPROSTOL 100 MCG TABLET [10628],3.15,,0.882,2.709,83
NDC,70954-455-10 [353690],BISOPROLOL FUMARATE 5 MG TABLET [18288],1.65,,0.462,1.419,83
NDC,70954-456-20 [353693],BISOPROLOL FUMARATE 10 MG TABLET [18287],1.65,,0.462,1.419,83
NDC,70954-484-10 [349381],PYRAZINAMIDE 500 MG TABLET [6738],1.65,,0.462,1.419,83
NDC,70954-484-30 [349383],PYRAZINAMIDE 500 MG TABLET [6738],21.05,,5.894,18.103,83
NDC,70954-488-10 [361644],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],293.4,,82.152,252.324,83
NDC,70954-492-10 [364626],LEVOCARNITINE 330 MG TABLET [20952],4.2,,1.176,3.612,83
NDC,70954-496-10 [368653],NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [10723],4680.4,,1310.512,4025.144,83
NDC,70954-564-10 [374108],ESTRADIOL 0.5 MG TABLET [12491],1.65,,0.462,1.419,83
NDC,70954-600-10 [363795],FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],137.65,,38.542,118.379,83
NDC,71093-132-04 [304727],METFORMIN 500 MG TABLET [10544],1.65,,0.462,1.419,83
NDC,71258-022-01 [347487],"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION [194941]",11635.0,,346.49,10006.1,85
NDC,71266-6519-1 [373542],PHENOL 6 % INJECTION SOLUTION [194775],220.9,,61.852,189.974,83
NDC,71266-6519-1 [373542],PHENOL 6 % INTRANEURAL INJECTION [40800022901],220.9,,61.852,189.974,83
NDC,71266-8020-1 [358795],ARGININE 25 MG-LYSINE 25MG/ML IN STERILE WATER INTRAVENOUS SOLUTION [187594],395.0,,110.6,339.7,83
NDC,71287-119-01 [302981],AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION [183620],1646700.0,,532192.241,1646700.0,19
NDC,71287-219-01 [336952],BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION [192076],1510740.0,,489450.202,1510740.0,16
NDC,71287-219-02 [336953],BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION [192076],1510740.0,,489450.202,1510740.0,16
NDC,71287-220-01 [351628],BREXUCABTAGENE AUTOLEUCEL 1X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION [196078],1510740.0,,489450.202,1510740.0,16
NDC,71287-220-02 [352195],BREXUCABTAGENE AUTOLEUCEL 1X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION [196078],1510740.0,,489450.202,1510740.0,16
NDC,71288-005-20 [317447],AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [9083],22.5,,1.49,19.35,84
NDC,71288-006-30 [317448],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],35.8,,1.49,30.788,84
NDC,71288-006-30 [317448],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],35.8,,1.49,30.788,84
NDC,71288-006-31 [330099],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],35.8,,1.49,30.788,84
NDC,71288-006-31 [330099],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],35.8,,1.49,30.788,84
NDC,71288-016-15 [349557],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],103.0,,0.03,88.58,84
NDC,71288-016-15 [349557],DAPTOMYCIN INJ 50 MG/ML [40800000042],103.0,,0.03,88.58,84
NDC,71288-016-95 [361657],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],63.85,,0.03,54.911,84
NDC,71288-016-95 [361657],DAPTOMYCIN INJ 50 MG/ML [40800000042],63.85,,0.03,54.911,84
NDC,71288-019-10 [362893],TIGECYCLINE 10 MG/ML INJ [40800000059],344.0,,0.51,295.84,84
NDC,71288-019-10 [362893],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],318.8,,0.51,274.168,84
NDC,71288-019-10 [362893],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],318.8,,0.51,274.168,84
NDC,71288-019-11 [362894],TIGECYCLINE 10 MG/ML INJ [40800000059],344.0,,0.51,295.84,84
NDC,71288-019-11 [362894],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003387],318.8,,0.51,274.168,84
NDC,71288-019-11 [362894],TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [41652],318.8,,0.51,274.168,84
NDC,71288-032-20 [373090],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],35.8,,1.49,30.788,84
NDC,71288-032-20 [373090],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],38.75,,1.49,33.325,84
NDC,71288-032-21 [373091],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],35.8,,1.49,30.788,84
NDC,71288-032-21 [373091],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],38.75,,1.49,33.325,84
NDC,71288-101-20 [302984],OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [99612],68.65,,0.09,59.039,84
NDC,71288-106-10 [312804],BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],105.3,,20.9,90.558,84
NDC,71288-106-10 [312804],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR INFUSION) [40800002695],105.3,,20.9,90.558,84
NDC,71288-106-10 [312804],BLEOMYCIN 3 UNITS/ML INJ CONTAINER (FOR IVPB) [40800000102],105.3,,20.9,90.558,84
NDC,71288-106-10 [312804],BLEOMYCIN 3 UNITS/ML INTRALESIONAL INJ CONTAINER [40800003129],105.3,,20.9,90.558,84
NDC,71288-106-10 [312804],BLEOMYCIN 6 UNITS/ML SCLEROTHERAPY INJ CONTAINER [40800002630],105.3,,20.9,90.558,84
NDC,71288-109-20 [314395],CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],63.1,,0.81,54.266,84
NDC,71288-109-20 [314395],CYTARABINE IVPB 100 MG/ML (MAX CONC) (PEDI) [40800004206],63.1,,0.81,54.266,84
NDC,71288-111-10 [325605],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,71288-111-10 [325605],MELPHALAN INJ 5 MG/ML [40800000435],655.2,,99.9833,563.472,86
NDC,71288-114-50 [318598],GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION [17122],157.65,,2.96,135.579,84
NDC,71288-114-50 [318598],GEMCITABINE 38 MG/ML INJ CONTAINER [40800000110],157.65,,2.96,135.579,84
NDC,71288-115-30 [347491],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],154.45,,0.21,132.827,84
NDC,71288-115-30 [347491],AZACITIDINE INJECTION 10 MG/ML [40800000411],154.45,,0.21,132.827,84
NDC,71288-116-10 [340905],BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],376.75,,0.68,324.005,86
NDC,71288-116-11 [340906],BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION [24695],376.75,,0.68,324.005,86
NDC,71288-118-10 [359898],BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],144.15,,1.59,123.969,84
NDC,71288-118-10 [359898],BORTEZOMIB IV INJ 1 MG/ML INJECTION [40800000444],144.15,,1.59,123.969,84
NDC,71288-118-10 [359898],BORTEZOMIB SUBCUTANEOUS 1 MG/ML INJECTION [40800002483],144.15,,1.59,123.969,84
NDC,71288-118-10 [359898],BORTEZOMIB SUBCUTANEOUS INJ 2.5 MG/ML [40800000445],144.15,,1.59,123.969,84
NDC,71288-119-20 [358799],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],327.6,,1.59,281.736,84
NDC,71288-128-20 [343867],CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],2620.8,,10.94,2253.888,86
NDC,71288-129-02 [345318],DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION [28912],1638.0,,302.92,1408.68,86
NDC,71288-129-02 [345318],DACTINOMYCIN IVPB 500 MCG/ML (MAX CONC) (PEDI) [40800004207],1638.0,,302.92,1408.68,86
NDC,71288-130-15 [363881],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,71288-130-15 [363881],MELPHALAN INJ 5 MG/ML [40800000435],655.2,,99.9833,563.472,86
NDC,71288-132-90 [363882],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,71288-132-90 [363882],MELPHALAN INJ 5 MG/ML [40800000435],655.2,,99.9833,563.472,86
NDC,71288-137-20 [366672],MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],491.4,,28.27,422.604,86
NDC,71288-153-95 [348351],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],133.85,,0.21,115.111,84
NDC,71288-154-76 [394716],FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [98249],100.7,,1.72,86.602,84
NDC,71288-154-76 [394716],FLUOROURACIL 50 MG/ML INJ CONTAINER [40800000107],100.7,,1.72,86.602,84
NDC,71288-155-01 [372008],PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],1638.0,,32.74,1408.68,86
NDC,71288-157-10 [378071],THIOTEPA 100 MG SOLUTION FOR INJECTION [181698],7698.6,,5.74,6620.796,86
NDC,71288-163-30 [373095],LEUCOVORIN CALCIUM 20 MG/ML INJECTION [40800000309],89.25,,3.95,76.755,84
NDC,71288-163-30 [373095],LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],89.25,,3.95,76.755,84
NDC,71288-165-52 [365774],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2165.45,,52.71,1862.287,86
NDC,71288-165-52 [365774],NELARABINE INFUSION 5 MG/ML [40800000417],2165.45,,52.71,1862.287,86
NDC,71288-165-53 [365775],NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267],2165.45,,52.71,1862.287,86
NDC,71288-165-53 [365775],NELARABINE INFUSION 5 MG/ML [40800000417],2165.45,,52.71,1862.287,86
NDC,71288-166-10 [357953],PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [89350],103.0,,3.73,88.58,86
NDC,71288-166-91 [368671],PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [89350],47.0,,3.73,40.42,86
NDC,71288-167-50 [357954],PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],491.4,,3.73,422.604,86
NDC,71288-167-95 [368672],PEMETREXED 25 MG/ML INJ CONTAINER [40800000036],180.6,,3.73,155.316,86
NDC,71288-167-95 [368672],PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894],180.6,,3.73,155.316,86
NDC,71288-170-75 [388677],FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [82180],56.5,,1.72,48.59,84
NDC,71288-170-75 [388677],FLUOROURACIL INTRALESIONAL 50 MG/ML INJ CONTAINER [40800000748],56.5,,1.72,48.59,84
NDC,71288-184-05 [399648],IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION [88241],185.0,,37.05,159.1,84
NDC,71288-200-20 [336957],MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [122190],28.45,,1.4,24.467,84
NDC,71288-200-21 [336958],MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [122190],28.45,,1.4,24.467,84
NDC,71288-201-85 [367676],REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [91408],63.6,,2.89,54.696,84
NDC,71288-203-02 [359899],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.4,,0.02,5.504,84
NDC,71288-203-03 [359900],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.4,,0.02,5.504,84
NDC,71288-203-04 [359901],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.4,,0.02,5.504,84
NDC,71288-203-05 [359902],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],6.4,,0.02,5.504,84
NDC,71288-203-10 [361659],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],8.8,,0.02,7.568,84
NDC,71288-203-11 [361660],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],8.8,,0.02,7.568,84
NDC,71288-303-01 [361661],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",7.8,,0.95,6.708,84
NDC,71288-303-02 [361662],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",7.8,,0.95,6.708,84
NDC,71288-303-91 [386828],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",6.4,,0.95,5.504,84
NDC,71288-303-92 [386829],"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",6.4,,0.95,5.504,84
NDC,71288-400-02 [325607],"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [127226]",33.9,,0.22,29.154,84
NDC,71288-400-03 [325608],"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION [127226]",33.9,,0.22,29.154,84
NDC,71288-402-10 [325611],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",17.35,,0.22,14.921,84
NDC,71288-402-11 [325612],"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",17.35,,0.22,14.921,84
NDC,71288-403-01 [325615],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",9.05,,0.22,7.783,84
NDC,71288-403-02 [325616],"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",9.05,,0.22,7.783,84
NDC,71288-409-05 [373097],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],32.1,,0.45,27.606,84
NDC,71288-410-82 [334286],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],26.3,,0.57,22.618,84
NDC,71288-410-82 [334286],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],26.3,,0.57,22.618,84
NDC,71288-410-83 [334287],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE (PHARMACY TO PREPARE) [40800003959],26.3,,0.57,22.618,84
NDC,71288-410-83 [334287],ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [105900],26.3,,0.57,22.618,84
NDC,71288-410-84 [334288],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],32.1,,0.57,27.606,84
NDC,71288-410-85 [334289],ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [105901],32.1,,0.57,27.606,84
NDC,71288-413-51 [385812],EPTIFIBATIDE 0.75 MG/ML INFUSION [40800000316],185.35,,3.26,159.401,85
NDC,71288-413-51 [385812],EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],185.35,,3.26,159.401,85
NDC,71288-414-01 [358800],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],10.95,,0.43,9.417,84
NDC,71288-414-03 [358801],GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [119135],10.95,,0.43,9.417,84
NDC,71288-426-03 [360806],ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],101.8,,0.57,87.548,84
NDC,71288-426-91 [381702],ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION [105940],68.2,,0.57,58.652,84
NDC,71288-427-10 [353101],BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],240.25,,0.17,206.615,84
NDC,71288-427-11 [353102],BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],240.25,,0.17,206.615,84
NDC,71288-435-86 [378072],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],32.45,,0.57,27.907,84
NDC,71288-435-87 [378073],ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [105902],32.45,,0.57,27.907,84
NDC,71288-437-91 [373098],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],39.55,,0.57,34.013,84
NDC,71288-437-92 [373099],ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE [105904],39.55,,0.57,34.013,84
NDC,71288-600-10 [367677],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],7.45,,2.086,6.407,83
NDC,71288-600-11 [367678],PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [26226],7.45,,2.086,6.407,83
NDC,71288-712-05 [330101],CISATRACURIUM 2 MG/ML INJ CONTAINER [40800000731],33.2,,9.296,28.552,83
NDC,71288-712-05 [330101],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION (OSM) [40800000241],30.7,,8.596,26.402,83
NDC,71288-712-05 [330101],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],33.2,,9.296,28.552,83
NDC,71288-712-06 [330102],CISATRACURIUM 2 MG/ML INJ CONTAINER [40800000731],33.2,,9.296,28.552,83
NDC,71288-712-06 [330102],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION (OSM) [40800000241],30.7,,8.596,26.402,83
NDC,71288-712-06 [330102],CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [119149],33.2,,9.296,28.552,83
NDC,71288-713-20 [330103],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],327.6,,91.728,281.736,83
NDC,71288-713-21 [330104],CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [16169],327.6,,91.728,281.736,83
NDC,71288-716-10 [317452],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],32.1,,4.79,27.606,84
NDC,71288-716-11 [338953],METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],32.1,,4.79,27.606,84
NDC,71288-803-20 [345319],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],230.55,,0.41,198.273,84
NDC,71288-803-20 [345319],MYCOPHENOLATE INJ 33.33 MG/ML [40800003850],248.85,,0.41,214.011,84
NDC,71288-803-20 [345319],MYCOPHENOLATE INJ 35.7 MG/ML [40800000430],248.85,,0.41,214.011,84
NDC,71288-803-21 [345320],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],230.55,,0.41,198.273,84
NDC,71288-803-21 [345320],MYCOPHENOLATE INJ 33.33 MG/ML [40800003850],248.85,,0.41,214.011,84
NDC,71288-803-21 [345320],MYCOPHENOLATE INJ 35.7 MG/ML [40800000430],248.85,,0.41,214.011,84
NDC,71288-803-91 [381703],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],59.95,,0.41,51.557,84
NDC,71288-803-91 [381703],MYCOPHENOLATE INJ 33.33 MG/ML [40800003850],64.7,,0.41,55.642,84
NDC,71288-803-91 [381703],MYCOPHENOLATE INJ 35.7 MG/ML [40800000430],64.7,,0.41,55.642,84
NDC,71288-803-92 [381704],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],59.95,,0.41,51.557,84
NDC,71288-803-92 [381704],MYCOPHENOLATE INJ 33.33 MG/ML [40800003850],64.7,,0.41,55.642,84
NDC,71288-803-92 [381704],MYCOPHENOLATE INJ 35.7 MG/ML [40800000430],64.7,,0.41,55.642,84
NDC,71288-807-01 [335293],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],9.5,,2.66,8.17,83
NDC,71351-021-05 [364667],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],8.45,,2.366,7.267,83
NDC,71351-021-10 [374146],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],6.4,,1.792,5.504,83
NDC,71351-021-25 [364668],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],8.15,,2.282,7.009,83
NDC,7135101250 [307513],LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [129376],1.65,,0.462,1.419,83
NDC,7135101312 [307514],"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [10384]",7.75,,2.17,6.665,83
NDC,7135101399 [319415],"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [10384]",7.75,,2.17,6.665,83
NDC,71390-011-00 [341878],REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION [193256],150.4,,42.112,129.344,83
NDC,71390-011-11 [341879],REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION [193256],150.4,,42.112,129.344,83
NDC,71390-125-20 [338022],AMISULPRIDE 2.5 MG/ML INJ CONTAINER [40800000371],151.7,,9.56,130.462,85
NDC,71390-125-21 [338023],AMISULPRIDE 2.5 MG/ML INJ CONTAINER [40800000371],151.7,,9.56,130.462,85
NDC,71390-125-50 [345337],AMISULPRIDE 2.5 MG/ML INJ CONTAINER [40800000371],289.65,,9.56,249.099,85
NDC,71390-125-51 [345338],AMISULPRIDE 2.5 MG/ML INJ CONTAINER [40800000371],289.65,,9.56,249.099,85
NDC,71399-0023-6 [379542],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],29.9,,8.372,25.714,83
NDC,71399-0024-4 [368687],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],1.65,,0.462,1.419,83
NDC,71399-0041-1 [375648],"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",10.45,,2.926,8.987,83
NDC,71399-0051-1 [373154],MAGNESIUM CITRATE ORAL SOLUTION [4712],14.05,,3.934,12.083,83
NDC,71399-0122-4 [353706],VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [8723],18.75,,5.25,16.125,83
NDC,71399-0125-6 [339011],DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],29.9,,8.372,25.714,83
NDC,71399-0500-3 [363891],CLOTRIMAZOLE 1 % TOPICAL SOLUTION [1768],56.85,,15.918,48.891,83
NDC,71399-1014-2 [394736],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,71399-1025-3 [392304],ACETAMINOPHEN 325 MG TABLET [101],1.65,,0.462,1.419,83
NDC,71399-6854-3 [385104],METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [76971],15.45,,4.326,13.287,83
NDC,71399-7889-1 [364671],MAGNESIUM CITRATE ORAL SOLUTION [4712],14.05,,3.934,12.083,83
NDC,71399-8014-1 [363895],ACETAMINOPHEN 325 MG TABLET [101],1.65,,0.462,1.419,83
NDC,71399-8245-3 [364672],SENNOSIDES 8.6 MG TABLET [11349],1.65,,0.462,1.419,83
NDC,71414-301-05 [305516],ETHANOL (ETHYL ALCOHOL) 98 % INJECTION SOLUTION [124788],204.8,,57.344,176.128,83
NDC,71428-003-60 [320489],CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION [1742],101.45,,28.406,87.247,83
NDC,71469-231-01 [314410],AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION [186525],8469.5,,2371.46,7283.77,83
NDC,71511-301-16 [339941],TRAMADOL 5 MG/ML ORAL SOLUTION [192829],1905.95,,533.666,1639.117,83
NDC,71656-061-16 [391466],GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION [107829],331.9,,92.932,285.434,83
NDC,71740-112-30 [303943],POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION [6445],1548.2,,433.496,1331.452,83
NDC,71773-050-01 [312880],ERAVACYCLINE 10 MG/ML INJECTION [40800002023],250.25,,1.29,215.215,86
NDC,71773-050-01 [312880],ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION [186262],250.25,,1.29,215.215,86
NDC,71773-050-05 [312881],ERAVACYCLINE 10 MG/ML INJECTION [40800002023],250.25,,1.29,215.215,86
NDC,71773-050-05 [312881],ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION [186262],250.25,,1.29,215.215,86
NDC,71773-050-12 [312882],ERAVACYCLINE 10 MG/ML INJECTION [40800002023],250.25,,1.29,215.215,86
NDC,71773-050-12 [312882],ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION [186262],250.25,,1.29,215.215,86
NDC,71837-1000-1 [391467],ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [206643],39252.65,,33.57,33757.279,85
NDC,71837-1000-2 [391468],ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION [206643],39252.65,,33.57,33757.279,85
NDC,71837-5843-1 [342842],SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],1030.75,,56.09,886.445,86
NDC,71837-5843-1 [342842],SARGRAMOSTIM 250 MCG/ML INJECTION [40800000115],1030.75,,56.09,886.445,86
NDC,71837-5843-5 [342843],SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION [11338],1030.75,,56.09,886.445,86
NDC,71837-5843-5 [342843],SARGRAMOSTIM 250 MCG/ML INJECTION [40800000115],1030.75,,56.09,886.445,86
NDC,71839-104-01 [328676],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],96.1,,0.11,82.646,84
NDC,71839-104-01 [328676],FOSAPREPITANT 30 MG/ML INJ [40800000315],96.1,,0.11,82.646,84
NDC,71839-107-01 [328678],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],85.8,,0.03,73.788,84
NDC,71839-107-01 [328678],DAPTOMYCIN INJ 50 MG/ML [40800000042],85.8,,0.03,73.788,84
NDC,71858-0105-4 [319466],LEVOTHYROXINE 13 MCG/ML ORAL SOLUTION [187551],24.85,,6.958,21.371,83
NDC,71858-0105-5 [319467],LEVOTHYROXINE 13 MCG/ML ORAL SOLUTION [187551],24.85,,6.958,21.371,83
NDC,71858-0110-4 [319468],LEVOTHYROXINE 25 MCG/ML ORAL SOLUTION [187552],24.85,,6.958,21.371,83
NDC,71858-0110-5 [319469],LEVOTHYROXINE 25 MCG/ML ORAL SOLUTION [187552],24.85,,6.958,21.371,83
NDC,71858-0115-4 [319470],LEVOTHYROXINE 50 MCG/ML ORAL SOLUTION [187553],24.85,,6.958,21.371,83
NDC,71858-0115-5 [319471],LEVOTHYROXINE 50 MCG/ML ORAL SOLUTION [187553],24.85,,6.958,21.371,83
NDC,71858-0120-4 [319472],LEVOTHYROXINE 75 MCG/ML ORAL SOLUTION [187554],24.85,,6.958,21.371,83
NDC,71858-0120-5 [319473],LEVOTHYROXINE 75 MCG/ML ORAL SOLUTION [187554],24.85,,6.958,21.371,83
NDC,71858-0125-4 [319474],LEVOTHYROXINE 88 MCG/ML ORAL SOLUTION [187555],24.85,,6.958,21.371,83
NDC,71858-0125-5 [319475],LEVOTHYROXINE 88 MCG/ML ORAL SOLUTION [187555],24.85,,6.958,21.371,83
NDC,71858-0130-4 [319476],LEVOTHYROXINE 100 MCG/ML ORAL SOLUTION [187556],24.85,,6.958,21.371,83
NDC,71858-0130-5 [319477],LEVOTHYROXINE 100 MCG/ML ORAL SOLUTION [187556],24.85,,6.958,21.371,83
NDC,71858-0135-4 [319478],LEVOTHYROXINE 112 MCG/ML ORAL SOLUTION [187557],24.85,,6.958,21.371,83
NDC,71858-0135-5 [319479],LEVOTHYROXINE 112 MCG/ML ORAL SOLUTION [187557],24.85,,6.958,21.371,83
NDC,71858-0140-4 [319480],LEVOTHYROXINE 125 MCG/ML ORAL SOLUTION [187558],24.85,,6.958,21.371,83
NDC,71858-0140-5 [319481],LEVOTHYROXINE 125 MCG/ML ORAL SOLUTION [187558],24.85,,6.958,21.371,83
NDC,71858-0145-4 [319482],LEVOTHYROXINE 137 MCG/ML ORAL SOLUTION [187559],24.85,,6.958,21.371,83
NDC,71858-0145-5 [319483],LEVOTHYROXINE 137 MCG/ML ORAL SOLUTION [187559],24.85,,6.958,21.371,83
NDC,71858-0150-4 [319484],LEVOTHYROXINE 150 MCG/ML ORAL SOLUTION [187560],24.85,,6.958,21.371,83
NDC,71858-0150-5 [319485],LEVOTHYROXINE 150 MCG/ML ORAL SOLUTION [187560],24.85,,6.958,21.371,83
NDC,71858-0155-4 [319486],LEVOTHYROXINE 175 MCG/ML ORAL SOLUTION [187561],24.85,,6.958,21.371,83
NDC,71858-0155-5 [319487],LEVOTHYROXINE 175 MCG/ML ORAL SOLUTION [187561],24.85,,6.958,21.371,83
NDC,71858-0160-4 [319488],LEVOTHYROXINE 200 MCG/ML ORAL SOLUTION [187562],24.85,,6.958,21.371,83
NDC,71858-0160-5 [319489],LEVOTHYROXINE 200 MCG/ML ORAL SOLUTION [187562],24.85,,6.958,21.371,83
NDC,71921-185-05 [357722],BRIMONIDINE 0.2 % EYE DROPS [17881],38.55,,10.794,33.153,83
NDC,71921-185-15 [357724],BRIMONIDINE 0.2 % EYE DROPS [17881],46.25,,12.95,39.775,83
NDC,71921-309-56 [389953],VARENICLINE TARTRATE 1 MG TABLET [76445],3.6,,1.008,3.096,83
NDC,71930-019-12 [312886],HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],2.85,,0.798,2.451,83
NDC,71930-023-30 [312892],OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],459.9,,128.772,395.514,83
NDC,71930-047-12 [325697],OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],4.35,,1.218,3.741,83
NDC,71930-057-12 [333291],VALPROIC ACID 250 MG CAPSULE [8429],1.7,,0.476,1.462,83
NDC,71930-063-15 [330157],LEVETIRACETAM 500 MG TABLET [26817],1.65,,0.462,1.419,83
NDC,72078-026-10 [341888],EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],185.35,,3.26,159.401,85
NDC,72078-033-00 [356986],ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],26.3,,0.46,22.618,84
NDC,72078-033-02 [356987],ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [38703],26.3,,0.46,22.618,84
NDC,72078-034-00 [372049],REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],232.45,,65.086,199.907,83
NDC,72078-034-01 [372050],REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [18398],232.45,,65.086,199.907,83
NDC,7214000021 [103879],WHITE PETROLATUM-MINERAL OIL +/- LANOLIN TOPICAL CREAM CONTAINER [40840004336],49.55,,13.874,42.613,83
NDC,7214000021 [103879],WHITE PETROLATUM-MINERAL OIL TOPICAL CREAM [11371],49.55,,13.874,42.613,83
NDC,7214000022 [103880],WHITE PETROLATUM-MINERAL OIL +/- LANOLIN TOPICAL CREAM CONTAINER [40840004336],34.85,,9.758,29.971,83
NDC,7214000022 [103880],WHITE PETROLATUM-MINERAL OIL TOPICAL CREAM [11371],34.85,,9.758,29.971,83
NDC,7214000401 [357727],WHITE PETROLATUM 41 % TOPICAL OINTMENT [125869],23.35,,6.538,20.081,83
NDC,7214001715 [313102],WHITE PETROLATUM 41 % TOPICAL OINTMENT [125869],35.3,,9.884,30.358,83
NDC,7214003147 [94775],WHITE PETROLATUM 41 % TOPICAL OINTMENT [125869],49.6,,13.888,42.656,83
NDC,7214011020 [214405],LANOLIN-MINERAL OIL LOTION [2787],44.95,,12.586,38.657,83
NDC,7214011047 [281447],WHITE PETROLATUM 41 % TOPICAL OINTMENT [125869],1.65,,0.462,1.419,83
NDC,7214045231 [103884],WHITE PETROLATUM 41 % TOPICAL OINTMENT [125869],23.35,,6.538,20.081,83
NDC,7214063386 [357738],WHITE PETROLATUM 41 % TOPICAL OINTMENT [125869],57.25,,16.03,49.235,83
NDC,7214063608 [214407],WHITE PETROLATUM 41 % TOPICAL OINTMENT [125869],57.25,,16.03,49.235,83
NDC,72187-0401-1 [317962],"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION [187739]",110586.8,,348.62,95104.648,86
NDC,72205-005-30 [314507],ROSUVASTATIN 40 MG TABLET [35136],1.65,,0.462,1.419,83
NDC,72205-007-92 [314511],CAPECITABINE 500 MG TABLET [22994],2.4,,0.03,2.064,86
NDC,72205-012-90 [325709],PREGABALIN 50 MG CAPSULE [42163],2.85,,0.798,2.451,83
NDC,72205-015-90 [325712],PREGABALIN 150 MG CAPSULE [42166],2.85,,0.798,2.451,83
NDC,72205-019-01 [360850],VALGANCICLOVIR 5 GRAM ORAL SOLUTION BOTTLE [40800004434],2588.15,,724.682,2225.809,83
NDC,72205-019-01 [360850],VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [99443],2588.15,,724.682,2225.809,83
NDC,72205-027-90 [323291],ROSUVASTATIN 5 MG TABLET [36612],1.65,,0.462,1.419,83
NDC,72205-031-01 [327778],DECITABINE 5 MG/ML INJ [40800000413],648.65,,1.59,557.839,84
NDC,72205-031-01 [327778],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],648.65,,1.59,557.839,84
NDC,72205-042-11 [338094],OSELTAMIVIR 30 MG CAPSULE [88704],7.85,,2.198,6.751,83
NDC,72205-045-01 [333302],THIOTEPA 15 MG SOLUTION FOR INJECTION [7901],2293.2,,5.74,1972.152,86
NDC,72205-046-01 [333303],THIOTEPA 100 MG SOLUTION FOR INJECTION [181698],13923.0,,5.74,11973.78,86
NDC,72205-049-30 [341040],AMINOCAPROIC ACID 500 MG TABLET [9063],41.75,,11.69,35.905,83
NDC,72205-051-08 [343954],ALBENDAZOLE 200 MG TABLET [8979],102.55,,28.714,88.193,83
NDC,72205-054-01 [335334],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],85.8,,0.11,73.788,84
NDC,72205-063-01 [338100],"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",188.8,,0.11,162.368,84
NDC,72205-071-79 [404485],PERAMPANEL 0.5 MG/ML ORAL SUSPENSION [178741],4913.9,,1375.892,4225.954,83
NDC,72205-083-01 [348426],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],85.8,,0.11,73.788,84
NDC,72205-083-01 [348426],FOSAPREPITANT 30 MG/ML INJ [40800000315],85.8,,0.11,73.788,84
NDC,72205-101-01 [363921],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.4,,0.61,9.804,84
NDC,72205-101-07 [363922],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],11.4,,0.61,9.804,84
NDC,72205-102-01 [363923],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],13.15,,0.61,11.309,84
NDC,72205-102-07 [363924],BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],13.15,,0.61,11.309,84
NDC,72205-120-01 [377119],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],14.25,,0.05,12.255,84
NDC,72205-120-07 [377120],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],14.25,,0.05,12.255,84
NDC,72205-120-25 [377121],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],11.85,,0.05,10.191,84
NDC,72205-167-30 [386036],OLMESARTAN 40 MG TABLET [32763],1.65,,0.462,1.419,83
NDC,72205-183-01 [360851],BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],120.15,,1.59,103.329,84
NDC,72205-183-01 [360851],BORTEZOMIB IV INJ 1 MG/ML INJECTION [40800000444],120.15,,1.59,103.329,84
NDC,72205-183-01 [360851],BORTEZOMIB SUBCUTANEOUS 1 MG/ML INJECTION [40800002483],120.15,,1.59,103.329,84
NDC,72205-183-01 [360851],BORTEZOMIB SUBCUTANEOUS INJ 2.5 MG/ML [40800000445],120.15,,1.59,103.329,84
NDC,72205-197-01 [403468],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],1474.2,,173.64,1267.812,86
NDC,72205-197-01 [403468],CARMUSTINE 3.3 MG/ML INJ [40800000104],1474.2,,173.64,1267.812,86
NDC,72205-198-01 [382922],CARMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION [28911],1474.2,,173.64,1267.812,86
NDC,72205-198-01 [382922],CARMUSTINE 3.3 MG/ML INJ [40800000104],1474.2,,173.64,1267.812,86
NDC,72205-248-01 [396670],DEXRAZOXANE (PFIZER/HIKMA/BRECKENRIDGE/GLAND/FOSUN/ALMAJECT) 10 MG/ML INJ CONTAINER [40800000044],982.8,,32.09,845.208,86
NDC,72205-248-01 [396670],DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],982.8,,32.09,845.208,86
NDC,72205-249-01 [372131],PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION [95849],3592.15,,32.74,3089.249,86
NDC,72205-265-01 [384750],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],23.7,,6.636,20.382,83
NDC,72205-265-07 [384751],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],23.7,,6.636,20.382,83
NDC,72237-101-04 [325731],SELINEXOR 80 MG TWICE WEEKLY (160 MG/WEEK) (20 MG X 8) TABLET [188712],3554.7,,995.316,3057.042,83
NDC,72241-023-05 [358891],CELECOXIB 100 MG CAPSULE [24500],1.65,,0.462,1.419,83
NDC,72241-038-05 [353766],GLYBURIDE 1.25 MG TABLET [10125],1.65,,0.462,1.419,83
NDC,72266-101-01 [322173],DEXRAZOXANE (PFIZER/HIKMA/BRECKENRIDGE/GLAND/FOSUN/ALMAJECT) 10 MG/ML INJ CONTAINER [40800000044],1502.1,,32.09,1291.806,86
NDC,72266-101-01 [322173],DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],1502.1,,32.09,1291.806,86
NDC,72266-102-01 [325737],LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],35.05,,0.39,30.143,84
NDC,72266-106-01 [325739],CASPOFUNGIN 5 MG/ML INJ [40800000012],244.4,,2.27,210.184,84
NDC,72266-106-01 [325739],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003344],244.4,,2.27,210.184,84
NDC,72266-106-01 [325739],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],244.4,,2.27,210.184,84
NDC,72266-108-01 [326829],CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION [40404],6224.4,,10.94,5352.984,86
NDC,72266-118-01 [323293],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],7.7,,0.34,6.622,86
NDC,72266-118-25 [323294],KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],7.7,,0.34,6.622,86
NDC,72266-122-01 [322174],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,72266-122-05 [357011],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,72266-124-01 [325745],ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],21.9,,0.09,18.834,84
NDC,72266-124-01 [325745],ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349],21.9,,0.09,18.834,84
NDC,72266-128-01 [328689],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1637.95,,99.9833,1408.637,86
NDC,72266-128-01 [328689],MELPHALAN INJ 5 MG/ML [40800000435],1637.95,,99.9833,1408.637,86
NDC,72266-131-01 [342867],VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],205.95,,0.78,177.117,84
NDC,72266-144-01 [328690],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],1637.95,,99.9833,1408.637,86
NDC,72266-144-01 [328690],MELPHALAN INJ 5 MG/ML [40800000435],1637.95,,99.9833,1408.637,86
NDC,72266-146-01 [326830],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],19.5,,5.46,16.77,83
NDC,72266-146-10 [326831],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],19.5,,5.46,16.77,83
NDC,72266-152-01 [372132],ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [81434],200.0,,5.2,172.0,84
NDC,72266-158-01 [345386],MOXIFLOXACIN 0.5 % EYE DROPS [35699],44.7,,12.516,38.442,83
NDC,72266-159-01 [354974],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],254.4,,9.02,218.784,84
NDC,72266-159-01 [354974],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],254.4,,9.02,218.784,84
NDC,72266-159-01 [354974],ERTAPENEM 100 MG/ML INJ [40800000062],274.6,,9.02,236.156,84
NDC,72266-159-10 [353868],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003369],254.4,,9.02,218.784,84
NDC,72266-159-10 [353868],ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [31922],254.4,,9.02,218.784,84
NDC,72266-159-10 [353868],ERTAPENEM 100 MG/ML INJ [40800000062],274.6,,9.02,236.156,84
NDC,72266-163-01 [355485],TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],264.3,,2.46,227.298,84
NDC,72266-163-06 [355486],TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION [11565],264.3,,2.46,227.298,84
NDC,72266-197-01 [368796],DORZOLAMIDE 2 % EYE DROPS [14471],57.8,,16.184,49.708,83
NDC,72266-204-01 [375797],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],20.15,,2.52,17.329,84
NDC,72266-204-10 [375798],PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [6580],20.15,,2.52,17.329,84
NDC,72266-235-01 [358896],DEXRAZOXANE (PFIZER/HIKMA/BRECKENRIDGE/GLAND/FOSUN/ALMAJECT) 10 MG/ML INJ CONTAINER [40800000044],754.45,,32.09,648.827,86
NDC,72266-235-01 [358896],DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION [15156],754.45,,32.09,648.827,86
NDC,72266-237-01 [370883],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],52.3,,0.12,44.978,84
NDC,72266-237-01 [370883],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],52.3,,0.12,44.978,84
NDC,72266-237-05 [370884],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],52.3,,0.12,44.978,84
NDC,72266-237-05 [370884],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],52.3,,0.12,44.978,84
NDC,72266-249-01 [375799],"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",36.85,,10.318,31.691,83
NDC,72266-249-10 [375800],"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",36.85,,10.318,31.691,83
NDC,72266-251-01 [374365],CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION [9348],35.5,,9.94,30.53,83
NDC,72266-251-10 [374366],CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION [9348],35.5,,9.94,30.53,83
NDC,72266-252-01 [377124],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],85.8,,1.95,73.788,84
NDC,72266-252-01 [377124],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],85.8,,1.95,73.788,84
NDC,72266-253-01 [375801],CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [88376],137.3,,1.95,118.078,84
NDC,72266-253-01 [375801],CISPLATIN HIPEC 1 MG/ML INFUSION CONTAINER [40800000344],137.3,,1.95,118.078,84
NDC,72305-025-30 [316250],LEVOTHYROXINE 25 MCG TABLET [4420],1.65,,0.462,1.419,83
NDC,72305-025-90 [362986],LEVOTHYROXINE 25 MCG TABLET [4420],1.65,,0.462,1.419,83
NDC,72485-101-01 [323303],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],7.05,,0.9,6.063,84
NDC,72485-101-25 [323304],DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],7.05,,0.9,6.063,84
NDC,72485-104-01 [331004],CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [109034],35.65,,9.982,30.659,83
NDC,72485-104-10 [341905],CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [109034],39.25,,10.99,33.755,83
NDC,72485-106-01 [342869],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],11.85,,0.05,10.191,84
NDC,72485-106-10 [342870],LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [77195],11.85,,0.05,10.191,84
NDC,72485-107-01 [349674],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",16.6,,4.648,14.276,83
NDC,72485-107-10 [349675],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",16.6,,4.648,14.276,83
NDC,72485-201-01 [314513],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],154.45,,0.21,132.827,84
NDC,72485-201-01 [314513],AZACITIDINE INJECTION 10 MG/ML [40800000411],154.45,,0.21,132.827,84
NDC,72485-212-05 [322190],IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [91054],61.8,,1.4,53.148,84
NDC,72485-403-01 [357755],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],23.7,,1.11,20.382,84
NDC,72485-403-01 [357755],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],21.9,,1.11,18.834,84
NDC,72485-403-01 [357755],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],21.9,,1.11,18.834,84
NDC,72485-403-10 [357756],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],23.7,,1.11,20.382,84
NDC,72485-403-10 [357756],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],21.9,,1.11,18.834,84
NDC,72485-403-10 [357756],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],21.9,,1.11,18.834,84
NDC,72485-404-01 [357757],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],30.85,,1.11,26.531,84
NDC,72485-404-01 [357757],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],28.5,,1.11,24.51,84
NDC,72485-404-01 [357757],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],28.5,,1.11,24.51,84
NDC,72485-404-10 [357758],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],30.85,,1.11,26.531,84
NDC,72485-404-10 [357758],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],28.5,,1.11,24.51,84
NDC,72485-404-10 [357758],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],28.5,,1.11,24.51,84
NDC,72485-406-01 [378381],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],33.0,,0.06,28.38,84
NDC,72485-406-01 [378381],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],33.0,,0.06,28.38,84
NDC,72485-406-01 [378381],NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],35.65,,0.06,30.659,84
NDC,72485-406-10 [378382],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003379],33.0,,0.06,28.38,84
NDC,72485-406-10 [378382],NAFCILLIN 2 GRAM SOLUTION FOR INJECTION [5335],33.0,,0.06,28.38,84
NDC,72485-406-10 [378382],NAFCILLIN 250 MG/ML INJ CONTAINER [40800000202],35.65,,0.06,30.659,84
NDC,72485-409-01 [361762],OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],32.1,,0.82,27.606,84
NDC,72485-409-01 [361762],OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],32.1,,0.82,27.606,84
NDC,72485-409-10 [361763],OXACILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003381],32.1,,0.82,27.606,84
NDC,72485-409-10 [361763],OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],32.1,,0.82,27.606,84
NDC,72485-412-01 [374367],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],25.2,,0.44,21.672,84
NDC,72485-412-01 [374367],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.2,,0.44,21.672,84
NDC,72485-412-01 [374367],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],27.3,,0.44,23.478,84
NDC,72485-412-10 [374368],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003373],25.2,,0.44,21.672,84
NDC,72485-412-10 [374368],MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [17380],25.2,,0.44,21.672,84
NDC,72485-412-10 [374368],MEROPENEM 50 MG/ML INJ CONTAINER [40800000318],27.3,,0.44,23.478,84
NDC,72485-415-01 [365814],MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [23968],131.2,,0.41,112.832,84
NDC,72485-417-01 [368797],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],23.25,,1.49,19.995,84
NDC,72485-417-01 [368797],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],23.25,,1.49,19.995,84
NDC,72485-417-01 [368797],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],25.15,,1.49,21.629,84
NDC,72485-417-10 [368798],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],23.25,,1.49,19.995,84
NDC,72485-417-10 [368798],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],23.25,,1.49,19.995,84
NDC,72485-417-10 [368798],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],25.15,,1.49,21.629,84
NDC,72485-422-01 [368799],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],15.35,,0.49,13.201,84
NDC,72485-422-01 [368799],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],15.35,,0.49,13.201,84
NDC,72485-422-01 [368799],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],16.6,,0.49,14.276,84
NDC,72485-422-10 [368800],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003338],15.35,,0.49,13.201,84
NDC,72485-422-10 [368800],AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],15.35,,0.49,13.201,84
NDC,72485-422-10 [368800],AMPICILLIN 250 MG/ML INJ CONTAINER [40800001600],16.6,,0.49,14.276,84
NDC,72485-505-01 [369877],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],38.35,,10.738,32.981,83
NDC,72485-505-10 [369878],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],38.35,,10.738,32.981,83
NDC,72485-508-01 [381958],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],19.85,,5.558,17.071,83
NDC,72485-508-10 [381959],ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],19.85,,5.558,17.071,83
NDC,72485-611-30 [394831],LIDOCAINE HCL 2 % MUCOSAL JELLY [4448],327.6,,91.728,281.736,83
NDC,72485-625-13 [380830],"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [36576]",275.85,,77.238,237.231,83
NDC,72485-670-31 [379681],ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],37.6,,10.528,32.336,83
NDC,72485-670-35 [378385],ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],43.15,,12.082,37.109,83
NDC,72493-101-40 [335605],MITOMYCIN 4 MG/ML INTRA-PYELOCALYCEAL SOLUTION [40800003543],41678.95,,317.42,35843.897,86
NDC,72493-101-40 [335605],MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [191142],41678.95,,317.42,35843.897,86
NDC,72493-103-03 [334342],MITOMYCIN 4 MG/ML INTRA-PYELOCALYCEAL SOLUTION [40800003543],83357.85,,317.42,71687.751,86
NDC,72493-103-03 [334342],MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT [191142],83357.85,,317.42,71687.751,86
NDC,72508-204-10 [320550],AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION [9080],369.45,,103.446,317.727,83
NDC,72516-024-01 [350590],PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],123.6,,34.608,106.296,83
NDC,72516-024-10 [343965],PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],123.6,,34.608,106.296,83
NDC,72516-024-25 [343966],PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],123.6,,34.608,106.296,83
NDC,72516-030-01 [359961],"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [29858]",1.65,,0.462,1.419,83
NDC,72572-875-01 [368801],VORICONAZOLE 10 MG/ML INJ [40800000401],78.65,,0.78,67.639,84
NDC,72572-875-01 [368801],VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION [33010],78.65,,0.78,67.639,84
NDC,72578-002-01 [343967],ACYCLOVIR 200 MG CAPSULE [8969],1.65,,0.462,1.419,83
NDC,72578-003-14 [329483],MEMANTINE 5 MG TABLET [37170],1.65,,0.462,1.419,83
NDC,72578-008-01 [323308],METRONIDAZOLE 500 MG TABLET [5016],1.75,,0.49,1.505,83
NDC,72578-082-01 [337021],ACYCLOVIR 5 % TOPICAL OINTMENT [8968],186.95,,52.346,160.777,83
NDC,72578-082-06 [337022],ACYCLOVIR 5 % TOPICAL OINTMENT [8968],294.85,,82.558,253.571,83
NDC,72578-086-02 [337024],DESONIDE 0.05 % TOPICAL CREAM [2291],282.3,,79.044,242.778,83
NDC,72578-090-01 [342883],TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],1.65,,0.462,1.419,83
NDC,72578-093-06 [339063],BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT [1029],322.0,,90.16,276.92,83
NDC,72578-101-05 [367740],ACYCLOVIR 5 % TOPICAL CREAM [8967],491.4,,137.592,422.604,83
NDC,72578-104-69 [365823],MIRTAZAPINE 30 MG DISINTEGRATING TABLET [29532],2.4,,0.672,2.064,83
NDC,72578-104-84 [365824],MIRTAZAPINE 30 MG DISINTEGRATING TABLET [29532],2.4,,0.672,2.064,83
NDC,72578-166-01 [384764],DEXAMETHASONE 1 MG TABLET [2324],1.65,,0.02,1.419,84
NDC,72579-121-01 [386910],TISLELIZUMAB-JSGR 10 MG/ML INTRAVENOUS SOLUTION [205480],18260.45,,57.42,15703.987,86
NDC,72603-107-01 [342888],DECITABINE 5 MG/ML INJ [40800000413],3076.55,,1.59,2645.833,84
NDC,72603-107-01 [342888],DECITABINE 50 MG INTRAVENOUS SOLUTION [76364],3076.55,,1.59,2645.833,84
NDC,72603-152-01 [372145],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],1342.55,,0.03,1154.593,84
NDC,72603-152-01 [372145],DAPTOMYCIN INJ 50 MG/ML [40800000042],1342.55,,0.03,1154.593,84
NDC,72611-642-01 [327789],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],21.75,,1.67,18.705,84
NDC,72611-642-25 [327790],CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [82301],21.75,,1.67,18.705,84
NDC,72611-700-01 [337026],CASPOFUNGIN 5 MG/ML INJ [40800000012],307.95,,2.27,264.837,84
NDC,72611-700-01 [337026],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003344],307.95,,2.27,264.837,84
NDC,72611-700-01 [337026],CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION [29567],307.95,,2.27,264.837,84
NDC,72611-716-01 [342892],DEXRAZOXANE (PFIZER/HIKMA/BRECKENRIDGE/GLAND/FOSUN/ALMAJECT) 10 MG/ML INJ CONTAINER [40800000044],1307.15,,32.09,1124.149,86
NDC,72611-716-01 [342892],DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],1307.15,,32.09,1124.149,86
NDC,72611-716-72 [359986],DEXRAZOXANE (PFIZER/HIKMA/BRECKENRIDGE/GLAND/FOSUN/ALMAJECT) 10 MG/ML INJ CONTAINER [40800000044],475.05,,32.09,408.543,86
NDC,72611-716-72 [359986],DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],475.05,,32.09,408.543,86
NDC,72611-740-01 [337027],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,72611-740-10 [337028],METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],6.4,,0.13,5.504,84
NDC,72611-741-01 [342893],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],8.05,,0.16,6.923,84
NDC,72611-741-01 [342893],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,72611-741-25 [342894],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],8.05,,0.16,6.923,84
NDC,72611-741-25 [342894],MIDAZOLAM 1 MG/ML INJECTION SOLUTION [40872],8.05,,0.16,6.923,84
NDC,72611-749-01 [338120],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],29.25,,0.16,25.155,84
NDC,72611-749-10 [338121],MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],29.25,,0.16,25.155,84
NDC,72611-756-01 [335343],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],27.85,,7.798,23.951,83
NDC,72611-756-01 [335343],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],27.85,,7.798,23.951,83
NDC,72611-756-10 [335344],ROCURONIUM 10 MG/ML INJ CONTAINER [40800000740],27.85,,7.798,23.951,83
NDC,72611-756-10 [335344],ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [95811],27.85,,7.798,23.951,83
NDC,72611-761-01 [342895],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],13.15,,0.03,11.309,84
NDC,72611-761-01 [342895],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],13.15,,0.03,11.309,84
NDC,72611-761-10 [342896],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003389],13.15,,0.03,11.309,84
NDC,72611-761-10 [342896],VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],13.15,,0.03,11.309,84
NDC,72611-765-01 [343978],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",26.25,,0.03,22.575,84
NDC,72611-765-01 [343978],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",26.25,,0.03,22.575,84
NDC,72611-765-01 [343978],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],28.4,,0.03,24.424,84
NDC,72611-765-10 [343979],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION (MBP INGREDIENT) [40800003388]",26.25,,0.03,22.575,84
NDC,72611-765-10 [343979],"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",26.25,,0.03,22.575,84
NDC,72611-765-10 [343979],VANCOMYCIN 50 MG/ML INJ CONTAINER [40800000400],28.4,,0.03,24.424,84
NDC,72611-780-01 [335347],TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],4225.7,,23.3634,3634.102,86
NDC,72611-785-02 [335348],TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [82228],4225.7,,23.3634,3634.102,86
NDC,72611-860-01 [363013],ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],117.7,,0.37,101.222,84
NDC,72611-860-04 [363014],ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [38303],117.7,,0.37,101.222,84
NDC,72694-515-01 [327796],CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION [189288],99878.5,,81.91,85895.51,86
NDC,72694-954-01 [333316],PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519],92238.8,,25826.864,79325.368,86
NDC,72694-954-01 [333316],PEGASPARGASE 750 UNIT/ML INTRAMUSCULAR SOLUTION [40800002452],92238.8,,25826.864,79325.368,86
NDC,72768-9011-4 [340039],PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR [6225],607.35,,170.058,522.321,83
NDC,72769-181-01 [342897],PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [170179],1037.4,,1.68,892.164,85
NDC,72769-181-03 [342898],PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION [170179],1037.4,,1.68,892.164,85
NDC,72789-057-01 [333340],"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",1.65,,0.462,1.419,83
NDC,72819-153-02 [369900],MITOMYCIN 0.1 MG/ML INJ CONTAINER [40800002659],442.9,,28.27,380.894,86
NDC,72819-153-02 [369900],MITOMYCIN 0.25 MG/ML INJ CONTAINER [40800002660],442.9,,28.27,380.894,86
NDC,72819-153-02 [369900],MITOMYCIN 0.5 MG/ML INJ CONTAINER [40800000212],442.9,,28.27,380.894,86
NDC,72819-153-02 [369900],MITOMYCIN 1 MG/ML INTRAVESICULAR CONTAINER [40800000124],442.9,,28.27,380.894,86
NDC,72819-153-02 [369900],MITOMYCIN 2 MG/ML INTRAVESICULAR CONTAINER [40800000125],442.9,,28.27,380.894,86
NDC,72819-153-02 [369900],MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],442.9,,28.27,380.894,86
NDC,72819-186-03 [361804],IMATINIB 400 MG TABLET [36092],20.55,,5.754,17.673,83
NDC,72819-234-06 [384831],CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [124000],89.25,,24.99,76.755,83
NDC,72819-234-16 [384832],CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [124000],89.25,,24.99,76.755,83
NDC,72874-001-01 [338379],"FLUOROESTRADIOL F-18 148 MBQ/ML TO 3,700 MBQ/ML INTRAVENOUS SOLUTION [193254]",2292.0,,460.42,1971.12,85
NDC,72888-009-01 [348474],BACLOFEN 5 MG TABLET [185170],1.65,,0.462,1.419,83
NDC,72888-010-01 [347607],BACLOFEN 10 MG TABLET [860],1.65,,0.462,1.419,83
NDC,72888-012-00 [357044],CYCLOBENZAPRINE 5 MG TABLET [35184],1.65,,0.462,1.419,83
NDC,72888-012-01 [345500],CYCLOBENZAPRINE 5 MG TABLET [35184],1.65,,0.462,1.419,83
NDC,72888-024-06 [365869],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.2,,2.016,6.192,83
NDC,72888-024-07 [365870],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],7.2,,2.016,6.192,83
NDC,72888-024-10 [365871],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],6.15,,1.722,5.289,83
NDC,72888-024-43 [365872],POTASSIUM CHLORIDE 20 MEQ ORAL PACKET [6434],6.85,,1.918,5.891,83
NDC,72888-031-01 [347613],"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR [24471]",1.65,,0.462,1.419,83
NDC,72888-034-01 [352311],CARVEDILOL 3.125 MG TABLET [18551],1.65,,0.462,1.419,83
NDC,72888-035-01 [352312],CARVEDILOL 6.25 MG TABLET [15747],1.65,,0.462,1.419,83
NDC,72888-039-60 [341930],AMIODARONE 200 MG TABLET [9066],1.65,,0.462,1.419,83
NDC,72888-048-01 [353780],ACETAZOLAMIDE 250 MG TABLET [113],1.7,,0.476,1.462,83
NDC,72888-060-30 [347616],AMIODARONE 100 MG TABLET [36959],7.9,,2.212,6.794,83
NDC,72888-080-01 [352319],TRAMADOL 50 MG TABLET [14632],2.85,,0.798,2.451,83
NDC,72888-104-25 [372209],GABAPENTIN 250 MG/5 ML ORAL SOLUTION [29169],239.3,,67.004,205.798,83
NDC,72888-118-01 [369905],CEVIMELINE 30 MG CAPSULE [27253],7.0,,1.96,6.02,83
NDC,72888-125-26 [369906],LIDOCAINE HCL 2 % MUCOSAL SOLUTION [124454],42.4,,11.872,36.464,83
NDC,72888-152-01 [365883],CLONAZEPAM 0.5 MG TABLET [9637],2.85,,0.798,2.451,83
NDC,72888-153-01 [365886],CLONAZEPAM 1 MG TABLET [9638],2.85,,0.798,2.451,83
NDC,72888-157-39 [375847],NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION [10757],622.45,,174.286,535.307,83
NDC,72888-162-30 [378431],TRAMADOL 25 MG TABLET [203475],18.65,,5.222,16.039,83
NDC,72888-192-01 [375855],MYCOPHENOLATE MOFETIL 250 MG CAPSULE [15113],1.65,,0.16,1.419,84
NDC,72888-208-05 [387820],METOPROLOL TARTRATE 25 MG TABLET [37637],1.65,,0.462,1.419,83
NDC,72893-002-01 [331056],BELINOSTAT 500 MG INTRAVENOUS SOLUTION [165105],8413.55,,52.04,7235.653,86
NDC,72893-002-01 [331056],BELINOSTAT INJECTION 50 MG/ML [40800000252],8413.55,,52.04,7235.653,86
NDC,72893-003-01 [369075],PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [99982],25500.95,,388.83,21930.817,86
NDC,72893-003-01 [369075],PRALATREXATE 20 MG/ML INJ CONTAINER [40800000211],25500.95,,388.83,21930.817,86
NDC,72893-005-01 [353232],PRALATREXATE 20 MG/ML INJ CONTAINER [40800000211],51001.9,,388.83,43861.634,86
NDC,72893-005-01 [353232],PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073],51001.9,,388.83,43861.634,86
NDC,72903-853-01 [363948],MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION [199485],22496.75,,69.52,19347.205,86
NDC,72964-011-01 [396729],TREPROSTINIL SODIUM 26.5 MCG CAPSULE WITH INHALATION DEVICE [208896],748.2,,209.496,643.452,83
NDC,72964-012-01 [396730],TREPROSTINIL SODIUM 53 MCG CAPSULE WITH INHALATION DEVICE [208897],748.2,,209.496,643.452,83
NDC,72964-013-01 [396731],TREPROSTINIL SODIUM 79.5 MCG CAPSULE WITH INHALATION DEVICE [208898],748.2,,209.496,643.452,83
NDC,72964-014-01 [396732],TREPROSTINIL SODIUM 106 MCG CAPSULE WITH INHALATION DEVICE [208899],748.2,,209.496,643.452,83
NDC,72976-563-02 [359189],"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT [127482]",1.65,,0.462,1.419,83
NDC,72989-372-30 [360864],PROGESTERONE MICRONIZED 100 MG CAPSULE [23122],57.25,,16.03,49.235,83
NDC,73042-201-01 [341976],NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION [193283],85391.9,,685.91,73437.034,86
NDC,73070-100-11 [330216],INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION [124347],230.05,,64.414,197.843,83
NDC,73090-420-01 [342931],SILTUXIMAB 100 MG INTRAVENOUS SOLUTION [162875],5379.95,,161.96,4626.757,86
NDC,73090-420-01 [342931],SILTUXIMAB 20 MG/ML INJ CONTAINER [40800000752],5379.95,,161.96,4626.757,86
NDC,73090-421-01 [342932],SILTUXIMAB 20 MG/ML INJ CONTAINER [40800000752],21519.7,,161.96,18506.942,86
NDC,73090-421-01 [342932],SILTUXIMAB 400 MG INTRAVENOUS SOLUTION [162876],21519.7,,161.96,18506.942,86
NDC,73153-900-01 [343995],LISOCABTAGENE MARALEUCEL 1.5 X 10EXP6 TO 70 X 10EXP6 CELL/ML IV SUSP [193841],1673753.76,,557918.0,1673753.76,16
NDC,73153-901-08 [344357],LISOCABTAGENE MARALEUCEL(CD8) 1.5X TO 70X 10EXP6 CELL/ML IV SUSP(1OF2) [40800003806],1673753.76,,557918.0,1673753.76,16
NDC,73293-0001-1 [352326],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],6.6,,1.848,5.676,83
NDC,73293-0001-2 [363950],LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104207],6.6,,1.848,5.676,83
NDC,73441-062-01 [403215],MOTIXAFORTIDE 62 MG SUBCUTANEOUS SOLUTION [202660],20294.85,,25.22,17453.571,86
NDC,73462-101-01 [344004],TRILACICLIB 15 MG/ML INJ [40800003068],5284.3,,5.39,4544.498,86
NDC,73462-101-01 [344004],TRILACICLIB 300 MG INTRAVENOUS SOLUTION [193868],5284.3,,5.39,4544.498,86
NDC,73473-303-70 [352336],METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL [10592],68.7,,19.236,59.082,83
NDC,73535-208-01 [337244],TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION [192300],4665.05,,14.08,4011.943,86
NDC,73535-208-01 [337244],TAFASITAMAB-CXIX 40 MG/ML INTRAVENOUS SOLUTION [40800003417],4665.05,,14.08,4011.943,86
NDC,73648-111-01 [394920],REMESTEMCEL-L-RKND 6.68 X 10EXP6 CELL/ML INTRAVENOUS SUSPENSION [207932],635544.0,,194000.0,635544.0,13
NDC,73648-112-02 [394921],REMESTEMCEL-L-RKND 6.68 X 10EXP6 CELL/ML INTRAVENOUS SUSPENSION [207932],635544.0,,194000.0,635544.0,13
NDC,73648-113-03 [394922],REMESTEMCEL-L-RKND 6.68 X 10EXP6 CELL/ML INTRAVENOUS SUSPENSION [207932],635544.0,,194000.0,635544.0,13
NDC,73648-114-01 [394923],REMESTEMCEL-L-RKND 6.68 X 10EXP6 CELL/ML INTRAVENOUS SUSPENSION [207932],635544.05,,194000.0,635544.05,13
NDC,73648-115-02 [394924],REMESTEMCEL-L-RKND 6.68 X 10EXP6 CELL/ML INTRAVENOUS SUSPENSION [207932],635544.0,,194000.0,635544.0,13
NDC,73648-116-03 [394925],REMESTEMCEL-L-RKND 6.68 X 10EXP6 CELL/ML INTRAVENOUS SUSPENSION [207932],635544.0,,194000.0,635544.0,13
NDC,73648-117-04 [394926],REMESTEMCEL-L-RKND 6.68 X 10EXP6 CELL/ML INTRAVENOUS SUSPENSION [207932],635544.0,,194000.0,635544.0,13
NDC,73648-118-02 [394927],REMESTEMCEL-L-RKND 6.68 X 10EXP6 CELL/ML INTRAVENOUS SUSPENSION [207932],635544.0,,194000.0,635544.0,13
NDC,73776-001-11 [380874],LIFILEUCEL 7.5 X 10EXP9 TO 72 X 10EXP9 CELL INTRAVENOUS SUSPENSION [203845],1837740.0,,612580.0,1837740.0,14
NDC,73776-001-12 [380875],LIFILEUCEL 7.5 X 10EXP9 TO 72 X 10EXP9 CELL INTRAVENOUS SUSPENSION [203845],1837740.0,,612580.0,1837740.0,14
NDC,73776-022-01 [386926],ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION [8993],21639.3,,3338.87,18609.798,85
NDC,73776-022-01 [386926],ALDESLEUKIN INJ 18 MILLION UNITS/ML [40800000448],21639.3,,3338.87,18609.798,85
NDC,7430000065 [94945],ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE [111153],62.7,,17.556,53.922,83
NDC,7430000071 [94948],ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE [111153],29.95,,8.386,25.757,83
NDC,7431202832 [263865],MELATONIN 1 MG TABLET [82464],1.65,,0.462,1.419,83
NDC,7431205535 [110604],MAGNESIUM 500 MG (AS MAGNESIUM OXIDE) TABLET [4717],1.65,,0.462,1.419,83
NDC,74527-022-01 [345515],MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [194020],9415.95,,50.45,8097.717,86
NDC,74527-022-02 [345516],MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [194020],9415.95,,50.45,8097.717,86
NDC,74527-022-03 [345517],MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [194020],9415.95,,50.45,8097.717,86
NDC,74676-5902-1 [341086],TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION [28558],3143.15,,469.38,2703.109,86
NDC,75826-114-10 [283295],PHENAZOPYRIDINE 100 MG TABLET [6193],1.65,,0.462,1.419,83
NDC,75826-115-10 [281448],PHENAZOPYRIDINE 200 MG TABLET [6194],1.8,,0.504,1.548,83
NDC,75826-128-04 [310211],PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR [6225],286.3,,80.164,246.218,83
NDC,75826-139-10 [324202],PHENOBARBITAL 32.4 MG TABLET [6217],2.85,,0.798,2.451,83
NDC,75826-141-10 [324204],PHENOBARBITAL 64.8 MG TABLET [6219],2.85,,0.798,2.451,83
NDC,75833-601-01 [382037],MELPHALAN HCL 50 MG INTRA-ARTERIAL SOLUTION [204067],123898.35,,787.79,106552.581,86
NDC,75833-601-02 [382038],MELPHALAN HCL 50 MG INTRA-ARTERIAL SOLUTION [204067],123898.35,,787.79,106552.581,86
NDC,75833-601-02 [382038],MELPHALAN INTRA-ARTERIAL 5 MG/ML INJECTION [40800004410],123898.35,,787.79,106552.581,86
NDC,75833-800-01 [382039],MELPHALAN HCL 50 MG INTRA-ARTERIAL SOLUTION [204067],123898.35,,787.79,106552.581,86
NDC,75833-800-01 [382039],MELPHALAN INTRA-ARTERIAL 5 MG/ML INJECTION [40800004410],123898.35,,787.79,106552.581,86
NDC,75834-159-01 [320554],"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE [13073]",1.65,,0.462,1.419,83
NDC,75834-159-05 [320555],"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE [13073]",1.65,,0.462,1.419,83
NDC,75834-170-02 [309463],ZINC OXIDE 20 % TOPICAL OINTMENT [8874],34.3,,9.604,29.498,83
NDC,75834-171-01 [363042],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],38.6,,0.04,33.196,84
NDC,75834-171-19 [363043],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],38.6,,0.04,33.196,84
NDC,75834-221-01 [335377],CARBAMAZEPINE 200 MG TABLET [1357],1.65,,0.462,1.419,83
NDC,75834-310-01 [372212],THYROID (PORK) 15 MG TABLET [129291],2.45,,0.686,2.107,83
NDC,75834-500-01 [336208],"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",1.65,,0.462,1.419,83
NDC,7583401060 [267624],"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS [9943]",101.1,,28.308,86.946,83
NDC,75907-023-11 [383878],CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],51.1,,14.308,43.946,83
NDC,75907-023-48 [382040],CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [27505],51.1,,14.308,43.946,83
NDC,75907-069-01 [379731],NORTRIPTYLINE 10 MG CAPSULE [5674],1.65,,0.462,1.419,83
NDC,75907-070-01 [379733],NORTRIPTYLINE 25 MG CAPSULE [5675],1.65,,0.462,1.419,83
NDC,75907-070-05 [379734],NORTRIPTYLINE 25 MG CAPSULE [5675],1.65,,0.462,1.419,83
NDC,75907-071-01 [379735],NORTRIPTYLINE 50 MG CAPSULE [5676],1.65,,0.462,1.419,83
NDC,75907-095-40 [383887],FLUOROURACIL 5 % TOPICAL CREAM [10065],337.35,,94.458,290.121,83
NDC,75907-111-11 [386111],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,75907-111-11 [386111],MELPHALAN INJ 5 MG/ML [40800000435],655.2,,99.9833,563.472,86
NDC,75907-112-11 [386112],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],655.2,,99.9833,563.472,86
NDC,75907-112-11 [386112],MELPHALAN INJ 5 MG/ML [40800000435],655.2,,99.9833,563.472,86
NDC,75987-111-10 [305569],INTERFERON GAMMA-1B 100 MCG (2 MILLION UNIT)/0.5 ML SUBCUTANEOUS SOLN [10307],19196.45,,5375.006,16508.947,83
NDC,75987-111-11 [305570],INTERFERON GAMMA-1B 100 MCG (2 MILLION UNIT)/0.5 ML SUBCUTANEOUS SOLN [10307],19196.45,,5375.006,16508.947,83
NDC,76045-001-00 [356405],MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE [128221],16.15,,0.16,13.889,84
NDC,76045-001-00 [356405],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],16.15,,0.16,13.889,84
NDC,76045-001-20 [267648],MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE [128221],16.15,,0.16,13.889,84
NDC,76045-001-20 [267648],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],16.15,,0.16,13.889,84
NDC,76045-004-11 [337056],MORPHINE 2 MG/ML INJ CONTAINER [40800002810],18.25,,5.11,15.695,84
NDC,76045-009-03 [327808],HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [180765],18.35,,0.09,15.781,84
NDC,76045-009-03 [327808],HYDROMORPHONE 0.5 MG/0.5 ML INJ CONTAINER [40800000340],18.35,,0.09,15.781,84
NDC,76045-009-06 [327022],HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [180765],18.35,,0.09,15.781,84
NDC,76045-009-06 [327022],HYDROMORPHONE 0.5 MG/0.5 ML INJ CONTAINER [40800000340],18.35,,0.09,15.781,84
NDC,76045-009-96 [327810],HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [180765],20.95,,0.09,18.017,84
NDC,76045-009-96 [327810],HYDROMORPHONE 0.5 MG/0.5 ML INJ CONTAINER [40800000340],20.95,,0.09,18.017,84
NDC,76045-103-20 [245947],ONDANSETRON (PF) IVPB 4 MG/2 ML (PEDI < 20.5 KG) (> 4 MG) [40800000078],8.8,,0.09,7.568,84
NDC,76045-103-20 [245947],ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],8.15,,0.09,7.009,84
NDC,76045-103-20 [245947],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [127627],8.15,,0.09,7.009,84
NDC,76045-204-00 [368848],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],85.7,,6.17,73.702,84
NDC,76045-204-20 [368849],DIAZEPAM 5 MG/ML INJECTION SYRINGE [106278],85.7,,6.17,73.702,84
NDC,76045-211-00 [395864],MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE [128221],17.6,,0.16,15.136,84
NDC,76045-211-00 [395864],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],17.6,,0.16,15.136,84
NDC,76045-211-20 [395865],MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE [128221],17.6,,0.16,15.136,84
NDC,76045-211-20 [395865],MIDAZOLAM 1 MG/ML INJ CONTAINER [40800003104],17.6,,0.16,15.136,84
NDC,76075-101-01 [232230],CARFILZOMIB 2 MG/ML INJ CONTAINER [40800000500],12399.0,,55.09,10663.14,86
NDC,76075-101-01 [232230],CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [117047],12399.0,,55.09,10663.14,86
NDC,76075-101-21 [407200],CARFILZOMIB 2 MG/ML INJ CONTAINER [40800000500],12399.0,,55.09,10663.14,86
NDC,76075-101-21 [407200],CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [117047],12399.0,,55.09,10663.14,86
NDC,76075-102-01 [289649],CARFILZOMIB 2 MG/ML INJ CONTAINER [40800000500],6199.55,,55.09,5331.613,86
NDC,76075-102-01 [289649],CARFILZOMIB 30 MG INTRAVENOUS SOLUTION [178813],6199.55,,55.09,5331.613,86
NDC,76075-103-01 [311958],CARFILZOMIB 10 MG INTRAVENOUS SOLUTION [186037],2066.55,,55.09,1777.233,86
NDC,76075-103-01 [311958],CARFILZOMIB 2 MG/ML INJ CONTAINER [40800000500],2066.55,,55.09,1777.233,86
NDC,76075-103-21 [404508],CARFILZOMIB 10 MG INTRAVENOUS SOLUTION [186037],2066.55,,55.09,1777.233,86
NDC,76075-103-21 [404508],CARFILZOMIB 2 MG/ML INJ CONTAINER [40800000500],2066.55,,55.09,1777.233,86
NDC,76125-790-25 [275453],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",152.4,,42.672,131.064,86
NDC,76125-790-26 [275454],"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",152.4,,42.672,131.064,86
NDC,76128-155-75 [209201],PORFIMER 75 MG INTRAVENOUS SOLUTION [14472],76406.15,,21393.722,65709.289,84
NDC,76128-155-75 [209201],PORFIMER INJECTION 2.5 MG/ML [40800004416],76406.15,,21393.722,65709.289,84
NDC,76204-100-01 [238168],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.9,,0.532,1.634,83
NDC,76204-100-25 [224573],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,76204-100-30 [224574],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,76204-100-60 [224575],IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],1.65,,0.462,1.419,83
NDC,76204-200-01 [238169],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.85,,0.518,1.591,83
NDC,76204-200-25 [224576],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,76204-200-30 [224577],ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],1.65,,0.462,1.419,83
NDC,76204-600-01 [238170],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],3.1,,0.868,2.666,83
NDC,76204-600-60 [280028],IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [93931],1.9,,0.532,1.634,83
NDC,76204-900-01 [299589],LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],7.6,,2.128,6.536,83
NDC,76204-900-11 [299590],LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION [24916],7.6,,2.128,6.536,83
NDC,7620402160 [360018],SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],2.85,,0.798,2.451,83
NDC,7620402260 [360019],SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],2.85,,0.798,2.451,83
NDC,7620430003 [275455],SODIUM CHLORIDE 0.9 % FOR NEBULIZATION [7325],1.65,,0.462,1.419,83
NDC,7620430003 [275455],SODIUM CHLORIDE 0.9 % OPHTHALMIC IRRIGATION SOLUTION [40800004221],1.65,,0.462,1.419,83
NDC,76297-001-31 [322220],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,0.71,56.889,84
NDC,76297-001-31 [322220],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,0.71,56.889,84
NDC,76297-001-31 [322220],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,76297-001-31 [322220],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,0.71,56.889,84
NDC,76297-001-31 [322220],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,0.71,56.889,84
NDC,76297-001-32 [322221],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,0.71,56.889,84
NDC,76297-001-32 [322221],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,0.71,56.889,84
NDC,76297-001-32 [322221],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,0.71,56.889,84
NDC,76297-001-32 [322221],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,76297-001-32 [322221],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,0.71,56.889,84
NDC,76297-001-32 [322221],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,0.71,56.889,84
NDC,76297-001-41 [322222],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,84
NDC,76297-001-41 [322222],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,76297-001-42 [322223],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,84
NDC,76297-001-42 [322223],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,76310-024-15 [318823],FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1571.8,,15.58,1351.748,84
NDC,76310-024-25 [232255],FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1571.8,,15.58,1351.748,84
NDC,76310-024-41 [345529],FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1571.8,,15.58,1351.748,84
NDC,76310-024-45 [345530],FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION [10093],1571.8,,15.58,1351.748,84
NDC,76329-3011-5 [232257],LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [128819],28.45,,7.966,24.467,83
NDC,76329-3012-5 [224621],LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [128819],30.0,,8.4,25.8,83
NDC,76329-3013-5 [232258],LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [128819],33.4,,9.352,28.724,83
NDC,76329-3015-5 [232259],LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [128819],39.2,,10.976,33.712,83
NDC,76329-3301-1 [238181],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [125335],47.25,,13.23,40.635,83
NDC,76329-3301-1 [238181],DEXTROSE 50% (D50W) INJ CONTAINER [40800000724],47.25,,13.23,40.635,83
NDC,76329-3302-1 [353243],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [125335],70.8,,19.824,60.888,83
NDC,76329-3304-1 [238182],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER (CRRT INFUSION) [40800003814],37.45,,10.486,32.207,83
NDC,76329-3304-1 [238182],CALCIUM CHLORIDE 100 MG/ML (10 %) INJ CONTAINER [40800000730],37.45,,10.486,32.207,83
NDC,76329-3304-1 [238182],CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [1306],37.45,,10.486,32.207,83
NDC,76329-3304-1 [238182],CALCIUM CHLORIDE IVPB 1.36 MEQ/ML (MAX CONC) (PEDI < 20.5 KG) [40840001362],40.45,,11.326,34.787,83
NDC,76329-3304-1 [238182],CALCIUM CHLORIDE IVPB 1.36 MEQ/ML (PEDI) [40800003063],37.45,,10.486,32.207,83
NDC,76329-3318-1 [366136],EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],53.85,,2.18,46.311,84
NDC,76329-3340-1 [344009],ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],40.85,,0.07,35.131,84
NDC,76329-3352-1 [238183],SODIUM BICARBONATE 1 MEQ/ML INFUSION CONTAINER [40800000121],74.25,,20.79,63.855,83
NDC,76329-3352-1 [238183],SODIUM BICARBONATE 1 MEQ/ML IVPB CONTAINER [40800000249],74.25,,20.79,63.855,83
NDC,76329-3352-1 [238183],SODIUM BICARBONATE 50 MEQ/50 ML (8.4 %) INTRAVENOUS SYRINGE [7309],68.8,,19.264,59.168,83
NDC,76329-3352-1 [238183],SODIUM BICARBONATE SOLN 8.4% (1 MEQ/ML) (INJ FOR TUBE USE) [40800000243],68.8,,19.264,59.168,83
NDC,76329-3390-1 [238184],LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [4459],35.15,,9.842,30.229,83
NDC,76329-9060-0 [334433],EPINEPHRINE 1 MG/ML INJECTION SOLUTION [121505],683.1,,0.72,587.466,84
NDC,76336-080-60 [319509],MITOTANE 500 MG TABLET [10633],66.8,,18.704,57.448,83
NDC,76336-455-18 [267657],METYRAPONE 250 MG CAPSULE [21867],221.1,,61.908,190.146,83
NDC,76385-102-01 [267658],PRIMAQUINE 26.3 MG (15 MG BASE) TABLET [6541],6.35,,1.778,5.461,83
NDC,76385-123-01 [308823],METHOCARBAMOL 500 MG TABLET [4971],1.65,,0.462,1.419,83
NDC,76385-124-01 [308825],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,76385-124-50 [308826],METHOCARBAMOL 750 MG TABLET [4972],1.65,,0.462,1.419,83
NDC,76385-133-01 [326864],NADOLOL 20 MG TABLET [5330],1.65,,0.462,1.419,83
NDC,76385-134-01 [326865],NADOLOL 40 MG TABLET [5331],1.65,,0.462,1.419,83
NDC,77333-031-20 [395882],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,77333-031-25 [395883],"ASPIRIN 81 MG TABLET,DELAYED RELEASE [9151]",1.65,,0.462,1.419,83
NDC,77333-812-10 [361888],SIMETHICONE 80 MG CHEWABLE TABLET [7227],1.65,,0.462,1.419,83
NDC,77333-812-25 [361889],SIMETHICONE 80 MG CHEWABLE TABLET [7227],1.65,,0.462,1.419,83
NDC,77333-827-10 [367801],SODIUM BICARBONATE 650 MG TABLET [7312],1.65,,0.462,1.419,83
NDC,77333-827-25 [367802],SODIUM BICARBONATE 650 MG TABLET [7312],1.65,,0.462,1.419,83
NDC,77333-844-10 [372224],"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [127261]",1.65,,0.462,1.419,83
NDC,77333-844-25 [372225],"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [127261]",1.65,,0.462,1.419,83
NDC,7733311010 [363057],CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],1.65,,0.462,1.419,83
NDC,7733311025 [363058],CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],1.65,,0.462,1.419,83
NDC,7733311510 [294626],CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 10 MCG (400 UNIT) TABLET [76978],1.65,,0.462,1.419,83
NDC,7733311525 [294627],CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 10 MCG (400 UNIT) TABLET [76978],1.65,,0.462,1.419,83
NDC,7733311810 [293581],CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],1.65,,0.462,1.419,83
NDC,7733311825 [293582],CALCIUM POLYCARBOPHIL 625 MG TABLET [11046],1.65,,0.462,1.419,83
NDC,7733343025 [363059],"LACTASE 3,000 UNIT TABLET [22469]",1.65,,0.462,1.419,83
NDC,7733343050 [363060],"LACTASE 3,000 UNIT TABLET [22469]",1.65,,0.462,1.419,83
NDC,7733344110 [363063],LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [129376],1.65,,0.462,1.419,83
NDC,7733344125 [363064],LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [129376],1.65,,0.462,1.419,83
NDC,7733351625 [293586],MELATONIN 3 MG TABLET [16830],7.75,,2.17,6.665,83
NDC,7733352010 [334437],MELATONIN 5 MG TABLET [91665],1.65,,0.462,1.419,83
NDC,7733352025 [334438],MELATONIN 5 MG TABLET [91665],1.65,,0.462,1.419,83
NDC,7733383110 [334441],SODIUM BICARBONATE 650 MG TABLET [7312],1.65,,0.462,1.419,83
NDC,7733383125 [334442],SODIUM BICARBONATE 650 MG TABLET [7312],1.65,,0.462,1.419,83
NDC,7733383510 [334443],SODIUM CHLORIDE 1 GRAM TABLET CONTAINER [40800002334],1.65,,0.462,1.419,83
NDC,7733383510 [334443],"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [127261]",1.65,,0.462,1.419,83
NDC,7733383525 [334444],SODIUM CHLORIDE 1 GRAM TABLET CONTAINER [40800002334],1.65,,0.462,1.419,83
NDC,7733383525 [334444],"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [127261]",1.65,,0.462,1.419,83
NDC,7733393410 [293589],THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129927],1.65,,0.462,1.419,83
NDC,7733393425 [293590],THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [129927],1.65,,0.462,1.419,83
NDC,7733393710 [295862],CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],1.65,,0.462,1.419,83
NDC,7733393725 [295863],CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET [2012],1.65,,0.462,1.419,83
NDC,7733394010 [293591],PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],1.65,,0.462,1.419,83
NDC,7733394025 [293592],PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],1.65,,0.462,1.419,83
NDC,7733394810 [293593],CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [24559],1.65,,0.462,1.419,83
NDC,7733394825 [293594],CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [24559],1.65,,0.462,1.419,83
NDC,7733395110 [334445],"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [108850]",1.65,,0.462,1.419,83
NDC,7733395125 [334446],"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [108850]",1.65,,0.462,1.419,83
NDC,7733398310 [293595],ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],1.65,,0.462,1.419,83
NDC,7733398325 [293596],ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [8880],1.65,,0.462,1.419,83
NDC,77790-022-15 [377186],HYPROMELLOSE 2.5 % EYE DROPS [38092],101.25,,28.35,87.075,83
NDC,7811201103 [126866],PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [36976],21.7,,6.076,18.662,83
NDC,7811201104 [126867],PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [36976],21.7,,6.076,18.662,83
NDC,7811210189 [268328],BENZOCAINE 15 MG LOZENGES [9229],12.55,,3.514,10.793,83
NDC,7811273621 [133416],CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],21.7,,6.076,18.662,83
NDC,7811273623 [286385],CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],18.85,,5.278,16.211,83
NDC,78206-122-02 [349707],LOSARTAN 50 MG TABLET [14824],22.3,,6.244,19.178,83
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,0.71,56.889,84
NDC,79672-613-03 [345542],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,0.71,56.889,84
NDC,79672-613-04 [345543],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,1.38,56.889,84
NDC,79672-613-04 [345543],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,1.38,56.889,84
NDC,79672-613-04 [345543],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,1.38,56.889,84
NDC,79672-613-04 [345543],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,1.38,56.889,84
NDC,79672-613-04 [345543],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,1.38,56.889,84
NDC,79672-613-04 [345543],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,1.38,56.889,84
NDC,79672-613-04 [345543],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,1.38,56.889,84
NDC,79672-613-04 [345543],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,1.38,56.889,84
NDC,79672-613-04 [345543],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,1.38,56.889,84
NDC,79672-613-05 [345544],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],69.65,,2.28,59.899,84
NDC,79672-613-05 [345544],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,84
NDC,79672-613-05 [345544],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,79672-613-05 [345544],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],69.65,,2.28,59.899,84
NDC,79672-613-05 [345544],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],69.65,,2.28,59.899,84
NDC,79672-613-40 [345548],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,1.38,56.889,84
NDC,79672-613-40 [345548],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,1.38,56.889,84
NDC,79672-613-40 [345548],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,1.38,56.889,84
NDC,79672-613-40 [345548],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,1.38,56.889,84
NDC,79672-613-40 [345548],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,1.38,56.889,84
NDC,79672-613-40 [345548],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,1.38,56.889,84
NDC,79672-613-40 [345548],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,1.38,56.889,84
NDC,79672-613-40 [345548],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,1.38,56.889,84
NDC,79672-613-40 [345548],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,1.38,56.889,84
NDC,79672-613-50 [345549],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],69.65,,2.28,59.899,84
NDC,79672-613-50 [345549],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,84
NDC,79672-613-50 [345549],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,79672-613-50 [345549],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],69.65,,2.28,59.899,84
NDC,79672-613-50 [345549],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],69.65,,2.28,59.899,84
NDC,7985405024 [256455],"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",1.65,,0.462,1.419,83
NDC,7985408009 [281479],PEDIATRIC MULTIVITAMIN NO.118 ORAL LIQUID [175397],30.9,,8.652,26.574,83
NDC,7985430035 [256519],ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],1.65,,0.462,1.419,83
NDC,7985450021 [256556],"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",1.65,,0.462,1.419,83
NDC,7985450032 [256560],FERROUS GLUCONATE 324 MG (37.5 MG IRON) TABLET [111196],1.65,,0.462,1.419,83
NDC,7985495005 [256602],DOCUSATE SODIUM 100 MG CAPSULE [2566],1.65,,0.462,1.419,83
NDC,79952-110-01 [346488],LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [194597],95101.55,,216.74,81787.333,86
NDC,79952-110-01 [346488],LONCASTUXIMAB TESIRINE-LPYL 5 MG/ML INTRAVENOUS SOLUTION [40800003609],95101.55,,216.74,81787.333,86
NDC,8019629660 [256629],"SILVER ER TOPICAL GEL,EXTENDED RELEASE [126551]",61.9,,17.332,53.234,83
NDC,80203-347-01 [355501],SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION [196868],6470.55,,18.11,5564.673,86
NDC,80446-401-01 [354755],TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION [196717],70466.8,,217.09,60601.448,86
NDC,8065183085 [27903],SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE [28913],774.7,,216.916,666.242,83
NDC,8065183150 [27905],CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING [28917],939.0,,262.92,807.54,83
NDC,8065183905 [27907],CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE [28923],626.05,,175.294,538.403,83
NDC,8068100400 [335388],"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET [1300]",1.65,,0.462,1.419,83
NDC,8068104100 [337060],MELATONIN 1 MG TABLET [82464],1.65,,0.462,1.419,83
NDC,8068104700 [336218],LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [129376],1.65,,0.462,1.419,83
NDC,8068105700 [336219],NIACIN 100 MG TABLET [5539],1.65,,0.462,1.419,83
NDC,8068107100 [338167],CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [2008],1.65,,0.462,1.419,83
NDC,8068109900 [337066],FOLIC ACID 400 MCG TABLET [3234],1.65,,0.462,1.419,83
NDC,8068115500 [346493],LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM [128823],12.95,,3.626,11.137,83
NDC,8068115500 [346493],WHITE PETROLATUM-MINERAL OIL +/- LANOLIN TOPICAL CREAM CONTAINER [40840004336],12.95,,3.626,11.137,83
NDC,8068116801 [339115],"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",1.65,,0.462,1.419,83
NDC,8068116900 [336409],"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",1.65,,0.462,1.419,83
NDC,8068117200 [341104],"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [70284]",1.8,,0.504,1.548,83
NDC,80725-630-25 [369940],THIOGUANINE 40 MG TABLET [7886],1703.0,,476.84,1464.58,83
NDC,80803-153-50 [353245],SIROLIMUS-PROTEIN BOUND 5 MG/ML INTRAVENOUS SUSPENSION [40800003820],28133.35,,84.53,24194.681,86
NDC,80830-1672-1 [384863],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],38.55,,0.04,33.153,84
NDC,80830-1672-2 [384864],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],38.55,,0.04,33.153,84
NDC,80830-1673-1 [384865],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],86.4,,0.04,74.304,84
NDC,80830-1673-2 [384866],CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],86.4,,0.04,74.304,84
NDC,80830-1691-1 [377191],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],154.45,,43.246,132.827,83
NDC,80830-1691-2 [377192],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],154.45,,43.246,132.827,83
NDC,80830-1692-1 [377193],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],383.3,,107.324,329.638,83
NDC,80830-1692-2 [377194],POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],383.3,,107.324,329.638,83
NDC,80830-2365-1 [391679],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],73.45,,0.09,63.167,84
NDC,80830-2365-1 [391679],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],73.45,,0.09,63.167,84
NDC,80830-2365-7 [391680],PROPOFOL 10 MG/ML INFUSION (USE ORDER SET) [40800000409],73.45,,0.09,63.167,84
NDC,80830-2365-7 [391680],PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],73.45,,0.09,63.167,84
NDC,81033-002-20 [349742],ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [129461],11.9,,3.332,10.234,83
NDC,81033-020-01 [357813],MUPIROCIN 2 % TOPICAL OINTMENT [10674],11.85,,3.318,10.191,83
NDC,81033-020-50 [357814],MUPIROCIN 2 % TOPICAL OINTMENT [10674],11.85,,3.318,10.191,83
NDC,81033-020-99 [357815],MUPIROCIN 2 % TOPICAL OINTMENT [10674],11.85,,3.318,10.191,83
NDC,81033-025-05 [388805],LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],38.9,,10.892,33.454,83
NDC,81033-025-51 [388806],LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],38.9,,10.892,33.454,83
NDC,81033-042-30 [394947],MINERAL OIL ORAL [5086],1.65,,0.462,1.419,83
NDC,81033-042-50 [394948],MINERAL OIL ORAL [5086],1.65,,0.462,1.419,83
NDC,81033-102-10 [378492],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],8.8,,2.464,7.568,83
NDC,81033-102-52 [378494],GUAIFENESIN 100 MG/5 ML ORAL LIQUID [3542],8.8,,2.464,7.568,83
NDC,81033-104-05 [386120],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],65.25,,18.27,56.115,83
NDC,81033-104-22 [401001],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],65.25,,18.27,56.115,83
NDC,81033-104-42 [386121],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],65.0,,18.2,55.9,83
NDC,81033-220-15 [363995],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],16.6,,4.648,14.276,83
NDC,81033-412-15 [386122],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],16.6,,4.648,14.276,83
NDC,81033-412-50 [386123],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],16.6,,4.648,14.276,83
NDC,81033-412-51 [386124],POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],16.6,,4.648,14.276,83
NDC,81033-512-15 [373237],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],5.25,,1.47,4.515,83
NDC,81033-512-50 [373238],CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],5.25,,1.47,4.515,83
NDC,81052-138-10 [360949],PAFOLACIANINE 3.2 MG/1.6 ML INTRAVENOUS SOLUTION [198537],13923.0,,3898.44,11973.78,83
NDC,81284-152-00 [360950],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],24.2,,1.11,20.812,84
NDC,81284-152-00 [360950],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],22.35,,1.11,19.221,84
NDC,81284-152-00 [360950],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],22.35,,1.11,19.221,84
NDC,81284-152-10 [360951],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],24.2,,1.11,20.812,84
NDC,81284-152-10 [360951],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],22.35,,1.11,19.221,84
NDC,81284-152-10 [360951],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],22.35,,1.11,19.221,84
NDC,81284-153-00 [360058],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],26.3,,1.11,22.618,84
NDC,81284-153-00 [360058],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],26.3,,1.11,22.618,84
NDC,81284-212-00 [366785],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],34.7,,9.716,29.842,83
NDC,81284-212-10 [366786],PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],34.7,,9.716,29.842,83
NDC,81284-315-00 [361892],INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION [198893],1214.4,,9.3,1044.384,85
NDC,81284-315-00 [361892],INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) IV/INJECTION CONTAINER [40800000376],1214.4,,9.3,1044.384,85
NDC,81284-315-05 [361893],INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION [198893],1214.4,,9.3,1044.384,85
NDC,81284-315-05 [361893],INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) IV/INJECTION CONTAINER [40800000376],1214.4,,9.3,1044.384,85
NDC,81284-611-00 [358952],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",26.1,,7.308,22.446,83
NDC,81284-611-10 [358953],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",26.1,,7.308,22.446,83
NDC,81284-612-00 [355504],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",18.05,,5.054,15.523,83
NDC,81284-612-10 [355505],"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [11573]",18.05,,5.054,15.523,83
NDC,81298-5785-3 [360061],TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8120],132.0,,0.86,113.52,84
NDC,81298-7620-1 [387908],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],37.45,,10.486,32.207,83
NDC,81298-7620-3 [387909],SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [124224],37.45,,10.486,32.207,83
NDC,81298-8110-1 [378499],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],386.6,,0.62,332.476,86
NDC,81298-8110-1 [378499],CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [38271],386.6,,0.62,332.476,86
NDC,81298-8110-1 [378499],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],386.6,,0.62,332.476,86
NDC,81298-8112-1 [378500],CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [38270],828.85,,0.62,712.811,86
NDC,81298-8112-1 [378500],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],828.85,,0.62,712.811,86
NDC,81298-8114-1 [377434],CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION [38280],1480.8,,0.62,1273.488,86
NDC,81298-8114-1 [377434],CYCLOPHOSPHAMIDE 20 MG/ML INJ CONTAINER [40800000103],1480.8,,0.62,1273.488,86
NDC,81298-8114-1 [377434],CYCLOPHOSPHAMIDE IVPB 20 MG/ML (MAX CONC) (PEDI) [40800004212],1480.8,,0.62,1273.488,86
NDC,81298-8660-1 [388812],FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],229.0,,64.12,196.94,83
NDC,81298-8660-3 [388813],FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [10059],229.0,,64.12,196.94,83
NDC,8142102101 [120513],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],5.25,,1.47,4.515,83
NDC,8142102102 [120514],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],4.9,,1.372,4.214,83
NDC,8142102105 [120517],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],3.45,,0.966,2.967,83
NDC,8142102108 [280092],BISACODYL 10 MG RECTAL SUPPOSITORY [1080],7.3,,2.044,6.278,83
NDC,81481-803-01 [383019],NOGAPENDEKIN ALFA INBAKICEPT-PMLN 400 MCG/0.4 ML INTRAVESICAL SOLUTION [204422],117280.8,,94.12,100861.488,86
NDC,81665-102-10 [386977],ISOSORBIDE MONONITRATE 10 MG TABLET [10356],14.0,,3.92,12.04,83
NDC,81665-103-10 [386978],ISOSORBIDE MONONITRATE 20 MG TABLET [10357],16.55,,4.634,14.233,83
NDC,81665-301-02 [375930],COCAINE 4 % NASAL SOLUTION [185335],1177.35,,329.658,1012.521,83
NDC,81952-113-03 [363079],"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",85.8,,0.22,73.788,84
NDC,81952-113-08 [363081],"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",85.8,,0.22,73.788,84
NDC,81960-031-03 [382078],PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA) [204152],2311.45,,647.206,7239.0,84
NDC,82154-0451-1 [370967],PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE [112458],3380.35,,946.498,2907.101,83
NDC,82154-0451-4 [357097],PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE [112458],3380.35,,946.498,2907.101,83
NDC,82182-106-14 [379782],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],302.75,,84.77,260.365,83
NDC,82182-321-05 [378505],BRIMONIDINE 0.1 % EYE DROPS [70262],276.9,,77.532,238.134,83
NDC,82182-455-05 [363094],BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS [87834],285.55,,79.954,245.573,83
NDC,82182-773-05 [356420],BRIMONIDINE 0.15 % EYE DROPS [31158],239.5,,67.06,205.97,83
NDC,82260-734-05 [391686],FLUORESCEIN 0.3 %-BENOXINATE 0.4 % EYE DROPS [194015],109.85,,30.758,94.471,83
NDC,82292-040-01 [383905],PEGULICIANINE 10 MG/ML IV INJECTION [40800004215],4520.9,,37.51,3887.974,85
NDC,82292-040-01 [383905],PEGULICIANINE 39 MG INTRAVENOUS SOLUTION [204621],4520.9,,37.51,3887.974,85
NDC,82292-040-10 [383906],PEGULICIANINE 10 MG/ML IV INJECTION [40800004215],4520.9,,37.51,3887.974,85
NDC,82292-040-10 [383906],PEGULICIANINE 39 MG INTRAVENOUS SOLUTION [204621],4520.9,,37.51,3887.974,85
NDC,82293-003-10 [377204],MIDODRINE 2.5 MG TABLET [10609],1.65,,0.462,1.419,83
NDC,82347-0505-4 [383907],LIDOCAINE 5 % TOPICAL PATCH [28203],13.55,,3.794,11.653,83
NDC,82347-0505-5 [370970],LIDOCAINE 5 % TOPICAL PATCH [28203],13.55,,3.794,11.653,83
NDC,82448-100-14 [383057],NIROGACESTAT 100 MG TABLET [204393],1812.75,,507.57,1558.965,83
NDC,82448-150-14 [383058],NIROGACESTAT 150 MG TABLET [204392],1812.75,,507.57,1558.965,83
NDC,82584-792-01 [372271],LIDOCAINE (PF) 3.5 % EYE GEL [94220],80.2,,22.456,68.972,83
NDC,82625-8801-1 [373263],NALOXEGOL 12.5 MG TABLET [170630],60.1,,16.828,51.686,83
NDC,82667-800-01 [388819],TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION [89128],2371.85,,18.78,2039.791,86
NDC,82705-002-01 [369962],EPCORITAMAB-BYSP 4 MG/0.8 ML SUBCUTANEOUS SOLUTION [201329],4589.15,,55.66,3946.669,86
NDC,82705-010-01 [369963],EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION [201328],55069.45,,55.66,47359.727,86
NDC,82737-073-01 [374501],MOTIXAFORTIDE 62 MG SUBCUTANEOUS SOLUTION [202660],20294.85,,25.22,17453.571,86
NDC,82737-073-01 [374501],MOTIXAFORTIDE SUBCUTANEOUS INJ 36.5 MG/ML [40800003975],20294.85,,25.22,17453.571,86
NDC,8290236712 [116077],"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [10384]",4.85,,1.358,4.171,83
NDC,8290306414 [178977],"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [105460]",6.4,,0.02,5.504,84
NDC,8290306423 [178978],HEPARIN 600 UNITS/6 ML VORTEX PORT FLUSH [40800002028],6.4,,0.02,5.504,84
NDC,8290306423 [178978],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (EXTRACORPOREAL USE) [40800000833]",6.4,,0.02,5.504,84
NDC,8290306423 [178978],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,84
NDC,8290306423 [178978],"HEPARIN, PORCINE (PF) 100 UNIT/ML TOPICAL SOAK [40800004029]",6.4,,0.02,5.504,84
NDC,8290306424 [178979],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,84
NDC,8290306424 [178979],"HEPARIN, PORCINE (PF) 100 UNIT/ML TOPICAL SOAK [40800004029]",6.4,,0.02,5.504,84
NDC,8290306510 [30678],"HEPARIN, PORCINE (PF) 10 UNIT/ML INJ CONTAINER [40800000214]",6.4,,0.02,5.504,84
NDC,8290306510 [30678],"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [105460]",6.4,,0.02,5.504,84
NDC,8290306517 [30685],HEPARIN 600 UNITS/6 ML VORTEX PORT FLUSH [40800002028],6.4,,0.02,5.504,84
NDC,8290306517 [30685],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (EXTRACORPOREAL USE) [40800000833]",6.4,,0.02,5.504,84
NDC,8290306517 [30685],"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [127222]",6.4,,0.02,5.504,84
NDC,82959-111-01 [384942],IMETELSTAT 188 MG INTRAVENOUS SOLUTION [205019],34869.1,,57.02,29987.426,86
NDC,82959-111-01 [384942],IMETELSTAT 31.4 MG/ML INJ CONTAINER [40800003981],34869.1,,57.02,29987.426,86
NDC,82959-112-01 [384943],IMETELSTAT 31.4 MG/ML INJ CONTAINER [40800003981],8717.3,,57.02,7496.878,86
NDC,82959-112-01 [384943],IMETELSTAT 47 MG INTRAVENOUS SOLUTION [205017],8717.3,,57.02,7496.878,86
NDC,83000-110-04 [368919],VILOBELIMAB 10 MG/ML INTRAVENOUS SOLUTION (EUA) [200934],5200.65,,1456.182,4472.559,83
NDC,83047-010-10 [389040],OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 10 X 10EXP6 CELL INTRAVENOUS SUSPENSION SYRINGE (INITIAL DAY) [40800004014],858375.0,,286125.0,858375.0,15
NDC,83047-010-10 [389040],OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 10 X 10EXP6 CELL INTRAVENOUS SUSPENSION SYRINGE (SUBSEQUENT DAY) [40800004015],858375.0,,286125.0,858375.0,15
NDC,83047-100-10 [389041],OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 100 X 10EXP6 CELL INTRAVENOUS SUSPENSION (INITIAL DAY) [40800004018],858375.0,,286125.0,858375.0,15
NDC,83047-100-10 [389041],OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 100 X 10EXP6 CELL INTRAVENOUS SUSPENSION BAG (SUBSEQUENT DAY) [40800004019],858375.0,,286125.0,858375.0,15
NDC,83047-100-30 [389042],OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 100 X 10EXP6 CELL INTRAVENOUS SUSPENSION (INITIAL DAY) [40800004018],858375.0,,286125.0,858375.0,15
NDC,83047-100-30 [389042],OBECABTAGENE AUTOLEUCEL INTRAVENOUS SUSPENSION 100 X 10EXP6 CELL INTRAVENOUS SUSPENSION BAG (SUBSEQUENT DAY) [40800004019],858375.0,,286125.0,858375.0,15
NDC,83090-008-01 [382149],BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [123070],982.8,,1.59,845.208,84
NDC,83090-008-01 [382149],BORTEZOMIB SUBCUTANEOUS INJ 2.5 MG/ML [40800000445],982.8,,1.59,845.208,84
NDC,83090-011-01 [380902],DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [36989],103.0,,0.03,88.58,84
NDC,83090-011-01 [380902],DAPTOMYCIN INJ 50 MG/ML [40800000042],103.0,,0.03,88.58,84
NDC,83205-0001-2 [386990],AFAMITRESGENE AUTOLEUCEL 2.68X 10EXP9 TO 10X 10EXP9 CELL IV SUSPENSION [205503],2344575.0,,770620.0,2344575.0,15
NDC,83257-005-41 [375977],PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [185767],6337.65,,79.5,5450.379,86
NDC,83257-014-11 [375978],INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [195850],200.25,,56.07,172.215,83
NDC,8349030760 [224743],SODIUM CHLORIDE 7 % FOR NEBULIZATION [82134],1.65,,0.462,1.419,83
NDC,83634-105-30 [395072],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],23.7,,1.11,20.382,84
NDC,83634-105-30 [395072],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],21.9,,1.11,18.834,84
NDC,83634-105-30 [395072],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],21.9,,1.11,18.834,84
NDC,83634-105-41 [395073],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],23.7,,1.11,20.382,84
NDC,83634-105-41 [395073],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003385],21.9,,1.11,18.834,84
NDC,83634-105-41 [395073],PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [18303],21.9,,1.11,18.834,84
NDC,83634-106-41 [395074],PIPERACILLIN-TAZOBACTAM 202.5 MG/ML INJ CONTAINER [40800000406],35.55,,1.11,30.573,84
NDC,83634-106-41 [395074],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (MBP INGREDIENT) [40800003386],32.85,,1.11,28.251,84
NDC,83634-106-41 [395074],PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [18302],32.85,,1.11,28.251,84
NDC,83634-110-20 [395079],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],24.1,,1.49,20.726,84
NDC,83634-110-20 [395079],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],24.1,,1.49,20.726,84
NDC,83634-110-20 [395079],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],26.1,,1.49,22.446,84
NDC,83634-110-41 [395080],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION (MBP INGREDIENT) [40800003341],24.1,,1.49,20.726,84
NDC,83634-110-41 [395080],AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [9084],24.1,,1.49,20.726,84
NDC,83634-110-41 [395080],AMPICILLIN-SULBACTAM 375 MG/ML INJ CONTAINER [40800001601],26.1,,1.49,22.446,84
NDC,83634-111-20 [396834],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],50.8,,0.12,43.688,84
NDC,83634-111-20 [396834],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],50.8,,0.12,43.688,84
NDC,83634-111-20 [396834],DOXYCYCLINE HYCLATE 100 MG/10 ML INJ [40800001602],54.9,,0.12,47.214,84
NDC,83634-111-41 [396835],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION (MBP INGREDIENT) [40800003368],50.8,,0.12,43.688,84
NDC,83634-111-41 [396835],DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],50.8,,0.12,43.688,84
NDC,83634-111-41 [396835],DOXYCYCLINE HYCLATE 100 MG/10 ML INJ [40800001602],54.9,,0.12,47.214,84
NDC,83634-200-15 [379833],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],835.4,,99.9833,718.444,86
NDC,83634-202-61 [379834],MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522],835.4,,99.9833,718.444,86
NDC,83634-203-41 [382158],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],280.85,,6.98,241.531,84
NDC,83634-203-74 [382159],FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [108096],280.85,,6.98,241.531,84
NDC,83634-301-51 [382160],EPTIFIBATIDE 0.75 MG/ML INFUSION [40800000316],251.95,,3.26,216.677,85
NDC,83634-301-51 [382160],EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION [23123],251.95,,3.26,216.677,85
NDC,83634-302-04 [387942],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],7.9,,0.02,6.794,84
NDC,83634-302-43 [387944],FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],7.9,,0.02,6.794,84
NDC,83634-400-10 [379835],BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],294.85,,0.17,253.571,84
NDC,83634-400-10 [379835],BIVALIRUDIN 50 MG/ML INJ [40800000001],294.85,,0.17,253.571,84
NDC,83634-400-41 [379836],BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [29396],294.85,,0.17,253.571,84
NDC,83634-400-41 [379836],BIVALIRUDIN 50 MG/ML INJ [40800000001],294.85,,0.17,253.571,84
NDC,83634-451-10 [382164],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],1199.25,,3.57,1031.355,84
NDC,83634-451-41 [382165],DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],125.65,,3.57,108.059,84
NDC,83634-776-10 [382166],FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [106783],137.3,,0.11,118.078,84
NDC,83634-777-05 [386223],PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [36591],53.5,,0.45,46.01,84
NDC,83774-102-01 [386227],AZACITIDINE 100 MG SOLUTION FOR INJECTION [78420],154.45,,0.21,132.827,84
NDC,83774-102-01 [386227],AZACITIDINE INJECTION 10 MG/ML [40800000411],154.45,,0.21,132.827,84
NDC,83851-100-30 [397893],FLUORESCEIN 1 MG EYE STRIPS [27663],1.65,,0.462,1.419,83
NDC,8385110001 [397892],FLUORESCEIN 1 MG EYE STRIPS [27663],1.65,,0.462,1.419,83
NDC,8438913551 [280109],MICONAZOLE NITRATE 2 % TOPICAL OINTMENT [13651],18.8,,5.264,16.168,83
NDC,85612-011-01 [401046],BUDESONIDE 180 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER [96977],866.85,,242.718,745.491,83
NDC,8770140072 [132811],GLYCERIN 99.5 % TOPICAL SOLUTION [82033],7.3,,2.044,6.278,83
NDC,8770140399 [161971],CETIRIZINE 10 MG TABLET [9506],1.65,,0.462,1.419,83
NDC,8770140778 [214501],MAGNESIUM 250 MG (AS MAGNESIUM OXIDE) TABLET [4716],1.65,,0.462,1.419,83
NDC,8770140813 [214519],MELATONIN 3 MG TABLET [16830],1.65,,0.462,1.419,83
NDC,8770141327 [295867],CETIRIZINE 1 MG/ML ORAL SOLUTION [70838],22.8,,6.384,19.608,83
NDC,8770142512 [257349],GLYCERIN (CHILD) RECTAL SUPPOSITORY [76974],1.65,,0.462,1.419,83
NDC,8770142894 [302059],"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR [27521]",2.75,,0.77,2.365,83
NDC,8770142917 [322241],MINERAL OIL ORAL SYRINGE (PEDI) [40800004004],28.05,,7.854,24.123,83
NDC,8770142917 [322241],MINERAL OIL ORAL [5086],28.05,,7.854,24.123,83
NDC,8770142952 [317584],"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT [854]",21.0,,5.88,18.06,83
NDC,8770143017 [322242],MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES [27322],12.6,,3.528,10.836,83
NDC,8770143136 [318685],DIPHENHYDRAMINE 25 MG CAPSULE [2509],1.65,,0.462,1.419,83
NDC,8770143152 [320572],CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],10.55,,2.954,9.073,83
NDC,8770143612 [185210],"CALCIUM 400 MG (AS CALCIUM CARBONATE 1,000 MG) CHEWABLE TABLET [76968]",1.65,,0.462,1.419,83
NDC,8770155205 [95903],SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],6.1,,1.708,5.246,83
NDC,8770155284 [175941],DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM [16299],9.8,,2.744,8.428,83
NDC,8770155389 [161979],BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [13818],17.1,,4.788,14.706,83
NDC,88800-0007-44 [270612],LYMPHOCYTE IMMUNE GLOBULIN (EQUINE) INJ 1 MG/ML BAG #0 (DESENSITIZATION) [40800000744],4152.65,,1162.742,6104.1195,86
NDC,88800-0030-00 [276602],COSYNTROPIN 1 MCG/ML INJ (IP-CMPD) [40800000030],415.35,,28.02,357.201,84
NDC,88800-0083-00 [276970],VECURONIUM 1 MG/ML INFUSION (USE ORDER SET) [40800000083],171.6,,48.048,147.576,83
NDC,88800-0324-00 [276616],IMIPENEM-CILASTATIN 0.05 MG/ML INJ (DESENSITIZATION) [40800000324],15.5,,4.34,13.33,84
NDC,88800-0325-00 [276618],MEROPENEM 0.02 MG/ML INJ (DESENSITIZATION) [40800000325],6.9,,0.44,5.934,84
NDC,88800-0326-00 [276615],MEROPENEM 1 MG/ML INJ (DESENSITIZATION) [40800000326],6.9,,0.44,5.934,84
NDC,88800-0327-00 [276614],PIPERACILLIN-TAZOBACTAM 1 MG/ML INJ (DESENSITIZATION) [40800000327],6.9,,1.11,5.934,84
NDC,88800-0328-00 [276754],SULFAMETHOXAZOLE 0.02 MG-TRIMETHOPRIM 0.004 MG/ML ORAL SUSPENSION (DESENSITIZATION #1) [40800000328],2.1,,0.588,1.806,83
NDC,88800-0329-00 [276753],SULFAMETHOXAZOLE 0.2 MG-TRIMETHOPRIM 0.04 MG/ML ORAL SUSPENSION (DESENSITIZATION #2) [40800000329],3.75,,1.05,3.225,83
NDC,88800-0330-00 [276755],SULFAMETHOXAZOLE 2 MG-TRIMETHOPRIM 0.4 MG/ML ORAL SUSPENSION (DESENSITIZATION #3-4) [40800000330],3.75,,1.05,3.225,83
NDC,88800-0331-00 [276756],SULFAMETHOXAZOLE 20 MG-TRIMETHOPRIM 4 MG/ML ORAL SUSPENSION (DESENSITIZATION #4) [40800000331],10.35,,2.898,8.901,83
NDC,88800-0365-10 [350756],SODIUM THIOSULFATE SUBCUTANEOUS INJECTION 40 MG/ML (4%) (IP-CMPD) [40800000365],15.0,,4.2,12.9,83
NDC,88800-0436-00 [280725],MELPHALAN INTRAVITREAL INJ 21 MCG/0.05 ML [40800000436],6.9,,1.932,120.67,86
NDC,88800-0437-00 [280726],MELPHALAN INTRAVITREAL INJ 29 MCG/0.07 ML [40800000437],6.9,,1.932,120.67,86
NDC,88800-0439-00 [276751],CEFEPIME 0.1 MG/ML IN D5W INJ (DESENSITIZATION) [40800000334],6.9,,1.23,5.934,84
NDC,88800-0439-01 [276752],CEFEPIME 0.1 MG/ML IN NS INJ (DESENSITIZATION) [40800000322],6.9,,1.23,5.934,84
NDC,88800-0478-00 [271110],MIDAZOLAM INFUSION 100 MG IN 100 ML NS (IP-CMPD) (USE ORDER SET) [40800000478],158.7,,0.16,136.482,84
NDC,88800-0485-00 [271113],ONDANSETRON INFUSION 24 MG IN 250 ML NS (IP-CMPD) [40800000485],80.4,,0.09,69.144,84
NDC,88800-0488-00 [271114],INSULIN REGULAR INFUSION 100 UNITS IN 100 ML NS (IP-CMPD) (USE ORDER SET) [40800000488],119.3,,33.404,102.598,83
NDC,88800-0495-00 [271133],"FENTANYL INFUSION 2,000 MCG IN 100 ML NS (IP-CMPD) (USE ORDER SET) [40800000495]",122.25,,0.96,105.135,84
NDC,88800-0700-00 [271117],"HEPARIN INFUSION 2,500 UNITS IN 250 ML NS (IP-CMPD) (USE ORDER SET) [40800000700]",74.8,,0.22,64.328,84
NDC,88800-0705-00 [270711],CARBOPLATIN IVPB 4 MG/ML IN 250 ML (DESENSITIZATION STOCK SOLN) [40800000705],546.0,,2.11,469.56,84
NDC,88800-0705-00 [270711],CARBOPLATIN IVPB 4 MG/ML IN D5W BAG #4 (DESENSITIZATION) [40800000710],546.0,,2.11,469.56,84
NDC,88800-0706-00 [270709],CISPLATIN IVPB 0.4 MG/ML IN 250 ML NS (DESENSITIZATION STOCK SOLN) [40800000706],138.0,,1.95,118.68,84
NDC,88800-0706-00 [270709],CISPLATIN IVPB 0.4 MG/ML IN NS BAG #4 (DESENSITIZATION) [40800000715],138.0,,1.95,118.68,84
NDC,88800-0707-00 [270710],DOCETAXEL IVPB 0.9 MG/ML IN 250 ML NS (DESENSITIZATION STOCK SOLN) [40800000707],783.2,,0.38,673.552,84
NDC,88800-0708-00 [270712],OXALIPLATIN IVPB 0.5 MG/ML IN 500 ML D5W (DESENSITIZATION STOCK SOLN) [40800000708],1392.3,,0.09,1197.378,84
NDC,88800-0709-00 [270713],PACLITAXEL IVPB 1.2 MG/ML IN 500 ML NS (DESENSITIZATION STOCK SOLN) [40800000709],832.1,,0.11,715.606,84
NDC,88800-0768-00 [276945],MIDAZOLAM INFUSION 5 MG/ML [40800000768],238.1,,0.16,204.766,84
NDC,88800-0935-00 [271118],ISRADIPINE ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800000935],52.55,,14.714,45.193,83
NDC,88800-0959-00 [271119],OSELTAMIVIR ORAL SUSPENSION 6 MG/ML (IP-CMPD) [40800000959],212.75,,59.57,182.965,83
NDC,88800-0999-01 [271132],CIDOFOVIR ORAL TOPICAL SOLUTION 3% (IP-CMPD) [40800000999],900.75,,252.21,774.645,83
NDC,88800-1018-00 [271128],POWDERED MILK (BULK) POWDER [40800001018],6.45,,1.806,5.547,83
NDC,88800-1018-01 [271139],POWDERED MILK (BULK) POWDER [40800001018],127.3,,35.644,109.478,83
NDC,88800-1032-00 [276901],AMPHOTERICIN B DEOXYCHOLATE (FUNGIZONE) FOR INHALATION 5 MG/10 ML (IP-CMPD) [40800001032],36.05,,10.094,34.12,84
NDC,88800-1033-00 [276902],AMPHOTERICIN B DEOXYCHOLATE (FUNGIZONE) FOR INHALATION 10 MG/10 ML (IP-CMPD) [40800001033],36.05,,10.094,34.12,84
NDC,88800-1034-00 [276903],AMPHOTERICIN B DEOXYCHOLATE (FUNGIZONE) FOR INHALATION 20 MG/10 ML (IP-CMPD) [40800001034],36.05,,10.094,34.12,84
NDC,88800-1605-00 [282051],ALDESLEUKIN SUBCUTANEOUS INJ 3.6 MILLION UNITS/ML (IP-CMPD) [40800001605],21639.35,,3338.87,18609.841,85
NDC,88800-1705-00 [276964],ELASTOMERIC PUMP RESERVOIR 2.5 INCH 270 ML [40800001705],423.15,,118.482,363.909,83
NDC,88800-1706-00 [276965],ELASTOMERIC PUMP RESERVOIR 5 INCH 270 ML [40800001706],454.55,,127.274,390.913,83
NDC,88800-1707-00 [276966],ELASTOMERIC PUMP RESERVOIR 2.5 INCH 400 ML [40800001707],805.35,,225.498,692.601,83
NDC,88800-1708-00 [276967],ELASTOMERIC PUMP RESERVOIR 5 INCH 400 ML [40800001708],749.4,,209.832,644.484,83
NDC,88800-1709-00 [276968],ELASTOMERIC PUMP RESERVOIR 10 INCH 400 ML [40800001709],1044.1,,292.348,897.926,83
NDC,88800-1912-00 [271126],POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [108127],93.6,,26.208,80.496,84
NDC,88800-1913-00 [271130],PHENOL 2% IN STERILE WATER INTRANEURAL SOLUTION (IP-CMPD) [40800001913],6.9,,1.932,5.934,83
NDC,88800-1916-00 [271127],CATARACT OPHTHALMIC IRRIGATION SOLUTION (IP-CMPD) [40800001916],33.9,,9.492,29.154,83
NDC,88800-2004-01 [292462],ZICONOTIDE INJECTION 1 MCG/ML STOCK SYRINGE (IP-CMPD) [40800002815],1626.9,,10.13,1399.134,85
NDC,88800-2311-00 [276686],AMIKACIN FOR IPPB 300 MG/3 ML (PF) (IP-CMPD) [40800002311],34.85,,9.758,29.971,83
NDC,88800-2312-00 [276687],AMIKACIN FOR IPPB 500 MG/3 ML (PF) (IP-CMPD) [40800002312],47.2,,13.216,40.592,83
NDC,88800-2313-00 [276688],FENTANYL FOR INHALATION 25 MCG/3 ML (PF) (IP-CMPD) [40800002313],8.05,,0.96,6.923,84
NDC,88800-2314-00 [276689],AMPHOTERICIN B LIPOSOMAL (AMBISOME) FOR INHALATION 50 MG/12.5 ML (IP-CMPD) [40800002314],1042.8,,22.62,896.808,86
NDC,88800-2400-00 [271172],METHOTREXATE INTRAVITREAL INJ 1.6 MG/0.4 ML [40800002400],6.9,,1.932,5.934,84
NDC,88800-2401-00 [271173],AMIKACIN INTRAVITREAL INJECTION 1600 MCG/0.4 ML [40800002401],7.75,,0.62,6.665,84
NDC,88800-2402-00 [271174],AMPHOTERICIN B INTRAVITREAL INJECTION 20 MCG/0.4 ML [40800002402],7.25,,2.03,34.12,84
NDC,88800-2403-00 [271175],AMPHOTERICIN B INTRAVITREAL INJECTION 40 MCG/0.4 ML [40800002403],7.25,,2.03,34.12,84
NDC,88800-2404-00 [271176],BEVACIZUMAB INTRAVITREAL INJECTION 10 MG/0.4 ML [40800002404],406.8,,1.86,349.848,85
NDC,88800-2405-00 [271177],CEFAZOLIN INTRAVITREAL INJECTION 9 MG/0.4 ML [40800002405],6.9,,0.84,5.934,84
NDC,88800-2406-00 [271178],CEFTAZIDIME INTRAVITREAL INJECTION 9 MG/0.4 ML [40800002406],6.9,,1.64,5.934,84
NDC,88800-2407-00 [271179],CLINDAMYCIN INTRAVITREAL INJECTION 4 MG/0.4 ML [40800002407],6.9,,1.67,5.934,84
NDC,88800-2408-00 [271180],FOSCARNET INTRAVITREAL INJECTION 9.6 MG/0.4 ML [40800002408],6.9,,1.932,5.934,83
NDC,88800-2409-00 [271181],GANCICLOVIR INTRAVITREAL INJECTION 8 MG/0.4 ML [40800002409],18.45,,5.166,39.62,84
NDC,88800-2411-00 [271183],GENTAMICIN INTRAVITREAL INJECTION 0.4 MG/0.4 ML [40800002411],6.9,,1.932,5.934,84
NDC,88800-2415-00 [271185],VANCOMYCIN INTRAVITREAL INJECTION 4 MG/0.4 ML [40800002415],6.9,,0.03,5.934,84
NDC,88800-2463-00 [283678],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,18.522,56.889,83
NDC,88800-2813-00 [292399],ETOPOSIDE INTRATHECAL INJECTION 0.25 MG/2.5 ML [40800002813],6.9,,1.3,5.934,84
NDC,88800-2814-00 [292400],ETOPOSIDE INTRATHECAL INJECTION 0.5 MG/5 ML [40800002814],6.9,,1.3,5.934,84
NDC,8884430300 [154937],WHITE PETROLATUM TOPICAL JELLY [28809],5.4,,1.512,4.644,83
NDC,8888-0003-53 [268391],ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION [353],1.65,,0.462,1.419,83
NDC,8888-0005-04 [268301],XYLOXYLIN ORAL SUSPENSION (IP-CMPD) [40800001002],3.0,,0.84,2.58,83
NDC,8888-0011-01 [268323],ABH CAPSULES (IP-CMPD) [40800001009],3.05,,0.854,2.623,83
NDC,8888-0045-71 [268398],LORAZEPAM 2 MG/ML ORAL CONCENTRATE [4571],6.9,,1.932,5.934,83
NDC,8888-0049-03 [270522],MAGIC MOUTHWASH (IP-CMPD) [40800000990],10.9,,3.052,9.374,83
NDC,8888-0050-86 [268384],MINERAL OIL ORAL SYRINGE (PEDI) [40800004004],1.65,,0.462,1.419,83
NDC,8888-0050-86 [268384],MINERAL OIL ORAL [5086],1.65,,0.462,1.419,83
NDC,8888-0051-76 [280782],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],8.3,,2.324,7.138,83
NDC,8888-0097-74 [268392],DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [9774],2.6,,0.728,2.236,83
NDC,8888-0100-10 [280731],FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [10010],33.55,,9.394,28.853,83
NDC,8888-0106-55 [269356],MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],4.0,,1.12,3.44,83
NDC,8888-0108-13 [383337],OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],3.15,,0.882,2.709,83
NDC,8888-0114-41 [268382],SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],34.15,,9.562,29.369,83
NDC,8888-0159-96 [276683],METHADONE 10 MG/ML ORAL CONCENTRATE [15996],2.85,,0.798,2.451,83
NDC,8888-0225-60 [268386],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION (DESENSITIZATION #5-7) [40800003065],7.6,,2.128,6.536,83
NDC,8888-0225-60 [268386],SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],7.6,,2.128,6.536,83
NDC,8888-0241-76 [269355],MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],7.8,,2.184,6.708,83
NDC,8888-0297-93 [284028],ACETIC ACID VAGINAL SOLUTION [28793],3.2,,0.896,2.752,83
NDC,8888-0365-02 [276702],CLONAZEPAM ORAL SUSPENSION 0.1 MG/ML (IP-CMPD) [40800000929],2.85,,0.798,2.451,83
NDC,8888-0382-85 [269359],ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],4.05,,1.134,3.483,83
NDC,8888-0422-19 [322429],LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [42219],2.55,,0.714,2.193,83
NDC,8888-0762-00 [280816],MERCAPTOPURINE 25 MG HALF TABLET [40800000762],8.75,,2.45,7.525,83
NDC,8888-0772-00 [280793],"METOPROLOL SUCCINATE 12.5 MG HALF-TABLET, EXTENDED RELEASE [40800000772]",2.35,,0.658,2.021,83
NDC,8888-0773-00 [280794],METOPROLOL TARTRATE 12.5 MG HALF-TABLET [40800000773],1.65,,0.462,1.419,83
NDC,8888-0774-00 [332226],QUETIAPINE FUMARATE 12.5 MG HALF-TABLET [40800000774],1.65,,0.462,1.419,83
NDC,8888-0775-00 [280796],TRAZODONE 25 MG HALF-TABLET [40800000775],1.65,,0.462,1.419,83
NDC,8888-0777-25 [268381],METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [77725],2.6,,0.728,2.236,83
NDC,8888-0789-01 [284017],FINASTERIDE 2.5 MG HALF-TABLET  [40800000789],1.65,,0.462,1.419,83
NDC,8888-0790-01 [284018],METHIMAZOLE 2.5 MG HALF-TABLET [40800000790],1.65,,0.462,1.419,83
NDC,8888-0944-00 [276656],URSODIOL ORAL SUSPENSION 20 MG/ML (IP-CMPD) [40800000944],6.5,,1.82,5.59,83
NDC,8888-0994-05 [269360],OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL [99405],12.1,,3.388,10.406,83
NDC,8888-1049-62 [366907],LACTULOSE 10 GRAM/15 ML ORAL SOLUTION [38245],2.4,,0.672,2.064,83
NDC,8888-1051-76 [383336],MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],2.85,,0.798,2.451,83
NDC,8888-1054-82 [289882],LACOSAMIDE 10 MG/ML ORAL SOLUTION [105482],44.15,,12.362,37.969,83
NDC,8888-1064-13 [268395],HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR [106413],25.1,,7.028,21.586,83
NDC,8888-1192-00 [373499],CLORAZEPATE DIPOTASSIUM 3.75 MG HALF-TABLET [40800001192],4.6,,1.288,3.956,83
NDC,8888-1216-00 [403496],VENETOCLAX 5 MG HALF-TABLET [40800001216],30.55,,8.554,26.273,83
NDC,8888-1244-54 [268397],LIDOCAINE HCL 2 % MUCOSAL SOLUTION [124454],4.3,,1.204,3.698,83
NDC,8888-1275-28 [268385],"MAGNESIUM HYDROXIDE 2,400 MG/10 ML ORAL SUSPENSION [127528]",3.5,,0.98,3.01,83
NDC,8888-1508-58 [270591],PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],4.85,,1.358,4.171,83
NDC,8888-2003-00 [296140],METHADONE 2.5 MG HALF-TABLET [40800002003],2.85,,0.798,2.451,83
NDC,8888-2004-00 [297080],MORPHINE 7.5 MG IMMEDIATE RELEASE HALF-TABLET [40800002004],2.85,,0.798,2.451,83
NDC,8888-2488-00 [304108],BLINATUMOMAB IV STABILIZER IN 270 ML SODIUM CHLORIDE 0.9% NS (NON-PVC) (IP-CMPD) [40800002488],120.1,,0.71,103.286,84
NDC,8888-2673-00 [318814],HYDROMORPHONE 1 MG HALF-TABLET [40800002673],2.85,,0.798,2.451,83
NDC,8888-3611-01 [348636],OXYCODONE 2.5 MG HALF-TABLET [40800003611],2.85,,0.798,2.451,83
NDC,8888-3612-01 [348637],METHOCARBAMOL 250 MG HALF-TABLET [40800003612],1.65,,0.462,1.419,83
NDC,8888-3614-01 [348639],METHYLPHENIDATE 2.5 MG HALF-TABLET [40800003614],9.15,,2.562,7.869,83
NDC,8888-3926-00 [366077],VALACYCLOVIR 250 MG HALF-TABLET [40800003926],6.2,,1.736,5.332,83
NDC,8888-3927-00 [366078],CYPROHEPTADINE 2 MG HALF-TABLET [40800003927],1.65,,0.462,1.419,83
NDC,8888-4952-00 [353382],METHADONE 5 MG/5 ML ORAL SOLUTION [4952],2.85,,0.798,2.451,83
NDC,8888-5751-01 [312122],"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",4.5,,1.26,3.87,83
NDC,8888-6225-05 [403434],PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR [6225],18.45,,5.166,15.867,83
NDC,8888-6255-00 [378781],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION SYRINGE (PEDI) [40800004005],23.25,,6.51,19.995,83
NDC,8888-6255-00 [378781],PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [128582],23.25,,6.51,19.995,83
NDC,8888-7800-03 [280783],CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID [78003],4.35,,1.218,3.741,83
NDC,88880-0003-01 [270501],SMOG ENEMA KIT (IP-CMPD) [40800001902],39.5,,11.06,33.97,83
NDC,88880-0005-03 [269362],XYLOXYLIN ORAL SUSPENSION (IP-CMPD) [40800001002],16.1,,4.508,13.846,83
NDC,88880-0006-01 [270390],NDX CREAM (IP-CMPD) [40800001010],33.1,,9.268,28.466,83
NDC,88880-0015-02 [270443],DIPYRIDAMOLE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000913],22.15,,6.202,19.049,83
NDC,88880-0018-01 [270406],ALLOPURINOL ORAL SUSPENSION 20 MG/ML (IP-CMPD) [40800000906],24.4,,6.832,20.984,83
NDC,88880-0019-02 [378770],CLONIDINE ORAL SUSPENSION 0.1 MG/ML (IP-CMPD) [40800000910],18.15,,5.082,15.609,83
NDC,88880-0020-01 [270408],AMINOCAPROIC ACID MOUTHWASH 5% (IP-CMPD) [40800000996],26.1,,7.308,22.446,83
NDC,88880-0023-03 [270419],BETHANECHOL CHLORIDE ORAL SUSPENSION 5 MG/ML (IP-CMPD) [40800000909],37.7,,10.556,32.422,83
NDC,88880-0024-01 [270422],BUSULFAN ORAL SUSPENSION 2 MG/ML (IP-CMPD) [40800000994],1629.35,,10.12,1401.241,85
NDC,88880-0025-02 [270371],CAPTOPRIL ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800000928],18.5,,5.18,15.91,83
NDC,88880-0026-01 [270430],CLINDAMYCIN MOUTHWASH 0.9 MG/ML (IP-CMPD) [40800000993],20.45,,5.726,17.587,83
NDC,88880-0027-01 [268366],AMIKACIN FOR IPPB 100 MG/3 ML (PF) (IP-CMPD) [40800001016],11.65,,3.262,10.019,83
NDC,88880-0029-02 [270368],ACETAZOLAMIDE ORAL SUSPENSION 25 MG/ML (IP-CMPD) [40800000905],113.35,,31.738,97.481,83
NDC,88880-0032-02 [268337],ONDANSETRON IVPB 16 MG IN 50 ML NS (IP-CMPD) [40800000484],75.65,,0.09,65.059,84
NDC,88880-0034-02 [270434],DEXAMETHASONE IVPB 20 MG IN 50 ML NS (IP-CMPD) [40800000974],88.65,,0.12,76.239,84
NDC,88880-0039-01 [270405],ACETYLCYSTEINE OPHTHALMIC SOLUTION 10% (IP-CMPD) [40800001012],28.45,,7.966,24.467,83
NDC,88880-0040-01 [276748],COLISTIMETHATE FOR INHALATION 75 MG/4 ML (IP-CMPD) [40800001029],46.25,,12.95,39.775,83
NDC,88880-0040-04 [276750],COLISTIMETHATE FOR INHALATION 150 MG/4 ML (IP-CMPD) [40800001031],82.4,,23.072,70.864,83
NDC,88880-0040-05 [276749],COLISTIMETHATE FOR INHALATION 100 MG/4 ML (IP-CMPD) [40800001030],61.65,,17.262,53.019,83
NDC,88880-0040-06 [276747],COLISTIMETHATE FOR INHALATION 50 MG/4 ML (IP-CMPD) [40800001028],37.95,,10.626,32.637,83
NDC,88880-0049-02 [270466],MAGIC MOUTHWASH (IP-CMPD) [40800000990],105.4,,29.512,90.644,83
NDC,88880-0049-02 [270466],MAGIC MOUTHWASH ORAL SYRINGE (PEDI) [40840005210],105.4,,29.512,90.644,83
NDC,88880-0049-04 [283724],MAGIC MOUTHWASH (IP-CMPD) [40800000990],23.1,,6.468,19.866,83
NDC,88880-0051-01 [270476],MITOMYCIN OPHTHALMIC SOLUTION 0.04% (IP-CMPD) [40800000963],414.15,,115.962,356.169,83
NDC,88880-0051-02 [270475],MITOMYCIN OPHTHALMIC SOLUTION 0.02% (IP-CMPD) [40800000964],102.5,,28.7,88.15,83
NDC,88880-0057-03 [283722],URSODIOL ORAL SUSPENSION SYRINGE 20 MG/ML (IP-CMPD) (PEDI) [40800004032],588.65,,164.822,506.239,83
NDC,88880-0060-02 [270515],VANCOMYCIN ENEMA 500 MG/200 ML (IP-CMPD) [40800001901],32.75,,9.17,28.165,83
NDC,88880-0060-04 [270516],VANCOMYCIN OPHTHALMIC SOLUTION 25 MG/ML (IP-CMPD) [40800000965],43.35,,12.138,37.281,83
NDC,88880-0068-01 [270427],CHOLESTYRAMINE 10% IN AQUAPHOR OINTMENT (IP-CMPD) [40800000512],3375.5,,945.14,2902.93,83
NDC,88880-0072-01 [270444],"EPINEPHRINE TOPICAL SOLUTION 1:20,000 (IP-CMPD) [40800001006]",52.9,,14.812,45.494,83
NDC,88880-0073-02 [270445],ERGOCALCIFEROL ORAL SUSPENSION 100 UNITS/ML (IP-CMPD) [40800000915],6.75,,1.89,5.805,83
NDC,88880-0074-01 [270446],ETOPOSIDE ORAL SOLUTION 10 MG/ML (CMPD) [40800000932],180.8,,50.624,155.488,86
NDC,88880-0075-01 [270403],FLUOROURACIL OPHTHALMIC SOLUTION 10 MG/ML (1 %) (CMPD) [40800001011],6.9,,1.932,5.934,83
NDC,88880-0081-04 [270453],HYDRALAZINE ORAL SUSPENSION 4 MG/ML (IP-CMPD) [40800000917],83.7,,23.436,71.982,83
NDC,88880-0082-01 [270500],SARGRAMOSTIM MOUTHWASH 2 MCG/ML (IP-CMPD) [40800000987],1504.9,,421.372,1294.214,83
NDC,88880-0084-01 [270460],KETOCONAZOLE ORAL SUSPENSION 20 MG/ML (IP-CMPD) [40800000936],86.65,,24.262,74.519,83
NDC,88880-0090-01 [270472],METOPROLOL TARTRATE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000900],100.65,,28.182,86.559,83
NDC,88880-0093-03 [270477],MORPHINE 0.1% IN SILVADENE CREAM (IP-CMPD) [40800000522],34.9,,9.772,30.014,83
NDC,88880-0097-02 [270485],NITROGLYCERIN 0.2% IN WHITE PETROLATUM (IP-CMPD) [40800000527],34.25,,9.59,29.455,83
NDC,88880-0098-02 [269366],PANTOPRAZOLE ORAL SUSPENSION 2 MG/ML (IP-CMPD) [40800000902],243.75,,68.25,209.625,83
NDC,88880-0099-98 [269386],SODIUM CHLORIDE (HYPERTONIC SALINE) 10% INHALATION (IP-CMPD) [40800000998],15.3,,4.284,13.158,83
NDC,88880-0107-02 [270506],TETRACYCLINE ORAL SUSPENSION 125 MG/5 ML (IP-CMPD) [40800000962],61.45,,17.206,52.847,83
NDC,88880-0107-03 [270487],ORAL MUCOSITIS MOUTHWASH (IP-CMPD) [40800000989],44.85,,12.558,38.571,83
NDC,88880-0108-01 [270498],PYRIMETHAMINE ORAL SUSPENSION 2 MG/ML (IP-CMPD) [40800000942],15.05,,4.214,12.943,83
NDC,88880-0109-02 [270499],RIFAMPIN ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000943],37.35,,10.458,32.121,83
NDC,88880-0115-01 [270511],TRANEXAMIC ACID SOLUTION 50 MG/ML (IP-CMPD) [40800001908],1149.7,,321.916,988.742,83
NDC,88880-0119-01 [271148],MILK AND MOLASSES ENEMA KIT (IP-CMPD) [40800001020],13.85,,3.878,11.911,83
NDC,88880-0121-00 [296134],SODIUM BICARBONATE 1 MEQ/ML INFUSION CONTAINER [40800000121],166.5,,46.62,143.19,83
NDC,88880-0126-01 [289891],MAGNESIUM SULFATE 500 MG/ML (50 %) ORAL SOLUTION [40800000126],127.0,,0.5,109.22,84
NDC,88880-0126-02 [289892],MAGNESIUM SULFATE 500 MG/ML (50 %) ORAL SOLUTION [40800000126],254.0,,0.5,218.44,84
NDC,88880-0126-03 [289893],MAGNESIUM SULFATE 500 MG/ML (50 %) ORAL SOLUTION [40800000126],363.65,,0.5,312.739,84
NDC,88880-0128-01 [276684],NEOMYCIN SULFATE (BULK) POWDER [5473],18.5,,5.18,15.91,83
NDC,88880-0128-02 [276685],NEOMYCIN SULFATE (BULK) POWDER [5473],3.7,,1.036,3.182,83
NDC,88880-0129-01 [270566],GI COCKTAIL ORAL SUSPENSION (IP-CMPD) [40800001013],2418.95,,677.306,2080.297,83
NDC,88880-0129-02 [283777],GI COCKTAIL ORAL SUSPENSION (IP-CMPD) [40800001013],632.9,,177.212,544.294,83
NDC,88880-0132-01 [270461],LABETALOL ORAL SUSPENSION 40 MG/ML (IP-CMPD) [40800000937],51.95,,14.546,44.677,83
NDC,88880-0138-02 [280790],LIDOCAINE 1% BUFFERED INJ SYRINGE 3 ML (IP-CMPD) [40800000769],33.25,,9.31,28.595,83
NDC,88880-0138-03 [280789],"LIDOCAINE 1% BUFFERED - EPINEPHRINE 1:100,000 INJ SYRINGE 10 ML (IP-CMPD) [40800000770]",26.8,,7.504,23.048,83
NDC,88880-0138-05 [280787],"LIDOCAINE 1% BUFFERED - EPINEPHRINE 1:100,000 INJ SYRINGE 1 ML (IP-CMPD) [40800000771]",6.9,,1.932,5.934,83
NDC,88880-0138-10 [362105],"LIDOCAINE 1% BUFFERED - EPINEPHRINE 1:100,000 INJ SYRINGE 0.5 ML (IP-CMPD) [40800003821]",6.9,,1.932,5.934,83
NDC,88880-0139-03 [270484],NIFEDIPINE ORAL SUSPENSION 4 MG/ML (IP-CMPD) [40800000919],15.2,,4.256,13.072,83
NDC,88880-0142-02 [270375],DAPSONE ORAL SUSPENSION 2 MG/ML (IP-CMPD) [40800000911],52.55,,14.714,45.193,83
NDC,88880-0143-01 [270482],NIFEDIPINE 0.2% AND LIDOCAINE 1% IN VASELINE (IP-CMPD) [40800000525],11.95,,3.346,10.277,83
NDC,88880-0144-01 [270409],AMIODARONE ORAL SUSPENSION 5 MG/ML (IP-CMPD) [40800000925],27.6,,7.728,23.736,83
NDC,88880-0152-01 [270505],TEMOZOLOMIDE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000952],5891.9,,0.36,5067.034,84
NDC,88880-0155-01 [270495],PROCARBAZINE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000941],2036.2,,570.136,1751.132,83
NDC,88880-0156-01 [270416],AZATHIOPRINE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000927],49.1,,2.14,42.226,84
NDC,88880-0162-01 [270509],TOPOTECAN ORAL SOLUTION 1 MG/ML (IP-CMPD) [40800000960],715.55,,124.9,615.373,86
NDC,88880-0170-01 [270377],DOXEPIN MOUTHWASH 5 MG/ML (IP-CMPD) [40800000914],64.55,,18.074,55.513,83
NDC,88880-0179-02 [270413],AMITRIPTYLINE ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800000995],17.05,,4.774,14.663,83
NDC,88880-0222-00 [357158],SODIUM CHLORIDE-SODIUM BICARBONATE MOUTHWASH (SALT AND SODA) CONTAINER [40800000222],65.95,,18.466,56.717,83
NDC,88880-0330-02 [270432],CYCLOPHOSPHAMIDE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000930],235.0,,1.98,202.1,84
NDC,88880-0339-01 [270452],"HEPARIN INFUSION 5,000 UNITS IN 1,000 ML NS (IR USE ONLY) (IP-CMPD) [40800000977]",89.4,,0.22,76.884,84
NDC,88880-0339-02 [270451],"HEPARIN INFUSION 10,000 UNITS IN 500 ML NS (APHERESIS USE ONLY) (IP-CMPD) (USE ORDER SET) [40800000978]",101.7,,0.22,87.462,84
NDC,88880-0348-01 [270483],NIFEDIPINE 0.3% AND LIDOCAINE 5% IN VASELINE (IP-CMPD) [40800000526],16.9,,4.732,14.534,83
NDC,88880-0355-02 [270372],CARVEDILOL ORAL SUSPENSION 0.5 MG/ML (IP-CMPD) [40800000949],6.45,,1.806,5.547,83
NDC,88880-0359-01 [270425],"CALCIUM CHLORIDE IVPB 3,000 MG IN 250 ML NS (IP-CMPD) [40800000984]",274.35,,76.818,235.941,83
NDC,88880-0359-02 [270424],"CALCIUM CHLORIDE IVPB 2,000 MG IN 250 ML NS (IP-CMPD) [40800000985]",204.95,,57.386,176.257,83
NDC,88880-0359-03 [270423],"CALCIUM CHLORIDE IVPB 1,000 MG IN 50 ML NS (IP-CMPD) [40800000986]",135.55,,37.954,116.573,83
NDC,88880-0361-01 [269379],VORINOSTAT ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800000958],7596.95,,2127.146,6533.377,83
NDC,88880-0362-02 [270410],AMITRIPTYLINE 2% KETAMINE 5% LIDOCAINE 5% IN VC (IP-CMPD) [40800000510],274.5,,76.86,236.07,83
NDC,88880-0362-03 [270412],AMITRIPTYLINE 5% KETAMINE 10% LIDOCAINE 5% IN VC (IP-CMPD) [40800000507],521.05,,145.894,448.103,83
NDC,88880-0363-01 [281805],"AMITRIPTYLINE 2%, LIDOCAINE 5% IN VANICREAM (IP-CMPD) [40800000509]",60.45,,16.926,51.987,83
NDC,88880-0363-02 [270411],"AMITRIPTYLINE 5%, LIDOCAINE 5% IN VANICREAM (IP-CMPD) [40800000508]",40.9,,11.452,35.174,83
NDC,88880-0365-01 [270431],CLONAZEPAM ORAL SUSPENSION 0.1 MG/ML (IP-CMPD) [40800000929],4.35,,1.218,3.741,83
NDC,88880-0368-01 [270439],DILTIAZEM TOPICAL GEL 2% (IP-CMPD) [40800000516],94.3,,26.404,81.098,83
NDC,88880-0369-01 [269380],APREPITANT ORAL SUSPENSION 20 MG/ML (IP-CMPD) [40800000957],3095.2,,2.72,2661.872,84
NDC,88880-0380-01 [270489],PHENOL 6% IN STERILE WATER INTRAMUSCULAR INJECTION (IP-CMPD) [40800002616],73.05,,20.454,62.823,83
NDC,88880-0380-01 [270489],PHENOL 6% IN STERILE WATER INTRANEURAL INJECTION (IP-CMPD) [40800001922],73.05,,20.454,62.823,83
NDC,88880-0380-25 [388135],PHENYLEPHRINE 50 MG/250 ML (200 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (MELANOMA)(USE ORDER SET) [40800003973],127.6,,35.728,109.736,83
NDC,88880-0380-25 [388135],PHENYLEPHRINE 50 MG/250 ML (200 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [175484],127.6,,35.728,109.736,83
NDC,88880-0381-01 [268349],NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV [129841],102.65,,28.742,88.279,83
NDC,88880-0382-01 [270450],GRANISETRON ORAL SUSPENSION 50 MCG/ML (IP-CMPD) [40800000947],55.5,,15.54,47.73,83
NDC,88880-0384-01 [270479],MOXIFLOXACIN ORAL SUSPENSION 20 MG/ML (IP-CMPD) [40800000953],210.35,,58.898,180.901,83
NDC,88880-0386-01 [268343],NICARDIPINE INJECTION 5 MG IN 10 ML NS SYRINGE (IP-CMPD) [40800000490],21.0,,0.09,18.06,84
NDC,88880-0451-00 [292513],TACROLIMUS INJ 1 MG/ML (CMPD) [40800000451],567.6,,158.928,488.136,86
NDC,88880-0451-01 [292514],TACROLIMUS INJ 1 MG/ML (CMPD) [40800000451],1135.2,,259.96,976.272,86
NDC,88880-0517-00 [383293],HYDROCORTISONE 1% IN EMOLLIENT CREAM (IP-CMPD) [40800000517],6.55,,1.834,5.633,83
NDC,88880-0518-00 [383294],HYDROCORTISONE 2.5% IN EMOLLIENT CREAM (IP-CMPD) [40800000518],13.25,,3.71,11.395,83
NDC,88880-0702-00 [294839],BUPIVACAINE 0.075%-HYDROMORPHONE 5 MCG/ML EPIDURAL INFUSION (PREMIX) [40800000702],69.25,,19.39,59.555,83
NDC,88880-0703-00 [294840],BUPIVACAINE 0.075%-HYDROMORPHONE 10 MCG/ML EPIDURAL INFUSION (PREMIX) [40800000703],65.1,,18.228,55.986,83
NDC,88880-0704-00 [294841],BUPIVACAINE 0.075%-FENTANYL 5 MCG/ML EPIDURAL INFUSION (PREMIX) [40800000704],111.8,,31.304,96.148,83
NDC,88880-0764-01 [306864],THIOGUANINE ORAL SUSPENSION 20 MG/ML (IP-CMPD) [40800000764],1153.25,,322.91,991.795,83
NDC,88880-0768-24 [364266],MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION [10521],7.15,,2.002,6.149,83
NDC,88880-0768-24 [364266],MEGESTROL SUSP 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION CONTAINER [40800000738],7.15,,2.002,6.149,83
NDC,88880-0788-0 [283905],TRAZODONE 12.5 MG QUARTER-TABLET  [40800000788],1.65,,0.462,1.419,83
NDC,88880-0791-01 [287074],"HEPARIN INFUSION 10,000 UNITS IN 1,000 ML NS (IR USE ONLY) (IP-CMPD) [40800000791]",109.1,,0.22,93.826,84
NDC,88880-0900-00 [290866],METOPROLOL TARTRATE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000900],378.55,,105.994,325.553,83
NDC,88880-0901-00 [290865],METRONIDAZOLE ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800000901],305.65,,85.582,262.859,83
NDC,88880-0901-01 [378766],METRONIDAZOLE ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800000901],67.55,,18.914,58.093,83
NDC,88880-0905-00 [290861],ACETAZOLAMIDE ORAL SUSPENSION 25 MG/ML (IP-CMPD) [40800000905],54.05,,15.134,46.483,83
NDC,88880-0907-00 [290860],ATENOLOL ORAL SUSPENSION 2 MG/ML (IP-CMPD) [40800000907],14.5,,4.06,12.47,83
NDC,88880-0907-01 [378765],ATENOLOL ORAL SUSPENSION 2 MG/ML (IP-CMPD) [40800000907],8.3,,2.324,7.138,83
NDC,88880-0912-00 [378772],DILTIAZEM ORAL SUSPENSION 12 MG/ML (IP-CMPD) [40800000912],57.45,,16.086,49.407,83
NDC,88880-0920-01 [378779],PHENAZOPYRIDINE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000920],15.95,,4.466,13.717,83
NDC,88880-0920-02 [378780],PHENAZOPYRIDINE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800000920],29.8,,8.344,25.628,83
NDC,88880-0924-02 [378767],VERAPAMIL ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800000924],83.45,,23.366,71.767,83
NDC,88880-0928-00 [323445],CAPTOPRIL ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800000928],34.2,,9.576,29.412,83
NDC,88880-0928-01 [323446],CAPTOPRIL ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800000928],54.35,,15.218,46.741,83
NDC,88880-0934-01 [378777],HYDROXYUREA 100 MG/ML ORAL SUSPENSION (CMPD) (ACCC AND ICU USE ONLY) [40800002704],183.85,,51.478,158.111,83
NDC,88880-0934-01 [378777],HYDROXYUREA ORAL SUSPENSION 100 MG/ML (CMPD) [40800000934],183.85,,51.478,158.111,83
NDC,88880-0939-00 [378778],METOLAZONE ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800000939],34.15,,9.562,29.369,83
NDC,88880-0949-00 [290876],CARVEDILOL ORAL SUSPENSION 0.5 MG/ML (IP-CMPD) [40800000949],23.1,,6.468,19.866,83
NDC,88880-0951-03 [378768],CIPROFLOXACIN FEEDING TUBE SUSPENSION 50 MG/ML (IP-CMPD) [40800000951],13.45,,3.766,11.567,83
NDC,88880-0951-04 [378769],CIPROFLOXACIN FEEDING TUBE SUSPENSION 50 MG/ML (IP-CMPD) [40800000951],24.85,,6.958,21.371,83
NDC,88880-0962-00 [290867],TETRACYCLINE ORAL SUSPENSION 125 MG/5 ML (IP-CMPD) [40800000962],256.45,,71.806,220.547,83
NDC,88880-0995-00 [323443],AMITRIPTYLINE ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800000995],32.0,,8.96,27.52,83
NDC,88880-0996-00 [290858],AMINOCAPROIC ACID MOUTHWASH 5% (IP-CMPD) [40800000996],85.7,,23.996,73.702,83
NDC,88880-0999-02 [323463],CIDOFOVIR ORAL TOPICAL SOLUTION 3% (IP-CMPD) [40800000999],8988.65,,2516.822,7730.239,83
NDC,88880-1000-01 [280802],ETOPOSIDE 50 MG CAPSULE [10001],234.4,,65.632,201.584,86
NDC,88880-1007-45 [280801],ESTRADIOL 10 MCG VAGINAL TABLET [100745],73.0,,20.44,62.78,83
NDC,88880-1037-00 [370066],VANCOMYCIN 10 MG/ML IN NS STOCK BAG (IP-CMPD) [40800001037],127.95,,0.03,110.037,84
NDC,88880-1038-01 [370067],CEFEPIME 40 MG/ML IN NS STOCK BAG (IP-CMPD) [40800001038],104.7,,1.23,90.042,84
NDC,88880-1051-00 [334572],AMIODARONE INFUSION 360 MG IN 200 ML D5W (IP-CMPD) [40800001051],113.65,,0.51,97.739,84
NDC,88880-1054-00 [343094],KETAMINE INJECTION FOR PO USE 10 MG/ML [40800000793],38.45,,10.766,33.067,83
NDC,88880-1054-00 [343094],KETAMINE ORAL SOLUTION 10 MG/ML (IP-CMPD) [40800001054],36.45,,10.206,31.347,83
NDC,88880-1054-60 [302283],METHADONE 10 MG/ML INJECTION SOLUTION [10546],38.75,,10.85,33.325,84
NDC,88880-1077-00 [301430],POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11077],63.3,,0.17,54.438,84
NDC,88880-1079-00 [301431],POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11079],63.3,,0.17,54.438,84
NDC,88880-1081-20 [316621],OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],23.4,,6.552,20.124,83
NDC,88880-1154-00 [354882],PHENYLEPHRINE 0.5% NASOPHARYNGEAL SOLUTION (IP-CMPD) [40800001154],15.95,,4.466,13.717,83
NDC,88880-1199-00 [337305],IMATINIB ORAL SUSPENSION 40 MG/ML (IP-CMPD) [40800001199],308.1,,86.268,264.966,83
NDC,88880-1200-00 [377336],BECLOMETHASONE DIPROPIONATE IN OIL 0.5 MG/ML (IP-CMPD) [40800001200],189.85,,53.158,163.271,83
NDC,88880-1201-00 [377391],METHYLENE BLUE 1% ORAL SUSPENSION (IP-CMPD) [40800001201],279.25,,78.19,240.155,83
NDC,88880-1202-00 [377392],CIDOFOVIR 1%�IN VERSABSE CREAM (IP-CMPD) [40800001202],2248.7,,629.636,1933.882,83
NDC,88880-1203-00 [378674],QUETIAPINE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800001203],15.7,,4.396,13.502,83
NDC,88880-1204-00 [378692],PYRIDOXINE ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800001204],6.85,,1.918,5.891,83
NDC,88880-1206-00 [382247],GLUTAMINE ORAL SUSPENSION 250 MG/ML (IP-CMPD) [40800001206],271.65,,76.062,233.619,83
NDC,88880-1207-00 [383184],FOSAPREPITANT IVPB 150 MG IN 150 ML (IP-CMPD) [40800001207],289.25,,0.11,248.755,84
NDC,88880-1208-00 [383203],SULFASALAZINE ORAL SUSPENSION 100 MG/ML (IP-CMPD) [40800001208],19.05,,5.334,16.383,83
NDC,88880-1215-00 [400344],BCG LIVE INTRAVESICAL 25 MG IN 50 ML NS (IP-CMPD) [40800001215],355.55,,3.12,305.773,86
NDC,88880-1217-32 [297065],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (PALLIATIVE CARE) (USE ORDER SET) [40840004807],164.0,,45.92,141.04,83
NDC,88880-1217-32 [297065],DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [121732],164.0,,45.92,141.04,83
NDC,88880-1241-77 [332225],SENNOSIDES 8.8 MG/5 ML ORAL SYRUP [124177],1.65,,0.462,1.419,83
NDC,88880-1244-15 [280807],"LORATADINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [124415]",3.8,,1.064,3.268,83
NDC,88880-1253-35 [322460],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [125335],58.3,,16.324,50.138,83
NDC,88880-1253-35 [322460],DEXTROSE 50% (D50W) INJ CONTAINER [40800000724],58.3,,16.324,50.138,83
NDC,88880-1267-01 [305009],HYDROMORPHONE 1 MG/ML IN 0.9 % SODIUM CHLORIDE PCA SYRINGE CONTAINER [40800002878],115.55,,0.09,99.373,84
NDC,88880-1267-01 [305009],HYDROMORPHONE 1 MG/ML IN NS PCA SYRINGE (PREMIX) (PALLIATIVE) [40800002305],115.55,,0.09,99.373,84
NDC,88880-1267-01 [305009],HYDROMORPHONE 1 MG/ML IN NS PCA SYRINGE (PREMIX) (PEDI) [4080000230],115.55,,32.354,99.373,83
NDC,88880-1267-01 [305009],HYDROMORPHONE 1 MG/ML INFUSION SYRINGE (PREMIX) (USE ORDER SET) [40800000034],115.55,,0.09,99.373,84
NDC,88880-1267-01 [305009],HYDROMORPHONE 50 MG/50 ML (1 MG/ML) INFUSION SYRINGE (PREMIX) [40800002874],115.55,,0.09,99.373,84
NDC,88880-1276-27 [306660],ONDANSETRON 2 MG/ML INJ CONTAINER [40800000408],6.4,,0.09,5.504,84
NDC,88880-1276-27 [306660],ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE [127627],6.4,,0.09,5.504,84
NDC,88880-1278-29 [301381],HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [127829],8.05,,0.09,6.923,84
NDC,88880-1289-50 [319866],MORPHINE 50 MG/50 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE [128950],31.3,,4.55,26.918,84
NDC,88880-1289-50 [319866],MORPHINE 50 MG/50 ML PCA SYRINGE (PREMIX) (PALLIATIVE) [40800002309],31.3,,4.55,26.918,84
NDC,88880-1289-50 [319866],MORPHINE 50 MG/50 ML PCA SYRINGE (PREMIX) (PEDI) [40800002315],31.3,,4.55,26.918,84
NDC,88880-1305-67 [331202],"FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) INTRAVENOUS PCA SYRINGE [130567]",62.35,,0.96,53.621,84
NDC,88880-1305-67 [331202],"FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) PCA SYRINGE (PREMIX) (PALLIATIVE) [40800003530]",62.35,,0.96,53.621,84
NDC,88880-1305-67 [331202],"FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) PCA SYRINGE (PREMIX) (PEDI)  [40800003531]",62.35,,0.96,53.621,84
NDC,88880-1305-67 [331202],"FENTANYL (PF) 2,500 MCG/50 ML INFUSION (PEDI) (USE ORDER SET) [40800003532]",62.35,,0.96,53.621,84
NDC,88880-1309-94 [292405],LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (10 ML) INJ SYRINGE [130994],13.85,,3.878,11.911,83
NDC,88880-1311-14 [319676],MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS SOLUTION [131114],35.15,,4.55,30.229,84
NDC,88880-1313-00 [374784],VALACYCLOVIR ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800000903],272.8,,76.384,234.608,83
NDC,88880-1495-30 [309578],ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [14953],93.9,,26.292,80.754,83
NDC,88880-1623-91 [289081],ORGAN PRESERVATION SOLUTION 125 MEQ/L PERFUSION IRRIGATION SOLUTION [163712],69.65,,19.502,59.899,83
NDC,88880-1960-00 [292363],"HEPARIN (PORCINE) IRRIGATION 50,000 UNITSIN 500 ML NS (IP-CMPD) [40800001960]",147.0,,41.16,126.42,83
NDC,88880-1971-01 [289851],LIDOCAINE 1% IN AQUAPHOR (IP-CMPD) [40800001971],106.1,,29.708,91.246,83
NDC,88880-1980-00 [289082],"CEFEPIME IVPB 2,000 MG IN 50 ML NS (IP-CMPD) [40800001980]",112.4,,1.23,96.664,84
NDC,88880-1984-00 [288303],PHENYLEPHRINE 1% NASOPHARYNGEAL SOLUTION (IP-CMPD) [40800001984],16.9,,4.732,14.534,83
NDC,88880-1984-01 [309039],PHENYLEPHRINE 1% NASOPHARYNGEAL SOLUTION (IP-CMPD) [40800001984],16.85,,4.718,14.491,83
NDC,88880-1985-00 [288304],LIDOCAINE 4% NASOPHARYNGEAL SOLUTION [40800001985],9.9,,2.772,8.514,83
NDC,88880-1989-00 [287094],AMPHOTERICIN B 2 MCG/ML TOPICAL SOLUTION (IP-CMPD) [40800001989],15.65,,4.382,13.459,83
NDC,88880-1991-00 [284118],"LIDOCAINE 2% BUFFERED - EPINEPHRINE 1:200,000 INJECTION SYRINGE (IP-CMPD) [40800001991]",37.25,,10.43,32.035,83
NDC,88880-1991-01 [362130],"LIDOCAINE 2% BUFFERED - EPINEPHRINE 1:200,000 INJECTION SYRINGE (IP-CMPD) [40800001991]",6.9,,1.932,5.934,83
NDC,88880-1991-02 [362131],"LIDOCAINE 2% BUFFERED - EPINEPHRINE 1:200,000 INJECTION SYRINGE (IP-CMPD) [40800001991]",6.9,,1.932,5.934,83
NDC,88880-1991-03 [362132],"LIDOCAINE 2% BUFFERED - EPINEPHRINE 1:200,000 INJECTION SYRINGE (IP-CMPD) [40800001991]",11.2,,3.136,9.632,83
NDC,88880-1992-00 [284093],HYDROCORTISONE ORAL SUSPENSION 2 MG/ML (IP-CMPD) [40800001992],10.1,,2.828,8.686,83
NDC,88880-1992-01 [323452],HYDROCORTISONE ORAL SUSPENSION 2 MG/ML (IP-CMPD) [40800001992],34.2,,9.576,29.412,83
NDC,88880-1993-00 [284074],NOREPINEPHRINE 10 MCG/ML SYRINGE IP-CMPD (ANES OSM) [40800001993],6.9,,1.932,5.934,83
NDC,88880-1994-01 [284041],SORAFENIB ORAL SUSPENSION 6.7 MG/ML (IP-CMPD) [40800001994],366.35,,102.578,315.061,83
NDC,88880-1996-00 [284007],FLUOROURACIL OPHTHALMIC SOLUTION 5 MG/ML (0.5 %)(CMPD) [40800001996],6.9,,1.932,5.934,83
NDC,88880-1997-00 [283938],TACROLIMUS INFUSION 1 MG IN 250 ML NS (IP-CMPD) [40800001997],185.1,,51.828,301.81635,86
NDC,88880-2000-03 [379965],TRAZODONE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800002000],64.1,,17.948,55.126,83
NDC,88880-2001-00 [294877],PANTOPRAZOLE INFUSION 80 MG IN 100 ML NS (IP-CMPD) [40800002001],104.7,,29.316,90.042,83
NDC,88880-2002-00 [296028],TERBINAFINE HCL ORAL SUSPENSION 25 MG/ML (IP-CMPD) [40800002002],6.85,,1.918,5.891,83
NDC,88880-2004-01 [401202],ZICONOTIDE INJECTION 1 MCG/ML STOCK SYRINGE (IP-CMPD) [40800002815],47.2,,10.13,40.592,85
NDC,88880-2004-03 [401203],ZICONOTIDE INJECTION 1 MCG/ML STOCK SYRINGE (IP-CMPD) [40800002815],126.15,,10.13,108.489,85
NDC,88880-2004-05 [401204],ZICONOTIDE INJECTION 1 MCG/ML STOCK SYRINGE (IP-CMPD) [40800002815],210.25,,10.13,180.815,85
NDC,88880-2010-00 [307686],FLUCYTOSINE ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800002010],2316.25,,648.55,1991.975,83
NDC,88880-2010-02 [323449],FLUCYTOSINE ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800002010],18515.35,,5184.298,15923.201,83
NDC,88880-2013-00 [309528],ZICONOTIDE INJECTION 5 MCG/ML STOCK SYRINGE (IP-CMPD) [40800002013],4013.6,,10.13,3451.696,85
NDC,88880-2013-01 [344400],ZICONOTIDE INJECTION 5 MCG/ML STOCK SYRINGE (IP-CMPD) [40800002013],4013.6,,10.13,3451.696,85
NDC,88880-2013-02 [398026],ZICONOTIDE INJECTION 5 MCG/ML STOCK SYRINGE (IP-CMPD) [40800002013],4013.6,,10.13,3451.696,85
NDC,88880-2017-00 [314720],TACROLIMUS ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800002017],88.0,,0.15,75.68,84
NDC,88880-2017-02 [354898],TACROLIMUS ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800002017],173.95,,0.15,149.597,84
NDC,88880-2017-03 [354899],TACROLIMUS ORAL SUSPENSION 1 MG/ML (IP-CMPD) [40800002017],259.9,,0.15,223.514,84
NDC,88880-2018-00 [316528],BUPIVACAINE 0.075%-HYDROMORPHONE 2 MCG/ML EPIDURAL INFUSION (PREMIX) [40800002018],30.6,,8.568,26.316,83
NDC,88880-2019-00 [317947],LAPATINIB ORAL SUSPENSION 50 MG/ML (IP-CMPD) [40800002019],1546.3,,432.964,1329.818,83
NDC,88880-2025-00 [324461],"HEPARIN IRRIGATION�1,000 UNITS/1,000 ML IN SWFI (IP-CMPD) [40800002025]",89.85,,25.158,77.271,83
NDC,88880-2026-01 [324465],"HEPARIN 2,000 UNITS/20 ML IN NS (IP-CMPD) [40800002026]",73.05,,20.454,62.823,83
NDC,88880-2031-00 [324544],DEXAMETHASONE 24 MG/ML SOLUTION FOR OTIC INJECTION (IP-CMPD) [40800002031],56.5,,15.82,48.59,83
NDC,88880-2033-00 [326058],AMIKACIN 3 MG/ML INTRA-CATHETER LOCK SOLUTION (IP-CMPD) [40800002033],29.05,,0.62,24.983,84
NDC,88880-2035-00 [327132],"LIDOCAINE 0.5% BUFFERED - EPINEPHRINE 1:200,000 INJ SYRINGE 1 ML (IP-CMPD) [40800002035]",6.9,,1.932,5.934,83
NDC,88880-2037-00 [327984],"LIDOCAINE 0.5% BUFFERED - EPINEPHRINE 1:200,000 INJ SYRINGE 10 ML (IP-CMPD) [40800002037]",6.9,,1.932,5.934,83
NDC,88880-2039-00 [327995],GENTAMICIN BUFFERED INTRATYMPANIC INJECTION 26.7 MG/ML (IP-CMPD) [40800002039],35.5,,2.62,30.53,84
NDC,88880-2040-00 [330388],RIBAVIRIN ORAL SUSPENSION 40 MG/ML (IP-CMPD) [40800002040],86.85,,24.318,74.691,83
NDC,88880-2041-00 [330401],RIBAVIRIN (BULK) POWDER [40800002041],2738.65,,766.822,2355.239,83
NDC,88880-2042-00 [332232],HYDROXYCHLOROQUINE SULFATE SUGAR FREE ORAL SUSPENSION 25 MG/ML (IP-CMPD) [40800002042],147.1,,41.188,126.506,83
NDC,88880-2042-01 [332233],HYDROXYCHLOROQUINE SULFATE SUGAR FREE ORAL SUSPENSION 25 MG/ML (IP-CMPD) [40800002042],3.75,,1.05,3.225,83
NDC,88880-2410-00 [271182],GANCICLOVIR INTRAVITREAL INJECTION 16 MG/0.4 ML [40800002410],18.45,,5.166,39.62,84
NDC,88880-2470-00 [283823],ECLIPSE PUMP 100 ML - 50 ML/HR [40800002470],15.9,,4.452,13.674,83
NDC,88880-2471-00 [283827],ECLIPSE PUMP 100 ML - 100 ML/HR [40800002471],15.0,,4.2,12.9,83
NDC,88880-2472-00 [283828],ECLIPSE PUMP 250 ML - 175 ML/HR [40800002472],29.5,,8.26,25.37,83
NDC,88880-2473-00 [283829],ECLIPSE PUMP 400 ML - 100 ML/HR [40800002473],45.3,,12.684,38.958,83
NDC,88880-2474-00 [283900],"VANCOMYCIN IVPB 1,000 MG IN 250 ML NS (IP-CMPD) [40800002474]",81.8,,0.03,70.348,84
NDC,88880-2480-00 [283933],LIDOCAINE 1% BUFFERED - SODIUM BICARBONATE 16.7% INJ SYRINGE 3 ML (30 ML) [40800002480],6.9,,1.932,5.934,83
NDC,88880-2525-00 [349901],DANTROLENE ORAL SUSPENSION 5 MG/ML (CMPD) [40800002525],30.9,,8.652,26.574,83
NDC,88880-2529-00 [370042],DIAZEPAM 1 MG HALF-TABLET [40800002529],2.85,,0.798,2.451,83
NDC,88880-2530-00 [370043],LORAZEPAM 0.25 HALF-TABLET [40800002530],2.85,,0.798,2.451,83
NDC,88880-2607-00 [287066],FAT EMULSION 20 % INTRAVENOUS (SOYBEAN ONLY) [40800002607],85.6,,23.968,73.616,83
NDC,88880-2607-01 [287067],FAT EMULSION 20 % INTRAVENOUS (SOYBEAN ONLY) [40800002607],110.0,,30.8,94.6,83
NDC,88880-2607-02 [287068],FAT EMULSION 20 % INTRAVENOUS (SOYBEAN ONLY) [40800002607],115.3,,32.284,99.158,83
NDC,88880-2623-00 [294856],HISTAMINE 1 MG/ML (2.75 MG/ML) PERCUTANEOUS SOLUTION [184561],14.65,,4.102,12.599,83
NDC,88880-2625-00 [294855],"PENICILLIN G POTASSIUM 10,000 UNITS/ML PRICK TEST SOLUTION [40800002625]",6.9,,1.932,5.934,83
NDC,88880-2627-00 [299730],SODIUM CHLORIDE 0.9% PRICK TEST SOLUTION (IP-CMPD) [40800002627],6.9,,1.932,5.934,83
NDC,88880-2638-00 [299720],HYDROMORPHONE 1 MG/ML ORAL LIQUID (PEDI) [40800002638],3.55,,0.994,3.053,83
NDC,88880-2639-00 [299721],HYDROMORPHONE 1 MG/ML ORAL LIQUID [10225],10.4,,2.912,8.944,83
NDC,88880-2665-00 [314734],HISTAMINE PHOSPHATE 0.1 MG/ML INTRADERMAL TEST INJECTION SOLUTION [40800002665],35.05,,9.814,30.143,83
NDC,88880-2700-00 [289782],VORICONAZOLE INTRAVITREAL INJECTION 400 MCG/0.4 ML [40800002700],6.9,,0.78,5.934,84
NDC,88880-2705-00 [309615],"DAB SOLUTION FOR TOPICAL IRRIGATION (GENTAMICIN, NEOMYCIN, POLYMYXIN B) BOTTLE (CMPD) [40840002705]",90.55,,25.354,77.873,83
NDC,88880-2752-21 [280798],"FEXOFENADINE 60 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXT.RELEASE,12 HR [27522]",3.4,,0.952,2.924,83
NDC,88880-2805-01 [289866],VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129843],63.3,,0.03,54.438,84
NDC,88880-2806-01 [289867],VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [129844],63.3,,0.03,54.438,84
NDC,88880-2810-00 [302319],MORPHINE 2 MG/ML INJ CONTAINER [40800002810],11.8,,3.304,10.148,84
NDC,88880-2810-00 [302319],MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [163947],11.8,,3.304,10.148,84
NDC,88880-2810-00 [302319],MORPHINE INJECTION 2 MG/ML (PHARMACY USE ONLY) [40800000368],11.8,,3.304,10.148,84
NDC,88880-2829-01 [360256],TRAMADOL 5 MG/ML ORAL SOLUTION [192829],29.2,,8.176,25.112,83
NDC,88880-2833-00 [299043],PROMETHAZINE IVPB 6.25 MG IN 50 ML NS (IP-CMPD) [40800002833],73.05,,2.87,62.823,84
NDC,88880-2834-00 [299044],PROMETHAZINE IVPB 12.5 MG IN 50 ML NS (IP-CMPD) [40800002834],73.05,,2.87,62.823,84
NDC,88880-2835-00 [299045],PROMETHAZINE IVPB 25 MG IN 50 ML NS (IP-CMPD) [40800002835],73.05,,2.87,62.823,84
NDC,88880-2836-00 [299046],CHLORPROMAZINE IVPB 25 MG IN 50 ML NS (IP-CMPD) [40800002836],152.2,,27.07,130.892,84
NDC,88880-2871-01 [313059],YTTRIUM-90 THERASPHERE INJECTION [40800002871],55501.0,,15540.28,47730.86,84
NDC,88880-2872-01 [313060],YTTRIUM-90 SIR-SPHERES INJECTION [40800002872],51594.0,,14446.32,44370.84,84
NDC,88880-2883-01 [305819],METHYLENE BLUE 0.1% ORAL RINSE (IP-CMPD) [40800002883],1088.85,,304.878,936.411,83
NDC,88880-2892-01 [313172],INDIUM 111-WBC INJECTION [40800002892],6951.0,,1103.19,5977.86,85
NDC,88880-2900-00 [299083],LACTULOSE ENEMA 200 GM/1000 ML (IP-CMPD) [40800002900],23.1,,6.468,19.866,83
NDC,88880-2937-00 [303296],BCG LIVE INTRAVESICAL 17 MG IN 50 ML NS (IP-CMPD) [40800002937],244.1,,3.12,209.926,86
NDC,88880-2938-00 [304158],BCG LIVE INTRAVESICAL 50 MG IN 50 ML NS (IP-CMPD) [40800002938],565.75,,3.12,486.545,86
NDC,88880-2940-00 [302157],TOBRAMYCIN OPHTHALMIC DROPS (FORTIFIED) 14 MG/ML (1.4%) (CMPD) [40800002940],97.5,,27.3,83.85,83
NDC,88880-3005-01 [327084],BEVACIZUMAB-AWWB BIOSIMILAR INTRAVITREAL INJECTION 10 MG/0.4 ML [40800003397],232.5,,23.74,199.95,86
NDC,88880-3070-00 [328900],"LIDOCAINE 2 % BUFFERED - EPINEPHRINE 1:100,000 INJ SYRINGE (IP-CMPD) [40800003070]",10.0,,2.8,8.6,83
NDC,88880-3086-00 [376145],KETAMINE HIGH-DOSE IV INFUSION 10 MG/ML (ADULT) (MUST USE ORDER SET) [40800003083],200.0,,56.0,172.0,83
NDC,88880-3086-00 [376145],KETAMINE HIGH-DOSE IV INFUSION 10 MG/ML (PEDI) (MUST USE ORDER SET) [40800002895],200.0,,56.0,172.0,83
NDC,88880-3086-00 [376145],KETAMINE LOW-DOSE IV INFUSION 10 MG/ML (ADULT) (MUST USE ORDER SET) [40800002811],200.0,,56.0,172.0,83
NDC,88880-3086-00 [376145],KETAMINE LOW-DOSE IV INFUSION 10 MG/ML (PEDI) (MUST USE ORDER SET) [40800003086],200.0,,56.0,172.0,83
NDC,88880-3102-01 [311347],TECHNETIUM TC 99M-EXAMETAZIME-WHITE BLOOD CELLS INJECTION [40800003102],5370.0,,934.13,4618.2,85
NDC,88880-3117-00 [398094],PENTOXIFYLLINE ORAL SUSPENSION 20 MG/ML (IP-CMPD) [40800003117],56.7,,15.876,48.762,83
NDC,88880-3302-00 [312109],ECLIPSE PUMP C-SERIES 100 ML - 2 ML/HR [40800003302],83.25,,23.31,71.595,83
NDC,88880-3330-01 [317963],TAGRAXOFUSP-ERZS INJECTION 100 MCG/ML (IP-CMPD) [40800003330],110652.95,,348.62,95161.537,86
NDC,88880-3418-00 [337368],POTASSIUM CHLORIDE IVPB 20 MEQ IN 250 ML NS (IP-CMPD) [40800003418],81.6,,0.17,70.176,84
NDC,88880-3420-00 [352516],POTASSIUM CHLORIDE IVPB 40 MEQ IN 500 ML NS (IP-CMPD) [40800003420],81.6,,0.17,70.176,84
NDC,88880-3422-00 [369039],CLOBAZAM 5 MG HALF-TABLET [40800003422],2.85,,0.798,2.451,83
NDC,88880-3427-00 [386376],ALTEPLASE (CATHFLO) INJ 1 MG/ML (2 MG) (CMPD) [40800003427],642.8,,94.15,552.808,86
NDC,88880-3428-00 [406035],CINACALCET 5 MG/ML ORAL SUSPENSION (IP-CMPD) [40800003428],34.15,,9.562,29.369,83
NDC,88880-3529-00 [330355],"PENICILLIN G SODIUM 1,000 UNITS/ML IN NS INJ (IP-CMPD) (DESENSITIZATION) [40800003529]",105.15,,29.442,90.429,83
NDC,88880-3535-00 [332317],IMIPENEM-CILASTATIN-RELEBACTAM IVPB 12.5 MG/ML IN NS (IP-CMPD)  [40800003535],942.5,,2.61,810.55,84
NDC,88880-3536-00 [388095],MINOCYCLINE ORAL SUSPENSION 10 MG/ML (IP-CMPD) [40800004010],258.6,,72.408,222.396,83
NDC,88880-3559-00 [339322],CEFAZOLIN IN STERILE WATER 0.01 MG/ML DESENSITIZATION STOCK VIAL (IP-CMPD) [40800003559],73.05,,0.84,62.823,84
NDC,88880-3560-00 [339323],CEFAZOLIN IN STERILE WATER 1 MG/ML DESENSITIZATION STOCK BAG (IP-CMPD) [40800003560],73.05,,0.84,62.823,84
NDC,88880-3560-00 [339323],CEFAZOLIN IVPB 1 MG/ML (DESENSITIZATION #5) [40800003561],73.05,,0.84,62.823,84
NDC,88880-3581-00 [344273],"LIDOCAINE 0.5% BUFFERED - EPINEPHRINE 1:200,000 INJ SYRINGE 10 ML (IP-CMPD) [40800002037]",6.9,,1.932,5.934,83
NDC,88880-3581-01 [344274],"LIDOCAINE 0.5% BUFFERED - EPINEPHRINE 1:200,000 INJ SYRINGE 1 ML (IP-CMPD) [40800002035]",6.9,,1.932,5.934,83
NDC,88880-3590-00 [349855],NAFCILLLIN 1 MG/ML IN NS 250 ML STOCK BAG INJ (IP-CMPD) (DESENSITIZATION) [40800003590],83.55,,0.06,71.853,84
NDC,88880-3593-00 [350772],AMIKACIN ORAL SOLUTION 100 MG/ML (IP-CMPD) [40800003593],374.1,,0.62,321.726,84
NDC,88880-3596-00 [351607],"VANCOMYCIN IVPB 2,000 MG IN 250 ML NS (IP-CMPD) [40800003596]",212.05,,0.03,182.363,84
NDC,88880-3603-01 [341285],INSULIN LISPRO 10 UNITS / 0.1 ML SUBCUTANEOUS INJECTION SYRINGE (IP-CMPD) [40800003603],6.9,,1.932,5.934,83
NDC,88880-3604-01 [342164],SODIUM CITRATE 4% INTRA-CATHETER INJECTION SYRINGE 3 ML (IP-CMPD) [40800003604],73.05,,20.454,62.823,83
NDC,88880-3722-00 [309614],"DAB SOLUTION FOR CHEST TUBE IRRIGATION (GENTAMICIN, NEOMYCIN, POLYMYXIN B) BAG (CMPD) [40840003722]",116.75,,32.69,100.405,83
NDC,88880-3805-00 [345734],ROMIPLOSTIM SUBCUTANEOUS 125 MCG/ML INJ CONTAINER (CMPD) [40800003805],4509.55,,11.0,3878.213,86
NDC,88880-3808-00 [344204],INSULIN REGULAR 0.2 UNITS/ML IN NS INJECTION SYRINGE (PEDI) (IP-CMPD) [40800000390],80.25,,22.47,69.015,83
NDC,88880-3808-00 [344204],INSULIN REGULAR INFUSION 20 UNITS IN 100 ML NS (PEDI) (IP-CMPD) (USE ORDER SET) [40800003810],80.25,,22.47,69.015,83
NDC,88880-3808-00 [344204],INSULIN REGULAR IVPB 0.2 UNITS/ML IN NS (PEDI) (IP-CMPD) [40800003808],80.25,,22.47,69.015,83
NDC,88880-3832-11 [280800],CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE [38321],1.65,,0.462,1.419,83
NDC,88880-3841-00 [367938],CARBOPLATIN IVPB 1 MG/ML IN 10 ML (DESENSITIZATION STOCK SOLUTION) [40800003841],73.05,,2.11,62.823,84
NDC,88880-3881-00 [370150],EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS INJECTION (IP-CMPD) [40800003881],5261.9,,55.66,4525.234,86
NDC,88880-3884-00 [370149],EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS INJECTION (IP-CMPD) [40800003884],5261.9,,55.66,4525.234,86
NDC,88880-3901-00 [352536],CEFTAROLINE 2.4 MG/ML IN NS 250 ML STOCK BAG INJ (IP-CMPD) (DESENSITIZATION) [40800003901],763.8,,4.24,656.868,86
NDC,88880-3925-00 [364994],HYDROMORPHONE INFUSION 100 MG IN 100 ML NS (IP-CMPD) (USE ORDER SET) [40800003925],151.5,,0.09,130.29,84
NDC,88880-3929-00 [366140],HYDROCORTISONE (PF) 4 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003929],192.7,,21.2,165.722,84
NDC,88880-3930-00 [366141],LORAZEPAM 0.2 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003930],98.1,,1.32,84.366,84
NDC,88880-3931-00 [366152],HYDRALAZINE 1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003931],189.05,,5.19,162.583,84
NDC,88880-3932-00 [366946],MORPHINE 0.25 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003932],81.25,,4.55,69.875,84
NDC,88880-3933-00 [366950],METOCLOPRAMIDE 0.5 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003933],167.7,,1.0,144.222,84
NDC,88880-3934-00 [366948],ENALAPRILAT 0.05 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003934],107.0,,29.96,92.02,83
NDC,88880-3935-00 [366944],GRANISETRON 0.1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003935],7437.15,,0.23,6395.949,84
NDC,88880-3936-00 [366949],DIPHENHYDRAMINE 4 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003936],80.45,,0.9,69.187,84
NDC,88880-3937-00 [366951],HYDROMORPHONE 0.1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003937],74.2,,0.09,63.812,84
NDC,88880-3938-00 [366952],FENTANYL 10 MCG/ML INJECTION (IP-CMPD) (PEDI) [40800003938],95.85,,0.96,82.431,84
NDC,88880-3939-00 [366942],DIAZEPAM 0.2 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003939],151.9,,6.17,130.634,84
NDC,88880-3940-00 [366964],METHYLPREDNISOLONE 1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003940],102.0,,0.26,87.72,84
NDC,88880-3941-00 [366967],METHADONE 1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003941],386.0,,22.91,331.96,84
NDC,88880-3942-00 [366965],DEXAMETHASONE 0.25 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003942],73.05,,0.12,62.823,84
NDC,88880-3943-00 [366966],NALBUPHINE 1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003943],132.4,,3.51,113.864,84
NDC,88880-3943-01 [388074],NALBUPHINE 1 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003943],87.3,,3.51,75.078,84
NDC,88880-3944-00 [366968],ENOXAPARIN 20 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003944],219.6,,0.57,188.856,84
NDC,88880-3945-00 [366969],KETOROLAC 2 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003945],130.35,,0.34,112.101,86
NDC,88880-3947-00 [366971],THIAMINE 5 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003947],44.35,,1.79,38.141,84
NDC,88880-3948-00 [366992],HALOPERIDOL LACTATE 0.2 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003948],112.3,,0.84,96.578,84
NDC,88880-3951-00 [367937],ENOXAPARIN 7.5 MG/ML INJECTION (IP-CMPD) (PEDI) [40800003951],53.35,,0.57,45.881,84
NDC,88880-3970-00 [376156],KETAMINE LOW DOSE IV BOLUS INJECTION 2 MG/ML (IP-CMPD) (PEDI) [40800003970],89.05,,24.934,76.583,83
NDC,88880-4038-91 [280799],"FEXOFENADINE-PSEUDOEPHEDRINE ER 180 MG-240 MG TABLET,EXT.RELEASE 24 HR [40389]",4.95,,1.386,4.257,83
NDC,88880-4217-00 [395240],ALUMINUM-MAGNESIUM HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML AND VISCOUS LIDOCAINE 2% 1:1 ORAL SUSPENSION (IP-CMPD) [40800004217],83.5,,23.38,71.81,83
NDC,88880-4219-00 [395253],DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION AND VISCOUS LIDOCAINE 2% 1:1 ORAL SOLUTION (IP-CMPD) [40800004219],57.65,,16.142,49.579,83
NDC,88880-4223-00 [396046],SIMETHICONE 40 MG CHEWABLE HALF-TABLET [40800004223],1.65,,0.462,1.419,83
NDC,88880-4227-00 [401818],FLUDROCORTISONE 0.05 MG HALF-TABLET [40800004227],2.0,,0.56,1.72,83
NDC,88880-4228-00 [401819],SPIRONOLACTONE 12.5 MG HALF-TABLET [40800004228],1.65,,0.462,1.419,83
NDC,88880-4232-00 [401937],ALDESLEUKIN SUBCUTANEOUS INJ 1 MILLION UNITS/0.28 ML (IP-CMPD) [40800004231],983.65,,275.422,3839.7005,85
NDC,88880-4237-00 [406019],TRANEXAMIC ACID INTRALESIONAL INJECTION 50 MG/ML (IP-CMPD) [40800004237],79.2,,22.176,68.112,83
NDC,88880-4418-50 [401217],"DAB SOLUTION FOR CHEST TUBE IRRIGATION (GENTAMICIN, NEOMYCIN, POLYMYXIN B) SYRINGE (CMPD) [40800004418]",43.4,,12.152,37.324,83
NDC,88880-4421-00 [401840],BCG LIVE INTRAVESICAL 33 MG IN 50 ML NS (IP-CMPD) [40800004421],459.6,,3.12,395.256,86
NDC,88880-4781-00 [366076],ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION (DOSES NOT EQUAL TO 30 GRAMS) [40800003826],133.6,,37.408,114.896,83
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],66.15,,1.38,56.889,84
NDC,88880-4968-63 [281803],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],66.15,,1.38,56.889,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9 % IV BOLUS (NON-ALARIS) [40800000378],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9 % IV BOLUS [40800000205],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9% INJ FOR TOPICAL USE [40800002705],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],"SODIUM CHLORIDE 0.9% INJECTION FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS, NO I/O) [40800004236]",69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9% INTRAPERITONEAL FLUSH [40800003904],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9% INTRAPERITONEAL SOLN [40800000723],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9% INTRAVESICULAR SOLN [40800003394],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003075],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9% IV FLUSH (VOLUME GREATER THAN 10 ML) [40800000221],69.65,,2.28,59.899,84
NDC,88880-4968-87 [281804],SODIUM CHLORIDE 0.9% IV REPLENISHMENT [40800002468],69.65,,2.28,59.899,84
NDC,88880-5008-00 [356599],DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION [2365],43.1,,12.068,37.066,83
NDC,88880-5015-00 [378760],ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML (5 ML) ORAL SOLUTION [131700],14.25,,3.99,12.255,83
NDC,88880-5016-00 [388980],DEXTROSE 5% (NON-PVC) INTRAVENOUS SOLUTION [40800000006],66.15,,2.03,56.889,84
NDC,88880-6002-00 [337353],IRINOTECAN IVPB 1 MG/ML IN 500 ML D5W (DESENSITIZATION STOCK SOLN) [40800003549],492.8,,1.4,423.808,84
NDC,88880-6017-00 [353924],RIFAXIMIN ORAL SUSPENSION 20 MG/ML (IP-CMPD) [40800000956],560.05,,156.814,481.643,83
NDC,88880-6026-00 [366145],PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET CONTAINER [40800002968],1.65,,0.462,1.419,83
NDC,88880-6026-00 [366145],PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET [11218],1.65,,0.462,1.419,83
NDC,88880-6626-00 [283778],ETHYL ALCOHOL (BULK) 95 % LIQUID [128612],85.8,,24.024,73.788,83
NDC,88880-7017-00 [388167],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,0.71,56.889,84
NDC,88880-7017-00 [388167],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,0.71,56.889,84
NDC,88880-7017-00 [388167],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,88880-7017-00 [388167],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,84
NDC,88880-7017-00 [388167],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,84
NDC,88880-7018-00 [388168],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],69.65,,2.28,59.899,84
NDC,88880-7018-00 [388168],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],69.65,,2.28,59.899,84
NDC,88880-7018-00 [388168],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],69.65,,2.28,59.899,84
NDC,88880-7018-00 [388168],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],69.65,,2.28,59.899,84
NDC,88880-7018-00 [388168],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],69.65,,2.28,59.899,84
NDC,88880-7019-00 [388169],SODIUM CHLORIDE 0.9% (NON-PVC) (BLINATUMOMAB) IV SOLN [40800002463],66.15,,0.71,56.889,84
NDC,88880-7019-00 [388169],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION (FOR TTM USE ONLY) [40840003059],66.15,,0.71,56.889,84
NDC,88880-7019-00 [388169],SODIUM CHLORIDE 0.9% (NON-PVC) INTRAVENOUS SOLUTION [40800000005],66.15,,0.71,56.889,84
NDC,88880-7019-00 [388169],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) (NON-ALARIS) [40800003074],66.15,,0.71,56.889,84
NDC,88880-7019-00 [388169],SODIUM CHLORIDE 0.9% (NON-PVC) IV FLUSH (VOLUME GREATER THAN 10 ML) [40800002475],66.15,,0.71,56.889,84
NDC,88880-7321-00 [299084],SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],69.65,,19.502,59.899,83
NDC,88880-8049-00 [331219],TRAGACANTH POWDER [8049],234.75,,65.73,201.885,83
NDC,88880-8830-01 [313077],TECHNETIUM TC99M PENTETIC ACID (DTPA) AEROSOL [40800003310],357.0,,99.96,307.02,83
NDC,88880-9525-72 [305732],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-ALARIS) [40800003503],66.15,,18.522,56.889,83
NDC,88880-9525-72 [305732],SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],66.15,,18.522,56.889,83
NDC,88881-2269-00 [388138],CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [122690],4.05,,1.134,3.483,83
NDC,88882-9817-00 [371147],MELPHALAN INTRAVITREAL INJ 200 MCG/ML (2023-0468) [40890029817],225.6,,63.168,194.016,86
NDC,9629512751 [305613],SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA [11395],3.7,,1.036,3.182,83
NDC,9629512753 [308843],MINERAL OIL ENEMA [5087],12.1,,3.388,10.406,83
NDC,9629512845 [298863],CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [24559],1.65,,0.462,1.419,83
NDC,9629512848 [298866],"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [76950]",1.65,,0.462,1.419,83
NDC,9629512941 [307592],PHENYLEPHRINE 1 % NASAL SPRAY [124348],9.25,,2.59,7.955,83
NDC,9629513077 [308850],CETIRIZINE 1 MG/ML ORAL SOLUTION [70838],20.05,,5.614,17.243,83
NDC,9629513377 [317651],NICOTINE (POLACRILEX) 2 MG GUM [10717],1.65,,0.462,1.419,83
NDC,9629513565 [337071],FOLIC ACID 400 MCG TABLET [3234],1.65,,0.462,1.419,83
NDC,9697400002 [258045],MAGNESIUM OXIDE-MAGNESIUM AMINO ACID CHELATE 133 MG TABLET [129350],1.65,,0.462,1.419,83
NDC,9697400003 [295888],MAGNESIUM OXIDE-MAGNESIUM AMINO ACID CHELATE 133 MG TABLET [129350],1.65,,0.462,1.419,83
NDC,99991-0001-01 [276762],LEECHES - MEDICINAL [40800000257],59.75,,16.73,51.385,83